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HIS Final

Which organization has been the leader in promoting information technology to decrease medical errors?
Institute of Medicine
Select factors that might help merge bioinformatics with health informatics
Incorporation of genetic information into the electronic health record
What is the most common degree pursued in health informatics
Masters Which one of the following is NOT a barrier to the adoption of health information technology, Governmental support
The Leapfrog Group promotes which one of the following to improve medical care and patient safety
Computerized Physician Order Entry (CPOE)
Which government agencies/departments have been involved with medical quality and information technology
Centers for Medicare and Medicaid ServicesAgency for Healthcare Research and Quality
In the Institute of Medicine’s second report which of the following were promoted to improve healthcare
Information technology infrastructure Electronic medical records with clinical decision support Web based personal health records
Moore’s Law pertains to which of the following concepts
The number of transistors in a computer chip doubles every 1.5 years What is information brokerage, Bidirectional sharing of information
Which one of the following is NOT a driving force for the adoption of health information technology
Improved Joint Commission scored Which of the following represents healthcare knowledge, HIV infection leads to opportunistic infections
Which of the following statements is true
Vocabularies help convert data to information
Which of the following statements is true
Computer science tends to deal with data
Which of the following represents a datum
14
Select one the main reasons health informatics is difficult
Data are vague, imprecise and inconsistent
Which of the following can help convert information into knowledge
Clinical data warehouses
Select the most likely source of data for a clinical data warehouse
Electronic health records
Which of the following can be facilitated by clinical data warehouses
Quality measurements Comparative effectiveness researchPopulation health Disease management
Which of the following represents healthcare information
Elevated fasting blood sugar and HbA1c proving diabetes
Select one of the main reasons health IT fails
We are data rich but information poor
Why did medical ethics and the Nuremberg Code evolve from the Nuremberg trials
Because German physicians were involved in medical experiments
There is a standard informed consent form used by most countries. True or False
False
A breach in ethics is always associated with breaking the law. True or False
False
The Tuskegee Syphilis Experiment was terminated for which of the following reasons
It was discovered by the press
The IMIA Code of Ethics reviews ethical principles and rules for individuals, professionals and institutions
True
Which one of the following statements pertaining to MedlinePlus is false
It has no tutorials
Which one of the following is not a feature of most patient web portals
Family genealogy
Microsoft Health Vault can accept a CCD. True or False
True
Virtual (electronic) visits have which of the following attributes? (select all that apply)
Less expensive Good for minor medical issues
Microsoft HealthVault is an untethered PHR
True
Select the current formats for a PHR. (Select all that apply)
PC-based Smartphone-based Smart card-based USB device-based
Software cost is the number one reason physicians infrequently communicate with their patients via e-mail
False
Which one of the following is not considered an advantage of secure messaging
Excellent proven return on investment
Select those factors that have encouraged consumer informatics. (select all that apply)
Consumers are more tech savvy, Patients are frustrated with the current medical system, the widespread use of the Internet for medical answers
Which of the following are considered obstacles to PHRs?
Lack of a sustainable business modelLack of interoperability Privacy and security concerns Lack of perceived value to all
Most physicians are using mobile technology that is integrated with the enterprise information systems. True or False?
False
Select the one feature not found in most drug look up programs
Drug addiction programs
Why are medical calculators an important part of mobile technology? (select all that apply)
Smartphones can calculate quickly Screen size less of an issue
Select possible definitions of a smartphone? (Select all that apply)
Internet capable, Have an operating system, able to host software
The database program HanDBase is a flat file program – True or False?
False
Text messaging has been used for reminders and chronic disease. True or False
True
What attributes are most important for mobile technology? (select all that apply)
Small form factor, Internet access, Low cost medical software
Which of the following resources provides textbooks? (select all that apply)
OVID MDConsult
Which one of the following resources contains more than one format?
MDConsult
Which of the following resources includes the option for a free weekly newsletter?
Medscape
Which of the following resources provides free medical journals? (select all that apply)
High Wire Press
Which of the following are optimal attributes of an online resource? (select all that apply)
Available in multiple formats Frequently updated Easy searchable Evidence based
Which of the following represent challenges to physicians who are trying to remain current? (select all that apply)
Overload of information Information from specialists is not trickling down to generalists
In an ambulatory setting what is the most common category of questions by physicians
Drug related questions
Which one of the following statements is false regarding Medline
All articles are associated with an abstract
Which of the following resources contains only one format? (select all that apply)
DynaMedUpToDate ACP Pier
Select those references that physicians can edit. (select all that apply)
WikiDoc Ganfyd
Which one of the following is considered the world’s largest biomedical research center?
National Center for Biotechnology Information (NCBI)
Gene/DNA manipulation may prove useful for which of the following situations?
Cancer treatment, Waste processing, Drought and disease resistant plants, Developing personalized drugs
Genomics covers only the human species.
False
The NCBI is part of the National Library of Medicine and the National Institutes of Medicine.
True
Which one of the following is true about pharmacogenomics?
It studies genetic information looking for new targets for drugs.
In order for family histories to be analyzable, the data must be in a computable format.
True
Which one of the following statements is false regarding the Human Genome Project?
The ethical, social, and legal issues were not reported
Which one of the following statements is true about human genome?
Males have an X and Y chromosome and females have two X chromosomes
Which of the following are obstacles to widespread genetic prediction?
Genetic testing must be highly sensitive and specific, Genetic information must be highly secure, There are not enough geneticists and genetic counselors
What data standard is likely to be used by electronic health records for genetic information?
SNOMED-CT
Which of the following civilian organizations is/are heavily involved with patient safety?
Joint Commission, LeapFrog Group
An adverse event means that a patient injury occurred
True
Not all medical errors result in an adverse event.
True
Which of the following are problems associated with bar code medication administration?
Expensive systems, proof of benefit is inconclusive
Which one of the following is a patient safety recommendation by the Institute of Medicine
Establish a national medical error reporting system
What is the most common category of patient safety studied?
Medication use
Ordering a CAT scan for routine acute sinusitis is an example of which of the following
Misuse, overuse
Which one of the following is not a reason for patient safety problems in the US?
Legal system is indifferent to patient safety
Which one of the following government agencies has a patient safety network
AHR
Life expectancy is directly related to the percent of the gross national product spent on healthcare
False
ICD-10 has which of the following attributes
Will provide more detail than ICD-9, ICD-10 will be expensive to implement
Which of the following is true regarding Evaluation & Management Codes?
Will help justify billing level or CPT
Which of the following is generally used for larger, more complex IT acquisitions to ensure apples to apples
Request for Proposal
Which of the following may not be needed on the purchase of an upgrade to the electronic drug inventory
CIO
Which of the following is NOT typically included in capital expenses for health IT
Support and maintenance fees after go live
Which of the following is not true
Consultants are often a good source to identify a vendor due to their impartiality.
Ideally, what should a health IT contract spell out
On what the hardware the vendor will certify its work, support options and times, how to get out of the contract, effects of customization on support and upgrades
Which of the following is a good way to assist with requirements definition
Educational demonstrations
Which of the following is NOT a strong tool to use in the selection process
educational demonstrations
Which of the following is generally most appropriate for routine IT equipment purchases
Quick bid
Of the following, which of the following presents the least most compelling stand-alone reason (from the business case perspective) for the purchase of health technology
Ensuring that the hospital has the latest technology
Which of the following is a good way to asset with constructing a budget
Request for Quote
Which of the following are primary factors that should influence the process of purchasing hardware and software
Ample time for the purchasing cycle and implementation to the new system, skilled resources available to select, implement, or maintain the technology, financial resources, usability of the system
Which of the following roles may not be needed to be involved in a health IT contract negotiation for pharmacy inventory software
CIO
Which of the following are advantages of the application service provider (ASP) model
Lower initial costs, Decreased need for in-house IT support
What is the approximate 2013 US EHR adoption rate for eligible professionals
60%
Selection known EHR obstacles
Cost, altered workflow
Medical studies suggest that paper charts, on average, are missing what percent of the time
20%
Which one of the following is NOT clinical decision support
secure messaging
Which of the following clinicians are eligible for Medicaid reimbursement for EHR use
Physicians, nurse practitioners, physician assistants, nurse midwives
EHRs have the potential to save money through which of the following mechanisms
Decreased cost related to record storage, improved coding, reduced transcription costs
Which one of the following is NOT part of EHR “Meaningful Use”, Stage 1
Secure messaging
Which of the following are important to EHR selection
Panning, training, vendor track record, site visits
Medical studies suggest that laboratory results are missing in paper charts approximately what percent of the time
20%
To connect to a wired network, which of the following can be used
Phone lines, power lines, Ethernet
RESTful services is less complicated than web services based on SOAP
True
Which one of the following is NOT true of Bluetooth 4.0
Requires encryption to work
Listing from the fastest to the slowest which combination is correct below
Fiber>80211n>LTE>DSL
A Global Area Network (GAN) is associated with which of the following attributes?
Same as broadband wireless
Ethernet networks are faster, less expensive and more secure than wireless networks
True
Which web service frequently uses XML
Both
What are the three pillars of information security?
1) Confidentiality
2) Availability
3) Integrity
Which one of the following is false regarding patient rights and HIPPA law?
Have unwanted material removed from their health records.
Which one of the following is false regarding patient rights and HIPAA laws?
Have unwanted material removed from their health record.
The final Meaningful Use rule addresses security and privacy requirements for certified EHR applications – True or False?
True
The Google Health user agreement covers a user’s financial loss in the event of identity theft while using their service – True or False?
False
Which of the following access controls are used to prevent unauthorized access?
1) Role or rule-based privilege
2) Username and password
3) Voice recognition (biometric authentication)
Which of the following is not one of the 18 personal identifiers by the HIPAA Privacy Rule?
State of residence
Which one of the following organizations is required to follow HIPAA law when using personal health data?
Health insurers
Which of the following serve as the foundation for the HIPAA Security Rule?
1) Administrative Safeguards
2) Physical Safeguards
3) Technical Safeguards
The American Recovery and Reinvestment Act of 2009 (ARRA) and the HITECH Act contained elements designed to close security loopholes in the original HIPAA laws enacted in:
The mid-1990s
SaaS and Cloud health IT solutions have which of the following features or attributes
1) Web based solution used with browser
2) Reliability is dependent on Internet connection to provider
3) Requires little to no changes to infrastructure to support
4) Support dependent upon vendor and service level agreement
What is data science?
All the above
List secondary uses (or re-uses) of healthcare data
1) Quality reports
2) Reserach
3) Public health
What are some of he challenges facing data analytics?
1) Data may be incomplete
2) Data ma be inaccurate
3) Cause and effect may be difficult to prove with any data analysis
4) Time period not long enough
Which one type of analytics would be used to analyze hospital readmission rates for heart failure?
Predictive
Electronic health records are a major source of phenotypical data True or False?
True
Data analytics can’t be used in the genomics field due to large data sets True or False?
False
Studies using predictive analytics to analyze hospital readmissions have had mixed results – True or False
True
Why are healthcare systems analyzing hospital readmission data?
1) New Medicare regulations not reimbursing for readmission for certain diseases
2) Readmissions are costly
What is text mining?
Data mining of unstructured data.
To be effective as a healthcare data analyst which skill sets are required?
1) Programming skills
2) Knowledge of statistics
3) Good communications
4) Domain knowledge
Select one technology limitation in regards to quality improvement (QI) programs
Quality report generation from EHRs can be difficult
The ACA promotes QI initiatives True or False?
True
How can health information technology assist QI programs?
1) Measure ER utilization
2) Generate quality reports
3) Provide disease registries to track patients
4) Improve patient safety with e-prescribing
Which of the following is a core Roadmap strategy?
1) Publish quality measurements
2) Promote health IT
QI programs only exist in the USA – True or False
False
Which of the following are QI program limitations?
1) Takes too long to get paid
2) May result in “patient dumping”
3) EHRs may not be able to generate quality reports
Select the reasons pay for performance programs are being pilot tested
1) Cost of US healthcare is too high
2) Too much variance in how medical care is practiced
3) Reimbursement is not based on quality
The Physician Quality Reporting System (PQRS) is a Medicaid program – True or False?
False
According to CMS, which one of the following represents right care?
Safe care
The primary goal of QI programs is to save money – True or False?
False
The eHealth Exchange will include which of the following partners?
1) Federal agencies
2) Health Information Organizations
The NwHIN is comprised of which of the following features?
1) Standards
2) Specifications
3) Policies
A federated data sharing model implies that data will not reside in a central data repository (CDR) – True or False
True
What is the greatest obstacle to establishing a Health Information Organization?
Long term business plan
All RHIO are regional – True or False
False
Direct secure messaging will be a “push” technology application – True or False?
True
Which of the following are common HIO functions?
1) Clinical messaging
2) Alerts to physicians
3) Connectivity to EHRs
4) Electronic prescribing
Which of the following statements is true regarding CONNECT software?
1) It is open source
2) It can help interoperability between two HIOs
Health Information Organizations (HIOs) should be considered part of what overall system or network?
NwHIN or eHealth Exchange
Approx how many HIOs currently exist in the US?
25
HL7 is a data standard for communication for which of the following?
1) Lab results interface
2) EHR
Which of the following standards is used for sharing images?
DICOM
Which of the following statements is false regarding the LOINC standard?
LOINC can be purchased from the American College of Physicians
Which of the following statements is true about ELINCS?
Helps with messaging between labs and EHRs
The continuity of care document (CCD) utilizes the clinical document architecture (CDA) – True or False?
True
Which data standards are related to diagnoses?
ICD 10
SNOMED CT
Which data standard will support the sharing of patient summaries?
CCD (continuity of care document)
Which one of the following is true regarding SNOMED CT?
Maps (links) to LOINC and ICD-9/10
Select the statement that is false about disease registries
All EHRs have disease registries
Which one of the following is not part of the usual disease management approach?
Reporting physicians who do not practice evidence based medicine
Population health and public health are the same – True or False?
False
Your hospital has created a new program for vaginal birth after C section (VBAC). Which one of the following describes this type of program?
Condition management
The jury is out if disease management programs clearly save money or lives – True or False
True
What are the most common disease to be managed by healthcare organizations with a disease management program?
1) Diabetes
2) Heart Failure
Disease management is not part of Stage 1-3 Meaningful Use – True or False?
False
Disease management programs are assisted by which of the following technologies?
1) Web based disease registries
2) Disease registry that is part of an EHR
3) Home telemonitoring
4) Patient portal
Chronic diseases affect 20% of the population but account for what percent of the healthcare spending?
75%
Which of the following are legitimate questions to ask prior to starting a disease management program?
1) What group is going to be studied
2) Do current clinical practice guidelines exist for this problem
3) Are insurance companies interested
4) How common is the disease or condition
Which one of the following is not a syndrome that is part of most syndromic surveillance programs?
High blood pressure illness
Which of the following statement is false about the RODS program?
Uses data from hospital operating rooms
Which of the following are under the purview of public health informatics?
1) Bioterrorism
2) Infectious disease outbreaks
3) Natural disasters
Which one of the following is a sentinel surveillance system?
Designated location that can generate high quality data that may predict a larger population
Which one of the following statement is true about public health?
Focus is on population health
BioSense is a Homeland Security program – True or False?
False
Which of the follow information technologies may be integral to public health reporting?
1) health information organizations
2) Nationwide Health Information Network
3) Electronic Health Records
Most biosurveillance programs have a geographic information system (GIS) component – True or False
True
Which of the following statements are true of the Public Health Information Network?
1) Uses the Internet
2) Currently consists of multiple disparate programs
Which of the following programs conduct syndromic surveillance?
RODS

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