Gartee, Electronic Health Records and Nursing, 1e Chapter 1 Question 1 Type: MCSA Which entity first identified capturing data at the point of care as a key criterion for an EHR? 1. Health Insurance Portability and Accountability Act (HIPAA) 2. Institute of Medicine (IOM) 3. Computer-based Patient Record Institute (CPRI) 4. Health Information Technology for Economic and Clinical Health (HITECH) Act Correct Answer: 3 Rationale 1: The HIPAA Security Rule did not define an EHR but established protection for all personally identifiable health information stored in electronic format Rationale 2: the IOM report put forth a set of eight core functions that an EHR should be capable of performing Rationale 3: CPRI was an early contributor to EHR systems, and identified three key criteria for EHR, including capturing data at the point of care, integrating data from multiple sources and providing decision support Rationale 4: HITECH Act promotes the widespread adoption of EHR and authorizes Medicare incentive payments to doctors and hospitals using a certified EHR Global Rationale: Cognitive Level: Understanding Client Need: Safe Effective Care Environment Client Need Sub: Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: Question 2 Type: MCSA Which of the following is the best definition of electronic health records? 1. Any information that relates to the past, present, or future physical condition of a person that is stored in an electronic format. 2. The portions of a client’s medical records that are stored in a computer system as well as the functional benefits derived from having an electronic health record. 3. Client information that is stored electronically and may be accessed by both the client and the client’s healthcare providers on demand.
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