Chapter 9 Practice (Leadership) Information Technology for Safe and Qua

ity Patient Care

Study online at https://quizlet.com/_9agu57
A patient is changing health-care providers and wants to take
his medical record with him.He has a significant medical history
with several comorbidities and frequent hospitalizations at several
hospitals in his geographic area.What would the patient do based
on this circumstance?

1)Access his electronic medical record (EMR)and print out copies

to take with him when he has his initial meeting with his new 2
health-care provider.
2)Provide information from his personal health record (PHR).
3)Attempt to directly access his electronic health record (EHR)to
obtain information.
4)Gather information from his EMR that will provide information
about all of his hospitalizations in different health-care settings as
it provides a comprehensive overview of his medical history.
The nurse is admitting a patient who has community acquired
pneumonia (CAP).While documenting the patient's history in the
medical record,the nurse encounters prompts for further informa-
tion relative to the medical diagnosis.What is this an example of?
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1)Data mining
2)Standardization of language
3)Alert
4)Activation of a rule
In order to establish "meaningful use" with regard to providing
health-care services,what would the nurse expect that the physi-
cian must do?

1)Sign all electronic health-care records for their respective pa-

tients.
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2)Document that improved health outcomes are met while reduc-
ing overall fees and reimbursement.
3)Complete all required elements defined by the Centers for
Medicare and Medicaid Services (CMS).
4)Reduce patient fees for services provided in order to increase
access to medical care for patients.
A nurse is assisting a patient with reviewing an explanation of
benefits (EOMB)in relationship to insurance reimbursement.The
patient has a history of Diabetes,Type 1 and went to the physician
for an office visit.In order to determine which code reflects the
office visit,what would the nurse examine?
3
1)Discrete data
2)ICD (International Classification of Diseases)
3)CPT (Current Procedural Terminology)
4)Data sets
The nurse has just come on shift after receiving initial report and
one of the patients is requesting pain medication.In order for a
nurse to administer this medication to a patient using the elec-
tronic medication administration record (eMAR),which application
must be in place?
2
1)Completion of full shift nursing assessment in patient's medical
record
2)Computerized provider order entry (CPOE)noted in chart for
pain medication
3)Using one patient identifier for confirmation
4)Access to the patient portal
A nurse working on a medical-surgical unit is trying to integrate
services of the informatics department to help improve patient
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 Chapter 9 Practice (Leadership) Information Technology for Safe and Qua
ity Patient Care
Study online at https://quizlet.com/_9agu57
outcomes.Which person would the nurse contact in order to de-
velop an understanding of how the computer system would work?

1)Network engineer 1
2)Clinical analyst
3)Clinical systems educator
4)Chief nursing information officer
Who is a key stakeholder that is a critical part of the informatics
team when attempting to implement an electronic documentation
system?
3
1)Physician or health-care provider
2)A super user who is an expert
3)A super user who is a shift expert
4)IT support
In order to achieve a well-functioning information system within a
health-care setting, which element should be included? Select all
that apply.

1)Information is stored at the individual level.

2)Information is stored at the organizational level. 1, 2, 5
3)Specific specialty designed systems allow for better integration
of services.
4)Customization of systems can only be achieved when using a
home-grown system.
5)Financial systems are included in administrative systems.

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