HSA 520 Final Exam Part I & II

PART-1

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1) An
information-inquiring culture has transparent:

Answer

information
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:

Answer

wireless,
user-friendly portables.

tape recordings.

X-ray films.

accessible records

3) An
information-discovery culture ensures:

Answer

critical
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:

Answer

computing privacy.

information
economics

multidimensional
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:

Answer

CEO

COO

CFO

CPO

6) Question 6

Effective
communication is essential for forming all kinds of work relationships,
especially for:

Answer

delivering
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 7

As a trustworthy
leader, the senior executive must have the ability to:

Answer

exude 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 8

In a healthcare
services organizational context, the mission, goals, and objectives of the
health organization determine how:

Answer

to 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 9

The 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:

Answer

rules and laws.

strategic,
tactical, and operational IT competencies.

department goals
and strategies.

efficient business
processes.

Question 10

Within the context
of healthcare services organizations, there are many published examples of
Internet use, including:

Answer

PowerPoint
presentations.

access to online
insurance service data.

access to personal
credit scores.

final reports
developed in ACCESS.

Question 11

The 2006 Pew
Internet and American Life Project survey found that the following users seek
health information online in the United States:

Answer

1 of 10

5 of 10

8 of 10

10 of 10

Question 12

The digital divide
stands to affect:

Answer

telecommunications.

health quality.

myriad online
activities.

information
associations.

Question 13

URL stands for:
Answer

uniform relocation
lab.

universal resource
locators.

uniform
restructuring link

usability
relocation link

Question 14

Customer
relationship management (CRM) software must be designed with the following in
mind.

Answer

An 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 15

SCM ensures readily
available access to:

Answer

order tracking.

return on
investment (ROI).

health maintenance
organizations (HMOs).

demand printing.

Question 16

The primary goals
of supply chain management (SCM) are:

Answer

to 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 17

Existing ERP
packages include:

Answer

HMOs.

Oracle.

SCM.

HMIS.

Question 18

For practice
management systems delivered from private healthcare organizations and
hospitals, electronic billing and patient scheduling are being developed for
numerous benefits, including:

Answer

keeping 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 19

Issues that may
arise with a RHINO setup like the Mayo Clinic’s include problems with: Answer

maintaining
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 20

One of the stated
goals of HL7 collaboration is to:

Answer

develop coherent,
extendable standards that permit structured, encoded healthcare information of
the type required to support patient care.

sustain
interoperability

enhance existing
programs and services.

create services
that would progress and fulfill the organizational long-term goals.

Question 21

Consolidation,
sometimes purported as a “market-sheltering activity” occurs when:

Answer

the 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 22

EHR 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:

Answer

the 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 23

When combined with
various other workflow tools, computerized physician order entry (CPOE) can
also be useful in providing information about:

Answer

manual follow-up
procedures.

reducing
paper-based forms.

patient scheduling.

eliminating
electronic orders.

Question 24

Three 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:

Answer

vital statistics.

environmental
statistics.

census statistics.

consensus
statistics.

Question 25

Substantial
administrative and clinical benefits can be achieved, should a universal EHR
system be finally realized and these include:

Answer

increased
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 26

Language
interoperability challenges include:

Answer

operating 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 27

WSIHIS provides
user interfaces that provide:

Answer

encapsulated
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 28

Technically, most
legacy systems were developed using different languages such as:

Answer

Java or Visual
Basic.

Linux operating
systems (OS).

Microsoft SQL
server.

Macintosh operating
systems (OS).

Question 29

In 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: Answer

an 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 30

Core functions of
WSIHIS are based on different Web services, including:

Answer

standardization
service.

the appointment
service.

census statistics
service.

implementation
service.

Part II

Question 1

What is an example
of “the study is authorized” step when developing business systems
planning (BSP) that is normally taken by HMIS management?

Answer

Senior 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 2

Healthcare 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:

Answer

develop 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 3

Operational
decisions:

Answer

require 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 4

The planning,
organizing, directing, and controlling (PODC) model is presented as an
operationalized and rationally designed tool to assist in meeting:

Answer

organizational
goals.

operational
platforms.

programming
language.

operating systems.

Question 5

An evolutionary
approach of prototyping contains the following major concept:

Answer

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.

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
6

The business
information analysis and integration technique (BIAIT) addresses top management
requirements by:

Answer

using 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
vendors

Question 7

The revolutionary
approach of prototyping contains the following major concept:

Answer

Applies 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
8

The 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?

Answer

Feasibility study

Systems
investigation

Systems analysis
(SA)

Physiotherapy
assessment

Question 9

Which of the
following may be considered the number-one priority when designing, implement,
and evaluating HMIS?

Answer

the
“physical” aspect of programming

data analysis

high-quality data

database software

Question 10

Which of the
following is not a risk for accurate and repeatable entry and updates
processes? Answer

updating the wrong
record

incorrectly
updating the correct record

updating the
correct record correctly

not updating any
record at all

Question 11

How is business
intelligence, a major component of data stewardship, defined?

Answer

This 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 12

Which of the
following factors provide a primary challenge for accurate billing?

Answer

the human factor

HMIS

incorrect invoices

inadequate software
uploads

Question 13

Organizational
characteristics that can influence HMIS implementation success include which
one of the following?

Answer

hardware-software
performance

organizational
structure and power

systems interface
characteristics

decision-making
support provided to the user

Question 14

Minor 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? Answer

When 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 15

Program coding, or
simply programming, refers to the:

Answer

software 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 16

Training modules
focused on the systems, and not the operational, perspective is called? Answer

holistic training

out-sourced
training

technical training

strategic program
language training

Question 17

In addition to examining
various staffing issues at the system level, what strategy most helps ensure a
smooth and timely HMIS implementation?

Answer

turnkey systems

educational
planning and training for specific levels of users

systems serviced by
a single vendor

prepackaged systems

Question 18

One 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:

Answer

short-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 19

Despite the overwhelming
array of benefits presented by the gold standards of both MI and HMIS
disciplines, their adoption has:

Answer

been incorporated
universally.

been rapidly
endorsed.

been either too
sluggish or not universal.

been implemented
without problems.

Question 20

The LOINC coding
system representing healthcare concepts is described as:

Answer

a 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 21

Consumer control
means that:

Answer

consumers 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 22

The WHO categorizes
the application of e-health into broad areas, one of which is knowledge
services, which means:

Answer

services 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 deliver

services that
provide codes to others.

Question 23

Using the e-health
strategic framework developed by the World Bank and the World Health
Organization (WHO), telemedicine and e-health adoption:

Answer

is happening in
developed, developing, and underdeveloped countries.

has been proven
impossible.

has not been
attempted yet.

is only happening
in developed countries.

Question 24

E-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:

Answer

short-term and
long-term decisions.

ICT and health
care.

programmers at
middle and higher levels of the organization.

frameworks and the
adoption model.

4 points

Question 25

Legal barriers to
e-health adoption are:

Answer

due 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 26

What are primary
barriers for innovation diffusion in the healthcare sector wearable monitoring
device technology?

Answer

battery life;
privacy and security; invisibility and social acceptance; usability; language
barriers; fragmented data standards

technology barrier;
business barriers

cost;
infrastructure; wireless network; security; global standards; RF impact

requires an
extensive understanding and reworking of the fundamental organizational service
processes; interoperability; start-up costs; legal issues, economic interests;
privacy standards; language barrier

Question 27

What are primary
benefits of the clinical decision support systems? Answer

Increases 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 28

What are primary
barriers for innovation diffusion in the healthcare sector semantic Web
technology?

Answer

battery life;
privacy and security; invisibility and social acceptance; usability; language
barriers; fragmented data standards

technology barrier;
business barriers

cost;
infrastructure; wireless network; security; global standards; RF impact

requires an
extensive understanding and reworking of the fundamental organizational service
processes; interoperability; start-up costs; legal issues, economic interests;
privacy standards; language barrier

Question 29

What are primary
barriers for innovation diffusion in the healthcare sector for e-health
(telemedicine, tele-health) technology?

Answer

battery life;
privacy and security; invisibility and social acceptance; usability; language
barriers; fragmented data standards

technology barrier;
business barriers

cost;
infrastructure; wireless network; security; global standards; RF impact

requires an
extensive understanding and reworking of the fundamental organizational service
processes; interoperability; start-up costs; legal issues, economic interests;
privacy standards; language barrier

Question 30

What are primary
benefits of the wireless local area network (WLAN)-based mobile computing
system and wearable monitoring devices?

Answer

Increases 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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