Health Informatics

Chronic diseases affect 20% of the population but account for what percent of the healthcare spending?

75%

Which of the following are optimal attributes of an online resource? (select all that apply)

Available in multiple formats Frequently updated Easy searchable Evidence based

Which web service frequently uses XML

Both

Selection known EHR obstacles

Cost, altered workflow

Which of the following standards is used for sharing images?

DICOM

All RHIO are regional - True or False

False

BioSense is a Homeland Security program - True or False?

False

QI programs only exist in the USA - True or False

False

Which one of the following is false regarding patient rights and HIPAA laws?

Have unwanted material removed from their health record.

Which of the following resources provides free medical journals? (select all that apply)

High Wire Press

Which one of the following is not a syndrome that is part of most syndromic surveillance programs?

High blood pressure illness

Which of the following are advantages of the application service provider (ASP) model

Lower initial costs, Decreased need for in-house IT support

Which one of the following resources contains more than one format?

MDConsult

Which one of the following statements is true about human genome?

Males have an X and Y chromosome and females have two X chromosomes

Which one type of analytics would be used to analyze hospital readmission rates for heart failure?

Predictive

Digital radiography does not require laser scanning.

True

Gene/DNA manipulation may prove useful for which of the following situations?

-Cancer treatment. -Waste processing. -Drought and disease resistant plants. -Developing personalized drugs.

Select the reasons telehomecare is gaining traction as part of medical delivery models. (select all that apply)

-Chronic diseases are on the rise. -Audio-video telecommunications has improved. -There are now simple networks to transmit home data to a central location. -Cheaper to pick up problems at home and prevent hospital admissions .

Which of the following are obstacles to widespread genetic prediction? (Select all that apply)

-Genetic testing must be highly sensitive and specific. -Genetic information must be highly secure. -There are not enough geneticists and genetic counselors

Which of the follow information technologies may be integral to public health reporting?

-Health information organizations -Nationwide Health Information Network. -Electronic Health Records.

Select known barriers to telemedicine. (select all that apply)

-Limited reimbursement. -Lack of standards -Interstate licensure laws.

Which of the following communication modes can be considered telemedicine? (select all that apply)

-Secure patient-physician e-mail -Phone call for physician to patient. -Psychiatrist contacting patient at home using Skype. -E-ICUs.

Select the primary reasons telemedicine is gaining in popularity. (select all that apply)

-Shortage of Specialists. -Shortage of physicians in remote rural areas. -Technology has become simpler and less expensive.

List the reasons virtual intensive care units have appeared on the medical scene. (Select all that apply)

-Shortage of intensivists. -The desire to decrease ICU mortality and length of stay.

What are the forces behind teleneurology? (select all that apply)

-Shortage of neurologists willing to see emergency patients. -Ability to have neurologists remotely access imaging studies. -National standard of treating stroke victims within 3 hours.

Which of the following statements are true of the Public Health Information Network?

-Uses the Internet -Currently consists of multiple disparate programs

Which of the following serve as the foundation for the HIPAA Security Rule?

1) Administrative Safeguards 2) Physical Safeguards 3) Technical Safeguards

Which of the following are under the purview of public health informatics?

1) Bioterrorism 2) Infectious disease outbreaks 3) Natural disasters

Which of the following are common HIO functions?

1) Clinical messaging 2) Alerts to physicians 3) Connectivity to EHRs 4) Electronic prescribing

What are the three pillars of information security?

1) Confidentiality 2) Availability 3) Integrity

Select the reasons pay for performance programs are being pilot tested

1) Cost of US healthcare is too high 2) Too much variance in how medical care is practiced 3) Reimbursement is not based on quality

What are some of he challenges facing data analytics?

1) Data may be incomplete 2) Data ma be inaccurate 3) Cause and effect may be difficult to prove with any data analysis

What are the most common disease to be managed by healthcare organizations with a disease management program?

1) Diabetes 2) Heart Failure

The eHealth Exchange will include which of the following partners?

1) Federal agencies 2) Health Information Organizations

Which of the following statements is true regarding CONNECT software?

1) It is open source 2) It can help interoperability between two HIOs

HL7 is a data standard for communication for which of the following?

1) Lab results interface 2) EHR

How can health information technology assist QI programs?

1) Measure ER utilization 2) Generate quality reports 3) Provide disease registries to track patients 4) Improve patient safety with e-prescribing

Why are healthcare systems analyzing hospital readmission data?

1) New Medicare regulations not reimbursing for readmission for certain diseases 2) Readmissions are costly

To be effective as a healthcare data analyst which skill sets are required?

1) Programming skills 2) Knowledge of statistics 3) Good communications 4) Domain knowledge

Which of the following is a core Roadmap strategy?

1) Publish quality measurements 2) Promote health IT

List secondary uses (or re-uses) of healthcare data

1) Quality reports 2) Reserach 3) Public health

Which of the following access controls are used to prevent unauthorized access?

1) Role or rule-based privilege 2) Username and password 3) Voice recognition (biometric authentication)

The NwHIN is comprised of which of the following features?

1) Standards 2) Specifications 3) Policies

Which of the following are QI program limitations?

1) Takes too long to get paid 2) May result in "patient dumping" 3) EHRs may not be able to generate quality reports

Disease management programs are assisted by which of the following technologies?

1) Web based disease registries 2) Disease registry that is part of an EHR 3) Home telemonitoring 4) Patient portal

SaaS and Cloud health IT solutions have which of the following features or attributes

1) Web based solution used with browser 2) Reliability is dependent on Internet connection to provider 3) Requires little to no changes to infrastructure to support 4) Support dependent upon vendor and service level agreement

Which of the following are legitimate questions to ask prior to starting a disease management program?

1) What group is going to be studied 2) Do current clinical practice guidelines exist for this problem 3) Are insurance companies interested 4) How common is the disease or condition

Which of the following represents a datum

14

Medical studies suggest that laboratory results are missing in paper charts approximately what percent of the time

20%

Medical studies suggest that paper charts, on average, are missing what percent of the time

20%

Approx how many HIOs currently exist in the US?

250

What is the approximate 2013 US EHR adoption rate for eligible professionals

60%

Which one of the following government agencies has a patient safety network

AHR

Select the statement that is false about disease registries

All EHRs have disease registries

Which one of the following statements is false regarding Medline

All articles are associated with an abstract

What is data science?

All the above

Which of the following are primary factors that should influence the process of purchasing hardware and software

Ample time for the purchasing cycle and implementation to the new system, skilled resources available to select, implement, or maintain the technology, financial resources, usability of the system

Why did medical ethics and the Nuremberg Code evolve from the Nuremberg trials

Because German physicians were involved in medical experiments

Which data standard will support the sharing of patient summaries?

CCD (continuity of care document)

Which of the following may not be needed on the purchase of an upgrade to the electronic drug inventory

CIO

Which of the following roles may not be needed to be involved in a health IT contract negotiation for pharmacy inventory software

CIO

Which government agencies/departments have been involved with medical quality and information technology.

Centers for Medicare and Medicaid ServicesAgency for Healthcare Research and Quality

Which of the following can help convert information into knowledge

Clinical data warehouses

Which of the following statements is true

Computer science tends to deal with data

The Leapfrog Group promotes which one of the following to improve medical care and patient safety

Computerized Physician Order Entry (CPOE)

Your hospital has created a new program for vaginal birth after C section (VBAC). Which one of the following describes this type of program?

Condition management

Which of the following is not true

Consultants are often a good source to identify a vendor due to their impartiality.

Select those factors that have encouraged consumer informatics. (select all that apply)

Consumers are more tech savvy, Patients are frustrated with the current medical system, The widespread use of the Internet for medical answers

Which of the following is a disadvantage of PACS? (select all that apply)

Cost High bandwidth requirements Expensive high resolution monitors.

Select one the main reasons health informatics is difficult

Data are vague, imprecise and inconsistent

What is text mining?

Data mining of unstructured data.

EHRs have the potential to save money through which of the following mechanisms

Decreased cost related to record storage, improved coding, reduced transcription costs

Which one of the following is a sentinel surveillance system?

Designated location that can generate high quality data that may predict a larger population

Select the one feature not found in most drug look up programs

Drug addiction programs

In an ambulatory setting what is the most common category of questions by physicians

Drug related questions

Which of the following resources contains only one format? (select all that apply)

DynaMedUpToDate ACP Pier

Which of the following is a good way to assist with requirements definition

Educational demonstrations

Select the most likely source of data for a clinical data warehouse

Electronic health records

Which of the following represents healthcare information

Elevated fasting blood sugar and HbA1c proving diabetes

Of the following, which of the following presents the least most compelling stand-alone reason (from the business case perspective) for the purchase of health technology

Ensuring that the hospital has the latest technology

Which one of the following is a patient safety recommendation by the Institute of Medicine

Establish a national medical error reporting system

Which one of the following is not considered an advantage of secure messaging

Excellent proven return on investment

Which of the following are problems associated with bar code medication administration?

Expensive systems, proof of benefit is inconclusive

A breach in ethics is always associated with breaking the law. True or False

False

Data analytics can't be used in the genomics field due to large data sets True or False?

False

Disease management is not part of Stage 1-3 Meaningful Use - True or False?

False

Genomics covers only the human species.

False

Life expectancy is directly related to the percent of the gross national product spent on healthcare

False

Most physicians are using mobile technology that is integrated with the enterprise information systems. True or False?

False

Most small hospitals today are completely filmless.

False

Population health and public health are the same - True or False?

False

Software cost is the number one reason physicians infrequently communicate with their patients via e-mail

False

The Google Health user agreement covers a user's financial loss in the event of identity theft while using their service - True or False?

False

The Physician Quality Reporting System (PQRS) is a Medicaid program - True or False?

False

The database program HanDBase is a flat file program - True or False?

False

The primary goal of QI programs is to save money - True or False?

False

There is a standard informed consent form used by most countries. True or False

False

Traditional telemedicine programs include continuing medical education.

False

Which one of the following is not a feature of most patient web portals

Family genealogy

PACS has become successful due to which of the following technologies

Faster processors High capacity disk drives higher resolution monitors

Listing from the fastest to the slowest which combination is correct below

Fiber>80211n>LTE>DSL

Which one of the following statement is true about public health?

Focus is on population health

Which one of the following is false regarding patient rights and HIPPA law? Patients can:

Have unwanted material removed from their health records.

Which one of the following organizations is required to follow HIPAA law when using personal health data?

Health insurers

Which of the following statements is true about ELINCS?

Helps with messaging between labs and EHRs

Which data standards are related to diagnoses?

ICD 10 SNOMED CT

Which one of the following is NOT a driving force for the adoption of health information technology

Improved Joint Commission scored Which of the following represents healthcare knowledge, HIV infection leads to opportunistic infections

Which one of the following is not an advantage of PACS?

Inability to be viewed on smartphone.

Select factors that might help merge bioinformatics with health informatics

Incorporation of genetic information into the electronic health record

In the Institute of Medicine's second report which of the following were promoted to improve healthcare

Information technology infrastructure Electronic medical records with clinical decision support Web based personal health records

Which organization has been the leader in promoting information technology to decrease medical errors?

Institute of Medicine

Select possible definitions of a smartphone? (Select all that apply)

Internet capable, Have an operating system, able to host software

Which one of the following statements pertaining to MedlinePlus is false

It has no tutorials

Which one of the following is true about pharmacogenomics?

It studies genetic information looking for new targets for drugs.

The Tuskegee Syphilis Experiment was terminated for which of the following reasons

It was discovered by the press

Which of the following civilian organizations is/are heavily involved with patient safety?

Joint Commission, LeapFrog Group

Which of the following statements is false regarding the LOINC standard?

LOINC can be purchased from the American College of Physicians

Which of the following are considered obstacles to PHRs?

Lack of a sustainable business model Lack of interoperability Privacy and security concerns Lack of perceived value to all

Which one of the following is not a reason for patient safety problems in the US?

Legal system is indifferent to patient safety

Virtual (electronic) visits have which of the following attributes? (select all that apply)

Less expensive Good for minor medical issues

What is the greatest obstacle to establishing a Health Information Organization?

Long term business plan

Which one of the following is true regarding SNOMED CT?

Maps (links) to LOINC and ICD-9/10

What is the most common degree pursued in health informatics

Masters Which one of the following is NOT a barrier to the adoption of health information technology, Governmental support

What is the most common category of patient safety studied?

Medication use

Which of the following resources includes the option for a free weekly newsletter?

Medscape

Ordering a CAT scan for routine acute sinusitis is an example of which of the following

Misuse, overuse

Which one of the following is considered the world's largest biomedical research center?

National Center for Biotechnology Information (NCBI)

Health Information Organizations (HIOs) should be considered part of what overall system or network?

NwHIN or eHealth Exchange

Which of the following resources provides textbooks? (select all that apply)

OVID MDConsult

Ideally, what should a health IT contract spell out

On what the hardware the vendor will certify its work, support options and times, how to get out of the contract, effects of customization on support and upgrades

Which of the following represent challenges to physicians who are trying to remain current? (select all that apply)

Overload of information Information from specialists is not trickling down to generalists

Select the current formats for a PHR. (Select all that apply)

PC-based Smartphone-based Smart card-based USB device-based

Which of the following are important to EHR selection

Panning, training, vendor track record, site visits

To connect to a wired network, which of the following can be used

Phone lines, power lines, Ethernet

Which of the following clinicians are eligible for Medicaid reimbursement for EHR use

Physicians, nurse practitioners, physician assistants, nurse midwives

Which of the following can be facilitated by clinical data warehouses

Quality measurements Comparative effectiveness researchPopulation health Disease management

Select one technology limitation in regards to quality improvement (QI) programs

Quality report generation from EHRs can be difficult

Which of the following is generally most appropriate for routine IT equipment purchases

Quick bid

Which of the following programs conduct syndromic surveillance?

RODS

PACS systems can integrate with which of the following systems? (Select all that applies)

Radiology information systems Hospital information systems Electronic health records Health information organizations

Which one of the following is not part of the usual disease management approach?

Reporting physicians who do not practice evidence based medicine

Which of the following is generally used for larger, more complex IT acquisitions to ensure apples to apples

Request for Proposal

Which of the following is a good way to asset with constructing a budget

Request for Quote

Which one of the following is NOT true of Bluetooth 4.0

Requires encryption to work

What data standard is likely to be used by electronic health records for genetic information?

SNOMED-CT

According to CMS, which one of the following represents right care?

Safe care

A Global Area Network (GAN) is associated with which of the following attributes?

Same as broadband wireless

Which one of the following is NOT part of EHR "Meaningful Use", Stage 1

Secure messaging

What attributes are most important for mobile technology? (select all that apply)

Small form factor, Internet access, Low cost medical software

Why are medical calculators an important part of mobile technology? (select all that apply)

Smartphones can calculate quickly Screen size less of an issue

Which of the following is not one of the 18 personal identifiers by the HIPAA Privacy Rule?

State of residence

Radiology and dermatology often use which telemedicine transmission mode?

Store and forward

Which of the following is NOT typically included in capital expenses for health IT

Support and maintenance fees after go live

Which one of the following statements is false regarding the Human Genome Project?

The ethical, social, and legal issues were not reported

The American Recovery and Reinvestment Act of 2009 (ARRA) and the HITECH Act contained elements designed to close security loopholes in the original HIPAA laws enacted in:

The mid-1990s

Moore's Law pertains to which of the following concepts

The number of transistors in a computer chip doubles every 1.5 years What is information brokerage, Bidirectional sharing of information

A federated data sharing model implies that data will not reside in a central data repository (CDR) - True or False

True

An adverse event means that a patient injury occurred

True

Direct secure messaging will be a "push" technology application - True or False?

True

Electronic health records are a major source of phenotypical data True or False?

True

Ethernet networks are faster, less expensive and more secure than wireless networks

True

In order for family histories to be analyzable, the data must be in a computable format.

True

Microsoft Health Vault can accept a CCD. True or False

True

Microsoft HealthVault is an untethered PHR

True

Most biosurveillance programs have a geographic information system (GIS) component - True or False

True

Not all medical errors result in an adverse event.

True

RESTful services is less complicated than web services based on SOAP

True

Studies using predictive analytics to analyze hospital readmissions have had mixed results - True or False

True

Telepsychiatry is well received by most patients.

True

Text messaging has been used for reminders and chronic disease. True or False

True

The ACA promotes QI initiatives True or False?

True

The IMIA Code of Ethics reviews ethical principles and rules for individuals, professionals and institutions

True

The NCBI is part of the National Library of Medicine and the National Institutes of Medicine.

True

The continuity of care document (CCD) utilizes the clinical document architecture (CDA) - True or False?

True

The final Meaningful Use rule addresses security and privacy requirements for certified EHR applications - True or False?

True

The jury is out if disease management programs clearly save money or lives - True or False

True

There is some evidence that PACS improves productivity.

True

Which of the following statement is false about the RODS program?

Uses data from hospital operating rooms

Which one of the following is not a key component of PACS?

VPN network

Which of the following statements is true

Vocabularies help convert data to information

Select one of the main reasons health IT fails

We are data rich but information poor

Select those references that physicians can edit. (select all that apply)

WikiDoc Ganfyd

Which of the following is true regarding Evaluation & Management Codes?

Will help justify billing level or CPT

ICD-10 has which of the following attributes

Will provide more detail than ICD-9, ICD-10 will be expensive to implement

Which of the following are common features of a PACS? (Select all that apply)

Zoom Export feature

Which of the following is NOT a strong tool to use in the selection process

educational demonstrations

Which one of the following is NOT clinical decision support

secure messaging