HIS Test Bank Chapter 4 Questions

1- The population health efforts most health systems and ACOs are undertaking are aimed at providing better preventive and medical care for the entire population in a specific geographic area.

A) True

B) False

... Answer is B)

2- Value-based care is a solution to which of the following problems?

A) Rising health costs

B) Duplication of services

C) Clinical inefficiency

D) All of the above

... Answer is D)

3- Shared savings programs are best defined as

A) Making a single payment for hospital and physician services instead of separate payments

B) Rewarding providers with financial and nonfinancial incentives based on performance on select measures

C) Rewarding providers by paying a bonus that is explicitly connected to the amount by which they reduce the total cost of care

D) Paying the provider organization a single payment for all services associated with a hospitalization or other episode of acute care

... Answer is C)

4- Which of the following is NOT an outcome achieved by patientcentered medical homes?

A) Mitigating health disparities

B) reducing hospital and emergency department visits

C) Increasing Medicare spending

D) All of the above are outcomes

... Answer is C)

5- Which of the following is the biggest barrier of the ACO model?

A) Building the infrastructure for effective data sharing

B) Improving patient outcomes

C) Controlling costs

D) None of the above

... Answer is A)

6- Population health management requires a shift in industry perspectives and health care practices. Which of the following is NOT characteristic of PHM?

A) Collaborative teams of providers

B) Offering care at centralized facilities

C) Keeping groups of people healthy

D) Customizing health care for each patient

... Answer is B)

7- __________ is the ability to identify a patient or cohort at risk for a negative health event or preventable health care utilization.

A) Segmentation

B) Identification

C) Stratification

D) Intervention

... Answer is C)

8- Which is NOT a goal of care management?

A) Manage the most complex patients through the health care system

B) Manage the overall health of a select population

C) Consider patient preferences and overall situation

D) All of the above are goals

... Answer is D)

9- Which of the following is best used to determine which patient records exist for a member and where the source data is located?

A) EHR

B) Record locator service

C) Master patient indices

D) Practice management system

... Answer is B)

10- As reimbursement becomes more complex, which of the following systems must evolve to support payments based on quality and performance?

A) Revenue cycle system

B) Care management system

C) Workflow and rules engine

D) Registries and scorecards

... Answer is A)

11- Which of the following best describes the capability of a workflow and rules engine?

A) Analyzing clinical and administrative data to identify areas for improving the quality of care and reducing the cost of care

B) Automating routine care management tasks

C) Monitoring process performance and alerting staff members to missed steps, sequence issues, or delays

D) Exchanging clinical and administration information among different health care entities and between providers and patients

... Answer is C)

12- __________ is best described as having the ability to exchange information electronically with others in order to have a comprehensive view of the patient's health and care.

A) Predictive analytics

B) Telemedicine

C) Business intelligence

D) Health information exchange

... Answer is D)

13- Which of the following is NOT considered a patient engagement tool?

A) Scorecards

B) Patient portals

C) Social media

D) All of the above are patient engagement tools

... Answer is A)

14- Which of the following was NOT identified by KLAS as a best practice in adopting patient portals?

A) Talk to physicians

B) Develop in house

C) Educate patients

D) Educate staff as if they were patients

... Answer is B)

15- Social media benefits health care in which of the following ways?

A) Creates a sense of community

B) Delivers new clinical research insights.

C) Aids in measuring patient satisfaction

D) All of the above

... Answer is D)

16- __________ is defined as exchanging medical information via electronic communications to improve a patient's clinical health status.

A) Predictive analytics

B) Telemedicine

C) Business intelligence

D) Health information exchange

... Answer is B)

17- Which of the following services is offered through telehealth?

A) Clinician-to-clinician consultations

B) Critical care

C) Cybersurgery

D) All of the above

... Answer is D)

18- The need for telemedicine is driven by which of the following factors?

A) Increased demand for access and convenience

B) Increased number of licensed health care professionals

C) Decreased occurrences of chronic diseases

D) All of the above

... Answer is A)

19- Which of the following is NOT a barrier to wide-spread telemedicine?

A) Confidentiality and liability

B) Data standards

C) Lack of universal reimbursement

D) Parity laws

... Answer is D)

20- A master care plan is best described as

A) A longitudinal, cross-venue health care plan and its described outcomes

B) A specific plan developed according to the patient's preferences and health condition

C) A long-term care plan to maintain health integrated with short-term plans for transient conditions

D) A medical care plan that records a patient's problems and medications

... Answer is C)

21- Life-threatening trauma and diseases of mysterious origin are often described in a predefined patient plan.

A) True

B) False

... Answer is B)

22- Risk is the likelihood that the plan will not be followed or will not result in desired outcomes.

A) True

B) False

... Answer is A)

23- Which of the following is not characteristic of a "plan-centric application"?

A) A library of plans

B) Cost-focused

C) Algorithms

D) Team-based

... Answer is B)

24- Value-based payment is based on conformance to chronic disease protocols.

A) True

B) False

... Answer is A)

25- A shift from applications focused on developing the patient's plan for health to applications focused on documenting the patient's record is the key component in successfully achieving population health management.

A) True

B) False

... Answer is B)

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