HI - HIE and NHIN

4. List the three stages of HIE?

"Record and Playback" stage, "Local Limited HIE" stage, "Full Station" stage

3. ________ is a collaborative of healthcare providers, payers, and patients that regionally exchange healthcare information a. NCVHS b. HIE c. NHIN d. RHIO

. RHIO

1) ______ ________ play an important role in asking pertinent HIE questions to ensure data quality, privacy, security and patient safety.

1) HIM professionals

____ is the ability of different information systems and software applications to communicate and exchange data.

17. Interoperability

2) _______ __________ __________ _________ _________ is a government-sponsored initiative designed to improve the effectiveness, efficiency, and overall quality of health and healthcare in the US by developing a comprehensive, interconnected, knowledge-based network of interoperable information systems among all sectors of the healthcare industry.

2) Nationwide Health Information Network Exchange

2) HIE is currently available in how many stages? a. 7 b. 4 c. 13 d. 3

3

4. How many stages are there in meaningful use? Pg 219 a. 4 b. 5 c. 3 d. 7

3

3) There are three stages of MU, each intended to ________ the complexity of the measurement or percentage of patient volume that must be involved in the measures, such as e-prescribing or refill automation

3) Increase

4) The _______ __________ ___________ was designed to strengthen communities' health information technology infrastructure and exchange services.

4) Beacon Community Program

5) The ________ service allows for health information to be shared through a query process, also called pull technology

5) Connect.

18. What is an eligible hospital under the Medicaid EHR Incentive Program?

Acute-care hospitals with at least 1- percent Medicaid patient volume Children's hospitals

11. Which of the following are key elements of Common Framework (LaTour, pg. 223) a. Private network b. Secure network c. Network built on patient control and authorization d. All of the above

All the above

4) The Nationwide Health Information Network Exchange (NHIN) is designed to improve what? a. Effectiveness b. Efficiency c. Overall quality of healthcare d. None of the above e. All of the above

All the above

5) Which model stores patient records in a single database built to allow queries into the system? a. Centralized model b. Federated model c. Hybrid model d. EHR model

Centralized Model

2) What are the models for Health Information Exchange and explain each one.

Centralized: stores patient records in a single database built to allow queries into the system Federated (decentralized): maintains the databases at each participants facility Hybrid: is a cross between the centralized and federated models

4. A ________ ___________ is a set of tools critical to achieving an interoperable environment that supports modern healthcare practice.

Common Framework

20. What is a Health Level 7 Clinical Document Architecture implementation of the CCR?

Continuity of Care Document

16. List 3 of the issues and obstacles of systems that are interfaced within infrastructures?

Data validity, integrity, quality of key data values

5. The _______ __________ was launched in March 2010 to offer a simpler, standards-based way for participants to send authenticated, encrypted health information directly to known participants over the internet

Direct Project

3. HIE vendors are targeting the private "____________" market.

Enterprise

1) Health Information Exchange is the ability to move healthcare information electronically between disparate healthcare information systems while maintaining the security of the information being exchanged. True or False

False

1. TRUE/FALSE: Continuity of Care Document (CCD) is defined as a patient health summary standard.

False

2) There are two stages of Meaningful Use each intended to increase the complexity of the measurement or percentage of patient volume that must be involved in the measures. True or False

False

3. TRUE/FALSE: A Centralized HIE model typically results in slower results, but is more affordable

False

5) Patient identity management is the inaccuracy and completeness of data attached to or associated with an individual patient. True or False

False

6. The Nationwide Health Information Network Exchange (NHIN) is a government-sponsored initiative designed to improve the effectiveness, efficiency, and over-all quality of health and healthcare in the world by developing a comprehensive, interconnected, knowledge-based network of interoperable information systems among all sectors of the healthcare industry. (LaTour, pg 218) True or False

False

9. Government agencies are the only ways HIOs can be funded. (Making HIE Work article) True or False

False

1. All of the following are programs that support the HIE development EXCEPT: (Pg. 221 LaTour) a. HITECH b. Beacon Community Program c. HIPAA d. State Health Information Exchange Cooperative Agreement System

HIPAA

2. _____ _____ ______ is the ability to move healthcare information electronically between disparate healthcare information systems while maintaining the accuracy of the information being exchanged

Health Info. Exchange

1. ______________ is the ability to move healthcare information electronically between disparate healthcare information systems while maintaining the accuracy of the information being exchanged.

Health Information Exchange

3) HIO is an abbreviation meaning: a. Hospital Information Operation b. Health Inspection Observation c. Health Information Exchange Organizations d. None of the above

Health Information Exchange Organizations

2. The ____________ was designed to ensure coordination and alignment between states

Health Information Technology for Economic and Clinical Health Act (HITECH)

4) List the four programs supporting HIE development

Health information technology for economic and clinical health act Beacon community program Health information exchange challenge grant program State health information exchange cooperative agreement program

2. _________ is the ability of different information systems and software applications to communicate and exchange data

Interoperability

5) What's the main difference between MU stage 1 and MU stage 2?

Meaningful use stage 1 does not require robust HIE and meaningful use stage 2 does

5. ________________are collaboratives of healthcare providers, payers, and patients that regionally exchange healthcare information.

RHOs

4. Beacon Community Program is designed to ________ communities' health information technology.

Strengthen

10. Successful electronic HIE requires cooperation among all parties. (ONC's Governance Framework) True or False

True

2. TRUE/FALSE: The Health Information Exchange is ability to move healthcare information electronically between disparate healthcare information systems while maintaining the accuracy of the information being exchanged

True

3) The federated model maintains the databases at each participant's facility. True or False

True

4) The ultimate goal of RHIOs and HIEs is to enhance the quality and safety of patient care. True or False

True

4. TRUE/FALSE: Meaningful Use Stage 1 DID NOT require HIE, but Stage 2 does.

True

5. TRUE/FALSE: The Nationwide Health Information Network Exchange (NHIN) is also referred to as the "medical internet"

True

5. The Markle Foundation's 2006 Connecting for Health Common Framework is a set of standards, policies, and methods intended to ensure secure and reliable connectivity between healthcare systems and to enable RHIOs and HIEs to connect and grow into the Exchange. (LaTour, pg. 222) True or False

True

8. NHIN allows providers of care to electronically exchange data among all electronic health records so that a complete electronic health record can be assembled whenever and wherever a patient presents for care. (LaTour, pg. 218) True or False

True

1. A ____ _____ is a set of scenarios that describes an interaction between a user and system.

Use Case

7. Name 4 of the 7 key elements required to ensure an HIO remains visible into the future.

Vision, governance entity, sustainability plan, value, workflow integration, trust, and interoperability with other HIE networks

1. Name and describe 2 types of HIE Models.

a. Centralized model: stores patient records in a single database built to allow queries into the system b. Federated (decentralized) model: maintains the databases at each participant's facility c. Hybrid model: cross between centralized and federated models

5. Describe how RHIOs are involved in the HIE infrastructure

a. Collaborative of healthcare providers, payers, and patients that regionally exchange healthcare information. b. Made up of stakeholders providing and receiving services in a medical referral area

1. List the ideal improvements of Nationwide Health Information Network Exchange

a. Effectiveness, efficiency, quality

3. Describe how HIM professionals are important in the success of HIE's

a. Ensure data quality, privacy, security, patient safety

4. Name and describe 2 programs that Support HIE Development

a. HITECH b. Beacon Community Program c. Health Information Exchange Challenge Grant Program d. State Health Information Exchange Cooperative Agreement System

4. A continuity of care document (CCD) is a _____ Clinical Documentation Architecture implementation of the CCR (LaTour pg. 226) a. HL7 b. SnoMed c. ICD-10 d. HTML

a. HL7

2. List the two ways to report in an HER-based exchange to public health.

a. Manually by mail or fax and direct electronic connection; AHIMA's Making Health Information Exchange Work

1. What is referred to as the medical internet? Pg 218 a. National Health Information Network Exchange (NHIN) b. Health Information Exchange c. Beacon Community Program d. Record Locator Service (RLS)

a. National Health Information Network Exchange (NHIN)

14. The accuracy and completeness of data attached to or associated with an individual patient is _______. (LaTour, pg 229) a. Patient identify management b. HIE security and privacy c. HIE architecture d. HIPAA

a. Patient identify management

2. Name an issue that could occur with HIE's

a. Patient identity management b. Security c. Privacy

4. What are the issues for HIE?

a. Patient identity management and HIE sercurity and privacy

3. What are the three-stage development in the health information exchange market?

a. Record and playback, local limited HIE, full station; AHIMA's Making Health Information Exchange Work

3. Interoperability is the ability of different information systems and software applications to communicate and exchange data. Pg 222 a. True b. False

a. True

4. HIE protects patient's privacy and security by requiring the use of user name and password or security tokens. Pg 229 a. True b. False

a. True

5. The first focus of a successful HIE is to develop a governance entity that engages the provider community. AHIMA's Making Health Information Exchange Work a. True b. False

a. True

1) Which program supported the HIE development? a. HITECH b. Beacon Community Program c. Health Information Exchange Challenge Grant Program d. State Health Information Exchange Cooperative Agreement Program e. All of the above

all the above

21. Which of the following entities set HIE policy? (ONC's Governance) a. State govermnemts b. HIOs c. Private companies d. All of the above

all the above

3. An _________ ___________ ___________ is a set of definitions or protocols used by programmers to write applications that allow one piece of computer software to communicate with another

api application programming interface

1. The Governance Framework for Trusted Electronic Health Information Exchange (the Governance Framework) is not intended to serve as the Office of the National Coordinator for Health Information Technology's (ONC's) guiding principles on HIE governance. ONC's Governance Framework for Trusted EHIE a. True b. False

b. False

2. Acute care hospitals are eligible professionals for meaningful use incentive programs. Pg 220 a. True b. False

b. False

2. Which of the following is the HIE model that maintains the databases at each participant's facility? (pg.223 LaTour) a. Centralized b. Federated c. Hybrid d. Best of Breed

b. Federated

15. Which of the 4 principles includes maintaining and disseminating up-to-date information about compliance with relevant statutory and regulatory requiremtns, available standards, potential security vulnerabilities, and best practices developed for HIE? (Making HIE Work) a. Organizational b. Trust c. Business d. Technical

business

3. Which model stores patient records in a single database built to allow queries into the system? (LaTour, pg. 221) a. Federated model b. Hybrid model c. Centralized model d. Compact model

c. Centralized model

2. ONC expects to update and adapt the Governance Framework over time to all of these EXCEPT: ONC's Governance Framework for Trusted EHIE a. reflect stakeholder feedback b. policy changes c. patient satisfaction d. technological maturity e. market innovations

c. patient satisfaction

___ ___ ___ standard is a patient health summary standard that allows for flexibility in design and ensures that the most relevant and timely core health information about a patient can be sent electronically from one care provider to another

continuity of care record (ccr)

5. Issues that can occur with the HIE include all of the following EXCEPT: (LaTour pg 229) a. Patient Identity Management b. Patient privacy c. Patient security d. Patient health literacy

d. Patient health literacy

3. HIOs can be funded in all these ways EXCEPT: AHIMA's Making Health Information Exchange Work a. Government agency b. Tax c. HIO fee d. Private insurance

d. Private insurance

5. The HIE security objectives are: pg 229 a. Authentication b. Confidentiality c. Integrity d. Nonrepudiation e. All of the above

e. All of the above

12. In 2004, President __ ___ ____ issued Executive Order 13335, which called for widespread interoperable EHRs within 10 years and established the Office of the National Coordinator for Health Information Technology (ONC)

george w bush

3) What is the definition of HIE?

the ability to move healthcare information electronically between disparate healthcare information systems while maintaining the accuracy of the information being exchanged.

13. A__ ___ is a set of scenarios that describes an interaction between a user and a system.

use case

1) What are three organizational Principles?

• Operate with transparency and openness. • Establish mechanisms to ensure that the entity's policies and practices and applicable federal and state laws and regulations are adhered to. • Promote inclusive participation and adequate stakeholder representation (especially among patients and patient advocates) in the development of policies and practices. • Ensure its oversight is consistent and equitable. • Provide due process to the stakeholders to which it provides oversight.