RHIT 2014 - Information Technology Domain 4

As the Compliance Officer for an acute care facility, you are interested in researching recent legislation designed to provide significant funding for health information technology for your next committee meeting. You begin by googling A. EMTALA. B. HIPAA. C.Health Care Quality Improvement Act. D. ARRA. REFERENCE: LaTour, Eichenwald-Maki, and Oachs, p 17 McWay, pp 34-35 Sayles, pp 25, 162

ARRA The American Recovery and Reinvestment Act was signed into law in 2009, and included significant funding for health information technology.

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. EHR B. CPOE C. BC-MAR D. EMAR REFERENCE: Amatayakul, p 27

BC-MAR

Which one of the following would NOT be a strategy when purchasing an electronic health record system? A. Identify stakeholders from different organizational levels and engage them appropriately. B. Identify system requirements. C. Identify return on investment or cost-benefit analysis. D. Broaden the vendor field and select several vendors of choice. REFERENCE: AHIMA Practice Brief "Purchasing Strategies for EHR Systems" LaTour, Eichenwald-Maki, and Oachs, pp 145146 Sayles, p 862

Broaden the vendor field and select several vendors of choice.

In selecting a messaging standard for use in a picture archival communication system, the BEST choice would be A. National Drug Code. B. Consolidated Health Informatics Initiatives. C. HL7. D. DICOM. REFERENCE: LaTour, Eichenwald-Maki, and Oachs, p 132

DICOM.

Which one of the following is NOT an advantage of a computerized master patient index? A. It solves most space and retrieval problems. B. It allows access to data alphabetically, phonetically, or by date of birth, social security number, medical record, or billing number. C. It provides other departments with immediate access to the information maintained in the master patient index. D. Duplication of patient registration can never occur. REFERENCE: Green and Bowie, pp 237239 LaTour, Eichenwald-Maki, and Oachs, pp 226227 Sayles, pp 324326

Duplication of patient registration can never occur.

The Director of the HIM Department is explaining incentives to physicians for entering their clinical documentation in the electronic health record. Which one of the following would be the key advantage in using this type of data entry? A. Those physicians not in compliance will be denied admitting privileges. B. Enhanced databases will provide information for improved clinical care. C. Multiple users will not have access to the same information simultaneously. D. Training will be offered by the hospital. REFERENCE: LaTour, Eichenwald-Maki, and Oachs, pp 140142 Odom-Wesley and Brown, p 224

Enhanced databases will provide information for improved clinical care.

http://www.delmarlearning.com/iq/prg/2014/rhiarhit/content/img/StndRes/PRG/scprrhex01q.17.016.jpg The proposed National Healthcare Information Network (NHIN) dimensions are graphically depicted in the diagram above. Roman numerals are added to allow for the identification of specific areas. Where would information concerning a patient's health insurance be located on this chart? A. III B. I C. V D. II REFERENCE: Sayles, pp 984-986

II

Diverticulitis large bowel with abscess; right hemicolectomy with colostomy performed. K57.90 Diverticulosis of colon (without mention of hemorrhage) K57.92 Diverticulitis of colon (without mention of hemorrhage) K63.0 Abscess of intestine 0DTK0ZZ Open and other right hemicolectomy 0DTL0ZZ Open and other resection of transverse colon 0D1K0Z4 Exteriorization of large intestine (loop colostomy) A. K57.92, K63.0, 0DTK0ZZ B. K57.90, 0DTL0ZZ, 0D1K0Z4 C. K57.92, 0DTK0ZZ, 0D1K0Z4 D. K57.92, K63.0, 0DTL0ZZ REFERENCE: AHA, pp 243-244, 247-248

K57.92, K63.0, 0DTK0ZZ

Dr. Gray has applied for medical staff privileges at your hospital. What database would you research to determine if he has been denied medical staff privileges at another hospital? A.Healthcare Integrity and Protection Data Bank B. State Administrative Data Bank C. MEDPAR file D. National Practitioner Data Bank REFERENCE: Abdelhak, p 472 Green and Bowie, pp 251, 255 LaTour, Eichenwald-Maki, and Oachs, p 330 Sayles, p 657

National Practitioner Data Bank

As the Director of a Health Information Technology Program, your community college has been selected to participate in the workforce development of electronic health record specialists as outlined by ARRA and HITECH. In order to keep abreast of changes in this program, you will need to regularly access the Web site of which governmental agency? A. CDC B. OSHA C. CMS D. ONC REFERENCE: LaTour, Eichenwald-Maki, and Oachs, pp 17, 35, 83, 195 Sayles, p 25

ONC

As the Director of a Health Information Technology Program, your community college has been selected to participate in the workforce development of electronic health record specialists as outlined by ARRA and HITECH. In order to keep abreast of changes in this program, you will need to regularly access the Web site of this governmental agency. A. CMS B. OSHA C. ONC D. CDC REFERENCE: Sayles, pp 142, 162

ONC CMS, OSHA, and CDC are not correct - these are defined as follows: CMS - utilization review committees deal with the issues of the medical necessity of admissions and efficient utilization of facility resources; OSHA - risk management committees consider methods for reducing injury and financial loss; CDC - joint conference committees act as a liaison between the governing body and the medical staff. ONC is correct as this organization's task is to coordinate nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information.

Access to radiologic images has been improved through the use of which of the following? A. EDMS B. LOINC C. CPOE D. PACS REFERENCE: Abdelhak, p 229 LaTour, Eichenwald, and Oachs, pp 124, 249 Sayles, p 914 Sayles and Trawick, pp 229-230

PACS Picture archiving and communication systems provide a means to store and rapidly access digitized file images.

In your facility it has become critical that information regarding patients who are transferred to the oncology unit be sent to an outpatient scheduling system to facilitate outpatient appointments. This information can be obtained most efficiently from A. disease index. B. indicator monitoring program. C. R-ADT system. D. generic screens used by record abstractors. REFERENCE: Abdelhak, pp 162-163 LaTour, Eichenwald-Maki, and Oachs, p 944 Sayles, p 955

R-ADT system For tracking in-house patients who have been transferred to a specialty unit, the best source of information is the registration-admission, discharge, and transfer system.

Gail Smith has presented to the ER in a coma with injuries sustained in a motor vehicle accident. According to her sister, Gail has had a recent medical history taken at the public health department. The physician on call is grateful that she can access this patient information using the area's A. expert system. B. EDMS system. C. CPOE. D. RHIO. REFERENCE: Green and Bowie, p 112 Sayles, p 326

RHIO.

Gerda Smith has presented to the ER in a coma with injuries sustained in a motor vehicle accident. According to her sister, Gerda has had a recent medical history taken at the public health department. The physician on call is grateful that she can access this patient information using the area's A. CPOE. B. RHIO. C. EDMS system. D. expert system. REFERENCE: Green and Bowie, p 112 LaTour, Eichenwald-Maki, and Oachs, pp 221-222, 224, 230, 944 Sayles, p 326

RHIO. With the increasing number of health care entities implementing EHR systems, the networking of electronic information between facilities has become a reality in some areas due to the establishment of regional health information organizations. The following choices are incorrect and defined as follows: EDMS = electronic data management system; CPOE = computerized provider order entry system; expert system = artificial intelligence software.

A common language used in data definition, and data manipulation is A. unified modeling language. B. HTML. C. SQL. D. metadata. REFERENCE: Marreel and McLellan, p 207 McWay, p 171 Sayles and Trawick, p 177

SQL

http://www.delmarlearning.com/iq/prg/2014/rhiarhit/content/img/StndRes/PRG/scprrhex01q.10.050.jpg 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 C B. System B C. System A D. none of these choices REFERENCE: Sayles and Trawick, pp 126-127

System B

The Assistant Director of Record Processing is evaluating software packages for a chart tracking system in the HIM Department. What is the BEST method to verify that the software will work as marketed? A. Perform a vendor reference check. B. Test the software prior to purchase. C. Visit corporate headquarters of the vendor. D. Read consumer reports before buying. REFERENCE: Abdelhak, pp 343345 LaTour, Eichenwald-Maki, and Oachs, pp 146148 Sayles, p 862

Test the software prior to purchase

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. REFERENCE: Sayles and Trawick, p 196

The logical data model shows what the system should do, and the physical data model shows how the logical data model will be created.

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 can change the established criteria. B. The vendor will have to be contacted to make the change. C. The supervisor will have to get a programmer to make the change. D. Each chart will have to be rerouted manually. REFERENCE: Sayles and Trawick, p 167

The supervisor can change the established criteria.

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 module of an information system such as the EHR. D. a project plan. REFERENCE: Amatayakul, p 120

a step in the path to the implementation of a system such as the EHR.

The clinical laboratory department staff can use a database that allows them to see what laboratory tests were conducted and the results of those tests. By contrast, the billing department staff can only see that portion of the database that lists the laboratory tests that generate a charge, but they cannot see the test results. What kind of control is this an example of? A. concurrency B. access C. integrity D. cost REFERENCE: McWay, p 265 Sayles, pp 133, 188, 228 Sayles and Trawick, p 319

access

As supervisor of the cancer registry, you report the registry's annual caseload to administration. The most efficient way to retrieve this information would be to use A. patient index. B. patient abstracts. C. follow-up files. D. accession register. REFERENCE: Johns, p 487 LaTour, Eichenwald-Maki, and Oachs, p 371 Sayles, p 439

accession register

Maria has received a request to update a patient's insurance number. What system should she use? A. clinical decision support system B. laboratory information system C. executive information system D. admission-discharge-transfer system REFERENCE: Abdelhak, p 179 Green and Bowie, pp 237-240 Marreel and McLellan, pp 8, 187 Sayles, pp 912-913

admission-discharge-transfer system

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. allergy. B. reminder. C. structured entry. D. alert. REFERENCE: Eichenwald-Maki and Petterson, pp 128, 130, 131-133, 287 Marreel and McLellan, p 16

alert.

As HIM director, you must ensure a means to regulate access and ensure preservation of data in the health care facility's computer system. Which of the following security measures can be implemented to prevent privacy violations in this computer system? A. all of these B. encryption C. authentication D. disaster recovery plan REFERENCE: LaTour, Eichenwald-Maki, and Oachs, p 133 McWay, p 209 Sayles, pp 883, 1038 Sayles and Trawick, p 319

all of these

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. design B. analysis C. obsolescence D. implementation REFERENCE: Johns, pp 858-860 LaTour, Eichenwald-Maki, and Oachs, pp 105-106 Marreel and McLellan, pp 62-64, 317-319 McWay, pp 286-287

analysis

Which type of patient information system does the Joint Commission suggest that hospitals use? A. computer-based patient record B. any one of these C. unit record D. protocol for requesting information, whereby the request is provided to the practitioner in a timely manner REFERENCE: Joint Commission

any one of these

University Hospital, a 900 bed tertiary health care organization, is undergoing an information systems development. What system would best meet its needs? A. clinical workstation B. legacy system C. application service provider model D. IBM Medical Information Systems Program REFERENCE: Abdelhak, p 291 LaTour, Eichenwald-Maki, and Oachs, p 140 Sayles, pp 708, 1183 Sayles and Trawick, p 108

application service provider model

Which of the following is the term used to identify who made an entry in the health record? A. access control B. accessibility C. authentication D. authorship REFERENCE: McWay, p 304

authorship

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. front-end speech recognition B. hidden Markov model C. back-end speech recognition D. key-word spotting REFERENCE: Sayles and Trawick, p 284

back-end speech recognition

Which of the following technologies works best with automated record-tracking systems to speed the data entry process? A. discharge lists B. compressible filing units C. computerized chart-out slips D. bar codes REFERENCE: Abdelhak, p 280 Green and Bowie, p 226 LaTour, Eichenwald-Maki, and Oachs, p 88 Sayles, pp 343, 351

bar codes

Which of the following would be a foreign key in the patient table? A. address B. last name C. medical record number D. billing number REFERENCE: LaTour and Eichenwald-Maki, p 130 Sayles and Trawick, p 91

billing number

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. LAN B. operating system C. client server D. Internet REFERENCE: Eichenwald-Maki and Petterson, pp 29-30, 288 Marreel and McLellan, pp 8, 191 Sayles, p 999

client server

The function of a(an) ________ is limited to data retrieval. A. executive information system B. electronic health record C. clinical data repository D. database management system REFERENCE: Abdelhak, pp 186187 LaTour, Eichenwald-Maki, and Oachs, p 84 Odom-Wesley and Brown, p 225 Sayles, p 994 Sayles and Trawick, pp 72, 100

clinical data repository

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. health information exchange. C. clinical data repository. D. personal health record. REFERENCE: Green and Bowie, p 108 Marreel and McLellan, p 175 McWay, p 267

clinical data repository

The Pharmacy and Therapeutics Committee has asked you to find out more about a computerized order entry system that calculates drug dosages based on patient parameters (weight, age, etc.) and even suggests the best drug given the patient's diagnosis and current treatment. The committee is asking for information on a(n) A. ordering system. B. application system. C. clinical decision support system. D. practice parameters system. REFERENCE: Abdelhak, pp 179-180 LaTour, Eichenwald-Maki, and Oachs, pp 94-95, 115, 118, 125-127 Sayles, pp 915, 964-965

clinical decision support system.

University Hospital has the messaging technology to securely route an alert for a patient's possible drug interaction or abnormal lab result to the appropriate physician's pager number. Which one of the following is the medical staff using? A. intranet B. clinical information system C. Internet D. extranet REFERENCE: LaTour, Eichenwald-Maki, and Oachs, p 90 Sayles, pp 855856 Sayles and Trawick, p 226

clinical information system

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. electronic health record B. decision support system C. clinical provider order entry D. order entry/results reporting REFERENCE: Sayles, p 961

clinical provider order entry

The health care facility uses both a centralized system and the Internet to access information. What is this known as? A. meaningful use B. security C. a virtual private network D. cloud computing REFERENCE: McWay, p 302

cloud computing

The decision makers in the HIM department have decided to use the decision analysis matrix method to select coding software. Use of this method will help ensure A. the personalities of individual vendors will not influence the decision. B. consistent criteria are used to evaluate the alternatives/vendors. C. the level of software support will be considered in the decision. D. all alternatives/vendors are evaluated subjectively. REFERENCE: Abdelhak, p 626 LaTour, Eichenwald-Maki, and Oachs, pp 601-602 Sayles, p 759

consistent criteria are used to evaluate the alternatives/vendors.

Which of the following systems would provide a snapshot of information about the patient's condition? A. continuity of care record B. SMART card C. EHR D. personal health record REFERENCE: Sayles and Trawick, p 243

continuity of care record

Which one of the following is NOT considered a challenge in the adoption of an electronic health record system? A. contribution to the quality of patient care B. physician willingness to adopt C. design of the work flow and processes D. individual state legal and regulatory issues REFERENCE: LaTour, Eichenwald-Maki, and Oachs, p 119 Sayles and Trawick, pp 251-252

contribution to the quality of patient care

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. data architecture B. data analysis tools C. data conversion D. response time REFERENCE: Amatayakul, p 386 Marreel and McLellan, pp 90-100 McWay, p 401

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. rules based algorithms. D. data dictionary. REFERENCE: Amatayakul, p 270 Eichenwald-Maki and Petterson, p 27 Green and Bowie, pp 250, 253 Marreel and McLellan, pp 79-81, 191 McWay, p 262 Sayles, pp 882-884

data dictionary

You are trying to ensure a patient's name, but the entire name will not fit in the field. Only the first eight characters will fit. This is a problem with which of the following? A. data mapping B. the data dictionary C. the data model D. policy and procedure REFERENCE: Sayles and Trawick, p 94

data mapping

You are interested in performing 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. executive information system. B. clinical data repository. C. data mart. D. specialized data warehouse. REFERENCE: Abdelhak, p 293 Amatayakul, p 274 LaTour, Eichenwald-Maki, and Oachs, p 94 McWay, p 268 Sayles, p 925

data mart.

You need to identify some patterns in our database. What technology should you use? A. reminders B. clinical guidelines C. data mining D. alerts REFERENCE: Amatayakul, p 30 Green and Bowie, p 258 LaTour, Eichenwald-Maki, and Oachs, p 86 McWay, p 268

data mining

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. knowledge based system B. clinical decision support system C. financial information system D. decision support system REFERENCE: Abdelhak, p 40 Sayles, p 854

decision support system

In retrieval of optical image files, cache memory A. is a way of defragmenting a WORM platter. B. increases exchange time on the jukebox. C. is resident on the jukebox. D. decreases access time for all users on the system. REFERENCE: Sayles, p 321 Sayles and Trawick, p 15

decreases access time for all users on the system.

An effective means of protecting the security of computerized health information would be to A. require all facility employees to change their passwords at least once a month. B. develop clear policies on data security that are supported by the top management of the facility. C. install a system that would require fingerprint scanning and recognition for data access. D. write detailed procedures for the entry of data into the computerized information system. REFERENCE: Abdelhak, pp 285-288 LaTour, Eichenwald-Maki, and Oachs, pp 129, 134, 160, 172, 204, 316, 318, 319, 328, 336, 343-344 McWay (2014), pp 291-293 Sayles, pp 12, 131, 415, 794, 829-830

develop clear policies on data security that are supported by the top management of the facility.

When entering the URL in a browser, the user types an "S" at the end of the http. This indicates the use of which of the following? A. firewall B. World Wide Web C. digital certificate D. domain name REFERENCE: McWay, p 289

digital certificate

You are the Director of Coding and Billing at a large group practice. The Practice Manager stops by your office on his way to a planning meeting to ask about the timeline for complying with HITECH requirements to adopt meaningful use EHR technology. You reply that the incentives began in 2011 and end in 2014. You remind him that by 2015, sanctions for noncompliance will appear in the form of A. withdrawal of permission to treat Medicare and Medicaid patients. B. downward adjustments to Medicare reimbursement. C. a mandatory action plan for implementing a meaningful use EHR. D. monetary fines up to $100,000. REFERENCE: LaTour, Eichenwald, and Maki, pp 264-265 McWay (2014), p 305 Sayles, pp 954, 987

downward adjustments to Medicare reimbursement.

Disease management is an example of which of the following? A. e-health B. clinical information C. information brokering D. radio frequency device REFERENCE: McWay, p 311

e-health

The hospital's strategic plan calls for having the entire health record content recorded in discrete form within the next 10 years. Which system will the HIM Director most likely recommend in the early stages of the project as a transition strategy? A. clinical data repository system B. speech recognition system C. CPOE system D. electronic document management system REFERENCE: Abdelhak, p 196 McWay (2014), pp 302-303 Sayles and Trawick, p 153

electronic document management system Many hospitals use the EDMS as a transition strategy to support their EHR effort.

The use of personal signature stamps for authentication of entries in a paper-based record requires special measures to guard against delegated use of the stamp. In a completely computerized patient record system, similar measures might be utilized to govern the use of A. fingerprint signatures. B. electronic signatures. C. expert systems. D. voice recognition systems. REFERENCE: Abdelhak, pp 117-118, 191 Green and Bowie, pp 78-79 LaTour, Eichenwald-Maki, and Oachs, pp 87, 100, 134, 174, 180, 258, 264, 729

electronic signatures. Fingerprint signatures and voice recognition systems are individualized automatically, so both of these are not the correct choice. Expert systems does not work for this question either. Authentication by signature stamps requires a written agreement with the facility not to delegate the use of the stamps; similarly, in a computer-based system, it is important to ensure that personal identification codes used to authenticate electronic signatures are used only by the persons to whom they are assigned.

The Director of Health Information Management has been asked by the Board of Trustees to justify support for the use of handheld devices by the medical staff for point-of-service input. Which one of the following reasons would NOT be included in the Director's response? A. increased work efficiency B. decreased clinical documentation errors C. elimination of the need for expensive desktop computers D. faster access to health data REFERENCE: Abdelhak, p 279 LaTour, Eichenwald-Maki, and Oachs, p 96

elimination of the need for expensive desktop computers

Joint Commission does not approve of auto authentication of entries in a health record. The primary objection to this practice is that A. electronic signatures are not acceptable in every state. B. evidence cannot be provided that the physician actually reviewed and approved each report. C. it is too easy to delegate use of computer passwords. D. tampering too often occurs with this method of authentication. REFERENCE: Green and Bowie, p 78 LaTour, Eichenwald-Maki, and Oachs, pp 174, 897

evidence cannot be provided that the physician actually reviewed and approved each report. Auto authentication is a policy adopted by some facilities that allow physicians to state in advance that transcribed reports should automatically be considered approved and signed (or authenticated) when the physician fails to make corrections within a preestablished time frame (e.g., "Consider it signed if I do not make changes within 7 days."). Another version of this practice is when physicians authorize the HIM department to send weekly lists of unsigned documents. The physician then signs the list in lieu of signing each individual report. Neither practice ensures that the physician has reviewed and approved each report individually.

The hospital administrator is making a strategic decision by querying various institutional databases for information. What type of system is the hospital administrator using? A. electronic health record system B. financial information system C. results reporting system D. executive information system REFERENCE: LaTour, Eichenwald-Maki, and Oachs, p 95 Sayles, pp 885886, 924 Sayles and Trawick, p 213

executive information system

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 REFERENCE: McWay, p 313

executive information system

Electronic health record built-in tools that can make data capture easier include all but which one of the following? A. automated quality measures B. flow process charts C. clinical decision support systems D. data dictionaries REFERENCE: Abdelhak, pp 507508 LaTour, Eichenwald-Maki, and Oachs, p 172 Sayles, p 420

flow process charts

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. machine language B. fiber optics C. graphical user interface D. assembly level language REFERENCE: Abdelhak, p 126 Marreel and McLellan, p 196 Sayles, p 877

graphical user interface

One of the ways that an EHR is distinguished from a clinical data repository is that the EHR A. can have digital images. B. has clinical decision support capabilities. C. has data from multiple information systems. D. aggregates data. REFERENCE: Green and Bowie, pp 114-116 McWay, p 126

has clinical decision support capabilities.

The facility's policy for physician's verbal orders in accordance with state law and regulations needs updating. The first area of investigation is the qualifications of those individuals who have been authorized to record verbal orders. For this information you will consult the A. data dictionary. B. policy and procedure manual. C. hospital's Quality Management Plan. D. hospital bylaws, rules, and regulations. REFERENCE: Green and Bowie, pp 14-16 LaTour, Eichenwald-Maki, and Oachs, pp 247-248 McWay (2014), p 23 Sayles, p 676

hospital bylaws, rules, and regulations.

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. network protocol B. TCP/IP C. hybrid network D. physical topology REFERENCE: Sayles and Trawick, p 28

hybrid network

Buying and selling information is known as A. information brokering. B. a business record exception. C. business intelligence. D. marketing. REFERENCE: McWay, p 311

information brokering

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. graphical user interface C. interfaced D. mapped REFERENCE: Glandon, Smaltz, and Slovensky, p 144 Marreel and McLellan, pp 74-75 McWay, p 110

integrated

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 REFERENCE: Abdelhak, p 331

integration test

Health Informatics, Inc. is a vendor with a large collection of clinical information systems and hospital information systems that are designed to share data without human or technical intervention. This is a(an) A. standard. B. interfaced system. C. integrated system. D. OLAP. REFERENCE: LaTour, Eichenwald-Maki, and Oachs, pp 132133 Sayles, pp 996997 Sayles and Trawick, pp 110111

interfaced system

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. networks. B. EDI. C. interoperability. D. transparency. REFERENCE: Sayles and Trawick, p 265

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. billing system C. financial information system D. Admission, Discharge, Transfer REFERENCE: McWay, pp 302-303

laboratory information system

To enter the results of a CBC into the computer system, you would use a(n) A. pharmacy system. B. order entry/results reporting system. C. laboratory system. D. radiology system. REFERENCE: Sayles and Trawick, p 99

laboratory system.

Which one of the following features should NOT be considered when designing screens to capture quality health data? A. the use of abbreviations on data fields B. a prompt for more information C. built-in alerts to notify users of possible errors D. left to right and bottom to top formatting REFERENCE: Sayles, pp 125, 385386 Sayles and Trawick, p 177

left to right and bottom to top formatting

What Medicare program requires the use of a certified electronic health record? A. prospective payment B. health information exchange C. data standards D. meaningful use REFERENCE: McWay, p 305

meaningful use

Which one of the following is NOT an example of document capture in the electronic document management system? A. forms recognition B. microfilming C. bar codes D. scanning REFERENCE: Sayles and Trawick, p 153

microfilming

Which application design is used in a computer-assisted coding (CAC)? A. natural language processing B. intraoperability C. message standards D. electronic data interchange REFERENCE: Eichenwald-Maki and Petterson, p 160 LaTour, Eichenwald-Maki, and Oachs, p 86 McWay, p 158 Sayles, p 218

natural language processing

In creating a new form or computer view, the designer should be most driven by A. needs of the users. B. medical staff bylaws. C. QIO standards. D. flow of data on the page or screen. REFERENCE: Abdelhak, p 120 Davis and LaCour, pp 44, 49, 52 Green and Bowie, p 201 LaTour, Eichenwald-Maki, and Oachs, pp 103-105, 119, 125, 148, 170, 180, 200, 213, 229, 870 Odom-Wesley, p 230 Sayles, p 355

needs of the users The needs of the user are the primary concern in forms design.

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. development B. implementation C. operations (maintenance) D. initiation REFERENCE: Abdelhak, p 304 Johns, pp 891-892 LaTour, Eichenwald-Maki, and Oachs, p 107 Marreel and McLellan, pp 62-64, 317-319 McWay, p 287

operations (maintenance)

Setting up a drop down menu to make sure that the registration clerk collects "gender" as "male, female, or unknown" is an example of ensuring data A. validity. B. reliability. C. precision. D. timeliness. REFERENCE: Abdelhak, pp 133-134 Green and Bowie, p 258 LaTour, Eichenwald-Maki, and Oachs, p 382

precision Validity refers to the accuracy of data, while reliability refers to consistency of data. Timeliness refers to data being available within a time frame helpful to the user, and precision refers to data values that are just large enough to support the application of the process.

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. functional requirements D. prototyping REFERENCE: Sayles and Trawick, p 130

prototyping

Which of the following can be used to check on a patient who is homebound? A. digital imaging B. radio frequency identification C. natural language processing D. interactive voice recognition REFERENCE: McWay, p 312

radio frequency identification

Medicare rules state that the use of verbal orders should be infrequent and used only when the orders cannot be written or given electronically. In addition, verbal orders must be A. written within 24 hours of the patient's admission. B. cosigned by the attending physician within 4 hours of giving the order. C. recorded by persons authorized by hospital regulations and procedures. D. accepted by charge nurses only. REFERENCES: Green and Bowie, p 154 LaTour, Eichenwald-Maki, and Oachs, pp 247-248 Davis and LaCour, pp 102-104 Odom-Wesley, pp 111, 113, 290-291, 339

recorded by persons authorized by hospital regulations and procedures. Only persons designated by hospital policies and procedures and state and federal law are to accept verbal orders.

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. regional health information organization. B. integrated health network. C. electronic health record. D. corporation. REFERENCE: McWay, pp 272-273 Sayles, pp 983-984

regional health information organization

Though you work in an integrated delivery network, not all systems in your network communicate with one another. As you meet with your partner organizations, you begin to sell them on the concept of an important development intended to support the exchange of health information across the continuum within a geographical community. You are promoting that your organization join a A. data retrieval portal group. B. regional health information organization. C. data warehouse. D. continuum of care. REFERENCE: Abdelhak, pp 86-90 LaTour and Eichenwald-Maki, p 51 McWay, p 273 Odom-Wesley, p 15

regional health information organization. Regional health information organizations are intended to support health information exchange within a geographic region.

If the database will store video and audio, which of the following database models should be considered? A. hierarchical B. object oriented C. network D. relational REFERENCE: LaTour, Eichenwald-Maki, and Oachs, p 172 McWay, p 263

relational

Which of the following is an example of a peripheral? A. monitor B. hard drive C. central processing unit D. scanner REFERENCE: McWay, p 282

scanner

A common goal of the Office of the National Coordinator for Health Information Technology, RHIOs, and a national infrastructure for information is A. promoting telemedicine. B. sharing information among providers. C. translating images into a digital format. D. transferring health information within a hospital system. REFERENCE: LaTour, Eichenwald-Maki, and Oachs, pp 17, 83, 117, 137, 204, 212 Sayles, pp 34, 162 Sayles and Trawick, pp 336-367

sharing information among providers Health information exchange is a term used to refer to a "plan in which health information is shared among providers."

http://www.delmarlearning.com/iq/prg/2014/rhiarhit/content/img/StndRes/PRG/scprrhia01q.10.001.jpg Review the simplistic screen above. This is an example of how ________ data can be entered. A. nomenclature B. unstructured C. structured D. template REFERENCE: Amatayakul, p 248 Eichenwald-Maki and Petterson, pp 35-37, 108

structured

Drop boxes, radio buttons, and pick lists are used in A. natural language processing. B. structured data entry. C. unstructured data entry. D. free text. REFERENCE: Amatayakul, p 321

structured data entry.

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. analysis C. testing D. site preparation REFERENCE: Abdelhak, p 331 LaTour, Eichenwald-Maki, and Oachs, p 107 Sayles, p 886

testing

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. free form text B. a dialog box C. the drop-down menu D. an icon REFERENCE: Abdelhak, p 126 Eichenwald-Maki and Petterson, pp 33-35

the drop-down menu

A primary focus of screen format design in a health record computer application should be to ensure that A. data fields can be randomly accessed. B. programmers develop standard screen formats for all hospitals. C. the user is capturing essential data elements. D. paper forms are easily converted to computer forms. REFERENCE: Abdelhak, pp 119-120, 124 LaTour, Eichenwald-Maki, and Oachs, p 51 McWay, pp 131-132 Odom-Wesley, p 230 Sayles, pp 384-385

the user is capturing essential data elements. Both paper-based and computer-based records share similar forms and view design considerations. Among these are the selection and sequencing of essential data items.

Your facility is storing scanned records for long-term storage on optical disk. The Risk Management Committee's Disaster Task Force has recommended that copies of the disks be stored at a facility across town. The administrator is concerned that records may be altered on the disks stored off-site. You tell the administrator A. this is a legitimate concern; perhaps the committee should consider storing duplicates in two locations in this facility. B. this is a legitimate concern; it should be addressed in the contract written with the storage facility. C. this is not a concern because WORM technology makes it impossible to alter the documents. D. this is not a concern; there is really no need to make and store duplicate disks as they are difficult to damage. REFERENCE: Abdelhak, pp 190-191 LaTour, Eichenwald-Maki, and Oachs, pp 87, 278 Sayles, pp 346, 1032

this is not a concern because WORM technology makes it impossible to alter the documents.

Why would the database administrator add a foreign key to one of the tables? A. to indicate that it is a primary key in another table B. to ensure that each row is unique C. to separate two tables D. the data element refers to ethnicity REFERENCE: LaTour, Eichenwald-Maki, and Oachs, p 916 Sayles, p 881

to indicate that it is a primary key in another table

A number of key elements for your facility's computerized patient record are still input by clerical staff from handwritten data entry sheets. You are concerned about the transfer of data. If the vital signs stored in the database are not what were originally recorded, the impact on patient care could be severe. You are concerned about the A. validity of the data. B. reliability of the data. C. stability of the data. D. legitimacy of the data. REFERENCE: Abdelhak, pp 410-411 Green and Bowie, p 257 Koch, p 249 LaTour, Eichenwald-Maki, and Oachs, pp 90, 129, 205-206, 382, 385, 956 McWay (2014), p 143 Sayles, p 462

validity of the data.

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. licensing and contractual details B. organizational profile C. functional specifications D. vendor information REFERENCE: Abdelhak, p 340 Amatayakul, p 385 Marreel and McLellan, pp 109-110 McWay, p 401 Murphy, p 135

vendor information

The vendor has provided an update to their software. With this update, the system has new functions. This is known as a A. fix. B. link. C. release. D. version. REFERENCE: McWay, p 287

version.

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. encryption C. virus checker D. utility REFERENCE: Marreel and McLellan, pp 156-157 McWay, p 290

virus checker

The information systems manager is testing what the system can handle with regard to passing large amounts of data. This is called A. final testing. B. rigorous testing. C. volume testing. D. acceptance testing. REFERENCE: Abdelhak, p 331

volume testing

As the Information Security Officer at your facility, you have been asked to provide examples of the physical safeguards used to manage data security measures throughout the organization. Which of the following would you provide? A. audit controls B. entity authentication C. chain-of-trust partner agreements D. workstation use and location REFERENCE: Green and Bowie, pp 270-271 LaTour, Eichenwald-Maki, and Oachs, pp 330, 947 Sayles, pp 1055-1056

workstation use and location