Worm

True or False.  Implementation managers provide on-site management of mobile adoption support teams for the period of time before and during implementation of health IT systems in clinical settings. 

True (eHIST p. 104)

Q#3. In which phase does the project leadership identify project stakeholders, develop the project charter and the preliminary project scope statement, and obtain approval of the project charter from the appropriate governance bodies?

A.     A. Initiating Phase

B.     B.  Planning Phase

C.     C.  Executing Phase

D.      D. Monitoring and Controlling Phase

E.       E. Closing Phase

Answer- A. Initiating Phase (eHIST p. 97)

True or False.  A basic HER system is a system that uses HER functionality on at least one clinical unit and includes patient demographics, physician notes, etc.

Answer-True (eHIST p. 112)

True or False.  A basic HER system is a system that uses HER functionality on at least one clinical unit and includes patient demographics, physician notes, etc.

Answer-True (eHIST p. 112)

Q# 2. True or False. There are eight steps in HIS implementation.

Answer- False (eHIST p. 114)

Q# 3. Which stage of HIS implementation preparing the system site, go live, and roll out the system into the production environment for end users to utilize in their work?

A.    A.  System Selection

B.    B.  Design

C.   C.  . Testing

D.    D.  Training

E.    E.   Deployment

Answer- E. Deployment (eHIST p. 115)

Q# 1. True or False.  The health information systems and management layer consists of the core transaction systems supporting healthcare organization’s clinical and business processes.

Answer- True (eHIST p. 138)

Q# 2.  True or False.  Chief medical informatics officer leadership involves engaging others in the organization in dialogue and structured discussions to establish the all-important HIS principles and standards that the organization agrees to in its disciplined approach to HIS management and stewardship.

Answer- False (eHIST p. 140)

Q# 3.  Which HIS leadership role is responsible for HIS strategic planning, department management, staffing and sourcing, budgeting, projects and services delivery. 

A.    A.  Chief Information Officer

B.     B.  Chief Medical Information Officer

C.    C.   Chief Nursing Officer

D.      D. Chief Executive Officer

Answer- A. Chief Information Officer (eHIST p. 140)

 Q# 1.  True or False.  The four categories of biomedical informatics include bioinformatics, imaging informatics, clinical informatics, and public health informatics. 

 Answer- True (eHIST p. 164)

 Q# 2.  True of False.  The five rights of clinical decision support include right time, right route, right person, right data, and right use.

 Answer- False (eHIST p. 169)

Q# 2. True or False. There are eight steps in HIS implementation.

Answer- False (eHIST p. 114)

 Q# 3.  In ambulatory care settings such as physician offices and clinics, as of 2010 approximately ___ of physician practices had basic HER systems.

A.      16.7%

B.      25.8%

C.      38.2%

D.      65.3%

Answer- B. 25.8% (eHIST p. 177)

True or False: The Transition block in the ITIL model includes change management, configuration management system, service training and validation, release and deployment management, and knowledge management?

Answer: True (eHIST pg. 87)

True or False: In the Managing Financial Risk table, monitoring assesses the likelihood or probability of these risks in magnitude of impact.

                Answer: False (eHIST pg. 91)

Multiple choice: In HIS business relationships, issues reviewed during the negotiation include:

1.  The implementation plan
2. The training plan
3. The milestones and payment schedules
4. All of the above

Answer: D. All of the above (eHIST pg.94)

True or False: A basic EHR system is a system that uses EHR functionality on at least one clinical unit and includes patient demographics, physician notes, nursing assessments, patient problem lists, laboratory and radiology reports, and diagnostic test results, as well as computerized ordering for medications.

                Answer: True (eHIST pg. 112)

True or False: In the year 2012, comprehensive EHR surpassed basic and at least basic EHR when looking at EHR adoption in U.S. Hospitals.

Answer: False (eHIST pg. 114)

Multiple choice: In the Milestone Payment Structure, which of the following equals 15%:

1. Contract signing
2. System design and build
3. Activation/go-live
4. Final integrated system test

Answer: B. System design and build (eHIST pg. 129)

True or False: Nursing informatics are the use of computers to support and enhance nursing workflow, documentation, and care processes, as well as the use of information for analysis of clinical quality and effectiveness properties of clinical care.

                Answer: True (eHIST pg. 142)

True or False: In the Sociotechnical System Underlying Health IT-Related Adverse Events, organization transitions directly into technology.

                Answer: False (eHIST pg. 156)

                Multiple choice: Which of the following is NOT one of the Six Aims of Crossing the Quality Chasm:

1. Safe
2. Timely
3. Patient Centered
4. Strategic Planning

Answer: D, Strategic Planning (eHIST pg. 153)

True or False: The phrase used by NIH to encompass informatics in health medical science is biomedical informatics.

                Answer: True (eHIST pg. 164)

                True or False: Validity is each data element actually representing what its definition says it is.

                Answer: True (eHIST pg. 172)

Multiple Choice: Process in health care is founded in what type of interaction(s):

1. Provider-Provider
2. Patient-Provider
3. Patient-Nurse
4. Nurse-Doctor

Answer: B. Patient-Provider (eHIST pg. 174)

1.) A key indicator of the effectiveness of an HIS program is the amount of unplanned work needed to mitigate major system “crashes” or other adverse events that cause systems to become unstable, unresponsive, or unavailable compared to the amount of planned work.

Answer- “True” eHIST pg. 85

2.) IT demand governance (ITDG) makes sure the IT organization operates in an efficient and organized fashion.

Answer- “False” eHIST pg. 86

3.) The IT service delivery process areas in the context of HIS services include all of the following except:

                A.) Service level management

                B.) Release Management

                C.) Availability Management

                D.) Capacity Management

Answer- “B” eHIST pg. 89

1.) There are nine stages in the implementation process in which Kick-Off and Project Planning are number one.

Answer –“True” eHIST pg. 114

2.) Subject-matter experts (SMEs) is a professional who brings departmental or functional expertise to bear in the project planning and implementation processes.

Answer –“True” eHIST pg. 123

3.) The steps in the implementation process include all of the following except:

                A.) System Selection

                B.) Design

                C.) Evaluation

                D.) System Projects

Answer- “D” eHIST Pg. 114-115

1.) Informatics is, at its core, the refinement and redesign of process and workflow using insights from scientific literature and information gathered from and organization’s computer systems, including automating support of new ways to provide healthcare services or for other healthcare processes.

Answer –“True” eHIST pg. 138

2.) The physician who fills the physician leadership role and becomes a member of the HIS department is typically called the Chief Executive Officer.

Answer-“False” eHIST pg. 141

3.) The adoptive curve’s five groups that play roles in the adoption of new technologies include all of the following except:

                A.) Innovators

                B.) Employees

                C.) Early Majority

                D.) Early Adopters

Answer- “B” eHIST pg. 150

1.) Primary uses of an Electronic Health Record System include: supports delivery and management of patient care, supports administrative activities and transactions, and supports patient care.

Answer- “False” eHIST pg. 165

2.) The Five Rights of Clinical Decision Support include all of the following except:

                A.) Right Information

                B.) Right Person

                C.) Right EHR System

                D.) Right Place

Answer- “C” eHIST pg. 169

3.) Biomedical Informatics is an interdisciplinary field that studies uses of biomedical data, information, and knowledge for scientific study, clinical care, analytics, and decision making.

Answer –“True” eHIST pg. 164

Q#1 Chief information officer (CIO) is an important process area that an HIS department should consider addressing when deploying or supporting existing HIS applications.

Answer: "False" eHIST Page 86

Q#2 IT service delivery is the second core process area that is important for the proper implementation and support of HIS applications.

Anser: "True eHIST Page 89

Q#3 The ITIL process by which changes are introduced into the computing environment of an organization is called:

A. The service desk

B. Change management

C. Configuration management

D. Release management

Answer: "B" eHIST Page 88

Q#1 A basic EHR system is a system that uses EHR functionality on at least one clinical unit and includes patient demographics, physician notes, nursing assessments, patient problem lists, laboratory and radiology reports, and diagnostic test results, as well as computerized ordering for medications.

Answer: "True eHIST Page 112

Q#1 A basic EHR system is a system that uses EHR functionality on at least one clinical unit and includes patient demographics, physician notes, nursing assessments, patient problem lists, laboratory and radiology reports, and diagnostic test results, as well as computerized ordering for medications.

Answer: "True eHIST Page 112

Q#2 The steps in implementation include system design, comprehensive EHR system, and implement.

Answer: "False" eHIST Page 114

Q#3 Which of the following best describes SWOT?

A. Health Information System Strategic

B. Network infrastructure project

C. Strength, weaknesses, opportunities, and threats

D. Strategic initiatives, development

Answer: "C" eHIST Page 118

Q#1 Health information systems and management is the third, foundational sphere in the HIS model.

Answer: "False" eHIST Page 138

Q#2 Informatics is a diverse, dynamic discipline that includes clinical and business domains and expertise regarding the interaction between knowledge workers and computers, the development of new workflows, and improvement in processes and outcomes through use of computers.

Answer: "True" eHIST Page 138

Q#3 Which of the following is the role of the Chief Medical Informatics Officer (CMIO):

A. Nursing leadership is especially important in leading collaboration among nurses for HIS implementations.

B. Promotes and develops the science and practice of informatics in healthcare.

C. The physician who fills this physician leadership role and becomes a member of the HIS department.

D. Often used in other industries, but was not part of the training of many people working in healthcare organizations.

Answer: "C" eHIST page 141

Q#1 Health informatics is both art and science: It is aimed at improving, redesigning, and informing health and clinical care, organizations, processes, and research capabilities through the use of HIS and technology.

Answer: :True" eHIST Page 163

Q#2 The Five Rights of Health Information Management are consistent with the Five Rights of Clinical Decision Support which includes right time, right goods/services, right person, right data, and right use.

Answer: "False" eHIST Page 169

Q#3 Public health informatics includes information capabilities that:

A. Is aimed at improving, redesigning, and informing care.

B. Direct observations captured log or EHR. 

C. identify and understand health trends, health status, and the incidence of illnesses across populations or segments of populations locally, regionally, and globally.

D. All of the above.

Answer: "C" eHIST Page 177

 1.     IT service support is an important process area that an HIS department should consider addressing when implementing new or supporting existing HIS applications.  IT service support process areas in the context of HIS support include which of the following element(s):

a.     Root-cause analyses

b.     Network administrator privileges for all end-users

c.      Multiple points of contact for users to report incidents and seek troubleshooting resolution

d.     Unpredictable methodology for new releases of applications or operating system software

 Answer:  a; eHIST pp. 87-8

 2.     A key indicator of effective IT governance is the ratio of planned work to unplanned work.  Organizations with a ratio of less than 10% have been found to have very high levels of operational excellence, compliance, and security.

 Answer:  False; eHIST p. 91

 3.     A healthcare organization rarely signs a vendor’s standard HIS agreement, specifying ownership of data, change control, and maintenance costs.  In most cases, the contract is modified to satisfy the requirements of both parties.

 Answer:  True; eHIST p. 96

 1.     What is the catchy layman’s slogan for activation of a new HIS application or system?

a.     “Ready, set, go!”

b.     “Go-live!”

c.      “Kick-off!”

d.     “Deployment!”

 Answer:  b; eHIST p. 112

 2.     In implementation of a multi-phase HIS strategic plan, after addressing the foundational infrastructure (Phase I) and installing basic elements of EHR (Phase II), Phase III includes more advanced functionality, such as quality management, outcomes analysis and reporting, business intelligence, clinical intelligence, and CPOE.

 Answer:  True; eHIST p. 115

 3.     Through the early phases of implementation of HIS and its stratetic plan, it is important to perform a SWOT analysis to assess the “current state.”  SWOT stands for strengths, weaknesses, openness, and technology.

 Answer:  False, eHIST p. 118-9

Q#2 The steps in implementation include system design, comprehensive EHR system, and implement.

Answer: "False" eHIST Page 114

 1.     The most important rule in initiating an HIS application (eg. HER or other clinical system implementation) is to fully engage:

a.     Physicians

b.     Nurses

c.      Administrators

d.     a. AND b.

 Answer:  d; eHIST p. 141

 2.     The Chief Information Officer (CIO) should report directly to the CEO.  It is unrealistic for the CIO to support all functions in an organization in a balanced fashion working within one of those functions, just as it is infeasible for other functions or disciplines to have adequate input into the HIS agenda if the CIO reports to only one of those departments or functions.

 Answer:  True; eHIST p. 140

 3.     Early HIS helped to support clinical departments in hospitals.   Finance and accounting departments were secondary considerations in the origin of the long history of HIS.

 Answer:  False; eHIST p. 151

 1.     Informatics and data analytics, research, and outcomes reporting to payers are part of the primary uses of an EHR system.

 Answer:  False; eHIST p. 165

 2.     The NIH defines the term “biomedical informatics” simply but profoundly as:

a.     Data plus knowledge

b.     Data plus power

c.      Data plus meaning

d.     Data plus health and medical science

 Answer:  c; eHIST p. 166-7

 3.     The science and art of biomedical informatics includes making sure the HER presents the right data content in the right layout, format, and timing to best support clinician workflow.

 Answer:  True, eHIST p. 170

Q#1  A Trojan is a hacking malware that appears to perform a desirable function yet, after it gains access to system, causes system harm or steals unauthorized data.  Often appears as an email attachment.

Answer:  True Pgs. 101 & 269.

Q#2  According to the PM Stage and Knowledge Area Overview, of the project processes, the Project Aspects are: Initiating, Planning, Executing, Controlling, and Closing.

Answer:  False Pg. 98, Figure 5.8.

Q#3  Of the steps to manage financial risk, this risk domain involves the organization determining an implementing a response to address the risk, such as acceptance, transference, mitigation, or avoidance.

A.  Identification

B.  Quantification

C.  Risk Response

D.  Monitoring

Answer:  C.  Risk Response, Pg. 91, Table 5.1.

Q#1  A Subject Mater Expert (SME) is a professional who brings departmental or functional expertise to bear in the project planning and implementation processes.

Answer:  True Pgs. 123 & 268.

Q#2  In the Stages in Implementation, the “Kick-off and Project Planning” step is explained as the negotiation agreements for all necessary system components and services, such as software, hardware, devices, consulting services, infrastructure, and others as needed.

Answer:  False Pg. 114, Figure 6.3.

Q#3  In Qualifying a Vendor:  Categories of Criteria for System, what are the sub-points of qualifying under the topic of Technology?

A.  Integration benefits, scalability, supportability

B.  Contact guidelines adherence

C.  Workflow, usability

D.  Integration versus interfaced

Answer:  A.  Integration benefits, scalability, supportability, Pg. 122, Figure 6.5.

Q#1  Nursing Informatics is the use of computers to support and enhance nursing workflow, documentation, management, analytics, and care processes as well as the use of information for analysis of quality and effectiveness properties of clinical care.

Answer:  True Pgs. 142 & 266.

Q#2  According to Rodger’s Adoption/Innovation Curve, the late majority consists of the often respected opinion leaders of the organization, accepting of change and new ideas, who use the experience of the Innovators to inform their decision to attempt the adoption of the innovation.

Answer:  False Pg. 150, Figure 7.2.

Q#3  Which of the following is not one of the Six Aims of Crossing the Quality Chasm care states?

A.  Safe

B.  Effective

C.  Efficient

D.  Secure

Answer:  D.  Secure, Pg. 153.

Q#1  Data mining is the act of extracting information from a data set for use in data analytics.

Answer:  True Pgs. 165 & 262.

Q#2  In the Sociotechnical System Underlying Health IT-Related Adverse Events, the five adverse events are people inputs, internal environments, logical organization, variable processes, and effective technology.

Answer:  False Pgs. 168, Figure 8.6.

Q#3  Which of the following is not a capabilities of public health informatics?

A.  Identify and understand health trends, health status, and the incidence of illnesses across populations or segments of populations locally, regionally, nationally, and globally.

B.  Monitor and survey disease and conditions across a small metrological and limited population volume.

C.  Detect, prevent, intervene, and monitor in the event of an outbreak of a biologically related condition, the increase in the incidence of a disease, a natural disaster, or bioterrorism.

D.  Promote health and prevention.

Answer:  B.  Monitor and survey disease and conditions across a small metrological and limited population volume, Pg. 177.

1. Incident management is the process by which "trouble calls" or system-related incidents are brought to resolution.

True or False

Answer:  True, eHist pg 88

2. IT service delivery is the first core process area that is important for the proper implementation and support of HIS applications.

True or False

Answer:  False.  IT service delivery is the SECOND core process area, with IT service support being the first.  eHist, pg 89

3.  Which is NOT one of the five project management phases identified by the Project Management Institute (PMI)?

A. Initiating Phase

B. Planning Phase

C. Executing Phase

D. Correction Phase

E. Closing Phase

Answer: D - Correction Phase.  (The fourth phase is the Monitoring and Controlling Phase).  eHIST, p97

1. A comprehensive EHR system, includes the basic functionality plus how many other clinical functions?

A. 8

B. 14

C. 9

D. 12

Answer:  B - 14.  eHIST, pg 112

2. A key component in Phase 1 of the implementation of the HIS strategic plan is the development of the MPI, master patient index.

True or False

Answer: True, eHIST, pg 115

3. The last step in HIS implementation is Deployment, in which the system goes live into the production environment for end users to utilize.

True or False

Answer: False;  The last step is Evaluation after the deployment of the new system.  eHIST, pg 115

1. The CIO, chief information officer, is the most typical lead role of the management positions dealing with HIS and technology in a healthcare organization.

True or False

Answer: True, eHIST,pg 139

2. Change management is the carefully planned move from a current way of doing work to new ways; it requires involvement of the involved disciplines in the planning of these new methods, followed by the systematic introduction of these methods supported by HIS and technology.

True or False

Answer: True;  eHIST, pg 144

3. Which group represents more than 2000 nurses and brings together 18 independent nursing informatic groups?

A. AMA

B. AMIA

C. ANA

D. ANI

Answer: D - ANI, the Alliance for Nursing Informatics;  eHIST pg 149

1. The term "health informatics" can NOT be used interchangeably with the term "health information technology".

True or False

Answer:  False, eHIST pg 166

2. The IOM's third health IT-related landmark report was "HEALTH IT and PATIENT SAFETY: BUILDING SAFER SYSTEMS FOR BETTER CARE". 

True or False

Answer: True, eHIST, pg 167

3. Which of the following is included in the 5 Rights of Health Information Management?

A. Right Time

B. Right Route

C. Right Person

D. Right Data

E. Right Use

F. All of the Above

Answer: F - All of the above.  eHIST, pg 169

 Q#1. IT service support is an important process area that an HIS department should consider addressing when deploying or supporting existing HIS applications.

 Answer-“True” eHIST Pages 86-87

 Q#2. Worms is a class of programs that monitor a user’s computer usage habits and report this information back to an external computer for storage in a marketing database.

 Answer-“False” eHIST Page 101

 Q#3. Which of the following are malicious software programs that allow remote users to connect to a client computer without the user’s permission?

A.    Viruses

B.     Phishing emails

C.     Trojans

D.    Spyware

E.     All of the above

Answer-“C” eHIST Page 101

 Q#1. System design (including creation of computer functionally that accomplishes redesigned workflow and processes in user-friendly ways).

 Answer-“True” eHIST Page 112

 Q#2. The stages in implementation include kick-off and project planning, system selection, strategic initiatives, current systems review, and network infrastructure project.

  Answer-“False” eHIST Page 114

 Q#3. Which of the following describes the request for information (RFI)?

A.    Most HIS and technology consulting firms have a consistent methodology that their consultants follow for this type of work.

B.     Is a concise description of the healthcare organization, the system requirements, timing, scope, and expectations.

C.     A standard agreement also likely includes many other terms and conditions that put the vendor company at an advantage and ignore important rights of the healthcare organization.

D.    HIS and technology implementations are multifaceted projects, requiring very careful and smart strategic and tactical planning.

 Answer- “B” eHIST Page 123-124

 Q#1. The entirely of HIS and technology is represented by the HIS sphere at the base of the model.

 Answer- “True” eHIST Page 137

 Q#2. The data and analytics layer is a diverse, dynamic discipline that includes clinical and business domains and expertise regarding the interaction between knowledge workers and computers, the development of new workflows, and improvement in processes and outcomes through use of the computes.

 Answer- “False’ eHIST Page 139

 Q#3. The most typical lead of the management positions dealing with HIS and technology in a healthcare organizations is the role of the ________ or its equivalent, regardless of the name (in a smaller organization, it might be director of IT, IT lead, or HIS manager, or something similar).

A.    Informatics

B.     Advisory groups

C.     Chief Nursing Officer (CNO)

D.    Chief Information Officer (CIO)

 Answer- “D” eHIST Page 139

 Q#1. The five Rights of Health Information Management include right time, right route, right person, right data, and right use.

 Answer-“True” eHIST Page 169

 Q#2. Which of the following is the use of technology to optimize productivity in the production of goods and delivery of services?

A.    Data mining

B.     Bio medical bioinformatics

C.     Five Rights of Clinical Decision Support

D.    Automation

 Answer- “D” eHIST Page 169

 Q#3. Nursing informatics includes a number of facets, one of the most important of which is the design and implementation of clinical decision support capabilities of HER systems and other clinical systems.

 Answer- “False” eHIST Page 176

1. An effective HIS initiative will have minimal system issues compared to the day-to-day activities of managing HIS activities. 

Answer: True, eHIST page 85

 2. What is the second core process area that is important for the proper implementation and support of HIS applications?

1. IT Service processing
2. IT service support
3. IT service delivery
4. IT delivery service

Answer: C, eHIST page 89

3. One of the most important disciplines that plays a major supporting role in HIS implementations is project management.

Answer: True, eHIST page 96

1. A healthcare organization should always sign the standard agreement of the software vendor.

Answer: False, eHIST page 124

2. HIS and technology implementations are multifaceted projects, requiring very careful and smart strategic and tactical planning.

Answer: True, eHIST page 126

3. _________________is when an organization owns all its own data and the vendor may not use data to which it has access in the system, or otherwise, unless expressly approved in writing by the organization’s CIO for a specific purpose.

1. Data ownership
2. Personal choice
3. Vendor blocking
4. Vendor control

Answer: A, eHIST page 130

1. Which of the following is the first foundational sphere in the HIS model?

1. HIS
2. Research, policy, and public health
3. Health information systems and management
4. Data and Analytics

Answer: C, eHIST page 138

2. A Chief Nursing Officer (CNO) often fills the role of collaborating among nurses for HIS implementations.

Answer: True, eHIST page 141

2. A Chief Nursing Officer (CNO) often fills the role of collaborating among nurses for HIS implementations.

Answer: True, eHIST page 141

3. Alliance for Nursing Informatics (ANI) represents more than 5000 nurses and brings together 18 independent nursing informatics groups

Answer: False, eHIST page 149

1. There are 5 Rights of Clinical Decision Support and Health Information Management

 Answer: True, eHIST page 169

 2. Which is not one of the three elements of Donabedian’s healthcare quality framework?

1. Structure
2. Income
3. Outcome
4. Process

Answer: B, eHIST page 172

3. The government has a strong interest in public health informatics because changes in the public’s health can indicate threats to national security.

Answer: True, eHIST page 177

 1.     In HIS management, which of the following areas are necessary to address financial and budget risks?

a)    Budget and planning

b)   Purchasing options

c)    Operating expenses, basic accounting principles and standards

d)   Financial models and methods

e)    Compliance regulations

f)     All of the above

Answer – F (page 91)

 2.     Project Management cost scope schedule model are directly related to project quality.

Answer – True (page 100)

3. Alliance for Nursing Informatics (ANI) represents more than 5000 nurses and brings together 18 independent nursing informatics groups

Answer: False, eHIST page 149

2. A Chief Nursing Officer (CNO) often fills the role of collaborating among nurses for HIS implementations.

Answer: True, eHIST page 141

 3.     According to HIPPA Act, confidentiality refers to not disclosing ePHI to unauthorized individuals or processes.

Answer – True (page 100)

 1.     In HIS management, which of the following areas are necessary to address financial and budget risks?

a)    Budget and planning

b)   Purchasing options

c)    Operating expenses, basic accounting principles and standards

d)   Financial models and methods

e)    Compliance regulations

f)     All of the above

Answer – F (page 91)

 2.     Project Management cost scope schedule model are directly related to project quality.

Answer – True (page 98)

 3.     According to HIPPA Act, confidentiality refers to not disclosing ePHI to unauthorized individuals or processes.

1. Number of steps involved in HIS implementation?

a) 5

b) 7

c) 8

d) 9

Answer - C (page 114)

2. The request for information (RFI) is concise description of healthcare organization, system requirements, timing, scope and expectations.

Answer - True (page 123-124)

3. The healthcare organization are supposed to sign the standard agreement of the software vendor.

Answer - False (page 124)

1. HIS scope model includes which of the following?

a) System management

b) Health Informatics

c) Data and analytics

d) Research and policy

e) all of the above

Answer - E ( page 137)

2. CMIO is usually a physician

Answer - True (page 141)

3. AMIA is the result of three organizations - AAMSI, ACMI and SCAMC.

Answer - True (page 148-149)

2. Five rights of clinical decision support includes to have right information.

Answer - True ( page 169)

3. Five rights of health information management includes right time as one of its five factors.

Answer - True (page 169)

3. AMIA is the result of three organizations - AAMSI, ACMI and SCAMC.

Answer - True (page 148-149)

Q#1  The three vantage points needed for a complete perspective of whether HIS are successful include: operational perspective, project view and how the technology and other IT services are delivered.

Answer: “True” eHIST location 3455 Kindle version

Q#2  The Information technology governance (ITG) framework that describes six guiding principles for the effective, efficient, and acceptable use of IT has three sections and is called ISO/IEC 38500.

Answer: “True” eHIST location 3564 Kindle version

Q#3  If a vendor’s representative and the customer agree to something during the sales pitch that doesn’t make its way into the written contract, one of the following is true:

a.     The issue is fair game for negotiation again

b.     It doesn’t exist

c.     The contract is voidable

d.     The vendor will fulfill the request anyway

Answer: “b” It doesn’t exist  eHIST location 3791 Kindle version

Q#1  Participation in health information exchanges (HIEs) has been increasing in the U.S., with 30% of hospitals participating, and the outlook for continued success is positive, as government stimulus funds will support HIEs indefinitely.

Answer: “False” eHIST location 4376 Kindle version

Q#2  The best way to begin an IT initiative is to just jump in and get started, in order to make every minute count. The plan will develop as you go.

Answer: “False” eHIST location 4556 Kindle version

Q#3  Before choosing a software vendor or delivering a system, completion of a SWOT analysis, plus one of the following must be done:

a.     Contract

b.     Contingency plan

c.     Root cause analysis

d.     Current state analysis

Answer: “d” Current state analysis  eHIST location 4756 Kindle version

Q#1  When it comes to implementing an EHR system, nothing is more important than active participation of experienced IT professionals working exclusively in the IT department.

Answer: “False” eHIST location 5326 Kindle version

Q#2  Nurses make good informaticists because they are knowledgeable in nursing workflow, documentation and patient care processes, subjects informaticists need to know to develop and implement successful EHRs.

Answer: “True” eHIST location 5364 Kindle version

Q#3  Rogers’ landmark book, Diffusion of Innovations written in 1962, describes how disruptive, new technologies are adopted into organizations, by segments including Innovators, Early Adopters, Early Majority and which of the following?

a.     Laggards

b.     Late Majority & Slackers

c.     Late Majority

d.     Both a and c are correct

Answer: “d” Both a and c are correct

Q#1  The Five Rights of Clinical Decision Support include the right information, to the right person, in the right format, through the right medium or channel, and at the right place/time.

Answer: “True” eHIST location 6328 Kindle version

Q#2  Because nursing is an essential service in hospitals and clinics, nursing documentation and workflows are among the first components of EHRs to be developed and perfected.

Answer: “False” eHIST location 6595 Kindle version

Q#3  Government investments in EHRs and networks contribute to public health informatics efforts including those that can be securely shared for:

a.     Research

b.     Policy

c.     Public Health

d.     All of the above are correct

Answer: “d” All of the above are correct

1.      1.  A key indicator of the effectiveness of an HIS program is the amount of unplanned work needed to mitigate major system “catastrophes” or other adverse events that cause systems to become unstable, unresponsive, or unavailable compared to the amount of planned works.

Answer: “False” eHIST page 85

2.       2. To achieve the successful implementation and ongoing support of HIS, well-defined processes are required.

Answer: “True” eHIST page 86

3.     3.  __________________ is the second core process area that is important for the proper implementation and support of HIS applications.

a.        IT service delivery

b.        Incident management

c.        Service Training and Validation

d.        IT service support

Answer: (a) eHIST page 89

1.     1. A comprehensive EHR system is a system that uses EHR functionality on at least on clinical unit and includes patient demographics, physician notes, nursing assessments, patient problem lists, laboratory and radiology reports, and diagnostic test results, as a well computerized ordering for medications.       

 Answer: “False” eHIST page 112

2.      2. The project planning team and task forces are created during the kick-off and project planning stage in implementation.

Answer: “True” eHIST page 114 

Th  3. The final integrated system test in the milestone payment structure represents ____% of the structure.

a.        10

b.        15

c.        20

d.        25

Answer: (d) eHIST page 129

1.       1. Leadership in HIS and technology emanates from several perspectives, including organizational, governmental, and professional views, initiatives, and interests.

Answer: “True” eHIST page 139

2.       2. Quality and safety officers in healthcare organizations do not play a role in the design and implementation of new computer systems.

 Answer: “False” eHIST page 143

3.      3. The ________________ represents more than 2000 nurses and brings together 18 independent informatics groups.

a.                                               a.      Association for Nursing Informatics

b.        Alliance for Nursing Informatics

c.        The American Association for Leading Nurses in Informatics

d.        None of the above

Answer: (b) eHIST 149

1.     1. The phrase used by the NIH to encompass informatics in health and medical science is biomedical technology.

Answer: “False” eHIST page 164

2.     2. The IOM’s third health IT-related landmark report was Health IT and Patient Safety: Building Safer Systems for Better Care.

Answer: “True” eHIST page 167

3.      3. The Five Rights of Health Information Management are:

a.        Right time, right location, right person, right data, right use

b.        Right time, right route, right location, right person, right data

c.        Right time, right route, right person, right data, right use

d.        Right time right route, right person, right data, right implementation

Answer: (c) eHIST page 169

IT service support is not an important process area that an HIS department should consider addressing when deploying or supporting existing HIS applications.

Answer: “False” eHIST pages 86-87

In managing financial risk, Quantification assesses the likelihood or probability of these risks and their magnitude of impact. 

Answer: “True” eHIST page 91

To assist with the delivery of a variety of products and services, there are four steps that Healthcare organizations should follow to select the right vendor. These four steps include the following EXCEPT: 

a) Formally submit a project request.

b) Analyze their business requirements.

c) Conduct a three-layer HIS vendor evaluation search.

d) Select the winning candidate and successfully negotiate a contract.

e) All of the above

f) None of the above

Answer: (e) eHIST page 93

There are several steps in the implementation process of a new system. All of the below are steps in this process EXCEPT: 

a) Kick-off and Project Planning

b) System Selection

c) Contract Negotiation

d) Researching

e) Design

Answer: (d) eHIST page 114-115

Mutual responsibilities defined and spelled out is a HIS example of contractual guidelines.

Answer: “True” eHIST page 125

Having a good contract is not a key to a successful HIS system. You can have a bad contract and still implement a successful HIS system.

Answer: “False” eHIST page 127

The most typical lead role of the management positions dealing with HIS and technology in a healthcare organization is the role of the chief operations officer (COO).

Answer: “False” eHIST page 139

In Rogers’ Adoption/Innovation Curve, Laggards are described as traditionalist, resistant to change, and who prefer the old ways of doing things.

Answer: “True” eHIST page 150

Meaningful Use criteria, objectives, and measures will evolve in three stages over the next five years. Choose the answer that is not one of the three stages.

a) Surveying physicians

b) Data capture and sharing

c) Advance clinical processes

d) Improve outcomes

Answer: (a) eHIST page 147

Research, policy, and public health are not secondary uses of an Electronic Health Record (EHR) System. 

Answer: “False” eHIST page 165

The Five Rights of Health Information Management are consistent with the Five Rights of Clinical Decision Support.

Answer: “True” eHIST page 169

All of the following are primary uses of an Electronic Health Record (EHR) System EXCEPT:

a) Supports delivery and management of patient care

b) Supports administrative activities and transactions

c) Connects patients, providers, and data

d) Informatics and data analytics

e) None of the above

Answer: (d) eHIST page 165

True or False.            A key indicator of the effectiveness of an HIS program is the amount of unplanned work needed to mitigate major system “crashes”.

Answer: True   eHist p. 85

True or False.            Organizations manage financial risks in healthcare information systems via two domains of identification and monitoring.

Answer: False   eHist p. 91 Organizations manage financial risks in healthcare information systems via FOUR domains of identification, quantification, risk response and monitoring.

All HIS contracts should specify which components?

A. Requirements regarding milestones, the ownership of data, change control, and maintenance costs.

B. Service level management, capacity management, incident management and change management

C. Network support, infrastructure, administration and interfaces

D. Budgets, contingencies, and collaborations

Answer: A  eHist p. 107

True or False.            The only difference between a basic EHR system and a comprehensive HR system is where the system is used.  

Answer: False  eHist. P. 112

There are two differences, the number of clinical functions and where the system is used. A comprehensive HER has fourteen more clinical functions than a basic HER, and it is used throughout the hospital.

True or False:           The system selection process has three steps, approval of plan, determine criteria and launch of the project.

Answer: False  eHist p. 123

True or False:           The system selection process has three steps, approval of plan, determine criteria and launch of the project.

Answer: False  eHist p. 123

The system selection process has FOURTEEN steps.

Implementation consists of:

A. Implementation planning, system design and programming

B. Development, testing, rollout and evaluation

C. All of the above

D. None of the above

Answer:  C – All of the above  eHist p.112

True or False:           The Chief Information Officer makes all the decisions when building an organization’s health information system.

Answer: False  eHist p. 139

Building an organization’s health information system is a multidisciplinary task that includes various people.

True or False:           The term change management is unique to health information systems.

Answer:  False  eHist p. 143

The term change management is often used in other industries.

The HIS Scope Model includes:

A. Systems management, health informatics, data analysis, research, policy and public health

B. Leadership, data, quality and safety

C. All of the above

D. None of the above

Answer:  A – p. 137

True or False:           Health informatics is both art and science.

Answer:  True  eHist. p. 163

True or False:           Health informatics is a very new concept.

Answer:  False  eHist. p.164

Health informatics has always been used, ever since the first bits of data handwritten on paper to communicate and document aspects of clinical and medical status of patient.

The sociotechnical system continuum of building safer systems include:

A. Hard stops, work-arounds, testing and continuous process improvement

B. People, external environment, organization, process and technology

C. All of the above

D. None of the above

Answer: A  eHist. p.168

Q#1: The IT service support process areas in the context for HIS support include the following elements except:

a.         Service Desk

b.         Incident Management

c.         Problem Management

d.         Change Management

e.         All of the above are included

Answer: (e) eHIST page 88

Q#2: One of the key factors in successful vendor management is contract management.

Answer: “True” eHist Page 95

Q#3: Project Management Institute (PMI) has identified 15 project management phases.

Answer: “False” eHist Page 97

Q#1: Implementation of the HIS systems consists of all of the following steps except:

a.         Implementation planning

b.         System Design

c.         Testing

d.         Roll out or deployment

e.         All of the above are included

Answer: (e) eHIST page 112

Q#2: Phase I of the HIS plan would most likely consist of a net-work infrastructure project. 

Answer: “True” eHist Page 115

Q#3: Projects to do not require adequate resources (both money and time) to succeed. 

Answer: “False” eHist Page 132

Q#1: The HIS scope model includes all of the following elements except:

a.         Data & Analytics

b.         Health Informatics

c.         Systems and Management

d.         Research, Policy and Public Health

e.         All of the above are included

Answer: (e) eHIST page 137

Q#2: The most typical lead role of the management positions dealing with HIS and technology is a health care organization is the role of the CIO. 

Answer: “True” eHist Page 139

Q#3: The Meaningful Use criteria, objectives, and measures will evolve into 5 stages over the next 3 years. 

Answer: “False” eHist Page 147

Q#1: Secondary uses of an EHR system consists of all of the following except:

a.         Informatics and data analytics

b.         Research, Policy and Public Health

c.         Submission/reporting of data to third parties

d.         Supports delivery and management of patient care. 

e.         All of the above are included

Answer: (d) eHIST page 165

Q#2: There are Four Rights of Clinical Decision Support.  

Answer: “False” eHist Page 169

Q#3: The government has a strong interest in public health informatics because changes in the public’s health can indicate threats to national security.  

Answer: “True” eHist Page 177

Q#1: True or False- Trojan e-mails contain web links that appear to be legitimate, but when clicked on, redirect the user to a malicious website where the user’s username, passwords, and credit card details can be compromised? 

Answer: False; Phishing e-mails (Pg. 101)

Q#2: True or False- A key indicator of the effectiveness of an HIS program is the amount of unplanned work needed to mitigate major system “crashes” or other adverse events that cause systems to become unstable, unresponsive, or unavailable compared to the amount of planned work.

Answer: True (Pg. 85) 

Q#3: Which of the following critical areas is not required when dealing with project quality management?

            a.) scope

            b.) time

            c.) risk

            d.) cost

            e.) all of the above are required

Answer: c-risk (Pg. 98)

Q#1: True or False- A basic EHR system is one that uses EHR functionality on at least one clinical unit and includes patient demographics, physician notes, nursing assessments, patient problem lists, laboratory and radiology reports, and diagnostic test results, as well as a computerized ordering for medications, plus 14 other clinical functionalities?

            Answer: False; comprehensive EHR (Pg. 112)

Q#2: True or False- There are ten steps in the implementation process?

            Answer: False; there are nine (Pg. 114)

Q#3: Organizations must not gauge or measure the system/hardware capacity requirement based on current size and volumes, but rather on the requirements and peak volumes projected into the future at least, how many years, until a normal hardware upgrade is required?

            a.) 3

            b.) 10

            c.) 5

            d.) 15

            e.) depends on the system/hardware

            Answer:  c-five (Pg. 130)

Q#1: True or False- The American Health Information Management Association (AHIMA) aims to elevate the standards of clinical records in hospitals and other medical institutions?

            Answer: True (Pg. 148-149)

Q#2: True or False- The adoption curve has four groups or segments that play roles in the adoption of disruptive, new technologies such as HIS into an organization or other setting.

           Answer: False; the adoption curve has five groups (Pg. 150)

Q#3: The six aims of high-quality care state that care should be, except?

            a.) Effective

            b.) Safe

            c.) Timely

            d.) Efficient

            e.) Patient Centered

            f.) Equitable

            g.) Cost Efficient

            Answer: g-Cost Efficient (Pg. 153)

Q#1: True or False- Biomedical Informatics is comprised of the following categories: bioinformatics, imaging informatics, clinical informatics, and public health informatics? 

            Answer: True (Pg. 164)

Q#2: True or False- Supporting delivery and management of patient care, supporting administrative activities and transactions, and connecting patients, providers, and data, are all examples of secondary uses of an electronic health record system? 

            Answer: False; primary uses (Pg. 165)

Q#3: Which of the following is not one of the five rights of health information management?

            a.) data

            b.) time

            c.) route

            d.) information

            e.) person

            f.) use

            Answer: d-information (Pg. 169)

1. A key indicator of the effectiveness of an HIS program is the amount of planned work needed to mitigate major system crashes or other adverse events that cause systems to become unstable, unresponsive, or unavailable compared to the amount of unplanned work. T or F

Answer: False

2. Information technology governance comprises the processses hat ensure the effective and effficient use of It in enabling an organization to achieve its goals. T or F

Answer: True

3. What does Information Technology governance is divided into what additional areas?

A. It demand governance

B. It supply-side governance (ITSG)

C. Both A and B

D. None of the Above

Answer: C. Both A and B

1. Implementation of a new system consists of several progressive steps. Which one is the first step?

A. Implementation planning

B. System design

C. System or application programminng

D. Testing

Answer: A. Implementation planning

2. Testing incluning system and integration testing challenging and perfecting the system programs and interfaces to weed out and correct any errors in the development phase). T or F

Answer: True

3. Development or build is the final step in the Implementation process. T or

Answer: False

1. Health Information Systems and management is the second foundational sphere of the HIS model. T or F

Answer: False

2. Informatics is a diverse, dynamic discipline that includes clinical and business domains and expertise regarding the interaction between knowledge workers and completes the development of new workflows, and improvements of processes and outcomes through the use of computers. T or F

Answer: True

3. Key CMIO functions include the following:

A. Help translate the process of using computers for those who did not learn to practice medicine with automated support.

B. Run physician discussions, questions,-and answer sessions, and workshops for workflow redesign as part of the design of a new system.

C. Lead physician advisory groups for clinical HIS projects such as the multiyear process of implementing and refining an EHR.

D. All of the above

Answer: D. All of the above

1. Health informatics is both an art and a science. T or F

Answer: True

2. Biomedical informatics comprises of Four categories. Which of these is not one of them.

A, Bioinformatics

B. imaging informatics

C. Clinical informatics

D. EHR

Answer: D. EHR

3. A primary use of an EHR System is Informatics and data analytics. T or F

Answer: False

The two information technology service management core areas are IT service support and IT service delivery.

Answer: True, page 86

The IT service delivery process includes which of the following elements:

A) Service level management

B) Capacity management

C) Service continuity management

D) All of the above

Answer: D, page 89-90

Project management is defined as the discipline of planning, organizing, securing, managing, leading, and controlling resources to achieve specific goals.

Answer: True, page. 96

A comprehensive EHR system includes basic functionality plus 12 other clinical functionalities.

Answer: False, page 112

There are 9 stages of implementation.

Answer: True, page 114-115

Which of these is NOT a stage in implementation?

A) Kick off and project planning

B) Evaluation

C) Training

D) Implementation

Answer: D, page 114-115

There are 4 levels in the HIS Scope Model.

Answer: True, page 137

The data and analytics layer is the dynamic discipline that includes clinical and business domains and expertise.

Answer: False, page 139

Under which law did we see spending changes directly tied to the implementation of HIS in accordance with the Meaningful Use criteria?

A) HITECH

B) ARRA

C) ACA

D) HIPAA

Answer: B, page 146

Health informatics is the third layer of the HIS model.

Health informatics is the third layer of the HIS model.

Answer: False, page 163

Quadrant I of the HIS Planning Framework would include EHR systems along with patient portals.

Answer: True, page 165

Which of the following is not considered one of the Five Rights of Clinical Decision Support?

A) Right place

B) Right time

C) Right medium

D) Right information

Answer: B, page 169

Q#1 in 5:  _______________ is a class of programs that monitor a user’s computer usage habits and report this information back to an external computer for storage in a marketing database.

1.  Trojans
2.  Spyware
3.  Viruses
4.  Worms

Answer: (b) page 101

Q#2 in 5:  A steering committee is an advisory committee that is usually made up of high-level stakeholders and experts who provide guidance on key issues such as company and objectives, budgetary control, marketing strategy, resource allocation, and decisions involving large expenditures.

Answer: True page 105

Q#3 in 5: One of the key factors in successful vendor management is project management.

Answer: (False) contract management page 95

Q#1 in 6:  Which of the following are implementation steps that lead to the profound moment of “go-live” or activation of a new system:

1. Implementation planning and system design
2. System or application programming and Development or “build”
3. Testing and Roll-out deployment
4. Evaluation
5. All of the above

 Answer: (e) all of the above page 112

Q#2 in 6:  Negotiate agreement is step 5 in the System Selection Process

Answer: (False) Identify qualified eligible vendors page 123 Exhibit 6.2

Q#3 in 6:  The request for information (RFI) is a concise description of the healthcare organizations, the system requirements, timing, scope, and expectations.

Answer: True page 123-124

Q#1 in 7: Informatics is a diverse, dynamic discipline that includes clinical and business domains and expertise regarding the interaction between knowledge workers and computers, the development of new workflows, and improvement in processes and outcomes through use of the computers.

Answer: True page 138

Q#2 in 7: The ______________are described as traditionalists, resistant to change, who prefer the old way of doing things.

1.  Early Majority
2.  Late Majority
3.  Laggards
4.  Innovators
5.  Early Adopters

Answer: (c) Laggards page 150

Q#3 in 7:  The American Medical Informatics Association (AMIA) aims to “elevate the standards of clinical records in hospitals and other medical institutions.”

Answer: (False) American Health Information Management Association (AHIMA) page 148

Q#1 in 8:  The Five Rights of Clinical Decision Support are:  right information, to the right person, in the right format, via the right medium or channel, at the right place or time in the workflow.

Answer:  True page 169

Q#2 in 8:  Which are the three elements of Donabedian’s Health Care Quality Framework:

1. Structure, Program, Progress
2. Results, Process, Framework
3. Structure, Process, Outcome

Answer: (c) Structure, Process, Outcome page 172

Q#3 in 8:  Medical informatics includes a number of facets, one of the most important of which is the design and implementation of business decision support capabilities of EHR systems and other clinical systems.

Answer: (False) clinical decision page 176

Capacity management seeks to ensure that the HIS infrastructure has:

a.     a. the processing capacity needed by the business functions.

b.     b. the capacity to negotiate end users and track the performance adherence.

c.      c. the financial capacity to fulfill the project terms.

d.     d. the most critical applications fully operational.

Answer: A p. 89

The PM Cost Scope Schedule consists of four entities.  Which of the following belong in the schedule?

a.     a. Cost

b.     b. Scope

c.      c. Time/Schedule

d.     d. All of the above

Answer:  D. p 98

True/False: The Federal Breach Notification Law mandates that CEs immediately notify the federal government in the event of a data breach if more than 700 individuals are affected.

Answer: False. P 101-102

The medical number that allows data from disparate systems to be correctly pulled together is:

a.     a. Patient Health Information

b.     b. Request for Information

c.      c. Master Patient Index

d.     d. None of the above

Answer: C p. 115

Do not turn over one shovel of dirt unless you know the whole plan.  This quote in regards to health information systems pertains to:

a.     a. implementing a new plan

b.    b. creating a building’s foundation

c.      c. getting rid of someone

d.     d. doing a SWOT anaylis

Answer A p 117-118

True/False: Unless explicitly written in the agreement between vendor and buyer, then the vendor may charge the buyer a new license fee with the release of new software that they term “a version.”

Answer: True p. 128

The Meaningful Use criteria of the HITECH Act of 2009 have been set up to spawn the achievement of HIS benefits that fall into which categories?

a.     a.improving accuracy, timeliness, and availability of health information

b.     b. improving access to information

c.      c. empowering patients to more actively participate in their health care

d.     d. all of the above 

Answer: D. p 144

President George W. Bush supported HIS and technology which caused what office to be created in the federal branch of the government?

a.     a. Centers for Medicare and Medicaid Services

b.     b. Department of Health and Human Services

c.      c. Office of the National Coordinator for Health Information Technology

d.     d. Department of Homeland Security 

Answer: C p 146

True/False:  Regarding Rogers’ Adoption/Innovation Curve, the hardest chasm to cross in implementing new technology is between Innovators and Early Adopters.

Answer: False p. 151

The Five Rights of Clinical Decision Support are right information to the right person in the right format via the right medium:

a.     a. with the right data

b.     b. near the right place

c.      c. at the right place or time

d.     d. none of the above 

Answer: C p 169

Quality-oriented objectives for health informatics include:

a.     a. validity

b.     b. difficulty

c.      c. affordability

d.     d. A &C 

Answer: D p 172

True/False:  The IOM report To Err is Human: Building a Safer Health System warns that a growing body of evidence displays the unintended consequences of implementation of HER systems and other HIS and technology.

Answer: False p 178

Healthcare organizations should follow two steps to select the right vendor.

Answer: FALSE eHIST page 93

Maintenance costs, which typically average between 15% and 25% of the original purchase price for each additional year following the initial procurement, must be carefully reviewed.

Answer: FALSE eHIST page 96

The project management phases identified by the Project Management Institution include all of the following except:

                a. Planning Phase

                b. Initiating Phase

                c. Closing Phase

                d. Selling Phase

Answer: (d) eHIST page 97

Basic EHR adoption requires each function to be fully implemented throughout all clinical units.

Answer: FALSE eHIST page 112

The progression of steps of implementation cannot be repeated, regardless of enhancements and functionalities that are added to the system.

Answer: FALSE eHIST page 113

Which of the following is the third stage in implementation of a system?

                a. System Selection

                b. System Evaluation

                c. Contract Negotiation

                d. System Development