CHDA Domain 1 (Business Needs Assessment) Exam Questions and Answers Solved Correctly
In order to ensure a successful implementation of electronic health records, the organization must
identify and define strategic planning roles. These planning roles may be defined in three categories:
leadership, internal stakeholders, and external stakeholders. The governing body (board) is an example
of which of the following? - Answers Leadership only
Which one of the following statements most accurately describes the optimal relationship between
strategic planning and strategic IM planning in a healthcare entity? - Answers The two processes are
clearly related. It is important for the CIO to be incolced in both processes to ensure that IS priorities are
congruent with the overall strategic plans of the entity.
One way to examine readmissions with a given time frame at your facility is to retrieve patient data for
that time frame and look for duplicates of which attribute common in clinical data sets? - Answers
Medical record number
A drug interaction alert would be a typical function of a _______? - Answers Decision Support System
(DSS)
Which code set would be utilized to create a report showing a hospital's CMI (case mix index)? - Answers
DRG (diagnosis related group)
A set of standards that provides universal names and codes for laboratory and clinical results is ____? -
Answers LOINC (logical observations identifiers names and codes)
Your chief financial officer has contacted you because your facility's CMI increased last year. He wishes
to hear your theory on why this is so. Among the options below, which would be best to explain an
increase in the CMI? - Answers The quality of clinical documentation improved.
Activities of daily living (ADL) are components of ____? - Answers MDS (minimum data set) and OASIS
(outcome and assessment information set)
Assume you are the manager of a 10-physician group primary care practice. The physicians are
interested in contracting with an application service provider (ASP) to develop and manage patient
records electronically. Which of the following statements in an indication that an ASP may be a good
idea for this practice? - Answers The practice does not have the upfront capital or IT staff needed to
purchase and implement a system from a health information systems vendor.
Maps from terminologies to classifications (and possibly from classifications to terminologies) are
expected to ____. - Answers Facilitate "enter once, use many" functionality
Which of the following basic services provided by a HIE (health information exchange) entity ensures
that information can be retrieved as needed? - Answers Secure data transport
Which one of the following statements most accurately describes the optimal relationship between
strategic planning and strategic IM (information management) planning in a healthcare entity? -
, Answers The two processes are clearly related. It is important for the CIO to be involved in both
processes to ensure that IS priorities are congruent with the overall strategic plans of the entity.
Which type of indicators measure the actual results of care for patients and populations, including
patient and family satisfaction? - Answers Outcome (relate to recovery, restoration of functionality and
survival of patients)
Which of the following activities is likely to occur in the analysis phase of the systems development life
cycle (SDLC)? - Answers Examine the current system and identify opportunities for improvement.
Which RVU (relative value unit) component is best suited for measuring physician productivity? -
Answers wRVU (work RVU assigned based on each patient examination or procedure performed,
reflects relative time and intensity associated with providing a service)
The physician fee schedule is based on what components? - Answers All of these
Comparing the ICD-9-CM and ICD-10-CM (international classification of diseases) diabetes mellitus codes
and documenting variations creates a ____. - Answers Data map (matching between a source and a
target, such as between two databases that contain the same data elements but call them by different
names)
Medical severity diagnosis-related groups (MS-DRGs) represent a prospective payment system
implemented by the CMS to reimburse hospitals a predetermined amount for services provided to ____.
- Answers Inpatients (IPPS, UB-04 bills)
A research instrument that is used to gather data and information from respondents in a uniform
manner through the administration of a predefined and structured set of questions and possible
responses is called a(n) ____. - Answers Survey (typically a questionnaire either written or online)
An example of a database that depends on standardized data definitions is ____. - Answers A statewide
cancer data system (system used to provide data that can be used for surveillance, epidemiology,
results, etc)
Which of the following is an external user of data? - Answers Public health department
Which of the following indexes and databases includes patient-identifiable information? - Answers
Master population/patient index (MPI, patient master index, electronic database that holds
demographic information on every patient who receives healthcare services; MPI aims to accurately
match and link records by uniquely identifying individuals)
HIM may be the hub of identifying, mitigating, and correcting MPI (patient master index) errors, but that
information often is not shared with other departments within the healthcare entity. After identifying
procedural problems that contribute to the creation of the MPI errors, which department should the
MPI manager work with to correct these procedural problems? - Answers Registration or patient access
In order to ensure a successful implementation of electronic health records, the organization must
identify and define strategic planning roles. These planning roles may be defined in three categories:
leadership, internal stakeholders, and external stakeholders. The governing body (board) is an example
of which of the following? - Answers Leadership only
Which one of the following statements most accurately describes the optimal relationship between
strategic planning and strategic IM planning in a healthcare entity? - Answers The two processes are
clearly related. It is important for the CIO to be incolced in both processes to ensure that IS priorities are
congruent with the overall strategic plans of the entity.
One way to examine readmissions with a given time frame at your facility is to retrieve patient data for
that time frame and look for duplicates of which attribute common in clinical data sets? - Answers
Medical record number
A drug interaction alert would be a typical function of a _______? - Answers Decision Support System
(DSS)
Which code set would be utilized to create a report showing a hospital's CMI (case mix index)? - Answers
DRG (diagnosis related group)
A set of standards that provides universal names and codes for laboratory and clinical results is ____? -
Answers LOINC (logical observations identifiers names and codes)
Your chief financial officer has contacted you because your facility's CMI increased last year. He wishes
to hear your theory on why this is so. Among the options below, which would be best to explain an
increase in the CMI? - Answers The quality of clinical documentation improved.
Activities of daily living (ADL) are components of ____? - Answers MDS (minimum data set) and OASIS
(outcome and assessment information set)
Assume you are the manager of a 10-physician group primary care practice. The physicians are
interested in contracting with an application service provider (ASP) to develop and manage patient
records electronically. Which of the following statements in an indication that an ASP may be a good
idea for this practice? - Answers The practice does not have the upfront capital or IT staff needed to
purchase and implement a system from a health information systems vendor.
Maps from terminologies to classifications (and possibly from classifications to terminologies) are
expected to ____. - Answers Facilitate "enter once, use many" functionality
Which of the following basic services provided by a HIE (health information exchange) entity ensures
that information can be retrieved as needed? - Answers Secure data transport
Which one of the following statements most accurately describes the optimal relationship between
strategic planning and strategic IM (information management) planning in a healthcare entity? -
, Answers The two processes are clearly related. It is important for the CIO to be involved in both
processes to ensure that IS priorities are congruent with the overall strategic plans of the entity.
Which type of indicators measure the actual results of care for patients and populations, including
patient and family satisfaction? - Answers Outcome (relate to recovery, restoration of functionality and
survival of patients)
Which of the following activities is likely to occur in the analysis phase of the systems development life
cycle (SDLC)? - Answers Examine the current system and identify opportunities for improvement.
Which RVU (relative value unit) component is best suited for measuring physician productivity? -
Answers wRVU (work RVU assigned based on each patient examination or procedure performed,
reflects relative time and intensity associated with providing a service)
The physician fee schedule is based on what components? - Answers All of these
Comparing the ICD-9-CM and ICD-10-CM (international classification of diseases) diabetes mellitus codes
and documenting variations creates a ____. - Answers Data map (matching between a source and a
target, such as between two databases that contain the same data elements but call them by different
names)
Medical severity diagnosis-related groups (MS-DRGs) represent a prospective payment system
implemented by the CMS to reimburse hospitals a predetermined amount for services provided to ____.
- Answers Inpatients (IPPS, UB-04 bills)
A research instrument that is used to gather data and information from respondents in a uniform
manner through the administration of a predefined and structured set of questions and possible
responses is called a(n) ____. - Answers Survey (typically a questionnaire either written or online)
An example of a database that depends on standardized data definitions is ____. - Answers A statewide
cancer data system (system used to provide data that can be used for surveillance, epidemiology,
results, etc)
Which of the following is an external user of data? - Answers Public health department
Which of the following indexes and databases includes patient-identifiable information? - Answers
Master population/patient index (MPI, patient master index, electronic database that holds
demographic information on every patient who receives healthcare services; MPI aims to accurately
match and link records by uniquely identifying individuals)
HIM may be the hub of identifying, mitigating, and correcting MPI (patient master index) errors, but that
information often is not shared with other departments within the healthcare entity. After identifying
procedural problems that contribute to the creation of the MPI errors, which department should the
MPI manager work with to correct these procedural problems? - Answers Registration or patient access
