HSA 4191 QUIZZES 1-10 \
What is the greatest challenge with creating solutions to solve issues of Cost, Quality and Access, the cornerstones of the "Healthcare Triangle?"
Achieving goals in one area (cornerstone) has a tendency to compromise one or both of the remaining two (2) domains (cornerstones).
What is the key difference between Active CDS and Passive CDS?
Active CDS expands the features of passive CDS to include analysis of data and the generation of recommendations for diagnosis and treatment.
The physical components and devices in HIT systems are known collectively as:
Hardware
Tools that make office life easier include word processing, email and project management applications. These tools, when integrated, fall under which of the following categories?
Office Automation Systems
Which of the following categories of management has the goal of minimizing the adverse effect of incidents and problems on the business that are caused by errors in the infrastructure and to prevent the occurrence of incidents, problems, and errors proactively.
Problem management
"Managing interrelationships between projects," is a description of which of the following types of management?
Program
Which of the following has the main goal of ensuring that either new software or new hardware being added to a live environment has been built and tested to ensure that it is put into service without causing negative impacts.
Release management
Which of the following has the goal of maximizing productivity while minimizing resource expenditures?
Resource Utilization and Scheduling Systems
Which of the following is NOT a key challenge that will affect the role of the CIO (according to HIMSS 2005)
Slow pace of technology advancement
Which of the following statements BEST describes the function of the Portfolio Management Office?
The PMO manages the collection of programs and projects to include evaluating the risks and value of each potential project while balancing the portfolio with the organizations other investments.
Which of the following statements is TRUE
The U.S. healthcare system still largely operates in a Fee For Service model, which fosters operational inefficiencies and over utilization of services.
Which of the following is an example of secondary storage:
USB memory stick
What is the #1 driving force behind healthcare reform?
Uncontrolled high costs of the U.S. healthcare system
Which of the following is not a reason health organizations outsource HIT functions?
limited flexibility
What was the first generation of computer programming languages?
machine
According to your professor, is Health Information Technology ("HIT") here to stay? Should we embrace it? If we don't will be be left behind
true
Contrary to what is most beneficial to the majority of organizations, only the most progressive organizations are adopting best practices in HIT service management; many HIT departments continue to rely on informal, error-prone processes.
true
Feedback mechanisms are critical to the HIT process improvement efforts.
true
Health Information Technology is used for daily operations as well as to support medium and long term business goals.
true
Service continuity management involves the creation of a real, tested continuity plan. Which of the following is a concern regarding healthcare continuity plans?
A continuity plan that is not inclusive of a risk assessment to assess vulnerabilities The creation of symbolic or fantasy plans that are not realistic or useful Organizations creating "fake" continuity plans in order to satisfy a legal or operational requirement All of the provided statements are valid concerns
Which of the following is a key distinguishing feature of peer networks?
Absence of a server
The CIO must communicate effectively to ensure the success of the HIT strategy. Which of the following best describes the communication and impact of the CIO within the organization?
All the provided answers are correct Horizontally - to other C-level executives Internally - to manage technology business units Upward - to the CEO and to the Board
What is a key, fundamental difference between an EMR and an EHR
An EHR is an electronic health record system and is patient-centric, whereas an EMR is provider centric
Which of the following is an example of a utility program?
Anti-virus software
The following best describes the healthcare CIOs functional responsibilities:
Assist governing board in the use of information for decision making and to provide information management oversight for the organization.
Which of the following application of Cost-Evaluation is correct?
Benefit-cost analysis when benefits are measured entirely in dollar amounts
Clinical Decision Support Systems, when used with Computerized Physician Order Entry, becomes a powerful tool for minimizing medication errors because:
CDSS, when employed correctly, will provide the right information, at the right time, in the right amount, enabling the clinician to make better, informed decisions.
Who should take direct responsibility for organizing the HIT planning effort, to include the tasking of the HIT steering committee to create the HIT plan?
CEO
Which of the following statements is FALSE regarding projects.
Canceling a project is never an option and should be avoided at all costs.
Where does the actual work of computing take place?
Central processing unit
Although the "Chief Information Officer" position has been around for many years, prior to its establishment, the role of the CIO was filled by:
Chief Financial Officer
Which of the following statements is FALSE regarding knowledge, information and data?
Computers only contain information, not knowledge
Due to the tremendous advancements in computing technology, the basic schematic of current computer hardware has little resemblance to first generation computers.
False
Health Information Technology cannot be relied upon to produce information to support decisions regarding health information technology.
False
In terms of HIT departmental organization, HIT staff always report upwards to senior HIT directors, with the CIO as the ultimate in charge of HIT strategies and implementations.
False
The IOM 1999 report "To Err is Human" which details medical errors as a leading cause of adverse health events (medical errors). Medical errors includes deaths from high risk procedures and not only preventable adverse effects.
False
The Pay for Performance reimbursement model is designed to maximize provider income by incentivizing excessive health utilization.
False
The Total Cost of Ownership ("TCO") of an EHR system is mostly comprised of the large upfront investment in capital expenditure
False
The majority of health care organziations in the United States, to include hospitals and ambulatory care settings, have acheived stage 7 of the EMR adoption model ("EMRAM")
False
To be successful, CIO are required to possess a high degree of hands-on technical ability and limited managerial and leadership skills.
False
When new healthcare legislation is introduced that affects the organization's Health IT, it is the role of the organization's legal counsel to anticipate and react, which often involves dialog with the CIO.
False
Which of the following is NOT a reason for why we are slow to adopt EHR technology?
Federal mandates requiring providers to meaningfully use CEHRT.
Within incident management there are three levels of support services. Which of the following options correctly matches level and the type of help provided at that level?
First level-handles the most routine, recurring incidents, such as resetting a user's passwordSecond level-requires a lot of expertise and training; may require a technician to go physically to the user's locationThird level-handles the most difficult and unique problems and often must perform deep root-cause analysis
Which of the following statements regarding "Free Text" is FALSE
Free Text, which is not machine computable, is useless in the clinical documentation process and should not be allowed for use in electronic health record systems
In terms of government intervention in healthcare, this peice of legislation has had no equal, has shaped healthcare over the last 2 decades and will continue to do so well into the future
HIPAA (1996)
A distinct function of Portfolio Management is to provide decision support. Which types of projects and programs would the Portfolio Management Office provide decision support for?
High Risk, low value Low risk, high value Low risk, low value High risk, high value All of the other options
Which of the following statements concerning IT service desks are NOT true?
IT service desks address only malfunctions and incidents.
Which of the following provides a framework of best practice guidance for HIT service management and is the most widely used and accepted approach in the world?
ITIL
What are the 5 processes of formalized project management?
Initiation, planning, execution, monitoring and controlling, closing
Which of the following is NOT TRUE of an EHR system
Investments in EHR systems can produce guaranteed positive ROIs.
Which of the following statements is true regarding sense making?
It is employed by organizations to help its users make sense of large amounts of information HIT is not 100% responsible for sense making. The organization must also employ strategies, policies and procedures to realize benefits of sense making It is the process of making sense of any given situation All of the other options are true.
Why is the Critical Path so important in project planning?
It shows the shortest possible time a project could successfully completed and serves as a baseline for measuring project progress.
Which of the following is NOT a valid statement regarding legacy systems?
Legacy systems can perform work functions that newer systems cannot
What is a leading cause of adverse health consequences and greater cost burden on society as a whole?
Medical errors
Which of the following statements is TRUE regarding executive information systems
Must be integrated with other information systems throughout the organization to be able to pull in data necessary for effective analysis and report generation Is often considered the business version of clinical decision support and makes possible what is broadly referred to as Business Intelligence May require an analyst to interpret the results of its analysis All of the statements are TRUE
Which of the following is NOT a benefit of operating an Electronic Health Records System
None of the other options as they ARE ALL known benefits of operating an EHR Better Organization of Data, e.g., no lost files, structured data. Improved performance monitoring and data analysis Improved claims Processing Efficiency Improved access to information,e.g, cloud based access and concurrent access.
What was one of the main purposes of the first computer systems?
Performing financial transactions
Which of the following has been, is currently, and will continue to be an ongoing high priority consideration and challenge for the healthcare CIO.
Privacy and security of patient data
Which of the following is best described by this definition: "Process of identifying and assigning priorities to assist the organization in executing business plans and achieving strategic goals"
Strategic Planning
The Commonwealth Fund released a report called "Why Not the Best" in which the US Healthcare System was ranked in last place overall. The reason for the poor ranking result was
The US healthcare system was consistently in th lowest position on individual performance metrics including efficiency, equity and healthy lives.
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 whereas high-performing departments utilize silos based methodology with little to no formal cross-functional controls or processes.
HIT investments are difficult to evaluate because:
There is limited information regarding HIT value HIT solutions are complex and deeply integrated into all facets of the organization, meaning there are many variables to consider. Existing HIT value is often inaccurate because HIT is often selected for the wrong reasons All of the above are true
Which of the following is NOT an attribute of Materials Management Systems?
They are often stand-alone systems that do not integrate with other information systems
Regarding the 3rd level of service desks, which of the following statements is true?
They deal with approximately 5% of the total service desk inquiries
Which of the following statements is TRUE regarding Ambulatory Care Information Systems?
They help operate the administrative, financial and clinical operations of the ambulatory care business
Which of the following statements are TRUE regarding the "silo" management mentality?
Today's HIT projects are highly complex, interconnected and interdependent and thus executing a project without considering other projects is cause for project conflict and failure
Distance, travel time, cost and density are all barriers to access to healthcare.
True
Federal incentives to promote EHR Adoption and meaningful use will convert to financial penalties for providers and hospitals who do not comply.
True
In order to improve healthcare, we must correctly align the incentives and reimbursements with the desired outcomes.
True
Interoperability, the ability of health information systems to exchange data within and across organizational boundaries, is a vital movement for acheiving overall healthcare goals.
True
One of the primary reasons for the evolution of the CIO role is the continued expansion of information, leading to greater complexity in HIT systems and HIT governance.
True
Scope Creep, which is the expansion of the project requirements beyond originally agreed upon specifications, can cause delays in project completion, can increase the cost of projects and can potentially result in project failure
True
With regards to improving patient care, purchasing and operating an Electronic Health Records System alone is not enough. True benefits are only achieved through a re-engineering process to achieve efficient, effective, patient centered workflows
True
HIT value and benfits span three (3) dimensions. Which of the following describes benefits related to the impact on service delivery?
clinical dimension
As a general trend, computers have become larger, faster, more sophisticated and expensive.
false
HIT systems contain "sensitive" data and require comprehensive strategies to protect against data failure, breach, and loss. The term "sensitive" is used here to specifically and only to describe a patient's private medical history and not other identifiable personal or financial information.
false
Human Resources Information Systems do not contain clinical data, PHI, and therefore are not subject to legislation, policies or concerns regarding privacy and security of data.
false
Information systems and computer applications are only now starting to be utilized for academic and medical research purposes, e.g., computerized mannequins
false
Point-of-care data capture is conceptually desirable but is not currently acheivable using existing mobile and wireless technologies.
false
True or False: Because HIT leaders are not concerned with their reputations, they are always honest regarding their HIT failures. They always document 100% of their failures so that future efforts can benefit and avoid their mistakes.
false
Video Display Terminal technology has not improved much over the last 20 years.
false
When an organization has all of their information systems integrated, meaning they do not need to build interfaces to connect their systems together to share data, they no longer need to concern themselves with the challenges of interoperability
false
Electronic Medical Records is uniquely different than Electronic Health Records in that it
is provider-centric and lacks the element of patient empowerment and interoperability
When drafting the statement of HIT goals and objectives (part of the overall HIT Strategic Plan), which of the following considerations are TRUE?
objectives need to be measurable and acheivable
Which of the following is the single greatest cause of HIT project failure?
poor execution
Today, most software used in healthcare is:
purchased or leased from external vendors
Which of the following statements is TRUE regarding HIT development in the PAST.
results from ad hoc systems development were often poor, ineffective, inefficient and costly.
We understand that HIT strategy must align with, be conducive to and supportive of the organization's broader goals. To acheive this, the leaders of HIT and other departments must agree to:
share responsibility work together to acheive their strategies alignment of their respective strategies all the other answers are correct
An Integrated Delivery System (IDS) is a collective of healthcare organizations that work together to provide patient care. Due to their collective nature, which of the following is a top consideration that IDSs must take into account when devising their HIT Strategic Plan?
system integration - in order to effectively exchange the necessary information for patient care
When we say that the PMO utilizes holistic management, this means that:
the PMO views each project as a component of a collection of inter-related projects that, collectively, must work towards achieving the organization's strategic goals and objectives
The US government must intervene in the US healthcare system primarily because...
the marketplace has not performed its normal function of optimizing cost, quality and access
We understand that healthcare systems should be cybernetic systems. What does it mean to be a cybernetic system?
to be self-regulating through a feedback mechanisms
Why is Evidence Based Medicine ("EBM") so important?
to enables comprehensive, more accurate clinical decisions it seeks to integrate clinical expertise with the best evidence it will ultimately improve patient care It establishes a learning strategy for the medical community All the answers provided are important.
"Meaningful Use" is a term adopted by ONCHIT that describes the appropriate use of an Electronic Health Records system that may qualify a Medicare provider to receive up to $44,000 in incentive payments.
true
Health information technology has been responsible for creating an explosion of medical knowledge. Can HIT also be utilized to help manage it?
true
The US government must intervene and motivate HIT adoption by healthcare facilities and providers because "no compelling business case existed for investments in HIT."
true
True or False: HIT investments can save our nation billions of dollars each year and can improve patient care and safety. HIT investments can also improve the operational efficiency of the organization.
true
When individuals within organizations have the knowledge they need to be able to make decisions and accomplish their individual jobs, organizational efficiency and effectiveness are significantly improved.
true
According to your professor, Does HIT matter?
yes
According to your professor, does health information technology ("HIT") matter?
yes
