The mere implementation of an electronic medical record (EMR) does not guarantee that benefits will be achieved. Which of the following can affect data integrity?
1. System failure
2. Data analysis
3. Data downloading
4. Data mining
Question 2Electronic medical record (EMR) result reporting and data repository components include unstructured data. Which of the following are examples of unstructured data? Select all that apply.
1. Automated laboratory results
2. History and physical
3. Consultation findings
4. Magnetic resonance imaging
5. A social services text report
Question 3The electronic health record (EHR) has the potential to integrate all pertinent patient information into one record.
It also has potential to improve the quality of health information, patient safety, and productivity, contain costs, support research, decrease wait time for treatment and contribute to the body of health care knowledge. Which of the following are reasons why traditional paper records on clients no longer meet the needs of today's health care industry? Select all that apply. 1. Paper records are episode-oriented with a separate record for each client visit.
2. Key information may be lost from one episode to the next, jeopardizing patient safety.
3. Only one person can access a paper record at any given time.
4. Different versions of the same information may be stored in several places.
5. Paper records cannot incorporate diagnostic studies that include images and sound.
Question 4The EHR offers benefits to nurses, physicians, and other health care providers, the health care enterprise, and most importantly, the consumer. Much must be done before the benefits associated with the EHR can be realized.
Which of the following is one action that has been proposed by experts? 1. Health care professionals should institute major changes in the way they work.
2. Consumers need education to choose providers based upon appropriate financial and insurance considerations.
3. Individual consumers should have lesser responsibility for data.
4. Government intervention should promote information exchange among software vendors and health care systems.
Question 5Personal health record (PHR) security issues relate to HIPAA and physical security of data. HIPAA only covers PHRs provided by covered entities such as health plans, health care clearinghouses, and providers.
No governmental coverage exists for other sites unless it is at the state level. To avoid these types of breaches, the American Health Information Community's consumer empowerment working group made a recommendation. Which of the following was recommended for PHRs in order to avoid breaches? 1. Deletion of sensitive data
2. Educating the general consumer about PHRs
3. Restricting the number of authorized users
4. A PHR certification process
Question 6Which of the following are found with the electronic health record (EHR) but are not found with the computer-based patient record (CPR)? Select all that apply.
1. Evidence-based decision support
2. Assists with the work of planning and delivering evidence-based care
3. Quality management
4. Public health disease surveillance and reporting
5. Comprehensive lifetime record that includes all information from all specialties
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