BTE450 Final Exam #2

foundation for successful strategic application of IT

-Accountability -Change management -Innovation

Why are some organizations more effective than others at using IT?

-Achieved greater IT-enabled returns -Fewer IT train wrecks -Done a better job of transforming themselves

5 core structures governing IT:

-Board committee responsible for IT -Senior leadership committee that guides IT development and budget -Initiative and project specific committees -IT liaison relationships -Chief information officer and other IT senior staff members

What is IT effectiveness evaluated by?

-Governance -Budget development and resource allocation -System acquisition -System implementation -IT service levels

key sources regarding legal protection of an individual's health

-HIPAA -state privacy laws -federal trade commission act

What are certain factors in digital transformation

-It is not "digital transformation" but rather "transformation enabled by digital technologies" -Clear, unwavering focus on the customer -Transformation initiatives were most impactful when they enable changes in business model

Well developed governance mechanisms are:

-Perceived as objective and fair -Efficient and timely -Make authority clear -Can change as the organization, its environment, and its understanding of technology change

4 attributes of patient engagement

-Personalization -Access -Commitment -Therapeutic alliance

3 categories of HIPAA security safeguards

-Technical -Physical -Administrative

which of the following ARE the attributes of patient engagement according to Higgins and colleagues (2017)?

-access -commitment -personalization -therapeutic alliance

core functions of IT departments

-applications management -specialized groups and operations -technical support

advantages of decentralized decision making

-better fit of IT to business needs -quick response times -encouragement of end-user development of applications -innovative use of information systems

advantages of centralized decision making

-better staffing -easier training -effective planning of shared systems -tighter budget control

3 basic budget categories

-capital vs operating -support, ongoing and new -current operations vs strategic plans

IT governance involves:

-determining the distribution of responsibility for decision making -Scope of the decisions that can be made by different organizational functions -Processes to be used for making decisions

HIPAA security physical safeguards

-device and media controls -facility access controls -workstation security -workstation use

If a breach of unsecured protected health information occurs, all of the following SHOULD BE NOTIFIED:

-individuals affected -major media outlets -office for civil rights

4 categories of analytics capabilities

-monitoring -reporting -data mining and evaluation -prediction/simulation

elements required on a valid release of information form

-name of person/entity receiving info -patient's signature -date

examples of information

-occupancy for January compared to December -where January admissions are coming from

examples of patient-generated health data

-step trackers -web-based food diaries -networked weight scales -blood pressure machines

Which of the following are major modes of transmission of telemedicine?

-store and forward -remote monitoring -real time

HIPAA security technical safeguards

-unique user identification -automatic log off -emergency access procedure

specifications of the access control standard related to the HIPAA security technical safeguards

-unique user identification -emergency access procedure -automatic log-off

examples of data

-vital sign readings -physicians' notes -images -heart monitor tracings

challenge of developing the IT budget

-volume -variety -limited dollars

HIPAA security administrative safeguards

-workforce security -information access management -security training

Which of the following is NOT one of the four categories of analytics capabilities?

Adjustment

The IT Department is responsible for:

All of the above -Developing an IT plan and strategy for the organization -Providing day-to-day support for users -Managing infrastructure

Which of the following is NOT a phase to the hype cycle?

All of the above are phases -Technology trigger -Slope of enlightenment -Plateau of productivity

What is the set of organizational, management, and technical strategies used to ensure that the organization's information systems have critical, organizationally defined characteristics and capabilities?

Architecture

Voice recognition, contextually aware interactions, pattern identification, and complex process automation are all examples of ____________.

Artificial Intelligence

Which of the following includes the three classes of emerging technology?

Artificial intelligence, telehealth, platforms

What type of analysis occurs when a physician group compares its performance and staffing levels with those of other physician groups of comparable size and specialty mix?

Benchmarking

_____ is a category of data, analysis, and uses. It is similar to the World Wide Web because they both encompass a very wide range of activities.

Big data

Well-developed governance mechanisms____________________________.

Both A and B -Are perceived as objective and fair -Are efficient and timely

A critical factor in determining the structure for the IT department is the degree of centralization of organization decision making. Which of the following is an advantage of centralized decision-making?

Both A and B -Efficient administration of resources -Easier strategic IT planning

Which of the following is a new data source of Big Data?

Both A and B : Patient networks, Social determinants of health

Which of the following is not a core function of IT departments?

Clinical tasks

Which of the following is NOT one of the attributes of patient engagement according to Higgins and colleagues (2017)?

Confidentiality

Different from an EHR or patient portal, the personal health record is managed by the _________.

Consumer

Good _______ ensures that data is "clean," or complete, accurate, and usable.

Data Governance

______ refers to the steps an organization takes to ensure that its data has a well-understood meaning, is of good quality, is appropriately used, is protected, and has potent analysis tools.

Data management

The investigation of cause-and-effect relationships that help to determine why a specific event happens describes which category of analytics capabilities?

Data mining and evaluation

What is the technology foundation of an organization's data analysis activities?

Data warehouse

__________ connects and empowers people and populations to manage health and wellness augmented by accessible and supportive provider teams working with flexible, integrated, interoperable, and digitally enabled care environments that strategically leverage digital tools.

Digital health

Which of the following is the first step in determining which technologies will fit smoothly into an organization's strategies?

Focus on the strategy objectives, not the digital.

_______ is composed of the processes, reporting relationships, roles, and committees that an organization develops to make decisions about IT resources and activities and to manage the execution of those decisions.

IT Governance

committing resources makes a strategy real, and the budget process forces management to make choices among recommended initiatives and investments; also requires analysis of the scope and impact of any initiative

IT budget

the principles, processes, and organizational structures that govern the IT resources.

IT governance

Framework for types and levels of patient engagement:

Inform me -> engage me -> empower me -> partner with me -> support my e-community

Which of the following lists all of the Patient Framework successive levels of patient engagement?

Inform me, engage me, empower me, partner with me, support my e-community

Which term refers to the specific hardware and systems software that enable the organization's applications and analytics to work?

Infrastructure

What is the highest level in a hierarchy of processing?

Knowledge

Which of the following is NOT a challenge of developing the IT budget?

Limited Choices

______ is a secure website through which patients can access their health records for information such as recent visits, medications, allergies, or test results.

Patient portal

What term describes technologies that are used to connect with patients outside of the care setting?

Patient remote monitoring

________ are health-related data created, recorded, or gathered by or from patients to help address a health concern.

Patient-generated health data

Patient engagement describes the importance of actively involving ______ in decisions regarding their health, wellness, and care.

Patients

The ________ phase describes when early publicity by proponent of the technology has reached a crescendo.

Peak of inflated expectations

What is a group of technologies used as a base for other applications, processes, or technologies?

Platform

What type of analytics are algorithms that pinpoint potential problem areas?

Predictive analytics

Some health care organizations need ________ to support initiatives like the needs of the research community, data analytics goals, marketing departments, or process redesign committees.

Specialized groups

Which of the following is NOT a foundation for successful strategic application of information technology?

Strained relationships

What is the set of organizational, managerial, and technical strategies and tactics used to ensure that the organization's information systems have critical, organizationally defined characteristics and capabilities?

Technical architecture

The _______ describes the development of every technology when its value, or lack of value, becomes clear.

Technology hype cycle

Caring for patients via video visits, phono calls, and other electronic means is referred to as _______.

Telehealth

_____________, a form of telehealth, may be integrated with a range of technologies and platforms such as EHRs and portable mobile devices as a tool in disease management.

Telemedicine

The _________ holds the fundamental accountability for the performance of the organization, including the IT function.

The Board

Which of the following is not a major mode of transmission of telemedicine?

Written communication

Which HIPAA rule was added as a part of the HITECH act in 2009?

breach notification rule

Critical factor in determining the structure for the IT department is the degree of _______ of organizational decision making

centralization

type of decision making when senior leaders make decisions

centralized

relies on trust that information shared with a healthcare provider during the course of treatment will be used only for its intended purpose and not disclosed

confidentiality

Technological innovations create opportunities for "_______" so patient generated data can be used for targeted and efficient care

connected health

raw material/ numbers

data

Which of the following is NOT a specification of the access control standard related to the HIPAA security technical safeguards?

data storage

type of decision making where authority is delegated to department level

decentralized

Which standard related to the HIPAA security physical safeguards requires the CE to implement policies and procedures for the movement of hardware and electronic media that contain ePHI into and out of the facility and within a facility?

device and media controls

organizational efforts to improve performance and competitive position through use of IT; true digital transformation creates/ enables creation of new business models

digital transformation

Chief information security officer (CISO)

ensures organization has an effective information security plan

Chief technology officer (CTO)

guides technical architecture

IT made up entirely of internal staff members

in house IT

created from processing data

information

aggregating some information with other information

knowledge

Chief information officer (CIO)

leads organization in efforts to apply IT to advance its strategies

Chief medical information officer (CMIO)

leverages clinical information systems to improve care

____ is a general term for software that is written to "infect" and subsequently harm a computer system

malware

Chief digital officer (CDO)

manages digital transformation

Which of the following elements is NOT required on a valid release of information form?

marital status

If a breach of unsecured protected health information occurs, all of the following should be notified EXCEPT:

office of the national coordinator for health IT

IT provided by a 3rd party under contract to the organization that is responsible for employing the staff and managing all operations

outsourced IT

the concept and importance of actively involving patients in decisions regarding their health, wellness and care

patient engagement

used to connect with patients outside of the care setting

patient remote monitoring

________ are mobile technologies and applications to capture health and wellness

patient-generated health data (PGHD)

________ receive customized content based on needs, values and preferences; lifelong, comprehensive support information exchange and portability; reduce costs by avoiding unnecessary duplicate tests and improving communications

personal health records

_____ is an individual's constitutional right to be left alone and to limit access to his or her healthcare information.

privacy

Which of the following is NOT one of the key sources regarding legal protection of an individual's health?

the joint commission

developing IT budget is challenging bc...

variety, volume and limited dollars

Which of the following is a standard of the HIPAA security administrative safeguards?

workforce security