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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