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Health Information System
Terms in this set (164)
The following country's smart card initiative for personal health records stalled due to privacy concerns on the part of its citizenry.
It is much easier to implement HIS in countries other than the U.S.
Health care comprises 17.2% (or $2.8 trillion) of the United States' GDP.
The Health Information Portability and Accountability Act of 1996 (HIPAA) is subject to state laws.
If patients are more engaged in their health, such as through new media
health status outcomes will improve
It is only important to study health information systems if you want to become an IT specialist.
The reason for this increased interest is.
An urgency to improve the quality of heath care
Administrative processes have increased in number and complexitiy
Increased interactions between health care providers and health care groups
increased complexity and cost of medicine and health care processes
Recent significant increases in HIS initiatives in the U.S. are motivated by cost and quality concerns
Countries with over 90% of health practitioners using EHRs include.
Only PHI contained in HIS that are used inside healthcare organizations are subject to HIPAA rules.
Identify the example of a Health Information Exchange:
Michiana Health Information Network
The field of informatics:
Uses information to improve the way work is done and advance practice in clinical, administrative, and public health disciplines.
Health software vendors emerged in the:
An RHINO is a type of HIE
Health Information Systems refers to hardware (computers, servers, etc.) and not to the software, networks, or data in computer systems.
The Veterans Administration developed an early example of a multi-facility EHR.
The myth of "plug-and-play"-that HIS architecture is as easy as 1-2-3-is harmful to the organization and the HIS team.
Several types of "payers" exist in the United States, including private insurance, government programs, and military programs.
Generally speaking, public health organizations create and capture their own data.
All of the below are examples of primary use of data except for one. Which is an example of secondary use of data?
A Public health report indicates there is a measles outbreak in a certain county
Infrastructure refers to the electronic highway that carries data and information and includes:
When defining the HIS strategic plan (and the organization's overall strategic plan) information should be solicited from:
Executive level management, clinicians, including nurses, assistants and physicians, administrative staff
The HIS strategic plan should be the foundation of the overall organization strategic plan.
System evaluation happens once after an implementation and isn't performed continually.
The term "dematerialized information" refers to:
Storing information in the cloud
A good HIS plan can advance the organization's performance, for example:
Reducing cost, Reducing waste, Increasing patient and provider satisfaction and Improving the quality
Before an organization can successfully lead an HIS initiative, the organization must define it's mission, vision, and values.
Poorly applied software, no matter how impressive, hinders an organization's forward movement.
An enterprise resource planning system integrates systems in all quadrants.
Hospitals are the best places for those with chronic illness to be treated.
One of the first decisions facing healthcare organizations is whether they will maintain their own data center facilities, lease one or more commercially owned colocation data center facilities, or outsource (remote host) both their data center facility and computing equipment to a third party.
Electrical power in data centers can be remotely measured and tracked by using a:
Branch circuit monitoring system (BCMS)
Which of the choice below is not an advantage of using non persistent virtual desktop infrastructure (VDI)?
Dedicated server storage for each VDI desktop and the user's VDI desktop is not needed.
Single sign-on (SSO) and tap 'n go technologies have the benefit of eliminating the need for users to remember their username and passwords.
Traditionally, healthcare organizations have purchased vendor applications, such as commercial off-the-shelf (COTS) or "best of breed" products.
Digital signage and wayfinding, and IP television (IPTV) are considered part of the unified communications (UC) family of services.
Extranets are networks that typically provide web-based content and access to applications and databases for users who are outside of the organization's internal network.
Which of the following is not considered a cloud computing category?
C. Platform-as-a-service (PaaS)
Voice over wireless local area network (VoWLAN) technology offers which of the following benefits?
Provides advance quality of service (QoS), extended talk-time, and call security.
Using interfaces allows a healthcare organization to avoid building applications in silos, and enables the sharing of common data elements, thus bringing greater efficiency than application integration.
It is critical that healthcare organizations maintain relationships with as many vendors as possible.
An important step to consider when forming an effective HIS steering committee is to focus on HIS resource allocation responsibilities rather than HIS steering objectives.
The work breakdown structure (WBS) and project schedule is developed during which Project Management Institute (PMI) project management phase?
The ITIL IT service management (ITSM) best practice process area that a HIS department should consider addressing when deploying or supporting existing HIS applications is:
IT service support
The service desk is a single point of contact for users to report incidents and seek troubleshooting resolution, and often is referred to as the help desk.
Which of the following four steps is not part of the vendor selection process?
Formally plan the operating and capital budget amounts
A configuration management database (CMDB) is a software database that is used to authorize change requests and coordinate change management board (CMB) activities
COBIT is a widely adopted IT governance framework that is used by healthcare organizations, and is made up of a library of books that describe an integrated set of seven process-oriented "best practices" for managing IT services.
The order of the following four steps correctly identifies how healthcare organizations should proceed in order to select the right vendor: 1) submit a project request; 2) define the requirements; 3) conduct an evaluation; and 4) negotiate the agreement.
Which of the following is not part of the ITIL IT service management model?
The section committee for the software vendor should include:
Subject Matter Experts, information technology personnel, personnel with implementation expertise
The correct order for HIS launch is:
Planning, Funding, Implementation
SWOT is used to describe
The organization's current state, through strength, weaknesses, opportunities and threats.
End-user functionality is the most important thing to consider when selecting new HIS software.
In 2012, ____ of hospitals were participating in HIE.
Time and resources spent planning save the institution money and time in the long run.
System evaluation happens once after an implementation and isn't performed continually.
The benefits of a milestone payment structure include:
It ties payment to actual outcomes for the health care organization.
A comprehensive EHR includes all the functionalities of a basic EHR as well as an additional 14 functionalities.
A detailed contract with a software vendor is of little importance.
In 2013, the IOM reported that deaths related to medical errors range from _________, as compared to ____________ in 2001.
210,000 to 400,000 and 44,000 to 98,000
EHR project teams must focus on working solely with medical staff leadership.
A greater availability of comparative data across hospitals is of benefit to patients and public health organizations.
According to Rogers' Adoption Curve, most people are eager to adopt new technology ("early adopters").
The HITECH Meaningful Use criteria for EHR implementations and incentive payments fall into three categories, including all but one of the following.
Broadening the scope of care
The CIO's role usually is responsible for:
The HIS vision, plan, and strategic initiatives. The HIS budget and timelines.
The security of information.
Engaging with others outside the HIS/IT department.
The VA builds, maintains, and supports it's HIS at the cost of about ______ per patient, per day.
One of the key CMIO functions is to lead physician advisory groups.
The most typical lead role with regards to HIS and technology is usually the chief information officer or CIO.
The first creators of health care software were:
Which is not a step on the informatics continuum?
Informatics is under the umbrella of primary use of data pulled from EHR systems.
Informatics may emphasize key performance indicators (KPIs).
Public health informatics includes capabilities that:
Identify health trends and incidence
Which of the following is not among the Five Rights of Health Information Management?
Informatics only refers to clinical and health processes: it has no impact on the business or administrative side of health care.
In terms of clinical support, more information is always better.
Informatics for each clinical discipline-such as nursing informatics-must be based on the key workflows of each discipline.
In the view of the HIS Planning Framework as it relates to informatics, patient engagement, clinical workflow design, and mHealth are in Quadrant I.
Health informatics is the first level in the HIS Conceptual Model.
Which group contributes significant data to the aggregate U.S. healthcare data count?
Public health organizations
It is always best for the IT department to own enterprise data.
Which source of healthcare data is not one of the greatest contributors the industry's volume of data?
Which is not a lens to view data, or data "dimension," as discussed within the context of Chapter 9?
. The use of data as the most important underpinning for the success of the implementation for ACA legislation and change in healthcare.
As healthcare institutions provide solutions for their data growth and management, there will be technical and data architecture management career opportunities.
Healthcare data growth is the single largest sector contributor to the universe of worldwide data.
Normalization of healthcare data is a relatively simple programming algorithm considering that healthcare's exclusive dependency on Latin and Greek language foundations provide a maximum of only three base phonetic roots in any given medical word.
Provider healthcare institutions that are in geographical proximity generally adopt and use the same vendors for their operational software.
With the ever-increasing granularity and acuity of healthcare imaging for X-rays, MRIs, and newer modalities data will be more compressed resulting in lower data volumes.
Healthcare is 10% of the value of the U.S. Gross Domestic Product.
Health care as an industry has led the way for BI adoption even before banking, retail, and petroleum industries.
Within the pyramid graphic for the relationship of complexity for use and creation in BI/CI solutions, which has a broader audience?
Metadata characteristics include which elements?
Software application source identifier. Time and date identifier
Decision Support (DIS) and Executive Information Systems (EIS) will eventually replace BI/CI solutions.
Which HIS initiatives are competing for BI/CI adoption? Check all that apply.
A central data repository (CRD) has which characteristics?
Provides for replication
Organizes data for multiple purposes
Provides for disaster recovery
Business Intelligence is the technological foundation for Clinical Intelligence.
ETL is an acronym for Electronic Transformation Language.
Which are requirements for BI/CI Solutions?
Clinical Intelligence is difficult in part due to reasons of subjectivity in delivering health care delivery. Which are representative of this statement?
Providers opinionated and diverse training
Sentinel monitoring is an automatic collaboration, intrinsic in EHR systems, between care providers and public health agencies to alert the public disease outbreaks.
The field of public health uses data from HIS in primary as well as secondary ways.
The HIS Conceptual model works bi-directionally-layers both build upon each other and provide feedback for each other.
Data is for the most part unrelated to research
Research is only as good as the data available.
Systems for exporting data to reporting organizations, such as The Joint Commission, fall into Quadrant _____ of the HIS Planning Framework.
Policy analysts and makers use HIS data to evaluate the quality and efficiency of clinical processes.
Which of the following does not support better public health surveillance and management?
Online appointment scheduling
Outcomes research, the study of the end results of medical care-is practiced by:
Clinicians, Universities and teaching institutions, private companies and consumers, Government agencies/
The number of clinical trials and case reports published each year has grown from _____ in 1950 to ______ now.
27,000 to 150,000
eHealth should be viewed as separate from the general guidelines, planning, and strategy of HIS and the HIS framework.
Because of technology replacing certain positions in health care, such as reading radiology images, there will be fewer jobs in HIT in the future.
HIPAA specifically addresses health care organization's use of social media platforms.
The pace of eHealth is moderated in part by important patient privacy regulations
The increasing availability of technology such as mobile phones has little impact on health care.
As of March 2013, _____ of eligible physicians, providers, and hospitals had received a Meaningful Use incentive payment.
The focus of the next phase of technology is not to learn how to capture more data but discover how to make organized sense of the data.
The future goal of health information is appropriate access to ubiquitous, personalized, specific information relevant to the situation, available to those who should have access to it, while honoring the privacy, security, and confidentiality of those whose information it is.
-The use of e-commerce and e-business practices in health systems management
-The delivery of health information, for health professionals and consumers, through the Internet
-Using the power of IT to improve public health services
Telemedicine is the remote delivery of clinical services
The joint commision inspects and accredits hospitals based on their ability to meet a rigorous set of scored criteria
Integrated databases, when possible are preferable to interface
in addition to governance from the board, organization can and should create data steering committees which:
consist of interdisciplinary leaders from all departments
which of these is not a tool for improving data stewardship and HIS planning
software applications that use data from different databases are
In contrast to linear, paper-driven communication systems, HIS and technology can boost positive interaction between all parties, enabling healthcare organizations to become more adaptable and responsible
Large instances of data are normally stored in a
which type of secondary data center facility is the least expensive to set up and maintain, but has the limitation of taking the longest to bring an organization's critical systems back online
Zero-client computers are similar to thin-client computers, but offer the additional advantage of having no local hard drive or OS to secure or maintain
a comprehensive mobile computing policy including corresponding set of procedures and an end-user acceptance agreement is needed for healthcare organizations to successfully define and implement at bring your own device (BYOD) strategy
What mobile management strategy encompasses managing mobility at the mobile device level, and includes secure email, calendering, contacts web browsing and application store management?
mobile device mangement
very early smoke detection apparatus (VESDA) systems are used in data centers to provide ambient or room cooling, heating, ventilating, and air conditioning
Which of the following is not an example of a health information systems (HIS) certification
Information technology service management (ITSM)
A key indicator of effective IT governance is the ratio of unplanned work to planned work
An area that have been shown to increase IT operating expenses in healthcare organizations is
Both A & B
Important vendor management principles that can help healthcare organizations develop strong vendor relationships are to ensure that the contractual details are equal to the level of project risk, clarify roles and responsibilities, obtain senior management commitment and buy in ____ focus on strategies that will benefit the vendor in lieu of the customer
The business investment decision-making and oversight process by which healthcare organizations effectively evaluate, select, prioritize, and fund HIS is called
IT demand governance
The HIPPA Security Rule requires that electronic protected health information (epHI) be protected by ensuring the confidentiality, integrity, and authorization of that information through safeguards
The ITG framework that describes six guarding principles for the effective, efficient, and acceptable use of IT-responsibility, strategy, acquisition, performance, conformance and human behavior is called.
The rates of adoption for basic EHRs and comprehensive EHRs are essentially the same
In an HIS implementation, what matters is the new system design, not the beginning point of how the organization currently operates
In planning an HIS project, it is important to
Define requirements for the new system, use formal governance processes for system selection and capital approval for the project, Prepare a 5-year cost spreadsheet estimating capital and operating costs for the project
Faulty systems result in faulty data and practices
Developing a master patient index or MPI occurs in the first of three phases of an HIS strategic plan
The primary function of informatics is to
improve healthcare processes through enabling information and evidence
One significant barrier to HIS adoption is that some computer systems actually make more work for clinicians rather than reduce the number
The three arenas of HIS leadership are organizational, government/presidential and clinical/business
According to Rodgers' Adoption Curve, most people are eager to adopt new technology ("early adopters")
Physician/clinical support and "buy-in" is optional when launching EHR and other HIS initiatives
Sources of data used for health informatics include
HIS systems form all four Quadrants o fthe HIS Planning Framework, Direct observations captured in logs or EHRs. Payers and research organizations, and websites and mobile devices
Which metric is inaccurate?
2,000,000 registered U.S. nurses
The new list of ICD-to codes include how many discrete items
HIPAA passed by congress in 1996 requires which compliance item
The conversion of diagnostic coding from ICD-9s to ICD-10s will be very helpful for the thousands of coding personnel as the possible chance will decrease exponentially
Which is a prefered method for storing data?
Central data repositories (CDR)
Business intelligence is generally available in "real-time"
Which functional purpose are within BI/CI solutions
which estimate of healthcare provider adoption of data warehouses and BI/CI solutions is closest
DR stands for Decision Replication
The purpose of governmental healthcare policy is to
Address issues that the private sector cannot, address issues that are related to civil liberties, national securities ad public safety. and protect public health
comparative effectiveness research has the goal fo providing the best overview and synthesis of research results to organizations and clinicians so they can put the best therapies and workflows in place
Separate and diverse HIS make it easier to collate date for population health management
Health services research is
The examination of how people get care, what it costs and what the outcomes are.
All except one of the following is a challenge to telemedicine and telehealth
too many cases with conflicting research findings
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