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The largest health system to deploy a PHR in the United States is __________________:

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Veterans Health Administration...

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Patients bring a wide variation in their capacity to use information technology. Which of the following does not increase the usability of PHRs?


A) Easy navigation
B) Simple functionality
C) Decreased e-literacy
D) Readability

E) None of the above
F) B) and C)

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Which of the following health systems was an early pioneer adopting the PHR?


A) Tenet Health System
B) Jefferson Medical System
C) Nationwide Health Care System
D) Palo Alto Medical Foundation

E) A) and C)
F) B) and C)

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PHRs and their functions are becoming more important in health care delivery systems. There are a multitude of benefits associated with the PHR. Which of the following is not a potential benefit associated with the PHR and laboratory tests?


A) May confuse and worry patients
B) Avoids letters and phone calls
C) Reduces patient waiting time
D) All data are confidential

E) A) and B)
F) A) and C)

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Which of the following are considered disadvantages of the PHR?


A) E-literacy
B) Lack of access in poor and rural regions
C) Patient satisfaction
D) Cost
E) Enhanced therapeutic alliances

F) A) and D)
G) A) and C)

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Which of the following functionalities can be found with the personal health record (PHR) ?


A) Entering medical history
B) Entering allergies
C) Entering present medication alerts
D) Entering past social history
E) Entering family history
F) None of the above.

G) A) and E)
H) D) and E)

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What is a private, secure application through which an individual may access, manage, and share his or her health information?


A) Personal health record
B) Clinical data network
C) Best practice model
D) Online scheduling database

E) B) and C)
F) A) and B)

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Which of the following is not a PHR concern?


A) Insurance claims
B) Privacy
C) Portability
D) Accuracy of data

E) B) and D)
F) A) and D)

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The PHR is considered a ________________________ lifetime health record.

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consumer-centric Rationale : The PHR is a consumer-centric, lifetime health record. Early forms were entirely paper-based. Recent developments make the PHR available via Internet connections

Some functionalities require integration between the PHR and a scheduling application. Which of the following is a benefit of this communication?


A) Integration between a scheduling application and the PHR allows the patient to locate a physician's practice in a new region.
B) Integration between a scheduling application and the PHR allows the patient to have instant access with a health care provider's staff.
C) Integration between a scheduling application and the PHR allows the patient to schedule an appointment without making a telephone call.
D) Integration between a scheduling application and the PHR allows the patient to send notes and updates to the health care provider's office.

E) C) and D)
F) All of the above

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As PHRs become the established norm, health care providers are aware of issues that can emerge from patient self-disclosure. Which of the following is a key concern associated with the patient-self entered data?


A) Electronic medication refills
B) Automated appointment schedules
C) Data review responsibility
D) Downloading accurate data

E) B) and C)
F) A) and B)

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In its simplest form, the PHR is a stand alone system where the _______________enters data.

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patient
Rationale : In its simplest for...

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Markle's Common Framework offers valuable guidance for the development and deployment of patient-centered PHRs. The Framework identifies seven attributes of an ideal PHR. Which of the following are considered attributes of the Common Framework?


A) PHRs permit easy exchange of information across health care systems.
B) PHRs contain information from one's entire lifetime.
C) PHRs contain information from all health care providers.
D) PHRs are accessible from any place at any time.
E) PHRs are private and secure.
F) None of the above.

G) A) and D)
H) C) and D)

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Which of the following are characteristics of stand-alone PHRs?


A) Patient accessible information is tethered to data in a specific health system's EHR.
B) Some fully standalone applications are available commercially.
C) The PHR is not tied to any particular health care system.
D) Some fully standalone applications are available in formats such as smart card, CD, or flash drive.
E) Standalone PHRs such as those on thumb drive devices have been found to have significant security risks.

F) A) and B)
G) C) and E)

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B,C,D,E

Beth Israel Deaconess Medical Center was one of the early adopters of PHRs. Which type of PHRs are used throughout the system?


A) Stand alone
B) Tethered
C) Integrated
D) Integrated alone

E) None of the above
F) A) and D)

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________________________ PHRs are extensions of physicians' offices.

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Integrated
Rationale : Integrated PHRs ...

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Which of the following is considered a core personal health record element?


A) Data accessed by IT
B) Analysis of data
C) Applicability of data
D) Information inputted by the patient

E) A) and C)
F) A) and B)

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Which of the following is a barrier associated with patient use of PHRs in rural regions?


A) Access
B) Awareness
C) Usability
D) eHealth literacy

E) B) and C)
F) A) and D)

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Which of the following best defines a tethered PHR?


A) A tethered PHR is inextricably linked to a single entity or health system.
B) A tethered system is a stand alone system.
C) A tethered system can be found on a thumb drive.
D) A tethered system cannot access a patient portal.

E) B) and D)
F) None of the above

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A

PHRs can enhance a health care provider's clinical practice in a number of ways. Which of the following are associated with the benefits of the PHR and medication management?


A) Allows patients to check and improve quality of medication list (medication reconciliation)
B) Encourages discussion with doctor to improve adherence
C) Patient can share medication information with other providers
D) Health care provider can access information on prescription refills
E) Allows the health care provider and patient immediate communication with pharmacy
F) None of the above.

G) D) and F)
H) A) and F)

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