Deck 17: Health Information Exchanges Hies

Question 1

Which of the following statements is most accurate about the relationship between the national health information network (NHIN) and the health information exchanges (HIE) in the United States?

A)The success of the NHIN is dependent on the state-wide HIEs.
B)The success of the NHIN is not dependent on the state-wide HIEs.
C)The success of the state-wide HIEs is dependent on the NHIN.
D)The success of the state-wide HIEs is not dependent on the NHIN.

Answer 1

The success of the NHIN is dependent on the state-wide HIEs.

Question 2

To accomplish exchanges, an HIE infrastructure requires not only technology but an organizing structure for processes. The organizing structure establishes which of the following?

A)Nontechnical standardization
B)Secure application and rules of operation
C)Transoperational exchanges
D)Standardized workflow to obtain nonessential information

Answer 2

Secure application and rules of operation

Question 3

The HIE initiatives are often started by which of the following?

A)Research teams, advisory councils, and executive committees
B)Informaticians
C)LeapFrog Group
D)TIGER

Answer 3

Research teams, advisory councils, and executive committees

Question 4

As national standards for interoperability are developed, the future of HIEs seems to be in the hands of which of the following?

A)Nationwide health information network
B)The Department of Homeland Security
C)HIPAA
D)HIMMS

Question 5

Health information exchanges can be useful for more than patient care and the uses are described at levels. Which of the following are considered levels?

A)Public health
B)National
C)Individual
D)Agency/organization
E)Professional

Question 6

The health information exchange requires exchange of health-related information according to nationally recognized standards to link into which of the following as it can provide a standardized, secure, and confidential way to link information systems together for authorized users to share reliable health-related information?

A)Office of National Coordinator (ONC)
B)Health information exchange (HIE)
C)National health information network (NHIN)
D)Health Information Security and Privacy Collaborative (HISPC)

Question 7

According to Iowa e-Health, which of the following are key factors that are indispensable prerequisites to consider for the HIE organizing infrastructure?

A)Master person index
B)Record locator service used to access and find health information that matches the identified individual
C)Methods of authentication
D)Provide authorization for users
E)Scope of services provided

Question 8

A ______________________ model enables the access and exchange of data stored in existing provider networks and also through a central data repository maintained for smaller providers who would not be able to maintain 24x7 services for HIE access.

Question 9

Which of the following is true about the sustainability of the HIE?

A)Sustainability discussions occur after the implementation phase.
B)Sustainability is no longer an issue in HIE.
C)A system that is not sustainable is not an effective one.
D)Sustainable technology is not cost effective.

Question 10

_________________ and health systems with nursing homes, hospice, homecare, and clinics integrated with hospitals are able to exchange with standard content and identifiers adopted across settings.

Question 11

The preparations for an HIE include organizing a governing body and establishing financial sustainability. Which of the following is considered a conceptual and sustainable public governance model?

A)Public utility HIE with government oversight
B)Public utility HIE with no government oversight
C)Private sector-led HIE with local collaboration
D)Private sector-led HIE with corporation collaboration

Question 12

Which of the following answers best describes the relationship between the health information exchange (HIE) and regional health information organization (RHIO)?

A)The HIE provides oversight to authorize the location of health information and the secure transfer and reuse of that health information electronically.
B)RHIO provides oversight to authorize the location of health information and the unsecured transfer and reuse of that health information electronically.
C)RHIO provides oversight to authorize the location of health information and the secure transfer and reuse of that health information electronically.
D)RHIO provides analysis of health information and the secure transfer and reuse of that health information electronically.

Question 13

As standards are developed for interoperability, there will be an increased number of vendors seeking which of the following?

A)Funding
B)Contracts
C)Certification
D)Revenue increases

Question 14

Which of the following are considered barriers to the implementation of the HIE?

A)Equipment
B)Financial
C)Local
D)Personnel
E)Legal procedures

Question 15

_______________________________ is defined as the electronic movement of health-related information among organizations according to nationally recognized standards.

Question 16

The overall role of the state-level HIE initiatives can be loosely grouped into three broad categories. Which of the following is not considered a category?

A)HIE enabler/readiness
B)HIE sustainability
C)HIE outsourcing/technical partnership
D)HIE operator

Question 17

A volunteer federal _________________________ develops interoperable standards.

Question 18

Which of the following are considered obstacles to sustainability?

A)Underestimating the size and scope of the project
B)Identifying critical mass of data to exchange
C)Identifying critical mass of participants
D)The collaboration between common competitors in communities
E)The resistance to changes in workflow

Question 19

Which of the following are considered obstacles to the HIE?

A)Policy
B)Organizational
C)Structure
D)Financial sustainability
E)Technology design