Healthcare Informatics Final Exam
Smart pump technologies are designed for safe administration of high-hazard drugs and to reduce adverse drug events during intravenous medication administration. Smart pumps have software that is programmed to reflect the facility's infusion parameters and a drug library that compares normal dosing rates with those programmed into the pump. (T/F)
True
Some analysis and redesign efforts may occur weeks, months, or even years following the implementation of technology. (T/F)
True
Surveillance data systems such as infectious disease trackers that collect data on adverse health effects are invaluable tools for public health officials to tap for planning, evaluation, or implementation of public health interventions (T/F)
True
Technologies designed to promote patient safety include wireless technologies for patient monitoring, clinician alerts, point-of-care applications, and radiofrequency identification (RFID) applications. (T/F)
True
Technology can provide a mechanism to improve care delivery and create a safer patient environment, provided it is implemented appropriately and considers the surrounding workflow. (T/F)
True
Technology implemented without consideration of workflow can provide greater patient safety concerns than no technology at all. (T/F)
True
Observation and documentation of workflow to better understand what is happening in the current environment and how it can be altered is referred to as process or workflow analysis. (T/F)
True
Once the technology is integrated into the organization, biomedical engineers can become valuable partners in promoting patient safety through appropriate use of these technologies. (T/F)
True
Organizational leaders must drive the culture change by making a visible commitment to safety and by enabling staff to share safety information openly. Some of the strategies suggested by the IHI include appointing a safety champion for every unit, creating an adverse event response team, and reenacting or simulating adverse events to better understand the organizational or procedural processes that failed. (T/F)
True
Organizational leaders must drive the culture change by making a visible commitment to safety. (T/F)
True
Organizations themselves can engage in root-cause analysis or failure modes and effects analysis to examine medical errors closely and to determine the system processes that need to be changed to prevent similar future errors. (T/F)
True
Patient identification, staff communication, and use of alarms are part of the Hospital National Patient Safety Goals. (T/F)
True
Patient notification of drug recalls is also a benefit of an EHR. (T/F)
True
Technology ought not to be implemented for the sake of automation unless it promises to deliver gains in patient outcomes and proper workflow. (T/F)
True
The Epidemic Information Exchange is a secure communication system for practitioners to access and share preliminary health surveillance information. (T/F)
True
Public health informatics (PHI) represents "a systematic application of information and computer science and technology to public health (PH) practice, research, and learning". (T/F)
True
RFID technologies have both supply chain and patient care applications to patient safety. (T/F)
True
Risk factor systems are used throughout the United States and may be local, regional, or national in scope. (T/F)
True
Clinical transformation is the complete alteration of the clinical environment and, therefore, this term should be used cautiously to describe redesign efforts. (T/F)
True
Telehealth interactions today help to ensure that professionals can: A. replicate usual clinical interactions in all specialties across a distance. B. replace face-to-face clinical interactions. C. greatly reduce health care costs. D. None of these is correct.
A. replicate usual clinical interactions in all specialties across a distance.
Homegrown or locally developed EHR systems are common. (T/F)
False
The EHR may be used to identify patients who qualify for research studies. (T/F)
True
Compliance with HL7 programming standards helps to ensure interoperability of EHRs. (T/F)
True
Health literacy skills include the ability to: A. locate and evaluate health information for credibility and quality. B. analyze the various risks and benefits of treatments. C. negotiate complex healthcare environments. D. All of these are correct.
D. All of these are correct.
Risk factor assessments do not complement the vital statistics data systems but complement the morbidity data systems by providing information on factors earlier in the causal chain leading to illness. (T/F)
False
Stage 1 meaningful use criteria focused on health information exchange and patient control over health data. (T/F)
False
The .health domain name is available to anyone who chooses to use it for their website. (T/F)
False
The eHealth Initiative is largely successful because of interoperability among healthcare systems and the adoption of national data standards. (T/F)
False
The top patient safety issues are identified as early discharge and polypharmacy. (T/F)
False
Which of the following creates the information that becomes the basis for knowledge in the field of public health? A. Theoretical analysis of recent research B. The collection and processing of population health data C. Examination of school aged children D. None of these is correct.
B. The collection and processing of population health data
A dedicated clinician is required on the receiving end of the transmissions from patients at home. This requirement has limited the application of telehealth because of: A. the availability of equipment B. cost and scheduling difficulty C. the user's knowledge and skill of equipment D. the clinician's ability to apply the information E. both the availability of equipment and the user's knowledge and skill of equipment.
B. cost and scheduling difficulty
The estimate of how much exposure to a potential hazard would cause varying degrees of health effects is known as: A. risk characterization. B. dose-response assessment. C. hazard identification. D. exposure assessment.
B. dose-response assessment.
A major goal of the eHealth Initiative is to: A. promote the ability to understand the economics of payment for services. B. empower consumers to understand their health needs. C. promote technology as a means of improving health information. D. manage health information.
B. empower consumers to understand their health needs.
Which of the following web domain suffixes is more likely to contain quality health education material? A. .org B. .com C. .ca D. .net
A. .org
_________________ is the ability to manage results of all types electronically including laboratory and radiology procedure reports, both current and historical. A. Data warehousing B. Digital manipulation C. Electronic searching D. Results management
A. Data warehousing B. Digital manipulation C. Electronic searching D. Results management
The MACRA QPP has which of the following paths that will be in effect through 2021 and beyond? A. Merit-based incentive payment system (MIPS) or alternative payment models (APMs) B. Merit-based incentive payment system (MIPS) or alternative payment models (APMs) or adjusted payment program (APP) C. Merit-based incentive payment system (MIPS) or alternative payment models (APMs) or adjusted payment program (APP) or meaningful use (MU) D. None of these is correct.
A. Merit-based incentive payment system (MIPS) or alternative payment models (APMs)
What is a nonvalue-added activity? A. Steps in a process that are necessary for regulatory or compliance reasons but do not bring the process closer to completion or do not change the product or service for the better B. One that ultimately brings the process closer to completion or changes the product or service for the better C. One that both enhances the process and ultimately brings it closer to completion or changes the product or service for the better. D. One that enhances the process and moves it closer to completion or changes the product or service for the better
A. Steps in a process that are necessary for regulatory or compliance reasons but do not bring the process closer to completion or do not change the product or service for the better
Which of the following would constitute risky behavior? A. Workarounds B. Human error C. Unintentional mistakes D. None of these is correct.
A. Workarounds
Hands-on interactive approaches to health education are more likely to appeal to: A. active seniors B. digital natives. C. digital migrants. D. None of these is correct.
A. active seniors
Core public health functions include all of the following except: A. evaluating webpages for information quality. B. assuring that all populations have access to appropriate and cost-effective care. C. assessment and monitoring of the health of communities and populations at risk to identify health problems and priorities. D. formulation of public policies designed to solve identified local and national health problems and priorities.
A. evaluating webpages for information quality.
When individuals have the capacity to obtain, process, and understand health information, this is known as: A. health literacy. B. e-health. C. e-brochure. D. empowerment.
A. health literacy.
One of the ways that healthcare organizations can utilize informatics for patient education is via: A. kiosks. B. group education classes. C. videotapes. D. brochures.
A. kiosks.
When the Drummond Group or the Certification Commission for Healthcare Information Technology certifies an EHR, this means that the EHR meets the minimum qualifications for: A. meaningful use. B. decision support and documentation of care. C. patient education and information exchange. D. discharge planning.
A. meaningful use.
Integrating technology into the medication administration cycle helps to reduce errors by: A. performing electronic checks against a database of safe medication administration parameters and providing alerts. B. reducing the workload and increasing the efficiency of clinicians. C. employing human factors engineering principles to streamline workflow processes. D. All of these are correct.
A. performing electronic checks against a database of safe medication administration parameters and providing alerts.
Optimization is: A. the process of moving conditions past their current state and into more efficient and effective method of performing tasks. B. maintaining the patient's health through the use of new and innovative methods at the point of care. C. both the process of moving conditions past their current state and into more efficient and effective method of performing tasks and maintaining the patient's health through the use of new and innovative methods at the point of care. D. All of these are correct.
A. the process of moving conditions past their current state and into more efficient and effective method of performing tasks.
_______ seeks to determine the types of health problems that could be caused by exposure to a potentially harmful material. A. Exposure assessment B. Hazard identification C. Risk characterization D. Dose-response assessment
B. Hazard identification
Although first proposed in 2004, EHR implementation blossomed after passage of the HITECH act in 2009 because: A. implementation support was provided by IT professionals. B. monetary incentives and potential penalties were administered by CMS. C. the president discussed EHRs in the State of the Union address and implementation support was provided by IT professionals. D. the president discussed EHRs in the State of the Union address.
B. monetary incentives and potential penalties were administered by CMS.
The universal denominator in the development of EHRs is: A. user friendliness. B. patient safety. C. both user friendliness and patient safety. D. None of these is correct.
B. patient safety.
An adverse event response team works to: A. anticipate workflow issues and develop processes and procedures to promote safety. B. reenact or simulate adverse events to better understand the organizational or procedural processes that failed. C. counsel and discipline employees who engage in risky or reckless behaviors. D. All of these are correct.
B. reenact or simulate adverse events to better understand the organizational or procedural processes that failed.
A specialized system of data collection to detect trends in the incidence and severity of a specific disease or health related syndrome is also known as: A. public health informatics. B. syndromic surveillance. C. data warehousing. D. knowledge generation.
B. syndromic surveillance.
A benefit for healthcare professionals to using technology for patient education is: A. to access information from any website on the computer. B. to improve the compliance and documentation of education. C. to easily distribute the brochures to each patient. D. to standardize the instructions.
B. to improve the compliance and documentation of education.
_______ is an estimation of how much exposure to the potential hazard would cause varying degrees of health effects. A. Hazard identification B. Exposure assessment C. Dose-response assessment D. Risk characterization
C. Dose-response assessment
Linda is an occupational therapist who works for a home health agency based in Pennsylvania, very near the Ohio border. She is assigned to monitor the home telehealth patients for one week to cover for another therapist who is on vacation. Which of the following is true? A. Linda must be licensed to practice occupational therapy and be certified as a home telecare therapist in order to provide vacation coverage. B. Linda must be licensed to practice occupational therapy in Pennsylvania because that is where the agency is located and be certified as a home telecare therapist in order to provide vacation coverage. C. Linda must be licensed to practice occupational therapy in both Pennsylvania and Ohio if telehealth patients are located in both states. D. Linda must be licensed to practice occupational therapy in Pennsylvania because that is where the agency is located.
C. Linda must be licensed to practice occupational therapy in both Pennsylvania and Ohio if telehealth patients are located in both states.
Telemonitoring systems can be set in an acceptable range of values for an individual patient enrolled in the monitoring program. If the patient's levels go above or below predetermined amounts, the program will alert the appropriate party. This is an explanation of what type of improvement seen in the home telehealth software? A. Trending B. Data access and information sharing C. Triage D. Communications
C. Triage
Which format best suits the education needs of digital natives or Generation Y? A. Brochures B. Video tapes C. Video games D. Television
C. Video games
Integration of standardized discharge instructions and patient education materials into the clinical system helps to: A. improve the compliance with and documentation of education. B. streamline the workflow of healthcare professionals. C. both improve the compliance with and documentation of education and streamline the workflow of healthcare professionals. D. None of these is correct.
C. both improve the compliance with and documentation of education and streamline the workflow of healthcare professionals.
An integrated CIS/EHR system supports administrative clinical analytics functions such as: A. staffing and acuity data. B. outcomes measures. C. both staffing and acuity data and outcomes measures. D. None of these is correct.
C. both staffing and acuity data and outcomes measures.
Organizations with the authority to accredit EHRs: A. test EHRs. B. compare EHRs against NIST standards. C. both test and compare EHRs against NIST standards. D. develop and test EHRs.
C. both test and compare EHRs against NIST standards.
Workflow is a term used to describe: A. the action or execution of a series of tasks in a prescribed sequence. B. a progression of steps (tasks, events, interactions) that comprise a work process, involve two or more persons, and create or add value to the organization's activities. C. both the action or execution of a series of tasks in a prescribed sequence and a progression of steps (tasks, events, interactions) that comprise a work process, involve two or more persons, and create or add value to the organization's activities. D. None of these is correct.
C. both the action or execution of a series of tasks in a prescribed sequence and a progression of steps (tasks, events, interactions) that comprise a work process, involve two or more persons, and create or add value to the organization's activities.
The American Association for Justice (2016) suggested that to improve care delivery and to minimize error, the most important tools to employ are: A. computer systems that track activities to provide automation at the point of care. B. medication administration methodologies that provide point-of-care decision support and automation. C. electronic records and information systems to provide point-of-care decision support and automation. D. bar-coding for patient care activities to provide access to information and automation at the point of care.
C. electronic records and information systems to provide point-of-care decision support and automation.
An interprofessional team approach to caring for both humans and animals to improve the collective health of a community or population is referred to as: A. syndromic surveillance. B. global health. C. one health. D. public health informatics.
C. one health.
The EHR function that allows a clinician to enter medication and other care orders directly into a computer including laboratory, microbiology, pathology, radiology, nursing, supply orders, ancillary services, and consults is known as the: A. core care function. B. physician interface. C. order entry management. D. None of these is correct.
C. order entry management.
When persons living with a chronic disease use the Internet for blogging about their health challenges or participating in online discussion forums, this is known as: A. self-diagnosis. B. self-management. C. peer-to-peer support. D. None of these is correct.
C. peer-to-peer support.
A signaling device worn as a pendant to provide access to help is a: A. peripheral biometric device. B. sensor and activity monitoring system. C. personal emergency response system. D. videophone.
C. personal emergency response system.
RFID technology may gradually replace bar-code technology in the medication administration cycle because RFID provides: A. opportunities to check patient identification before administration of the medication. B. easy integration into the electronic health record. C. reduced potential that a counterfeit medication is inadvertently introduced into the supply. D. None of these is correct.
C. reduced potential that a counterfeit medication is inadvertently introduced into the supply.
A decision support system in the EHR consists of: A. reminders and alerts to improve the diagnosis of a patient. B. screening for drug selection, dosing, and interactions. C. preventative health reminders. D. All of these are correct.
D. All of these are correct.
Advantages of EHR use include: A. support for home telemonitoring. B. improved communications. C. improved medication administration safety. D. All of these are correct.
D. All of these are correct.
An example of nonclinical use of telehealth is: A. grand rounds. B. administrative supervision. C. research data collection. D. All of these are correct.
D. All of these are correct.
Early detection of possible outbreaks can be achieved by gathering data on: A. absences from work or school. B. purchases of healthcare products, including specific types of over-the-counter medications. C. laboratory test orders. D. All of these are correct.
D. All of these are correct.
Electronic health records may help to promote public health initiatives by: A. promoting early detection of potential pandemic occurrences. B. automating syndromic surveillance of emergency department records. C. generating population-level alerts to be sent to clinicians. D. All of these are correct.
D. All of these are correct.
Electronic prompts in a technology-based medication administration system warn against the possibility of drug interaction, allergy, or medication overdose when: A. the physician enters the order in the CPOE system. B. the pharmacist verifies and dispenses the medication. C. the medication is about to be administered. D. All of these are correct.
D. All of these are correct.
Employers may use telehealth in a wellness program to: A. reduce absenteeism and increase productivity. B. lower healthcare costs and associated insurance premiums. C. create financial incentives for achieving healthcare objectives. D. All of these are correct. E. lower healthcare costs and associated insurance premiums and create financial incentives for achieving healthcare objectives.
D. All of these are correct.
Health information and data in the EHR consists of: A. demographics. B. medical diagnoses. C. medication lists and allergies. D. All of these are correct.
D. All of these are correct.
Workflow analysis must be conducted as a stand-alone effort. (T/F)
False
Home care telehealth includes which of the following activities? A. Providing customized patient education in dietary or exercise needs B. Review of results of medical tests and exams C. Assistance to physicians in the implementation of medical treatment protocols D. All of these are correct. E. Both providing customized patient education in dietary or exercise needs and review of results of medical tests and exams
D. All of these are correct.
In addition to organizational commitment of resources to address safety concerns, what is a key feature of a safety culture as identified by the AHRQ? A. Acknowledgment of the high-risk nature of an organization's activities and the determination to achieve consistently safe operations B. A blame-free environment where individuals are able to report errors or near misses without fear of reprimand or punishment C. Encouragement of collaboration across ranks and disciplines to seek solutions to patient safety problems D. All of these are correct.
D. All of these are correct.
Key aspects of the health informaticists role in patient safety include: A. ensuring that the technology systems are properly configured and maintained. B. routinely monitoring and checking these systems while making sure that their human potential, the users, are capable of using the systems accurately to avoid errors. C. participating actively in the SDLC to ensure adoption of a robust tool that provides meaningful information and enhances patient care while preventing errors and promoting patient safety. D. All of these are correct.
D. All of these are correct.
Patient data in an electronic health record (EHR) includes demographics, medical and nursing diagnoses, and: A. medication lists. B. allergies. C. test results. D. All of these are correct.
D. All of these are correct.
Positive impacts noted with using an informatics system to manage patients with chronic illness include: A .guidelines adherence. B. a decrease in emergency department visits. C. improved provider documentation. D. All of these are correct.
D. All of these are correct.
Telehealth is provided for which of the following patient populations? A. Homebound patients or those with limited access to transportation B. Rural populations who lack access to primary care C. Those recently discharged from hospitals D. All of these are correct. E. Only homebound patients or those with limited access to transportation and rural populations who lack access to primary care
D. All of these are correct.
The Healthcare Information and Management Systems Society (HIMSS) has been tracking EHR adoption since 2005 through its Stage 7 awards program. HIMSS Stage 7 (the highest level) consists of: A. EHRs with data sharing. B. EHRs with data warehousing. C. totally paperless documentation. D. All of these are correct.
D. All of these are correct.
The driving forces for increased use of telehealth include: A. demographics. B. nursing/healthcare worker shortages. C. excessive costs of healthcare services. D. All of these are correct. E. only demographics and excessive costs of healthcare services.
D. All of these are correct.
The scope of public health informatics (PHI) practice includes knowledge from a variety of additional disciplines, including political science, law, and: A. management. B. organization theory. C. psychology. D. All of these are correct.
D. All of these are correct.
Trends used to describe patients partnering with health care professionals to manage their health are known as: A. empowerment. B. patient engagement. C. connected health. D. All of these are correct.
D. All of these are correct.
Variation occurs when workers:. A. perform the same function in different ways. B. initiate flaws in the way a process was originally designed. C. lack knowledge about the process. D. All of these are correct.
D. All of these are correct.
Which of the following is a type of behavior leading to patient safety compromises? A. Human error (unintentional mistakes) B. Risky behaviors (workarounds) C. Reckless behavior (total disregard for established policies and procedures) D. All of these are correct.
D. All of these are correct.
_______ is done to determine the length, amount, and pattern of exposure to the potentially hazardous material. A. Risk characterization B. Dose-response assessment C. Hazard identification D. Exposure assessment
D. Exposure assessment
_______ is an assessment of the risk of the hazardous material causing illness in the population. A. Exposure assessment B. Dose-response assessment C. Hazard identification D. Risk characterization
D. Risk characterization
Smart pumps are designed for safe administration of high-hazard drugs and to reduce adverse drug events (ADE) during intravenous (IV) medication administration. What happens when a hard alarm is generated by a smart pump? A. The nurse must call the physician for a verbal order to turn off the smart pump technology and administer the drug as ordered. B. Members of the biomedical engineering department can reprogram the pump to avoid these nuisance alarms. C. A licensed clinician or a pharmacist can override a hard alarm and administer the drug as programmed. D. The pump must be reprogrammed so that the rate and dose for administration of the high hazard IV drug falls within the facility's safe infusion parameters.
D. The pump must be reprogrammed so that the rate and dose for administration of the high hazard IV drug falls within the facility's safe infusion parameters.
A safety culture is a blame-free environment where individuals are able to report errors or near misses without fear of reprimand or punishment. Conversely, a just culture emphasizes individual accountability and: A. encourages workarounds in the interest of saving time as long as no harm occurs. B. encourages error reporting and seeks to understand workflow and process issues that lead to errors. C. emphasizes zero tolerance for reckless behavior. D. both encourages error reporting and seeks to understand workflow and process issues that lead to errors and emphasizes zero tolerance for reckless behavior. E. All of these are correct.
D. both encourages error reporting and seeks to understand workflow and process issues that lead to errors and emphasizes zero tolerance for reckless behavior.
Multiple false alarms may lead to alarm fatigue and compromise patient safety by slow response or no response to physiologic alarms. Strategies to improve alarm response include: A. increasing the sensitivity of the physiologic monitors and feeding alarms directly to beepers or phones carried by professionals. B. feeding alarm data into a reporting database for further analysis. C.encouraging healthcare professionals to round with physicians to provide input into alarm settings. D. both feeding alarm data into a reporting database for further analysis and encouraging healthcare professionals to round with physicians to provide input into alarm settings. E. All of these are correct.
D. both feeding alarm data into a reporting database for further analysis and encouraging healthcare professionals to round with physicians to provide input into alarm settings.
The gap between those who have access to online information and to those who do not is called: A. gray gap. B. know-do gap. C. weblog. D. digital divide.
D. digital divide.
A change management plan developed for implementing an EHR will include all of the following except: A. involving subject matter experts to validate workflow. B. hosting end user usability testing sessions. C. formal training activities. D. disciplinary measures for addressing resistance by professionals.
D. disciplinary measures for addressing resistance by professionals.
The benefits of EHR use recognized in early studies include all except: A. reduction in medication errors. B. increased delivery of guidelines-based care. C. enhanced capacity to perform surveillance and monitoring for disease conditions. D. improved workflow.
D. improved workflow.
Clinical data captured electronically and transmitted to another location where it is interpreted by another clinician is known as: A. interactive telehealth. B. remote monitoring. C. telephony. D. store-and-forward telehealth.
D. store-and-forward telehealth.
John, a 78-year-old male patient in a hospital is referred to a pulmonary specialist for a consult on his breathing problems. The specialist orders a CT scan of the lungs and is alerted by the EHR that a CT scan was performed 1 week ago. This alert is designed to prevent duplicate testing and is part of which essential EHR component? A.Cost savings function B.Physician assist system C.Testing management system D.Decision support system
D.Decision support system
According to the Joint Commission, a patient safety issue that results in death, serious harm, or temporary harm is termed a: A.rare occurrence. B.safety culture issue. C.clinical lapse. D.sentinel event.
D.sentinel event.
Although healthcare professionals have an ethical duty to ensure patient safety, increasing demands on professionals in complex and fast paced health care environments may lead to workarounds. What is a workaround? A. A practice that deviates from accepted and expected practice protocols B. A shortcut to save time C. An inappropriate action or omission of appropriate actions D. Both a practice that deviates from accepted and expected practice protocols and a shortcut to save time. E. All of these are correct.
E. All of these are correct.
Epidemiology is: A. identifying things that come upon the people. B. incidence, prevalence, and control of disease. C. case finding. D. case finding and incidence, prevalence, and control of disease. E. All of these are correct.
E. All of these are correct.
A basic knowledge of EHRs and health informatics is now considered to be an advanced informatics competency. (T/F)
False
An EHR may help to lower health care costs by integrating patient information from multiple sources. (T/F)
False
An important consideration for a successful education intervention is the preferred learning style of the provider. (T/F)
False
EHR data need not be formatted in a machine-readable manner to support interoperable exchange of information and data mining. (T/F)
False
Interactive screening forms housed on a patient portal have been shown to increase the number of emergency room visits. (T/F)
False
Most EHR benefits studies are hypothesis-testing studies. (T/F)
False
Most workflow redesign efforts are focused on large changes resulting in widespread change that accompanies transformational activities. (T/F)
False
Order entry management functions in the EHR are limited to physicians. (T/F)
False
Public health informatics (PHI) uses the same tools as clinical informatics, and thus does not differ widely from clinical informatics. (T/F)
False
A "just culture" is one in which system or process issues that lead to unsafe behaviors and errors are addressed by changing practices or workflow processes, and a clear message is communicated that reckless behaviors will not be tolerated. (T/F)
True
A CIS may also be used effectively as a staff development tool. (T/F)
True
A comprehensive surveillance effort supports timely investigation and identifies data needs for managing the public health response to an outbreak or terrorist event. Informatics tools are becoming increasingly important in these public health efforts. (T/F)
True
A major barrier to widespread adoption of e-mail and text messaging among American healthcare providers is the fact that reimbursement mechanisms for electronic health care interventions are inadequate or nonexistent. (T/F)
True
A risk assessment may also be called a "threat and risk assessment." A "threat" is a harmful act, such as the deployment of a virus or illegal network penetration. A "risk" is the expectation that a threat may succeed and the potential damage that can occur. (T/F)
True
According to the ARHQ, one way to balance these competing cultural values (blameless versus accountability) is to establish a "just culture." (T/F)
True
All healthcare organizations ultimately strive for efficient and effective delivery of patient care. (T/F)
True
An advantage of an EHR is not having to interpret poor handwriting. (T/F)
True
An important part of the safety culture is cultivating a blame-free environment. (T/F)
True
Another confounding factor affecting the quality and quantity of workflow research is the lack of standardized terminology for this area. (T/F)
True
As a result of the provisions of American Recovery and Reinvestment Act (ARRA), healthcare organizations can qualify for financial incentives based on the level of meaningful use achieved. (T/F)
True
Biosense provides improved real-time biosurveillance and situational awareness in support of early detection. (T/F)
True
Clinical decision making is guided by targeted information delivery ensuring that the five rights of CDS are implemented: the right information provided to the right person in the right format through the right channel at the right time in workflow. (T/F)
True
Determining the presence of risk factors in community is a key part of a community risk assessment (CRA). Communities may be concerned about which elements in the environment affect or may affect the community's health, the level of environmental risk, and other factors that should be included in public health planning. (T/F)
True
Dr. John Snow can be designated as the "father" of public health informatics. (T/F)
True
EHRs with data sharing capabilities are central to the support of Accountable Care Organizations (ACOs). (T/F)
True
Examining the workflow surrounding the use of technology enables better use of the technology and more efficient work. (T/F)
True
Examining the workflow surrounding the use of technology promotes safer patient care delivery. (T/F)
True
Florence Nightingale should be recognized as an early public health informaticist due to her recommendations about medical reform and the need for improved sanitary conditions that were based on data about morbidity and mortality that she compiled from her experiences in the Crimea and England. (T/F)
True
Hazard identification seeks to determine the types of health problems that could be caused by exposure to materials that have been identified as causing potential health problems. (T/F)
True
Health information organizations (HIOs) have been established to support data sharing via health information exchanges (HIE) promoted by the meaningful use criteria of the electronic health record (EHR). (T/F)
True
HealthIT.gov emphasizes that EHRs hold the promise of transforming health care by improving all aspects of patient safety and promoting patient-centered care. (T/F)
True
Healthcare professionals have an ethical duty to ensure patient safety. (T/F)
True
Healthcare professionals must be involved in "meaningful" data collection and reporting. (T/F)
True
Interoperable EHRs are foundational to the development of HIEs. (T/F)
True
Many health-related websites now support a Spanish language format. (T/F)
True
Many healthcare organizations experience the effects of poorly implemented clinical technology solutions. These effects may be manifested in the form of redundant documentation, nonvalue-added steps, and additional time spent at the computer rather than in direct care delivery. (T/F)
True
Many of the quality reporting measures rely on the healthcare professional's documentation. (T/F)
True
Many organizations are looking to informatics technology to help manage complex safety issues by using smart technologies that provide knowledge access to users, provide automated safety checks, and improve communication processes. (T/F)
True
Neurogaming technology is used in gaming apps to support and promote cognitive function. (T/F)
True
Numerous alarms and multiple false alarms can cause alarm fatigue, resulting in slow response times to legitimate alarms. (T/F)
True
The Patient Safety and Quality Improvement Act of 2005 mandates the creation of a national database of medical errors and funded several organizations to analyze these data with the goal of developing shared learning to prevent medical errors. (T/F)
True
The availability of IT today challenges all stakeholders in the health of the public to adopt new systems that can provide adequate disease surveillance; it also challenges people to improve outmoded processes. (T/F)
True
The data processed into public health information can be obtained from administrative, financial, and facility sources. Included in this data stream may be encounter, screening, registry, clinical, and laboratory and surveillance data. (T/F)
True
The new goal of paying for value and better care, the Medicare Access and Summary CHIP Reauthorization Act of 2015 (MACRA) reformed Medicare payments by making changes that created a quality payment program (QPP) to replace the hodgepodge system of Medicare reporting programs. (T/F)
True
The overall question the risk assessment has to answer is "How much risk is acceptable?" (T/F)
True
The results management function of an EHR is the ability to manage results of all types electronically, including laboratory and radiology procedure reports. (T/F)
True
The term workflow is sometimes used interchangeably with process or process flows, particularly in the context of implementations. (T/F)
True
To manage change in an organization, healthcare professionals must modify behavior to produce the intended outcome. (T/F)
True
Today, the one of the most prevalent thoughts is that workflow should be adapted to the use of technology given the progress of clinical technology. (T/F)
True
Under ARRA, there is now an explicit requirement for providers and hospitals to use a certified EHR that meets a set of standard functional definitions to be eligible for reimbursement incentives. (T/F)
True
Voice recognition software used to navigate the Web may reduce the frustration and confusion associated with attempting to spell complex medical terms. (T/F)
True
We must minimize preventable errors, and one of the most important tools for this purpose is the use of electronic records and information systems to provide point-of-care decision support and automation. (T/F)
True
When RFID tags are embedded in patient identification bracelets, they can help with patient tracking during procedures and testing or function as part of the EHR communicating pertinent information to clinicians at the bedside. (T/F)
True
When someone disregards established policies and procedures it is thought of as reckless behavior. (T/F)
True
Workflow analysis can be conducted as a stand-alone effort. When the process is addressed alone, the effort is termed process improvement. (T/F)
True
Workflow redesign is a critical aspect of technology implementation. (T/F)
True
Workflows integrating technology provide the healthcare professional with the data necessary to make informed decisions. (T/F)
True
