Epic Skills Assessment Patient Data Management 1

Question 1

In an EHR, what is an 'Enterprise Master Patient Index' (EMPI)?

Accepted Answer

A system that assigns and maintains a unique patient identifier across all facilities in a health system to prevent duplicate patient records

Answer

A list of the hospital's most critical patients requiring enterprise-level care

Answer

The master billing record for all patients in the system

Answer

A centralized medication database for all patients

Question 2

What are the required HIPAA 'minimum necessary' principles for accessing patient information?

Accepted Answer

Access only the minimum amount of PHI (protected health information) necessary to accomplish the intended purpose

Answer

Access all patient information as long as the user is a healthcare worker

Answer

Access patient information only for billing purposes

Answer

Restrict all PHI access to physicians only

Question 3

What is a 'duplicate medical record,' and what risks does it create?

Accepted Answer

Two or more records existing for the same patient, creating risk of incomplete medical history, medication errors, duplicate testing, and incorrect treatment

Answer

Two copies of the same record filed in different locations for backup purposes

Answer

A record containing duplicate medication orders

Answer

Two patient records with identical demographics but different conditions

Question 4

What is the difference between 'demographic data' and 'clinical data' in a patient record?

Accepted Answer

Demographic data identifies the patient (name, DOB, address, insurance); clinical data documents the patient's health (diagnoses, medications, labs, notes)

Answer

Demographic data includes lab results; clinical data includes billing information

Answer

Demographic data is stored in the EHR; clinical data is on paper

Answer

They are interchangeable terms for patient information

Question 5

In EHR patient data management, what is 'data integrity'?

Accepted Answer

The accuracy, completeness, and consistency of patient data throughout its lifecycle in the health record

Answer

The speed at which data is entered into the EHR

Answer

The security encryption protecting patient data from hackers

Answer

The number of fields completed in the patient record

Question 6

What does an allergy/adverse reaction record in the EHR need to include for it to be clinically useful?

Accepted Answer

The substance, the type of reaction (allergy vs. intolerance), the specific reaction documented (rash, anaphylaxis, nausea), and the severity

Answer

Just the name of the allergen

Answer

The medication lot number and dispensing pharmacy

Answer

Only confirmed allergies with positive skin test results

Question 7

What is a 'patient portal,' and what types of data can patients typically access through it?

Accepted Answer

A secure online platform where patients can access their health records, test results, medication lists, visit summaries, and communicate with their care team

Answer

An internal staff portal for accessing patient records remotely

Answer

A billing portal for patients to pay medical bills only

Answer

A scheduling system for hospital procedures

Question 8

What is the purpose of 'data validation' in EHR patient data entry?

Accepted Answer

To ensure that entered data is within acceptable ranges, in the correct format, and logically consistent before it is saved to the record

Answer

To validate the user's identity before allowing data entry

Answer

To confirm that data has been backed up to the server

Answer

To verify that billing codes match clinical documentation

Question 9

What is a 'data breach' in the healthcare context, and what are the required response actions under HIPAA?

Accepted Answer

Unauthorized access or disclosure of PHI; requires notification to affected individuals (60 days), HHS, and possibly media for large breaches (>500)

Answer

Any time a patient requests their records; routine procedure

Answer

Loss of paper records stored offsite; internal documentation only

Answer

Shared login credentials; resolved by password reset without reporting

Question 10

What is the purpose of a 'longitudinal patient record'?

Accepted Answer

To maintain a comprehensive, continuous health history across all encounters, providers, and time — supporting coordinated care and informed clinical decisions

Answer

To record only the most recent 3 years of a patient's history

Answer

To document a patient's condition at a single point in time only

Answer

To store only surgical and procedural history