Exam (elaborations)
Health Information Exchange Final Exam
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Health Information Exchange Final Exam
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Health Information Exchange Final Exam___ (MU) is a regulation issued by Centers for Medicare and Medicaid as an incentive
program for those who adopt/implement certified EHR technology - ANSWER-
Meaningful use; July 28, 2020
___ is a nationwide project with federal and nonfederal agencies providing the data
stewardship for 65% of hospitals in all 50 states initially starting as the NHIN. -
ANSWER-eHealth Exchange
___ is the principal federal entity charged with the nationwide effort to implement and
use the most advanced HIT and electronic exchange. - ANSWER-ONC 2004
___ refers to a patient giving consent for her personal information to accessible in the
HIE. - ANSWER-opt-in consent
A query-based exchange is a ___ request for information that is sent through the HIO to
find available health information on a specified individual. - ANSWER-find-and-seek
According to ONC the HIE improves the - ANSWER-speed, quality, safety, and cost of
patient care
Advanced algorithms involves - ANSWER-the most sophisticated set of tools for
matching records and rely on mathematical theory and statistical models
Advantages of the centralized HIE model - ANSWER-consistency of data availability
and rapid response
aggregate data is - ANSWER-De-identified data extracted from health records and
combined
An example of identity management is when a person - ANSWER-shows their driver's
license during patient registration
An example of identity/patient matching is when - ANSWER-the John Smith selected
from the database is the correct John Smith you are querying for patient health info;
there are probably 20 John Smiths to choose from
At the 10-year mark, the interoperability roadmap expects to - ANSWER-improve
population health and help researchers analyze data from a variety of sources
At the 3-year mark, the interoperability roadmap expected the - ANSWER-majority of
individuals/providers could send, receive, find and use a common set of clinical info
, At the 6-year mark, the interoperability roadmap expects to - ANSWER-connect an
expanded set of users/data sources through the use of mHealth and wearables; patient-
centered care/empowerment
Barriers to implementing Health IT - ANSWER-1. financial issues
2. lack of interoperability standards/vocabularies
3. healthcare info ownership
Basic algorithm involves - ANSWER-comparing selected data elements for matching
records
Bring Your Own Device (BYOD) refers to - ANSWER-healthcare practitioners using
their own personal smartphones or other devices rather than devices provided by the
HCO
Consent management within the HIE has nothing to do with - ANSWER-consent for
treatment
Consolidated or Centralized model of HIE occurred in the early days. It involved -
ANSWER-independent HCOs and the aggregate data was stored/shared within a single
repository
Consumer-mediated exchange is controlled by the ___. - ANSWER-patient
Data integrity means: the ability of data to maintain its - ANSWER-structure and
attributes, including protection against modification or corruption during transmission,
storage, or at rest.
Define interoperability. - ANSWER-The capability of diff. info systems and software
apps to communicate and exchange data.
Define population health. - ANSWER-focuses on preventing, diagnosing, and treating
an entire group of people rather than one person at a time.
Direct messaging exchange acts like regular ___ but with the added protection of
HIPAA. - ANSWER-email
Directed exchange is frequently referred to as a - ANSWER-push exchange
Disadvantages of centralized HIE model - ANSWER-duplication of data and costs for
supporting software
Disadvantages of the Federated/Decentralized model - ANSWER-1. problems with
technology
2. data spread out among among different HCOs happens occasionally if a patient has
been to many hospitals (like my son)
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