question

Which organization has been the leader in promoting information technology to decrease medical errors?

answer

Institute of Medicine

question

Select factors that might help merge bioinformatics with health informatics

answer

Incorporation of genetic information into the electronic health record

question

What is the most common degree pursued in health informatics

answer

Masters Which one of the following is NOT a barrier to the adoption of health information technology, Governmental support

question

The Leapfrog Group promotes which one of the following to improve medical care and patient safety

answer

Computerized Physician Order Entry (CPOE)

question

Which government agencies/departments have been involved with medical quality and information technology

answer

Centers for Medicare and Medicaid ServicesAgency for Healthcare Research and Quality

question

In the Institute of Medicine's second report which of the following were promoted to improve healthcare

answer

Information technology infrastructure Electronic medical records with clinical decision support Web based personal health records

question

Moore's Law pertains to which of the following concepts

answer

The number of transistors in a computer chip doubles every 1.5 years What is information brokerage, Bidirectional sharing of information

question

Which one of the following is NOT a driving force for the adoption of health information technology

answer

Improved Joint Commission scored Which of the following represents healthcare knowledge, HIV infection leads to opportunistic infections

question

Which of the following statements is true

answer

Vocabularies help convert data to information

question

Which of the following statements is true

answer

Computer science tends to deal with data

question

Which of the following represents a datum

answer

14

question

Select one the main reasons health informatics is difficult

answer

Data are vague, imprecise and inconsistent

question

Which of the following can help convert information into knowledge

answer

Clinical data warehouses

question

Select the most likely source of data for a clinical data warehouse

answer

Electronic health records

question

Which of the following can be facilitated by clinical data warehouses

answer

Quality measurements Comparative effectiveness researchPopulation health Disease management

question

Which of the following represents healthcare information

answer

Elevated fasting blood sugar and HbA1c proving diabetes

question

Select one of the main reasons health IT fails

answer

We are data rich but information poor

question

Why did medical ethics and the Nuremberg Code evolve from the Nuremberg trials

answer

Because German physicians were involved in medical experiments

question

There is a standard informed consent form used by most countries. True or False

answer

False

question

A breach in ethics is always associated with breaking the law. True or False

answer

False

question

The Tuskegee Syphilis Experiment was terminated for which of the following reasons

answer

It was discovered by the press

question

The IMIA Code of Ethics reviews ethical principles and rules for individuals, professionals and institutions

answer

True

question

Which one of the following statements pertaining to MedlinePlus is false

answer

It has no tutorials

question

Which one of the following is not a feature of most patient web portals

answer

Family genealogy

question

Microsoft Health Vault can accept a CCD. True or False

answer

True

question

Virtual (electronic) visits have which of the following attributes? (select all that apply)

answer

Less expensive Good for minor medical issues

question

Microsoft HealthVault is an untethered PHR

answer

True

question

Select the current formats for a PHR. (Select all that apply)

answer

PC-based Smartphone-based Smart card-based USB device-based

question

Software cost is the number one reason physicians infrequently communicate with their patients via e-mail

answer

False

question

Which one of the following is not considered an advantage of secure messaging

answer

Excellent proven return on investment

question

Select those factors that have encouraged consumer informatics. (select all that apply)

answer

Consumers are more tech savvy, Patients are frustrated with the current medical system, the widespread use of the Internet for medical answers

question

Which of the following are considered obstacles to PHRs?

answer

Lack of a sustainable business modelLack of interoperability Privacy and security concerns Lack of perceived value to all

question

Most physicians are using mobile technology that is integrated with the enterprise information systems. True or False?

answer

False

question

Select the one feature not found in most drug look up programs

answer

Drug addiction programs

question

Why are medical calculators an important part of mobile technology? (select all that apply)

answer

Smartphones can calculate quickly Screen size less of an issue

question

Select possible definitions of a smartphone? (Select all that apply)

answer

Internet capable, Have an operating system, able to host software

question

The database program HanDBase is a flat file program - True or False?

answer

False

question

Text messaging has been used for reminders and chronic disease. True or False

answer

True

question

What attributes are most important for mobile technology? (select all that apply)

answer

Small form factor, Internet access, Low cost medical software

question

Which of the following resources provides textbooks? (select all that apply)

answer

OVID MDConsult

question

Which one of the following resources contains more than one format?

answer

MDConsult

question

Which of the following resources includes the option for a free weekly newsletter?

answer

Medscape

question

Which of the following resources provides free medical journals? (select all that apply)

answer

High Wire Press

question

Which of the following are optimal attributes of an online resource? (select all that apply)

answer

Available in multiple formats Frequently updated Easy searchable Evidence based

question

Which of the following represent challenges to physicians who are trying to remain current? (select all that apply)

answer

Overload of information Information from specialists is not trickling down to generalists

question

In an ambulatory setting what is the most common category of questions by physicians

answer

Drug related questions

question

Which one of the following statements is false regarding Medline

answer

All articles are associated with an abstract

question

Which of the following resources contains only one format? (select all that apply)

answer

DynaMedUpToDate ACP Pier

question

Select those references that physicians can edit. (select all that apply)

answer

WikiDoc Ganfyd

question

Which one of the following is considered the world's largest biomedical research center?

answer

National Center for Biotechnology Information (NCBI)

question

Gene/DNA manipulation may prove useful for which of the following situations?

answer

Cancer treatment, Waste processing, Drought and disease resistant plants, Developing personalized drugs

question

Genomics covers only the human species.

answer

False

question

The NCBI is part of the National Library of Medicine and the National Institutes of Medicine.

answer

True

question

Which one of the following is true about pharmacogenomics?

answer

It studies genetic information looking for new targets for drugs.

question

In order for family histories to be analyzable, the data must be in a computable format.

answer

True

question

Which one of the following statements is false regarding the Human Genome Project?

answer

The ethical, social, and legal issues were not reported

question

Which one of the following statements is true about human genome?

answer

Males have an X and Y chromosome and females have two X chromosomes

question

Which of the following are obstacles to widespread genetic prediction?

answer

Genetic testing must be highly sensitive and specific, Genetic information must be highly secure, There are not enough geneticists and genetic counselors

question

What data standard is likely to be used by electronic health records for genetic information?

answer

SNOMED-CT

question

Which of the following civilian organizations is/are heavily involved with patient safety?

answer

Joint Commission, LeapFrog Group

question

An adverse event means that a patient injury occurred

answer

True

question

Not all medical errors result in an adverse event.

answer

True

question

Which of the following are problems associated with bar code medication administration?

answer

Expensive systems, proof of benefit is inconclusive

question

Which one of the following is a patient safety recommendation by the Institute of Medicine

answer

Establish a national medical error reporting system

question

What is the most common category of patient safety studied?

answer

Medication use

question

Ordering a CAT scan for routine acute sinusitis is an example of which of the following

answer

Misuse, overuse

question

Which one of the following is not a reason for patient safety problems in the US?

answer

Legal system is indifferent to patient safety

question

Which one of the following government agencies has a patient safety network

answer

AHR

question

Life expectancy is directly related to the percent of the gross national product spent on healthcare

answer

False

question

ICD-10 has which of the following attributes

answer

Will provide more detail than ICD-9, ICD-10 will be expensive to implement

question

Which of the following is true regarding Evaluation & Management Codes?

answer

Will help justify billing level or CPT

question

Which of the following is generally used for larger, more complex IT acquisitions to ensure apples to apples

answer

Request for Proposal

question

Which of the following may not be needed on the purchase of an upgrade to the electronic drug inventory

answer

CIO

question

Which of the following is NOT typically included in capital expenses for health IT

answer

Support and maintenance fees after go live

question

Which of the following is not true

answer

Consultants are often a good source to identify a vendor due to their impartiality.

question

Ideally, what should a health IT contract spell out

answer

On what the hardware the vendor will certify its work, support options and times, how to get out of the contract, effects of customization on support and upgrades

question

Which of the following is a good way to assist with requirements definition

answer

Educational demonstrations

question

Which of the following is NOT a strong tool to use in the selection process

answer

educational demonstrations

question

Which of the following is generally most appropriate for routine IT equipment purchases

answer

Quick bid

question

Of the following, which of the following presents the least most compelling stand-alone reason (from the business case perspective) for the purchase of health technology

answer

Ensuring that the hospital has the latest technology

question

Which of the following is a good way to asset with constructing a budget

answer

Request for Quote

question

Which of the following are primary factors that should influence the process of purchasing hardware and software

answer

Ample time for the purchasing cycle and implementation to the new system, skilled resources available to select, implement, or maintain the technology, financial resources, usability of the system

question

Which of the following roles may not be needed to be involved in a health IT contract negotiation for pharmacy inventory software

answer

CIO

question

Which of the following are advantages of the application service provider (ASP) model

answer

Lower initial costs, Decreased need for in-house IT support

question

What is the approximate 2013 US EHR adoption rate for eligible professionals

answer

60%

question

Selection known EHR obstacles

answer

Cost, altered workflow

question

Medical studies suggest that paper charts, on average, are missing what percent of the time

answer

20%

question

Which one of the following is NOT clinical decision support

answer

secure messaging

question

Which of the following clinicians are eligible for Medicaid reimbursement for EHR use

answer

Physicians, nurse practitioners, physician assistants, nurse midwives

question

EHRs have the potential to save money through which of the following mechanisms

answer

Decreased cost related to record storage, improved coding, reduced transcription costs

question

Which one of the following is NOT part of EHR "Meaningful Use", Stage 1

answer

Secure messaging

question

Which of the following are important to EHR selection

answer

Panning, training, vendor track record, site visits

question

Medical studies suggest that laboratory results are missing in paper charts approximately what percent of the time

answer

20%

question

To connect to a wired network, which of the following can be used

answer

Phone lines, power lines, Ethernet

question

RESTful services is less complicated than web services based on SOAP

answer

True

question

Which one of the following is NOT true of Bluetooth 4.0

answer

Requires encryption to work

question

Listing from the fastest to the slowest which combination is correct below

answer

Fiber>80211n>LTE>DSL

question

A Global Area Network (GAN) is associated with which of the following attributes?

answer

Same as broadband wireless

question

Ethernet networks are faster, less expensive and more secure than wireless networks

answer

True

question

Which web service frequently uses XML

answer

Both

question

What are the three pillars of information security?

answer

1) Confidentiality 2) Availability 3) Integrity

question

Which one of the following is false regarding patient rights and HIPPA law?

answer

Have unwanted material removed from their health records.

question

Which one of the following is false regarding patient rights and HIPAA laws?

answer

Have unwanted material removed from their health record.

question

The final Meaningful Use rule addresses security and privacy requirements for certified EHR applications - True or False?

answer

True

question

The Google Health user agreement covers a user's financial loss in the event of identity theft while using their service - True or False?

answer

False

question

Which of the following access controls are used to prevent unauthorized access?

answer

1) Role or rule-based privilege 2) Username and password 3) Voice recognition (biometric authentication)

question

Which of the following is not one of the 18 personal identifiers by the HIPAA Privacy Rule?

answer

State of residence

question

Which one of the following organizations is required to follow HIPAA law when using personal health data?

answer

Health insurers

question

Which of the following serve as the foundation for the HIPAA Security Rule?

answer

1) Administrative Safeguards 2) Physical Safeguards 3) Technical Safeguards

question

The American Recovery and Reinvestment Act of 2009 (ARRA) and the HITECH Act contained elements designed to close security loopholes in the original HIPAA laws enacted in:

answer

The mid-1990s

question

SaaS and Cloud health IT solutions have which of the following features or attributes

answer

1) Web based solution used with browser 2) Reliability is dependent on Internet connection to provider 3) Requires little to no changes to infrastructure to support 4) Support dependent upon vendor and service level agreement

question

What is data science?

answer

All the above

question

List secondary uses (or re-uses) of healthcare data

answer

1) Quality reports 2) Reserach 3) Public health

question

What are some of he challenges facing data analytics?

answer

1) Data may be incomplete 2) Data ma be inaccurate 3) Cause and effect may be difficult to prove with any data analysis 4) Time period not long enough

question

Which one type of analytics would be used to analyze hospital readmission rates for heart failure?

answer

Predictive

question

Electronic health records are a major source of phenotypical data True or False?

answer

True

question

Data analytics can't be used in the genomics field due to large data sets True or False?

answer

False

question

Studies using predictive analytics to analyze hospital readmissions have had mixed results - True or False

answer

True

question

Why are healthcare systems analyzing hospital readmission data?

answer

1) New Medicare regulations not reimbursing for readmission for certain diseases 2) Readmissions are costly

question

What is text mining?

answer

Data mining of unstructured data.

question

To be effective as a healthcare data analyst which skill sets are required?

answer

1) Programming skills 2) Knowledge of statistics 3) Good communications 4) Domain knowledge

question

Select one technology limitation in regards to quality improvement (QI) programs

answer

Quality report generation from EHRs can be difficult

question

The ACA promotes QI initiatives True or False?

answer

True

question

How can health information technology assist QI programs?

answer

1) Measure ER utilization 2) Generate quality reports 3) Provide disease registries to track patients 4) Improve patient safety with e-prescribing

question

Which of the following is a core Roadmap strategy?

answer

1) Publish quality measurements 2) Promote health IT

question

QI programs only exist in the USA - True or False

answer

False

question

Which of the following are QI program limitations?

answer

1) Takes too long to get paid 2) May result in "patient dumping" 3) EHRs may not be able to generate quality reports

question

Select the reasons pay for performance programs are being pilot tested

answer

1) Cost of US healthcare is too high 2) Too much variance in how medical care is practiced 3) Reimbursement is not based on quality

question

The Physician Quality Reporting System (PQRS) is a Medicaid program - True or False?

answer

False

question

According to CMS, which one of the following represents right care?

answer

Safe care

question

The primary goal of QI programs is to save money - True or False?

answer

False

question

The eHealth Exchange will include which of the following partners?

answer

1) Federal agencies 2) Health Information Organizations

question

The NwHIN is comprised of which of the following features?

answer

1) Standards 2) Specifications 3) Policies

question

A federated data sharing model implies that data will not reside in a central data repository (CDR) - True or False

answer

True

question

What is the greatest obstacle to establishing a Health Information Organization?

answer

Long term business plan

question

All RHIO are regional - True or False

answer

False

question

Direct secure messaging will be a "push" technology application - True or False?

answer

True

question

Which of the following are common HIO functions?

answer

1) Clinical messaging 2) Alerts to physicians 3) Connectivity to EHRs 4) Electronic prescribing

question

Which of the following statements is true regarding CONNECT software?

answer

1) It is open source 2) It can help interoperability between two HIOs

question

Health Information Organizations (HIOs) should be considered part of what overall system or network?

answer

NwHIN or eHealth Exchange

question

Approx how many HIOs currently exist in the US?

answer

25

question

HL7 is a data standard for communication for which of the following?

answer

1) Lab results interface 2) EHR

question

Which of the following standards is used for sharing images?

answer

DICOM

question

Which of the following statements is false regarding the LOINC standard?

answer

LOINC can be purchased from the American College of Physicians

question

Which of the following statements is true about ELINCS?

answer

Helps with messaging between labs and EHRs

question

The continuity of care document (CCD) utilizes the clinical document architecture (CDA) - True or False?

answer

True

question

Which data standards are related to diagnoses?

answer

ICD 10 SNOMED CT

question

Which data standard will support the sharing of patient summaries?

answer

CCD (continuity of care document)

question

Which one of the following is true regarding SNOMED CT?

answer

Maps (links) to LOINC and ICD-9/10

question

Select the statement that is false about disease registries

answer

All EHRs have disease registries

question

Which one of the following is not part of the usual disease management approach?

answer

Reporting physicians who do not practice evidence based medicine

question

Population health and public health are the same - True or False?

answer

False

question

Your hospital has created a new program for vaginal birth after C section (VBAC). Which one of the following describes this type of program?

answer

Condition management

question

The jury is out if disease management programs clearly save money or lives - True or False

answer

True

question

What are the most common disease to be managed by healthcare organizations with a disease management program?

answer

1) Diabetes 2) Heart Failure

question

Disease management is not part of Stage 1-3 Meaningful Use - True or False?

answer

False

question

Disease management programs are assisted by which of the following technologies?

answer

1) Web based disease registries 2) Disease registry that is part of an EHR 3) Home telemonitoring 4) Patient portal

question

Chronic diseases affect 20% of the population but account for what percent of the healthcare spending?

answer

75%

question

Which of the following are legitimate questions to ask prior to starting a disease management program?

answer

1) What group is going to be studied 2) Do current clinical practice guidelines exist for this problem 3) Are insurance companies interested 4) How common is the disease or condition

question

Which one of the following is not a syndrome that is part of most syndromic surveillance programs?

answer

High blood pressure illness

question

Which of the following statement is false about the RODS program?

answer

Uses data from hospital operating rooms

question

Which of the following are under the purview of public health informatics?

answer

1) Bioterrorism 2) Infectious disease outbreaks 3) Natural disasters

question

Which one of the following is a sentinel surveillance system?

answer

Designated location that can generate high quality data that may predict a larger population

question

Which one of the following statement is true about public health?

answer

Focus is on population health

question

BioSense is a Homeland Security program - True or False?

answer

False

question

Which of the follow information technologies may be integral to public health reporting?

answer

1) health information organizations 2) Nationwide Health Information Network 3) Electronic Health Records

question

Most biosurveillance programs have a geographic information system (GIS) component - True or False

answer

True

question

Which of the following statements are true of the Public Health Information Network?

answer

1) Uses the Internet 2) Currently consists of multiple disparate programs

question

Which of the following programs conduct syndromic surveillance?

answer

RODS

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