MRT 114- Final Exam Study

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What is an information system

A collection of related components that interact, the integration of several elements in a business process to effect a specific outcome, a process that refines raw facts (all of the above)

Which of the following systems is designed primarily to support patient care by providing healthcare professionals access to timely, complete, and relevant information for patient care purposes?

Clinical information system

Which IS is designed to provide diagnostic and other expert advice to clinicians from various resources?

Clinical information systems

I am looking to purchase a system that will be used by the physicians to order medications, tests, and other treatment. This system must use alerts and reminders. I must be looking to purchase what type of system?

Clinical provider order entry

The LAST_NAME column of the patients table is considered a

Column

The concept of systems integration refers to the healthcare organization's ability to:

Combine information from any system within the organization

The concept of systems integration refers to the healthcare organization's ability to

Combine information from any system within the organization.

The average length of stay for Hospital A is 4.3 and for Hospital B is 5.1. This is an example of what type of information?

Comparative information

Degree to which the codes capture all the diagnoses and procedures documented in the patients record is called _________________________ since it supports the strength of our conclusions and is the best available approximation of the correct codes

Completeness

The primary reason that healthcare organizations develop business continuity plans is to minimize the effects of:

Computer shutdowns during natural disasters

The act of limiting disclosure of private matters is a definition of:

Confidentiality

Two coders have found the same abbreviations on two records. "O.D" for right eye and "O.D" for overdose. What data quality is lacking here

Consistency

A health information exchange organization that compiles data into one central store of data is called:

Consolidated

Which of the following techniques should be used to determine what information access privileges an employee should have?

Context-based, Role-based, User-based (Any of the above)

Which of the following describes the content of information that should be exchanged among referring providers?

Continuity of care record

Natural language processing:

Converts narrative information to structured data

Identification, authentication, and certification are standards that:

Cover the use of personal ID numbers that restrict the use to a system

Which of the following is true regarding HIPAA security provisions?

Covered entities must establish a contingency management plan.

I am looking for a method of data security. Which of the following would be one choice?

Cryptography

Standards from which organization are used for enabling exchange of clinical images

DICOM

Standards from which organization would be used for enabling exchange of clinical images?

DICOM

HIM supervisor provides statistical report. It shows discharged of many newborns but there are only 10 bassinettes. What characteristic of data quality is applicable?

Data accuracy

Which of the following is not an element of data quality

Data backup

When you were abstracting charts into your UHDDS database you were not using the entire medical record- data quality breached:

Data completeness

Suppose the admitting form of Mrs. Smith's health record indicated that her birth date was 3/21/48. On the discharge summary it was recorded as 7/21/48. Which quality element is missing from the record?

Data consistency

Which of the following describes the step during implementation when data from an old system are able to be incorporated into the new system?

Data conversion

Suppose Dr. Jones entered a progress note in a patients health record 24 hours after he visited the patient. What quality element would be missing?

Data currency

Which of the following terms means that data should be complete, accurate, and consistent

Data integrity

I am looking to purchase an information system that identifies patterns in data. What system should I purchase

Data mining

Which of the following is required by HIPAA standards?

Data must be encrypted when deemed appropriate from the results of a risk assessment.

You were directed to add an additional field to your database. To be sure you entered it in the appropriate range you used a validation rule- this rule helped you with what data quality

Data precision

As an HIM professional, I am involved in data collection, developing the data dictionary and building edits. What role do I have?

Data quality

Ensuring accurate and timely data entry is:

Data quality

The term used to describe the accurate and timely data entry is

Data quality

The protection measures and tools for safeguarding information and information systems is a definition of

Data security

"System build" is the process where

Data tables are loaded and screen layouts customized

You look at database and compare to data dictionary. You realize the disposition was based on the admitting clerk's projection rather than nurses statement at discharge. Data quality breached was

Data validity

A _________________ is a copy of transaction data specifically structured for querying, analysis, reporting, and more rigorous data mining

Data warehouse

A subject oriented collection of data in support of management's decision making process

Data warehouse

Which of the following is a snap shot in time and consolidates data from multiple sources to enhance decision making?

Data warehouse

Which of the following provides organizations with the ability to access data from multiple databases and to combine the results into a single questions-and-reporting interface?

Data warehouse

An information system consists of:

Data, people, process (all of the above)

Which of the following can be described as an organized collection of data saved in a file on a computer?

Database

Chart conversion includes

Deciding what paper-based content should be automated

An information system that alerts a physician when a laboratory value is outside of the normal range is called a(n):

Decision support system

Dr. J ordered lab tests for patient - doctor adds three new meds and computer reminds him that interactions can occur. This is an example of

Decision support system

If a judge asks a record custodian to attest to the permanence of an EHR, the custodian should

Describe contingency plans

The phase of the systems development life cycle that defines how the system will work is

Design

A dietary department donated its old microcomputer to a school. Some old patient data were still on the microcomputer. What controls would have minimized this security breach?

Device and media controls

The most common approaches to converting from an old information system to a new one are the parallel approach, the phased approach, and ____ approach

Direct cutover

The ability for a computer to evaluate narrative speech and structure it given sophisticated rules for addressing context is:

Discrete reportable transcription

Which of the following may be managed in an electronic document management system (EDMS)?

Document images, E-mail, PACS (All of the above)

Which of the following may be managed in an electronic document management system (EDMS

Document images, e-mail, PACS (All of the above)

Which of the following forms of clinical decision support is most likely to be included in a basic EHR system?

Drug-drug contraindication checking

Major problem with the MPI is

Duplicate record numbers

A coding analyst consistently enters the wrong patient gender while entering data in the billing system. What security measures should be in place to minimize this security breach

Edit checks

Which technology would allow a hospital to get as much medical record information online as quickly as possible?

Electronic Document management system

Which of the following is a transition strategy to achieve an EHR

Electronic document management system

Which of the following is a transition strategy to achieve an EHR?

Electronic document management system

Electronic systems used by nurses and physicians to document assessments and findings are called

Electronic point-of-care charting

As an HIM professional, I am involved in screen design and system functionality. What role do I have?

Electronic system design and development

Telecommunications is characterized by

Electronic transmission of data or voice from one location to another

As a nurse, there are clinical practice guidelines that I should follow in caring for my patients. Where can I find these?

Embedded in the EHR

What is the biggest threat to the security of healthcare data

Employees

A number of healthcare organizations share information. These organizations have disparate systems. This describes a(n):

Health information exchange

The federal government envisions a regional health information organization (RHIO) to provide

Health information exchange

My computer is acting strange. My technical support said that I have been infected with a Trojan horse. What does he mean by this?

I have been infected by a computer that gains unauthorized access by masquerading as software that is useful when it can compromise data

A risk analysis is useful to

Identify security threats

What does the term access control mean?

Identifying which data employees should have a right to use

In a health information exchange organization (HIO), patients would most likely be

Identity matching algorithm

In which phase of the systems development life cycle are trial runs of the new system conducted, backup and disaster recover procedures developed, and training of end users conducted?

Implementation

A step-by-step approach to installing, testing, training, and gaining adoption for an EHR is referred to as a(n):

Implementation plan

An employee in the physical therapy department arrives early every morning to snoop through the clinical information system for potential information about neighbors and friends. What security mechanisms should have been implemented that could minimize this security breach?

Information access controls

A(n) _____ can be defined as a collection of related components that interact to perform a task in order to accomplish a goal.

Information system

The right of an individual to keep information about themselves from being disclosed to anyone is a definition of:

Informational privacy

The three elements of a security program are ensuring data availability, protection, and

Integrity

In class, classmates designed and produced the UHDDS database. There were many inconsistencies. The technique to verify consistency of data when two or more persons manipulate the same data is known as

Inter rater reliability

Which of the following is not a database

Interface

Which of the following is not a database?

Interface

I work for a 10-hospital chain that is purchasing five more hospitals. Many of these hospitals have different vendors supplying their information systems. This has resulted in concerns regarding:

Interoperability

A local area network using Internet-based protocols is

Intranet

A local area network using Internet-based protocols is an

Intranet

Which of the following allows corporations to supply Internet services over their LANs?

Intranet

The HIPAA data integrity standard requires that organizations:

Keep documented logs of system access and access attempts

A(n) _____ is a network that connects computers in a relatively small area, such as a room or a building

LAN

LOINC is a terminology that is used for coding

Lab results and other observations

Which of the following is an example of an ancillary system

Lab system

Which of the following is an example of an ancillary system?

Lab system

Which of the following information systems is used for collecting, verifying, and reporting test results?

Laboratory information system

The coding supervisor wants a daily report of health records that need to be coded. Which of the following systems would be best in meeting the supervisor's needs

MIS

The coding supervisor wants a daily report of health records that need to be coded. Which of the following systems would be best in meeting the supervisor's needs?

MIS

Which of the following is used primarily for monitoring performance?

MIS

_____ is a first-generation programming language

Machine

Discrete data may be entered into an EHR via:

Macro, Point-and-click, Voice command (All of the above)

Structured data may be entered into an EHR via:

Macro, Point-and-click, Voice command (All of the above)

These computers are used to handle intensive input/output business transactions

Mainframe systems

Which of the following were the only computers available prior to the late 1960s?

Mainframe systems

Administrative controls include policies and procedures that address the _____ of computer resources.

Management

An IS that supports routine and repetitive tasks that are critical to the operation of the organization such as payroll

Management information system

HIM director receives daily reports on number of new admissions

Management information system

Which of the following systems focuses on providing reports and information to managers for day-to-day operations of the organization?

Management information system

Sterile supply services department is performing their annual inventory check. What IS will they use?

Materials management

Semantics refers to

Meaning of a clinical concept

Semantics refers to:

Meaning of a clinical concept

Data that describes the data to be entered into an EHR are called

Metadata

Data that describes the data to be entered into an EHR is called

Metadata

Which end user would normally use a management information system in their day to day work?

Middle managers

A high-level overview of when EHR components will be implemented is

Migration path

A high-level overview of when EHR components will be implemented is:

Migration path

Our team has written a plan that describes what systems will be implemented in what order in our transition to the EHR. We completed our

Migration path

Use case and sequence diagrams are an example of a:

Modeling language

For HIPAA implementation specifications that are addressable, the covered entity

Must conduct a risk assessment to determine if the specification is appropriate to its environment

_______ is a fifth-generation programming language

Natural

In addition to people, threats to data security include

Natural disasters, Power surges, Hardware malfunctions (All of the above)

Which of the following is a fifth-generation programming language that uses human language to allow users to speak to computers in a more conversational way?

Natural language

Natural language processing

Natural language processing

This type of controls is designed to prevent damage cause by computer hackers.

Network controls

Which of the following enable(s) computers on a network to communicate with each other?

Network protocols

_____ connect computers together in a way that allows for the sharing of information and resources

Networks

RAID technology: a. Provides for server redundancy b.Rapidly processes discrete data in a database c.Reduces narrative notes to encoded form d.None of the above

None of the above

Though the Security Rule does not specify audit frequency, an organization's security policies and procedures be reviewed?

Once a year

A management information system is different from a strategic decision support system in that it produces reports for _____ and tactical decision making

Operational

Which of the following would be an example of two-factor authentication?

Password and retinal scan

Which of the following is (are) considered an application control?

Password management, Edit check, Audit trail (All of the above)

The first computer systems used in healthcare were used primarily to perform payroll and _____ functions.

Patient accounting

A means to reduce the data entry burden for providers but still capture discrete data is:

Patient data entry

A means to reduce the data entry burden for providers but still capture structured data is:

Patient data entry

How are health plans incentivizing providers to use EHRs

Paying for performance

In addition to patient care, clinical information systems may be used for

Peer review, Research, & Quality improvement (All of the above)

In addition to patient care, clinical information systems may be used for:

Peer review, Research, Quality improvement (All of the above)

To ensure CPOE systems supports patient safety, what other systems must be in place

Pharmacy Information systems

To ensure that a computerized provider order entry (CPOE) system supports patient safety, what other system must also be in place?

Pharmacy information system

What system would you expect to perform drug compatibility checks, have information on contraindications and control inventory?

Pharmacy information system

These are safeguards that protect equipment, media, and facilities

Physical access controls

Locks on computer room doors is a type of

Physical control

Standards that dictate how the organization's IT resources are protected from theft and damage are referred to as _____ standards

Physical security

The primary user of computerized provider order entry is a:

Physician

The primary user of computerized provider order entry is:

Physician

In which phase of the systems development life cycle is the primary focus on examining the current system and problems in order to identify opportunities for improvement or enhancement of the system?

Planning and analysis

The physician records his findings while still in the patient's room. This is called:

Point of care documentation

A special web page that offers secure access to data is a(n):

Portal

A _____ uniquely identifies each row in a table and ensures that it is unique

Primary key

This algorithm has the highest rate of success in identifying potential duplicates

Probabilistic

Which of the following best describes an EIS

Produces periodic, exception, and demand reports

Which of the following best describes an EIS?

Produces periodic, exception, and demand reports

An interface is

Program to exchange data

An interface is:

Program to exchange data

Network computers use _____ to communicate using the same language

Protocols

Which of the following is not a characteristic of a DSS

Provides day-to-day reports

Which of the following is a driving force for the EHR in LTC?

Quality of care and patient safety

The user supplies the input to an information system as

Raw facts

In a regional health information organization (RHIO), patients would most likely be Identified using

Record locator service

The data quality term used to describe the degree to which the same results are achieved consistently is

Relability

A(n) _____ stores data in predefined tables consisting of rows and columns

Relational database

Two clerks are extracting data for a registry. Discrepancies are found. What quality component is lacking?

Reliability

Which of the following generally includes a detailed description of the requirements for a new system and guidelines for vendors to follow in bidding for the contract?

Request for proposal

All the following are clinical information systems except

Resource allocation

Which of the following should a systems analyst use to collect information about the requirements of an IS project?

Review existing forms, review existing databases, Observe end users performing their jobs (All of the above)

A business continuity plan should policies and procedures to:

Run the business during the emergency period, Restore data and files on the computer system, Resume normal operation after a disaster (All of the above)

Which of the following vocabularies is likely to be used to describe drugs in clinically relevant form?

RxNorm

_____ is the traditional manner of planning and implementing an information system

SDLC

_____ allows a user to insert, update, delete, and query data from a database.

SQL

A critical element of data retrieval planning is designing

Screen layout

A critical element of data retrieval planning is designing:

Screen layout

Which of the following is used as sketch of the user interface during system development?

Screen prototype

An employee observes an outside individual putting some computer disks in her purse. The employee does not report this security breach. What security measures should have been in place to minimize this threat?

Security incident procedures

The _____ function of a computer allows access to its shared resources and services.

Server

In a network environment, a database shared among several end-user workstations would be stored on a:

Server computer

Which of the following includes computers that share resources such as printers or disk space across a computer network?

Servers

A _____ is a task that runs on a server computer

Service

Which of the following best describes information security

The mechanisms for safeguarding information and information systems

Critique this statement: HIPAA represents an attempt to establish best practices and standards for health information security

This is a true statement.

The quality component that evaluates the time frame in which health records are coded is

Timeliness

What is the purpose of databases?

To store and retrieve data

A tool that helps identify all costs associated with implementing an EHR is a(n):

Total cost of ownership

Which of the following would not be document on an EHR migration path?

Training physicians on how to use the new CPOE

A(n) _____ manages the day-to-day operations of a business

Transaction processing system

Every week, an HIM department director receives info on incomplete records. Summary reports show totals & trends on this Information system

Transaction-processing system

What basic components make up every communications system?

Transmitters, receivers, media, and data

A clinical dashboard is a toolset developed to provide clinicians with the relevant and timely information they need to inform daily decisions that improve quality of patient care

True

Critical Pathways would not be found within PACS

True

Use of CPOE for medical orders is one of the level one meaningful use criteria

True

When was the concept of an EHR first conceived?

1960s

Which of the following statements is true regarding HIPAA security?

HIPAA allows flexibility in the way an institution implements the security standards.

An organized collection of data is

A database

The situation used to describe a combination of paper and electronic health record content is

A hybrid record

Which of the following best describes a data warehouse?

A large storage of data used for strategic decision support

Which of the following information systems is used to assist healthcare providers in the actual diagnosis and treatment of patients

Clinical decision support system

Systems testing of a new information system should be performed by:

A team independent of the project team that developed the system

The tool that allows the Internet user to search for and find information is called

A web browser

Which of the following is required by HIPAA standards

A written contingency plan

In hospitals, automated systems for registering patients and tracking their encounters are commonly known as _____ systems

ADT

In hospitals, automated systems for registering patients and tracking their encounters are commonly known as _____ systems.

ADT

An employee accesses PHI on a computer system that does not relate to her job functions. What security mechanism should have been implemented to minimize this security breach?

Access controls

An example of how security of an EHR is afforded is via

Access controls

Within the context of data security, protecting data privacy basically means defending or safeguarding

Access to information

All are clinical information systems except

Accounts receivable

A(n) _____ is the role the user plays in a system

Actor

Policies and procedures that address the management of computer resources and security are:

Administrative controls

Your pharmacy and Therapeutics committee has asked you to find out more about a computerized order entry system that calculates drug dosages based on a patient parameters. The committee asking for info on:

An expert (AI) system

Security controls built into a computer software program are

Application controls

These are automatic controls that help preserve data confidentiality and integrity

Application controls

Which of the following is a software program that tracks every access to data in the computer system?

Audit trail

Which of the following information systems is used to assist healthcare providers in the actual diagnosis and treatment of patients?

Clinical decision support system

A visitor to the hospital looks at the screen of the admitting clerk's computer workstation when she leaves her desk to copy some admitting documents. What security mechanism would best have minimized this security breach?

Automatic logoff controls

A system that is designed to ensure the medication five rights is:

Bar-code medication administration record

As part of an EHR system selection, due diligence should be done

Before contracting for an EHR product

When a hospital uses many different vendors to support its information system needs, the IT strategy being used is called

Best of breed

The RFP generally includes a detailed description of the system's requirements and provides guidelines for vendors to follow in

Bidding for the contract

Which of the following is an organization's planned response to protect its information in the case of a natural disaster?

Business continuity plan

What is the main focus of the system planning and analysis phase of the systems development life cycle

Business issues

What technology is used to manage data from different source systems, including structured data, scanned document images, and digital forms of medical data?

CDR

Which statement is TRUE concerning CDR and EHR?

CDR supports management of data for an EHR.

To run an analysis on a large set of data from many patients, the best tool is a(n):

CDW

Which of the following is not a characteristic of a DSS?

CHECK THIS ONE! EXAM SAYS ANSWERS WHAT-IF QUESTIONS Provides day-to-day reports

Electronic prescribing is a special case of

CPOE

Electronic prescribing is a special case of:

CPOE

What is an application that uses standard order sets and other clinical decision support that supports physician order entry into the computer

CPOE

Which of the following IS positions has evolved into a more important position since the passage of HIPAA regulations

CSO

Which of the following IS positions has evolved into a more important position since the passage of HIPAA regulations?

CSO

Who is the top information executive responsible for strategic information systems planning and overseeing the organization's information resources management?

Chief information officer

I just received a new job. I have the responsibility of leading physicians in the adoption of clinical information systems. My title must be:

Chief medical informatics officer

The individual responsible for ensuring that everyone follows the organization's data security policies and procedures is the:

Chief security officer

When some computers are used primarily to enter data and others to process data the architecture is called:

Client/server

When some computers are used primarily to enter data and others to process data, the architecture is called:

Client/server

Pharmacy system that generates automatic alerts to contraindicated drugs is

Clinical decision support system

A system that manages data for an entire healthcare business is referred to as

Enterprisewide system

The first and most fundamental strategy for minimizing security threats is to

Establish a security organization

A vocabulary is described as being "controlled" when it

Establishes meaning for terms used in the EHR

A vocabulary is described as being "controlled" when it:

Establishes meaning for terms used in the EHR

Supports strategic decision making

Executive information system

Dr. J is treating a patient with a rare disease. He enters info into system then uses it to determine best protocol for treatment. This is:

Expert system

IS that makes recommended decisions for the users based on the built-in expertise and knowledge

Expert system

What uses Artificial intelligence techniques to capture the knowledge of human experts and to translate and store it in a knowledge base

Expert system

Which of the following is a type of computer network specifically designed to allow direct communication between the networks of separate companies?

Extranets

The HVAC system needs repair- IS for this would be

Facilities management

A visitor walks through the computer department and picks up a CD from an employee's desk. What security controls should have been implemented to prevent this security breach?

Facility access controls

Types of data captured to meet meaningful use criteria (metadata) can be structured or free text

False

Which of the following information systems is considered an administrative information system

Financial information system

Which of the following information systems is considered an administrative information system?

Financial information system

Which of the following is a secondary storage device?

Floppy disk, CD-ROM, Magnetic tape (All of the above)

According to an FBI study, most security breaches occur:

From employees

The _____ provide the objective and scope for the HIPAA Security Rule as a whole

General rules

You use an input mask to make sure ICD-9 codes have fifth digit so the code is at the greatest level of specificity or appropriate level of detail

Granularity

HIPAA requires that policies and procedures be maintained for a minimum of

Six years from date of creation or date when last in effect, whichever is later

Which of the following elements is not considered a basic component of every information system?

Software, Communications technology, Users (None of the above)

I have been asked to justify my request for an electronic document management system. Which of the following would I use?

Space savings

In the HL7 EHR functional model, the section that provides the functionality for public health and performance improvement is:

Supportive

Why is an ideal EHR system one that requires point of care charting?

Supports clinical decision making

Which of the following best describes the function of a management information system

Supports day-to-day activities

Which of the following best describes the function of a management information system?

Supports day-to-day activities

The first phase of the SDLC is the _____ phase

System analysis

What phase of the SDLC creates the object model of the solution environment

System design

Our team is testing our new EHR. Currently we are testing whether or not all of the components will work together. This type of testing is called:

System testing

Which of the following protocols is most closely associated with the Internet

TCP/IP

Data security programs include a variety of measures for safeguarding data and computer programs, including:

Technical measures such as using password protection, Management practices such as prohibiting the sharing of passwords, Physical safeguards such as locking computer rooms (All of the above)

The term used to describe voice and data communications

Telecommunications

I am entering free text and structured data. This is called:

Template-based entry

Discrete data are generally entered into an EHR via

Templates

Structured data are generally entered into an EHR via

Templates

The vision of the EHR is that discrete data would be entered by providers into an EHR via

Templates

The concept of information resource management assumes

That information is a valuable resource that must be managed no matter what form it takes

Our team is testing our new EHR. Currently we are testing whether or not all of the components will work together. This type of testing is called

Unit testing

Which form of system testing ensures that each data element is captured correctly

Unit testing

Which form of system testing ensures that each data element is captured correctly?

Unit testing

In order for organizations to earn Stage 1 Meaningful Use incentives, they must

Use certified EHR technology

What can a healthcare organization implement to help significantly reduce downtime?

Use mirrored processing on redundant servers

What can a healthcare organization implement to help significantly reduce downtime

Use redundant servers with server failover

The degree to which codes accurately reflect the patients diagnoses and procedures

Validity

Which of the following is an example of data collected by a patient monitoring system?

Vital signs

A(n) _____ is a network that connects LANS or other networks together across a large geographical area

WAN

Which of the following connects devices across a large geographical area, such as a state?

WAN

What technology is used to manage data from different source systems, including discrete data, scanned images, and digital forms of data?

What technology is used to manage data from different source systems, including discrete data, scanned images, and digital forms of data?

Which of the following is not an element of data quality?

Which of the following is not an element of data quality?

The ability to electronically put tasks into a queue for someone to perform is called

Work flow

A laboratory employee forgot his user ID badge at home and uses another lab employee's badge to access the computer system. What controls should have been in place to minimize this security breach?

Workforce security awareness training


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