MHIS Exam 1

National health spending reached approximately what figure in 2005?

$2 trillion

What year was ICD-10 developed?

1992

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

Comfort (timeliness, safety, effectiveness)

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

False

Electronic data exchange can occur without standardization of data structures use in computer applications.

False

When you were working in Neehr Perfect, you were working inside an existing, real-world EHR. What is the name of this EHR and who uses it?

VistA, used by the VA

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

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

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

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

National health expenditures almost doubled from 2000 to 2010, but

health expenditure growth is a problem because the US population increased only slightly during this period

The external environment and government have ____ roles in healthcare operations

indirect, direct and substantial

Which of the following is NOT one of the three levels of personnel recruited for staffing an information systems department?

nontechnical

HIT departments/divisions often consists of four major components; systems development, user support, software evaluation , and ___

operations

Which of the following qualities or characteristics is NOT required for the role of CIO?

technical expertise

In what year was HIPAA passed into legislature?

1996

Which of the following is one of the four broad categories of environmental factors?

Economic Political Physical ALL OF THE ABOVE

Interoperability, the ability of health information systems to work together within and across organizational boundaries, plays a minor role in the development of standards

False

Medical tourism has limited impact on HIT because care will be delivered outside of the United States

False

The healthcare industry is like other industries in that the government largely allows the market to determine costs, efficiency, quality, availability, and firm survival

False

It is October 1, 2015. You are helping the emergency department complete a CMS1500 for a patient who just experienced heart failure. You see a disease classification code for I50.9 What is this code?

ICD-10

What is the current key driver of HIT costs?

Labor

Which of the following is NOT one of the five primary components of successful HIT governance?

NONE OF THE ABOVE (aligning HIT with organizational strategy, using HIT benefits assessment to enhance investments, developing a consistent IM/IT strategy)

In the CMS1500 Neehr Perfect exercises, you used a variety of menus to complete the form. What is this form for?

The CMS1500 is the standard claim form for institutional providers

A CIO's salary can easily reach six figures, but this is largely due to the experience level of the candidate and the location of the healthcare organization

True

Information must contain information, not just raw data: it must be relevant, unbiased, and timely; and it should be performance targeted and cost-effective

True

The APA (6 ed) requires how many spaces after a period that ends a sentence

Two

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

In the Neehr Perfect exercise, you had to sign notes before it could be saved in the EHR. Why does the note require a signature?

because records in the EHR are legal documents

A good way to describe a(n) ________ is by comparing it to a thermostatic control system for the automatic heating and cooling of a building

cybernetic system

Which of the following terms describes the use of common codes and data definitions for electronic information exchange across an organization?

data compatibility

Key dimensions of health system performance include all of the following EXCEPT

economic growth (quality, efficiency, access, equity)

What is the most important characteristic of a CIO?

leadership

Problems with quality of care in the United States will be resolved if the following occurs:

payment incentives change to reward efficient, effective, patient-centered care and greater use of HIT

According to a HIMSS Analytic (2005) survey, what is (are) the most frequently identified technology(ies) that will offer new opportunities for healthcare organizations in the next ten years?

personal digital assistants sign-on/identity management technology speech recognition

The basic building block of any database that clearly identifies one record from the next is ______

primary ley

Administrative simplification involves what four features?

standards for electronic health transactions, required use of standards, privacy of health information, and penalties for noncompliance

Which of the following is (are) a primary focus of public health information systems?

supporting disease prevention and surveillance programs