HIS Final – Flashcard

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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
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Incorporation of genetic information into the electronic health record
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What is the most common degree pursued in health informatics
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Masters Which one of the following is NOT a barrier to the adoption of health information technology, Governmental support
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The Leapfrog Group promotes which one of the following to improve medical care and patient safety
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Computerized Physician Order Entry (CPOE)
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Which government agencies/departments have been involved with medical quality and information technology
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Centers for Medicare and Medicaid ServicesAgency for Healthcare Research and Quality
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In the Institute of Medicine's second report which of the following were promoted to improve healthcare
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Information technology infrastructure Electronic medical records with clinical decision support Web based personal health records
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Moore's Law pertains to which of the following concepts
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The number of transistors in a computer chip doubles every 1.5 years What is information brokerage, Bidirectional sharing of information
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Which one of the following is NOT a driving force for the adoption of health information technology
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Improved Joint Commission scored Which of the following represents healthcare knowledge, HIV infection leads to opportunistic infections
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Which of the following statements is true
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Vocabularies help convert data to information
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Which of the following statements is true
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Computer science tends to deal with data
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Which of the following represents a datum
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14
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Select one the main reasons health informatics is difficult
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Data are vague, imprecise and inconsistent
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Which of the following can help convert information into knowledge
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Clinical data warehouses
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Select the most likely source of data for a clinical data warehouse
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Electronic health records
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Which of the following can be facilitated by clinical data warehouses
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Quality measurements Comparative effectiveness researchPopulation health Disease management
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Which of the following represents healthcare information
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Elevated fasting blood sugar and HbA1c proving diabetes
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Select one of the main reasons health IT fails
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We are data rich but information poor
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Why did medical ethics and the Nuremberg Code evolve from the Nuremberg trials
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Because German physicians were involved in medical experiments
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There is a standard informed consent form used by most countries. True or False
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False
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A breach in ethics is always associated with breaking the law. True or False
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False
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The Tuskegee Syphilis Experiment was terminated for which of the following reasons
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It was discovered by the press
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The IMIA Code of Ethics reviews ethical principles and rules for individuals, professionals and institutions
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True
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Which one of the following statements pertaining to MedlinePlus is false
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It has no tutorials
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Which one of the following is not a feature of most patient web portals
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Family genealogy
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Microsoft Health Vault can accept a CCD. True or False
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True
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Virtual (electronic) visits have which of the following attributes? (select all that apply)
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Less expensive Good for minor medical issues
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Microsoft HealthVault is an untethered PHR
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True
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Select the current formats for a PHR. (Select all that apply)
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PC-based Smartphone-based Smart card-based USB device-based
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Software cost is the number one reason physicians infrequently communicate with their patients via e-mail
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False
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Which one of the following is not considered an advantage of secure messaging
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Excellent proven return on investment
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Select those factors that have encouraged consumer informatics. (select all that apply)
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Consumers are more tech savvy, Patients are frustrated with the current medical system, the widespread use of the Internet for medical answers
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Which of the following are considered obstacles to PHRs?
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Lack of a sustainable business modelLack of interoperability Privacy and security concerns Lack of perceived value to all
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Most physicians are using mobile technology that is integrated with the enterprise information systems. True or False?
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False
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Select the one feature not found in most drug look up programs
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Drug addiction programs
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Why are medical calculators an important part of mobile technology? (select all that apply)
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Smartphones can calculate quickly Screen size less of an issue
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Select possible definitions of a smartphone? (Select all that apply)
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Internet capable, Have an operating system, able to host software
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The database program HanDBase is a flat file program - True or False?
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False
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Text messaging has been used for reminders and chronic disease. True or False
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True
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What attributes are most important for mobile technology? (select all that apply)
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Small form factor, Internet access, Low cost medical software
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Which of the following resources provides textbooks? (select all that apply)
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OVID MDConsult
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Which one of the following resources contains more than one format?
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MDConsult
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Which of the following resources includes the option for a free weekly newsletter?
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Medscape
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Which of the following resources provides free medical journals? (select all that apply)
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High Wire Press
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Which of the following are optimal attributes of an online resource? (select all that apply)
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Available in multiple formats Frequently updated Easy searchable Evidence based
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Which of the following represent challenges to physicians who are trying to remain current? (select all that apply)
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Overload of information Information from specialists is not trickling down to generalists
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In an ambulatory setting what is the most common category of questions by physicians
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Drug related questions
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Which one of the following statements is false regarding Medline
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All articles are associated with an abstract
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Which of the following resources contains only one format? (select all that apply)
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DynaMedUpToDate ACP Pier
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Select those references that physicians can edit. (select all that apply)
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WikiDoc Ganfyd
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Which one of the following is considered the world's largest biomedical research center?
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National Center for Biotechnology Information (NCBI)
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Gene/DNA manipulation may prove useful for which of the following situations?
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Cancer treatment, Waste processing, Drought and disease resistant plants, Developing personalized drugs
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Genomics covers only the human species.
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False
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The NCBI is part of the National Library of Medicine and the National Institutes of Medicine.
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True
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Which one of the following is true about pharmacogenomics?
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It studies genetic information looking for new targets for drugs.
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In order for family histories to be analyzable, the data must be in a computable format.
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True
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Which one of the following statements is false regarding the Human Genome Project?
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The ethical, social, and legal issues were not reported
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Which one of the following statements is true about human genome?
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Males have an X and Y chromosome and females have two X chromosomes
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Which of the following are obstacles to widespread genetic prediction?
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Genetic testing must be highly sensitive and specific, Genetic information must be highly secure, There are not enough geneticists and genetic counselors
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What data standard is likely to be used by electronic health records for genetic information?
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SNOMED-CT
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Which of the following civilian organizations is/are heavily involved with patient safety?
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Joint Commission, LeapFrog Group
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An adverse event means that a patient injury occurred
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True
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Not all medical errors result in an adverse event.
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True
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Which of the following are problems associated with bar code medication administration?
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Expensive systems, proof of benefit is inconclusive
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Which one of the following is a patient safety recommendation by the Institute of Medicine
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Establish a national medical error reporting system
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What is the most common category of patient safety studied?
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Medication use
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Ordering a CAT scan for routine acute sinusitis is an example of which of the following
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Misuse, overuse
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Which one of the following is not a reason for patient safety problems in the US?
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Legal system is indifferent to patient safety
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Which one of the following government agencies has a patient safety network
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AHR
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Life expectancy is directly related to the percent of the gross national product spent on healthcare
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False
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ICD-10 has which of the following attributes
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Will provide more detail than ICD-9, ICD-10 will be expensive to implement
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Which of the following is true regarding Evaluation & Management Codes?
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Will help justify billing level or CPT
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Which of the following is generally used for larger, more complex IT acquisitions to ensure apples to apples
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Request for Proposal
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Which of the following may not be needed on the purchase of an upgrade to the electronic drug inventory
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CIO
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Which of the following is NOT typically included in capital expenses for health IT
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Support and maintenance fees after go live
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Which of the following is not true
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Consultants are often a good source to identify a vendor due to their impartiality.
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Ideally, what should a health IT contract spell out
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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
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Which of the following is a good way to assist with requirements definition
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Educational demonstrations
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Which of the following is NOT a strong tool to use in the selection process
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educational demonstrations
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Which of the following is generally most appropriate for routine IT equipment purchases
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Quick bid
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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
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Ensuring that the hospital has the latest technology
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Which of the following is a good way to asset with constructing a budget
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Request for Quote
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Which of the following are primary factors that should influence the process of purchasing hardware and software
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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
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Which of the following roles may not be needed to be involved in a health IT contract negotiation for pharmacy inventory software
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CIO
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Which of the following are advantages of the application service provider (ASP) model
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Lower initial costs, Decreased need for in-house IT support
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What is the approximate 2013 US EHR adoption rate for eligible professionals
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60%
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Selection known EHR obstacles
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Cost, altered workflow
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Medical studies suggest that paper charts, on average, are missing what percent of the time
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20%
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Which one of the following is NOT clinical decision support
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secure messaging
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Which of the following clinicians are eligible for Medicaid reimbursement for EHR use
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Physicians, nurse practitioners, physician assistants, nurse midwives
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EHRs have the potential to save money through which of the following mechanisms
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Decreased cost related to record storage, improved coding, reduced transcription costs
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Which one of the following is NOT part of EHR "Meaningful Use", Stage 1
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Secure messaging
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Which of the following are important to EHR selection
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Panning, training, vendor track record, site visits
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Medical studies suggest that laboratory results are missing in paper charts approximately what percent of the time
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20%
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To connect to a wired network, which of the following can be used
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Phone lines, power lines, Ethernet
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RESTful services is less complicated than web services based on SOAP
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True
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Which one of the following is NOT true of Bluetooth 4.0
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Requires encryption to work
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Listing from the fastest to the slowest which combination is correct below
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Fiber>80211n>LTE>DSL
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A Global Area Network (GAN) is associated with which of the following attributes?
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Same as broadband wireless
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Ethernet networks are faster, less expensive and more secure than wireless networks
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True
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Which web service frequently uses XML
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Both
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What are the three pillars of information security?
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1) Confidentiality 2) Availability 3) Integrity
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Which one of the following is false regarding patient rights and HIPPA law?
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Have unwanted material removed from their health records.
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Which one of the following is false regarding patient rights and HIPAA laws?
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Have unwanted material removed from their health record.
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The final Meaningful Use rule addresses security and privacy requirements for certified EHR applications - True or False?
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True
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The Google Health user agreement covers a user's financial loss in the event of identity theft while using their service - True or False?
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False
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Which of the following access controls are used to prevent unauthorized access?
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1) Role or rule-based privilege 2) Username and password 3) Voice recognition (biometric authentication)
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Which of the following is not one of the 18 personal identifiers by the HIPAA Privacy Rule?
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State of residence
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Which one of the following organizations is required to follow HIPAA law when using personal health data?
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Health insurers
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Which of the following serve as the foundation for the HIPAA Security Rule?
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1) Administrative Safeguards 2) Physical Safeguards 3) Technical Safeguards
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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:
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The mid-1990s
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SaaS and Cloud health IT solutions have which of the following features or attributes
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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
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What is data science?
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All the above
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List secondary uses (or re-uses) of healthcare data
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1) Quality reports 2) Reserach 3) Public health
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What are some of he challenges facing data analytics?
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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
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Which one type of analytics would be used to analyze hospital readmission rates for heart failure?
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Predictive
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Electronic health records are a major source of phenotypical data True or False?
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True
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Data analytics can't be used in the genomics field due to large data sets True or False?
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False
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Studies using predictive analytics to analyze hospital readmissions have had mixed results - True or False
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True
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Why are healthcare systems analyzing hospital readmission data?
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1) New Medicare regulations not reimbursing for readmission for certain diseases 2) Readmissions are costly
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What is text mining?
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Data mining of unstructured data.
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To be effective as a healthcare data analyst which skill sets are required?
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1) Programming skills 2) Knowledge of statistics 3) Good communications 4) Domain knowledge
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Select one technology limitation in regards to quality improvement (QI) programs
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Quality report generation from EHRs can be difficult
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The ACA promotes QI initiatives True or False?
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True
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How can health information technology assist QI programs?
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1) Measure ER utilization 2) Generate quality reports 3) Provide disease registries to track patients 4) Improve patient safety with e-prescribing
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Which of the following is a core Roadmap strategy?
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1) Publish quality measurements 2) Promote health IT
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QI programs only exist in the USA - True or False
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False
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Which of the following are QI program limitations?
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1) Takes too long to get paid 2) May result in "patient dumping" 3) EHRs may not be able to generate quality reports
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Select the reasons pay for performance programs are being pilot tested
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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
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The Physician Quality Reporting System (PQRS) is a Medicaid program - True or False?
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False
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According to CMS, which one of the following represents right care?
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Safe care
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The primary goal of QI programs is to save money - True or False?
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False
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The eHealth Exchange will include which of the following partners?
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1) Federal agencies 2) Health Information Organizations
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The NwHIN is comprised of which of the following features?
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1) Standards 2) Specifications 3) Policies
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A federated data sharing model implies that data will not reside in a central data repository (CDR) - True or False
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True
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What is the greatest obstacle to establishing a Health Information Organization?
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Long term business plan
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All RHIO are regional - True or False
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False
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Direct secure messaging will be a "push" technology application - True or False?
answer
True
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Which of the following are common HIO functions?
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1) Clinical messaging 2) Alerts to physicians 3) Connectivity to EHRs 4) Electronic prescribing
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Which of the following statements is true regarding CONNECT software?
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1) It is open source 2) It can help interoperability between two HIOs
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Health Information Organizations (HIOs) should be considered part of what overall system or network?
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NwHIN or eHealth Exchange
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Approx how many HIOs currently exist in the US?
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25
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HL7 is a data standard for communication for which of the following?
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1) Lab results interface 2) EHR
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Which of the following standards is used for sharing images?
answer
DICOM
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Which of the following statements is false regarding the LOINC standard?
answer
LOINC can be purchased from the American College of Physicians
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Which of the following statements is true about ELINCS?
answer
Helps with messaging between labs and EHRs
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The continuity of care document (CCD) utilizes the clinical document architecture (CDA) - True or False?
answer
True
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Which data standards are related to diagnoses?
answer
ICD 10 SNOMED CT
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Which data standard will support the sharing of patient summaries?
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CCD (continuity of care document)
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Which one of the following is true regarding SNOMED CT?
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Maps (links) to LOINC and ICD-9/10
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Select the statement that is false about disease registries
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All EHRs have disease registries
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Which one of the following is not part of the usual disease management approach?
answer
Reporting physicians who do not practice evidence based medicine
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Population health and public health are the same - True or False?
answer
False
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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
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The jury is out if disease management programs clearly save money or lives - True or False
answer
True
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What are the most common disease to be managed by healthcare organizations with a disease management program?
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1) Diabetes 2) Heart Failure
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Disease management is not part of Stage 1-3 Meaningful Use - True or False?
answer
False
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Disease management programs are assisted by which of the following technologies?
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1) Web based disease registries 2) Disease registry that is part of an EHR 3) Home telemonitoring 4) Patient portal
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Chronic diseases affect 20% of the population but account for what percent of the healthcare spending?
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75%
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Which of the following are legitimate questions to ask prior to starting a disease management program?
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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
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Which one of the following is not a syndrome that is part of most syndromic surveillance programs?
answer
High blood pressure illness
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Which of the following statement is false about the RODS program?
answer
Uses data from hospital operating rooms
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Which of the following are under the purview of public health informatics?
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1) Bioterrorism 2) Infectious disease outbreaks 3) Natural disasters
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Which one of the following is a sentinel surveillance system?
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Designated location that can generate high quality data that may predict a larger population
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Which one of the following statement is true about public health?
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Focus is on population health
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BioSense is a Homeland Security program - True or False?
answer
False
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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
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Most biosurveillance programs have a geographic information system (GIS) component - True or False
answer
True
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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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