Informatics Exam 2
The methodology to assure the request for proposal (RFP) is structured to ensure successful system selection includes which of the following criteria? 1. Develop well constructed questions 2. Create a long list of elaborate questions 3. Request a quick review of the organization's needs 4. Selection of the final team to implement the system 5. Randomly ranked requirements
1
This week, the attending physicians for a large urban primary care facility have set the goal for the implementation of the new technology system to coincide with the opening of the cardiology wing. The unit is scheduled to admit patients in six months; however, a needs assessment must first be completed. Which of the following statements accurately defines the purpose of the needs assessment? 1. The needs assessment identifies the organization's information needs. 2. The needs assessment can be completed during the opening of the new wing. 3. The needs assessment is not necessary with new construction. 4. Plans for the construction are unrelated to the needs assessment.
1
What is a private, secure application through which an individual may access, manage, and share his or her health information? 1. Personal health record 2. Clinical data network 3. Best practice model 4. Online scheduling database
1
Which of the following best defines a tethered PHR? 1. A tethered PHR is inextricably linked to a single entity or health system. 2. A tethered system is a stand alone system. 3. A tethered system can be found on a thumb drive. 4. A tethered system cannot access a patient portal.
1
Which of the following is the protection of information against threats to its integrity, inadvertent disclosure, or availability? 1. Information security 2. Survivability 3. Confidentiality 4. Privacy
1
Which of these steering committee members should likely be replaced? 1. The coronary care nurse manager who attends half the regularly scheduled meetings 2. The chief nursing officer who attends more than half of the regularly scheduled meetings 3. The chief executive officer of the hospital who attends all meetings 4. The medical director of the organization who attends two-thirds of the regularly scheduled meetings
1
Which statement accurately reflects the union of the mission statement with identification of the technology needs? 1. "The staff of St. Francis Hospital are dedicated to the provision of quality, individualized patient care from a Roman Catholic tradition through the incorporation of values, holistic care, and state of the art technology." 2. "The staff of Riverside Memorial Hospital are dedicated to providing comprehensive patient care." 3. "The mission of Unionville Hospice is to render quality end-of-life care and the commitment of blending holistic care with palliative therapies." 4. "Good Samaritan Hospital provides a high tech environment for all patients."
1
The steering committee must consider much information in order to arrive at the best system. Which statements would be considered as favorable during the evaluation of systems for purchase consideration? Standard Text: Select all that apply. 1. Minimal downtime is required nightly for complete system checks and backup. 2. Connectivity between the application and inputting clinical information, such as vital signs, can be achieved through customization. 3. Open system architecture is utilized for system protocols. 4. Response time for all online transactions is five seconds or more. 5. A separate training environment is used, where new users can utilize the live system for training whenever it is needed.
1, 2, 3
The information system life cycle can be divided into main phases that cover the life span of information systems. Which of the following phases of the life cycle apply to the organization's information system? Standard Text: Select all that apply. 1. Needs assessment 2. Purchasing phase 3. System selection 4. Upgrading phase 5. Internal review
1, 3
Among the following computer-related policies, which of the following are appropriate? Standard Text: Select all that apply. 1. A nursing student shared confidential lab results obtained from the system at the request of one of the student's relatives. The policy is to dismiss the student from the clinical site. 2. Both students and employees sign documents that explain the consequence of termination for misuse of the system. 3. Access codes are assigned to authenticate each individual user's identity and may not be shared with anyone. 4. A radiology student makes a copy of a client's MRI report to prepare for the next days clinical. The copy is accidentally left in the waiting room and found by a staff member. The policy is to dismiss the student from the clinical site. 5. Once trained and entered into the system, employees may sign other users in under their access code for documentation purposes when necessary.
1,2,3,4
The security of any information system is part of the strategic planning process. Information system security is planned for with the intention of achieving which of the following goals? Standard Text: Select all that apply. 1. Patient confidentiality protection 2. Information integrity protection 3. Timely availability protection 4. Cybercrime prevention 5. HIT compliance
1,2,3,4
Which of the following factors should be considered when selecting a training site? Standard Text: Select all that apply. 1. Classroom cost 2. Network connectivity 3. Classroom capacity 4. Training environment 5. Cabling and wiring
1,2,3,4
Interface engines work in the background and are not seen by the user. This technology allows applications to interact with hardware and other applications. Which of the following are considered benefits associated with the use of interface engines? Standard Text: Select all that apply. 1. Improves timeliness and availability of critical administrative and clinical data 2. Improves data quality because of data mapping and consistent use of terms 3. Allows clients to select the best system for their needs 4. Preserves institutional investment in existing systems 5. Preserves institutional investment in existing systems
1,2,3,4,5
Usability is a subset of HCI and one of its major components. Which of the following are usability topics? Standard Text: Select all that apply. 1. Using an application 2. Learning to use a system 3. User satisfaction 4. Efficiency 5. Error-free/error-forgiving interactions
1,2,3,4,5
Which of the following answers are factors that slow systems integration? Standard Text: Select all that apply. 1. Vendors' false claims that their information systems are interoperable with other systems 2. Unrealistic institutional timetable set due to a lack of understanding of the complexity of the integration process. 3. Vendors who do not provide enough support and assistance to facilitate the integration efforts. 4. Existing systems are insufficiently documented. 5. Merged institutions do not agree on which systems to use
1,2,3,4,5
Which of the following are examples of ongoing systems technical maintenance? Standard Text: Select all that apply. 1. Problem solving and debugging 2. Performing a file backup 3. Maintaining a backup supply of hardware 4. Maintaining and updating the disaster recovery plan 5. Configuring, testing, and installing system upgrades
1,2,3,4,5
Which of the following are specific factors to consider when selecting a training method? Standard Text: Select all that apply. 1. Time required to develop program 2. Cost of development and training 3. Application training strategies 4. Learning styles of trainees 5. Learning retention strategies
1,2,3,4,5
An emerging technology related to electronic health record (EHR) progress is the use of the personal health record (PHR). PHRs store client information that will eventually contribute to the development of a comprehensive, longitudinal record. Which of the following are found in a PHR but not found in the EHR? Standard Text: Select all that apply. 1. Periodic risk assessment survey results 2. Herbal supplements 3. Legal documentation created in a hospital 4. Decision support 5. Health status parameters such as exercise
1,2,4,5
Healthcare Information and Management Systems Society (HIMSS) has defined and described the term electronic Personal Health Record (ePHR). Which of the following are included in the HIMSS definition and description? Standard Text: Select all that apply. 1. Universally accessible 2. Owned and managed by the individual (or legal proxy) 3. Usually considered a legal record 4. Common data set of electronic health information 5. Lifelong tool for managing relevant health information
1,2,4,5
The information system life cycle in the text is divided into phases. Which of the following are considered part of the life cycle process? Standard Text: Select all that apply. 1. Needs assessment 2. System selection 3. Problem solving 4. Implementation 5. Maintenance
1,2,4,5
The information system life cycle in the text is divided into phases. Which of the following are considered part of the life cycle process? Standard Text: Select all that apply. 1. Needs assessment 2. System selection 3. Problem solving 4. Implementation 5. Maintenance
1,2,4,5
The Health Insurance Portability and Accountability Act (HIPAA) requires organizations to determine threats and appropriate protective measures for information, not only in electronic formats, but in all formats. Which of the following measures cannot be incorporated by organizations to secure all data? 1. Creation of authentication policies 2. Specific software 3. Spyware 4. Firewall
3
Survivability is the capability of a system as a whole to fulfill its mission, in a timely manner, in the presence of attacks, failures, or accidents. United States Hospitals (USH) is a large national hospital corporation with processing centralized at their headquarters. USH is reviewing their information security plan. Part of their mission is to provide emergency services to each regional area during catastrophic events. Which of the following indicate that survivability has been specifically considered in the plan? Standard Text: Select all that apply. 1. One hospital in each regional area has multiple sources of communication with USH central processing. 2. Emergency power generators for all associate hospitals are tested and serviced each week 3. Each night the system at USH central processing is backed up and stored in a remote location. 4. One hospital in each regional area has an emergency protocol in place for communicating directly with the Department of Homeland Security. 5. One hospital in each regional area is especially prepared to maintain information system functionality for the emergency, operating room, lab, and pharmacy units
1,4,5
An overlay occurs when one individual is assigned in the master patient index to another individual's health record. A health care facility has discovered that an overlay has occurred resulting in invalid data being stored in key identifying fields. Which of the following information security areas does this breach affect? 1. Survivability 2. Integrity 3. Availability 4. Inadvertent disclosure
2
Beth Israel Deaconess Medical Center was one of the early adopters of PHRs. Which type of PHRs are used throughout the system? 1. Stand alone 2. Tethered 3. Integrated 4. Integrated alone
2
What is the primary purpose of system integration in a health care facility? 1. Provide reliable flow of information between facility and physician offices 2. Offer seamless data exchange among disparate information systems 3. Prevent system data errors via large scale electronic exchanges 4. Customize information systems within a department
2
Which of the following phases is the first step of the information system life cycle? 1. Implementation 2. Needs assessment 3. System selection 4. Maintenance
2
Which statement best fits a request for information (RFI) on a wireless cardiovascular (CV) monitoring system? 1. An Internet search is conducted to find likely wireless CV monitoring system vendors. 2. A brief document is sent to several CV monitoring vendors outlining plans for expansion to a wireless cardiovascular monitoring system. 3. A formal request is sent to one CV monitoring vendor following an initial contact at a trade show. 4. A representative of the wireless CV monitoring system search committee attends a trade show to appraise possible vendors.
2
Once the go-live date of the system has been established, the production environment is in effect. Which planning is most necessary at this time? Standard Text: Select all that apply. 1. A newly released software upgrade will be performed so the new system provides users with the latest technology. 2. A website is constructed so employees may answer questionnaires relating to system satisfaction and ask questions as needed. 3. A 24/7 support schedule is initiated to answer questions when necessary. 4. Information back loading is scheduled the day that the system is to go live. 5. The implementation of the system will begin in the emergency department and will move to other units when they signal that they are ready.
2,3,4,5
Which of the following are characteristics of stand-alone PHRs? Standard Text: Select all that apply. 1. Patient accessible information is tethered to data in a specific health system's EHR. 2. Some fully standalone applications are available commercially. 3. The PHR is not tied to any particular health care system. 4. Some fully standalone applications are available in formats such as smart card, CD, or flash drive. 5. Standalone PHRs such as those on thumb drive devices have been found to have significant security risks.
2,3,4,5
When evaluating a request for proposal (RFP) for the installation of a wireless system, the health care facility would be most impressed with which of the following? Standard Text: Select all that apply. 1. The proposal is a standard request sent to a number of institutions. 2. The proposal was received a week before the deadline date. 3. A proposal that includes precise answers to specific steering committee questions 4. A proposal that appears to meet most of the "must" requirements 5. A proposal that is written clearly, precisely, and professionally
2,3,5
Among the following, which indicate that an organization has identified and is managing human factors in the work environment? Standard Text: Select all that apply. 1. Classroom question and answer periods are regularly kept to a strict limit of five minutes. 2. Tent cards with name and unit of trainees are placed in the classroom at each meeting. 3. Administrators meet with unit supervisors and not staff for fear of intimidating them during the critical implementation phase. 4. A series of noon meetings (lunch provided) called "LunchBytes" are offered for demonstrations and discussion sessions. 5. An article announcing the implementation of the new system and recognizing the staff appears in the local paper.
2,4,5
A 512-bed acute-care community hospital is planning to install a wireless system. The steering committee is planning a site visit to observe the wireless system in action. Which site would be the most suitable for the committee to visit? 1. A 36-bed state-of-the-art open-heart intensive care unit at a hospital that uses the same vendor's equipment and services 2. A 496-bed acute-care hospital utilizing another vendor with similar equipment and services 3. A 485-bed acute-care community hospital utilizing the same vendor's equipment and services 4. A 712-bed acute-tertiary care hospital utilizing the same vendor's equipment and services
3
The members of a steering committee should be carefully selected. Which committee would be most effective? 1. A four-member committee consisting entirely of high-level executive board members 2. A five-member committee consisting of one upper-level management representative from each department 3. A 15-member committee consisting of multidisciplinary representatives from each unit/department 4. A 12-member committee consisting of staff nurse representatives from each unit
3
The scientific study of the interaction between people, machines, and their work environments is which of the following? 1. Ergonomics 2. Human-computer interaction (HCI) 3. Human factors 4. Usability
3
When the steering committee of an acute care institution is appointed to select a new computer system, site visits are requested at a number of organizations to see the live systems. During these visits, which statement provided in staff interviews should alert the committee to potential bias? 1. "System backups occur daily at midnight but we rarely notice them. The downtime is minimal." 2. "What we would like to see added to the system is the ability to add wireless devices. The vendor is looking into the situation now." 3. "Vendor support is always wonderful. Here is one of the company representatives who can best explain that to you." 4. "System access is restricted per HIPAA guidelines. We use a thumbprint to verify entry into the system."
3
Which description best fits a work breakdown structure (WBS)? 1. A project planning software program is selected for use by the steering committee to assist in planning needed changes. 2. The implementation committee learns about the capabilities of a new wireless system. 3. A timeline is developed to determine who will do necessary tasks for the implementation of each project phase. 4. A committee is formed to guide the implementation of a new wireless system.
3
Which of the following questions is not appropriate for a committee to ask when the vendors submit the response to a request for proposal (RFP)? 1. Was the response submitted by the deadline date? 2. Were the vendor representatives responsive and knowledgeable? 3. Will the vendor select the hardware and software needs of the organization? 4. Does the proposal address the requirements outlined in the RFP, or does it appear to be a standard bid?
3
Which statement best fits a request for proposal (RFP) for a wireless system? 1. The vendor sends literature about its wireless system to several institutions to increase their business. 2. The search committee sends email requests to several vendors stating the needs of the institution for a new wireless system. 3. The steering committee sends a formal document to several vendors to ask for specific information about their wireless system. 4. A formal document is sent by a vendor who heard an institution is upgrading its monitoring system.
3
Which statement best fits a request for proposal (RFP) for a wireless system? 1. The vendor sends literature about its wireless system to several institutions to increase their business. 2. The search committee sends email requests to several vendors stating the needs of the institution for a new wireless system. 3. The steering committee sends a formal document to several vendors to ask for specific information about their wireless system. 4. A formal document is sent by a vendor who heard an institution is upgrading its monitoring system.
3
Which strategy might cause problems during implementation of a new information system? 1. Once the committee has given information to the vendor regarding system needs, a small addition is requested. 2. An open system is set up such that software upgrades can be implemented quickly and easily. 3. The vendor is asked to fully customize the information system for a specialty organization. 4. The committee verifies that the vendor provides annual maintenance with an additional contract.
3
Which of the following qualities should be considered desirable by the health care institution's steering committee when selecting an information systems consultant? Standard Text: Select all that apply. 1. Strong personality that is up to the task of bucking the corporate culture 2. Tendency to focus on results rather than trying to manage expectations 3. Highly organized and follows a clearly defined work plan 4. Considerable experience with hospital mainframe legacy systems 5. Excellent written communication skills, but difficulty with spoken communications
3,4
During the course of client care, the 21-year-old client tells the nurse that she had an abortion last year but that no one in her family knows. Which of these terms best describes the situation? 1. Consent 2. Privacy 3. Security 4. Confidentiality
4
Ergonomics focuses on which of the following? 1. The ability of the nurse to complete computer processing 2. Correct posture while keyboarding 3. Establishing protocols for benchmarking 4. The physical design for safety, comfort, and convenience
4
Personal health record (PHR) security issues relate to HIPAA and physical security of data. HIPAA only covers PHRs provided by covered entities such as health plans, health care clearinghouses, and providers. No governmental coverage exists for other sites unless it is at the state level. To avoid these types of breaches, the American Health Information Community's consumer empowerment working group made a recommendation. Which of the following was recommended for PHRs in order to avoid breaches? 1. Deletion of sensitive data 2. Educating the general consumer about PHRs 3. Restricting the number of authorized users 4. A PHR certification proces
4
Web-based tools can provide benefits of an alternative method for obtaining patient information from diverse information systems. Which of the following is accurate regarding recent advances toward interoperability? 1. The framework has been built and is in place. 2. National priorities will be set within the next five years. 3. Data exchange standards need to be developed. 4. Interoperability of electronic health data will be costly.
4
Which of the following is considered a core personal health record element? 1. Data accessed by IT 2. Analysis of data 3. Applicability of data 4. Information inputted by
4
A _____________________ will facilitate the evaluation of complicated request for proposal responses from vendors and will improve the ability of the steering committee to make an informed decision.
weighted scoring tool