RHIT EXAM: PART 10 - INFORMATICS AND INFORMATION SYSTEMS
What type of system would be purchased to provide information on the census, update the master patient index, and distribute demographic data? A. Admission, Discharge, Transfer B. executive information system C. clinical information system D. financial information system
A. Admission, Discharge, Transfer
A facility wants to purchase a system that will use barcodes on all drug and biological products to help in ensuring patient safety. Which system should the facility purchase? A. BC-MAR B. EMAR C. CPOE D. EHR
A. BC-MAR
Mountaintop Hospital has decided to use the "best of breed" philosophy. Because of this, they need a(n) ________ to manage the sharing of data. A. DBMS B. RFP C. RFP D. interface engine
A. DBMS Although the facility may benefit from the services of a consultant and they will need a DBMS to manage the database for the new systems, it is the interface engine that will be needed to manage communication between the various systems.
Your transcription system utilizes disk mirroring. This is an example of a technology called A. RAID B. HL-7. C. DASD D. CPOE
A. RAID
Which of the following is primary storage? A. RAM B. USB drive C. CD D. external hard drive
A. RAM
If your network was graphed, it would show a hub in the middle with nodes surrounding it. What type of network is it and why would you choose it? A. Star, ease of adding computers B. Ring, operates over high distance C. Bus, ease of adding computers D. Ring, does not go down much
A. Star, ease of adding computers
You have been asked to establish guidelines on screen design that will be used in all of your information system projects. Which of the following standards would be included in your guidelines? A. The screen should read right to left. B. Eliminate all hyperlinks. C. Provide instructions on how to complete the screen. D. Use red and green to flag key data.
A. The screen should read right to left
Critique the following statement: A. This is true because the EHR uses many source systems to populate the data. B. This is false because the EHR is a stand-alone system. C. This is false because the EHR requires the latest and greatest system, thus eliminating legacy systems. D. This is true because the EHR obtains information SOLELY from the source documents.
A. This is true because the EHR uses many source systems to populate the data.
You are developing a list of functions needed by users of a release of information system. You are also evaluating the current system to see what opportunities there are to improve the system. Which stage of the system developmental life cycle stages are you in? A. analysis B. implementation C. design D. obsolescence
A. analysis
In developing your Information Systems Strategic Plan, which of the following should be the basis for the plan? A. business plan B. previous IS strategic plan C. consultant's recommendations D. previous IS budgets
A. business plan
Which of the following is a risky practice in the EHR? A. copy and paste B. data reuse C. free text D. graphical user interface
A. copy and paste
You are interested in some data analysis on patients with cardiac problems. You have downloaded the data that you need on the cardiology patients from the data warehouse into a smaller database that you can work with. You are using a(n) A. data mart. B. clinical data repository. C. specialized data warehouse. D. executive information system.
A. data mart
The HIS department is involved in developing a plan that shows the fields that a database will contain, the operations that the database will exhibit, and the types of relationships. The team is developing the A. data model. B. database design. C. database manager. D. data dictionary.
A. data model.
The physician will be called automatically when a lab result is at the panic level. This is an example of a A. data-driven rule B. database C. clinical guideline. D. reminder
A. data-driven rule
In performing a "what if" query to determine if the facility should expand the emergency department, which of the following systems would be used? A. decision support system B. financial information system C. clinical decision support system D. knowledge based system
A. decision support system
The most secure model of signatures used in information systems is A. digital signature. B. electronic signature. C. digitized signature. D. there is no difference in the level of security between these models.
A. digital signature
Your department must send information electronically to the state health department every day. Currently this is taking a significant amount of time. What technology can be used to automatically send this information without human intervention? A. electronic data interchange B. LAN C. Internet D. network interface card
A. electronic data interchange
Patient care can be improved through the use of technology. Which of the following is an example of how this happens? A. elimination of illegible orders B. scanning of medical record image C. redundant testing D. voice recognition
A. elimination of illegible orders
You need a report that includes only Medicare patients. What operation enables you to generate this report? A. filtering B. sorting C. grouping D. calculations
A. filtering
Which one of the following is necessary during the strategic planning process for the EHR? A. gauging the user's readiness for the EHR B. writing the request for proposal to be used in selecting the EHR C. selecting the EHR to be used D. creating a newsletter to keep users informed of the status of EHR
A. gauging the user's readiness for the EHR
What types of software provide a front-end structure/interface that presents information in a familiar format leading to a natural style of interaction through the use of icons and a mouse? A. graphical user interface B. fiber optics C. assembly level language D. machine language
A. graphical user interface
One of the ways that an EHR is distinguished from a clinical data repository is that the EHR A. has clinical decision support capabilities. B. has data from multiple information systems. C. can have digital images. D. aggregates data.
A. has clinical decision support capabilities
The facility Hospital Information System team has been researching network topologies and has decided on one that combines the attributes of bus, ring, and star topologies. What topology has the team chosen? A. hybrid network B. network protocol C. physical topology D. TCP/IP
A. hybrid network
You have just inserted data contained in a spreadsheet into your word processed document. This is an example of a(n)________ system. A. integrated B. interfaced C. mapped D. graphical user interface
A. integrated
The hospital utilizes the best of breed model for its information systems. The hospital is able to exchange data between the information systems from the various vendors seamlessly. This concept is A. interoperability B. networks C. transparency D. EDI
A. interoperability
You have been asked to give an example of a clinical information system. Which one of the following would you cite? A. laboratory information system B. financial information system C. billing system D. Admission, Discharge, Transfer
A. laboratory information system
To enter the results of a CBC into the computer system, you would use a(n) A. laboratory system. B. radiology system. C. pharmacy system. D. order entry/results reporting system.
A. laboratory system
Which of the following relationships does the diagram above demonstrate? A. one to one B. many to many C. one to many D. one and only one
A. one to one
The patient's blood pressure is automatically being recorded. This is an example of what type of clinical information system? A. patient monitoring system B. medical documentation C. nursing applications D. patient registration
A. patient monitoring system
You have had a problem with duplicate medical record numbers in your facility's MPI. Now you are joining a health information exchange, so you will need to clean up your database and prevent the duplicates from happening again. If you want to find near matches as well as identical matches in your MPI, you should implement a ________ algorithm. A. probabilistic B. deterministic C. fuzzy D. none of these choices
A. probabilistic
The HIM supervisor is evaluating software that would utilize electronic logging and monitoring of requests for copies of patient information and develop an accounting of disclosure. What department function is this most useful for? A. release of information/disclosure management B. record completion C. record location/tracking D. transcription
A. release of information/disclosure management
Drop boxes, radio buttons, and pick lists are used in A. structured data entry. B. free text. C. natural language processing. D. unstructured data entry.
A. structured data entry.
The information systems manager is testing what the system can handle with regard to passing large amounts of data. This is called A. volume testing. B. acceptance testing C. rigorous testing. D. final testing.
A. volume testing
You recently installed a new computer system and you just learned that the vendor does not have the right to use one portion of the system. Another company owns the rights to the information contained in this portion of the system. What clause in your contract would you review to see if you are protected from being sued by the other company? A. warranties B. indemnification C. support D. force majeure
A. warranties
Dr. Smith goes to Hollywood Hospital's Web site and logs in. He sees a list of patients currently in the hospital, test results, and more. Ms. Brown, a patient of Dr. Smith who is having surgery next week, logs onto the same Web site and only sees the date and time of her preoperative visit. This is an example of A. web portal. B. single sign-on technology. C. application service provider. D. intranet.
A. web portal.
You have been asked how to handle versioning of documents in the EDMS. Which of the following should be your response? A. Delete the first version and retain the second. B. Display the second version but identify that a previous version C. Do not allow edits to the system. D. Display both versions side by side.
B. Display the second version but identify that a previous version
What controls the traffic on the Internet? A. the World Wide Web B. Internet protocol C. the ISDN D. domain names
B. Internet protocol
The EHR system selection committee evaluated three systems on a scale of 1-3 with a score of 3 being the best. The priority is ranked on a scale of 1-3 with 3 being the highest. Based on the evaluation above, which of the following systems should be purchased? A. System A B. System B C. System C D. none of these choices
B. System B
Differentiate between the physical and logical data models. A. The physical data model shows how the logical model will be created, and the logical data model shows the technology plan to be used B. The logical data model shows what the system should do, and the physical data model shows how the logical data model will be created. C. The logical data model uses DFDs, and the physical data model uses entity relationship models. D. The physical data model uses DFDs, and the logical uses entity relationship model.
B. The logical data model shows what the system should do, and the physical data model shows how the logical data model will be created.
Cynthia wants to retrieve a list of patients from the new electronic document management system. She wants a list of patients admitted to the hospital by Dr. Smith. Which of the following would explain why she cannot generate this list? A. Improper scanning was done. B. The necessary indexing to retrieve this list was not done. C. The data are stored on optical disk so they are not readily available. D. The COLD technology has not downloaded the lab reports.
B. The necessary indexing to retrieve this list was not done.
Which of the following systems would provide a snapshot of information about the patient's condition? A. EHR B. a. continuity of care record C. personal health record D. SMART card
B. a. continuity of care record
Dr. Smith is entering a medication order in a CPOE. A window pops up with the following message: Patient is on beta-blocker, which is a contraindication for this medication. Do you want to order this medication? Yes or No. This is an example of a(n) A. reminder B. alert C. allergy D. structured entry
B. alert
Your release of information system has part of the computing on the workstation and part on the file server. What type of technology is being used? A. Internet B. client server C. LAN D. operating system
B. client server
The patient has been on medication X for several years. A physician ordered medication Y. The information system immediately sends the physician a message that says that medication Y is contraindicated due to medication X. What technology is being used? A. point-of-care system B. clinical decision support systems C. EHR D. order entry results reporting
B. clinical decision support systems
This small physician practice does not have the technical staff to manage the EHR. The physicians are looking for someone who can manage the software and hardware for them at a set monthly cost. Their technology support staff is limited, so you want to use a technology where the software and database is stored and maintained remotely. This is called A. the Internet B. cloud computing C. virtualization D. client-server architecture
B. cloud computing
You are entering the valid choices for each of the data elements, defining each data element and more. You must be managing the A. functional requirement B. data dictionary. C. system analysis. D. data flow diagram.
B. data dictionary.
The CIO has given you a list of critical success factors developed for the EHR that your facility is developing. Which of the following would you expect to see on this list? A. implement e-prescribing B. get buy-in from the key players C. utilize thin clients D. utilize encryption
B. get buy-in from the key players
You are excited about the functionality of your firm's new EHR. Which of the following is an example of that functionality? A. its interactive voice recognition B. its electronic communications C. the firewall D. the modem
B. its electronic communications
Your facility has implemented the clinical systems needed to support the EHR. The knowledgebased and decision support systems will be installed next. Your team has a firm plan to indicate the direction you should take and the expected timeframe. This is called a A. cost-benefit analysis. B. migration path. C. critical path D. value realization.
B. migration path
The EHR is expected to be operational 100% of the time. Which of the following assist in this level of availability? A. integrity B. redundancy C. RAID D. ECRM
B. redundancy
Review the simplistic screen on the screen. This is an example of how ________ data can be entered. A. unstructured B. structured C. nomenclature D. d. template
B. structured
The EHR system implementation team is using simulated patients and simulated patient information to add progress notes, nurses' notes, and so on, to the EHR prior to implementation. Which phase is the team involved in? A. conversion B. testing C. analysis D. site preparation
B. testing
Dr. Smith accesses the EHR in his office to see what patients are ready to be seen and what calls he needs to make. This functionality is called A. checkout B. the in-basket function C. registration D. the patient summary
B. the in-basket function
Why would the database administrator add a foreign key to one of the tables? A. the data element refers to ethnicity B. to indicate that it is a primary key in another table C. to ensure that each row is unique D. to separate two tables
B. to indicate that it is a primary key in another table
Which of the following is an example of a character? A. "abc" B. "123" C. "a" D. "123/abc"
C. "a"
The vendor that you work for has decided to get into the EHR market. What standard should you suggest using in developing the functions performed by the EHR? A. DICOM B. LOINC C. HL7 EHR functional model D. IEEE 1073
C. HL7 EHR functional model
Dr. Smith has a practice in Macon, Georgia. He is treating a patient who is physically located in Soperton, Georgia, which is about 70 miles away. What technology is required for Dr. Smith to treat the patient? A. EHR B. clinical data repository C. Telehealth D. cloud computing
C. Telehealth
One of the coders is out on medical leave unexpectedly. At this facility, electronic workflow is used to distribute work. The supervisor needs the work normally sent to her to be distributed among the other coders. Which of the following statements is true? A. The supervisor will have to get a programmer to make the change. B. Each chart will have to be rerouted manually. C. The supervisor can change the established criteria. D. The vendor will have to be contacted to make the change.
C. The supervisor can change the established criteria
Southside Community Hospital utilizes a wide area network to transport data across the Internet. This is done by using a private tunnel. This is a(n) A. WLAN B. LAN. C. VPN D. FDDI
C. VPN
You are considering three vendors for your new encoder. Your facility wants to purchase the system from a stable company. After reviewing the vendor profile information below, which of the vendors would you eliminate from consideration? Topic Vendor A Vendor B Vendor C Number of years in business 2 10 3 Number of installations 72 135 5 Number of installation staff 3 4 1 Age of product 2 6 3 Financial standing Good Excellent Fair A. Vendor A B. Vendor B C. Vendor C D. You cannot eliminate any of the vendors.
C. Vendor C
Maria has received a request to update a patient's insurance number. She accesses the ________ and updates the system. What system is she using? A. executive information system B. clinical decision support system C. admission-discharge-transfer system D. laboratory information system
C. admission-discharge-transfer system
The medical staff wants a speech recognition system where the staff dictates and then the editing of the dictation is done by editors. What type of speech recognition is this? A. key-word spotting B. hidden Markov model C. back-end speech recognition D. front-end speech recognition
C. back-end speech recognition
There was an unexpected hardware failure for our EHR. It is expected to be up and operational in 3 hours. Until then, which of the following plans would you need to initiate? A. information system strategic plan B. implementation plan C. business continuity plan D. project planning
C. business continuity plan
You are working with a database that is created from multiple databases being stored in a single database. This is a(n) A. electronic health record. B. personal health record. C. clinical data repository. D. health information exchange.
C. clinical data repository.
You are entering orders into an information system. This system prevented you from ordering a duplicate radiology test and prevented you from ordering a medication that the patient was allergic to. What system are you using? A. order entry/results reporting B. electronic health record C. clinical provider order entry D. decision support system
C. clinical provider order entry
Upon final review of the RFP that is to be sent out to prospective vendors, you notice that there is content that should not be included in the operational requirement section of the document. Which of the following information should be deleted from this section? A. response time B. data architecture C. data conversion D. data analysis tools
C. data conversion
As HIM Department Director, you are on the implementation team for the new MPI. You have been assigned the responsibility of looking at every data element stored in the system and establishing criteria for the use of each. An example of what you are doing is shown below. Name: Last name Description: This field is for the patient's last name Number of characters: 30 Alphanumeric Alpha: Acceptable characters a-z Responsible person: HIM Director Used in reports: Admissions list, discharge list, transfer list, health record number list, UB-92, CMS-1500 You are responsible for the A. data flow diagram. B. decision tree. C. data dictionary. D. rules based algorithms.
C. data dictionary.
You have been asked to identify and display the existing record processing workflow with the paper record. After you finish this, you will redesign the process and display the new process. What tool should you use? A. policy and procedure B. data dictionary C. data flow diagram D. data mapping
C. data flow diagram
You need to identify some patterns in our database. What technology should you use? A. reminders B. alerts C. data mining D. clinical guidelines
C. data mining
The hospital is undergoing the development of an information system strategic plan. The part of the process where changes in the community, legislation, and other factors are monitored is called A. health information exchange. B. alerts C. environmental scanning. D. critical path analysis.
C. environmental scanning
A preliminary step prior to issuing a formal RFP, which allows the facility to narrow down the field of potential vendors for procurement of a new hospital-wide computer system, would be to A. select the system to be purchased. B. create a Gantt chart to monitor project progress. C. issue a request for information (RFI) to potential vendors. D. initiate contract negotiations.
C. issue a request for information (RFI) to potential vendors
Installation of a new electronic document management system is scheduled for the HIM department. The department director calls a meeting of the HIM supervisors to coordinate plans for training the HIM staff. What key factors must be taken into consideration as part of the training preparation process? A. the total storage capacity and price of the new system B. collecting the results of the RFP responses and vendor selection process used during the selection process C. presentation content and scheduling to accommodate all employee shifts D. scheduling training times and locations for all physicians and hospital personnel who will use the system
C. presentation content and scheduling to accommodate all employee shifts
The administrator has asked us to develop a patient satisfaction database internally. This database will be used to collect data that can be used to improve our services. He does not want this to be a long, drawn-out process. Which of the following could speed up this process? A. RFI B. RFP C. prototyping D. functional requirements
C. prototyping
Barbara is being seen at a physician's office that she has never been to before. This physician practice is independently owned and is not associated with a hospital or other physician practice. She did not have to request copies of her medical records, but the physician has everything that she needs. The physician must be part of a(n) A. integrated health network. B. corporation C. regional health information organization. D. electronic health record.
C. regional health information organization.
What type of databases utilize queries? A. transactional B. hierarchical C. relational D. object-oriented
C. relational
At an integrated delivery system, the hospital and clinic have separate networks. There are times when they need to share information across the network. This can be accomplished with a A. gateway B. hub C. router D. bridge
C. router
The new computer hardware arrived and the technical staff was not able to install it because there was not enough space in the computer room. Which of the following implementation steps was not properly executed? A. system evaluation B. conversion C. site preparation D. user preparation
C. site preparation
Mary is designing a computer screen that will be used to collect patient demographic information. What input design should be utilized for the state field? A. an icon B. a dialog box C. the drop-down menu D. free form text
C. the drop-down menu
You have been asked to develop scenarios that will be used to design and program a new release of information system. These scenarios will include the processes to be used in detail. What are you designing? A. strategic plan B. functional requirements C. use cases D. request for proposal
C. use cases
In the RFP, you have asked for information regarding the amount of time that a vendor has been in business and the number of installations of the product under consideration. If you want to review this information, you would go to the ________ section. A. functional specifications B. organizational profile C. vendor information D. licensing and contractual details
C. vendor information
The data on the hard drive were erased by a corrupted file that had been attached to an e-mail message. Which software would be used to prevent this? A. productivity B. utility C. virus checker D. encryption
C. virus checker
Juan has been asked to investigate e-health companies. Which of the following would NOT be included in his investigation? A. Health Data: a company that stores patient identifiable health information online B. HealthInfo: a company that provides medical references to patients C. Physician Services: a company that provides medical references to physicians D. Café Services: a company that provides cafeteria services to the hospital.
D. Café Services: a company that provides cafeteria services to the hospital.
In selecting a messaging standard for use in a picture archival communication system, the BEST choice would be A. Consolidated Health Informatics Initiatives. B. National Drug Code. C. HL7 D. DICOM
D. DICOM
A common language used in data definition, and data manipulation is A. unified modeling language. B. metadata C. HTML. D. SQL
D. SQL
Dr. Smith needs something small and lightweight to use for dictating reports and entering data on the go. You suggest he use A. a laptop utilizing wireless technology. B. a VPN. C. voice recognition. D. a PDA.
D. a PDA.
Which of the following would be a foreign key in the patient table? A. last name B. address C. medical record number D. billing number
D. billing number
Which of the following situations would be an appropriate use of a DSS? A. determining the number of staff needed on the nursing unit B. establishing the productivity standard for the organization C. generating a report that aggregates data from multiple information system, including both clinical and financial data D. determining whether or not to purchase a new MRI machine so that there are two instead of just one
D. determining whether or not to purchase a new MRI machine so that there are two instead of just one
The CEO needs to make a decision about the future of the health care facility. To make this decision, he utilizes an information system that queries a database containing data from a number of different information systems. What type of system is being used? A. EHR B. results reporting C. financial information system D. executive information system
D. executive information system
Which of the following tests determines how well new systems being implemented work with existing systems? A. volume test B. system test C. unit test D. integration test
D. integration test
With data exchange standards, the ability to transfer data from one system to another system is called A. data sets. B. messaging standards. C. interfaces D. interoperability
D. interoperability
As Director of Health Information Services, you are negotiating a contract to purchase a new computerized dictation system that will be used across three satellite ambulatory clinics. What element is most critical in the contract negotiation to ensure use of the software in multiple environments? A. delivery terms B. scope and term of warranties C. price and payment terms D. license grant
D. license grant
The facility is implementing a new PACS. They know that the volume of data that will be passing over the Internet will significantly increase. As a result, they have updated their network. They want to determine if the updated network can handle the amount of data that is expected to be sent across the system. Which type of testing would they use? A. conversion B. functionality C. interface D. load or volume
D. load or volume
You are developing an entity relationship diagram. In the entity of the patient shown above, which of the attributes is the primary key? A. You are developing an entity relationship diagram. In the entity of the patient shown above, which of the attributes is the primary key? B. combination of last and first names C. street address D. medical record number
D. medical record number
Which application design is used in a computer-assisted coding (CAC)? A. electronic data interchange B. intraoperability C. message standards D. natural language processing
D. natural language processing
The laboratory system was installed 3 years ago. It is running well and meeting the needs of the department. In which stage of the IS life cycle is the lab system? A. initiation B. development C. implementation D. operations (maintenance)
D. operations (maintenance)
Which of the following is an example of two-factor authentication? A. user name and password B. token and smart card C. fingerprint and retinal scan D. password and token
D. password and token
What field monitors populations as a whole instead of patient specific data? A. informatics B. clinical informatics C. educational informatics D. public health informatics
D. public health informatics
Which of these functions is found in an ambulatory EHR but not in an acute care EHR? A. results review B. online documentation C. eMAR D. registration
D. registration
When negotiating an information system contract, which of the following would be an example of a performance warranty specified in the contract? A. remedies B. operational practices C. insurances D. uptime
D. uptime
Administration has asked the clinical provider order-entry task force to select the method of implementation that will reduce risk to the hospital. What method should they choose? A. Implement all modules across the entire organization. B. Implement one module in one unit while running the current system in parallel. C. Implement all modules across the entire organization while running the current system in parallel. D. Implement one module in one unit while shutting down the existing system.
Implement one module in one unit while shutting down the existing system.
A milestone is A. the distance between the users and the data center. B. a step in the path to the implementation of a system such as the EHR. C. a project plan. D. a module of an information system such as the EHR.
a module of an information system such as the EHR.
