HSA 520 Final Exam Part 1 & 2

PART-11) An information-inquiring culture has transparent: Answerinformation discovery.Core values.direct reports.accounting and finances.2) Emerging trends that are encouraging heathcare executives to become interested in developing innovative, integrative, and cost-beneficial HMIS solutions include: Answerwireless, user-friendly portables.tape recordings.X-ray films.accessible records3) An information-discovery culture ensures: Answercritical information about due processes.sharing of insights freely and encourages employees to collaborate.sensitivity for privacy.giving up the power of controlling others.4) The genesis of Health Management Information Systems (HMIS) goes back to the roots of numerous areas, including: Answercomputing privacy.information economicsmultidimensional data sets.medical policies.5) The executive who oversees the financing function, budgeting, and funding of the health services organization’s operating programs is the: AnswerCEOCOOCFOCPO6) Question 6Effective communication is essential for forming all kinds of work relationships, especially for: Answerdelivering one-sided, manager to subordinate, communication.telling board members what is going to happen.providing clear, firm autocratic orders.building strong social networks among key stakeholders.Question 7As a trustworthy leader, the senior executive must have the ability to: Answerexude trust from their direct reports and corresponding followers.develop a “top-down” working relationship with followers.articulate how or why certain things are or are not being executed without explanations.dictate to others on how to manage their time. Question 8In a healthcare services organizational context, the mission, goals, and objectives of the health organization determine how: Answerto evaluate verified data.to verify the veracity of amassed healthcare information.HMIS should be incorporated throughout an organization.to network computer systems and functional tasks.Question 9The role of the CEO or CIO to oversee the use of HMIS in any healthcare services organization requires that the individual has been trained and has experience and mastered a certain set of: Answerrules and laws.strategic, tactical, and operational IT competencies.department goals and strategies.efficient business processes.Question 10Within the context of healthcare services organizations, there are many published examples of Internet use, including: AnswerPowerPoint presentations.access to online insurance service data.access to personal credit scores.final reports developed in ACCESS.Question 11The 2006 Pew Internet and American Life Project survey found that the following users seek health information online in the United States: Answer1 of 105 of 108 of 1010 of 10Question 12The digital divide stands to affect: Answertelecommunications.health quality.myriad online activities.information associations.Question 13URL stands for: Answeruniform relocation lab.universal resource locators.uniform restructuring linkusability relocation linkQuestion 14Customer relationship management (CRM) software must be designed with the following in mind. AnswerAn in-depth recognition of its customers’ specific needs.Strategic communication is for different types of software.Enhancement of existing programs and services.Creative services that would progress and fulfill the organizational long-term goals.Question 15SCM ensures readily available access to: Answerorder tracking.return on investment (ROI).health maintenance organizations (HMOs).demand printing. Question 16The primary goals of supply chain management (SCM) are: Answerto achieve increased efficiencies with regard to information flows and exchanges between the organization and its external parties.to satisfy the need for economies of scale.to increase the volume of daily purchasing.to decrease efficiencies with regard to information flows and exchanges.Question 17Existing ERP packages include: AnswerHMOs.Oracle.SCM.HMIS.Question 18For practice management systems delivered from private healthcare organizations and hospitals, electronic billing and patient scheduling are being developed for numerous benefits, including: Answerkeeping manual follow-up procedures.reducing, or possibly eliminating, all paper-based forms for which healthcare services organizations are especially vulnerable.increase the accuracy of billing/coding.eliminating electronic order processing Question 19Issues that may arise with a RHINO setup like the Mayo Clinic’s include problems with: Answermaintaining separate processes as previously developed.using insurance companies to iron out problems.difficulties with patients.data shadowing and the need for creating interfaces to communicate among disparate platforms and software. Question 20One of the stated goals of HL7 collaboration is to: Answerdevelop coherent, extendable standards that permit structured, encoded healthcare information of the type required to support patient care.sustain interoperabilityenhance existing programs and services.create services that would progress and fulfill the organizational long-term goals. Question 21Consolidation, sometimes purported as a “market-sheltering activity” occurs when: Answerthe central processing unit (CPU) of a computer is shared.the program instructions and data provides the CPU with a working storage area.two or more comparable healthcare services organizations combine to augment or preserve market power.read-only memory (ROM) is shared. Question 22EHR will be one of the most costly project expenditures that a healthcare services organization will undertake, with regard to the investments of time and money and the resultant challenge of returns on investments (ROI). This is due to: Answerthe significance of the returns to be realized from an EHR implementation remains a concern for many healthcare executives.the program instructions provide the CPU with a working storage area.two or more comparable healthcare services organizations combine to augment or preserve market power.read-only memory (ROM) is shared. Question 23When combined with various other workflow tools, computerized physician order entry (CPOE) can also be useful in providing information about: Answermanual follow-up procedures.reducing paper-based forms.patient scheduling.eliminating electronic orders.Question 24Three categories of healthcare data are required, almost universally, by healthcare services organizations for supporting their planning and decision-making activities, and one of these is: Answervital statistics.environmental statistics.census statistics.consensus statistics. Question 25Substantial administrative and clinical benefits can be achieved, should a universal EHR system be finally realized and these include: Answerincreased paperwork.greater documentation errors.easy dissemination of critical patient information to other care providers for follow-up assessments.extremely slow accessibility of patient records universally. Question 26Language interoperability challenges include: Answeroperating system interoperability.semantic differences.data stored in different database platforms such as Microsoft SQL server.different HMIS have been designed and developed by different IT providers. Question 27WSIHIS provides user interfaces that provide: Answerencapsulated business logic in a shared middle tier.data related to patients’ medical profiles and information about the progress and status of treatment.medical content generated dynamically based on a specific patient’s medical profile.client applications that will access the same middle tier. Question 28Technically, most legacy systems were developed using different languages such as: AnswerJava or Visual Basic.Linux operating systems (OS).Microsoft SQL server.Macintosh operating systems (OS). Question 29In the United States, Europe, and elsewhere, growing demands for health care due to an aging population and the slowing down in mortality rate among older adults over the last few decades have led to: Answeran increase in non-profit organizations.less need for sensor-based monitoring.further growth and development of mobile health care.less demand for medical devices. Question 30Core functions of WSIHIS are based on different Web services, including: Answerstandardization service.the appointment service.census statistics service.implementation service.
Part IIQuestion 1What is an example of “the study is authorized” step when developing business systems planning (BSP) that is normally taken by HMIS management? AnswerSenior management gives the directive to implement an e-prescribing system to replace the hospital’s manual system.The first-level HMIS manager assigns the project manager, consultant, and an HMIS employee to the team.The HMIS from the architecture are prioritized, with the capabilities of each HMIS documented.Interviews are conducted with senior management to ensure that the architecture developed is correct and appropriate. • Moving to another question will save this response. Question 2Healthcare senior management expect that those individuals who comprise the health management information systems (HMIS) team not only share in the vision of an organization, but also: Answerdevelop goals that are separate from the main goals of the organization.develop an infrastructure that works with the Internet Explorer (IE) browser.develop achievable, measurable goals that are consistent with the strategy.develop a vision and mission statement specific to HMIS.  Moving to another question will save this response. Question 3Operational decisions: Answerrequire information for these short-term decisions that is much more difficult to predict than for strategic decisions.happen more frequently than strategic decisions.are made by those at higher levels of the organization.are not required for HMIS. • Moving to another question will save this response.Question 4The planning, organizing, directing, and controlling (PODC) model is presented as an operationalized and rationally designed tool to assist in meeting: Answerorganizational goals.operational platforms.programming language.operating systems.Question 5An evolutionary approach of prototyping contains the following major concept: AnswerApplies focus to a healthcare organization’s vision and mission. If the goal(s) is attained, the mission has been accomplished.Adds an electronic version of patients’ health records.Merges prototyping techniques and produces an evolution of traditional and structured programming.Holds an individual responsible for delivering a set of goals, objectives, and/or tactics. Question 6The business information analysis and integration technique (BIAIT) addresses top management requirements by: Answerusing IT systems.using “order-supplier” relations.using a set of seven close-ended binary questions to generate a model that aids the analysts.using software vendorsQuestion 7The revolutionary approach of prototyping contains the following major concept:AnswerApplies programming tools and techniques in a new and revolutionary way; argues against traditional methodological mind-sets.Applies focus to a healthcare organization’s vision and mission. If the goal(s) is attained, the mission has been accomplished.Adds an electronic version of patients’ health records.Holds an individual responsible for delivering a set of goals, objectives, and/or tactics. Question 8The Waterfall model embodied the systems development life cycle (SDLC) concept, a highly regarded concept among healthcare services systems analysts as a way to provide much more control over SA and SD processes than was previously possible. Which of the following is not one of the six hierarchical steps? AnswerFeasibility studySystems investigationSystems analysis (SA)Physiotherapy assessment Question 9Which of the following may be considered the number-one priority when designing, implement, and evaluating HMIS? Answerthe “physical” aspect of programmingdata analysishigh-quality datadatabase software Question 10Which of the following is not a risk for accurate and repeatable entry and updates processes? Answerupdating the wrong recordincorrectly updating the correct recordupdating the correct record correctlynot updating any record at all Question 11How is business intelligence, a major component of data stewardship, defined? AnswerThis component is concerned with providing current, accurate, and consistent information whenever and wherever the data are accessed.This is the physical aspect of handling or managing data from the point the data are collected to the point the data are used and archived.This component has to do with controlling access to the data to ensure that not only are data available and retrievable to those who are supposed to access the data but the release of data is also securely guarded from those who are not supposed to have access to the data.This component has to do with utilizing the data to yield better, more complete, and more usable information. Question 12Which of the following factors provide a primary challenge for accurate billing? Answerthe human factorHMISincorrect invoicesinadequate software uploads Question 13Organizational characteristics that can influence HMIS implementation success include which one of the following? Answerhardware-software performanceorganizational structure and powersystems interface characteristicsdecision-making support provided to the user Question 14Minor issues that do not warrant top management consideration can be delegated to middle managers, who can oversee these issues or control them with inputs from top management on an ad hoc basis during the actual implementation. In which of the following situations should top management get involved? AnswerWhen minor issues are truly major issues in disguise.When minor issues stay minor issues.When minor issues are resolved.When major issues run out. Question 15Program coding, or simply programming, refers to the: Answersoftware that is installed in a CPU.software that comes with an operation system.process of writing instructions that the computer system can execute directly.process of creating documents in a Microsoft Office software package. Question 16Training modules focused on the systems, and not the operational, perspective is called? Answerholistic trainingout-sourced trainingtechnical trainingstrategic program language training Question 17In addition to examining various staffing issues at the system level, what strategy most helps ensure a smooth and timely HMIS implementation?Answerturnkey systemseducational planning and training for specific levels of userssystems serviced by a single vendorprepackaged systems Question 18One of the reasons DICOM standards have been popularly accepted and adopted across a wide variety of clinical imaging contexts is that these standards specify a conformance statement that improves: Answershort-term decisions that are much more difficult to predict than strategic decisions.the communication of software specifications for imaging equipment.those programmers at higher levels of the organization.the hardware specification for mainframes. Question 19Despite the overwhelming array of benefits presented by the gold standards of both MI and HMIS disciplines, their adoption has: Answerbeen incorporated universally.been rapidly endorsed.been either too sluggish or not universal.been implemented without problems. Question 20The LOINC coding system representing healthcare concepts is described as: Answera detailed set of codes used to explain patient care and treatment information.standard codes and classifications for identifying laboratory and clinical terms.new diagnostic codes developed by the World Health Organization (WHO), not yet used in North America.codes of nursing diagnoses. Question 21Consumer control means that: Answerconsumers can refuse to sign an authorization form and still request the release of their records.consumers have control over healthcare professionals.consumers have a right to control the release of their information.consumers are controlled and do not have rights pertaining to their health records. Question 22The WHO categorizes the application of e-health into broad areas, one of which is knowledge services, which means: Answerservices that provide information to people via the Internet.services that are comparable to tele-education in that they aim at conveying medical information, knowledge, and education to the healthcare professionals who are in training and practice.services that focus on the utilization of e-health applications to deliverservices that provide codes to others. Question 23Using the e-health strategic framework developed by the World Bank and the World Health Organization (WHO), telemedicine and e-health adoption: Answeris happening in developed, developing, and underdeveloped countries.has been proven impossible.has not been attempted yet.is only happening in developed countries. Question 24E-health is considered to be a service with positive externalities that will bring values to the society. The positive externalities of e-health can be derived from two major sources: Answershort-term and long-term decisions.ICT and health care.programmers at middle and higher levels of the organization.frameworks and the adoption model.4 pointsQuestion 25Legal barriers to e-health adoption are: Answerdue to the problems including infrastructure, standardization, compatibility, reliability, and capacity.due to an overwhelming list of key issues that include confidentiality and security, patients’ right of access, data protection, and duty of care.due to differences among nations around the world that make it almost impossible to ensure that a specific e-health application would be acceptable similarly across various societies and cultures.due to the fact that some nations still find it difficult to acquire the necessary infrastructure and their citizens still lack basic necessities such as water, food, housing, and basic education.Question 26What are primary barriers for innovation diffusion in the healthcare sector wearable monitoring device technology? Answerbattery life; privacy and security; invisibility and social acceptance; usability; language barriers; fragmented data standardstechnology barrier; business barrierscost; infrastructure; wireless network; security; global standards; RF impactrequires an extensive understanding and reworking of the fundamental organizational service processes; interoperability; start-up costs; legal issues, economic interests; privacy standards; language barrierQuestion 27What are primary benefits of the clinical decision support systems? AnswerIncreases the quality of patient care, improves a hospital’s overall operation, and reduces costs.Provides just-in-time reminders to clinicians at the point of care, consistent with latest evidence-based medicine guidelines.Assist with diagnosing a patient’s condition, drug dosage; procedures administering reminders to patients.Digitize patient information for decision support.Question 28What are primary barriers for innovation diffusion in the healthcare sector semantic Web technology? Answerbattery life; privacy and security; invisibility and social acceptance; usability; language barriers; fragmented data standardstechnology barrier; business barrierscost; infrastructure; wireless network; security; global standards; RF impactrequires an extensive understanding and reworking of the fundamental organizational service processes; interoperability; start-up costs; legal issues, economic interests; privacy standards; language barrierQuestion 29What are primary barriers for innovation diffusion in the healthcare sector for e-health (telemedicine, tele-health) technology? Answerbattery life; privacy and security; invisibility and social acceptance; usability; language barriers; fragmented data standardstechnology barrier; business barrierscost; infrastructure; wireless network; security; global standards; RF impactrequires an extensive understanding and reworking of the fundamental organizational service processes; interoperability; start-up costs; legal issues, economic interests; privacy standards; language barrier Question 30What are primary benefits of the wireless local area network (WLAN)-based mobile computing system and wearable monitoring devices? AnswerIncreases the quality of patient care, improves a hospital’s overall operation, and reduces costs.Provides just-in-time reminders to clinicians at the point of care, consistent with latest evidence-based medicine guidelines.Assist with diagnosing a patient’s condition, drug dosage; procedures administering reminders to patients.Digitize patient information for decision support.

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