Question 1

An unintended consequence associated with the use of an electronic health system occurs when:

Accepted Answer

A)   a physician places a medication order with an inappropriate drug dose for a pediatric patient in a CPOE system.
B)   a physician enters orders on a patient who was incorrectly selected from a drop-down list of the physician's personal patient list.
C)   a nurse enters a telephone order from the attending physician into the electronic health system and fails to read back the order.
D)   a nurse enters PRN pain medication orders on a patient and fails to record the indications for each pain medication.

Question 2

Which activity or intervention is the least helpful to the success of an EHR implementation?

Accepted Answer

A)   Schedule the go-live date for a Monday when everyone is fresh for the new workweek.
B)   Anticipate user resistance and plan extensively for it.
C)   Prepare for continual EHR maintenance and oversight.
D)   Provide a hotline phone number for communication and troubleshooting. A

Question 3

A system that incorporates evidence-based content and clinical decision support includes:

Accepted Answer

A)   building multiple aliases.
B)   using Tall Man lettering for select medications.
C)   enforcing the use of only CMS-approved abbreviations.
D)   providing real-time updates to the order item master.

Question 4

What has recently been a complicating factor for implementing Meaningful Use criteria to certify EHRs?

Accepted Answer

A)   The 2015 change from ICD-9-CM to ICD-10-CM
B)   The judicial overturning of parts of the Affordable Care Act
C)   Slowing adoption of EHR systems by healthcare facilities after initial enthusiasm
D)   The conversion to HIPAA standard 4010 A

Question 5

A large medical practice that specializes in cancer care is weighing the advantages and disadvantages of implementing the most recent version of a commercial EHR or building its own homegrown system for its office. The staff selects a commercial EHR from a major vendor. Which factor best supports this decision?

Accepted Answer

A)   A commercial product can be easily customized to accommodate the unique needs of the hospital.
B)   A homegrown system cannot be certified by the Certification Commission for Healthcare Information Technology.
C)   The commercial version is considered one of the "Best of Breed" products.
D)   A homegrown system is typically interfaced with the organization's ADT system and downstream systems.

Question 6

The first country to implement ICD-10 codes was:

Accepted Answer

A)   Denmark.
B)   England.
C)   Canada.
D)   the United States.

Question 7

Which kinds of testing are crucial when implementing a new information system solution? (Select all that apply.)

Accepted Answer

A)   User testing
B)   Hardware testing
C)   Software testing
D)   Functional testing
E)   Stress testing

Question 8

A large medical center that specializes in high-risk pregnancies is implementing an entire suite of clinical applications such as CPOE, barcode medication administration (BCMA) , nursing documentation, data acquisition system to collect clinical data from cardiac and fetal monitors and ventilators, laboratory system, radiology system, PACS, and cardiology. It has a large, highly skilled, experienced IT team. The project team decided to go with a Big Bang go-live versus an incremental or phased approach. Which factor best supports this decision?

Accepted Answer

A)   The Big Bang approach decreases the possibility of errors.
B)   The incremental approach is best for hospitals with large IT departments.
C)   The Big Bang approach minimizes overall productivity loss.
D)   The incremental approach normally has lower implementation costs.

Question 9

Which activity or intervention should be avoided when implementing an EHR system?

Accepted Answer

A)   Public and unwavering support for the project by the organization's leadership
B)   Building a large number of aliases for orders and alerts for select clinical scenarios
C)   Input from representatives from different disciplines over the course of the project
D)   Default clinical information and responses to order prompts on orders and fill in as much as possible on order sets B

Question 10

Which factor commonly interferes with the goal of successfully completing an EHR implementation that is on time and within budget?

Accepted Answer

A)   Scope creep
B)   Big Bang go-live
C)   An integrated EHR system
D)   Delayed transition to ICD-10 codes

Exam 19: Implementing and Upgrading an Information System Solution

An unintended consequence associated with the use of an electronic health system occurs when:

Correct Answer
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Which activity or intervention is the least helpful to the success of an EHR implementation?

Correct Answer
verified
A

A system that incorporates evidence-based content and clinical decision support includes:

Correct Answer
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What has recently been a complicating factor for implementing Meaningful Use criteria to certify EHRs?

Correct Answer
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A

Correct Answer
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The first country to implement ICD-10 codes was:

Correct Answer
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Which kinds of testing are crucial when implementing a new information system solution? (Select all that apply.)

Correct Answer
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Correct Answer
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Which activity or intervention should be avoided when implementing an EHR system?

Correct Answer
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B

Which factor commonly interferes with the goal of successfully completing an EHR implementation that is on time and within budget?

Correct Answer
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Exam 19: Implementing and Upgrading an Information System Solution

An unintended consequence associated with the use of an electronic health system occurs when:

Correct AnswerverifiedShow Answer

Which activity or intervention is the least helpful to the success of an EHR implementation?

Correct AnswerverifiedA

A system that incorporates evidence-based content and clinical decision support includes:

Correct AnswerverifiedShow Answer

What has recently been a complicating factor for implementing Meaningful Use criteria to certify EHRs?

Correct AnswerverifiedA

Correct AnswerverifiedShow Answer

The first country to implement ICD-10 codes was:

Correct AnswerverifiedShow Answer

Which kinds of testing are crucial when implementing a new information system solution? (Select all that apply.)

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Which activity or intervention should be avoided when implementing an EHR system?

Correct AnswerverifiedB

Which factor commonly interferes with the goal of successfully completing an EHR implementation that is on time and within budget?

Correct AnswerverifiedShow Answer

Correct Answer
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Correct Answer
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A

Correct Answer
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Correct Answer
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A

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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B

Correct Answer
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