HIT Final (C)

An example of workflow

ASSESSING a patient's condition in the ER ADMITTING a pt in the Hospital SCHEDULING a pt appointment in an outpatient clinic

BEST describes the types of knowledge that can be baked into workflows

Alerts, reminders, evidence, order sets, and automatic billing codes.

Stacey and Skinner (2005) argue that aligning HIT strategy with overall organizational strategy involves three essential elements for success. In what order should these three elements occur?

Align purpose, develop goals and tactics, share responsibility and accountability for achieving the ends

Approximately what percent of the time should first-level and second-level IT service desk technicians be able to find permanent solutions and answers to questions and devise temporary fixes?

95%

As estimated by the IOM, how many patients die each year as a direct result of ERRORS made in the course of their care

98,000

As estimated by the Institute of Medicine, how many patients die each year as a direct result of errors made in the course of their care?

98,000

as estimated by the institute of medicine, how many patients die each year as a direct result of errors

98000

Firmly establishing value in many healthcare investments has proven to be fairly easy and widely accepted

FALSE

Generally, the MAJORITY of HIT projects undertaken in healthcare organization are SUCESSFUL

FALSE

Identifying and managing cross-project interdependencies via a program management approach is an important FIRST STEP toward mitigating the project risk.

FALSE

Organization that allow individual department to automatically manAge their own projects are able to easily manage the interrelationship between PROJECTS and PREEXISTING applications and systems.

FALSE

Sensitivity analysis ensures that IT-realated investments support an organization's strategic business objectives

FALSE

The US healthcare system is on track to transition from a system that emphasized balancing stakeholder value across dimension to a system that emphasize individual value and cost containment.

FALSE

Input for _____________ should document cost savings, revenue enhancements, capacity/volume growth, and risk mitigation resulting form the investment decision.

FINANCIAL BENEFITS

Describe CDI.

Facilitate an accurate representation of healthcare services through complete and accurate documentation. CDI programs aim to improve quality of care. Also, another goal is to facilitate education.

Of the 8 steps in cost evaluation, which puts the technology into the broader systems context?

Framework for analysis

Physicians correct misrecognitions at the time of a dictation when--- is used

Front-end speech recognition technology(FESR)

What is the agency problem that good governance seeks to manage?

Governance must balance the conflict of interest between managers' risk aversion from minimizing mistakes and owners' desire for appropriate risk taking to maximize the well-being of the firm.

Which of the following data visualization tool is used when displaying trends

Graphs

The order in which the 5 KEY PROCESSES of project management should occur:

Initiation, Planning, Execution, Monitoring, Controlling

The benefits of HIT adoptions, specifically EHRs, include:

Inpatient costs, outpatient drug utilization, reduction in adverse events, greater preventive care

Which of the following is NOT an example of a business term category that should be addressed in the contract negotiations?

Interfaces and conversions

According to FDA guidance and mobile app running in the smart phone to analyze and interpret EKG waveforms to detect heart function irregularities is a----

Medical device

AHIMAs House of Delegates

Part of the volunteer structure that governs the profession

Which axis to is used to you a subset of patients health record after logging into a secure online website

Patient portal

What was one of the main purposes of the first computer systems?

Performing financial transactions

Which of the following is where in yours and Joe's dad are using a tablet computer when conducting a patient assessment while at the bedside?

Point of care charting

The following project management knowledge areas individuals should KNOW HOW to manage stakeholders and REPORT performance:

Project COMMUNICATION management

The following project management knowledge area focuses on PROVIDING GUIDANCE to individuals to plan HIT purchasing and contracting:

Project PROCUREMENT management

In which of the following project management knowledge areas should individuals know how to manage stakeholders and report performance?

Project communications management

List and describe 3 AHIMA credentials-include educational requirements.

RHIA, RHIT, and CCA. RHIA credential require a minimum of a bachelors. RHIT credentials require an associates. CCA credentials require a high school diploma or equivalent

_________ management ENSURES that HIT investment deliver outcomes at reasonable costs while also managing associated risk.

RISK

Data are __________________, whereas information is ______________.

Raw facts and figures collected by the organization; processed and analyzed in a formal, intelligent way

Which of the following mechanisms to reduce or control healthcare costs will have an impact on HIT?

Reducing duplicate tests and procedures

Which of the following BEST describes bundled applications?

Multiple integrated products from a single vendor

Which of the following maybe used to capture the data for storage in database

Natural language processing

Refers to ABILITY to make sense of a situation more accurately

SENSE MAKING

I which STAGE of maturity of the HIT portfolio management maturity model does an organization consistently ASSESS RETURNS VERSUS RISK in its portfolio of projects?

SYNCHRONIZED

HIT operations divisions often consist of four major components: systems development, user support, software evaluation, and _________.

Operations

According to Hunter and Ciotti, what is the GREATES CAUSE OF PROJECT FAILURE

POOR EXECUTION

A_______________is a collection of progress and projects

PORTFOLIO

The following option is one of the ten commandments particularly important to HIT value, as proposed by Bates et. al.

Simple interventions work best Monitor impact, get feedback, and respond Speed is everything

----is a barrier to health information exchange users

State Law

Which of the following is NOT one of the steps in the system selection and contract management process?

System implementation

2 fundamental impediments to maximizing value are: INTERDEPENDENCE AND DOCUMENTATION

TRUE

A common conclusion of HIT value finding is that available literature tends to report only narrow analyses of impacts of HIT investments.

TRUE

According to SMALTZ & CUNNINGHAM, responsibility for ensuring that IT are used effectively and efficiently has fallen primarily on user who, in general, know little about the system and their full capabilities

TRUE

Financial barriers to HIT adoption are usually more important than challenges with interoperability, acceptance by clinical staff, or having available technical staff.

TRUE

Individual projects or application progress should not be managed in SILOS but in a professional PMO focused on achieving envisioned benefits.

TRUE

Once data are copied into the data warehouse, the data warehouse provides ONE-STOP shopping for management engineering studies, operations research studies, clinical process studies, and other decision support processes

TRUE

Organizations should consider STANDARDIZING a set of project and portfolio management tools to synchronize their processes and business rules

TRUE

Leading HCOs are taking steps SYSTEMATICALLY & DELIBERATELY to reduce the information load on caregivers and make quality decisions easier. Through which steps do they accomplish this task.

Bakin-in KNOWLEDGE & EXCELLENCE in data warehousing, DATA MINING, and ANALYTICS

-----data analytics is where health information is captured, reviewed and used to measure the quality of the care provided

Clinical

Which decision support system could deliver a reminder to physician that is the time for the patients flu shot

Clinical

Which of the following correctly matches leaders and types of projects

Clinical application projects: Influential business stakeholder from within the clinical leadership of an organization

What are the three benefits of using the electronic health record?

Complete and accurate information; better access to information; patient empowerment

5. What does CPOE stand for? *

Computerized provider order entry *

Which type of analyses are used for technologies that have an outcome that cannot be quantified in financial terms?

Cost-effectivesses analyses

Which of the following is the best example of typical potential recurring costs of an EHR?

Costs associated with EHR maintenance

14. Which of the following is the best example of typical potential recurring costs of an EHR? *

Costs associated with EHR maintenance *

Functions of an HIT PMO

Creating METRICS and DASHBOARDS to facilitate transparency

Which of the following advantages is the primary benefit of integrated systems compared to stand-alone systems?

Enhanced data management capability

Which of the following is the benefit of HIEIE

Enhanced patient care coordination

Which of the following is a benefit of HIE? a. Enhanced patient care coordination b. Advanced level of interoperability c. Increased accessibility of billing records d. Decreased need for medication refills

a. Enhanced patient care coordination

Free tax describing a patient's chief complaint is an example of

Unstructured data

What is the type of power given to leaders who are authorities in their fields or have knowledge or skills that are in short supply are referred to as? a. Expert b. Referent c. Legitimate d. Influence

a. Expert

The clinical data ----lends itself to data mining as it encompasses multiple sources of data

Warehouse

The leader of the coding performance improvement team wants all of her team members to clearly understand the coding process. Which of the following would be the best tool for accomplishing this objective? a. Flowchart b. Force-field analysis c. Pareto chart d. Scatter diagram

a. Flowchart

Which of the following data visualization tool is used when displaying trends? a. Graphs b. Tables c. Pie chart d. Tex

a. Graphs

Templates

a guide for documentation

Dashboard

a management report of process measures

7. A hospital is said to be at Stage 1 when all of its ancillary systems are in place, which includes all of the following EXCEPT *

a module for the emergency department.

Nominal variables

a number is assigned to a specific category

Clinical Documentation Improvement (CDI)

a process to facilitate accurate representation of a patient's clinical status in the patient health record

Key indicator

a quantifiable measure used to determine whether some structure, process, or outcome in the provision of care supports high-quality performance measured against best practice criteria

Drug knowledge database

a subscription service that provides current information about drugs; send alerts for drug-allergy and drug-drug contraindication

Executive information system (EIS)

a system that facilitates and supports senior managerial decisions.

Accreditation

a voluntary process that a organization undergoes to demonstrate that it has met standards

A Z-score of 3.5 represents a score that is how many standard deviations above the mean? a. 3.5 b. 6.5 c. 68 d. 3.5 below the mean

a. 3.5

What is the mean length of stay for the following data set: 10, 12, 5, 6, 7, 9, 5 a. 7.7 b. 9.7 c. 8.6 d. 7.9

a. 7.7

The formal approval process for academic programs in health information management is called which of the following? a. Accreditation b. Certification c. Registration d. Standardization

a. Accreditation

A _____________ allows the team to organize similar ideas into logical groupings. a. Affinity grouping b. Brainstorming c. Motivating technique d. Nominal group technique

a. Affinity grouping

Which group is responsible for AHIMA's certification exams? a. CCHIIM b. AHIMA House of Delegates c. AHIMA Board of Directors d. CAHIIM

a. CCHIM

Which of the following qualify for CEUs? a. College course b. Applying for fellowship c. Being on the AHIMA Board of Directors d. Participating on an AHIMA national committee

a. College course

Which of the following best describes the mission of AHIMA? a. Community of professionals providing support to members and strengthening the industry and profession b. Community of professionals whose major purpose is lobbying Congress to change laws c. Community of credentialed members who monitor the credentialing process d. Community of credentialed members whose purpose is to ensure jobs for their members

a. Community of professionals providing support to members and strengthening the industry and profession

The emphasis on traditional practice of HIM was to ensure: a. Complete and accurate health record b. Valid certification exams c. Retrieval of the health record for patient care d. Management of information

a. Complete and accurate health record

The exchange of email communication between the patient and physician on a question regarding medication is an example of ____________ health informatics. a. Consumer b. Clinical c. Translational d. Medical

a. Consumer

Which statistics examine the spread of different values around the measures of central tendency? a. Measures of variability b. Measures of significance c. The range d. The variance

a. Measures of variability

Healthcare information is primarily for which of the following? a. Provider use in the management of care b. Data analyst use in measuring quality of care provided c. Researcher use in clinical trials d. Individual use in personal health records

a. Provider use in the management of care

which statement regarding the relationship between maturity and cost is true?

as an org's maturity with respect to HIT project management increases, the overall cost of its HIT projects deceases significantly but the success rate increases significantly

a key reason for general govt inyervention includes problems with which of the following

all of the above

which is an example of workflow?

all of the above

which of the following entities report directly to the CIO

all of the above

which of the following options is one of the 10 commandments particularly important to HIT value, ass proposed by bates?

all of the above

American Health Information Management Association (AHIMA)

association of HIM professionals. Strives to foster the professional development of its members

Personal health record

an electronic or paper health record maintained and updated by an individual

Health Information Exchange (HIE)

another way to exchange information across multiple organization and individuals

Continuous variables

any numerical value that goes from one whole # to the next whole #

Student membership

any student who does not carry an AHIMA credential

Which of the following has become a niche market in healthcare information systems?

applications for primary care

State College is applying for accreditation of the new HIM program. How long do they have to complete their candidacy? a. 1 year b. 2 years c. 4 years d. 5 years

b. 2 years

Someone who wishes to sit for the Certified Professional Coder (CPC) certification should contact which organization? a. AHIMA b. AAPC c. HIMSS d. AHDI

b. AAPC

Which of the following is a technique used to generate a large number of creative ideas from a group? a. Affinity grouping b. Brainstorming c. Motivating technique d. Nominal group technique

b. Brainstorming

Placing knowledge directly within the workflow creates an organizational system that will maximize quality decision making, reduce medial errors, and significantly increase the quality of care provided to patients.

TRUE

The key underlying tenet of seminal knowledge management literature is that when individuals in organizations have the knowledge they need to make decisions and accomplish their individual jobs, organizational efficiency and effectiveness are significantly improved

TRUE

Which of the following is the formal process for conferring a health information management credential? a. Accreditation b. Certification c. Registration d. Standardization

b. Certification

________ data analytics is where health information is captured, reviewed, and used to measure the quality of care provided. a. Healthcare b. Clinical c. Financial d. Operational

b. Clinical

Any numerical value that goes from one whole number to the next whole number, such as $30,567.32, 62.596, and 18.65 is called what kind of variable? a. Discrete b. Continuous c. Simple d. Ordinal

b. Continuous

__________ is key to the knowledge discovery process. a. Data formatting b. Data mining c. Data layout d. Data cleaning

b. Data mining

Which of these would be a source of data for job analysis? a. Job posting b. Employee interview c. Advertising d. Professional journal

b. Employee interview

True or false. A histogram should be used with discrete data that is part of a frequency distribution. a. True b. False

b. False

True or false. Leading is one of the four management functions in addition to planning, consolidating, and controlling. a. True b. False

b. False

True or false. Sentinel events are events that showcase the good quality of care provided by a healthcare facility. a. True b. False

b. False

True or false: Due to the supervisor's authority and ultimate responsibility for performance of a unit, he is the only appropriate reviewer of an individual employee's performance. a. True b. False

b. False

True or false: Planning is a course of action designed to produce a desired (business) outcome. a. True b. False

b. False

True or false: The federal Age Discrimination in Employment Act of 1967 prohibits age discrimination against job applicants or workers age 50 and older; this includes hiring, compensation, and other employment decisions based on age. a. True b. False

b. False

True or false: Values are a process by which the policies are put into action. a. True b. False

b. False

Physicians correct misrecognitions at the time of dictation when _______ is used. a. Back-end speech recognition technology b. Front-end speech recognition technology c. Natural language processing technology d. Natural language understanding technology

b. Front-end speech recognition technology

The accountability framework and decision rights to achieve enterprise information management is known as: a. Credential b. Information governance c. Certification d. Registration

b. Information governance

Which of the following statements best defines utilization management? a. It is the process of determining whether the medical care provided to a patient is necessary. b. It is a set of processes used to determine the appropriateness of medical services provided during specific episodes of care. c. It is a process that determines whether a planned service or a patient's condition warrants care in an inpatient setting. d. It is an ongoing infection surveillance program.

b. It is a set of processes used to determine the appropriateness of medical services provided during specific episodes of care.

A patient portal that allows personal health information to be uploaded for provider access is an example of _______________. a. Consumer-mediated exchange b. Data exchange c. Provider-mediated exchange d. Query-based exchange

a. Consumer-mediated exchange

The _________ is a management report of process measures. a. Dashboard b. Scorecard c. Benchmark d. Quality metric

a. Dashboard

Discrimination in employment based on intentional unequal treatment of an individual who is a member of a protected class is known as which of the following? a. Disparate treatment b. Protected treatment c. Harassment d. Hostile work environment

a. Disparate treatment

The ethical principle of ____ recognizes the importance of treating people fairly and applying rules consistently. a. Autonomy b. Justice c. Respect d. Morality

b. Justice

Which of the following is a type of electronic personal health record that allows access to a portal

Tethered

Tracking and comparing over time the number of medical records coded per hour by individual coder to assess coder productivity is an example of a __________. a. Best practice criterion b. Key indicator c. Benchmark d. Baseline

b. Key indicator

The first professional association for health information managers was established in what year? a. 1900 b. 1905 c. 1928 d. 1970

c. 1928

The number of charter members of the ARLNA was: a. 35 b. 17 c. 58 d. 82

c. 58

What is the mode in this array of the following variables? 1,2,3,4,5,6,7,7,7,8,9 a. 2 b. 4 c. 7 d. There is no mode

c. 7

Which of the following make up a virtual network of AHIMA members? a. AHIMA Board of Directors b. AHIMA Council on Certification c. AHIMA Engage d. AHIMA House of Delegates

c. AHIMA Engage

Which of the following is an arm of AHIMA that promotes research in health information management? a. AHIMA Board of Directors b. AHIMA CAHIIM c. AHIMA Foundation d. AHIMA Commission on Certification for Health Informatics and Information Management

c. AHIMA Foundation

The hospital standardization program was started by __________. a. American Health Information Management Association b. Commission on Accreditation for Health Informatics and Information Management Education c. American College of Surgeons d. Healthcare Information and Management Systems

c. American College of Surgeons

Who is responsible for leading, planning, budgeting, resourcing, and training the IT staff? a. CEO b. CFO c. CIO d. COO

c. CIO

Which decision support systems could deliver a reminder to a physician that it is time for the patient's flu shot? a. Document driven b. Executive c. Clinical d. Management

c. Clinical

The requirement for an HIM professional to comply with all laws, regulations, and standards governing the practice of HIM is in the AHIMA _________. a. Mission b. Vision c. Code of ethics d. Engage

c. Code of ethics

Many organizations and quality experts define quality as meeting or exceeding ______________. a. Patient quotas b. System outputs c. Customer expectations d. Data collection

c. Customer expectations

To arrive at information, _________ are required. a. EHRs b. Statistics c. Data d. PHRs

c. Data

What is the first stage of transforming raw data into meaningful analytics? a. Data normalization b. Data analysis c. Data capture d. Data provisioning

c. Data capture

A _________ generated scorecard could be used by a manager to monitor readmission rates in order to track trends and identify opportunities for improvement. a. Provider decision support system b. Clinical decision support system c. Decision support system d. Resource allocation support system

c. Decision support system

Which of the following is the harshest form of leadership? a. Participative Leadership b. Bureaucracy c. Exploitive autocracy d. Benevolent autocracy

c. Exploitive autocracy

Which of the following functions governs the HIM profession? a. AHIMA Board of Directors b. AHIMA Commission on Certification for Health Informatics and Information Management c. AHIMA House of Delegates d. AHIMA Foundation

c. House of Delegates

In order to qualify for an AHIMA fellowship, what minimal educational level is needed? a. Associate degree b. Bachelor degree c. Master's degree d. Doctorate degree

c. Master's degree

According to FDA guidance, a mobile app running on a smart phone to analyze and interpret EKG waveforms to detect heart function irregularities is a ___________. a. Durable medical equipment b. Patient portal c. Medical device d. Medical product

c. Medical device

What are the four functions of management that HIM directors use in the day-to-day and long-term operation of the department to ensure the healthcare organization is in compliance with management of HIM functions? a. Strategy, controlling, management, planning b. Planning, controlling, strategy, leading c. Planning, controlling, leading, organizing d. Management, controlling, leading, organizing

c. Planning, controlling, leading, organizing

To be recognized as a profession, which of the following did HIM need? a. Certification b. Registration c. Preliminary training d. Accreditation

c. Preliminary training

This particular process is important in effectively testing whether the specific intervention actually made a difference in the outcome of the disease in experimental studies. It is called which of the following? a. Odds ratio b. Relative risk c. Randomization d. Incidence rate

c. Randomization

Which measure of variability is the simplest one to compute? a. Standard deviation b. Variance c. Range d. Mode

c. Range

A radiology information system is which of the following? a. Core clinical component b. Hospital information system c. Source system d. Supporting infrastructure

c. Source system

The two components of AHIMA's management structure are which of the following? a. Staff and team b. Team and committee c. Staff and volunteer d. Volunteer and council

c. Staff and volunteer

___________ is a barrier to health information exchange users. a. HIPAA b. HITECH c. State law d. CDC

c. State law

The key to building what statistical tool is to make it able to stand alone so anyone reading it can understand the information displayed? a. Graph b. Plot c. Table d. Measure of central tendency

c. Table

Free text describing a patient's chief complaint is an example of _________. a. Structured data b. Discretionary data c. Unstructured data d. Discrete data

c. Unstructured data

Revenue cycle management is accomplished through use of which of the following systems? a.Eligibility verification system b.Form creation system c.Patient financial service system d.Registration-admission, discharge, transfer system

c.Patient financial service system

Infusion pumps and robotics are examples of which of the following? a.EHR systems b.Medical devices c.Smart peripherals d.Specialty clinical applications

c.Smart peripherals

A way to send secure messages over the Internet is which of the following? a.Cloud computing b.Digital imaging and communications network c.Virtual private network d.Web services architecture

c.Virtual private network

Qualitative variables

categorical; are all discrete and include nominal and ordinal variables

Steps in Job Analysis

clarify the job type, use a variety of data sources, and identify job's primary duties

which correctly matches leaders and types of projects?

clinical application of projects-> influential stakeholder from within clinical leadership of org business application projects->influential business stakeholder infrastructure projects-> Cio or one of the CIO's key directors

what function does an HIT PMO serve?

creating metrics and dashboards to facilitate transparency

An RHIT who graduated from college 6 months ago is joining AHIMA for the first time. What membership is he or she qualified for? a. Student b. Emeritus d. New graduate d. Active

d. Active

Which is a simple chart used to describe qualitative, categorical, or discrete variables such as nominal or ordinal data? a. Line graph b. Pie chart c. Frequency polygon d. Bar chart

d. Bar chart

A ________ would be used to define syntax conventions. a. Terminology standard b. Transport standard c. Services standard d. Content and structure standard

d. Content and structure standard

What type of study design was used to explore how the use of automated coding software (computer-assisted coding [CAC]) could be used to enhance anti-fraud activities? a. Retrospective b. Prospective c. Experimental d. Descriptive

d. Descriptive

Prior to hospital standardization, health records were: a. Valuable tools b. Strong communication methods c. Complete documentation of patient care d. Essentially worthless

d. Essentially worthless

The _______ would be used to help find actionable insights to drive enterprise performance. a. Knowledge driven system b. Group decision support system c. Business information system d. Executive information system

d. Executive information system

Which of the following federal laws prohibits employers from interfering with employees' rights to form labor unions and bargain collectively? a. Equal Employment Opportunity Act b. Americans with Disabilities Act c. National Labor Relations Board d. National Labor Relations Act

d. National Labor Relations Act

When a number is assigned to a specific category such as a 1= male and 2 = female, this is what type of variable? a. Ordinal b. Interval c. Ratio d. Nominal

d. Nominal

In which type of distribution are the mean, median, and mode equal? a. Bimodal distribution b. Simple distribution c. Non-normal distribution d. Normal distribution

d. Normal distribution

Which of the following are the principles describing how a department or an organization will handle a specific situation or execute a specific process? a. Vision b. Procedures c. Planning d. Policies

d. Policies

Connecting the PHR to the patient's legal health record protects it under the HIPAA ______. a. Confidentiality Rule b. ONC Rule c. Security Rule d. Privacy Rule

d. Privacy Rule

If a researcher was interested in whether the use of estrogen replacement therapy (ERT) caused colon cancer in postmenopausal women, they would recruit a group of women with colon cancer (cases) and another group of women without colon cancer (controls) as subjects. What is this type of study design called? a. Prospective cohort b. Historical prospective c. Descriptive d. Retrospective case-control

d. Retrospective case-control

Which of the following is a type of electronic personal health record that allows access through a portal? a. Merged b. Standalone c. Secure d. Tethered

d. Tethered

Critique this statement: Once someone has earned the registered health information technician (RHIT) credential, it is a lifetime certification. a. This is a true statement. b. This incorrect as it is valid only until you retire. c. This is incorrect as RHITs have to retake for the exam every 10 years d. This is incorrect as RHITs have to become recertified.

d. This is incorrect as RHITs have to become recertified.

Which of the following is a traditional HIM role? a. Managing interoperability standards b. Data manipulation c. Information governance d. Tracking record completion

d. Tracking record completion

Which of the following is an important part of quality patient care as it helps to ensure necessary and appropriate care, effectiveness of the services provided to the patient, and timely and safe discharge of patients? a. Clinical performance measure b. Performance improvement c. Risk management d. Utilization management

d. Utilization management

Coder Status as 1=advanced, 2=intermediate, 3=beginner is an example of a__________ in common data configurations of statistical software/ a. Data list b. Missing value c. Output d. Value label

d. Value label

Which of the following is a fundamental change in how medicine is practiced using health IT? a.Clinical decision support b.Clinical transformation c.EHR optimization d.Medical informatics

d.Medical informatics

Structured data are which of the following? a.Able to be processed by a computer b.Images of data on a printout c.Organized according to a classification system d.Required for all parts of the EHR

d.Required for all parts of the EHR

A form of clinical decision support that guides a user in appropriate documentation is which of the following? a.Digital dictation b.Point of care documentation c.Reminder system d.Template

d.Template

What is the combination of quality and cost of healthcare? a.Care process b.Risk c.System d.Value

d.Value

Which of the following is an example of clinical decision support? a.Authenticate a document b.Digital dictation system c.View lab results d.Workgroup tool

d.Workgroup tool

info exchange across an org

data compatability

Which of the following is a database application that looks for hidden patterns in large groups of data?

data mining

which is a database application that looks for hidden patterns in large groups of data

data mining

which of the following areas does a data mart support

data mining

into which of the following must data be aggregated to facilitate analysis in continuous process improvement efforts?

data warehouse

What is operational planning?

day to day tasks required to guide an organization towards the goals of the strategic plan

What are strategic uses of healthcare information?

decision support, EIS, quality measurement and clinical research

in which stage of maturity of the HIT portfolio manageemnt maturity model has an organization created a centralized entity to maintain and inventory projects and manage them centrally?

defined

Enhanced websites sponsored by healthcare organizations are being used for all of the following EXCEPT

disclosure of patient information.

what is a primary focus of public health info systems

disease prevention and surveillance programs

Describe authoritarian leadership

domineering and decisions made upstairs and passed down

American Academy of Professional Coders (AAPC)

educates and certifies medical coders; CPC, CPC-P... certification

which of the following areas do e networking and e health apps support?

electronic data interchangw

1. EHR stands for *

electronic health record.

Patient portal

enable patients to log on to a website from home or a kiosk to have access to their health information

input for ___ should document cost savings, revenue enhancements, capacity/volume growth, and risk mitigation resulting from the investment decision

financial benefits

which puts the tech into the broader system context

framework for analysis

The growth of managed care in the 1970s prompted all of the following organizational responses similar to today EXCEPT

growth of accountable care organizations.

Describe laissez-faire leadership

hands off and associated with negative outcomes

What's the importance of health information?

health information is important to patient care, reimbursement, and research

Clinical decision support (CDS)

helps healthcare staff make decisions about patient care

this major set of govt legislative and administrative interventions has fundamentally changed HITY in the last decade and will continue to change it

hipaa

of the 8 steps in question 7, which is morst important in the analysis

identify study objectives

which of the following sequences of key steps to using formal methods of cost evaluation is correct

identify study objectives, specify alternatives, framework for analysis, measure costs,measure benefits, life cycle and discounting

Measures of central tendency

include the mean, median, and the mode

Job description

includes the job title, job summary, and duties

which refers to the complex mixture of quantity, ambiguity, and variety of info that people are forced to process

information load

POC charting

informs user what documentation is needed, supports structured data collection, and provides documentary evidence of patient care actions

in which order should the five key processes of project management occur?

initiation, planning, execution, monitoring and controlling, closing

the benefits of HIT adoptions, specifically EHRs, include

inpatient costs, outpatient drug utilization, reduction in adverse drug events, and greater preventative care

why is critical path analysis important?

it provides a forcast of the shortest possible time needed to complete the project

sn HCO is an open system because

it reacts to the need of the community

which statement concerning knowledge management is not truw

knowledge can be found only in explicit form: databases, spreadsheets, presentation slides, and so on

what is the current driver of hit costs

labor

according to the leading hc search firms, what is a cios responsibilities

leadership

Tethered PHR

linked to a specific healthcare organization's EHR. Allows patients to access their own records through a portal

what is a leading cause of adverse health consequences and greater cost burden on society as a whole

medical errors

Ratio variables

most common variable used in healthcare. Includes #'s that can be compared with one another

Sunsetting

no longer selling or supporting

which of the following does operational management systems support?

non pt care activities

Unstructured data

nonbinary, human-readable data

bush's value driven hc called for

none of the above

Quantitative variables

numerical variables that can be classified as discrete or continuous

Active membership

open to all individual's who are interested in AHIMA's purpose & willing to abide by the code of ethics

investments applied to the _____ level have the greatest chance of success

operational

hit operations divisions often consist of 4 major components: systems development, user support, software eval, and

operations

Association for Healthcare Documentation Integrity (AHDI)

organization dedicated to capture of health data and documentation; RHDI and CHDS certification

Health Information and Management Systems Society (HIMSS)

organization focused on better health through information technology

Describe democratic leadership

participative and supports collective decision making

Standalone PHR

patient can fill in info. they want to share with their provider. Info. is stored on a computer or an online system and the patient chooses with whom they share the info.

which of the following areas do clinical info systems support?

patient care

which of the following do clinical decision support systems support

patient care

What are the challenges of HIE?

patient identity and data standards

According to Hunter and Ciotti (2006), what is the greatest cause of project failure?

poor execution

according to hunter and ciotti, what is the greatest cause of project failure?

poor execution

a ______ is a collection of programs and projects

portfolio

Performance Improvement (PI)

process of identifying areas that need improvement and taking action to improve performance

Quality management

process of measuring and evaluating the quality of care provided

which project management knowledge areas focuses on providing guidance to individuals about how to plan HIT purchasing and contracting?

program procurment management

in which project management knowledge area should individuals know how to manage stakeholders and report performance?

project communications management

which of the following entities is arguably the most preeminent credentialing body for project management?

project management institute

Which of the following project management knowledge areas focuses on providing guidance to individuals about how to plan HIT purchasing and contracting?

project procurement management

which scenario describes a silo HIT project management mentality?

projects are initiated, planned and executed without considering their impact on preexisting systems or other projects being planned and executed at the same time

AHIMA Foundation

promotes education and research in HIM; philanthropic and charitable arm of AHIMA

10. All of the following are examples of clinical decision support system capabilities EXCEPT *

providing easy access to images in a picture archiving and communications system (PACS). *

Job specifications

qualifications required to perform a job

Ordinal variables

ranked variables in which a number is assigned to rank a category in an ordered series

Value

refers to the combination of quality and cost

Revenue cycle management (RCM)

refers to the entire process of creating, submitting, analyzing, and obtaining payment for healthcare services

Closed-loop medication management

refers to the use of certain systems that help ensure patient safety

R-ADT

register patients for inpatient or outpatient services. Captures demographic and insurance data

Scorecard

reports outcome measures

National Cancer Registrars Association (NCRA)

represents cancer registrar professionals; CTR certification

Query process

requests from the coder to the physician for additional clarification.

Clinical decision support system (CDSS)

requires the combination of data from more than one sources and ability to deliver the alert back to appropriate system(s

What are two models of PHRs?

standalone and tethered/connected

admin simplification involves which four features?

standards for electronic health trans, required use of standards, privacy of health info, penalties for noncompliance

Systems Development Life Cycle (SDLC)

steps taken from an initial point of recognizing the need for a desired result, through the steps taken to ensure that all components needed are addressed

which of the following areas do strategic support systems support

strategc planning

Source systems

supply the EHR and other applications with data -administrative, financial, ancillary or departmental systems

in ehich stage of maturity does an organization consistently assess returns versus risks in its portfolio of projects?

synchronized

which characteristic is not required for a cio

technical expertise

what workforce shortage did the HITECH act attempt to fill

technology

Meaningful Use (MU)

term used for the program designed to incentivize the use of EHRs

15. All of the following are components of Stage 7, the highest stage in the EMRAM adoption model, EXCEPT *

the ability to make general ledger entries directly from the EHR. *

Optimization

the healthcare organization implements all of the technology available

agency prob that good governance seeks to manage

the long answer

Healthcare data analytics

the practice of using data to make business decisions in healthcare

Clinical data analytics

the process by which health information is captured, reviewed, and used to measure quality

Data capture

the process of recording data in health record system or database

Explain the role of data analytics in healthcare information

the role depends on the type of data and the purpose of turning it into healthcare information. Purposes include improvement of quality and patient outcomes

Data analytics

the science of examining raw data with the purpose of drawing conclusions about that info.

Adoption

the term associated with the intent of MU. Reflects that the organization has implemented all major component of technology

which of the following terms describes an operational device designed to aid in defining and collecting relevant start-up and recurring costs

total cost of ownership

___ are activities involving the transfer of hc info for specific purposes

transactions

2 fundamental impediments to maximizing value are interdependence and documentation

true

HITECH was designed to expand the use of EHR because of the social benefit

true

Medical knowledge is expanding exponentially, making it virtually impossible for a physician to stay abreast of the latest medical information

true

Medical knowledge is expanding exponentially, making it virtually impossible for a physician to stay abreast of the latest medical information.

true

Once data are copied into the data warehouse, the data warehouse provides one-stop shopping for management engineering studies, operations research studies, clinical process studies, and other decision support processes.

true

Alert fatigue

when an excessive number of alerts are used in an information systems, users may ignore them

according to the census approx how many people are uninsured

49 million

capital costs per bed in a hospital were how much in 2011

6000

National health spending reached approximately what figure in 2005?

$2 Trillion

Capital costs per bed in a hospital were approximately how much in 2006?

$6,000

how many spaces come after a title (Dr.)

1

What are the three stages of transforming raw data into meaningful analytics?

1. data capture 2. data provisioning 3. data analytics

What are 5 core clinical EHR systems?

1. results management 2. POC documentation 3. CPOE and BC-MAR 4. CDSS 5. reporting

Medication five rights

1. right drug 2. right dose 3. right route 4. right time 5. right patient

In what year was HIPAA passed into legislature?

1996

what year was hipaa passed into law

1996

List and describe 3 data sets.

3 types of data sets are UHDDS, UACDS, and DEEDS. UHDDS collects uniform data elements from health records of every hospital inpatient. UACDS collects data specific to ambulatory care settings. DEEDS collects data from hospital-based emergency rooms

Clinical data repository

A central database that focuses on clinical information

Decision support system (DSS)

A computer-based system that gathers data from a variety of sources and assists in providing structure to the data by using analytical models and visual tools to facilitate and improve the ultimate outcome in decision-making tasks associated with nonroutine and nonrepetitive problems

Which of the following statements BEST describes the EMR Adoption Model (EMRAM)?

A conceptual model that describes increasingly sophisticated components of an EHR A conceptual model used to measure the state of adoption of EHRs across the United States and Canada

Which of the following statements BEST describes the EMR Adoption Model (EMRAM)? *

A conceptual model that describes increasingly sophisticated components of an EHR A conceptual model used to measure the state of adoption of EHRs across the United States and Canada

What is a request for proposal (RFP)?

A formal notice that the organization is interested in purchasing a particular type of HIT product

9. What is a controlled medical vocabulary (CMV)?

A tool used to standardize information for purposes of capturing, storing, exchanging, searching, and analyzing data *

Emeritus membership

AHIMA membership category for members who are 65 years old or older.

Hospital Standardization

American college of Surgeons in 1918; establish quality standards for hospitals with complete and accurate records

Which type of analyses apply when all aspects of the cots related to a technology and benefits of that technology are measured in monetary terms?

Benefit-cost analyses

Which of the following is NOT a key benefit of an EHR?

Better access to information about an organization's human resources

2. Which of the following is NOT a key benefit of an EHR?

Better access to information about an organization's human resources *

Which of the following dimensions is NOT one of Davis's (2004) six domains of quality from the perspective of the patient?

Comfort

The exchange of email communication between the patient and physician and then question regarding medication is an example of---- health information

Consumer

A patient portal that allows personal health information to be uploaded for provider axis is an example of

Consumer mediated exchange

A----would be used to define syntax conventions

Content and structure standard

Which of the following focuses on restoring the healthcare organization's IT services as quickly as possible after a service interruption?

Continuity Management

The ____ is a management report of a process measures

Dashboard

To arrive at information, ----are required

Data

Which of the following is a database application that looks for hidden patters in a large group of data?

Data MINING

Into which of the following must data be aggregated to facilitate analysis in continuos improvement efforts.

Data Warehouse

What is the first stage of transforming raw data into meaningful analytics

Data capture

----- is key to the knowledge discovery process

Data mining

A----generated scorecard could be used by a manager to monitor feadmission rates in order to track trends and identify opportunities for improvement

Decision support system

I which STAGE of maturity of the HIT portfolio management maturity model has an organization created a CENTRALIZED ENTITY to MAINTAIN an INVENTORY PROJECTS and MANAGE them centrally?

Defined

What is (are) the most important feature(s) of the Patient Protection and Affordable Care Act with respect to HIT?

Development of accountable care organizations, which place responsibility for the cost of care of uninsured and newly insured patients on delivery organizations; Uncertainty regarding the timing of the implementation of features of the reform legislation; Massive expansion of the number of new patients entering the system with new medical problems and less exposure to the healthcare delivery system; Pay-for-performance initiatives, which require better documentation of patients upon entry into the system for care and after the primary episode of care

Why didn't happened? Is answered by ---analytics

Diagnostic

In the system selection process, the step of reducing the number of potential vendors that a healthcare organization is considering to just a few finalists is called

Down selection

Of the 8 steps in cost evaluation, which EXAMINES who receives the costs and benefits?

Equity

The ----would be used to help find actionable insights to drive enterprise performance

Executive information system

ETL stands for

Extraction, Transformation, and Load

Information collected, assumptions made, benefits observed, and costs incurred should be reviewed continuously throughout the lifecycle of an investment. If you veer of course, having a ________ enables the organization to ADJUST TO MINIMIZE LOSS.

FEEDBACK MECHANISM

All distributed processing environments are decentralized.

False

Communication between CIOs and CEOs is not important because the CIO is an executive-level position and he or she can fully handle his or her department responsibilities.

False

Cost, quality, and access (the healthcare triangle) involve systems challenges faced by our governmental leaders and do not have a direct impact on healthcare organizations or HIT.

False

For the closed-loop medication capability of an EHR, all of the following capabilities must prerequisitly be in place within the EHR: bar coding, CPOE, CDSS, and an EDW.

False

Microwave transmission is more reliable in unstable weather conditions than broadcast radio.

False

The HITECH Act does not specify any clinical quality reporting requirements for providers.

False

The basic schematic of current computer hardware bears little resemblance to first-generation computers.

False

6. The HITECH Act, which was a part of the American Recovery and Reinvestment Act of 2009, incentivizes individual physicians, not hospitals, to meaningfully use an EHR. *

False *

8. For the closed-loop medication capability of an EHR, all of the following capabilities must prerequisitly be in place within the EHR: bar coding, CPOE, CDSS, and an EDW.

False *

In incident management, there are three levels of support services. Which of the following options correctly describes the type of help provided at each level?

First level: handles the most routine, recurring incidents, such as resetting a user's password Second level: requires a lot of expertise and training; may require a technician to go physically to the user's location Third level: handles the most difficult and unique problems and often must perform deep root-cause analysis

Fellowship Program

For AHIMA members who made significant contributions to the HIM profession; open to active and senior members

What are the benefits and challenges of HIE?

HIE is the exchange of health information electronically between providers and others with the same level of interoperability. Benefits include: basic level of interoperability met; enhanced patient care coordination; and increased patient safety. Challenges include: patient identity and data standards

The following is not one of the reasons why determining value for HIT is a particularly challenging

HIT is EXPENSIVE

which is not one of the reasons why determining value for HIT is challenging

HIT is expensive

A(n) ________________'s greatest contribution is in providing strategic views into the projects the organization is working to benefit HIT governance decision making

HIT portfolio DASHBOARD

a ____'s greatest contribution is in providing strategic viewsa into the projects the org is working on to benefit HIT governance decision making

HIT portfolio dashboard

Which of the following statements concerning healthcare information systems' programs and services is TRUE?

Historically they evolved piecemeal, whereas recently they have required a careful planning process.

Which of the following statements about software development is true?

Historically, most hospitals employed a staff to develop computer applications in-house; nowadays, most hospitals rely primarily on software packages purchased from commercial vendors.

Refers to the complex mixture of quantity, ambiguity, and variety of information that people are forced to process?

INFORMATION LOAD

One of the 8 steps in cos evaluation is

Identify study objectives

The following sequences of key steps to using formal methods of cost evaluation is correct?

Identify study objectives, Specify alternatives Framework for analysis Measure benefits Lifecycle and discontinuing

Tracking and comparing overtime the number of medical records coordinator hour by individual quarter to assess quarter productivity is an example of

Key indicator

The following statement about KNOWLEDGE MANAGEMENT is NOT TRUE

Knowledge can be found ONLY in explicit form: databases, spreadsheets, presentation slides, and so forth.

According to leading healthcare search firms, what is included in the list of a CIO's job responsibilities?

Leadership

AHIMAs Board of Directors

Leads the volunteer structure; manages the association

Investments applied to the ____________ level have the greatest chance of success

OPERATIONAL

Connecting the PHR to the patients legal health record protects it under HIPAA----

Privacy rule

The following scenarios describes, a SILO HIT project management mentality

Projects are initiated, planned and executed without considering their impact on preexisting systems or other projects being planned and executed at the same time.

Which of the following scenarios describes a silo HIT project management mentality?

Projects are initiated, planned, and executed without considering their impact on preexisting systems or other projects being planned and executed at the same time.

Healthcare information is primarily for which of the following?

Provider use in the management of care

Why is CRITICAL PATH analysis important?

Provides a FORECAST of the shortest possible time needed to complete the overall project

The external environment and government have _______ roles in healthcare operations.

Substantial, Direct, Indirect

Describe and summarize HIPAA (include 3 provisions).

The federal law enacted to provide continuity of health coverage and guarantee security and privacy of health information. Three major provisions include portability, administrative simplification, and medical savings and tax reduction. The HIPAA Privacy Rule is a part of administrative simplification

Which of the following statements regarding unplanned work is NOT true?

The key difference between low- and high-performing HIT departments concerning unplanned work is that low-performing HIT departments put in place holistic controls and processes that cut horizontally across the HIT department, whereas high-performing HIT departments often operate in vertical, function-based silos with little to no formal cross-functional controls or processes.

Which of the following statements concerning IT service desks is NOT true?

They address only malfunctions and incidents.

The following terms describes an operational device designed to aid in defining and collecting relevant star-up and recurring costs?

Total cost of ownership

12. What does TCO stand for? *

Total cost of ownership *

A best practice in the system selection process is to inform the responding vendors that the responses they submit in their request for proposal and their price quotes will be attached to the final contract as a commitment.

True

Staffing for HIT has grown rapidly in recent years and appears to be continuing to increase.

True

The CIO position is usually not the first job that person holds out of school.

True

There is an official department of the US government within the Health and Human Services (HHS) agency called the Office of the National Coordinator for Health Information Technology, which provides guidance and coordinates national policy on the adoption of EHRs.

True

User satisfaction is a key barrier in transition to a thin client environment.

True

11. There is an official department of the US government within the Health and Human Services (HHS) agency called the Office of the National Coordinator for Health Information Technology, which provides guidance and coordinates national policy on the adoption of EHRs. *

True *

13. A simple definition of "meaningful use of an EHR" is use that results in significant measurable improvements in the quality and affordability of care. *

True *

3. An EHR has the ability to help reduce overutilization of drugs.

True *

Johnston, Pan and Middleton suggested that HIT investment decisions were vital decisions on behalf of the organization

True, because COMPLEXITY & LACK of comprehensive data gave HIT leaders little else to use for these decisions

The following statement regarding the relationship between maturity and cost is TRUE

Typically, as an organization's maturity with respect to HIT decreases significantly but their success rate increases substantially

In 1980, Goldsmith predicted what healthcare would look like in the future. Which of the following did he NOT forecast?

Undersupply of physicians

Which of the following is the most widely used output medium in healthcare organizations?

Video Display

According to your professor, does health information technology ("HIT") matter?

Yes

Critique this statement: an RHIT must be at least 65 years old in order to qualify for emeritus membership. a. This is a true statement. b. This is a false statement because the member must be at least 60 years old to qualify. c. This is a false statement because the member must be at least 70 years old to qualify. d. This is a false statement because the member must be at least 55 years old to qualify.

a. This is a true statement.

True or false. A bubble chart is similar to a scatter chart except that it compares three data variables. a. True b. False

a. True

True or false. A line graph is a graphical device used to display continuous data and to show changes or trends of the data over time. a. True b. False

a. True

True or false. A scatter chart, scatter plot, scatter diagram, or scatter graph is used to demonstrate a relationship between two variables. a. True b. False

a. True

True or false. Frequency polygons differ from line graphs in that frequency polygons display the entire frequency distribution (counts) of the continuous variable; a line graph plots only the specific data points over time. a. True b. False

a. True

True or false: The Equal Pay Act requires that men and women in the same workplace receive equal pay for performing equivalent work based on job title. a. True b. False

a. True

The clinical data ___________ lends itself to data mining as it encompasses multiple sources of data. a. Warehouse b. Repository c. Record d. Depository

a. Warehouse

When an EHR is integrated into the daily routine of clinicians it is said to be in what stage of existence? a.Adoption b.Implementation c.Meaningful use d.Optimization

a.Adoption

Ideally, clinical documentation in an EHR should be performed _____________. a.At the point of care b.Before the patient is discharged from the hospital c.Via speech dictation when the clinician has completed examination of the patient d.Within one business day of collection

a.At the point of care

What health information exchange is a sophisticated structure that enables both receipt of data and the ability to query an exchange for data? a.CONNECT b.Direct c.Microsoft Vault d.File Transfer Protocol

a.CONNECT

Which of the following is a program that assures there is documented approval for altering an application? a.Change control b.Configuration management c.System build d.System maintenance

a.Change control

The systems development life cycle _________________________. a.Ensures all components for a system to achieve its value are in place b.Identifies when products or services need to be sunset or discontinued c.Helps organizations select appropriate software d.Relates applications to the technology needed to run them

a.Ensures all components for a system to achieve its value are in place

In order to locate a patient via a health information exchange organization, there must be which of the following? a.Identity matching b.Identity management c.Record locator service d.Unique patient identifier

a.Identity matching

What is interoperability? a.The ability to share health information with other health IT systems b.A form of health information exchange c.A process that integrates all health information into one database d.A system of technologies that work together to achieve a common purpose

a.The ability to share health information with other health IT systems

True or false: An organization's goals that are supported by health IT can be achieved more quickly and completely if monitoring results is performed. a.True b.False

a.True

True or false: Computerized provider order entry systems can be used to order narcotics. a.True b.False

a.True

True or false: Medication reconciliation is very difficult to implement and often one of the last applications within the medication management set of systems. a.True b.False

a.True

True or false: The Logical Observations Identifiers Names and Codes (LOINC) vocabulary is used to encode laboratory orders and results a.True b.False

a.True

the iron triangle is a combo of cost quality and

access

What are two drivers of clinical quality

accreditation standards and regulatory requirements

CAHIIM

accrediting organization that establishes and enforces quality standards for programs

software used in hcos is

acquired from vendors

in addition to ensuring that individuals retain access when they change jobs, hipaa contains a provision for

administrative simplification

which best describes the types of knowledge that can be baked into workflows?

alerts, reminders, evidence, order sets, and automatic billing codes

According to Blake and Mouton's leadership grid, authoritarian leadership reflects which of the following? a. Low concern for people and a low concern for production b. Low concern for people and high concern for production c. High concern for people and low concern for production d. High concern for people and a high concern for production

b. Low concern for people and high concern for production

Which of the following is the process of planning, controlling, leading, and organizing the activities of a healthcare organization or department within an organization? a. Strategy b. Management c. Leading d. Planning

b. Management

The first step to compute the _________ will include ranking the values from lowest to highest. a. Mean b. Median c. Mode d. Standard deviation

b. Median

Which professional organization sponsors the CTR certification? a. AHIMA b. NCRA c. AAPC d. HIMSS

b. NCRA

Which of the following may be used to capture the data for storage in a database? a. Dashboards b. Natural language processing c. Data mining d. Key indicator

b. Natural language processing

An HIM technician is paid an hourly rate and is eligible for overtime pay, consistent with the Fair Labor Standards Act. Her position would be classified as which of the following? a. Exempt b. Nonexempt c. Full-time d. Professional

b. Nonexempt

Which chart is similar in appearance to a bar chart but the highest ranking value is listed as the first column and the next highest ranking is second, and so on, to the lowest ranking? a. Pie chart b. Pareto chart c. Vilfredo chart d. Histogram

b. Pareto chart

Which access tool is used to view a subset of patient's health records after logging in to a secure online website? a. Patient gateway b. Patient portal c. Medical record portal d. Provider portal

b. Patient portal

Which of the following is the goal of clinical practice guidelines? a. Describe the outcomes of healthcare-related services b. Standardize clinical decision making c. Standardize the content of clinical pathways d. Regulate accreditation standards

b. Standardize clinical decision making

What is the name of the theory that is exemplified by leaders who inspire and motivate a group of people, and creates a vision of the future? a. Transactional b. Transformational c. Inspirational d. Motivational

b. Transformational

The ______ statement is a short description of an organization's ideal future state. a. Values b. Vision c. Mission d. Organization

b. Vision

What is a standardized unit that provides the relative position of any observation in the distribution and is also the number of standard deviations that the observed value lies away from the mean, μ? a. T-score b. Z-score c. F-test d. Chi test

b. Z-score

The source of drug-drug contraindication information in a computerized provider order entry system is ___________. a.Clinical decision support system b.Drug knowledge database c.Evidence-based medicine d.RxNorm

b.Drug knowledge database

True or false: A clinical data repository supports sophisticated data analytics. a.True b.False

b.False

True or false: A master patient index is used to locate where patients may have records within a health information exchange organization. a.True b.False

b.False

True or false: A portal is the same as a personal health record. a.True b.False

b.False

A standard vocabulary is used to achieve what type of interoperability? a.Process b.Semantic c.System d.Technical

b.Semantic

how do HCOs reduce information load on care providers?

baking-in knowledge and excellence in data warehousing, data mining, and analytics

What are the benefits of HIE?

basic level of interoperability is met, increased patient safety, and enhanced patient care coordination

which type of analyses apply when all aspects of the costs related to a technology and benefits of that tech are measured in monetary terms

benefit-cost analysis

Structured data

binary, machine-readable data in discrete fields

What are the strategies to achieve health IT goals?

collecting, sharing, and use of health information

which management skill does rubenstrunk and hallenback identify for a CIO

commit to leadership and lead differently

Medication reconciliation

compare drugs ordered against drugs dispensed and administered

3 benefits of using the ehr

complete and accurate info, better access to info, pt empowerment

which of the foloowing consultant statments is not true

consultants should be associated with an equipment manufacturer or firm that sells stuff

Describe the connection between consumer information access and navigation tools and health information

consumer health IT applications for info. access include hardware, software, and web based applications. Tools include mobile devices, patient portals, and social media. Tools connect patients and providers

which type of analyses are used for technologies that have an outcome that cannot be quantified in financial terms

cost-effectiveness analyses

which examines who receives the costs and benefits

equity

CCHIIM

establishes and enforces standards for certification and certification maintenance

what does ETL stand for

extraction, transformation, and load

delivery orgs will change their structure in the future to be better able to

facilitate coordination

Generally, higher-functioning portfolio management capabilities are formalized via the establishment of an HIT PMO.

false

firmly estabilishing value in many hc investments has proven to be fairly easy and accepted

false

generally, the majority of HIT projects undertaken in healthcare orgs are successful

false

indentifying and managing cross-project interdependencies via a program management approach is an important first step toward mitigating the project risk

false

interoperability plays only a small part in the development of standards

false

managing access in the future will pose challenges for HIT only bc of the 30 mill newly insured people

false

meaningful use with regard to adoption of ehr can be easily defined and explained

false

one disadvantage of poc devices is that they funtion only in a wireless environent

false

orgs that allow individual departments to autonomously manage their own projects are able to easily manage interrelationships between projects and preexisting applications

false

sensitivity analysis ensures that IT related investments support an orgs strategic business objectives

false

the HITECH invested in our nations hc high speed network by bringing broadband to all rural communities

false

the US hc system is on track to transition from one that emphasizes stakeholder value to one that emphasizes individual value and cost containment

false

the hc industry is like others in that the govt allows the market to determine costs, yada yada

false

eHealth exchange

federal agencies and nonfederal organizations coming together to offer a interoperable health information exchange service

Regulatory requirements

federal regulations that stem from federal laws

info collected, assumptions made, benefits observed and costs incurred should be reviewed continuously throughout the lifecycle of an investment. if you veer off course, having a ____ enables the org to adjust to minimize loss

feedback mechanism

what is one of the most popular on the rise places consumers are looking to for medical info and empowerment

internet

Considering the challenges posed by legacy systems in an integrated environment, which of the following selection criteria is MOST relevant?

interoperability

Financial information systems perform all of the following functions EXCEPT

inventory control

_____ management ensures that HIT investments deliver outcomes at reasonable costs while also managing associated risk

investment

Audit

is performed to review quality indicators and compliance with regulations

Consumer informatics

is the field devoted to informatics from multiple consumer or patient views

Internal analysis

review of the inner workings of an organization

Assessing and documenting risks in outcomes, financial benefits, and resource use or cots describe which of the following steps in IT business case development?

risk analysis

assessing and documenting risks in outcomes, financial benefits and resource use or costs describe which of the following steps in IT business case development?

risk analysis

which skill does the cio need to manage change in an HCO

seek a champion

which refers to the ability to make sense of a situation more accurately

sensemaking

The key differences between a conventional system and a cybernetic management control system for healthcare organizations include

sensor, standards, and control process.

Patient financial system (PFS)

serve to check patient insurance eligibility, capture charges, and compile and send claims

Telehealth

services that assist in providing remote diagnosis and treatment

CEUs

set of activities individuals holding any AHIMA credentials must complete

Interoperability

sharing of information across EHRs and other IT systems and the capability of different information systems and software applications to communicate and exchange data

Pareto chart

similar to bar chart; used to analyze data about frequency of causes of problems in a process

The key underlying tenet of seminal knowledge management literature is that when individuals in organizations have the knowledge they need to make decisions and accomplish their individual jobs, organizational efficiency and effectiveness are significantly improved.

true

a common conclusion of HIT value findings is that available lit tends to report only narrow analyses of impacts of HIT investments

true

according to smaltz and cunningham, responsibility for ensuring that IT assets are used effectively has fallen on users who know little about system capabilities

true

financial barriers to HIT adoption are usually more important than challenges with interroperability, acceptace by clinical staff or habing available tech staff

true

if health spending continues to increase the quality for all will be threateded

true

individual projects of application programs should not be managed in silos but in professional PMO focused on achieving envisioned benefits

true

interoperability is the ability of HIS to work together within and across org boundaries

true

many hcos are considering outsourcing portions of the functions

true

medical knowledge is expanding, making it virtually impossible for a physician to stay abreast of the latest medical info

true

once data are copied into the data warehouse, it provides one-stop shopping for management engineering studies, operations research studies, and others

true

organizations should consider standardising a set of project and portfolio management tools to synchronize their processes and business rules

true

placing knowledge directly within the workflow creates an organizational system that will maximize quality decision making, reduce medical errors, and increase the quality

true

the key tenet of seminal knowledge management lit is that when individuals have the knowledge they need to make decisions, org efficiency and effectiveness are significantly improved

true

the need for the national patient identifier should outweigh the concerns

true

johnson, pan and middleton suggested that HIT investment decisions were based on anecdote, inference and opinion

true, because complexity and lack of comprehensive data give HIT leaders litle else to use for their decisions

in 1980, goldsmith predictrd what hc would look like in the future. he did not forecast

undersupply of physicians

BC-MAR

used by nurses to manage drug administration and other procedures

Computerized provider order entry (CPOE)

used by providers to enter orders for medicatios, lab tests, and other procedures, and the destination systems

Bar charts

used to describe qualitative, categorical, or discrete variables such as nominal or ordinal variables

Cloud computing

uses a vendor to archive data and in some cases also provides application software

Discrete variables

variables that can take on finite number of variables, usually whole #'s or #'s that can be counted

Engage

virtual network of AHIMA members

What is needed for data standards?

vocabulary, code sets, and terminology; content and structure; transport; and services

Accreditation

voluntary process by which an educational program is evaluated and then recognized as having met certain predetermined standards of education