Special Topics in Vendor-Specific Systems: Certification of

Commercial EHRs

Self-Assessment with Key

1. Which of the following is NOT a reason why Electronic Health Record (EHR)
system should be certified by the Certification Commission for Health Information
Technology (CCHIT)?
a. Evaluate patient care through quality assurance measures
b. Foster information exchange among clinicians and patients
*c. To ensure adoption of the system by all clinicians in a facility
d. To support clinical decision making by clinicians and patients

Answer: c
Objective: 1. Describe the Certification Commission for Health Information
Technology (CCHIT)
Slides: 3-6

2. The Certification Commission for Health Information Technology (CCHIT) can

best be described as:
a. A consortium of EHR vendors
*b. An independent, non-profit organization
c. A professional society
d. A regulatory agency of the U.S. Government

Answer: b
Objective: 1. Describe the Certification Commission for Health Information
Technology (CCHIT)
Slides: 3-6

3. Identify 1-2 characteristics the Certification Commission for Health Information

Technology (CCHIT) with respect to the following:
a. Type of Organization (profit/nonprofit/other):
b. Year Founded:
c. Governing Body:
Component 14/Unit 2 Health IT Workforce Curriculum
Version 2.0/Spring 2011

This material was developed by Columbia University, funded by the Department of Health and Human Services, Office of
the National Coordinator for Health Information Technology under Award Number 1U24OC000003.
d. How Financed:

Answer:
a. Type of Organization (profit/nonprofit/other): Independent, non-profit
b. Year Founded: 2004
c. Governing Body: Office of the National Coordinator for Health Information
Technology
d. How Financed: Industry Partners
Objective: 1. Describe the Certification Commission for Health Information
Technology (CCHIT)
Slides: 3-6

4. Which of the following is a good example of meeting the functionality criterion,

as given by the Certification Commission for Health Information Technology
(CCHIT).
a. An EHR that requires authorized access.
*b. An EHR has a Computerized Provider Order Entry (COPE)
c. An EHR uses HL Seven standards
d. All of the above are good examples of meeting the functionality criterion.

Answer: b
Objective: 2. Describe or give examples illustrating how CCHIT criteria are used
for certification of EHR systems
Slide: 7

5. Provide 1 example of an EHR system that would meet the Certification

Commission for Health Information Technology (CCHIT) criteria on the following:
CCHIT criterion
a. Functionality:
b. Security:
c. Interoperability:

Answer:
Component 14/Unit 2 Health IT Workforce Curriculum
Version 2.0/Spring 2011

This material was developed by Columbia University, funded by the Department of Health and Human Services, Office of
the National Coordinator for Health Information Technology under Award Number 1U24OC000003.
a. Functionality: An EHR having a Computerized Provider Order Entry (COPE)
b. Security: An EHR requires authorized access for users
c. Interoperability: An EHR uses HL Seven standards
Objective: 2. Describe or give examples illustrating how CCHIT criteria are used
for certification of EHR systems
Slide: 7

6. Which of the following is NOT a criterion used by the Certification Commission

for Health Information Technology (CCHIT) for EHR systems?
a. Functionality
b. Interoperability
*c. Return on investment
d. Security

Answer: c
Objective: 2. Describe or give examples illustrating how CCHIT criteria are used
for certification of EHR systems
Slide: 7

7. It is important to certify that EHRs are up to certain quality standards for all of
the following reasons EXCEPT for which one?
a. Acceptance of records by clinicians
b. Health information exchange
c. Impact on patient safety
*d. Mandated regulations by governing bodies

Answer: d
Objective: 2. Describe or give examples illustrating how CCHIT criteria are used
for certification of EHR systems
Slide: 7

8. The process of Certification Commission for Health Information Technology

(CCHIT) includes all of the following EXCEPT which one?
Component 14/Unit 2 Health IT Workforce Curriculum
Version 2.0/Spring 2011

This material was developed by Columbia University, funded by the Department of Health and Human Services, Office of
the National Coordinator for Health Information Technology under Award Number 1U24OC000003.
a. Providing system vendors with certification handbooks
b. Providing system vendors with test scripts
*c. Providing system vendors with example EHRs
d. None of the above

Answer: c
Objective: 2. Describe or give examples illustrating how CCHIT criteria are used
for certification of EHR systems
Slide: 7

9. Under the American Recovery and Reinvestment Act (ARRA) of 2009,

hospitals and health care professionals are required to become meaningful
users of certified EHR technology in order to do which of the following?
a. Avoid financial penalties
b. Practice medicine
c. Receive incentive payments
*d. A and C only
e. A and B only

Answer: d
Objective: 3. Identify the benefits of meaningful use of EHRs and identify
examples of meaningful use of EHRs in given scenarios
Slides: 8-10

10. Which of the following is an example of meaningful use of EHRs?

a. Keeping track of patient appointments using an EHR system
b. Keeping track of patient demographic information using an EHR system
c. Keeping track of practitioner work schedules using an EHR system
*d. Keeping track of medications administered to a patient using an EHR system.

Answer: d
Objective: 3. Identify the benefits of meaningful use of EHRs and identify
examples of meaningful use of EHRs in given scenarios
Component 14/Unit 2 Health IT Workforce Curriculum
Version 2.0/Spring 2011

This material was developed by Columbia University, funded by the Department of Health and Human Services, Office of
the National Coordinator for Health Information Technology under Award Number 1U24OC000003.
Slides: 8-10

11. In half a page, identify SIX (6) of the EIGHT (8) criteria required for Stage 1
implementation of meaningful use of EHRs under the American Recovery and
Reinvestment Act (ARRA) of 2009.

Answer:
Collecting electronic health data in coded formats
Implementing clinical decision support tools
Reporting clinical quality measures and public health data
Using EHR data to track conditions and coordinate care
Providers submit at least 80% of their orders electronically
Hospitals submit at least 10% of orders electronically
Providers use EHRs to check for drug interactions
Providers required to provide patients with electronic copies of their medical
records within 48 hours of a request.

Objective: 4. Identify the three stages of implementation requirements for

meaningful use of EHRs
Slides: 12-13

12. Which of the following is an example of Stage 2 for implementing meaningful

use criteria of ARRA?
a. Advanced decision-support and population health
b. Submission of 80% of provider orders electronically
*c. Structured data exchange and continuous quality improvement
d. Use of EHR data to track conditions and coordinate care

Answer: c
Objective: 4. Identify the three stages of implementation requirements for
meaningful use of EHRs
Slides: 12-13

Component 14/Unit 2 Health IT Workforce Curriculum

Version 2.0/Spring 2011

This material was developed by Columbia University, funded by the Department of Health and Human Services, Office of
the National Coordinator for Health Information Technology under Award Number 1U24OC000003.
13. Which of the following is an example of Stage 3 criteria for meaningful use?
*a. Advanced decision-support and population health
b. Submission of 80% of provider orders electronically
c. Structured data exchange and continuous quality improvement
d. Use of EHR data to track conditions and coordinate care

Answer: a
Objective: 4. Identify the three stages of implementation requirements for
meaningful use of EHRs
Slides: 12-13

14. Which of the following is NOT a National Patient Safety Goal?

a. Accurately reconcile medications
b. Identify patients correctly
c. Improve the safety of using medications
*d. Improve tracking of public health data

Answer: d
Objective: 5. Identify the role of governing bodies certifying commercial EHRs,
including FDA oversight, the Joint Commission, and National Patient Safety
Goals
Slides: 16-17

15. The role of the Food and Drug Administration (FDA) in overseeing patient
safety problems include all the following EXCEPT for which of the following?
a. Collaborate about certification criteria
b. Focus on areas of EHR implementation that have safety risks
c. Monitor patient safety problems
*d. Verify that a healthcare organization is using an EHR correctly

Answer: d

Component 14/Unit 2 Health IT Workforce Curriculum

Version 2.0/Spring 2011

This material was developed by Columbia University, funded by the Department of Health and Human Services, Office of
the National Coordinator for Health Information Technology under Award Number 1U24OC000003.
Objective: 5. Identify the role of governing bodies certifying commercial EHRs,
including FDA oversight, the Joint Commission, and National Patient Safety
Goals
Slides: 16-17

16. Which of the following is a benefit of Joint Commission Accreditation?

a. To achieve the National Patient Safety Goals
b. To be eligible for Medicare reimbursement
c. To verify correct use of EHRs in providing patient care
*d. All of the above

Answer: d
Objective: 5. Identify the role of governing bodies certifying commercial EHRs,
including FDA oversight, the Joint Commission, and National Patient Safety
Goals
Slides: 16-17

Component 14/Unit 2 Health IT Workforce Curriculum

Version 2.0/Spring 2011

This material was developed by Columbia University, funded by the Department of Health and Human Services, Office of
the National Coordinator for Health Information Technology under Award Number 1U24OC000003.