BHIS 410 study questions

A clinical repository (in contrast to a clinical data warehouse) is optimized for what purpose?

Processing many transanctions

A network that transmits data through secure tunnels within public networks is a?

VPN

If individuals grant permission to have their information exchanged in a HIO, the individuals are:

Opting in

Which benefit can be realized from computerized health information systems?

All of the above

Which of the following is unstructured data?

Voice files of dictation

Confidentiality is the status of information created when shared by an individual to someone with the expectation it will be used only for its intended purpose and not re-disclosed.

True

A standard for exchange of clinical and administrative data at the application layer level of the ISO/OSI network model is:

HL7

Topology refers to:

Arrangement of a network

With regard to an Entity-Relationship diagram, an Attribute will be physically exhibited within a database as a:

Field or colunm

The architectural model of a Health Information Exchange (HIE) where the HIE organization manages data centrally but stored in separate repositories is called:

Federated- consistent databases

A method of preventing errors caused by simultaneous updates to the same database is called:

Concurrency control - locking

Which is an example of an information system that uses online analytical processing (OLAP)?

Decision support system (DSS)

A primary key is a field that may have the same value in several different records within a table.

False

EMR is a term used by the federal government to describe:

A records of health-related information used within one organization

All of the following are true of the HIPAA Security Standards EXCEPT:

Small organizations will have difficulty meeting the standard due to its specific technology requirements

Metadata is:

Data about data in the data model for a given database

Interoperability to assure common meaning in data exchange is:

Semantic interoperability

Each of the following is included in an Entity-Relationship Diagram EXCEPT:

Processes

Which of the following best defines the data model?

Graphic representation of entities and attributes in the database

One reason for using a star join schema data model rather than an Entity-Relation for OLAP is:

Accuracy is enhanced

Which database structure is constructed using tables that do not specify how to retrieve the required data or navigate through predefined paths?

Relational database

Which of the following is typically responsible for physical database design during database implementation?

Database Administrator

The science that deals with health data and information, its structure, acquisition and uses is:

Health Informatics

The process of standardizing data collected from diverse sources is called:

Data transformation

In which of the following applications does the systems help check that the right drug is being given to the right patient at the right time?

Bar-code medication administration

The ASTM standards for medical knowledge representation in clinical support systems is called:

Arden syntax

The term used to describe the process of assigning a group of patients to a provider for care and costs is:

Patient Attribution

The component of an expert system which receives a users question, then retrieves appropriate rules, matches conditions in rules to specific patient data (facts), and then EXECUTES the rule as a decision is called the:

Inference engine

Describe the purpose of mapping between systems in the EHR. What is meant by a 'use case' and how is it related to mapping?

One of the main purposes if mapping between systems in the EHR is that it can provide detailed explanation of how the new EHR system differs from the current records. Also, the "use case" relates to mapping because it helps creators of the data maps to better understand flows and the interactions between the systems. Use case provides a description of the steps that are between a user and a computer software for processes.

Which of the following is not a format for a personal health record (PHR)?

Portal

A key attribute that distinguishes population health management from traditional medical care is:

Activities are not all reimbursable in a fee-for-service model

Which of the following provides an exception for hospitals to donate a portion of the costs of an EHR to physician group practice?

Anti-kickback statutes and Stark law

If an ambulatory care facility is considering acquiring a different EHR, it should:

Not repeat earlier mistakes make in selection

Keeping in mind the features that are essential if a coding system is to be appropriate for use as a vocabulary in the EHR, which coding system, if any, is the appropriate choice? List two reasons to justify?

The term provider is synonymous with:

Those persons and organizations that provide and get paid for providing healthcare

The set of names and codes used primarily for lab and some clinical tests is:

LOINC

The method for determining guidelines for care that is the most rigorous is:

Evidence-based medicine

Which of the following organizations COORDINATES the activities of voluntary standards-setting systems and organizations?

ANSI

Describe one of the current IT challenges with respect to population health management

Which health care language component is best used as an OUTPUT system for reporting and analysis rather than primarily documentation of care?

Classification

Which of the following is classified as an Administrative Decision Support System?

Materials management system

Clinical decision support system that collect and combine patient-specific data with medical knowledge, then require clinician interpretation and analysis before processing an order are termed:

Passive Systems

List two success factors that are essential to acceptance of Clinical Information Systems by physicians.

1. Time, effort, and money

2. Technology

3. Support of efficient processes for healthcare

Describe the role of the knowledge base in a decision support system.

For collection of people, obtain expert knowledge, and support for the workplace and systems.

With respect to adoption of EHR in specialty care, behavioral health has:

Least adoption

Which of the following hold the promise for computer users to enter narrative notes and have them read by the computer as structured data?

Natural language processing

What is included in the scope of ASTM Standard E 1384-07?

All of the above

Which of the following is the MOST striking difference between acute care and ambulatory care EHR's?

Complexity of data collected per patient in acute care is high

Which organization has established a functional profile for the PHR?

Health Level Seven (HL7)