Module 8

Data from the laboratory information system, radiology information system, and many other systems are all *stored real time in a single database*. This database is known as a(n)

*clinical data repository.* personal health record. health information exchange. electronic health record. CORRECT The clinical data repository is a database where clinical data from a number of source systems are *stored in real time.*

Which of the following is health information exchange model that allows the health care provider to access health information from other providers in order to provide patient care?

*consumer-mediated exchange* continuity care record directed exchange query-based exchange INCORRECT The health information exchange model that allows the health care provider to access health information from other providers in order to provide patient care is the consumer-mediated exchange.

Identify the information system that collects data from multiple source systems but the data is not collected from these sources systems in real-time.

*data warehouse* clinical decision support system clinical data repository executive information system CORRECT The data warehouse holds data from many differnt systems. These source systems vary according to the purpose of the data warehouse. The data from the source systems are downloaded into the data warehouse *periodically.*

You need to document the major tasks for the information system that is being implemented. What document do you include this information in?

*project plan* strategic plan contract vision INCORRECT The *project plan* is a list of all of the tasks that must be accomplished in order to complete a project—in this case implement an information system.

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

*the in-basket function.* the patient summary. checkout. registration. INCORRECT The in-basket is *a list of tasks* that the physician needs to complete including seeing patients, making phone calls, and reviewing test results.

In explaining the benefits of a document management system, you include:

*workflow.* natural language processing. free text. structured data entry. INCORRECT A *document management system* is when a piece of paper, such as a page from the paper health record, is scanned. The document is stored as an image in the database. Workflow technology is used to allow coders, analysts, and others access to the health record and to perform their activity when the health record is available.

data warehouse

A logical collection of information - gathered from *many different operational databases* - that *supports business analysis* activities and *decision-making tasks*

You have been given a list of data elements that need to be added to the database that you are creating. You notice, that on of the data elements is the patient's full name. Determine how to modify the data element in order to improve search capabilities.

Change the settings. Utilize a drop down box field. Identify the table's key. *Normalize the data element* INCORRECT *Normalization* would be required to break the field into last name, first name and middle initial (or name) so that the user can better search.

CDI

Clinical Documentation Improvement

Identify the standard used to share data across the Internet.

Consolidated Health Informatics Initiatives. *XML*. HL7. DICOM. INCORRECT *XML* is the standard used to share data and it's format across the *Internet*.

I need a snapshot of the patient's condition so I would access the

EHR SMART card personal health record *continuity of care record* CORRECT The continuity of care record is a subset of patient information that is needed for patient care. It provides the key information that a health care professional needs in order to make decisions.

Choose the appropriate method iof data mining for identifying patterns when using *if/then* statements.

decision tree K-nearest neighbor *rule induction* fuzzy logic INCORRECT There are a number of data mining strategies. *Rule induction* is uses *if/then* statements to identify patterns.

The electronic health record that is being implemented in your multidisciplinary medical practice will be used first by the family practice physicians. Future projects will expand this to other specialties. What is this description of the project called?

vision *project scope* scope creep critical success factors INCORRECT The project scope identifies the extent of the project with regard to information system implementation, who will use it, how it will be used, and so forth.

What Web 2.0 technology would you recommend for someone who wants to share their battle with cancer?

web pages *a blog* a chat room an extranet INCORRECT A blog is a method of sharing your story or other information with others. It can be used to talk about your struggles with cancer, favorite quotes, websites, and much more.

Which one of the following is necessary during the strategic planning process for the EHR?

writing the request for proposal to be used in selecting the EHR selecting the EHR to be used *gauging the user's readiness for the EHR* creating a newsletter to keep users informed of the status of EHR CORRECT The EHR is a major culture change for an organization. They must be ready for the changes and have the resources to accomplish the implementation.

Clinical Documentation Improvement

A process an organization undertakes to improve clinical specificity and documentation, specifically to allow coders to assign more concise disease classification codes and, in a more general sense, top improve data capture for accurate computer processing, such as in clinical decision support, quality improvement, and business intelligence.

Report generation has four operations: filtering, sorting, calculations, and

mapping. editing. converting. *grouping*. INCORRECT The four operations of *report* generation are *filtering, sorting, grouping, and calculations.*

SQL

SQL is a programming language used to *retrieve data* from a database.

object-oriented database

The object-oriented database is designed to store objects that include video, audio, and images.

Consumer-mediated exchange

is the ability for patients to control the use of their health information among providers. The key component of the successful implementation of HIEs is that of interoperability. HIEs require governance standards, pathways between state and national exchanges, and health information professionals with an understanding of public health data analysis.

Interoperability

is the ability to share information between two systems that are not designed to work together such as those developed by two different vendors.

Differentiate between the physical and logical data models.

The physical data model shows how the logical model will be created, and the logical data model shows the technology plan to be used. *The logical data model shows what the system should do, and the physical data model shows how the logical data model will be created.* The logical data model uses DFDs, and the physical data model uses entity relationship models. The physical data model uses DFDs, and the logical data model uses entity relationship models. CORRECT The *physical data model* is the physical structure of the database. The *logical data model* identifies the entities, their attributes, and more. This impacts how the database works and what it can accomplish.

The information systems are testing whether or not the system works for lab equipment and printers. This type of testing is called

acceptance testing. *integration testing*. application testing. volume testing. INCORRECT *Integration testing* ensures that the various hardware components of the system work with the information system.

One of the ways that an EHR is distinguished from a clinical data repository is that the EHR

aggregates data. can have digital images. *has clinical decision support capabilities.* has data from multiple information systems. CORRECT The EHR is used for patient care and therefore has a need for clinical decision support where the clinical data repository is a database that is used for research, aggregation of data, and more.

data repository

an open-structure *database* that is not dedicated to the software of any particular vendor or data supplier, in which data from diverse sources are *stored* so that an integrated, multidisciplinary view of the data can be achieved

A *small chip* is stored in the patient's wristband. This is an example of what type of technology?

bar codes *radio frequency identification device* database model digital imaging INCORRECT A *radiofrequency identification device* can be scanned and used for patient safety (such as patient identification) and other uses.

You use an information system to create a letter notifying a requester that your facility does not have any records on file for the individual's records requested. What system are you using?

cancer registry *release of information* chart deficiency chart locator INCORRECT The release of information system is used to track the release of information process and perform administrative duties including sending letters to the requester.

In performing a "what if" query to determine if the facility should expand the emergency department, which of the following systems would be used?

clinical decision support system financial information system knowledge-based system *decision support system* INCORRECT Decision support systems are used by administration to make decisions. One of the features is the ability to perform "what if" queries.

data mart

contains a subset of data warehouse information

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

critical path analysis. alerts. health information exchange. *environmental scanning*. CORRECT *Environmental scanning* involves looking at laws, community issues, and other external aspects that impact the organization.

There is a problem with the data dictionary. The drop-down fields do not have all of the options that are needed. This is a problem with

data integrity. validation. face validity. *data quality.* INCORRECT The AHIMA Data Quality model identifies 10 characteristics of data quality. One of them is comprehensiveness. In this case, the options in the drop-down box are not *comprehensive*; therefore, the information system has a problem with data quality.

Select the data modeling tool that shows how data moves throughout an organization.

data model computer-aided software engineering use case *data flow diagrams* CORRECT *Data flow diagrams* is a data modeling tool that shows the inputs, storage, and outputs as data moves through the organization.

Select the component of the database design where you will find the structures in the database, the types of records stored, and the fields used.

database management database design specification data dictionary *data model* INCORRECT The *data model* is the design of the database. It contains the logical and physical data models that show the data and how it is stored.

Identify the stage in the system development life cycle that includes the feasibility study.

design maintenance/evaluation implementation *planning/analysis* CORRECT Some of the steps that occur during the planning/analysis stage include: *feasibility study*, project planning and defining the scope of the project.

feasibility study

investigation that gauges the *probability of success of a proposed project* and provides a rough assessment of the project's feasibility analyzes a proposed solution's feasibility and determines how best to present the solution to management. It usually has five major dimensions: economic, technical, operational, scheduling, and legal

milestone

is a *key step* in the implementation of an information system such as signing the contract. It may be used in contract negotiation to identify when the information system vendor receives a percentage of their payment.

Public health informatics

is a field of study that addresses population health including epidemiology.

E-health

is the use of e-commerce in health care. This includes exchanging data with vendors, insurers, and more.

Upon final review of the RFP that is to be sent out to prospective vendors, you notice there is content that should not be included in the description of facility of the document. Which of the following information should be deleted from this section?

number of locations where system will be used type of services provided number of patients *data conversion* CORRECT Data conversion should not be included in the section of the RFP that describes the facility and how it will use the information system.

Administrative, financial, and other information systems supply the EHR with much of its data. What are these various systems known as?

point-of-care charting application administrative information systems *source systems* INCORRECT *Source systems* are information systems that provide data to another information system.

You need to identify some patterns in our database. What technology should you use?

reminders *data mining* clinical guidelines alerts CORRECT *Data mining* drills down into a database to identify patterns in the data.

Administration has asked your team to investigate the possibility of purchasing a decision support system. Which of the following would you conduct to determine if the facility should proceed?

risk assessment request for information request for proposal *feasibility study* CORRECT A *feasibility study* is an assessment to determine whether or not an information system is needed. It would investigate what is currently available at the facility, what is needed, and more.

Data mining

the process of analyzing data to extract information not offered by the raw data alone the application of statistical techniques to find patterns and relationships among data for classification and prediction

Choose the appropriate data field types that is best for the data element "health record number".

time and date numeric *auto-numbering* alphanumeric INCORRECT The *auto-numbering* field automatically assigns a number such as the *health record number *or a *patient account number*. The number is generally assigned in straight numeric order.

I need to collect information about the needs of the users for the proposed R-ADT. Identify an information gathering strategy that will get most people involved,

unstructured interviews *questionnaires* observations structured interviews CORRECT *Questionnaires* are used to gather information from *a large number of people* since they can be designed to facilitate date collection through online tools, Likert scale, etc.

Integration testing

verify that separate systems can work together passing data back and forth correctly verifies that separate systems can work together