Chapter 12 Technical Infrastructure to Support Healthcare

Chapter 12  Technical Infrastructure to Support Healthcare

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Which item is an example of information we might find in an EHR’s clinical data repository?
a.
A physician’s surgical schedule
b.
The list of medications available in a hospital’s formulary
c.
The result of a patient’s microbiology lab test
d.
Monthly billing charges for the radiology department

ANS: C
The result of a patient’s microbiology lab test is an example of information we would find in a CDR. The other items would be found in other administrative databases.

DIF: Cognitive Level: Understand REF: p. 198

2. Which factor would strongly influence the reliability of an EHR’s repository?
a.
Technical architecture, such as replication of the repository on standby servers
b.
Clinician training on EHR applications
c.
The coding system used for laboratory results
d.
The use of strong passwords

ANS: A
Technical architecture, such as replication of the repository on standby servers, is a factor that would contribute to the reliability of an EHR’S data repository. The other items affect application use, accessibility, and security.

DIF: Cognitive Level: Understand REF: p. 198

3. Which statement describes a repository with central storage of a longitudinal record?
a.
Patient data are from a single hospital’s data for the most current encounters.
b.
Data from multiple hospitals are kept compact and efficient by deleting “old” data.
c.
Portions of a patient’s lifetime medical record are stored in databases at the facility where the data were collected.
d.
The information collected by the organization is stored in a single database no matter when or where the patient was seen.

ANS: D
The information collected by an organization that is stored in a single database no matter when or where the patient was seen is an example of a repository with central storage of a longitudinal record. The other items describe aspects of distributed and/or encounter-based records.

DIF: Cognitive Level: Apply REF: p. 199

4. Which example best describes knowledge base content?
a.
Standard admission order sets based on presenting problems
b.
Patient contact information
c.
Organizational structure of a healthcare enterprise
d.
The most recent lab results for current inpatients

ANS: A
An example of knowledge base content is standard admission order sets based on presenting problems. The other choices would not typically be found in a knowledge base.

DIF: Cognitive Level: Apply REF: p. 202