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89 Cards in this Set

  • Front
  • Back
♪ Wk1

1. _______is the science where information is characterized as data with meaning.

a. Informatics
b. Information management
c. Information science
d. Health information management
a. Informatics
♪ Wk1

2. The basic theoretical concept that underlies informatics practice involves a partnership between a person and an information resource.

a. True
b. False
a. True
♪ Wk1

3. Biomedical informatics as a field of study is narrow in that it focuses on the use of biomedical information.

a. True
b. False
a. False. Takes a lot of different inputs, not just biomed info.
♪ Wk1

4. An application of biomedical informatics that has the individual as its focus is ________.

a. Public health informatics
b. Bioinformatics
c. Clinical informatics
d. Imaging informatics
c. Clinical informatics
♪ Wk1

5. What legislation was passed in 2009 that is considered to be a driver for increased use of information technology in health care?

a. Health Insurance Portability and Accountability Act (HIPAA)
b. Patient Protection and Affordable Care Act (PPACA)
c. American Recovery and Reinvestment Act (ARRA)
d. National Health Care Act (NHCA)
c. American Recovery and Reinvestment Act (ARRA)

PPACA is only a healthcare reform
♪ Wk1

6. A role for those involved in applied health informatics would be in producing requirements and use case documents for EMRs/EHRs.

a. True
b. False
a. True
♪ Wk1

7. Clinical informaticians could use information technology to _______.

a. Assess information needs of patients
b. Refine clinical processes
c. Customize order-entry systems
d. All of the above
d. All of the above
♪ Wk2

1. An Admission-Discharge-Transfer system would fall under which major category of an information system?

a. Decision Support System
b. Patient Management and Billing System
c. Transaction Processing System
d. Management Information System
c. Transaction Processing System

Why?
Choice c processes info to complete a transaction. While choice b (Patient MGMT and Billing) sounds right, it's not. It's a system that manages a patient like patient ID and master patient index.
♪ Wk2

2. An information system is one which?

a. Receives and processes data but does not provide output
b. Only processes data
c. Only processes and disseminates data
d. Receives and processes input and provides output
d. Receives and processes input and provides output
♪ Wk2

3. Reimbursement for services rendered using electronic device or communication technology tools has been seen as a solution to the challenge of having health care providers integrate these tools into their practices.

a. True
b. False
b. False.

Why?
Privacy concerns as been a challenge for having health care providers integrate these tools into their practices and strong privacy protection is the solution for it.
♪ Wk2

4. Faster deployment would be an advantage of using the Internet as a platform for an EMR.

a. True
b. False
a. True
♪ Wk2

5. Which of the following is a supporting technology for health information management (HIM) department systems?

a. Computerized provider order entry
b. Bar-code medication administration
c. Electronic document management system
d. Electronic clinical order entry and results reporting
c. Electronic document management system
♪ Wk3

1. Which electronic record encapsulates a record of medical care provided in a single health care organization, i.e., intra-organizational?

a. Electronic Medical Record (EMR)
b. Computerized Patient Record (CPR)
c. Computerized Patient Medical Record (CPMR)
d. Electronic Health Record (EHR)
a. Electronic Medical Record (EMR)
♪ Wk3

2. An attribute of an electronic health record (EHR) is it captures and manages episodic and longitudinal electronic health record information.

a. True
b. False
a. True
♪ Wk3

3. Which is a reason for slow acceptance of the electronic health record (EHR) by the public?

a. Lack of integration with personal health record
b. Contact with provider made impersonal
c. Increased insurance premium apprehension
d. Privacy concerns
d. Privacy concerns
♪ Wk3

4. Which of the following is an example of how the use of an electronic health record (EHR) can affect patient outcomes?

a. Provides seamless exchange of information
b. Reduces billing costs
c. Establishes new workflow processes
d. None of the above
a. Provides seamless exchange of information
♪ Wk3

5. Which of the following describes a Nationwide Health Information Network (NHIN) impact on the practice of health care providers?

a. Real-time patient data at the point-of-care
b. Access to patients’ longitudinal test results
c. Provides a care coordination exchange platform
d. All of the above
c. Provides a care coordination exchange platform
♪ Wk3

6. Which governmental effort related to electronic health records (EHRs) addresses the meaningful use of interoperable health information technology and qualified EHRs?

a. Nationwide Health Information Network (NHIN)
b. Health Information Technology for Economic and Clinical Health (HITECH)
c. ONC-Authorized Testing and Certification Bodies (ONC-ATCBs)
d. State-Level Health Initiatives
b. Health Information Technology for Economic and Clinical Health (HITECH)
♪ Wk3

7. Which of the following is the principle factor in the Institute of Medicine’s vision of a health care system?

a. Privacy of health information
b. Effective use of information
c. Productivity gains
d. Cost savings
b. Effective use of information
♪ Wk3

8. Biomedical informaticians can affect future developments related to health information systems by _______

a. Creating technology that addresses organizational factors
b. Supporting the cognitive functions of caregivers
c. Designing technology for human factors
d. All of the above
d. All of the above
♪ Wk4

1. Which CPOE function is considered advanced functionality?

a. Drug-drug interaction checks
b. Transmit the order to the appropriate location
c. Return status of order
d. Return results of order execution
a. Drug-drug interaction checks
♪ Wk4

2. CPOE use is restricted to inpatient medications orders.

a. True
b. False
b. False

Why?
CPOE can do more than restrict inpatient med orders. You can also order labs and radio
♪ Wk4

3. Which of the following is NOT a value of CPOE?

a. Reduce variations in health care
b. Reduce variations in provider workflow
c. Improve patient safety
d. Improve efficiency of health care delivery
b. Reduce variations in provider workflow
♪ Wk4

4. A major barrier to CPOE adoption is its cost.

a. True
b. False
a. True
♪ Wk4

5. CPOE implemented independent of other technologies is likely to have limited benefits.

a. True
b. False
a. True
♪ Wk5

1. Which of the following early clinical decision support systems used computer-based decision aids based on the Bayesian probability theory?

a. MYCIN system
b. HELP system
c. Leeds Abdominal Pain System
d. LDS system
c. Leeds Abdominal Pain System
♪ Wk5

2. Which of the following is not a fundamental requirement of a clinical decision support system?

a. Inference engine
b. Clinical workflow tools
c. Knowledge base
d. Communication mechanism
b. Clinical workflow tools
♪ Wk5

3. The clinical decision support system generates an alert for a needed therapeutic intervention based on a clinical practice guideline and patient-specific factors. The benefit this alert would have is in helping to enforce standards of care.

a. True
b. False
a. True
♪ Wk5

4. The challenges to achieving the five rights to clinical decision support (CDS) differ depending on how closely the CDS is tied to what the clinician already intends to do.

a. True
b. False
a. True
♪ Wk5

5. Which of the following did the IOM report Health IT and Patient Safety: Building Safer Systems for Better Care recommend to oversee health IT safety?

a. FDA
b. ONC
c. CMS
d. A new independent federal entity
d. A new independent federal entity
♪ Wk5

6. One of the projects shaping the future directions for CDSS is the meaningful use requirement that must be met to qualify for incentive payments. Which of the following is the requirement for Stage 1 MU for eligible professionals?

a. Implement one CDS rule relevant to specialty or high clinical priority along with the ability to track compliance with that rule
b. Implement five CDS rules relevant to specialty or high clinical priority, including diagnostic test ordering, along with the ability to track compliance with those rules
c. Implement five CDS rules relevant to specialty or high clinical priority
d. Implement one CDS rule relevant to specialty or high clinical priority
a. Implement one CDS rule relevant to specialty or high clinical priority along with the ability to track compliance with that rule
♪ Wk6

1. Which of the following is not a component of a knowledge-based patient monitoring system?

a. Data acquisition
b. Presentation
c. Coding system
d. Database
c. Coding system
♪ Wk6

2. Which of the following is a patient monitoring application?

a. e-prescribing
b. Computerized order entry
c. Electronic charting
d. Glucometers
d. Glucometers
♪ Wk6

3. One way in which data integration assists in medical decision making is by accelerating the flow of critical information.

a. True
b. False
a. True
♪ Wk6

4. Which of the following is not one of the general areas where telehealth supports clinical care with communication technologies?

a. Long-distance clinical health care
b. Payer and provider coordination of care
c. Patient and professional health-related education
d. Public health and health administration
b. Payer and provider coordination of care
♪ Wk6

5. A benefit of telehealth is increased number of home visits by the nurse in order to link patients to specialists.

a. True
b. False
b. False
♪ Wk6

6. Which of the following is part of smart technology as it would be used in the home?

a. Remote patient monitoring
b. Patient monitoring
c. Physician monitoring
d. Payer monitoring
a. Remote patient monitoring
♪ Wk7

1. One of the three processes used in imaging systems in health care is interpretation of the images.

a. True
b. False
a. True
♪ Wk7

2. Image modalities differ in their storage requirements, depending on

a. The contrast and spatial resolution needed
b. The number of integrations with other systems
c. Whether data expansion techniques are used
d. Both a and b
a. The contrast and spatial resolution needed
♪ Wk7

3. The technological and human engineering factors associated with digital displays are the same for the radiologist and the referring clinicians.

a. True
b. False
b. False

Radiologists view and interpret the images while the clinicians review and consult them. So the factors are different for them.
♪ Wk7

4. A physician is reviewing digital images from a patient’s CT scan at her home office. What systems need to be integrated for this to occur?

a. Information Technology System and Picture Archiving and Communication System
b. Radiology Information System and Electronic Documentation System
c. Picture Archiving and Communication System and Radiology Information System
d. Electronic Documentation System and Picture Archiving and Communication System
c. Picture Archiving and Communication System and Radiology Information System
♪ Wk7

5. A factor in the future direction of imaging systems is the development of exchange standards.

a. True
b. False
a. False

It's the vendor certification of imaging systems
♪ Wk8

1. Which of the following is not a role of the PHR?

a. Help consumers make informed health care decisions.
b. Engage consumers in their care.
c. Supply information to health care providers.
d. Integrate the EHR and the PHR into a single record.
d. Integrate the EHR and the PHR into a single record.
♪ Wk8

2. Health consumerism can be seen as an inhibitor in the development of patient-centric health information systems.

a. True
b. False
b. False

Why?
It can be seen as a CATALYST, not an inhibitor
♪ Wk8

3. Which of the following is an example of how the Internet has affected consumer health informatics?

a. Provided the opportunity to contact the health care provider via e-mail.
b. Created the ability to generate a physician bill.
c. Afforded the option to opt out of supplying personal health information to drug companies.
d. Given the ability to merge all data from health care providers and health plans into their personal health record.
a. Provided the opportunity to contact the health care provider via e-mail.
♪ Wk8

4. Social media is being used by health care organizations to

a. Schedule patients for an appointment.
b. Supply prices for services.
c. Build a reputation in the marketplace.
d. Order supplies.
c. Build a reputation in the marketplace.
♪ Wk8

5. A role of genomics in consumer health informatics is the connection to personalized medicine.

a. True
b. False
a. True
♪ Wk9

1. Computerized provider order entry requires health care information systems integration.

a. True
b. False
a. True
♪ Wk9

2. Which is a strategy used by health care organizations to ensure integration of functions?

a. Data preservation
b. Data destruction
c. Data scrutiny
d. Data testing
a. Data preservation
♪ Wk9

3. Which of the following is not a critical element needed in integrated billing, financial, and clinical systems?

a. Information is available when and where it is needed
b. Users must have separate views
c. Data must have a consistent interpretation
d. Adequate security must be in place
b. Users must have separate views
♪ Wk9

4. A core element of the master patient index is the patient’s insurance.

a. True
b. False
b. False

Here are the following core elements:

Internal patient identification
Person name
Date of birth
Gender
Race
Ethnicity
Address
Telephone number
Alias/previous/maiden names
Social security number
Facility identification
Universal patient identifier (UPI)
Account/visit number
Admission/encounter/visit date
Discharge or departure date
Encounter/service type
Encounter/service location
Encounter primary physician
Patient disposition
♪ Wk9

5. HIPAA regulations require unique identification numbers that can be used across information systems.

a. True
b. False
a. True
AHIMA
AHIMA--American Health Information Management Association
AHRQ
AHRQ--Agency for Healthcare Research & Quality
AMIA
AMIA--American Medical Informatics Association
ARRA
ARRA--American Recovery and Reinvestment Act (Stimulus Act), see also HITECH Act
CAH
CAH--Critical Access Hospital
CCC
CCC-Community College Consortia-HIT Workforce Training
CCHIT
CCHIT--Certification Commission for Health Information Technology
CDS

Computer tools or applications to assist physicians
in clinical decisions by providing evidence-based knowledge in the context of patient specific data.
Examples include drug interaction alerts at the time medication is prescribed and reminders for specific
guideline-based interventions during the care of patients with chronic disease. Information should be
presented in a patient-centric view of individual care and also in a population or aggregate view to
support population management and quality improvement.
CDS - Clinical Decision-Support System

Computer tools or applications to assist physicians
in clinical decisions by providing evidence-based knowledge in the context of patient specific data.
Examples include drug interaction alerts at the time medication is prescribed and reminders for specific
guideline-based interventions during the care of patients with chronic disease. Information should be
presented in a patient-centric view of individual care and also in a population or aggregate view to
support population management and quality improvement.
CIO
CIO--Chief Information Officer
CMS
CMS--Centers for Medicare & Medicaid Services
CPOE

A computer application that allows a physician’s
orders for diagnostic and treatment services (such as medications, laboratory, and other tests) to be
entered electronically instead of being recorded on order sheets or prescription pads. The computer
compares the order against standards for dosing, checks for allergies or interactions with other
medications, and warns the physician about potential problems.
CPOE - Computerized Provider Order Entry

A computer application that allows a physician’s
orders for diagnostic and treatment services (such as medications, laboratory, and other tests) to be
entered electronically instead of being recorded on order sheets or prescription pads. The computer
compares the order against standards for dosing, checks for allergies or interactions with other
medications, and warns the physician about potential problems.
CPT
CPT--Current Procedural Terminology
DRG
DRG--Diagnostic Related Group
EHR

A real-time patient health record with access to evidence-based
decision support tools that can be used to aid clinicians in decision making. The EHR can automate
and streamline a clinician's workflow, ensuring that all clinical information is communicated. It can
also prevent delays in response that result in gaps in care. The EHR can also support the collection
of data for uses other than clinical care, such as billing, quality management, outcome reporting, and
public health disease surveillance and reporting. May also be referred to as EMR (Electronic Medical
Record), or EPR (Electronic Patient Record)
EHR--Electronic health record

A real-time patient health record with access to evidence-based
decision support tools that can be used to aid clinicians in decision making. The EHR can automate
and streamline a clinician's workflow, ensuring that all clinical information is communicated. It can
also prevent delays in response that result in gaps in care. The EHR can also support the collection
of data for uses other than clinical care, such as billing, quality management, outcome reporting, and
public health disease surveillance and reporting. May also be referred to as EMR (Electronic Medical
Record), or EPR (Electronic Patient Record)
EMR
EMR--Electronic Medical Record
eRx

A type of computer technology whereby physicians
use handheld or personal computer devices to review drug and formulary coverage and to transmit
prescriptions to a printer or to a local pharmacy. E-prescribing software can be integrated into existing
clinical information systems to allow physician access to patient specific information to screen for drug
interactions and allergies.
eRx--Electronic prescribing, or e-prescribing

A type of computer technology whereby physicians
use handheld or personal computer devices to review drug and formulary coverage and to transmit
prescriptions to a printer or to a local pharmacy. E-prescribing software can be integrated into existing
clinical information systems to allow physician access to patient specific information to screen for drug
interactions and allergies.
FQHC
FQHC-Federally Qualified Health Center
HIE
HIE--Health Information Exchange
HIM
HIM--Health Information Management
HIO
HIO-Health Information Organization
HIMSS
HIMSS--Healthcare Information and Management Systems Society
HIPAA
HIPAA--Health Insurance Portability and Accountability Act
HIT

The application of information processing involving both
computer hardware and software that deals with the storage, retrieval, sharing, and use of health care
information, data, and knowledge for communication and decision making.
HIT--Health information technology

The application of information processing involving both
computer hardware and software that deals with the storage, retrieval, sharing, and use of health care
information, data, and knowledge for communication and decision making.
HITECH
HITECH--Health Information Technology for Economic and Clinical Health (part of ARRA)
HIX
HIX-Health Insurance Exchange
HL-7
HL-7--Health Level 7
ICD-10-CM
ICD-10-CM--International Classification of Diseases –Tenth Revision- Clinical Modification
ICD-9-CM
ICD-9-CM--International Classification of Diseases –Ninth Revision- Clinical Modification
MU
MU--Meaningful Use
NHIN
NHIN--Nationwide Health Information Network, see also Direct Project
ONC
ONC--Office of the National Coordinator
PHI
PHI--Protected Health Information
PHR

An electronic application through which individuals can maintain and
manage their health information (and that of others for whom they are authorized) in a private, secure,
and confidential environment.
PHR--Personal Health Record

An electronic application through which individuals can maintain and
manage their health information (and that of others for whom they are authorized) in a private, secure,
and confidential environment.
PQRI
PQRI--Physician Quality Reporting Initiative
REC
REC--Regional Extension Center
RHIO
RHIO--Regional Health Information Organization
RHIN
RHIN--Regional Health Information Network