HIT Final (C)
An example of workflow
ASSESSING a patient's condition in the ER ADMITTING a pt in the Hospital SCHEDULING a pt appointment in an outpatient clinic
BEST describes the types of knowledge that can be baked into workflows
Alerts, reminders, evidence, order sets, and automatic billing codes.
Stacey and Skinner (2005) argue that aligning HIT strategy with overall organizational strategy involves three essential elements for success. In what order should these three elements occur?
Align purpose, develop goals and tactics, share responsibility and accountability for achieving the ends
Approximately what percent of the time should first-level and second-level IT service desk technicians be able to find permanent solutions and answers to questions and devise temporary fixes?
95%
As estimated by the IOM, how many patients die each year as a direct result of ERRORS made in the course of their care
98,000
As estimated by the Institute of Medicine, how many patients die each year as a direct result of errors made in the course of their care?
98,000
as estimated by the institute of medicine, how many patients die each year as a direct result of errors
98000
Firmly establishing value in many healthcare investments has proven to be fairly easy and widely accepted
FALSE
Generally, the MAJORITY of HIT projects undertaken in healthcare organization are SUCESSFUL
FALSE
Identifying and managing cross-project interdependencies via a program management approach is an important FIRST STEP toward mitigating the project risk.
FALSE
Organization that allow individual department to automatically manAge their own projects are able to easily manage the interrelationship between PROJECTS and PREEXISTING applications and systems.
FALSE
Sensitivity analysis ensures that IT-realated investments support an organization's strategic business objectives
FALSE
The US healthcare system is on track to transition from a system that emphasized balancing stakeholder value across dimension to a system that emphasize individual value and cost containment.
FALSE
Input for _____________ should document cost savings, revenue enhancements, capacity/volume growth, and risk mitigation resulting form the investment decision.
FINANCIAL BENEFITS
Describe CDI.
Facilitate an accurate representation of healthcare services through complete and accurate documentation. CDI programs aim to improve quality of care. Also, another goal is to facilitate education.
Of the 8 steps in cost evaluation, which puts the technology into the broader systems context?
Framework for analysis
Physicians correct misrecognitions at the time of a dictation when--- is used
Front-end speech recognition technology(FESR)
What is the agency problem that good governance seeks to manage?
Governance must balance the conflict of interest between managers' risk aversion from minimizing mistakes and owners' desire for appropriate risk taking to maximize the well-being of the firm.
Which of the following data visualization tool is used when displaying trends
Graphs
The order in which the 5 KEY PROCESSES of project management should occur:
Initiation, Planning, Execution, Monitoring, Controlling
The benefits of HIT adoptions, specifically EHRs, include:
Inpatient costs, outpatient drug utilization, reduction in adverse events, greater preventive care
Which of the following is NOT an example of a business term category that should be addressed in the contract negotiations?
Interfaces and conversions
According to FDA guidance and mobile app running in the smart phone to analyze and interpret EKG waveforms to detect heart function irregularities is a----
Medical device
AHIMAs House of Delegates
Part of the volunteer structure that governs the profession
Which axis to is used to you a subset of patients health record after logging into a secure online website
Patient portal
What was one of the main purposes of the first computer systems?
Performing financial transactions
Which of the following is where in yours and Joe's dad are using a tablet computer when conducting a patient assessment while at the bedside?
Point of care charting
The following project management knowledge areas individuals should KNOW HOW to manage stakeholders and REPORT performance:
Project COMMUNICATION management
The following project management knowledge area focuses on PROVIDING GUIDANCE to individuals to plan HIT purchasing and contracting:
Project PROCUREMENT management
In which of the following project management knowledge areas should individuals know how to manage stakeholders and report performance?
Project communications management
List and describe 3 AHIMA credentials-include educational requirements.
RHIA, RHIT, and CCA. RHIA credential require a minimum of a bachelors. RHIT credentials require an associates. CCA credentials require a high school diploma or equivalent
_________ management ENSURES that HIT investment deliver outcomes at reasonable costs while also managing associated risk.
RISK
Data are __________________, whereas information is ______________.
Raw facts and figures collected by the organization; processed and analyzed in a formal, intelligent way
Which of the following mechanisms to reduce or control healthcare costs will have an impact on HIT?
Reducing duplicate tests and procedures
Which of the following BEST describes bundled applications?
Multiple integrated products from a single vendor
Which of the following maybe used to capture the data for storage in database
Natural language processing
Refers to ABILITY to make sense of a situation more accurately
SENSE MAKING
I which STAGE of maturity of the HIT portfolio management maturity model does an organization consistently ASSESS RETURNS VERSUS RISK in its portfolio of projects?
SYNCHRONIZED
HIT operations divisions often consist of four major components: systems development, user support, software evaluation, and _________.
Operations
According to Hunter and Ciotti, what is the GREATES CAUSE OF PROJECT FAILURE
POOR EXECUTION
A_______________is a collection of progress and projects
PORTFOLIO
The following option is one of the ten commandments particularly important to HIT value, as proposed by Bates et. al.
Simple interventions work best Monitor impact, get feedback, and respond Speed is everything
----is a barrier to health information exchange users
State Law
Which of the following is NOT one of the steps in the system selection and contract management process?
System implementation
2 fundamental impediments to maximizing value are: INTERDEPENDENCE AND DOCUMENTATION
TRUE
A common conclusion of HIT value finding is that available literature tends to report only narrow analyses of impacts of HIT investments.
TRUE
According to SMALTZ & CUNNINGHAM, responsibility for ensuring that IT are used effectively and efficiently has fallen primarily on user who, in general, know little about the system and their full capabilities
TRUE
Financial barriers to HIT adoption are usually more important than challenges with interoperability, acceptance by clinical staff, or having available technical staff.
TRUE
Individual projects or application progress should not be managed in SILOS but in a professional PMO focused on achieving envisioned benefits.
TRUE
Once data are copied into the data warehouse, the data warehouse provides ONE-STOP shopping for management engineering studies, operations research studies, clinical process studies, and other decision support processes
TRUE
Organizations should consider STANDARDIZING a set of project and portfolio management tools to synchronize their processes and business rules
TRUE
Leading HCOs are taking steps SYSTEMATICALLY & DELIBERATELY to reduce the information load on caregivers and make quality decisions easier. Through which steps do they accomplish this task.
Bakin-in KNOWLEDGE & EXCELLENCE in data warehousing, DATA MINING, and ANALYTICS
-----data analytics is where health information is captured, reviewed and used to measure the quality of the care provided
Clinical
Which decision support system could deliver a reminder to physician that is the time for the patients flu shot
Clinical
Which of the following correctly matches leaders and types of projects
Clinical application projects: Influential business stakeholder from within the clinical leadership of an organization
What are the three benefits of using the electronic health record?
Complete and accurate information; better access to information; patient empowerment
5. What does CPOE stand for? *
Computerized provider order entry *
Which type of analyses are used for technologies that have an outcome that cannot be quantified in financial terms?
Cost-effectivesses analyses
Which of the following is the best example of typical potential recurring costs of an EHR?
Costs associated with EHR maintenance
14. Which of the following is the best example of typical potential recurring costs of an EHR? *
Costs associated with EHR maintenance *
Functions of an HIT PMO
Creating METRICS and DASHBOARDS to facilitate transparency
Which of the following advantages is the primary benefit of integrated systems compared to stand-alone systems?
Enhanced data management capability
Which of the following is the benefit of HIEIE
Enhanced patient care coordination
Which of the following is a benefit of HIE? a. Enhanced patient care coordination b. Advanced level of interoperability c. Increased accessibility of billing records d. Decreased need for medication refills
a. Enhanced patient care coordination
Free tax describing a patient's chief complaint is an example of
Unstructured data
What is the type of power given to leaders who are authorities in their fields or have knowledge or skills that are in short supply are referred to as? a. Expert b. Referent c. Legitimate d. Influence
a. Expert
The clinical data ----lends itself to data mining as it encompasses multiple sources of data
Warehouse
The leader of the coding performance improvement team wants all of her team members to clearly understand the coding process. Which of the following would be the best tool for accomplishing this objective? a. Flowchart b. Force-field analysis c. Pareto chart d. Scatter diagram
a. Flowchart
Which of the following data visualization tool is used when displaying trends? a. Graphs b. Tables c. Pie chart d. Tex
a. Graphs
Templates
a guide for documentation
Dashboard
a management report of process measures
7. A hospital is said to be at Stage 1 when all of its ancillary systems are in place, which includes all of the following EXCEPT *
a module for the emergency department.
Nominal variables
a number is assigned to a specific category
Clinical Documentation Improvement (CDI)
a process to facilitate accurate representation of a patient's clinical status in the patient health record
Key indicator
a quantifiable measure used to determine whether some structure, process, or outcome in the provision of care supports high-quality performance measured against best practice criteria
Drug knowledge database
a subscription service that provides current information about drugs; send alerts for drug-allergy and drug-drug contraindication
Executive information system (EIS)
a system that facilitates and supports senior managerial decisions.
Accreditation
a voluntary process that a organization undergoes to demonstrate that it has met standards
A Z-score of 3.5 represents a score that is how many standard deviations above the mean? a. 3.5 b. 6.5 c. 68 d. 3.5 below the mean
a. 3.5
What is the mean length of stay for the following data set: 10, 12, 5, 6, 7, 9, 5 a. 7.7 b. 9.7 c. 8.6 d. 7.9
a. 7.7
The formal approval process for academic programs in health information management is called which of the following? a. Accreditation b. Certification c. Registration d. Standardization
a. Accreditation
A _____________ allows the team to organize similar ideas into logical groupings. a. Affinity grouping b. Brainstorming c. Motivating technique d. Nominal group technique
a. Affinity grouping
Which group is responsible for AHIMA's certification exams? a. CCHIIM b. AHIMA House of Delegates c. AHIMA Board of Directors d. CAHIIM
a. CCHIM
Which of the following qualify for CEUs? a. College course b. Applying for fellowship c. Being on the AHIMA Board of Directors d. Participating on an AHIMA national committee
a. College course
Which of the following best describes the mission of AHIMA? a. Community of professionals providing support to members and strengthening the industry and profession b. Community of professionals whose major purpose is lobbying Congress to change laws c. Community of credentialed members who monitor the credentialing process d. Community of credentialed members whose purpose is to ensure jobs for their members
a. Community of professionals providing support to members and strengthening the industry and profession
The emphasis on traditional practice of HIM was to ensure: a. Complete and accurate health record b. Valid certification exams c. Retrieval of the health record for patient care d. Management of information
a. Complete and accurate health record
The exchange of email communication between the patient and physician on a question regarding medication is an example of ____________ health informatics. a. Consumer b. Clinical c. Translational d. Medical
a. Consumer
Which statistics examine the spread of different values around the measures of central tendency? a. Measures of variability b. Measures of significance c. The range d. The variance
a. Measures of variability
Healthcare information is primarily for which of the following? a. Provider use in the management of care b. Data analyst use in measuring quality of care provided c. Researcher use in clinical trials d. Individual use in personal health records
a. Provider use in the management of care
which statement regarding the relationship between maturity and cost is true?
as an org's maturity with respect to HIT project management increases, the overall cost of its HIT projects deceases significantly but the success rate increases significantly
a key reason for general govt inyervention includes problems with which of the following
all of the above
which is an example of workflow?
all of the above
which of the following entities report directly to the CIO
all of the above
which of the following options is one of the 10 commandments particularly important to HIT value, ass proposed by bates?
all of the above
American Health Information Management Association (AHIMA)
association of HIM professionals. Strives to foster the professional development of its members
Personal health record
an electronic or paper health record maintained and updated by an individual
Health Information Exchange (HIE)
another way to exchange information across multiple organization and individuals
Continuous variables
any numerical value that goes from one whole # to the next whole #
Student membership
any student who does not carry an AHIMA credential
Which of the following has become a niche market in healthcare information systems?
applications for primary care
State College is applying for accreditation of the new HIM program. How long do they have to complete their candidacy? a. 1 year b. 2 years c. 4 years d. 5 years
b. 2 years
Someone who wishes to sit for the Certified Professional Coder (CPC) certification should contact which organization? a. AHIMA b. AAPC c. HIMSS d. AHDI
b. AAPC
Which of the following is a technique used to generate a large number of creative ideas from a group? a. Affinity grouping b. Brainstorming c. Motivating technique d. Nominal group technique
b. Brainstorming
Placing knowledge directly within the workflow creates an organizational system that will maximize quality decision making, reduce medial errors, and significantly increase the quality of care provided to patients.
TRUE
The key underlying tenet of seminal knowledge management literature is that when individuals in organizations have the knowledge they need to make decisions and accomplish their individual jobs, organizational efficiency and effectiveness are significantly improved
TRUE
Which of the following is the formal process for conferring a health information management credential? a. Accreditation b. Certification c. Registration d. Standardization
b. Certification
________ data analytics is where health information is captured, reviewed, and used to measure the quality of care provided. a. Healthcare b. Clinical c. Financial d. Operational
b. Clinical
Any numerical value that goes from one whole number to the next whole number, such as $30,567.32, 62.596, and 18.65 is called what kind of variable? a. Discrete b. Continuous c. Simple d. Ordinal
b. Continuous
__________ is key to the knowledge discovery process. a. Data formatting b. Data mining c. Data layout d. Data cleaning
b. Data mining
Which of these would be a source of data for job analysis? a. Job posting b. Employee interview c. Advertising d. Professional journal
b. Employee interview
True or false. A histogram should be used with discrete data that is part of a frequency distribution. a. True b. False
b. False
True or false. Leading is one of the four management functions in addition to planning, consolidating, and controlling. a. True b. False
b. False
True or false. Sentinel events are events that showcase the good quality of care provided by a healthcare facility. a. True b. False
b. False
True or false: Due to the supervisor's authority and ultimate responsibility for performance of a unit, he is the only appropriate reviewer of an individual employee's performance. a. True b. False
b. False
True or false: Planning is a course of action designed to produce a desired (business) outcome. a. True b. False
b. False
True or false: The federal Age Discrimination in Employment Act of 1967 prohibits age discrimination against job applicants or workers age 50 and older; this includes hiring, compensation, and other employment decisions based on age. a. True b. False
b. False
True or false: Values are a process by which the policies are put into action. a. True b. False
b. False
Physicians correct misrecognitions at the time of dictation when _______ is used. a. Back-end speech recognition technology b. Front-end speech recognition technology c. Natural language processing technology d. Natural language understanding technology
b. Front-end speech recognition technology
The accountability framework and decision rights to achieve enterprise information management is known as: a. Credential b. Information governance c. Certification d. Registration
b. Information governance
Which of the following statements best defines utilization management? a. It is the process of determining whether the medical care provided to a patient is necessary. b. It is a set of processes used to determine the appropriateness of medical services provided during specific episodes of care. c. It is a process that determines whether a planned service or a patient's condition warrants care in an inpatient setting. d. It is an ongoing infection surveillance program.
b. It is a set of processes used to determine the appropriateness of medical services provided during specific episodes of care.
A patient portal that allows personal health information to be uploaded for provider access is an example of _______________. a. Consumer-mediated exchange b. Data exchange c. Provider-mediated exchange d. Query-based exchange
a. Consumer-mediated exchange
The _________ is a management report of process measures. a. Dashboard b. Scorecard c. Benchmark d. Quality metric
a. Dashboard
Discrimination in employment based on intentional unequal treatment of an individual who is a member of a protected class is known as which of the following? a. Disparate treatment b. Protected treatment c. Harassment d. Hostile work environment
a. Disparate treatment
The ethical principle of ____ recognizes the importance of treating people fairly and applying rules consistently. a. Autonomy b. Justice c. Respect d. Morality
b. Justice
Which of the following is a type of electronic personal health record that allows access to a portal
Tethered
Tracking and comparing over time the number of medical records coded per hour by individual coder to assess coder productivity is an example of a __________. a. Best practice criterion b. Key indicator c. Benchmark d. Baseline
b. Key indicator
The first professional association for health information managers was established in what year? a. 1900 b. 1905 c. 1928 d. 1970
c. 1928
The number of charter members of the ARLNA was: a. 35 b. 17 c. 58 d. 82
c. 58
What is the mode in this array of the following variables? 1,2,3,4,5,6,7,7,7,8,9 a. 2 b. 4 c. 7 d. There is no mode
c. 7
Which of the following make up a virtual network of AHIMA members? a. AHIMA Board of Directors b. AHIMA Council on Certification c. AHIMA Engage d. AHIMA House of Delegates
c. AHIMA Engage
Which of the following is an arm of AHIMA that promotes research in health information management? a. AHIMA Board of Directors b. AHIMA CAHIIM c. AHIMA Foundation d. AHIMA Commission on Certification for Health Informatics and Information Management
c. AHIMA Foundation
The hospital standardization program was started by __________. a. American Health Information Management Association b. Commission on Accreditation for Health Informatics and Information Management Education c. American College of Surgeons d. Healthcare Information and Management Systems
c. American College of Surgeons
Who is responsible for leading, planning, budgeting, resourcing, and training the IT staff? a. CEO b. CFO c. CIO d. COO
c. CIO
Which decision support systems could deliver a reminder to a physician that it is time for the patient's flu shot? a. Document driven b. Executive c. Clinical d. Management
c. Clinical
The requirement for an HIM professional to comply with all laws, regulations, and standards governing the practice of HIM is in the AHIMA _________. a. Mission b. Vision c. Code of ethics d. Engage
c. Code of ethics
Many organizations and quality experts define quality as meeting or exceeding ______________. a. Patient quotas b. System outputs c. Customer expectations d. Data collection
c. Customer expectations
To arrive at information, _________ are required. a. EHRs b. Statistics c. Data d. PHRs
c. Data
What is the first stage of transforming raw data into meaningful analytics? a. Data normalization b. Data analysis c. Data capture d. Data provisioning
c. Data capture
A _________ generated scorecard could be used by a manager to monitor readmission rates in order to track trends and identify opportunities for improvement. a. Provider decision support system b. Clinical decision support system c. Decision support system d. Resource allocation support system
c. Decision support system
Which of the following is the harshest form of leadership? a. Participative Leadership b. Bureaucracy c. Exploitive autocracy d. Benevolent autocracy
c. Exploitive autocracy
Which of the following functions governs the HIM profession? a. AHIMA Board of Directors b. AHIMA Commission on Certification for Health Informatics and Information Management c. AHIMA House of Delegates d. AHIMA Foundation
c. House of Delegates
In order to qualify for an AHIMA fellowship, what minimal educational level is needed? a. Associate degree b. Bachelor degree c. Master's degree d. Doctorate degree
c. Master's degree
According to FDA guidance, a mobile app running on a smart phone to analyze and interpret EKG waveforms to detect heart function irregularities is a ___________. a. Durable medical equipment b. Patient portal c. Medical device d. Medical product
c. Medical device
What are the four functions of management that HIM directors use in the day-to-day and long-term operation of the department to ensure the healthcare organization is in compliance with management of HIM functions? a. Strategy, controlling, management, planning b. Planning, controlling, strategy, leading c. Planning, controlling, leading, organizing d. Management, controlling, leading, organizing
c. Planning, controlling, leading, organizing
To be recognized as a profession, which of the following did HIM need? a. Certification b. Registration c. Preliminary training d. Accreditation
c. Preliminary training
This particular process is important in effectively testing whether the specific intervention actually made a difference in the outcome of the disease in experimental studies. It is called which of the following? a. Odds ratio b. Relative risk c. Randomization d. Incidence rate
c. Randomization
Which measure of variability is the simplest one to compute? a. Standard deviation b. Variance c. Range d. Mode
c. Range
A radiology information system is which of the following? a. Core clinical component b. Hospital information system c. Source system d. Supporting infrastructure
c. Source system
The two components of AHIMA's management structure are which of the following? a. Staff and team b. Team and committee c. Staff and volunteer d. Volunteer and council
c. Staff and volunteer
___________ is a barrier to health information exchange users. a. HIPAA b. HITECH c. State law d. CDC
c. State law
The key to building what statistical tool is to make it able to stand alone so anyone reading it can understand the information displayed? a. Graph b. Plot c. Table d. Measure of central tendency
c. Table
Free text describing a patient's chief complaint is an example of _________. a. Structured data b. Discretionary data c. Unstructured data d. Discrete data
c. Unstructured data
Revenue cycle management is accomplished through use of which of the following systems? a.Eligibility verification system b.Form creation system c.Patient financial service system d.Registration-admission, discharge, transfer system
c.Patient financial service system
Infusion pumps and robotics are examples of which of the following? a.EHR systems b.Medical devices c.Smart peripherals d.Specialty clinical applications
c.Smart peripherals
A way to send secure messages over the Internet is which of the following? a.Cloud computing b.Digital imaging and communications network c.Virtual private network d.Web services architecture
c.Virtual private network
Qualitative variables
categorical; are all discrete and include nominal and ordinal variables
Steps in Job Analysis
clarify the job type, use a variety of data sources, and identify job's primary duties
which correctly matches leaders and types of projects?
clinical application of projects-> influential stakeholder from within clinical leadership of org business application projects->influential business stakeholder infrastructure projects-> Cio or one of the CIO's key directors
what function does an HIT PMO serve?
creating metrics and dashboards to facilitate transparency
An RHIT who graduated from college 6 months ago is joining AHIMA for the first time. What membership is he or she qualified for? a. Student b. Emeritus d. New graduate d. Active
d. Active
Which is a simple chart used to describe qualitative, categorical, or discrete variables such as nominal or ordinal data? a. Line graph b. Pie chart c. Frequency polygon d. Bar chart
d. Bar chart
A ________ would be used to define syntax conventions. a. Terminology standard b. Transport standard c. Services standard d. Content and structure standard
d. Content and structure standard
What type of study design was used to explore how the use of automated coding software (computer-assisted coding [CAC]) could be used to enhance anti-fraud activities? a. Retrospective b. Prospective c. Experimental d. Descriptive
d. Descriptive
Prior to hospital standardization, health records were: a. Valuable tools b. Strong communication methods c. Complete documentation of patient care d. Essentially worthless
d. Essentially worthless
The _______ would be used to help find actionable insights to drive enterprise performance. a. Knowledge driven system b. Group decision support system c. Business information system d. Executive information system
d. Executive information system
Which of the following federal laws prohibits employers from interfering with employees' rights to form labor unions and bargain collectively? a. Equal Employment Opportunity Act b. Americans with Disabilities Act c. National Labor Relations Board d. National Labor Relations Act
d. National Labor Relations Act
When a number is assigned to a specific category such as a 1= male and 2 = female, this is what type of variable? a. Ordinal b. Interval c. Ratio d. Nominal
d. Nominal
In which type of distribution are the mean, median, and mode equal? a. Bimodal distribution b. Simple distribution c. Non-normal distribution d. Normal distribution
d. Normal distribution
Which of the following are the principles describing how a department or an organization will handle a specific situation or execute a specific process? a. Vision b. Procedures c. Planning d. Policies
d. Policies
Connecting the PHR to the patient's legal health record protects it under the HIPAA ______. a. Confidentiality Rule b. ONC Rule c. Security Rule d. Privacy Rule
d. Privacy Rule
If a researcher was interested in whether the use of estrogen replacement therapy (ERT) caused colon cancer in postmenopausal women, they would recruit a group of women with colon cancer (cases) and another group of women without colon cancer (controls) as subjects. What is this type of study design called? a. Prospective cohort b. Historical prospective c. Descriptive d. Retrospective case-control
d. Retrospective case-control
Which of the following is a type of electronic personal health record that allows access through a portal? a. Merged b. Standalone c. Secure d. Tethered
d. Tethered
Critique this statement: Once someone has earned the registered health information technician (RHIT) credential, it is a lifetime certification. a. This is a true statement. b. This incorrect as it is valid only until you retire. c. This is incorrect as RHITs have to retake for the exam every 10 years d. This is incorrect as RHITs have to become recertified.
d. This is incorrect as RHITs have to become recertified.
Which of the following is a traditional HIM role? a. Managing interoperability standards b. Data manipulation c. Information governance d. Tracking record completion
d. Tracking record completion
Which of the following is an important part of quality patient care as it helps to ensure necessary and appropriate care, effectiveness of the services provided to the patient, and timely and safe discharge of patients? a. Clinical performance measure b. Performance improvement c. Risk management d. Utilization management
d. Utilization management
Coder Status as 1=advanced, 2=intermediate, 3=beginner is an example of a__________ in common data configurations of statistical software/ a. Data list b. Missing value c. Output d. Value label
d. Value label
Which of the following is a fundamental change in how medicine is practiced using health IT? a.Clinical decision support b.Clinical transformation c.EHR optimization d.Medical informatics
d.Medical informatics
Structured data are which of the following? a.Able to be processed by a computer b.Images of data on a printout c.Organized according to a classification system d.Required for all parts of the EHR
d.Required for all parts of the EHR
A form of clinical decision support that guides a user in appropriate documentation is which of the following? a.Digital dictation b.Point of care documentation c.Reminder system d.Template
d.Template
What is the combination of quality and cost of healthcare? a.Care process b.Risk c.System d.Value
d.Value
Which of the following is an example of clinical decision support? a.Authenticate a document b.Digital dictation system c.View lab results d.Workgroup tool
d.Workgroup tool
info exchange across an org
data compatability
Which of the following is a database application that looks for hidden patterns in large groups of data?
data mining
which is a database application that looks for hidden patterns in large groups of data
data mining
which of the following areas does a data mart support
data mining
into which of the following must data be aggregated to facilitate analysis in continuous process improvement efforts?
data warehouse
What is operational planning?
day to day tasks required to guide an organization towards the goals of the strategic plan
What are strategic uses of healthcare information?
decision support, EIS, quality measurement and clinical research
in which stage of maturity of the HIT portfolio manageemnt maturity model has an organization created a centralized entity to maintain and inventory projects and manage them centrally?
defined
Enhanced websites sponsored by healthcare organizations are being used for all of the following EXCEPT
disclosure of patient information.
what is a primary focus of public health info systems
disease prevention and surveillance programs
Describe authoritarian leadership
domineering and decisions made upstairs and passed down
American Academy of Professional Coders (AAPC)
educates and certifies medical coders; CPC, CPC-P... certification
which of the following areas do e networking and e health apps support?
electronic data interchangw
1. EHR stands for *
electronic health record.
Patient portal
enable patients to log on to a website from home or a kiosk to have access to their health information
input for ___ should document cost savings, revenue enhancements, capacity/volume growth, and risk mitigation resulting from the investment decision
financial benefits
which puts the tech into the broader system context
framework for analysis
The growth of managed care in the 1970s prompted all of the following organizational responses similar to today EXCEPT
growth of accountable care organizations.
Describe laissez-faire leadership
hands off and associated with negative outcomes
What's the importance of health information?
health information is important to patient care, reimbursement, and research
Clinical decision support (CDS)
helps healthcare staff make decisions about patient care
this major set of govt legislative and administrative interventions has fundamentally changed HITY in the last decade and will continue to change it
hipaa
of the 8 steps in question 7, which is morst important in the analysis
identify study objectives
which of the following sequences of key steps to using formal methods of cost evaluation is correct
identify study objectives, specify alternatives, framework for analysis, measure costs,measure benefits, life cycle and discounting
Measures of central tendency
include the mean, median, and the mode
Job description
includes the job title, job summary, and duties
which refers to the complex mixture of quantity, ambiguity, and variety of info that people are forced to process
information load
POC charting
informs user what documentation is needed, supports structured data collection, and provides documentary evidence of patient care actions
in which order should the five key processes of project management occur?
initiation, planning, execution, monitoring and controlling, closing
the benefits of HIT adoptions, specifically EHRs, include
inpatient costs, outpatient drug utilization, reduction in adverse drug events, and greater preventative care
why is critical path analysis important?
it provides a forcast of the shortest possible time needed to complete the project
sn HCO is an open system because
it reacts to the need of the community
which statement concerning knowledge management is not truw
knowledge can be found only in explicit form: databases, spreadsheets, presentation slides, and so on
what is the current driver of hit costs
labor
according to the leading hc search firms, what is a cios responsibilities
leadership
Tethered PHR
linked to a specific healthcare organization's EHR. Allows patients to access their own records through a portal
what is a leading cause of adverse health consequences and greater cost burden on society as a whole
medical errors
Ratio variables
most common variable used in healthcare. Includes #'s that can be compared with one another
Sunsetting
no longer selling or supporting
which of the following does operational management systems support?
non pt care activities
Unstructured data
nonbinary, human-readable data
bush's value driven hc called for
none of the above
Quantitative variables
numerical variables that can be classified as discrete or continuous
Active membership
open to all individual's who are interested in AHIMA's purpose & willing to abide by the code of ethics
investments applied to the _____ level have the greatest chance of success
operational
hit operations divisions often consist of 4 major components: systems development, user support, software eval, and
operations
Association for Healthcare Documentation Integrity (AHDI)
organization dedicated to capture of health data and documentation; RHDI and CHDS certification
Health Information and Management Systems Society (HIMSS)
organization focused on better health through information technology
Describe democratic leadership
participative and supports collective decision making
Standalone PHR
patient can fill in info. they want to share with their provider. Info. is stored on a computer or an online system and the patient chooses with whom they share the info.
which of the following areas do clinical info systems support?
patient care
which of the following do clinical decision support systems support
patient care
What are the challenges of HIE?
patient identity and data standards
According to Hunter and Ciotti (2006), what is the greatest cause of project failure?
poor execution
according to hunter and ciotti, what is the greatest cause of project failure?
poor execution
a ______ is a collection of programs and projects
portfolio
Performance Improvement (PI)
process of identifying areas that need improvement and taking action to improve performance
Quality management
process of measuring and evaluating the quality of care provided
which project management knowledge areas focuses on providing guidance to individuals about how to plan HIT purchasing and contracting?
program procurment management
in which project management knowledge area should individuals know how to manage stakeholders and report performance?
project communications management
which of the following entities is arguably the most preeminent credentialing body for project management?
project management institute
Which of the following project management knowledge areas focuses on providing guidance to individuals about how to plan HIT purchasing and contracting?
project procurement management
which scenario describes a silo HIT project management mentality?
projects are initiated, planned and executed without considering their impact on preexisting systems or other projects being planned and executed at the same time
AHIMA Foundation
promotes education and research in HIM; philanthropic and charitable arm of AHIMA
10. All of the following are examples of clinical decision support system capabilities EXCEPT *
providing easy access to images in a picture archiving and communications system (PACS). *
Job specifications
qualifications required to perform a job
Ordinal variables
ranked variables in which a number is assigned to rank a category in an ordered series
Value
refers to the combination of quality and cost
Revenue cycle management (RCM)
refers to the entire process of creating, submitting, analyzing, and obtaining payment for healthcare services
Closed-loop medication management
refers to the use of certain systems that help ensure patient safety
R-ADT
register patients for inpatient or outpatient services. Captures demographic and insurance data
Scorecard
reports outcome measures
National Cancer Registrars Association (NCRA)
represents cancer registrar professionals; CTR certification
Query process
requests from the coder to the physician for additional clarification.
Clinical decision support system (CDSS)
requires the combination of data from more than one sources and ability to deliver the alert back to appropriate system(s
What are two models of PHRs?
standalone and tethered/connected
admin simplification involves which four features?
standards for electronic health trans, required use of standards, privacy of health info, penalties for noncompliance
Systems Development Life Cycle (SDLC)
steps taken from an initial point of recognizing the need for a desired result, through the steps taken to ensure that all components needed are addressed
which of the following areas do strategic support systems support
strategc planning
Source systems
supply the EHR and other applications with data -administrative, financial, ancillary or departmental systems
in ehich stage of maturity does an organization consistently assess returns versus risks in its portfolio of projects?
synchronized
which characteristic is not required for a cio
technical expertise
what workforce shortage did the HITECH act attempt to fill
technology
Meaningful Use (MU)
term used for the program designed to incentivize the use of EHRs
15. All of the following are components of Stage 7, the highest stage in the EMRAM adoption model, EXCEPT *
the ability to make general ledger entries directly from the EHR. *
Optimization
the healthcare organization implements all of the technology available
agency prob that good governance seeks to manage
the long answer
Healthcare data analytics
the practice of using data to make business decisions in healthcare
Clinical data analytics
the process by which health information is captured, reviewed, and used to measure quality
Data capture
the process of recording data in health record system or database
Explain the role of data analytics in healthcare information
the role depends on the type of data and the purpose of turning it into healthcare information. Purposes include improvement of quality and patient outcomes
Data analytics
the science of examining raw data with the purpose of drawing conclusions about that info.
Adoption
the term associated with the intent of MU. Reflects that the organization has implemented all major component of technology
which of the following terms describes an operational device designed to aid in defining and collecting relevant start-up and recurring costs
total cost of ownership
___ are activities involving the transfer of hc info for specific purposes
transactions
2 fundamental impediments to maximizing value are interdependence and documentation
true
HITECH was designed to expand the use of EHR because of the social benefit
true
Medical knowledge is expanding exponentially, making it virtually impossible for a physician to stay abreast of the latest medical information
true
Medical knowledge is expanding exponentially, making it virtually impossible for a physician to stay abreast of the latest medical information.
true
Once data are copied into the data warehouse, the data warehouse provides one-stop shopping for management engineering studies, operations research studies, clinical process studies, and other decision support processes.
true
Alert fatigue
when an excessive number of alerts are used in an information systems, users may ignore them
according to the census approx how many people are uninsured
49 million
capital costs per bed in a hospital were how much in 2011
6000
National health spending reached approximately what figure in 2005?
$2 Trillion
Capital costs per bed in a hospital were approximately how much in 2006?
$6,000
how many spaces come after a title (Dr.)
1
What are the three stages of transforming raw data into meaningful analytics?
1. data capture 2. data provisioning 3. data analytics
What are 5 core clinical EHR systems?
1. results management 2. POC documentation 3. CPOE and BC-MAR 4. CDSS 5. reporting
Medication five rights
1. right drug 2. right dose 3. right route 4. right time 5. right patient
In what year was HIPAA passed into legislature?
1996
what year was hipaa passed into law
1996
List and describe 3 data sets.
3 types of data sets are UHDDS, UACDS, and DEEDS. UHDDS collects uniform data elements from health records of every hospital inpatient. UACDS collects data specific to ambulatory care settings. DEEDS collects data from hospital-based emergency rooms
Clinical data repository
A central database that focuses on clinical information
Decision support system (DSS)
A computer-based system that gathers data from a variety of sources and assists in providing structure to the data by using analytical models and visual tools to facilitate and improve the ultimate outcome in decision-making tasks associated with nonroutine and nonrepetitive problems
Which of the following statements BEST describes the EMR Adoption Model (EMRAM)?
A conceptual model that describes increasingly sophisticated components of an EHR A conceptual model used to measure the state of adoption of EHRs across the United States and Canada
Which of the following statements BEST describes the EMR Adoption Model (EMRAM)? *
A conceptual model that describes increasingly sophisticated components of an EHR A conceptual model used to measure the state of adoption of EHRs across the United States and Canada
What is a request for proposal (RFP)?
A formal notice that the organization is interested in purchasing a particular type of HIT product
9. What is a controlled medical vocabulary (CMV)?
A tool used to standardize information for purposes of capturing, storing, exchanging, searching, and analyzing data *
Emeritus membership
AHIMA membership category for members who are 65 years old or older.
Hospital Standardization
American college of Surgeons in 1918; establish quality standards for hospitals with complete and accurate records
Which type of analyses apply when all aspects of the cots related to a technology and benefits of that technology are measured in monetary terms?
Benefit-cost analyses
Which of the following is NOT a key benefit of an EHR?
Better access to information about an organization's human resources
2. Which of the following is NOT a key benefit of an EHR?
Better access to information about an organization's human resources *
Which of the following dimensions is NOT one of Davis's (2004) six domains of quality from the perspective of the patient?
Comfort
The exchange of email communication between the patient and physician and then question regarding medication is an example of---- health information
Consumer
A patient portal that allows personal health information to be uploaded for provider axis is an example of
Consumer mediated exchange
A----would be used to define syntax conventions
Content and structure standard
Which of the following focuses on restoring the healthcare organization's IT services as quickly as possible after a service interruption?
Continuity Management
The ____ is a management report of a process measures
Dashboard
To arrive at information, ----are required
Data
Which of the following is a database application that looks for hidden patters in a large group of data?
Data MINING
Into which of the following must data be aggregated to facilitate analysis in continuos improvement efforts.
Data Warehouse
What is the first stage of transforming raw data into meaningful analytics
Data capture
----- is key to the knowledge discovery process
Data mining
A----generated scorecard could be used by a manager to monitor feadmission rates in order to track trends and identify opportunities for improvement
Decision support system
I which STAGE of maturity of the HIT portfolio management maturity model has an organization created a CENTRALIZED ENTITY to MAINTAIN an INVENTORY PROJECTS and MANAGE them centrally?
Defined
What is (are) the most important feature(s) of the Patient Protection and Affordable Care Act with respect to HIT?
Development of accountable care organizations, which place responsibility for the cost of care of uninsured and newly insured patients on delivery organizations; Uncertainty regarding the timing of the implementation of features of the reform legislation; Massive expansion of the number of new patients entering the system with new medical problems and less exposure to the healthcare delivery system; Pay-for-performance initiatives, which require better documentation of patients upon entry into the system for care and after the primary episode of care
Why didn't happened? Is answered by ---analytics
Diagnostic
In the system selection process, the step of reducing the number of potential vendors that a healthcare organization is considering to just a few finalists is called
Down selection
Of the 8 steps in cost evaluation, which EXAMINES who receives the costs and benefits?
Equity
The ----would be used to help find actionable insights to drive enterprise performance
Executive information system
ETL stands for
Extraction, Transformation, and Load
Information collected, assumptions made, benefits observed, and costs incurred should be reviewed continuously throughout the lifecycle of an investment. If you veer of course, having a ________ enables the organization to ADJUST TO MINIMIZE LOSS.
FEEDBACK MECHANISM
All distributed processing environments are decentralized.
False
Communication between CIOs and CEOs is not important because the CIO is an executive-level position and he or she can fully handle his or her department responsibilities.
False
Cost, quality, and access (the healthcare triangle) involve systems challenges faced by our governmental leaders and do not have a direct impact on healthcare organizations or HIT.
False
For the closed-loop medication capability of an EHR, all of the following capabilities must prerequisitly be in place within the EHR: bar coding, CPOE, CDSS, and an EDW.
False
Microwave transmission is more reliable in unstable weather conditions than broadcast radio.
False
The HITECH Act does not specify any clinical quality reporting requirements for providers.
False
The basic schematic of current computer hardware bears little resemblance to first-generation computers.
False
6. The HITECH Act, which was a part of the American Recovery and Reinvestment Act of 2009, incentivizes individual physicians, not hospitals, to meaningfully use an EHR. *
False *
8. For the closed-loop medication capability of an EHR, all of the following capabilities must prerequisitly be in place within the EHR: bar coding, CPOE, CDSS, and an EDW.
False *
In incident management, there are three levels of support services. Which of the following options correctly describes the type of help provided at each level?
First level: handles the most routine, recurring incidents, such as resetting a user's password Second level: requires a lot of expertise and training; may require a technician to go physically to the user's location Third level: handles the most difficult and unique problems and often must perform deep root-cause analysis
Fellowship Program
For AHIMA members who made significant contributions to the HIM profession; open to active and senior members
What are the benefits and challenges of HIE?
HIE is the exchange of health information electronically between providers and others with the same level of interoperability. Benefits include: basic level of interoperability met; enhanced patient care coordination; and increased patient safety. Challenges include: patient identity and data standards
The following is not one of the reasons why determining value for HIT is a particularly challenging
HIT is EXPENSIVE
which is not one of the reasons why determining value for HIT is challenging
HIT is expensive
A(n) ________________'s greatest contribution is in providing strategic views into the projects the organization is working to benefit HIT governance decision making
HIT portfolio DASHBOARD
a ____'s greatest contribution is in providing strategic viewsa into the projects the org is working on to benefit HIT governance decision making
HIT portfolio dashboard
Which of the following statements concerning healthcare information systems' programs and services is TRUE?
Historically they evolved piecemeal, whereas recently they have required a careful planning process.
Which of the following statements about software development is true?
Historically, most hospitals employed a staff to develop computer applications in-house; nowadays, most hospitals rely primarily on software packages purchased from commercial vendors.
Refers to the complex mixture of quantity, ambiguity, and variety of information that people are forced to process?
INFORMATION LOAD
One of the 8 steps in cos evaluation is
Identify study objectives
The following sequences of key steps to using formal methods of cost evaluation is correct?
Identify study objectives, Specify alternatives Framework for analysis Measure benefits Lifecycle and discontinuing
Tracking and comparing overtime the number of medical records coordinator hour by individual quarter to assess quarter productivity is an example of
Key indicator
The following statement about KNOWLEDGE MANAGEMENT is NOT TRUE
Knowledge can be found ONLY in explicit form: databases, spreadsheets, presentation slides, and so forth.
According to leading healthcare search firms, what is included in the list of a CIO's job responsibilities?
Leadership
AHIMAs Board of Directors
Leads the volunteer structure; manages the association
Investments applied to the ____________ level have the greatest chance of success
OPERATIONAL
Connecting the PHR to the patients legal health record protects it under HIPAA----
Privacy rule
The following scenarios describes, a SILO HIT project management mentality
Projects are initiated, planned and executed without considering their impact on preexisting systems or other projects being planned and executed at the same time.
Which of the following scenarios describes a silo HIT project management mentality?
Projects are initiated, planned, and executed without considering their impact on preexisting systems or other projects being planned and executed at the same time.
Healthcare information is primarily for which of the following?
Provider use in the management of care
Why is CRITICAL PATH analysis important?
Provides a FORECAST of the shortest possible time needed to complete the overall project
The external environment and government have _______ roles in healthcare operations.
Substantial, Direct, Indirect
Describe and summarize HIPAA (include 3 provisions).
The federal law enacted to provide continuity of health coverage and guarantee security and privacy of health information. Three major provisions include portability, administrative simplification, and medical savings and tax reduction. The HIPAA Privacy Rule is a part of administrative simplification
Which of the following statements regarding unplanned work is NOT true?
The key difference between low- and high-performing HIT departments concerning unplanned work is that low-performing HIT departments put in place holistic controls and processes that cut horizontally across the HIT department, whereas high-performing HIT departments often operate in vertical, function-based silos with little to no formal cross-functional controls or processes.
Which of the following statements concerning IT service desks is NOT true?
They address only malfunctions and incidents.
The following terms describes an operational device designed to aid in defining and collecting relevant star-up and recurring costs?
Total cost of ownership
12. What does TCO stand for? *
Total cost of ownership *
A best practice in the system selection process is to inform the responding vendors that the responses they submit in their request for proposal and their price quotes will be attached to the final contract as a commitment.
True
Staffing for HIT has grown rapidly in recent years and appears to be continuing to increase.
True
The CIO position is usually not the first job that person holds out of school.
True
There is an official department of the US government within the Health and Human Services (HHS) agency called the Office of the National Coordinator for Health Information Technology, which provides guidance and coordinates national policy on the adoption of EHRs.
True
User satisfaction is a key barrier in transition to a thin client environment.
True
11. There is an official department of the US government within the Health and Human Services (HHS) agency called the Office of the National Coordinator for Health Information Technology, which provides guidance and coordinates national policy on the adoption of EHRs. *
True *
13. A simple definition of "meaningful use of an EHR" is use that results in significant measurable improvements in the quality and affordability of care. *
True *
3. An EHR has the ability to help reduce overutilization of drugs.
True *
Johnston, Pan and Middleton suggested that HIT investment decisions were vital decisions on behalf of the organization
True, because COMPLEXITY & LACK of comprehensive data gave HIT leaders little else to use for these decisions
The following statement regarding the relationship between maturity and cost is TRUE
Typically, as an organization's maturity with respect to HIT decreases significantly but their success rate increases substantially
In 1980, Goldsmith predicted what healthcare would look like in the future. Which of the following did he NOT forecast?
Undersupply of physicians
Which of the following is the most widely used output medium in healthcare organizations?
Video Display
According to your professor, does health information technology ("HIT") matter?
Yes
Critique this statement: an RHIT must be at least 65 years old in order to qualify for emeritus membership. a. This is a true statement. b. This is a false statement because the member must be at least 60 years old to qualify. c. This is a false statement because the member must be at least 70 years old to qualify. d. This is a false statement because the member must be at least 55 years old to qualify.
a. This is a true statement.
True or false. A bubble chart is similar to a scatter chart except that it compares three data variables. a. True b. False
a. True
True or false. A line graph is a graphical device used to display continuous data and to show changes or trends of the data over time. a. True b. False
a. True
True or false. A scatter chart, scatter plot, scatter diagram, or scatter graph is used to demonstrate a relationship between two variables. a. True b. False
a. True
True or false. Frequency polygons differ from line graphs in that frequency polygons display the entire frequency distribution (counts) of the continuous variable; a line graph plots only the specific data points over time. a. True b. False
a. True
True or false: The Equal Pay Act requires that men and women in the same workplace receive equal pay for performing equivalent work based on job title. a. True b. False
a. True
The clinical data ___________ lends itself to data mining as it encompasses multiple sources of data. a. Warehouse b. Repository c. Record d. Depository
a. Warehouse
When an EHR is integrated into the daily routine of clinicians it is said to be in what stage of existence? a.Adoption b.Implementation c.Meaningful use d.Optimization
a.Adoption
Ideally, clinical documentation in an EHR should be performed _____________. a.At the point of care b.Before the patient is discharged from the hospital c.Via speech dictation when the clinician has completed examination of the patient d.Within one business day of collection
a.At the point of care
What health information exchange is a sophisticated structure that enables both receipt of data and the ability to query an exchange for data? a.CONNECT b.Direct c.Microsoft Vault d.File Transfer Protocol
a.CONNECT
Which of the following is a program that assures there is documented approval for altering an application? a.Change control b.Configuration management c.System build d.System maintenance
a.Change control
The systems development life cycle _________________________. a.Ensures all components for a system to achieve its value are in place b.Identifies when products or services need to be sunset or discontinued c.Helps organizations select appropriate software d.Relates applications to the technology needed to run them
a.Ensures all components for a system to achieve its value are in place
In order to locate a patient via a health information exchange organization, there must be which of the following? a.Identity matching b.Identity management c.Record locator service d.Unique patient identifier
a.Identity matching
What is interoperability? a.The ability to share health information with other health IT systems b.A form of health information exchange c.A process that integrates all health information into one database d.A system of technologies that work together to achieve a common purpose
a.The ability to share health information with other health IT systems
True or false: An organization's goals that are supported by health IT can be achieved more quickly and completely if monitoring results is performed. a.True b.False
a.True
True or false: Computerized provider order entry systems can be used to order narcotics. a.True b.False
a.True
True or false: Medication reconciliation is very difficult to implement and often one of the last applications within the medication management set of systems. a.True b.False
a.True
True or false: The Logical Observations Identifiers Names and Codes (LOINC) vocabulary is used to encode laboratory orders and results a.True b.False
a.True
the iron triangle is a combo of cost quality and
access
What are two drivers of clinical quality
accreditation standards and regulatory requirements
CAHIIM
accrediting organization that establishes and enforces quality standards for programs
software used in hcos is
acquired from vendors
in addition to ensuring that individuals retain access when they change jobs, hipaa contains a provision for
administrative simplification
which best describes the types of knowledge that can be baked into workflows?
alerts, reminders, evidence, order sets, and automatic billing codes
According to Blake and Mouton's leadership grid, authoritarian leadership reflects which of the following? a. Low concern for people and a low concern for production b. Low concern for people and high concern for production c. High concern for people and low concern for production d. High concern for people and a high concern for production
b. Low concern for people and high concern for production
Which of the following is the process of planning, controlling, leading, and organizing the activities of a healthcare organization or department within an organization? a. Strategy b. Management c. Leading d. Planning
b. Management
The first step to compute the _________ will include ranking the values from lowest to highest. a. Mean b. Median c. Mode d. Standard deviation
b. Median
Which professional organization sponsors the CTR certification? a. AHIMA b. NCRA c. AAPC d. HIMSS
b. NCRA
Which of the following may be used to capture the data for storage in a database? a. Dashboards b. Natural language processing c. Data mining d. Key indicator
b. Natural language processing
An HIM technician is paid an hourly rate and is eligible for overtime pay, consistent with the Fair Labor Standards Act. Her position would be classified as which of the following? a. Exempt b. Nonexempt c. Full-time d. Professional
b. Nonexempt
Which chart is similar in appearance to a bar chart but the highest ranking value is listed as the first column and the next highest ranking is second, and so on, to the lowest ranking? a. Pie chart b. Pareto chart c. Vilfredo chart d. Histogram
b. Pareto chart
Which access tool is used to view a subset of patient's health records after logging in to a secure online website? a. Patient gateway b. Patient portal c. Medical record portal d. Provider portal
b. Patient portal
Which of the following is the goal of clinical practice guidelines? a. Describe the outcomes of healthcare-related services b. Standardize clinical decision making c. Standardize the content of clinical pathways d. Regulate accreditation standards
b. Standardize clinical decision making
What is the name of the theory that is exemplified by leaders who inspire and motivate a group of people, and creates a vision of the future? a. Transactional b. Transformational c. Inspirational d. Motivational
b. Transformational
The ______ statement is a short description of an organization's ideal future state. a. Values b. Vision c. Mission d. Organization
b. Vision
What is a standardized unit that provides the relative position of any observation in the distribution and is also the number of standard deviations that the observed value lies away from the mean, μ? a. T-score b. Z-score c. F-test d. Chi test
b. Z-score
The source of drug-drug contraindication information in a computerized provider order entry system is ___________. a.Clinical decision support system b.Drug knowledge database c.Evidence-based medicine d.RxNorm
b.Drug knowledge database
True or false: A clinical data repository supports sophisticated data analytics. a.True b.False
b.False
True or false: A master patient index is used to locate where patients may have records within a health information exchange organization. a.True b.False
b.False
True or false: A portal is the same as a personal health record. a.True b.False
b.False
A standard vocabulary is used to achieve what type of interoperability? a.Process b.Semantic c.System d.Technical
b.Semantic
how do HCOs reduce information load on care providers?
baking-in knowledge and excellence in data warehousing, data mining, and analytics
What are the benefits of HIE?
basic level of interoperability is met, increased patient safety, and enhanced patient care coordination
which type of analyses apply when all aspects of the costs related to a technology and benefits of that tech are measured in monetary terms
benefit-cost analysis
Structured data
binary, machine-readable data in discrete fields
What are the strategies to achieve health IT goals?
collecting, sharing, and use of health information
which management skill does rubenstrunk and hallenback identify for a CIO
commit to leadership and lead differently
Medication reconciliation
compare drugs ordered against drugs dispensed and administered
3 benefits of using the ehr
complete and accurate info, better access to info, pt empowerment
which of the foloowing consultant statments is not true
consultants should be associated with an equipment manufacturer or firm that sells stuff
Describe the connection between consumer information access and navigation tools and health information
consumer health IT applications for info. access include hardware, software, and web based applications. Tools include mobile devices, patient portals, and social media. Tools connect patients and providers
which type of analyses are used for technologies that have an outcome that cannot be quantified in financial terms
cost-effectiveness analyses
which examines who receives the costs and benefits
equity
CCHIIM
establishes and enforces standards for certification and certification maintenance
what does ETL stand for
extraction, transformation, and load
delivery orgs will change their structure in the future to be better able to
facilitate coordination
Generally, higher-functioning portfolio management capabilities are formalized via the establishment of an HIT PMO.
false
firmly estabilishing value in many hc investments has proven to be fairly easy and accepted
false
generally, the majority of HIT projects undertaken in healthcare orgs are successful
false
indentifying and managing cross-project interdependencies via a program management approach is an important first step toward mitigating the project risk
false
interoperability plays only a small part in the development of standards
false
managing access in the future will pose challenges for HIT only bc of the 30 mill newly insured people
false
meaningful use with regard to adoption of ehr can be easily defined and explained
false
one disadvantage of poc devices is that they funtion only in a wireless environent
false
orgs that allow individual departments to autonomously manage their own projects are able to easily manage interrelationships between projects and preexisting applications
false
sensitivity analysis ensures that IT related investments support an orgs strategic business objectives
false
the HITECH invested in our nations hc high speed network by bringing broadband to all rural communities
false
the US hc system is on track to transition from one that emphasizes stakeholder value to one that emphasizes individual value and cost containment
false
the hc industry is like others in that the govt allows the market to determine costs, yada yada
false
eHealth exchange
federal agencies and nonfederal organizations coming together to offer a interoperable health information exchange service
Regulatory requirements
federal regulations that stem from federal laws
info collected, assumptions made, benefits observed and costs incurred should be reviewed continuously throughout the lifecycle of an investment. if you veer off course, having a ____ enables the org to adjust to minimize loss
feedback mechanism
what is one of the most popular on the rise places consumers are looking to for medical info and empowerment
internet
Considering the challenges posed by legacy systems in an integrated environment, which of the following selection criteria is MOST relevant?
interoperability
Financial information systems perform all of the following functions EXCEPT
inventory control
_____ management ensures that HIT investments deliver outcomes at reasonable costs while also managing associated risk
investment
Audit
is performed to review quality indicators and compliance with regulations
Consumer informatics
is the field devoted to informatics from multiple consumer or patient views
Internal analysis
review of the inner workings of an organization
Assessing and documenting risks in outcomes, financial benefits, and resource use or cots describe which of the following steps in IT business case development?
risk analysis
assessing and documenting risks in outcomes, financial benefits and resource use or costs describe which of the following steps in IT business case development?
risk analysis
which skill does the cio need to manage change in an HCO
seek a champion
which refers to the ability to make sense of a situation more accurately
sensemaking
The key differences between a conventional system and a cybernetic management control system for healthcare organizations include
sensor, standards, and control process.
Patient financial system (PFS)
serve to check patient insurance eligibility, capture charges, and compile and send claims
Telehealth
services that assist in providing remote diagnosis and treatment
CEUs
set of activities individuals holding any AHIMA credentials must complete
Interoperability
sharing of information across EHRs and other IT systems and the capability of different information systems and software applications to communicate and exchange data
Pareto chart
similar to bar chart; used to analyze data about frequency of causes of problems in a process
The key underlying tenet of seminal knowledge management literature is that when individuals in organizations have the knowledge they need to make decisions and accomplish their individual jobs, organizational efficiency and effectiveness are significantly improved.
true
a common conclusion of HIT value findings is that available lit tends to report only narrow analyses of impacts of HIT investments
true
according to smaltz and cunningham, responsibility for ensuring that IT assets are used effectively has fallen on users who know little about system capabilities
true
financial barriers to HIT adoption are usually more important than challenges with interroperability, acceptace by clinical staff or habing available tech staff
true
if health spending continues to increase the quality for all will be threateded
true
individual projects of application programs should not be managed in silos but in professional PMO focused on achieving envisioned benefits
true
interoperability is the ability of HIS to work together within and across org boundaries
true
many hcos are considering outsourcing portions of the functions
true
medical knowledge is expanding, making it virtually impossible for a physician to stay abreast of the latest medical info
true
once data are copied into the data warehouse, it provides one-stop shopping for management engineering studies, operations research studies, and others
true
organizations should consider standardising a set of project and portfolio management tools to synchronize their processes and business rules
true
placing knowledge directly within the workflow creates an organizational system that will maximize quality decision making, reduce medical errors, and increase the quality
true
the key tenet of seminal knowledge management lit is that when individuals have the knowledge they need to make decisions, org efficiency and effectiveness are significantly improved
true
the need for the national patient identifier should outweigh the concerns
true
johnson, pan and middleton suggested that HIT investment decisions were based on anecdote, inference and opinion
true, because complexity and lack of comprehensive data give HIT leaders litle else to use for their decisions
in 1980, goldsmith predictrd what hc would look like in the future. he did not forecast
undersupply of physicians
BC-MAR
used by nurses to manage drug administration and other procedures
Computerized provider order entry (CPOE)
used by providers to enter orders for medicatios, lab tests, and other procedures, and the destination systems
Bar charts
used to describe qualitative, categorical, or discrete variables such as nominal or ordinal variables
Cloud computing
uses a vendor to archive data and in some cases also provides application software
Discrete variables
variables that can take on finite number of variables, usually whole #'s or #'s that can be counted
Engage
virtual network of AHIMA members
What is needed for data standards?
vocabulary, code sets, and terminology; content and structure; transport; and services
Accreditation
voluntary process by which an educational program is evaluated and then recognized as having met certain predetermined standards of education