Info Systems Exam

Which of the following statements BEST describes the EMR (Electronic Medical Record) Adoption Model?

-A conceptual model used to measure the state of adoption of EHRs across the United States and Canada as well as the world -A conceptual model that describes increasingly sophisticated components of an electronic health record (EHR) (ALL CHOICES ARE CORRECT)

Which of the following options is one of the ten commandments particularly important to health information technology value, as proposed by Bates et al. (2003)?

-Monitor impact, get feedback, and respond. -Simple interventions work best. -Speed is everything.

An enterprise analytics unit should incorporate all of the following functions

-Setting standards for analytic tools used and supported throughout the organization. -Coordinating use of business metadata and business rules associated with the data. -Training users across the organization to conduct some level of self-service analytics.

Which of the following actions occur during the Pre-EFI Initialization (PEI) stage of the UEFI boot process? (Select two.)

-System memory is initialized, verified, and allocated. -The CPU and chipset are verified and fully initialized.

components of Stage 7, the highest stage in the Electronic Medical Record (EMR) Adoption Model

-having an enterprise data warehouse to analyze and report on data generated within and without the EHR. -incorporating ambulatory EMRs and the emergency department within the EHR. -the ability to generate, transmit, and receive continuity of care documents to and from other hospitals or caregivers.

Analytics project champions are necessary to

-help advocate for adequate funding and staff resources for the project. -help to define the scope and goals of the analytics project. -keep projects moving forward when competing proposals emerge.

Financial information systems perform all of the following functions

-patient accounting. -investment monitoring. -general ledger.

Examples of clinical decision support system capabilities

-providing error checking to look for potential allergic reactions to certain drugs or foods. -providing evidence-based medicine protocols that are indicated for patients with specific conditions. -providing guidance to physicians regarding their practice variance

You run ipconfig on your CEO's computer. The output from the command is: IPv4 Address..... 192.168.0.52 Subnet Mask..255.255.255.0 Default Gateway..192.168.0.1 Which of the following is the host ID?

52

What is a controlled medical vocabulary?

A tool used to standardize information for purposes of capturing, storing, exchanging, searching, and analyzing data

You are the owner of a small startup company that consists of only five employees. Each employee has their own computer. Due to the type of services your company offers, you don't foresee the employee count increasing much in the next year or two. As a startup company, you want to keep costs low and facilitate easier file sharing and internet, printer, and local network resource access. Which of the following would be the BEST implementation for your business?

A workgroup (peer-to-peer network using Microsoft software and allows all participating and connected systems to access shared resources)

When a user rotates a mobile device, the operating system changes the screen orientation so that the display remains upright for the user. Which of the following technologies detects this movement on a mobile device? (Select two.)

Accelerometer Gyroscope

What benefit accrues from linking scheduling systems with materials management systems?

Availability of needed equipment and supplies for scheduled procedures

What tool can you use to create a full system image of your Windows drive?

Backup and Recovery

Which of the following technologies enabled automated purchasing and materials management systems?

Bar codes

Most commonly used in retail environments at checkout stands.

Barcode reader

Which of the following scripting languages includes multiple Windows commands that are run in sequence?

Batch

Which of the following is NOT a key benefit of an electronic health record?

Better access to information about an organization's human resources

Fingerprint scanner.

Biometric scanner

Used to scan users' unique physical features and use them to verify their identity.

Biometric scanner

You have decided to install a new Ethernet network adapter in your Windows 11 desktop computer. After installing the card and booting to Windows, you notice that you have no network connection. After looking in Device Manager, you see that the new network card was detected, but Windows doesn't know what it is. After doing a quick search on the internet, you find what looks like the correct driver and install it. A reboot of Windows is performed, but almost immediately after logging on, your computer crashes. Thinking this must be a fluke, you reboot again with the same result. Which of the following is the BEST method in this scenario to get Windows to load properly?

Boot to Safe Mode and uninstall the network driver.

Which of the following BEST describes enterprise resource planning systems?

Bundled applications

Which of the following BEST describes active clinical decision support systems?

Can suggest potential diagnoses on the basis of stored data

Which of the following correctly matches typical leaders with types of projects?

Clinical application projects: influential stakeholder from within the clinical leadership of an organization Business application projects: influential business stakeholder Infrastructure projects: CIO or one of the CIO's key directors

What does CPOE stand for?

Computerized Provider Order Entry

Your system hangs immediately after the BIOS information is shown and displays an error loading operating system error message. What is the MOST likely source of the problem?

Corrupt MBR or partition table

Which of the following analyses apply when all aspects of the costs related to a technology and benefits of that technology are measured in monetary terms?

Cost-benefit analyses

Which of the following is the BEST example of typical potential RECURRING costs of an electronic health record (EHR)?

Costs associated with EHR maintenance

Which of the following functions does a health information technology (HIT) portfolio management office serve?

Creating metrics and dashboards to facilitate transparency

In which stage of maturity of the health information technology portfolio management maturity model has an organization created a centralized entity to maintain and inventory projects and manage them centrally?

Defined

An enterprise analytics unit should incorporate all of the following functions EXCEPT

Designing and creating every analytical report needed by the organization.

Graphics tablets mostly used by graphic artists to capture hand-drawn images.

Digitizer

Used to capture some type of analog signal and convert it into digital data.

Digitizer

You want to configure User Account Control so that you see the permission prompt only when programs try to make changes to your computer (not when you make changes). You do not want the desktop to be dimmed when the prompt is shown. What should you do?

Disable Secure Desktop

You have just installed a new video card in a user's Windows workstation. When the system is powered on, the screen displays in 16 colors at 640 x 480 resolution. Which of the following will BEST resolve this problem?

Download and install the latest driver from the video card manufacturer's website.

Rectangle with a line on each side icon

Dual displays

You have configured your hospital CEO's network interface to request an IP address. Which of the following TCP/IP suite protocols does the client computer use to perform the request and receive an IP address from a server?

Dynamic Host Configuration Protocol (DHCP)

Approximately 50 percent of a healthcare organization's operating budget is attributable to which of the following?

Employee salaries and benefits

Which of the following technology applications potentially contributes MOST to a patient's satisfaction with his or her healthcare experience?

Enterprise-wide scheduling

Of the eight steps in using formal methods of cost evaluation, which examines who receives the costs and benefits?

Equity

You want to allow your clinic computer users to download files from a server running the IP protocol. You also want to protect access to the files by requiring user authentication to access specific directories on the server. Which IP protocol should you implement to provide this capability?

FTP

Of the eight steps in using formal methods of cost evaluation, which puts the technology into the broader systems context?

Framework for analysis

A user has complained about not being able to remove a program that is no longer needed on a computer. The Programs option is not available in Control Panel. You suspect that a policy is enabled that hides this option from the user. But after opening the Local Group Policy Editor, you see that the policy to hide Programs is not configured. You know that other users in this domain can access the Programs option. Where should you look next to determine whether the policy is enabled?

GPOs (group policy objects) linked to organizational units that contain this user's object.

Which of the following answers is NOT one of the reasons that determining value for health information technology (HIT) is a particular challenge?

HIT is expensive

A(n) _____________'s greatest contribution is in providing strategic views into the projects the organization is working on to benefit health information technology (HIT) governance decision making.

HIT portfolio dashboard

A user calls to report a problem. She is trying to install an application on her new Windows 11 system, but the installation will not proceed. Her user account is a member of the Users group. What is MOST likely causing the installation issue?

Her group membership does not allow her to install new software.

Which of the following computing attributes was essential to conducting analytical research on the scope of mapping the human genome?

High-speed computation capability

Which of the following protocols provides authentication and encryption services for VPN traffic?

IPSec

Of the eight steps in using formal methods of cost evaluation, which is most 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; lifecycle and discounting; uncertainty; equity

In which order should the five key processes of project management occur?

Initiation, planning, execution, monitoring and controlling, closing

Considering the challenges posed by legacy systems in an integrated environment, which of the following selection criteria is MOST relevant?

Interoperability

Which of the following is a network that uses internet technologies, but the data and services are only available to the hosts connected to the private network?

Intranet

_________________management ensures that health information technology investments deliver outcomes at reasonable costs while also managing associated risk.

Investment

Why is critical path analysis important?

It provides a forecast of the shortest possible time needed to complete the overall project.

Which of the following issues causes variations in the latency of VoIP packets?

Jitter

Which of the following display technologies require backlighting?

LCD & LED

You manage a workstation that is not part of a Windows domain. Users on this computer should not be permitted to download applications from the Windows Store. Which administrative tool can you use to enable a policy that turns off the Store application for all users on this computer?

Local Group Policy Editor

Which of the following is a valid distinguished name for the MethodistHospital common domain name?

MethodistHospital.org

Which of the following tools can manage bandwidth usage and deployment times for updates?

Microsoft Endpoint Configuration Manager

Jane, an employee in the human resources department, has created several important PDF documents on her computer that all office managers in her building must read. She would like to make locating these files simple and maintain them as little as possible. It is important that no other users are permitted to view these documents. As the IT technician for your company, Jane has asked you to make this possible. Which of the following would MOST likely fulfill Jane's request?

Network share

After using your LCD monitor for about three months, you notice a small black dot in one area of the screen. Regardless of what is shown on the monitor, the dot remains the same color and in the same location. Which of the following is the BEST method for removing the black dot from the monitor?

Play a video designed to fix dead pixels.

Currently, your hospital is in the process of upgrading security in the C-Suite building by installing biometric sensors to limit access to specific rooms. Your network switches are PoE-enabled, which allows biometric sensors to connect to switches without an external power source. Which of the following PoE standards is designed for use with biometric sensors?

PoE+

What is typically cited as the greatest cause of project failure?

Poor execution

__________ management ensures that an organization's information technology-enabled investments are aligned with and contributing optimal value to its strategic objectives.

Portfolio

What is the beginning point for the revenue cycle in healthcare organizations?

Preregistration or scheduling

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 health information technology purchasing and contracting?

Project procurement management

In which of the following project management knowledge areas should individuals know how to estimate activity resources and estimate activity durations?

Project schedule management

Which of the following scenarios describes a silo health information technology 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 poses the greatest challenge to telemedicine expansion?

Reimbursement and licensing issues

Assessing and documenting risks in outcomes, financial benefits, and resource use or costs describe which of the following steps in information technology business case development?

Risk analysis

You've used your Windows workstation to map a drive to a shared folder on a Windows server. Which protocol was used to access the share?

SMB

An administrator configures the Time Machine application on macOS computers and develops scripts that use the tar command on Linux computers. Which of the following best practices is the administrator following?

Scheduled Backups

Circle arrow icon

Screen orientation

Can be a stand-alone device or integrated with other peripherals, such as a keyboard.

Smart card reader

Used to scan hardware that contains an embedded microchip for authentication.

Smart card reader

Which of the following is a useful tool to filter and select proposed analytics projects?

Strategic analytics alignment document

Your hospital is considering providing smartphones to their employees and is investigating the interaction of the phones with iTunes, Google Drive, Dropbox, and OneDrive. Which of the following data synchronization methods is the company considering?

Synchronization to the cloud

In which stage of maturity of the health information technology portfolio management maturity model does an organization consistently assess returns versus risks in its portfolio of projects?

Synchronized

The Hide Programs setting is configured for a specific user as follows: Policy - Setting Local Group Policy - Enabled Default Domain Policy GPO -Not configured GPO linked to the user's organizational unit - Disabled After logging in, the user is able to see the Programs and Features option. Why did this happen?

The GPO linked to the user's organizational unit is applied last, so this setting takes precedence.

Which user type is the Windows Beta channel recommended for?

The average user

You have used EFS to encrypt a directory of highly sensitive company files on your hard drive. You then decide to copy one of the files in the directory to a thumb drive to edit the files on a laptop computer while you are travelling to an industry conference. What is the result of copying the file to the thumb drive?

The file will no longer be encrypted.

What does TCO stand for?

Total cost of ownership

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

Computer with slash icon

Touchpad (on/off)

Compared to other data-intensive sectors, healthcare has lagged in adopting analytics.

True

Johnston, Pan, and Middleton suggested that health information technology (HIT) investment decisions were made based on "anecdote, inference, and opinion."

True, because complexity and lack of comprehensive data gave HIT leaders little else to use for these decisions

Which of the following statements regarding the relationship between maturity and cost is TRUE?

Typically, as an organization's maturity with respect to HIT project management increases, the overall cost of its HIT projects decreases significantly while their success rate increases substantially.

As the system administrator for a large hospital system, you have been assigned to upgrade the laptops for the sales representatives in your company. You have installed a 2-TB SSD drive in each of the laptops for quick access and storage of large multimedia files. You have also upgraded the memory to 16 GB and made sure that all the device drivers are updated. After delivering the upgraded laptops to the sales representatives, you begin to receive calls and emails saying that saving videos and other large files to the SSD drive is sluggish and sometimes impossible. Which of the following is the BEST first-step solution for trying to resolve the issue?

Use the Roll Back Driver option in Device Manager to use the original SSD driver version.

Wifi signal icon

Wireless (on/off)

You are working at a small outpatient clinic, which has purchased some IoT devices. These IoT devices will be networked together in a small network. Each device will connect to each other and act a relay for the network signal so additional network infrastructure will not be needed. Which of the following best describes this type of network?

Wireless mesh network

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 radiology department. a module for the pharmacy department. a module for the lab department. a module for the emergency department.

a module for the emergency department.

The investment aligned with existing information technology architecture and consistent with ongoing architecture principles is the ______________question.

architecture

Which command would you enter at the shell prompt to start a new Bourne-Again Shell (Bash) session?

bash

Problems with determination of cost of health information technology arise because of _______________ , rather than straightforward finance and accounting techniques.

complex (econometric) techniques

Resource utilization systems contribute MOST to which of the following?

cost containment initiatives

Issues related to data definition and report standardization are typically addressed by the

data governance subcommittee.

Executive information systems are MOST useful when:

data granularity is user controlled

The chargemaster is a

database of billable units of service

An advantage of using technologies such as Hadoop in big data analytics is the capability to

deal with large, unstructured data sets.

It has an effective and disciplined management and change management processes with technical and business resources to deliver the promise of the technology investment it is the _____________ question.

delivery

Most patient bills are generated from

diagnosis and procedure codes.

A major benefit from project management software is

dynamic scheduling to maintain accurate completion estimates.

Advance booking capability is important in facilities or units where most encounters are

elective.

Using a just-in-time model, supply chain management systems can help reduce costs by

enabling a smaller on-site inventory.

A facilities management system enables:

energy conservation via automated temperature control.

Information 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 organization to adjust to minimize loss.

feedback mechanism

Input for __________ should document cost savings, revenue enhancements, capacity/volume growth, and risk mitigation resulting from the investment decision.

financial benefits

Center-of-excellence analytics models, in which functional departments have analytics groups,

have a corporate-level community of practice through which projects are coordinated.

One common challenge to building a strong enterprise analytics unit in the early stages of analytics adoption is

identifying and gaining meaningful participation of sufficient subject matter experts and functional expertise.

Democratizing data assets and reducing demands on the analytics function requires

increasing data literacy throughout the organization.

The benefits of health information technology (HIT) adoptions, specifically electronic health records (EHRs), include:

inpatient costs, outpatient drug utilization, reduction in adverse drug events, and greater preventive care.

Measuring benefits of health information technology (HIT) investment is impeded by the ______________ of outcomes across a wide portion of the organization and not a single unit or HIT investment.

interdependence

Financial information systems perform all of the following functions EXCEPT:

inventory control.

You are troubleshooting network connectivity issues on a Windows workstation. Which command would you use to view the network adapter's MAC address?

ipconfig /all

One advantage of staffing the analytics unit with consultants is

maintaining the permanent full-time equivalent headcount.

Computers can aid in energy cost savings by

monitoring peak use and auto-adjusting settings and parameters.

Investments applied to the __________ level have the greatest chance of success.

operational

The goal for operating room scheduling systems is to

optimize staff and room utilization.

What is the key driver for effective revenue cycle management?

optimizing cash flow

The ultimate state of analytics adoption as proposed by the Healthcare Information and Management Systems Society Adoption Model is

personalized medicine.

A ___________ is a collection of programs and projects.

portfolio

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.

You need to duplicate a large number of files from your PC to a network server. Due to the number of files, you start the process and go home for the evening. When you return the next day, you find that only part of the files were duplicated to the server due to the router being temporarily unplugged by the janitor while cleaning. Which of the following Windows command line tools would BEST prevent this type of glitch from happening again?

robocopy

In most organizations, the enterprise analytics steering committee will report to the

senior leadership executive committee.

The investment aligned with a broader business vision, consistent with established principles, and contribute to the strategic objectives is the ______________question.

strategic

All of the following are components of Stage 7, the highest stage in the Electronic Medical Record (EMR) Adoption Model, EXCEPT

the ability to make general ledger entries directly from the electronic health record (EHR).

It has a clear understanding of the expected benefits, and a process for realizing the benefits it is the _______________ question.

value

One important function of the analytics governance structure is to

vet and select projects for endorsement.

A simple distinction between analysis for business intelligence and big data analytics is the

volume and complexity of data involved.