Component 10/Unit 5 - Self-Assessment Key
1. Which of the following are NOT steps in process analysis as described in this
unit?
a. Create process inventory
b. Conduct process redesign
c. Report analysis findings
d. Identify EHR functionality
Answer: b. Conduct process redesign.
Objective/Reference: Unit 5-1, Objective 1, Unit 5-1, Slide 11
2. What is the correct order of steps for Process Analysis?
1-Create process inventory
2-Report analysis findings
3-Identify variations and exceptions
4-Identify needed EHR functionality
a.
b.
c.
d.
1, 2, 3, 4
3, 1, 2, 4
1, 3, 4, 2
4, 1, 3, 2
Answer: c. 1,3,4,2
Objective/Reference: Unit 5-1, Objective 1, Unit 5-1, Slide 11
3. Choose the answer that best describes a process inventory.
a. Counting and tracking available stock
b. Objectifying and measuring processes
c. Analyzing and improving stock processes
d. Identifying and recording processes
Answer: d. Identifying and recording processes
Objective/Reference: Unit 5-1, Objective 2, Unit 5-1, Slide 12
4. Which of the following processes does NOT occur at most clinics?
a. Billing
b. Labs
c. Surgery
d. Prescriptions
Answer: c. Surgery
Objective/Reference: Unit 5-1, Objective 2, Unit 5-1, Slide 14
Component 10/Unit 5
Health IT Workforce Curriculum
Version 2.0/Spring 2011
1
This material was developed by Duke University, funded by the Department of Health and Human Services, Office of the National
Coordinator for Health Information Technology under Award Number IU24OC000024.
5. Which of the following processes varies most by clinical specialty?
a. Diagnostic tests
b. Billing
c. Office visits
d. Appointment scheduling
Answer: a. Diagnostic Tests
Objective/Reference: Unit 5-1, Objective 2, Unit 5-1, Slide 16
6. Which of the following would be variations of a Diagnostic test process?
a. Patient cannot tolerate the test
b. Patient is not compliant with preparatory instructions
c. Test returns a false positive
d. Test is conducted by referral to an external facility
Answer: d. Test is conducted by referral to an external facility
Objective/Reference: Unit 5-2, Objective 2, Unit 5-2, Slide 9
7. Which of the following would be variations of an appointment scheduling
process?
a. Miscommunication of the date or time of appointment
b. Online appointment scheduling
c. Appointment scheduling session timed out
d. Appointment not found within necessary time window
Answer: b. Online appointment scheduling.
Objective/Reference: Unit 5-1, Objective 2, Unit 5-1, Slide 16
8. Which of the following would be exceptions in a prescription process?
a. ePrescribing
b. potential drug interaction identified by pharmacy
c. use of online medication service/pharmacy
d. prescription re-fill needed
Answer: b. Potential drug interaction identified by pharmacy.
Objective/Reference: Unit 5-2, Objective 2, Unit 5-2, Slide 6
Component 10/Unit 5
Health IT Workforce Curriculum
Version 2.0/Spring 2011
2
This material was developed by Duke University, funded by the Department of Health and Human Services, Office of the National
Coordinator for Health Information Technology under Award Number IU24OC000024.
9. Which of the following would be an exception to a document receiving
process?
a. receipt of fax documents
b. receipt of electronic documents
c. receipt of documents within a week of patient visit
d. receipt of documents with no patient identifiers
Answer: d. receipt of documents with no patient identifiers.
Objective/Reference: Unit 5-2, Objective 2, Unit 5-2, Slide 7
10. Which of the following may indicate needed EHR functionality?
a. Generic processes used by a clinic
b. Process variations used by a clinic
c. Process exceptions likely encountered by a clinic
d. All of the above
Answer: d. All of the above.
Objective/Reference: Unit 5-2, Objective 5, Unit 5-2, Slide 18
Read the scenario below. Use it to answer the following questions.
Scenario: Patient Patty arrives at the clinic and is signed in by Receptionist
Ronald. Receptionist Ronald locates Patient Patty’s record on the clinic’s
schedule. He notices that she is an existing patient, and marks her record as
“arrived”, and confirms Patient Patty’s contact and insurance information.
Receptionist Ronald instructs Patient Patty to have a seat in the waiting room.
Nurse Ned sees that Patient Patty has arrived and pulls her chart from the filing
room. Nurse Ned goes to the waiting room entrance and calls Patient Patty.
Nurse Ned escorts Patient Patty to the exam room, interviews her regarding
symptoms and/or complaints and records into the Nurses/Progress notes, and
takes and records vital signs in progress notes. Nurse Ned then alerts Doctor
Dan that the patient is ready to be seen.
Within a few minutes, Doctor Dan takes the chart from the box on the exam room
door and glances through the first page. Doctor Dan then enters the exam room
where he examines Patient Patty and records findings in the progress notes
section of the chart. During the exam, Doctor Dan determines if a prescription,
procedure, lab work or a referral is required and completes the necessary
paperwork if applicable. Doctor Dan provides some additional instructions to
Patient Patty and concludes the visit. Finally, Doctor Dan provides the patient
chart to the office staff to be re-filed. On the way out, Patient Patty pays her copay and concludes the office visit.
Component 10/Unit 5
Health IT Workforce Curriculum
Version 2.0/Spring 2011
3
This material was developed by Duke University, funded by the Department of Health and Human Services, Office of the National
Coordinator for Health Information Technology under Award Number IU24OC000024.
11. Which of the following EHR functionality is indicated by the scenario?
a. Pulling and tracking paper charts
b. Receipt of lab results from external lab
c. Appointment scheduling
d. Clinical documentation
Answer: d. Clinical documentation.
Objective/Reference: Unit 5-2, Objective 5, Unit 5-2, Slide 18
12. Which of the following process variations should be further investigated, i.e.,
there is not enough information in the scenario to determine which variation(s)
may be in use?
a. Tracking and access of paper charts
b. Patient payment as part of clinic exit
c. Billing performed in practice management system
d. Pre-exam data collection by Nurse
Answer: c. Billing performed in practice management system.
Objective/Reference: Unit 5-2, Objective 3, Unit 5-2, Slide 13
Read the scenario and answer the following questions.
Scenario: Every morning in Doctor Jones’ practice, Big City Family Practice,
Medical Assistant Grant logs onto their account with the local lab and prints lab
result sheets. Basic demographic information (from the sample requisition form)
for each patient is included on the lab sheet, along with the provider’s name. Mr.
Smith’s lab results are in those available first thing in the morning. Medical
Assistant Grant gives Nurse Adams the printed lab results for Mr. Smith. Nurse
Adams glances through the results and sees that all of the test are within normal
clinical limits. Nurse Adams asks Medical Assistant Grant to phone Mr. Smith
and let him know that the lab results are normal, and to let him know that the
office will phone in a prescription for the oral antifungal to his pharmacy on
record, which of course, Medical Assistant Grant will confirm while on the phone
with Mr. Smith. Following the request the day before from Dr. Jones, Nurse
Adams also asks Medical Assistant Grant to schedule Mr. Smith for a follow-up
appointment and blood draw in two weeks.
After calling Mr. Smith, Medical Assistant Grant files the lab results in his chart.
Component 10/Unit 5
Health IT Workforce Curriculum
Version 2.0/Spring 2011
4
This material was developed by Duke University, funded by the Department of Health and Human Services, Office of the National
Coordinator for Health Information Technology under Award Number IU24OC000024.
13. Which of the following would be exceptions in the lab result receipt process?
a. Lab results received
b. Practice account is locked out
c. Abnormal lab results received
d. Receipt of lab results by mail
Answer: b. Practice account is locked out.
Objective/Reference: Unit 5-2, Objective 3, Unit 5-2, Slide 8
14. Which of the following EHR functionality is indicated by the scenario?
a. Lab sample tracking
b. Lab sample acquisition
c. Referral to external lab
d. Interface with the local lab
Answer: d. Interface with the local lab.
Objective/Reference: Unit 5-2, Objective 5, Unit 5-2, Slides 18 and 23
Component 10/Unit 5
Health IT Workforce Curriculum
Version 2.0/Spring 2011
5
This material was developed by Duke University, funded by the Department of Health and Human Services, Office of the National
Coordinator for Health Information Technology under Award Number IU24OC000024.