A medical facility wants its patients to be in control of their own health information by allowing them the option to identify and correct any mistakes they see in their own billing and health information Which health information technology tool will allow the facility to offer these options to its patients?
Query-based exchange
Clinical decision support
Consumer-mediated exchange
Evidence-based practice (EBP)
The Correct Answer is C
A. Query-based exchange. – Query-based exchange allows providers to search for and retrieve patient information but is typically provider-centered, not allowing patients direct control.
B. Clinical decision support. – Clinical decision support is a tool for improving provider decisions and does not give patients direct access to correct or control their records.
C. Consumer-mediated exchange. – Consumer-mediated exchange empowers patients to manage their own health information, including reviewing and correcting their billing and health records.
D. Evidence-based practice (EBP). – EBP is related to healthcare decision-making based on evidence but does not involve patient-controlled access to health records.
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Correct Answer is D
Explanation
A. The attending physician training the residents should assume the responsibility for this situation. – While training is important, responsibility should not solely fall on the attending physician; it's a shared duty among all staff.
B. The EHR maintained by the IT department, and their expertise is recommended. – IT support is valuable, but the clinical staff should also be involved in reviewing the EHR data for clinical relevance.
C. The residents involved should be responsible for reporting how they entered data. – While residents should be accountable for their entries, the issue of systemic inconsistencies goes beyond individual responsibility.
D. The EHR records all entries' key logs, and these entries can be traced to the initial mistake. – This option highlights the importance of auditing the EHR to track errors back to their source, enabling corrective actions to be taken.
Correct Answer is C
Explanation
A. Anesthesia record – This is not relevant for COPD care planning as it pertains to surgical procedures rather than respiratory conditions.
B. Intake and output record – While this record can provide useful information, it does not specifically address the management of chronic obstructive pulmonary disease.
C. Complete health history – A complete health history includes information on the patient’s past and current health status, which is crucial for planning appropriate care for COPD management.
D. Radiology report – Although radiology reports can provide useful diagnostic information, the complete health history offers a broader view necessary for comprehensive care planning.