HIMT 2300 Final
PHR
A ____ is an electronic, lifelong resource of health information needed by individuals to make health decisions. Answers: Portal CDA CCR PHR
Cancer registry
A cancer committee wants to compare long-term survival rates for breast cancer by comparing outcomes for the mastectomy versus lumpectomy approaches. The best source of this information is the ______. Answers: -Disease index -Operative index -Cancer registry -Master Patient Index
team members from diverse areas within an organization
A contributing factor toward a successful team is _____. Answers: -a leader who dominates -a self-appointed leader -team members from diverse areas within an organization -team members who think alike
Data in a computer database and query the database as needed for reporting
A current trend in maintaining secondary data is to collect _______. Answers: -Only minimal data since secondary data has limited use -Data in a computer database and print monthly indexes -Data in a computer database and print yearly indexes -Data in a computer database and query the database as needed for reporting
champion
A director of health information services in a hospital wants to implement a computer-based patient record system over the next 2 years. She gets support from the CIO, who advocates for the project with the administrative team. The CIO has become the project's ____. Answers: -stakeholder -champion -manager -owner
decision support system
A drug interaction alert would be a typical function of a _____. Answers: -data warehouse -data repository -data mart -decision support system
CommonWell Alliance
A group of EHR technology companies whose mission is to facilitate interorganizational interoperability between their healthcare technology platforms.
IDS (integrated delivery systems)
A healthcare organization that provides a full range of healthcare services along a continuum of care (for example, an organization that provides acute care services, long-term care services, and home health services) is called a(n).......
lessons learned
A key deliverable of the Closing project process group is a _____ document. Answers: -task completion -project summary -project planning -lessons learned
-Being fair to the out-group
A leader effectively using Leader-Member Exchange theory would be viewed by the "out group" as ______. Answers: -Showing unfair preference to personally favorite employees -Being fair to the out-group -Requiring too much effort from the out-group for too few benefits -Requiring too much extra work from the in-group
instructional and environmental preference
A model of learning style impacted by sound and light is called: Answers: -instructional and environmental preference -sensory training -personality preference -information processing
Trait approach
A person who described a leader as being attractive, verbally fluent, creative, assertive, and good team player would be using which theory: Answers: -Path-Goal theory -Theory X-Y -Maturity theory -Trait approach
Leadership
A project manager should possess the skill of influence. What type of skill is this? Answers: -Analytical -General management -Communication -Leadership
has been properly authorized for purchase
A purchase order ensures that the item purchased _____. Selected Answer: Answers: -meets functional requirements -has been properly authorized for purchase -will be shipped immediately -is warranted for a least a year
patient portal
A secure online website that gives patients convenient 24-hour access to personal health information from anywhere with an Internet connection is a ________. Answers: PHR EHR patient portal telehealth
succession planning
A specific type of promotional plan in which senior-level position openings are anticipated and candidates are identified from within the organization is called: Answers: -strategic planning -continuing education -delegation -succession planning
job specification
A summary of knowledge, skills, abilities, and characteristics required of an individual to perform the job is called the: Answers: -orientation plan -job evaluation -job specification -training plan
clinical pathway
A system that monitors a patient's cardiac activity and alerts the provider to readings outside normal parameters is an example of a _____. Answers: -point-of-care information system -clinical pathway -physiological signal processing system -telehealth system
intranet
A(n) _____ is an internal link that allows only the employees of a particular organization to navigate and communicate in a web-based environment. Answers: -Internet -repository -intranet -access code
20, 80
According to the Pareto principle, ____ percent of the sources of a problem are responsible for ____ percent of its actual effects. Answers: -20, 20 -20, 80 -80, 80 -80, 100
A process promotes organizational silos.
All are true statements regarding the definition of a process except: Answers: -A process promotes organizational silos. -A process achieves a specific result for a customer. -A process involves interrelated tasks. -A process optimizes the organization as a whole.
smart cards
All of the following is a kind of technology that focuses on data security except _____. Answers: -encryption -biometrics -firewalls -smart cards
Empowerment
Allowing employees to solve problems within the scope of their job is a characteristic of: Answers: -Adult learning -Outsourcing -Empowerment -Flexing
vector graphic
An EKG tracing is an example of _____ data. Answers: -structured -bit-mapped -free text -vector graphic
iterative
An alternative to the waterfall approach to project management is referred to as an ____ approach. Answers: -object-oriented -exclusive -iterative -ubiquitous
listening
An auditory learner prefers to learn by _______. Answers: -practicing -reading -watching -listening
physician progress notes
An example of unstructured data in a patient record is _____. Answers: -physician progress notes -vital signs data -coded diagnostic data -lab test results data
temporary
An important characteristic of a project is that it is a _____ endeavor. Answers: -temporary -fiscal -long-term -management
goals
An organization's standards should reflect its _____. Answers: -goals -vision -procedures -affinity groupings
variances
As a project progresses, the project manager should monitor and address _____ that affect the progress of the project. Answers: -costs -schedules -variances -baselines
medical schools and medical education
As a result of the Flexner Report in the early part of the 20th century, standards were established for what?
Was an attempt to systemize organizations
As originally intended by Weber, bureaucracy _____. Answers: -Referred to outdated, slow, and paperwork-ridden organizations -Was most applicable to small organizations -Was an attempt to systemize organizations -Emphasized quality and excellence
scope creep
As the EHR implementation project in question 7 proceeds, additional hospital departments add requirements for the system, and the project becomes more complex. This is known as ______. Answers: -unaligned parameters -alternative goals -risk assumption -scope creep
Zero-based
At Community Health Services, each budget cycle provides the opportunity to continue or discontinue services based on available resources so that every department or activity must be justified and prioritized annually in order to effectively allocate resources. Community Health uses what type of operational budget? Answers: -Activity-based -Zero-based -Flexible -Fixed
parallel
At Community Memorial Hospital, the coding area has five coders. Each coder is responsible for coding, abstracting, tracking records, answering phones, and maintaining productivity logs. This is an example of _____ work division. Answers: -parallel -unit -serial -serial unit
2 years
At a cost of $12,000, Community Hospital is refinancing the mortgage on the building that houses its clinic. The hospital will save $500 a month in interest. What is the payback period on the refinancing? Answers: -1 year -15 months -18 months -2 years
natural language processing
Auto-coding relies on _____. Answers: -natural language processing -continuous speech recognition -relational databases -vector graphic data
automatic recognition technology
Bar coding technology is an example of _____. Answers: -automatic recognition technology -artificial intelligence -voice recognition -vector graphic data
computer-based training modules
Because most adults appreciate the ability to have some control over their learning, they often prefer _____. Answers: -classroom learning -in-service sessions -computer-based training modules -lecture followed by class discussion
June 30
Blackduck Hospital has a fiscal year end of September 30. For this hospital, the third quarter ends on _____. Answers: -June 30 -March 31 -December 31 -August 31
Initiating
Charter -Executing -Initiating -Planning -Closing -Monitoring and Controlling
RFID
Chips that emit radio signals are embedded in analog items/products. This technology is called _____. Answers: -OCR -RHIO -RFID -ICR
accounts receivable and cash
Claims paid by third-party payers create transactions that are posted to _____. Answers: -accounts payable and revenue -accounts receivable and cash -accounts payable and accounts -accounts receivable and revenue
serial
Coders at Medical Center Hospital are expected to do a high volume of coding. Their department also includes a clerical support person who handles phone calls, tracks records to be coded, and maintains productivity logs. An abstract clerk ensures coded data is in the health information system. This is an example of _____ work division. Answers: -parallel -unit -serial -serial unit
by the words that are known by or taught to the system
Continuous speech input systems are limited _____. Answers: -by the need to articulate words slowly and clearly -to the English language -to certain medical specialties -by the words that are known by or taught to the system
501(c)(3) corporation
Contributions to the AHIMA Foundation are deductible as charitable donations as long as no goods or services have been received in return. Therefore, the AHIMA Foundation is an example of a _____. Answers: -for-profit corporation -sole proprietorship -501(c)(3) corporation -professional association
Planning
Detailed Budget -Executing -Initiating -Planning -Closing -Monitoring and Controlling
Sponsor
During an innovation, the role of the one who assists with financing and political support is the _____. Answers: -Innovator -Champion -Sponsor -Critic
IDS (integrated delivery systems)
Ensuring patient receive high-quality, cost effective care in the most appropriate setting is the primary goal of what?
in-service education
Every year, a director of health information services sponsors a series of presentations about the confidentiality of patient information. All facility employees are required to attend a session. This method of educational delivery is called _____. Answers: -orientation -on-the-job training -in-service education -career development
Benchmarking the organization against other organizations
External change agents have the advantage over internal agents of: Answers: -Benchmarking the organization against other organizations -Are less objective -Understanding the history of the organization -Being less expensive to employ
data mining
Extracting data from a data warehouse is referred to as _____. Answers: -access control -data mining -portal entry -e-commerce
The personality traits of the leader
Fiedler's Leader Contingency Model is based on all of the following except ____. Answers: -Task-social orientation of the leader -The personality traits of the leader -Leader-member relations -Leader position power
Inviting outside points of view on the issues to be expressed
Groupthink can be reduced by: Answers: -Ensuring high similarity among team members -The leader making clear what he/she strongly believes -Inviting outside points of view on the issues to be expressed -Increasing security and confidentiality of meetings
governance
HIE _____ is concerned with the establishment of a shared set of behaviors and standards that enable health information exchange among a HIE's participants. Answers: governance trust community workflows interoperability standards
False (The exchange of health information electronically between proviers and other with the same level of interoperability)
Health information exchange (HIE) is the ability to request healthcare information from a centralized database.
Cybernetic
Healthcare organizations are generally examples of which type of system? Answers: -Cybernetic -Closed -Performance -Input
Cancer
Historically, the first type of disease registry to commonly be used in hospitals was the ______ registry. Answers: -Trauma -Diabetes mellitus -Immunization -Cancer
Healthcare information available where and when it is needed.
How is health information exchange intended to improve care quality? Answers: -Better management of health care information. -Greater consumer engagement in their wellness. -Easier reporting to public health organizations. -Healthcare information available where and when it is needed.
continuous
Ideally, staff education is _____. Answers: -continuous -periodic -annual -rotating
Monitoring performance
In a management sense, controlling means _____. Answers: -Directing people to carry out tasks -Monitoring performance -Providing little choice in job descriptions -Making people do what a manager wants
personal income
In a partnership, all profits are considered ______. Answers: -personal income -retained earnings -operational funds -reserves
diagnosis related group methodology (DRG)
In a prospective payment system (PPS), the amount of reimbursement for healthcare services is predetermined using the _______________.
Patient medical record number
In addition to the diagnosis code, the other essential data element in a disease index is the _____. Answers: -Discharge data -Date of birth -Patient medical record number -Physician identifier
improved quality of care
In order for information technology to be fully embraced and supported by healthcare organizations, the most critical result that it must produce is _____. Answers: -improved quality of care -better information flow -space savings -cost savings
standards
In setting up systems to measure work performance, it is critical to establish ____. Answers: -aesthetics -standards -movement diagrams -work distribution charts
Flexibility in standards deployment enables a high level of customization within an organization
Interoperability between healthcare information systems is challenging to achieve because of the following. Answers: -Technology vendors refuse to deploy recommended standards -Organizations do not want to share information with competitors -Flexibility in standards deployment enables a high level of customization within an organization -Inadequate incentives provided to motivate cooperation between technology vendors.
cross training
Joe is hired as a floater in a health information department to fill in wherever help is needed. He learns the jobs of several employees. This is an example of _____. Answers: -outsourcing -physical training -cross training -performance evaluation
Keeping the organization from changing too fast
Laggard adopters best serve the function of: Answers: -Providing a group for downsizing the organization -Providing vision for the organization -Seeking reasons to innovate -Keeping the organization from changing too fast
Reduction of waste
Lean is a management strategy focused primarily on: Answers: -Downsizing -Brainstorming -Reduction of waste -Increasing alternatives
Closing
Lessons Learned -Executing -Initiating -Planning -Closing -Monitoring and Controlling
Are self-motivating and strive for responsibility
McGregor's Theory Y assumes that people _____. Answers: -Are self-motivating and strive for responsibility -Prefer to be given direction by managers -Are basically lazy and will avoid work -Will make the best possible decisions
medical staff
Medical staff bylaws are legally binding, and any changes must be approved by a vote of the ___________.
When arriving at a decision, managers are systematic, deliberate, and reflective thinkers.
Mintzberg studied managers performing their daily activities and drew several conclusions. Which of the following was not among them? Answers: -Managers are frequently interrupted and have very short periods of time in which to concentrate. -When arriving at a decision, managers are systematic, deliberate, and reflective thinkers. -The work pace of managers has become much slower in recent decades. -Managers engage in only one or two roles in their positions.
difference between revenue and expenses
Net income is defined as the _____. Answers: -difference between revenue and expenses -difference between total assets and total liabilities -difference between revenue and total liabilities -difference between net assets and expenses
feedback
Non-self-correcting controls are also known as _____ controls. Answers: -preventive -feedback -performance -sampling
reinvest excess funds in services and education
Not-for-profit hospitals differ from for-profit hospitals because they ___________. -do not bill for services -pay dividends to stockholders -reinvest excess funds in services and education -provide free medical education to medical students and residents
The movement of troops and material during World War II
Operations management is based on developments arising from _____. Answers: -The movement of troops and material during World War II -Surgical procedures in early hospitals -Construction trade practices of the early twentieth century -The human relations movement
It increases cash.
Payment of a claim by a third-party payer has which one of the following effects on a hospital's accounts? Answers: -It increases revenue. -It increases accounts receivable. -It increases cash. -It decreases accounts payable.
planning and controlling
Performance measurement supports the managerial functions of _____. Answers: -planning and controlling -planning and organizing -organizing and directing -directing and controlling
Do what they do best
Peters and Waterman's study of excellent organizations recommended that, to be successful, organizations should "stick to the knitting." This means that organizations should ______. Answers: -Do what they do best -Keep manager roles simple -Work hard and long -Widely diversify products or services
a verbal warning
Progressive discipline begins with______. Answers: -a written reprimand -an action plan -suspension -a verbal warning
Initiating
Project Goals -Executing -Initiating -Planning -Closing -Monitoring and Controlling
data warehouses
Relational databases that store historical, demographic and transaction data about clinical, administrative, and financial patient information are referred to as _____. Answers: -enterprise master patient indexes -data warehouses -electronic data interchanges -neural networks
Training provides sufficient skill in ethical management for most people
Research on the role of ethics and values in organizations show all the following except: Answers: -Training provides sufficient skill in ethical management for most people -Ethical organizations have higher retention rates -Employees tend to leave ethical organizations at the same rate as average organizations -Values-based orientations are a passing fad at this time
Aggregate data
Secondary data sources most often represent _______. Answers: -Patient-specific data -Primary data -Aggregate data -Identifiable data
Staying with one's vision despite daily realities
Servant leadership espouses all of the following except: Answers: -Staying with one's vision despite daily realities -Using persuasion to build consensus -Focus on the greatest good for the larger society -Assume the good intentions of people regardless of their behaviors
accounts receivable and revenue
Services rendered and billed to customers for future payment create transactions that are posted to _____. Answers: -accounts payable and revenue -accounts receivable and cash -accounts payable and accounts receivable -accounts receivable and revenue
5 Zs
Simple Lean tools include all of the following except: Answers: -5 Whys -5 Ss -Visual controls -5 Zs
RLSs
Systems linked by ____ allow HIE participants to search for health records on each of the other systems using patient indexing and identification software. Answers: ADTs APIs CCDs RLSs
False
T/F: A mission statement is a set of principles and regulations.
True
T/F: As the consumer is nudged toward more involvement in their wellness care they will make greater demands for more efficient and better care using all of the technical capabilities that are available.
True
T/F: Communication methods impact consumer health outcomes.
True
T/F: Consumer informatics is focused on information structures and processes that empower consumers.
False (Rules of Engagement specify the way that policy makers, data owners, data stewards, and other stakeholders interact with each other.)
T/F: DG rules of engagement are policies for assigning decision rights
True
T/F: Data mining of healthcare information may lead to new human health insights and treatment discoveries.
False
T/F: Digitized healthcare information is the leading cause of healthcare information complexity.
False
T/F: Digitizing health information records improves the quality of care the patient receives.
True
T/F: Governance is an enterprise activity that exercises authority across the entire organzation.
True
T/F: Health information exchange (HIE) is possible without large expenditures on health information technology.
True
T/F: In the DIKW hierarch, knowledge consists of recognition of patterns in data
False (metadata)
T/F: Master data are data that describe other data.
False
T/F: Passwords are the security devices situated between the routers of a private network and a public network to protect the private network from unauthorized users.
False (it is focused on patient activities that support improved health and therefore health outcomes, rather than simply healthcare-related activities)
T/F: Patient engagement is solely focused on the encounters an individual experiences within the healthcare process?
False (ACTIONS individuals must take to obtain the greatest benefit from the healthcare services available to them.)
T/F: Patient engagement refers to appointments an individual must take to obtain the best outcomes related to healthcare services.
False
T/F: Providing training in an employee's native language, even if not English, is a requirement of The Americans with Disabilities Act of 1990.
False (was chartered as an advisory committee to the US Dept of Health and Human Services)
T/F: The American Health Information Community (AHIC) was chartered to lead the nation in the adoption of ONC specified interoperability standards
False
T/F: The application of information science to the management of healthcare data and information through computer technology is referred to as data mining.
True
T/F: The learning health system is an ecosystem where all stakeholders can securely, effectively, and efficiently contribute, share, and analyze data and create new knowledge.
False (continual)
T/F: The learning health system is characterized by one-time, comprehensive organizational transformations to achieve quality.
False
T/F: The organizational structure of a DG program must have four levels of authority.
True
T/F: The purpose of governance is to influence the behaviors of the organization's employees.
False
T/F: The three major focus areas of the federal Health IT Strategic Plan are Access, Cost and Quality.
True
T/F: There is no one right way to structure a DG program.
True
T/F: When launching a DG program it is best to start small
True
T/F: While many stakeholders can be involved in the development of a care plan, the primary responsibility belongs to clinicians.
Planning
Task List -Executing -Initiating -Planning -Closing -Monitoring and Controlling
How different workers styles interact in completing the task
Task structure refers to all of the following except: Answers: -How long the task will take -How different workers styles interact in completing the task -How clear the goal is -What steps to perform to complete the task
computer output laser disk (COLD) technology
Technology that electronically stores, manages, and distributes documents that are generated in a digital format and whose output data are report-formatted is called _____. Answers: -business process management technology (BPM) -automated forms processing technology -computer output laser disk technology (COLD) -digital signature management technology
Most problems come from systems, not people
The 85/15 rule from TQM suggests that ______. Answers: -A high ratio of managers to workers is good -Most problems come from systems, not people -85 percent of profits come from 15 percent of the customers -15 percent of work time should be allocated for worker creativity
overtime pay
The Fair Labor Standards Act (FLSA) addressed the need for: Answers: -workplace safety -pensions -collective bargaining -overtime pay
Display the forces for and against change
The Force-Field Analysis is used to: Answers: -Identify the leadership style of leaders -Schedule the stages of a task on a project -Display the forces for and against change -Show the transitions through stages of loss during change
FASB
The GAAP and GAAS standards for accounting and auditing are established by the _____. Answers: -CMS -HCFA -SEC -FASB
Scheduling various tasks for a project
The Gantt Chart is used for? Answers: -Understanding the connections among components of a system -Scheduling various tasks for a project -A decision tree to see which management approach should be used in a specific situation -To show hospital organization
Human Readability
The HL7 Clinical Document Architecture (CDA) contains which of these characteristics? Answers: Human Readability Syntax Extensible Metadata Continuity
Providing attention, recognition, and involvement
The Hawthorne effect suggests actual performance can be positively affected by: Answers: -Improving the lighting under which employees work -Providing attention, recognition, and involvement -Providing criticism at key stages in the work process -Allowing high levels of independence during work tasks
Increase the use of health IT
The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 was passed to address the following: Answers: -Inform Technology vendors about interoperability standards -Improve the efficiency of healthcare in the United States -Increase the use of health IT -Improve consumer engagement in healthcare delivery
All of the above
The HealthyPeople 2020 initiative includes five domains related to social determinants of health, including which of the following: Answers: Economic stability Education Health and healthcare All of the above
Medical staff
The _____ has the primary objective of providing high quality care to patients. Answers: CEO Board of directors Medical staff Medical director
HCAHPS
The _____ is a standardized assessment of consumer perspectives regarding healthcare access and quality in hospitals. Answers: HCAHPS CG-CAHPS AHRQ-CAHPS ONC-CAHPS
Triple Aim
The _____ revolves around improving care outcomes, improving patient experience, and reducing healthcare costs. Answers: Triple Aim Learning Health System Consumer Informatics ONC
American College of Surgeons
The ______ developed the first hospital standardization program. Answers: Joint Commission American Osteopathic Association American College of Surgeons American Hospital Association
Board of directors
The ______ is/are primarily responsible for determining the overall mission of an acute care hospital. Answers: CEO Medical staff Board of directors Organization's stockholders
CEO
The ______ is/are responsible for implementing the policies and strategic direction of a healthcare organization on a day-to-day basis. Answers: board of directors CEO CIO medical director
CDA
The ______ provides an XML-based markup standard to encode, structure, and identify the semantics of the CCR. Answers: CCD (Continuity of Care Document) HL7 (Health Level 7) ACA (Affordable Care Act) CDA (Clinical Document Architecture)
Has more detailed understanding of organizational history and issues
The advantage of using internal change agents over external change agents is that the former can usually _____. Answers: -Be accepted by employees as being more objective -Has more detailed understanding of organizational history and issues -Can more easily challenge organizational norms and culture -Can benchmark the organization against others
healthcare informatics
The application of information science to the management of healthcare data and information through computer technology is referred to as ____. Answers: -data definitions -data resource management -healthcare informatics -clinical information systems
Consumer mediated exchange
The blue Button Initiative is an example of what kind of health information exchange model. Answers: Boolean based exchange Query based exchange Direct Protocol messaging Consumer mediated exchange
multiuser virtual environment (MUVE)
The coding group of employees that Mary supervises includes people of many ethnicities. As a method to improve communication and morale, she creates an online virtual world and introduces avatars of many cultures. The avatars will react to scenarios that include examples of culturally insensitive comments. The e-learning tool that Mary is using is a _____. Answers: -wiki -chat room -whiteboard -multiuser virtual environment (MUVE)
self-correcting control
The computer abstracting system in a facility has an edit that does not allow coders to assign obstetrical codes to male patients. This edit is called a(n) ___. Answers: -self-correcting control -feedback control -performance measure -audit trail
Healthcare Integrity and Protection Data Bank
The data bank that has information on healthcare fraud and abuse is called ___. Answers: -Healthcare Cost and Utilization Project -Healthcare Integrity and Protection Data Bank -Uniform Hospital Discharge Data Set -National Health Provider Inventory
AHIMA data quality model
The data quality model that attempts to include all healthcare data is ____. Answers: -AHIMA data quality model -MRI essential principles -Healthcare Cost and Utilization Project -Unified Medical Language System
Conceptual database design phase
The database design phase where administrators assess user requirements and construct entity-relationship diagrams is called the _________. Answers: -Conceptual database design phase -Logical database design phase -Physical database design phase -Schema mapping
Medicare/Medicaid legislation of 1965
The development of managed care services in the United States is an indirect result of the federal government's enactment of _____. Answers: The Social Security Act of 1935 Medicare/Medicaid legislation of 1965 HIPAA legislation of 1996 The Balanced Budget Amendment of 1997
4.5
The estimated percentage of all Internet searches that are health-related is____. Answers: 0.45 4.5 45 None of the above
vary at different life stages
The factors that motivate employees _____. Answers: -are consistent and predictable -vary at different life stages -relate primarily to salary or perceived rewards -result in job promotion
The Pennsylvania Hospital
The first hospital in the United States was _____. Answers: The Pennsylvania Hospital Massachusetts General Hospital Belleview Hospital National Institutes of Health
False (set objectives)
The first step in planning an inservice education program is to select a topic.
Institute of Medicine
The first two major reports that called for increased use of information technology in healthcare were published by the _____. Answers: -Centers for Medicare and Medicaid Services -Joint Commission -Institute of Medicine -American Hospital Association
Work distribution chart
The health information services department at Medical Center Hospital has identified problems with its work processes. Too much time is spent on unimportant tasks, there is duplication of effort, and task assignment is uneven in quality and volume among employees. The manager has each employee complete a form identifying the amount of time he or she spends each day on various tasks. What is this tool called? Answers: -Serial work distribution tool -Work distribution chart -Check sheet -Flow process chart
Great Depression
The historical event that had the most influence on the US government's role in financing healthcare delivery is ___________________.
CIO
The individual most likely to lead strategic planning for a healthcare organization's information system is the _____. Answers: -CEO -HIM director -Correct CIO -Medical director
Flowchart
The leader of the coding performance improvement team wants all team members to clearly understand the coding process. What tool could help accomplish this objective? Answers: -Flowchart -Force-field analysis -Pareto chart -Scatter diagram
General ledger
The master list of individual accounts maintained by an organization is called the: Answers: -Journal -Chargemaster -Budget -General ledger
E-learning
The method of instruction that offers the most flexibility in matching content to various learning styles is: Answers: -Lecture -Reading -Role play -E-learning
cost control
The one aspect of managed care that has had the greatest impact on healthcare organizations during the past 25 years is ____________.
stakeholders
The people or groups of people in an organization who will be affected by a project are the project's _____. Answers: -sponsors -stakeholders -staff -resources
enterprise master patient index
The process of integrating the health IT systems within a healthcare facility requires the creation of ___. Answers: -data warehouses -e-health initiatives -enterprise master patient index -electronic data interchange
True
The purpose of data quality management is to ensure that data meet characteristics such as accuracy, completeness, accessibility. Answers: True False
shift differential
The slightly higher wage paid to an employee who works a less desirable shift is called a _____. Answers: -shift rotation -performance incentive -shift differential -work distribution ladder
qualitative standard
The statement "Coding of inpatient records must be completed at a 98% accuracy rate" is an example of a _____. Answers: -goal -vision statement -qualitative standard -quantitative standard
job procedure
The statement "Enter birth date using the format MMDDYYYY" would most likely be found in a _____. Answers: -job procedure -work distribution chart -workflow process -movement diagram
PAM
The survey aimed to assess the knowledge, beliefs, skills, and behaviors that are necessary to manage one's health is called the____. Answers: CAHPS PAM HCAHPS PCMH
Electronic data interchange
The technology commonly utilized for automated claims processing (sending bills directly to third party payers) is _____. Answers: -Optical character recognition -Enterprise identity management -Neural networks -Electronic data interchange
materiality
The term ______ represents the significance of a dollar amount based on predetermined criteria. Answers: -variance -asset -materiality -account
balance sheet
The term ______ represents the totals in accounts (expressed in accounting equation format) at a specific point in time. Answers: -balance sheet -capital budget -income statement -cost report
bed capacity
The total number of inpatients that can potentially be treated in a hospital is determined by the ____________.
care outcomes management
The use of automatic clinical practice guidelines and care protocols is an important component of _____. Answers: -telehealth systems -data mining applications -care outcomes management -signal processing systems
Gantt chart
The work identified in the WBS is commonly scheduled and managed using a _____. Answers: -schedule -Gantt chart -task log -project plan
workers with high maturity may react negatively to strict management and rigid procedures
The worker-maturity model by Argyris proposes that: Answers: -less experienced workers should be given less structure so they can learn freely -people who are highly capable welcome and perform better when they are given high direction by a superior -workers with high maturity may react negatively to strict management and rigid procedures -worker-maturity is unrelated to either supervision or task independence
According to facility policy, which is applied consistently
The workweek in a healthcare facility is defined _____. Answers: -According to facility policy, which is applied consistently -As spanning from Sunday to Sunday -According to strict definitions in the Fair Labor Standards Act -On a case-by-case basis
Sequoia Project
The_____ is the latest iteration of the American Health Information Coalition Answers: NHIN eHealth Collaborate Sequoia Project CommonWell Alliance
Office of Civil Rights (OCR)
The_____ protects fundamental nondiscrimination and health information privacy rights. Answers: -Office of the National Coordinator of Health and Human Services (ONC) -Health Insurance Portability and Accountability Act (HIPAA) -American Recovery and Reinvestment Act (ARRA) -Office of Civil Rights (OCR)
Quality of Life
Trauma registry follow-up focuses on ______. Selected Answer: Answers: -Survival -Rehabilitative response -Quality of Life -Mortality
December 31st
Trinity Hospital has a fiscal year end of June 30. For this hospital, the second quarter ends _____. Answers: -November 30th -February 28th or 29th -May 31st -December 31st
False
True or False: Often team-based decisions are not accepted since they did not come from management.
True
True or False: Responsibility cannot be delegated to another person.
True
True or False: The management team is responsible for establishing an appropriate communication plan in the department.
True
True or False: The use of an online chat room as a teaching method is an example of synchronous web-based delivery.
True
True or False? Six Sigma uses "soft tools" in its management strategy such as meeting agendas, ground rules and activity reports.
compensable factors
Under the Equal Pay Act, the factors of skill, effort, responsibility, and working conditions are all identified as _____. Answers: -compensable factors -employee selection factors -performance evaluation factors -work scheduling factors
Monitoring and Controlling
Update Plans -Executing -Initiating -Planning -Closing -Monitoring and Controlling
12% (12(20,000)/2,000,000 = 0.12(100)=12%)
Urban Clinic is establishing a new Women's Breast Center at an initial investment cost of $2,000,000. Monthly operating expenses are expected to be $100,000, and the center is expected to generate $20,000 in profits each month. What is the estimated return on investment of this project for one year? Answers: -5% -10% -15% -12%
blended learning
Use of a variety of content delivery methods to accommodate different types of learners is called: Answers: -blended learning -programmed learning -classroom learning -online learning
Executing
User Manual -Executing -Initiating -Planning -Closing -Monitoring and Controlling
peer review
Using a process that is known as ____________, CMS and the Joint Commission both require that healthcare professionals assess the work of colleagues in the same profession.
Planning
WBS -Executing -Initiating -Planning -Closing -Monitoring and Controlling
Scope, budget, and schedule
What are the three components of a project plan? Answers: -Mission, vision, and goals -Leader, staff, and budget -Scope, budget, and schedule -Goals, resources, and budget
Consistency
What basic accounting principle requires that organizations follow the same accounting rules from year to year? Answers: -Disclosure -Reliability -Matching -Consistency
They say that leaders have some combination of task and social orientation.
What do the Ohio and Michigan University studies, Blake and Mouton, and Hersey and Blanchard model all have in common? Answers: -They are all well-developed theories that explain why leaders behave as they do. -To provide stability and consistency, they encourage leaders to behave the same way under all circumstances. -They say that leaders have some combination of task and social orientation. -In all of these theories, the best leaders are democratic.
Job description
What document outlines the work to be performed by a specific employee or group of employees with the same responsibilities? Answers: -Union contract -Policy and Procedure Manual -Job evaluation -Job description
State Government
What entity is responsible for maintaining vital statistics data? Answers: -Hospital -Physician -State Government -Federal Government
To stabilize the changes that have been made
What is Lewin's purpose in "refreezing"? Answers: -To stabilize the changes that have been made -To keep promoting change and transition -To urge people to change the organization -To make leadership roles more rigid
Layoff
What is an unpaid leave of absence initiated by the employer as a strategy for downsizing staff that may result in the employee being called back to work later? Answers: -Termination -Suspension -Layoff -Arbitration
reverse mentoring
What is it called when a new employee mentors a senior employee on subjects in which he or she may have more expertise? Answers: -cross training -coaching -reverse mentoring -mentoring
A program initiated by the VA to enable patient mediated access to their medical record which has expanded to many other agencies.
What is the Blue Button initiative? Answers: -A rapid method for scheduling a doctor's appointment if you are a veteran. -A program initiated by the VA to enable patient mediated access to their medical record which has expanded to many other agencies. -A program to enable payers to track patients in the HIE for purposes of care coordination -A method of authentication for patient inclusion in a HIE's master patient index
4,600,000 = 2,700,000 + 1,900,000
What is the accounting equation? Answers: -4,600,000 + 2,700,000 + 1,900,000 -2,800,000 + 2,700,000 + 1,900,000 -4,600,000 = 2,700,000 + 1,900,000 -4,600,000 = 4,600,000
Competency assessment
What is the best way to evaluate how much an employee learns from on-the-job training? Answers: -Performance evaluation -Competency assessment -Annual review -Exit interview
Verbal warning
What is the first step in the progressive discipline process? Answers: -Dismissal -Suspension -Verbal warning -Written reprimand
Task
What is the lowest level in the work breakdown structure (WBS)? Answers: -Task -Deliverable -Activity -Function
Use a variety of teaching methods
What is the most important factor in conducting a successful educational program that meets the needs of all participants? Answers: -Prepare an interesting multimedia presentation -Schedule the program at a time convenient for everyone -Use a variety of teaching methods -Break the presentation into short modules
To define data requirements and integrate and control organization data assets
What is the primary importance of data architecture management? Answers: -To identify security breaches -To define data requirements and integrate and control organization data assets -To determine what type of hardware are needed -To describe a data warehouse
Recruitment
What is the process of finding, soliciting, and attracting new employees called? Answers: -Recruitment -Retention -Orientation -Hiring
Ten years
What is the timeframe of the "Nationwide Interoperability Roadmap? Answers: -Two years -Three years -Five Years -Ten years
Suspension
What is the usual final step in performance counseling prior to termination? Answers: -Suspension -A demotion -A verbal warning -A reprimand
ADT
What message format is used to track a patient's movements through a care facility? Answers: XDR SMTP ADT DOCX
Performance standards
What sets the acceptable level of quantity and quality for each function of the job? Answers: -Performance standards -Position descriptions -Job procedures -Job evaluation
A permanent variance
What term is used to represent a difference between the budgeted amount and the actual amount of a line item that is not expected to reverse itself during a subsequent period? Answers: -A permanent variance -A fixed cost -A temporary variance -A flexible cost
Scale out
When a database Management System that can link new machines to existing DBMS storage machines without having to migrate the entire database it is said to _____. Answers: -Scale up -Uses cardinality to build tables -Require table-based representation -Scale out
learning curve
When a new statistical analysis software was installed at Community Memorial Hospital, HIM staff initially found the system overwhelming and were frustrated because their productivity decreased significantly. This experience represents the first stages of a(n)____________. Answers: -incentive pay system -inservice program -learning curve -mentoring
Analyze the situation
When a variance in work performance is identified, the next step should be to: Answers: -Correct the variance -Change the indicator -Analyze the situation -Adjust the budget
grievance
When an employee complaint has been documented in writing and brought to the attention of management or a union representative, it is called a(n): Answers: -reprimand -action plan -grievance -amendment
Core employees are on duty at times when services must be provided
When creating work schedules, what is the most important consideration? Answers: -All employees work an equal amount of time -Overtime is avoided -Float employees cover absences on a daily basis -Core employees are on duty at times when services must be provided
providing the resources needed to complete the assigned task
When delegating authority, managers can prepare staff in advance by _____. Answers: -asking staff to check in before making any decisions -providing the resources needed to complete the assigned task -encouraging flexibility as expectations become more clear -preparing staff for unclear deadlines
constructive confrontation
When two opposing parties meet with an objective third party to explore mutual understanding, it is called: Answers: -mediation -control -compromise -constructive confrontation
health literacy
Whether a person can obtain, process, and understand basic health information and services that are needed to make suitable health decisions is called ______. Answers: patient experience health literacy activation HealthyPeople 2020
Workers' Adjustment Retraining and Notification (WARN) Act
Which Act requires that organizations employing more than 100 people give a 60-day notice of its intent to close or lay off 50 or more members of its workforce? Answers: -Fair Labor Standards Act -Workers' Adjustment Retraining and Notification Act (WARN) -Taft-Hartley Act -Equal Employment Opportunity Act (EEO)
Ergonomics
Which discipline defines the natural laws of work and focuses on employee comfort and safety? Answers: -Aesthetics -Cybernetics -Ergonomics -Affinity grouping
Environment
Which element of the systems model cannot be easily controlled by an organization? Answers: -Input -Process -Output -Environment
Income statement
Which financial statement reflects the extent to which an organization's revenues exceed its expenses? Answers: -Balance sheet -Statement of cash flow -Statement of retained earnings -Income statement
Structured interview
Which interview format uses a set of standardized questions that are asked of all applicants? Answers: -Behavioral description interview -Panel interview -Structured interview -Unstructured interview
Managers ask how something should be done and leaders ask why
Which is most accurate regarding the difference between leaders and managers: Answers: -Managers strive for change while leaders promote efficiency -Managers ask how something should be done and leaders ask why -Leaders attend to danger and uncertainty while managers seek out opportunity in them -Leaders use analytic thinking while managers use more flexible thinking styles
Communication
Which key component of the project management life cycle occurs in every phase of the project? Answers: -Definition -Change control -Analysis -Communication
Centralized
Which model for health information exchange stores patient records in a single database built to allow queries into the system? Answers: Federated Hybrid Centralized Decentralized
Both b (A collaboration between HL7 and ASTM for interoperability) and c (A XML based interoperability standard for summary of care information providing a limited scope of relevant information.)
Which of the following best defines the HL7 Continuity of Care Document (CCD)? Answers: -A framework for summary of care information -A collaboration between HL7 and ASTM for interoperability -A XML based interoperability standard for summary of care information providing a limited scope of relevant information. -Both b and c
The enterprise authority that ensures control and accountability for enterprise data
Which of the following best describes a DG program? Answers: -A group of data stewards and business analysts who set data policy -A process whereby data accountabilities and decision rights are assigned -The enterprise authority that ensures control and accountability for enterprise data -A project whose purpose is to control the organization's data asset
Master data
Which of the following best describes data about key business entities? Answers: -Master data -Metadata -Structured data -Unstructured data
A series of successive stages and has beginning and end points
Which of the following best describes life cycle management? Answers: -Governing the input and output of data -Broad category of applications that manage data from capture to destruction -Integrated set of specifications -A series of successive stages and has beginning and end points
Data stored in electronic databases
Which of the following best describes structured data? Answers: -Data that do not have a pre-defined data model -Text data stored in document management systems -Data stored in electronic databases -Data about key business entities
Work schedule
Which of the following ensures adequate staff coverage for the organization according to its needs? Answers: -Job description -Work schedule -On-the-job training -Orientation
Assets = Liabilities + Owner's equity
Which of the following expresses the basic accounting equation? Answers: -Liabilities = Assets + Owner's equity -Assets = Liabilities + Owner's equity -Assets + Liabilities = Owner's equity -Owner's equity - Liabilities = Assets
Mission statement
Which of the following identifies the fundamental purpose and scope of the DG program? Answers: -DG goals -Key performance indicators (KPIs) -Mission statement -Vision statement
Data definition stewards
Which of the following is a business role; with major responsibilities that include identifying the specific data needed to operate business processes, recording metadata, and identifying and enforcing quality standards? Answers: -Chief data officer -Data definition stewards -Data production stewards -Subject matter experts
Decreased productivity
Which of the following is a common outcome of conflict in the workplace? Answers: -Increased morale -Increased retention -Feeling of safety -Decreased productivity
Registry
Which of the following is a secondary data source that collects data about patients with a specific diagnosis? Answers: -Disease index -Master patient index -Registry -Register
DG applies to data in any format.
Which of the following is a true statement about a DG program? Answers: -DG is an information technology function -DG applies to data in any format. -DG policies and procedures apply only to non-structured data -DG programs are usually the same among organizations.
Telecommuting
Which of the following is an alternate work schedule option that has been made possible by the growth and development of technology? Answers: -Compressed workweek -Open systems -Telecommuting -Flextime
To provide access to data for better decision making
Which of the following is best describes the purpose of business intelligence? Answers: To store data in a data warehouse -To provide access to data for better decision making -To bring together an organization's key data -To implement better data security
Reward
Which of the following is not a fundamental principle of adult learning? Answers: -Motivation -Reward -Reinforcement -Awareness of results
What individual performance problems will be eliminated by the change?
Which of the following is not a fundamental question to be considered as part of every performance improvement effort? Answers: -How will one know that the proposed change will be an improvement? -What is the goal of the proposed change? -What individual performance problems will be eliminated by the change? -What changes can be made that may result in an improvement?
Interviewing skills
Which of the following is one of the most important skills that a manager needs to effectively recruit staff? Answers: -Communication skills -Presentation skills -Interviewing skills -Negotiation skills
Classroom instruction
Which of the following is the least effective method of on-the-job training? Answers: -Coaching and mentoring -Training by peers -Job rotation -Classroom instruction
Net present value and internal rate of return
Which of the following pairs of analysis techniques considers an interest rate (the time value of money) in determining the financial impact of a potential investment? Answers: -Payback and net present value -Payback and accounting rate of return -Net present value and internal rate of return -Internal rate of return and profitability index
Data governance executive steering committee
Which of the following provide the authorization for the DG program and establish the program's mission? Answers: -Data governance executive steering committee -Data governance office -Chief data officer -Chief data steward
Simplify
Which of the following represents an interoperability principle as defined by ONC? Answers: Simplify Focus on flexibility Maintain innovation Ensure stakeholder involvement
The Landrum-Griffin Act.
Which of the following required financial disclosures of labor organizations? Answers: -The Landrum-Griffin Act. -The Wagner Act -The Taft-Hartley Act -The Fair Labor Standards Act.
Funding is a joint federal and state initiative
Which of the following statements most accurately describes funding for the Medicaid program? Answers: Funding comes from the federal government Funding comes from each state government Funding is a joint federal and state initiative Funding is from private sources
A federal program that finances healthcare services for the elderly
Which of the following statements most accurately describes the Medicare program? Answers: A state program that finances healthcare services for the elderly A federal program that finances healthcare services for the elderly A state program that finances healthcare services for low-income families A federal program that finances healthcare services for low-income families
Supported construction of new hospitals and modernization of old ones throughout the United States.
Which of the following was the biggest impact of the Hill-Burton Act of 1946? Answers: -Established the Medicare and Medicaid programs -Mandated that all RNs must have a bachelor's degree -Supported construction of new hospitals and modernization of old ones throughout the United States -Provided federal support to build long term care facilities
Oral temperature of Mrs. Smith of 104 degrees
Which of the following would be considered information? Answers: -The series of numbers 2, 4, 6 -Blood pressure reading of 120/80 -Oral temperature of Mrs. Smith of 104 degrees -Date of 9/5/1970
Focus on one or a few small business imperatives
Which of the following would be the best approach in starting a DG program? Answers: -Focus on one or a few small business imperatives -Begin with developing policies and procedures -Identify HIPAA requirements -Establish success metrics
Trauma
Which one of the following is not an index routinely maintained in acute-care facilities? Answers: -Disease -Operative -Physician -Trauma
American College of Surgeons
Which organization approves cancer programs? Answers: -North American Association of Central Cancer Registrars -American Cancer Society -Joint Commission on Accreditation of Healthcare Organizations -American College of Surgeons
Immunization
Which registry is most often focused on a local area and used to track compliance with public health vaccination recommendations? Answers: -Diabetes -Implant -Immunization -Transplant
Implant
Which registry tracks product performance and allows for patient notification of product failure? Answers: -Cancer -Diabetes -Birth defects -Implant
It has been slower than in other industries.
Which statement best describes the implementation of informatics in the healthcare industry? Answers: -It has been slower than in other industries. -It has been faster than in other industries. -Healthcare is a leader among industries in implementing technology applications. -There is currently very little use of technology in the healthcare industry.
Needs Assessment
Which tool is used to determine the most critical areas for training and education for a group of employees? Answers: -Performance evaluation -Needs assessment -Orientation assessment -Job specification
They provide the means to locate, retrieve, use, and manage data
Why are metadata essential in information systems? Answers: -They provide the means to locate, retrieve, use, and manage data -They identify the organization's most important data assets -They provide data safeguards -They identify the disposition of data
They provide the foundation of information systems
Why are the data artifacts produced through data architecture management important? Answers: They define data policy for the organization They help to identify security breaches that may occur They are required by federal regulation They provide the foundation of information systems
Need for change
Why is a project usually undertaken in an organization? Answers: -Administrative mandate -Budget failures -Need for change -Employee frustration
To identify links and relationships among documents can be identified
Why is data governance of the content management function important? Answers: -To make data modeling easier -To provide decision rights to end users -To develop data protection mechanisms -To identify links and relationships among documents can be identified
Planning
Work Breakdown Stucture (WBS) -Executing -Initiating -Planning -Closing -Monitoring and Controlling
Deliverables
Work products that must be produced as a result of a project are referred to as: Answers: -Materials -Resources -Sponsors -Deliverables
Accreditation
_____ can be defined as a voluntary system of institutional review by an independent external agency. Answers: Licensure Certification Accreditation Credentialing
CCR
_____ is a specification of data that format directly from the EHR. Answers: CCR EHR HL7 Web 2.0
Centers for Medicare and Medicaid (CMS)
_____ provides incentives to hospitals and providers to motivate participation in the Meaningful Use program. Answers: -Office of the National Coordinator (ONC) -Centers for Medicare and Medicaid (CMS) -Veterans Administration (VA) -National Alliance for Health Information Technology
University hospitals
______ would be categorized as voluntary hospitals. Answers: US military hospitals University hospitals Investor-owned hospitals Proprietary hospitals
Programs
_________ have long time horizons and in many cases are the infrastructure on which the business operates. Answers: -Large technology implementations -Governance Committees -Programs -Contracts and Participant Agreements
For-profit
_________ healthcare organizations pay out their excess revenues in the form of bonuses and dividends to owners, investors, and managers.
P.L. 89-97 of 1965
______________ is the federal legislation that enacted the Medicare and Medicaid programs. -P.L. 92-603 of 1972 -P.L. 89-97 of 1965 -P.L. 98-21 of 1983 -The Utilization Review Act of 1977
medical staff bylaws
___________________ govern(s) the operation of a hospital medical staff.
Telehealth
_______is the use of electronic information and telecommunications technologies to support long-distance clinical healthcare, patient and professional health-related education, public health, and health administration. Answers: Secure messaging Consumer informatics Personalized medicine Telehealth
PGHD
______is health-related data created, recorded, or gathered by or from patients (or family members or other caregivers) to help address a health concern. Answers: PGHD PCDA PCCR PCCD
Personalized medicine
_____is the tailoring of medical treatment to the individual characteristics, needs, and preferences of a patient during all stages of care, including prevention, diagnosis, treatment, and follow-up. Answers: -Personalized medicine -Learning health system -Patient Centered Medical Home -Hospital Value Based Purchasing
Medical staff classification
refers to the organization of physicians according to clinical assignment
