Question 1

The technical hurdle of successfully sharing a patient's data between a hospital in Spokane, Washington, and a specialist in Portland, Oregon, requires:&#10;A) interoperability, which requires standards to be in place.&#10;B) standards, which requires interoperability to be in place.&#10;C) vocabulary management, which is dependent upon reciprocity.&#10;D) policy, which requires stability.

Accepted Answer

To share information and data successfully, different healthcare systems need interoperability. For interoperability to occur, there must be a framework of standards in place.

Question 2

The main objective behind the health IT incentives provided by the American Recovery and Reinvestment Act is:&#10;A) getting health IT up and running in doctors' offices.&#10;B) improving health and healthcare.&#10;C) increasing the revenue stream to small healthcare organizations.&#10;D) improving compliance with government protocols and regulations.

Accepted Answer

The health IT provisions of the HITECH Act and ARRA have one final goal in mind: the improvement of Americans' health and healthcare. Health IT is a means to that end, not the end.

Question 3

Which of the following is not part of the criteria to determine Meaningful Use?&#10;A) Engaging patients and families&#10;B) Reducing health disparities&#10;C) Improving care coordination&#10;D) Increasing litigation victories

Accepted Answer

The point of Meaningful Use is to improve patient care and population health. Litigation is not part of the criteria.

Question 4

In which year will (or did) MU incentives for providers transform to merit-based reimbursement under MACRA?&#10;A) 2021&#10;B) 2025&#10;C) 2014&#10;D) 2018

Accepted Answer

Stage 3, the final phase of the MU incentive program, rolls out in 2017 and is expected to become mandatory in 2018. As of 2018, the incentives given to healthcare organizations will transition into merit-based reimbursement.

Question 5

The HITECH portion of ARRA was meant to do all of the following EXCEPT:&#10;A) encourage health providers to adopt EHR.&#10;B) coordinate healthcare delivery standards with international healthcare bodies.&#10;C) achieve meaningful use of EHRs.&#10;D) support the exchange of health information.

Accepted Answer

HITECH was focused on EHRs and supporting the exchange of health and healthcare information. It was not related to international healthcare delivery of care standardizations.

Question 6

The Health IT Standards Committee and what body are responsible for recommending standards, such as the necessary infrastructure for health information exchanges?&#10;A) HITRC&#10;B) The Nationwide Health Information Network&#10;C) ONC&#10;D) CMS

Accepted Answer

The Health IT Standards Committee works in conjunction with the Office of the National Coordinator for Health Information Technology (ONC) to devise and develop standards for the healthcare industry.

Question 7

Which is true of both HITECH and MACRA?&#10;A) HITECH offers incentives to both physicians and hospitals while MACRA is focused on physicians.&#10;B) HITECH and MACRA both are focused on easing the cost of healthcare for end patients.&#10;C) MACRA focuses on hospital payments while HITECH focused on physicians.&#10;D) MACRA and HITECH both focus on payment schemes for small, community-based healthcare organizations over larger city and regional hospitals.

Accepted Answer

HITECH offered incentives to both individual physicians and to hospitals directly. MACRA focuses more singularly on physicians, although the hospitals that employ them may bear indirect costs.

Question 8

A 2016 report found which of the following about Regional Extension Centers? (Select all that apply.)&#10;A) REC participation was negatively associated with EHR adoption among primary care physicians working with a large underserved patient base.&#10;B) REC participation was positively associated with EHR adoption among primary care physicians working in small practices.&#10;C) RECs provided needed technical assistance for physicians who were ineligible to receive assistance from health systems in their local area.&#10;D) The REC program likely helped many physicians who were more skeptical about EHRs.&#10;E) REC participation showed no correlation with achieving Meaningful Use at levels required to receive financial incentives.

Accepted Answer

The 2016 report highlighted many positives of the Regional Extension Centers program, including positive association with EHR adoption by physicians in large underserved patient bases and working in small practices, providing assistance to physicians who were otherwise ineligible to receive such assistance, likely helping many who had initially been skeptical of the changeover to EHRs, and a positive correlation with achieving Meaningful Use.

Question 9

Which of the following are categories of measurements that MACRA will use with the Merit-Based Incentive Payment System (MIPS)? (Select all that apply.)&#10;A) Quality&#10;B) Resource use&#10;C) Clinical improvement&#10;D) Recidivism&#10;E) EHR use

Accepted Answer

MACRA's four categories of measurements are quality, resource use, clinical improvement, and EHR use. Recidivism, or lapsing into pre-HER ways, is not a measurement.

Question 10

Stage 3 of Meaningful Use includes which of the following? (Select all that apply.)&#10;A) Recording vital signs and demographic information&#10;B) Instituting computerized provider order entry&#10;C) Maintaining an active medication allergy list&#10;D) Providing education resources identified by CERHT to patients&#10;E) Using computerized provider order entry for a majority of medication orders

Accepted Answer

Stage 3 of Meaningful Use requires higher standards and goes beyond exchanging data toward improvements in general population health. Items like recording vital signs and demographic information, as well as maintaining an active medication allergy list, from Stage 1 will no longer be sufficient to show that healthcare practices are moving forward with true Meaningful Use of their EHR systems.

Deck 27: The Health Information Technology for Education and Clinical Health Hitech Act, Meaningful Use Mu, and Medicare Access & Chip Reauthorization Act of 2015 Macra