This work is funded by the National Science Foundation
Advanced Technological Education Grant 1003223
The CAHIMS Exam Preparation Course
and the CAHIMS exam are the result of
collaboration between the Life Science
Informatics Center at Bellevue College
and the Healthcare Information and
Management Systems Society (HIMSS).
Significant content found in the CAHIMS
Exam Preparation Course stems from the
Office of the National Coordinator for
Health Information Technology. Creation
of the CAHIMS Exam Preparation Course
and the CAHIMS exam was made
possible through support from the National
Science Foundation (NSF).
Curriculum Team:
Margaret Schulte, DBA
Michèle Royer, PhD
Nathan Savage, MLIS
This work is funded by the National Science Foundation
Advanced Technological Education Grant 1003223
Section 1 - Healthcare Environment
Lesson 1.4 - Government Regulation and Certification
Assessment Questions Answer Key
Lectures 1, 2, 3, 4 & 5
1. The Joint Commission (formerly known as JCAHO) accredits:
*a. Entire healthcare organizations
b. Outpatient healthcare providers
c. Just nurses
d. Just physicians
Answer: a
Lecture(s)/Slide(s): 1/6
2. What organization developed the National Patient Safety Goals, the Sentinel
Event Policy, and the Speak Up Initiative?
a. The Agency for Healthcare Research and Quality
b. The Health Resources and Services Administration
*c. The Joint Commission
d. The Office of the Inspector General
Answer: c
Lecture(s)/Slide(s): 1/9
3. Which of the following is one of the main roles of the FDA?
*a. Regulate drug safety
b. Prevent wrong-site surgery
c. Encourage patients to participate actively in their healthcare
d. Develop performance measures for hospitals
Answer: a
Lecture(s)/Slide(s): 1/6
This work is funded by the National Science Foundation
Advanced Technological Education Grant 1003223
Page 1
4. Negligence is one of the two main types of:
a. Felonies
b. Litigation
*c. Torts
d. Violations of administrative law
Answer: c
Lecture(s)/Slide(s): 2/14
5. Administrative Hearings would be held for:
*a. Social Security Appeals
b. Civil litigation
c. Criminal Cases
d. Malpractice Claims
Answer: a
Lecture(s)/Slide(s): 2/19
6. In order to prove medical malpractice, an injured person must prove all of the
following EXCEPT:
a. The health provider had a duty of reasonable care.
b. The health provider did not meet the minimum standard of care or failed to
obtain informed consent.
c. The health provider’s failure to meet the standard of care was the primary
cause of the injury.
*d. The injury resulted in physical harm.
Answer: d
Lecture(s)/Slide(s): 3/13
7. The Affordable Care Act is slated to:
a. Provide better access to insurance
b. Improve public health
c. Increase Medicaid and Medicare payments
*d. All of the above
Answer: d
Lecture(s)/Slide(s): 3/4
This work is funded by the National Science Foundation
Advanced Technological Education Grant 1003223
Page 2
8. Lack of informed consent can lead to accusation of:
a. Battery
b. Negligence
c. Malpractice
*d. All of the above
Answer: d
Lecture(s)/Slide(s): 3/10
9. Fraud is:
*a. The intentional misrepresentation or concealment of relevant facts
b. Unnecessary costs as a result of poor management, practices, or controls
c. Excessively or improperly using government resources
d. Pre-determined non-economic damage
Answer: a
Lecture(s)/Slide(s): 3/20
10. Which of the following is not true of HIPAA?
*a. New employer plan may limit coverage due to pre-existing condition
b. Improves access to long term care
c. If health insurance is lost, improves access to group health plan
d. Protects use of health savings accounts
Answer: a
Lecture(s)/Slide(s): 4/3
11. The HIPAA Security Rule:
a. Ensures compliance by the workforce
b. Requires covered entities to use security measures to protect health
information
c. Anticipates threats to security and integrity of information, and protects against
them
*d. All of the above
Answer: d
Lecture(s)/Slide(s): 4/11
This work is funded by the National Science Foundation
Advanced Technological Education Grant 1003223
Page 3
12. The following government agency enforces HIPAA:
a. FDA
b. AHRQ
c. JC
*d. OCR
Answer: d
Lecture(s)/Slide(s): 4/12
13. A government agency that is an important source on research about patient
safety and privacy is:
*a. AHRQ
b. JC
c. OCR
d. FDA
Answer: a
Lecture(s)/Slide(s): 4/17-19
14. A clinical documentation improvement (CDI) program strives to:
a. Improve the quality of documentation in the health record
b. Reduce fraud and abuse
c. Improve the coding and reimbursement process
*d. All of the above
Answer: d
Lecture(s)/Slide(s): 5/7
15. The health record is:
a. A communication tool among care providers
b. A tool to improve quality and safety for patients
c. The legal business record of a healthcare organization
*d. all of the above
Answer: d
Lecture(s)/Slide(s): 5/3-4
This work is funded by the National Science Foundation
Advanced Technological Education Grant 1003223
Page 4
Lectures 6 & 7
16. HITECH addresses which of the following barriers to using health information
technology?
*a. There is a shortage of health IT support staff.
b. Patients cannot afford Personal Health Records.
c. Doctors prefer to use paper charts.
d. Patients don’t trust doctors who use computers.
e. There are not enough electronic health record vendors.
Answer: a. There is a shortage of health IT support staff.
Lecture(s)/Slide(s): 6/6, 13-17
17. Which of the following is an example of HITECH’s concept of “meaningful
use” of health IT?
a. Having a nurse enter the doctor’s orders into the EHR
b. Printing prescriptions legibly so they can be entered accurately into the
information system
*c. A primary care physician electronically exchanging a patient’s laboratory data
with a medical specialist
d. Patients using the Internet to obtain information about a patient’s disease
e. A pharmacist using a drug interaction checker
Answer: c. A primary care physician electronically exchanging a patient’s
laboratory data with a medical specialist
Lecture(s)/Slide(s): 7/10, 20
This work is funded by the National Science Foundation
Advanced Technological Education Grant 1003223
Page 5
18. What kind of job role is likely to be a part of a REC?
a. Software engineer
b. Research informatician
*c. Implementation manager
d. Chief medical information officer
e. Privacy and security officer
Answer: c. Implementation manager
Lecture(s)/Slide(s): 6/14-16
19. HITECH’s Workflow Process and Redesign specialists address which of the
following problems?
a. Hospital workflow needs to be changed in order to increase safety when using
health IT.
b. Physician office workflow needs to be made more efficient.
c. Doctors clinical processes need to be redesigned so computers can decrease
costs.
d. Office furniture has to be redesigned to accommodate computers.
*e. Electronic health records have to fit in with a practice’s workflow.
Answer: e. Electronic health records have to fit in with a practice’s workflow.
Lecture(s)/Slide(s): 6/16
20. Which of the following barriers to health information exchange are NOT
addressed by HITECH?
a. There are few agreed-upon technical standards for health IT.
b. The transfer of information between institutions is not secure.
c. There are few statewide examples of health information exchange.
*d. Hospitals may lose competitive advantage if they exchange information with
others.
Answer: d. Hospitals may lose competitive advantage if they exchange
information with others.
Lecture(s)/Slide(s): 7/18-23
This work is funded by the National Science Foundation
Advanced Technological Education Grant 1003223
Page 6
21. Which of the following is a major part of the HITECH vision?
a. Reduction of out-of-pocket costs to patients
b. Assuring that primary care physicians earn as much as specialists
*c. Increased transparency and efficiency
d. Patients taking more responsibility for their own health
e. Insurers not discriminating against patients who have pre-existing conditions
Answer: c. Increased transparency and efficiency
Lecture(s)/Slide(s): 6/12
22. The incentives for health IT are focused on getting
a. as many physicians as possible to purchase electronic health records.
*b. physicians to use health IT to improve healthcare quality.
c. vendors to develop systems with the newest features.
d. patients to use health IT for medication management.
Answer: b. physicians to use health IT to improve healthcare quality.
Lecture(s)/Slide(s): 7/10-16
23. The HITECH Act provides funding for collaborative research projects known
as:
*a. SHARP
b. HITCR
c. CRPIT
d. SECURE
Answer: a. SHARP
Lecture(s)/Slide(s): 7/25
24. Which of the following HITECH programs supports health reform efforts that
emphasize use of health information technology?
a. Virtual Physician Programming
b. Clinical TECH Modeling Centers
*c. Curriculum Development Centers
d. HITECH Doctor television programming
Answer: c. Curriculum Development Centers
Lecture(s)/Slide(s): 6/19
This work is funded by the National Science Foundation
Advanced Technological Education Grant 1003223
Page 7
25. As the HITECH Act progresses into implementation, monetary incentives
through CMS will require the use of certified EHRs. Which option explains the
benefit to the practitioner for using a certified EHR?
a. Early financial gains and long-term financial benefits
b. HITECH assistants for implementation
c. Premium quality EHRs that fit practitioners’ workflow designs
*d. Standardized and approved functions for health information exchange
Answer: d. Standardized and approved functions for health information exchange
Lecture(s)/Slide(s): 7/23
This work is funded by the National Science Foundation
Advanced Technological Education Grant 1003223
Page 8