Which is a global concept that includes the collection of patient information documented by a number of providers at different facilities regarding one patient?
a. electronic health record
b. electronic medical record
c. multidisciplinary health record
d. personal health record
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Q. 2) Which is a systematic method of documentation that consists of four components: database, problem list, initial plan, and progress notes?
a. electronic record
b. integrated record
c. problem-oriented record
d. source-oriented record
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Q. 3) POR progress notes are documented for each problem assigned to the patient, using the SOAP format. When the patient states, I have had a stuffy nose and sore throat for about one week, the provider documents the statement in the __________ portion of the progress note.
a. Subjective
b. Objective
c. Assessment
d. Plan
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Q. 4) The primary purpose of the patient record is to provide for __________ of care, which involves documenting patient care services so that others who treat the patient have a source of information to assist with additional care and treatment.
a. continuity
b. provision
c. quality
d. reimbursement
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Q. 5) Which documents health care services provided to a patient and includes patient demographic (or identification) data, documentation to support diagnoses and justify treatment provided, and the results of treatment provided?
a. accounting system
b. financial documents
c. health insurance claim
d. patient record
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Q. 6) The Investing in Innovations (i2) Initiative is designed to spur innovations in health information technology (health IT) by promoting research and development to enhance competitiveness in the United States. An example of this type of an initiative includes _____.
a. facilitating the exchange of health information by prohibiting individuals from customizing privacy allowances for their personal health records
b. generating results by providing patients, caregivers, and clinicians with access to rigorous and relevant information that can support real needs and immediate decisions
c. permitting the unsecured and effective sharing of information by individuals with members of their social network
d. prohibiting individuals from connecting with others during natural disasters and other periods of emergency
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Q. 7) The Health Care and Education Reconciliation Act (HCERA) amended the PPACA to implement health care reform initiatives, which included __________.
a. closing the Medicare donut hole
b. decreasing tax credits to buy health insurance
c. eliminating revenue changes on indoor tanning services
d. increasing special deals provided to senators
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Q. 8) One result of the Patient Protection and Affordable Care Act (PPACA) was establishment of state health insurance __________ that Americans will use to purchase health coverage that fits their budget and meets their needs.
a. exchanges or marketplaces
b. payment or reimbursement systems
c. requirements or regulations
d. statutes or laws
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Q. 9) The Health Information Technology for Economic and Clinical Health Act was included in the American Recovery and Reinvestment Act of 2009 and amended the Public Health Service Act to establish the __________.
a. Health Care Financing Administration
b. Centers for Medicare and Medicaid Services
c. Office of National Coordinator for HIT
d. State Children's Health Insurance Program
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Q. 10) The American Recovery and Reinvestment Act of 2009 (ARRA) established electronic health record (EHR) __________ during three stages to achieve the goal of improved patient care outcomes and delivery as well as data capture and sharing, advance clinical processes, and improved outcomes.
a. acquisition of health information technology systems
b. health care reform initiatives
c. meaningful use objectives and measures
d. privacy and security requirements
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