HIM 335 Week 8 Final Exam Questions and Answers

HIM 335 Week 8 Final Exam Questions and AnswersHIM 335 Week 8 Final Exam Questions and Answers Score for this Exam: 200 out of 210 (CO 1) The standards that an EHR must meet in order for providers to earn federal meaningful use (MU) incentives are specified by: Centers for Medicare and Medicaid Services (CMS) American National Standards Institute (ANSI) Office of the National Coordinator for Health Information Technology (ONC) Affordable Care Act (ACA) (CO 1) A registry is a: Database that captures and organizes data in one location System that providers contribute data to for subsequent analysis and comparison Software program that indexes data Storage system that backs up and archives data (CO 1) Software that is part of an EHR and processes information to help users make clinical decisions is: Clinical data repository Alerting system Knowledge source Clinical decision support (CO 1) Which form of data entry is used to improve the quality of data in health IT? Dictation Modeling Completion of templates Use of fixed data (CO 3) Which of the following is system documentation that should be retained: Reminders to attend the steering committee meeting Thank you notes to staff Instruction manuals Responses to requests for proposals from rejected vendors (CO 1) Dependencies in a migration path may be illustrated by: Dashed lines Linkages between components Building blocks, steps, or phases Arrows connecting components (CO 1) The IT acquisition strategy in which there is one primary vendor is: Dual core Best of fit Legacy Best of breed (CO 1) The description of how an organization plans to use data standards and build its data infrastructure is: Functional strategy Technical strategy Implementation strategy Data strategy (CO 2) In using the total cost of ownership to determine the cost of health IT: All costs up to the point where there is demonstrable payback are considered Internal rate of return should be added to all ongoing costs Costs should be reduced by the anticipated annual benefits Only the initial cost is considered (CO 1) The traditional systems development life cycle (SDLC) as compared to the modern SDLC, lacks: Planning step Disposition step Feedback mechanism Consensus building (CO 1) In the meaningful use (MU) incentive program, the systems development life cycle (SDLC) was applied because: Systems were required to adhere to standard criteria Federal government mandates were instituted Monetary incentives were made available Stages were phased in over time (CO 3) Which of the following physicians might make the best physician champion for a health IT project: Physician assistant who uses a computer in a clinic Chief of the medical staff with little experience in IT Medical director of information systems who has strong IT skills Enthusiastic family physician who many other physicians like Amatayakul, Chapter 8 (CO 2) The most difficult aspect of workflow and process improvement in healthcare is: Engaging nurses in learning their preferences for workflows Mapping processes performed mentally Capturing repetitive processes Reflecting how the new system is to be used (CO 3) In making a decision about which vendor will be the finalist, the key factor should be: Ability to customize to meet your current workflows and processes How well the product will meet the organization's goals How easy the system is for new users to use Price and contract terms (CO 3) Which of the following is part of contract negotiation for a major health IT acquisition: Reviewing reference letters Seeking to get the lowest price Negotiating payment terms Analyzing functional specifications Amatayakul, Chapter 7 (CO 3) To how many vendors should an RFP for a community hospital EHR be sent? Ten to 15 vendors Four or five vendors All vendors selling in the marketplace All vendors certified for meaningful use (CO 3) Which term refers to customizing an EHR system to an organization's specifications: Chance control System build Testing Infrastructure preparedness (CO 3) A test that determines that all components of the EHR work together is: Unit testing System testing Acceptance testing Interface testing (CO 4) In which type of database does data normalization ensure one source of truth? Analytics database Data warehouse Registry Transactional database (CO 2) To support rapid change, it is often necessary to: Change behavioral norms Flatten management structures Increase size of workforce Take quick action without regard to human factors (CO 5) The HIE architecture most preferred for its privacy support is: Consolidated Federated Hybrid Cooperative (CO 5) Process mapping conducted during EHR optimization is an example of: Root cause analysis Measurement of adoption Executive management responsibility Stakeholder input (CO 6) A tool that can help improve physician productivity and engage patients is: Patient clinical summary Self-administered history assessment In-basket Patient portal (CO 6) An approach to providing comprehensive primary care and structure physician payment is: Care coordination Patient-centered medical home Value-based payment Care management (CO 6) Behavioral health specialists currently document care using: Structured templates Speech recognition Scribes Self-typed narrative notes (CO 7) Hybrid records are those including: Paper and unstructured electronic information Clinical and nonclinical information Paper and electronic content Structured and unstructured electronic information Amatayakul, Chapter 18, 568-573 (CO 6) Which of the following are the most effective in achieving blood sugar checks? Physician-patient interface Tech empowered patents Physiological monitoring devices Viewing of documents via a PHR Amatayakul, Chapter 17, 555-556 (CO 5) If measurement finds more error after implementing corrective action, the most likely cause is: Measurement is inaccurate Users may be sabotaging measurement Metrics were wrong Baseline data were wrong (CO 7) Failure for a provider to conduct which of the following transactions will result in a large number of claims denials? Claims attachments Claims status Eligibility verification Premium payment (CO 7) Which of the following may have an unintended consequence for patients with emergent risk? Provider attribution Quality improvement report effect Narrow networks Misaligned quality measures