Cphims 2013 02 - The Technology Environment

Front 1

What are the three components of the healthcare IT environment?

Back 1

1. Software Applications
2. Hardware
3. Network Connectivity

Front 2

What are the four types of software applications in healthcare?

Back 2

1. Clinical
2. Administrative
3. Financial
4. E-Health, E-Business

Front 3

What are examples of Clinical software applications?

Back 3

EHR, PACS (Picture Archiving and Capture System), Departmental (Lab, Rad, Pharm) systems, ED, OR, Onc, Labor and Delivery systems.

Front 4

What are examples of Administrative software applications?

Back 4

Scheduling, Managing and Tracking software, Business Intelligence tools, HR systems, Document Management systems, Email system

Front 5

What are examples of Financial software applications?

Back 5

Contract Management, Patient Accounting, Practice Management, Claims Adjudication, Budgeting systems.

Front 6

What are examples of E-Health software applications?

Back 6

Informational systems (like webmd), Interactive portals (like online scheduling of appointments, view test results, e-visits) and PHR (Personal Health Record).

E-health refs to applications that take advantage of web technology to deliver information on health and healthcare services directly to consumers.

Front 7

What is the purpose of clinical applications?

Back 7

To aid directly in the delivery of healthcare to patients.

Front 8

What is the purpose of administrative applications?

Back 8

Apps used by healthcare facility staff to manage the resources needed to deliver care and operate the facility. E.g. Scheduling, Asset management apps.

Front 9

What is the purpose of financial applications?

Back 9

To capture charges, BILLING, collecting and posting of payments.

Front 10

What is the purpose of E-Health applications?

Back 10

Apps that deliver general health info just like webmd, PHRs...etc.

Front 11

What is the purpose of E-Business applications and Health Information Exchanges?

Back 11

Applications that securely exchange administrative, financial and clinical info between providers, payors and other healthcare orgs.

Front 12

What is an example of Application Integration?

Back 12

MPI - Master Patient Index, which generates a unique MRN for each pt and is used by all systems to uniquely identify the pt.

Interface engines/applications are also an example... HL7, X12 data streams.

Integrating medical devices with clinical software.

Front 13

What is an IDN?

Back 13

Integrated Delivery Network where thousands of devices on the same network across different systems, all sharing information over a high-speed network with a fully redundant "hot site" recovery functionality.

Front 14

What are examples of Point-of-Care devices?

Back 14

Mobile computing devices such as tablets, handheld devices, workstation-on-wheels...etc

Front 15

What is the general makeup of a WAN?

Back 15

It is a Wide Area Network, which contain many LANs, and WLANs that are geographically disparate yet are connected to each other.

Front 16

What are ASPs?

Back 16

Application Service Providers, provide applications remotely hosted for their clients, so that clients don't have to provide an infrastructure to host the applications themselves. This is remote hosting.

Front 17

What is the advantage of using ASPs or doing Remote Hosting?

Back 17

It provides a cheaper alternative to having the same application without having to support an internal infrastructure to host the apps. The healthcare org gets a lower cost of expenditure, due to the economies of scale model that is behind remote hosting.

Front 18

What is the difference between a hot site and a cold site?

Back 18

Hot-Site replicates an organization's hardware and software for when a switch-over needs to take place, it can do so immediately.

A Cold-Site is one that takes a few hours to get started after a production environment goes down.

Front 19

What is an E-business or Health information exchange application?

Back 19

They are intended to securely exchange administrative, financial and clinical information between providers, payors and other healthcare organizations to improve administrative efficiency and patient care. Submission of claims, eligibility, submit referrals, pre-auths. A physician portal is an example of an e-business app used to check for lab results, policies, etc.

Front 20

Which of the following application types would be considered an example of an administrative application?

A. electronic health record (EHR)

B. picture archiving and communication system (PACS)

C. bed management system

D. general ledger system

Back 20

C Bed management is primarily an administrative application. General ledger is considered a financial application.

Front 21

The pathology department has identified the need for a new application. One of the requirements for the application is that it integrates with the existing lab system. Which of the following should be considered to ensure it would meet this need?

A. hardware is compatible with the lab system hardware.

B. the application is HL7 compliant

C. the application is made by the same vendor as the lab system.

D. the system has an export/import function for trading files.

Back 21

B. Applications that are HL7 compliant are likely to be able to integrate with other applications more easily.

Front 22

A small physican practice is looking at implementing an EHR but is concerned about its ability to find and fund person to support the application and the hardware it will require. Which of the following options should be considered?

A. merge with another practice that already has an EHR.

B. have the head of the practice provide support.

C. provide no support but have a "hot site" for a back-up.

D. look at an EHR that is delivered by an application service provider.

Back 22

D. Application service providers host the hardware and software remotely and provide all support, relieving the practice from technical responsibilities.

Front 23

Which of the following are among the end-user computing devices that may be found in a healthcare setting?

1. servers
2. tablet PCs
3. medical devices
4. network routers

A. 1 and 2
B. 2 and 3
C. 1 and 4
D. 3 and 4

Back 23

B. Tablet PCs and medical devices are examples of end-user devices. Servers and network routers are not typically used directly by the end-user.

Front 24

Which of the following are common applications available to healthcare consumers?

A. EHRs

B. personal health records (PHRs)

C. bed scheduling applications

D. data warehouse applications

Back 24

B. Personal health records are available to healthcare consumers. The other applications listed are more likely to support the clinical and administrative applications in a hospital.

Front 25

One of the important developments in healthcare IT in recent years has been the development of healthcare IT standards. These standards apply to:

1. Hardware
2. Some software applications such as an EHR
3. Network connectivity
4. Clinical transactions such as lab orders and results.

A. 1 and 2
B. 1 and 3
C. 2 and 4
D. 3 and 4

Back 25

C. HL7 has established standards for some software applications and clinical transactions. There are no specific healthcare IT standards for networks or hardware.

Front 26

Which of the following applications warns a physician against the use of a particular medication?

A. Administrative
B. E-health
C. Data warehouse
D. Decision-support

Back 26

D. Decision support applications use data information about a patient and a knowledge-base to make care recommendations to a clinician.

Front 27

Appointment scheduling, patient tracking and medical records tracking are all examples of which type of healthcare application?

A. clinical
B. e-health
C. administrative
D. data warehouse

Back 27

C. These are related to primarily administrative activities of a hospital.

Front 28

A hospital plans to replace its patient accounting system. Which of the following should be among the requirements for the new system?

1. Cold or hot site for recovery
2. X12 compliant generation for transactions
3. An application service provider model
4. Ability to connect medical devices.

A. 1 and 2 only
B. 1 and 3 only
C. 2 and 4 only
D. 3 and 4 only

Back 28

A. A patient accounting system is critical to the operation of a hospital and requires adequate recovery capability. It should also be capable of meeting X-12 standards for generating claim transactions.

Front 29

A practice is making its budget decisions for the coming year and one of its priorities is the improvement of the clinical workflow in the office. Which of the following technology options should be a the top of the list?

A. Replacement of the practice management system
B. installation of a wireless network with mobile devices
C. providing internet access into the practices applications so staff can access them from home.
D. implementing a data warehouse to study the problems.

Back 29

B. Wireless networks and mobile devices are often used to improve the workflow of clinicians.