Health Information System
Health informatics is the first level in the HIS Conceptual Model.
False
In an HIS implementation, what matters is the new system design, not the beginning point of how the organization currently operates
False
Informatics is under the umbrella of primary use of data pulled from EHR systems.
False
eHealth is:
-The use of e-commerce and e-business practices in health systems management -The delivery of health information, for health professionals and consumers, through the Internet -Using the power of IT to improve public health services
Which is not a lens to view data, or data "dimension," as discussed within the context of Chapter 9?
. The use of data as the most important underpinning for the success of the implementation for ACA legislation and change in healthcare.
Health software vendors emerged in the:
1970s
The reason for this increased interest is.
An urgency to improve the quality of heath care Administrative processes have increased in number and complexitiy Increased interactions between health care providers and health care groups increased complexity and cost of medicine and health care processes
Which functional purpose are within BI/CI solutions
Analytics Data mining benchmarking reporting
Generally speaking, public health organizations create and capture their own data.
False
which of these is not a tool for improving data stewardship and HIS planning
Data storage
Which of the following is not considered a cloud computing category?
Desktop-as-a-service (DaaS) C. Platform-as-a-service (PaaS)
DR stands for Decision Replication
False
It is always best for the IT department to own enterprise data.
False
The first creators of health care software were:
Hospitals
Which of the following is not an example of a health information systems (HIS) certification
Information technology service management (ITSM)
in addition to governance from the board, organization can and should create data steering committees which:
consist of interdisciplinary leaders from all departments
Large instances of data are normally stored in a
database
Which HIS initiatives are competing for BI/CI adoption? Check all that apply.
e-mobile Internet strategies EHRs ICD-10 deployment
very early smoke detection apparatus (VESDA) systems are used in data centers to provide ambient or room cooling, heating, ventilating, and air conditioning
false
All except one of the following is a challenge to telemedicine and telehealth
too many cases with conflicting research findings
Integrated databases, when possible are preferable to interface
true
Which metric is inaccurate?
2,000,000 registered U.S. nurses
which estimate of healthcare provider adoption of data warehouses and BI/CI solutions is closest
20%
In 2013, the IOM reported that deaths related to medical errors range from _________, as compared to ____________ in 2001.
210,000 to 400,000 and 44,000 to 98,000
The number of clinical trials and case reports published each year has grown from _____ in 1950 to ______ now.
27,000 to 150,000
HIPAA passed by congress in 1996 requires which compliance item
Auditability
Countries with over 90% of health practitioners using EHRs include.
Australia
The following country's smart card initiative for personal health records stalled due to privacy concerns on the part of its citizenry.
Germany
Metadata characteristics include which elements?
Software application source identifier. Time and date identifier Location identifier Purpose identifier
Identify the example of a Health Information Exchange:
Michiana Health Information Network
The primary function of informatics is to
improve healthcare processes through enabling information and evidence
Which of the following is not part of the ITIL IT service management model?
Systems Management
Health services research is
The examination of how people get care, what it costs and what the outcomes are.
Zero-client computers are similar to thin-client computers, but offer the additional advantage of having no local hard drive or OS to secure or maintain
True
a comprehensive mobile computing policy including corresponding set of procedures and an end-user acceptance agreement is needed for healthcare organizations to successfully define and implement at bring your own device (BYOD) strategy
True
comparative effectiveness research has the goal fo providing the best overview and synthesis of research results to organizations and clinicians so they can put the best therapies and workflows in place
True
Which are requirements for BI/CI Solutions?
Usability Actionability Security Scalability Integrity
The field of informatics:
Uses information to improve the way work is done and advance practice in clinical, administrative, and public health disciplines.
which type of secondary data center facility is the least expensive to set up and maintain, but has the limitation of taking the longest to bring an organization's critical systems back online
Cold Site
A configuration management database (CMDB) is a software database that is used to authorize change requests and coordinate change management board (CMB) activities (CMB).
False
A detailed contract with a software vendor is of little importance.
False
According to Rodgers' Adoption Curve, most people are eager to adopt new technology ("early adopters")
False
According to Rogers' Adoption Curve, most people are eager to adopt new technology ("early adopters").
False
An important step to consider when forming an effective HIS steering committee is to focus on HIS resource allocation responsibilities rather than HIS steering objectives.
False
Because of technology replacing certain positions in health care, such as reading radiology images, there will be fewer jobs in HIT in the future.
False
Business intelligence is generally available in "real-time"
False
COBIT is a widely adopted IT governance framework that is used by healthcare organizations, and is made up of a library of books that describe an integrated set of seven process-oriented "best practices" for managing IT services.
False
Data is for the most part unrelated to research
False
Decision Support (DIS) and Executive Information Systems (EIS) will eventually replace BI/CI solutions.
False
EHR project teams must focus on working solely with medical staff leadership.
False
ETL is an acronym for Electronic Transformation Language.
False
End-user functionality is the most important thing to consider when selecting new HIS software.
False
HIPAA specifically addresses health care organization's use of social media platforms.
False
Health Information Systems refers to hardware (computers, servers, etc.) and not to the software, networks, or data in computer systems.
False
Health care as an industry has led the way for BI adoption even before banking, retail, and petroleum industries.
False
Healthcare is 10% of the value of the U.S. Gross Domestic Product.
False
In terms of clinical support, more information is always better.
False
Informatics only refers to clinical and health processes: it has no impact on the business or administrative side of health care.
False
It is critical that healthcare organizations maintain relationships with as many vendors as possible.
False
It is only important to study health information systems if you want to become an IT specialist.
False
Normalization of healthcare data is a relatively simple programming algorithm considering that healthcare's exclusive dependency on Latin and Greek language foundations provide a maximum of only three base phonetic roots in any given medical word.
False
Physician/clinical support and "buy-in" is optional when launching EHR and other HIS initiatives
False
Provider healthcare institutions that are in geographical proximity generally adopt and use the same vendors for their operational software.
False
Sentinel monitoring is an automatic collaboration, intrinsic in EHR systems, between care providers and public health agencies to alert the public disease outbreaks.
False
Separate and diverse HIS make it easier to collate date for population health management
False
Single sign-on (SSO) and tap 'n go technologies have the benefit of eliminating the need for users to remember their username and passwords.
False
System evaluation happens once after an implementation and isn't performed continually.
False
The HIS strategic plan should be the foundation of the overall organization strategic plan.
False
The Health Information Portability and Accountability Act of 1996 (HIPAA) is subject to state laws.
False
The conversion of diagnostic coding from ICD-9s to ICD-10s will be very helpful for the thousands of coding personnel as the possible chance will decrease exponentially
False
The increasing availability of technology such as mobile phones has little impact on health care.
False
The rates of adoption for basic EHRs and comprehensive EHRs are essentially the same
False
Using interfaces allows a healthcare organization to avoid building applications in silos, and enables the sharing of common data elements, thus bringing greater efficiency than application integration.
False
With the ever-increasing granularity and acuity of healthcare imaging for X-rays, MRIs, and newer modalities data will be more compressed resulting in lower data volumes.
False
eHealth should be viewed as separate from the general guidelines, planning, and strategy of HIS and the HIS framework.
False
It is much easier to implement HIS in countries other than the U.S.
True
One of the first decisions facing healthcare organizations is whether they will maintain their own data center facilities, lease one or more commercially owned colocation data center facilities, or outsource (remote host) both their data center facility and computing equipment to a third party.
True
One of the key CMIO functions is to lead physician advisory groups.
True
One significant barrier to HIS adoption is that some computer systems actually make more work for clinicians rather than reduce the number
True
Only PHI contained in HIS that are used inside healthcare organizations are subject to HIPAA rules.
True
Policy analysts and makers use HIS data to evaluate the quality and efficiency of clinical processes.
True
Poorly applied software, no matter how impressive, hinders an organization's forward movement.
True
Recent significant increases in HIS initiatives in the U.S. are motivated by cost and quality concerns
True
Research is only as good as the data available.
True
Several types of "payers" exist in the United States, including private insurance, government programs, and military programs.
True
Telemedicine is the remote delivery of clinical services
True
The HIPPA Security Rule requires that electronic protected health information (epHI) be protected by ensuring the confidentiality, integrity, and authorization of that information through safeguards
True
The HIS Conceptual model works bi-directionally-layers both build upon each other and provide feedback for each other.
True
The Veterans Administration developed an early example of a multi-facility EHR.
True
The field of public health uses data from HIS in primary as well as secondary ways.
True
The focus of the next phase of technology is not to learn how to capture more data but discover how to make organized sense of the data.
True
The future goal of health information is appropriate access to ubiquitous, personalized, specific information relevant to the situation, available to those who should have access to it, while honoring the privacy, security, and confidentiality of those whose information it is.
True
The joint commision inspects and accredits hospitals based on their ability to meet a rigorous set of scored criteria
True
The most typical lead role with regards to HIS and technology is usually the chief information officer or CIO.
True
The myth of "plug-and-play"-that HIS architecture is as easy as 1-2-3-is harmful to the organization and the HIS team.
True
The order of the following four steps correctly identifies how healthcare organizations should proceed in order to select the right vendor: 1) submit a project request; 2) define the requirements; 3) conduct an evaluation; and 4) negotiate the agreement.
True
The pace of eHealth is moderated in part by important patient privacy regulations
True
The service desk is a single point of contact for users to report incidents and seek troubleshooting resolution, and often is referred to as the help desk.
True
The three arenas of HIS leadership are organizational, government/presidential and clinical/business
True
Time and resources spent planning save the institution money and time in the long run.
True
Traditionally, healthcare organizations have purchased vendor applications, such as commercial off-the-shelf (COTS) or "best of breed" products.
True
The VA builds, maintains, and supports it's HIS at the cost of about ______ per patient, per day.
$68
In 2012, ____ of hospitals were participating in HIE.
30%
As of March 2013, _____ of eligible physicians, providers, and hospitals had received a Meaningful Use incentive payment.
44%
The new list of ICD-to codes include how many discrete items
68,000
All of the below are examples of primary use of data except for one. Which is an example of secondary use of data?
A Public health report indicates there is a measles outbreak in a certain county
The purpose of governmental healthcare policy is to
Address issues that the private sector cannot, address issues that are related to civil liberties, national securities ad public safety. and protect public health
An area that have been shown to increase IT operating expenses in healthcare organizations is
Both A & B
Electrical power in data centers can be remotely measured and tracked by using a:
Branch circuit monitoring system (BCMS)
The HITECH Meaningful Use criteria for EHR implementations and incentive payments fall into three categories, including all but one of the following.
Broadening the scope of care
Which is a prefered method for storing data?
Central data repositories (CDR)
Outcomes research, the study of the end results of medical care-is practiced by:
Clinicians, Universities and teaching institutions, private companies and consumers, Government agencies/
Which of the choice below is not an advantage of using non persistent virtual desktop infrastructure (VDI)?
Dedicated server storage for each VDI desktop and the user's VDI desktop is not needed.
In planning an HIS project, it is important to
Define requirements for the new system, use formal governance processes for system selection and capital approval for the project, Prepare a 5-year cost spreadsheet estimating capital and operating costs for the project
When defining the HIS strategic plan (and the organization's overall strategic plan) information should be solicited from:
Executive level management, clinicians, including nurses, assistants and physicians, administrative staff
Which of the following four steps is not part of the vendor selection process?
Formally plan the operating and capital budget amounts
Which source of healthcare data is not one of the greatest contributors the industry's volume of data?
Government
Sources of data used for health informatics include
HIS systems form all four Quadrants o fthe HIS Planning Framework, Direct observations captured in logs or EHRs. Payers and research organizations, and websites and mobile devices
Which is not a step on the informatics continuum?
Hypothesis
Systems for exporting data to reporting organizations, such as The Joint Commission, fall into Quadrant _____ of the HIS Planning Framework.
III, II
The ITG framework that describes six guarding principles for the effective, efficient, and acceptable use of IT-responsibility, strategy, acquisition, performance, conformance and human behavior is called.
ISO/IEC 38500
The business investment decision-making and oversight process by which healthcare organizations effectively evaluate, select, prioritize, and fund HIS is called
IT demand governance
The ITIL IT service management (ITSM) best practice process area that a HIS department should consider addressing when deploying or supporting existing HIS applications is:
IT service support
Public health informatics includes capabilities that:
Identify health trends and incidence
The benefits of a milestone payment structure include:
It ties payment to actual outcomes for the health care organization.
Within the pyramid graphic for the relationship of complexity for use and creation in BI/CI solutions, which has a broader audience?
KPIs
Which of the following does not support better public health surveillance and management?
Online appointment scheduling
Infrastructure refers to the electronic highway that carries data and information and includes:
Patient Information
Clinical Intelligence is difficult in part due to reasons of subjectivity in delivering health care delivery. Which are representative of this statement?
Patient uniqueness Providers opinionated and diverse training Communications challenges
The work breakdown structure (WBS) and project schedule is developed during which Project Management Institute (PMI) project management phase?
Planning phase
The correct order for HIS launch is:
Planning, Funding, Implementation
Voice over wireless local area network (VoWLAN) technology offers which of the following benefits?
Provides advance quality of service (QoS), extended talk-time, and call security.
A central data repository (CRD) has which characteristics?
Provides for replication Organizes data for multiple purposes Provides for disaster recovery
Which group contributes significant data to the aggregate U.S. healthcare data count?
Public health organizations Research centers Home health Pharmaceutical laboratories
A good HIS plan can advance the organization's performance, for example:
Reducing cost, Reducing waste, Increasing patient and provider satisfaction and Improving the quality
Which of the following is not among the Five Rights of Health Information Management?
Right Code
The term "dematerialized information" refers to:
Storing information in the cloud
The section committee for the software vendor should include:
Subject Matter Experts, information technology personnel, personnel with implementation expertise
The CIO's role usually is responsible for:
The HIS vision, plan, and strategic initiatives. The HIS budget and timelines. The security of information. Engaging with others outside the HIS/IT department.
SWOT is used to describe
The organization's current state, through strength, weaknesses, opportunities and threats.
A comprehensive EHR includes all the functionalities of a basic EHR as well as an additional 14 functionalities.
True
A greater availability of comparative data across hospitals is of benefit to patients and public health organizations.
True
A key indicator of effective IT governance is the ratio of unplanned work to planned work
True
An RHINO is a type of HIE
True
An enterprise resource planning system integrates systems in all quadrants.
True
As healthcare institutions provide solutions for their data growth and management, there will be technical and data architecture management career opportunities.
True
Before an organization can successfully lead an HIS initiative, the organization must define it's mission, vision, and values.
True
Business Intelligence is the technological foundation for Clinical Intelligence.
True
Developing a master patient index or MPI occurs in the first of three phases of an HIS strategic plan
True
Digital signage and wayfinding, and IP television (IPTV) are considered part of the unified communications (UC) family of services.
True
Extranets are networks that typically provide web-based content and access to applications and databases for users who are outside of the organization's internal network.
True
Faulty systems result in faulty data and practices
True
Health care comprises 17.2% (or $2.8 trillion) of the United States' GDP.
True
Healthcare data growth is the single largest sector contributor to the universe of worldwide data.
True
Hospitals are the best places for those with chronic illness to be treated.
True
Important vendor management principles that can help healthcare organizations develop strong vendor relationships are to ensure that the contractual details are equal to the level of project risk, clarify roles and responsibilities, obtain senior management commitment and buy in ____ focus on strategies that will benefit the vendor in lieu of the customer
True
In contrast to linear, paper-driven communication systems, HIS and technology can boost positive interaction between all parties, enabling healthcare organizations to become more adaptable and responsible
True
In the view of the HIS Planning Framework as it relates to informatics, patient engagement, clinical workflow design, and mHealth are in Quadrant I.
True
Informatics for each clinical discipline-such as nursing informatics-must be based on the key workflows of each discipline.
True
Informatics may emphasize key performance indicators (KPIs).
True
If patients are more engaged in their health, such as through new media
health status outcomes will improve
software applications that use data from different databases are
interfaced
What mobile management strategy encompasses managing mobility at the mobile device level, and includes secure email, calendering, contacts web browsing and application store management?
mobile device mangement
