Neehr Perfect Level IV Scavenger Hunt: Final

Evaluation
Overview

This final scavenger hunt activity is a competency exam that requires students to
demonstrate the necessary skills and understanding to access and troubleshoot EHR
systems, along with identifying, interpreting and manipulating patient data.

Prerequisites

1. Completion of Neehr Perfect Scavenger Hunts Levels I-III

Student instructions

1. If you have questions about this activity, please contact your instructor for
assistance.
2. Document your answers directly on this document as you complete the activity.
When you are finished, save this document and upload it to your Learning
Management System (LMS). If you have any questions about submitting your
work to your LMS, please contact your instructor.
3. Screen displays are provided as a guide and some data (e.g. dates and times)
may vary.

Objectives

1. Demonstrate the technical skills necessary to access an EHR system and resolve
access difficulties.
2. Locate and access patient records.
3. Navigate essential areas of an electronic patient chart.
4. Locate important patient information using date-specific filters in the EHR.
5. Interpret details within the EHR.
6. Evaluate the clinical implications of coded versus non-coded data entry in the EHR.

The activity

Log in to the Neehr Perfect EHR. Open the chart of Paula Smith and answer the
following questions:

1. Who is the attending physician, or the Provider, for Paula?

a. Neehra, Professor
b. Doctor Lester
c. Doctor One
d. Doctor Jones

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 2. Paula is admitted to:
a. the Nursing Home
b. Rehabilitation Services
c. the Emergency Room
d. General Hospital

3. What patient data is missing in the Release of Information note?

a. Date(s) of service
b. Patient’s electronic signature
c. Purpose of release
d. Social Security Number/MR#

4. Who met with Paula and completed the Social Work Consult note?
a. Doctor One
b. Social One Worker
c. Examiner L. Jones, RN
d. Lester, Rose

5. Who is listed as Paula’s emergency contact?

a. No contact information is listed
b. Laura Smith
c. Larry Lumbar
d. Her mother

Next, open the chart of Frank Stratten and answer the following questions:

6. Is there a signed HIPAA Acknowledgement form on file?

a. Yes
b. No

7. What is the oldest active problem in this Frank’s record?

a. Type 2 diabetes mellitus
b. Spinal stenosis, lumbar region
c. Wheezing
d. Low Back Pain

8. What is Frank’s pending order?

a. DC urinary catheter POD 1
b. Physical Therapy consult
c. TED hose on at all times. SCDs on while in bed.
d. Continuous pulse ox

9. What allergies are listed in Frank’s chart?

a. Penicillin
b. Aspirin

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 c. Penicillin and Aspirin
d. Penicillin and Atenolol

10. Frank’s glucose results were flagged as High in his Lab Results Note. What was
the glucose result listed in the note?
a. 211
b. 112
c. 168
d. 186

Next, open the chart of Vivian Armand and answer the following questions:

11. Vivian had a WBC blood test completed with the result of 6.1. Did that fall within
the normal reference ranges listed for WBC?
a. Yes, it is a normal result
b. No, it is a low result
c. No, it is a high result
d. WBC test results not found

12. What is Vivian’s inactive problem?

a. Hypertension
b. Type 2 diabetes mellitus
c. Tuberculosis
d. None listed

13. What is the highest temperature recorded for Vivian during her hospital stay?
a. 100.6
b. 103.9
c. 101.5
d. 103.8

14. Nurse Four documented the discharge planning in a note. What home health
agency did Nurse Four contact and who did the nurse speak to at the agency?
a. Mercy Home Health, Victoria
b. Mercy Home Health, Linda
c. ABC Home Health, Linda
d. ABC Home Health, Victoria

15. When reviewing the discharge summary for Vivian on the D/C Summ tab, when is
it recommended that she seek follow up?
a. No follow up required
b. 1 week later
c. 2 weeks later
d. 3 weeks later

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 16. What was Vivian’s diagnosis at discharge?
a. Fatigue
b. Tuberculosis
c. Hypertension
d. Nausea with vomiting

Next, open the chart of Karen Knealy and answer the following questions:

17. Review Karen’s Admit note from Doctor Eight. What is the patient’s occupation?
a. Secretary for the Prosecuting Attorney
b. 3rd grade teacher in private school setting
c. Colonel in the Air Force working in HR and Retention
d. Retired factory worker from automotive manufacturer

18. Locate Karen’s consent in the chart. What was the consent for?
a. Anesthesia
b. Left knee arthroplasty
c. Right knee arthroplasty
d. Anesthesia and right total knee arthroplasty

19. Review the clinical maintenance for the Clinical Reminder, Mammogram
Screening. Why does Karen have the Clinical Reminder for a Mammogram
Screening?
a. Karen is between the ages of 40 and 69. It is not documented in her
chart that she has had a mammogram in the last 2 years.
b. Karen is between the ages of 40 and 69. It is documented that she had a
mammogram in the last 5 years.
c. Due to Karen's family history of breast cancer she should have a
mammogram every year.
d. Due to Karen's personal health history and her age she should have a
mammogram every 5 years.

20. Which of the following active problems in Karen’s chart is entered incorrectly as
data and would not meet meaningful use standards?
a. Degenerative Joint Disease
b. Chronic Back Pain
c. Arthroscopy, knee, surgical; abrasion arthroplasty
d. None of them

21. If you were asked to complete a Pain Screening note in Karen’s chart, you would
find the note has a template with check boxes for selecting and documenting the
assessment data. These check boxes are considered to be:
a. Structured data entry fields
b. Unstructured data entry fields

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 22. Karen has several Pain Screening Notes in her chart. The nurse has documented
a pain assessment and interventions in a narrative format. This is an example of
unstructured data entry. Which of the following statements is true?
a. Unstructured data entry in a note is NOT easily data mined and not useful
for reporting.
b. Unstructured data entry in a note is easily data mined and used for
reporting.

23. A report can be run through VistA that will list all patient charts that have
specified Postings. If you were to generate such a report, which of the following
reports would include Karen’s name?
a. All charts that have Postings for Allergies.
b. All charts that have Postings for Lab Results Note v2.
c. All charts that have Postings with a signed Release of Information consent
form.
d. All charts that have Postings with a Pain Assessment note.

24. Which of the following are examples of coded data in the EHR?
a. Low back pain with diagnostic code of M545.
b. An identified health factor, such as lipid interventions or diabetes.
c. An order for the medication morphine.
d. All of the above.

Submit your work

Document your answers directly on this document as you complete the activity. When
you are finished, save this document and upload it to your Learning Management System
(LMS). If you have any questions about submitting your work to your LMS, please
contact your instructor.

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