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Quantum Units Education

Meaningful Use of Electronic Health Records

Introduction

1. Expected benefits of the meaningful use of electronic health records include which of the following?

A. Improved clinical and population health outcomes.

B. Increased transparency.

C. Improved patient empowerment.

D. All of the above.


2. Office-based physicians that have adopted an EHR are more likely to be all of the following, except:

A. Primary care physicians.

B. Practice in private practice settings.

C. Practice in larger groups.

D. Practice in organizationally-owned settings.


3. Primary care physicians continue to have lower rates of adoption than non-primary care physicians.

A. True

B. False


4. There are no differences in the rates of EHR adoption across physicians practicing in high poverty areas compared to those in low poverty areas.

A. True

B. False


Policy Context for Meaningful Use of Electronic Health Records (EHRs)

5. Since RHCs submit Medicare claims as a facility to Medicare Part A, rather than under the Part B fee schedule, individual RHC clinicians are not eligible for Medicare meaningful use incentives.

A. True

B. False


6. RHC clinicians who provide over ____% of their total encounters through the RHC over a period of 6 months in the most recent calendar year are eligible for Medicaid meaningful use incentives, as long as they practice in an RHC with a minimum of 30% of its volume attributable to “needy” individuals.

A. 25

B. 35

C. 50

D. 70


7. Needy individuals are defined as such by virtue of receiving:

A. Medical assistance from Medicaid or the Children’s Health Insurance Program (CHIP).

B. Uncompensated care from the eligible provider.

C. Services at either no cost or reduced cost based on a sliding scale.

D. Any of the above.


Understanding Meaningful Use

8. HITECH has establish which of the following as a key requirement for defining a “meaningful EHR user”?

A. Use of certified EHR technology in a meaningful manner, including the use of electronic prescribing as determined to be appropriate by the Secretary.

B. Use of certified EHR technology that is connected in a manner that provides for the electronic exchange of information to improve the quality of health care, such as promoting coordination of care.

C. Submission of information on clinical quality measures, and other such measures as selected by the Secretary, using certified EHR technology.

D. All of the above.


9. Each of the following supplemented the key requirements for defining a meaningful EHR user, adapted from the national priorities and goals established by the National Priorities Partnership, except for:

A. Improving quality, safety, efficiency, and reducing health disparities.

B. Decreasing health care costs for patients.

C. Engaging patients and families in their health care.

D. Improving care coordination.


Adoption of Information Technology by RHCs

10. Practice management software is designed to automate one or more of the day-to-day operations / functions of a medical practice, including all of the following, except:

A. Transmitting prescription orders

B. Capturing patient demographics

C. Scheduling appointments

D. Submitting third party claims


11. Independent RHCs are more likely than provider-based RHCs to report the use of a practice management system.

A. True

B. False


12. Independent RHCs are generally less likely than provider-based RHCs to have implemented automated practice management functions using their practice management / billing software.

A. True

B. False


Adoption of Electronic Health Records (EHRs) by RHCs

13. Most of the clinics without an EHR tend to be smaller facilities with:

A. One or fewer full time physicians.

B. More than one and up to three physicians.

C. More than three physicians.

D. More than one nurse practitioner or certified nurse midwife.


14. Computerized Physician Order Entry:

A. Decreases delays in order completion.

B. Reduces errors related to handwriting or transcription.

C. Provides error-checking for duplicate or incorrect doses or tests.

D. All of the above.


15. Provider-based clinics are more likely to report no plans to implement an EHR when compared to independent RHCs.

A. True

B. False


16. The most common barriers to acquiring and implementing an EHR are all of the following, except:

A. The costs to acquire and maintain an EHR.

B. Lack of capital.

C. Lack of staff training.

D. Concerns about productivity and/or income loss during transition.


17. Regional Extension Centers provide free or reduced cost technical assistance on EHR selection, implementation, and use to priority primary care providers who practice in each of the following, except:

A. Individual or small practices of 3 providers or less.

B. Community Health Centers, primary care clinics, or RHCs.

C. Public or Critical Access Hospitals.

D. Settings that serve uninsured, underinsured, and medically underserved populations.


18. Both independent and provider-based RHC clinics without an EHR are more likely than those with an EHR to report having contacted their area REC for technical assistance and support.

A. True

B. False


19. Clinics that already have an EHR are more likely to report that they are not aware of the REC Program than clinics without an EHR.

A. True

B. False


RHC Performance on Stage 1 Meaningful Use Measures

20. RHCs do the best on the core measures of which of the following categories?

A. Improving quality, safety, efficiency, and reducing health disparities.

B. Engaging patients and families in their health care.

C. Improving coordination of care.

D. Protecting the privacy and security of personal health information.


21. Clinics have the weakest measures in the population and public health performance improvement category for which of the following?

A. Providing summary of care records.

B. Immunization registries.

C. Medication reconciliation.

D. Drug formulary checks.


Conclusions

22. Areas of needed support for the clinics that have adopted EHRs include all of the following, except:

A. Engaging patients and families in their health care.

B. Improving coordination of care through the exchange of patient information with other providers and medication reconciliation.

C. Internal patient care.

D. Protecting the privacy and security of personal health information.


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