AHIC Clinical Informatics and Patient Care 2

Question 1

A hospitalized patient's EHR shows conflicting medication allergy entries from two different encounters. Which informatics principle should guide resolution?

Accepted Answer

Reconcile using a single source of truth with clinical review

Answer

Allergy reconciliation requires clinical review to establish a single authoritative record, preventing both under- and over-documentation of allergies.

Question 2

Which standard is primarily used to encode clinical diagnoses in US ambulatory care settings for billing and reporting purposes?

Accepted Answer

ICD-10-CM

Answer

ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) is the US standard for diagnosis coding in clinical and billing documentation.

Question 3

A CDS alert fires every time a provider orders acetaminophen, regardless of dose or patient context. This is an example of:

Accepted Answer

Alert fatigue from low specificity

Answer

Indiscriminate alerts with low specificity cause alert fatigue, leading providers to override even important warnings.

Question 4

Which clinical informatics approach best supports care coordination for patients with multiple chronic conditions?

Accepted Answer

Longitudinal care plans with shared access

Answer

Longitudinal care plans with shared access across providers enable coordinated management of complex patients over time.

Question 5

In the context of clinical decision support, what does 'specificity' refer to?

Accepted Answer

The proportion of true negatives correctly identified

Answer

Specificity measures how well a CDS tool correctly identifies patients who do NOT have the condition, minimizing false-positive alerts.

(AHIC) AMIA Health Informatics Certification Practice Test

(AHIC) AMIA Health Informatics Certification Practice Test

AHIC Clinical Informatics and Patient Care 2