Question 1

A RHIO is a(n)

Accepted Answer

A RHIO, or Regional Health Information Organization, is a group of healthcare providers and organizations in a specific geographic region that come together to share clinical information electronically, with the goal of improving patient care and outcomes. Therefore, choice D is the best option.

Question 2

You are developing an entity relationship diagram. In the entity of patient shown here, which of the attributes in the primary key?

Accepted Answer

The medical record number is typically a unique identifier assigned to each patient, making it the best choice for the primary key attribute in the patient entity. Last name, first name, and street address are not necessarily unique to each patient and therefore not suitable as primary key attributes.

Question 3

Your facility is implementing a new document management system. This system will require the storage of large amounts of data. Which of the following storage devices would you recommend?

Accepted Answer

RAID (Redundant Arrays of Independent Disks) is a storage technology that combines multiple physical disk drives into a single logical unit. It provides increased data reliability and performance by storing data across multiple disks, so that if one disk fails, the data can still be accessed from the other disks. RAID is a good choice for storing large amounts of data because it provides high reliability and performance.

Question 4

The steps from project identification to implementation and support of an information system called

Accepted Answer

The information system life cycle is the series of steps involved in the development, implementation, and maintenance of an information system, from project identification to implementation and support. Systems analysis only refers to the initial stage of the life cycle, project management focuses only on managing the project, and data modeling is just one aspect of system design. Therefore, B is the best choice.

Question 5

A preliminary step prior to issuing a formal RFP, which allows the facility to narrow down the field of potential vendors for procurement of a new hospital-wide computer system, would be to

Accepted Answer

Issuing a request for information (RFI) to potential vendors is a preliminary step prior to issuing a formal RFP. This allows the facility to gather information about potential vendors and their products or services without committing to a specific procurement. It helps to narrow down the field of potential vendors and ultimately makes the RFP process more efficient. The other options (A, B, and D) are not preliminary steps but actions that would be taken later in the procurement process.

Question 6

Mary is scheduled to program the interfaces in June. John will develop the training plan in July. Robert will test the system in July. Mark will be on sick leave during August and he has to write the documentation before he leaves. In order to make sure that the staff needed is available during these time periods, what process should be utilized?

Accepted Answer

Resource allocation is the process of allocating resources such as staff, time, and budget to different tasks and activities in a project. In this case, it is important to ensure that the staff needed for each specific task is available during the time period required. Therefore, resource allocation is the most appropriate process to use in order to ensure that each team member is available when their specific task needs to be completed. A Gantt chart can be an effective tool for visualizing the resource allocation process.

Question 7

The physician will be called automatically when a lab result is at the panic level. This is example of a

Accepted Answer

This is an example of a data-driven rule because it is a pre-defined rule or threshold set in the system that triggers an automatic notification to the physician when lab results reach a panic level.

Question 8

You recently installed a new computer system and you just learned that the vendor does not ha the right to use one portion of the system. Another company owns the rights to the informa contained in this portion of the system. What clause in your contract would you review to see you are protected from being sued by the other company?

Accepted Answer

The answer of You recently installed a new computer system...

Question 9

As Director of Health Information Services, you are negotiating a contract to purchase a new computerized dictation system that will be used across three satellite ambulatory clinics. What element is most critical in the contract negotiation to ensure use of the software in multiple environments?

Accepted Answer

The license grant is the most critical element to ensure use of the software in multiple environments. It is important to negotiate a license that allows for use across multiple locations and not just a single site. This will ensure that the software can be used in all three satellite clinics without any legal issues. Delivery terms, scope and term of warranties, and price and payment terms are also important factors, but they are not as critical as the license grant in this case.

Question 10

The hospital is undergoing the development of an information system strategic plan. The part of the process where changes in the community, legislation, and other factors are monitored is called

Accepted Answer

Environmental scanning is the process of monitoring and analyzing the external environment for factors that may impact the organization. In this case, the hospital is monitoring changes in the community, legislation, and other factors as part of their information system strategic planning. Health information exchange and alerts are more specific components of an information system, while critical path analysis is a project management tool used to identify the most critical tasks in a project.

Question 11

You are selecting the database model for your new information system's database. You ha chosen the one that is structurally independent, is easy to use and manage, and has a s database management system. What have you chosen?

Accepted Answer

Relational database model is structurally independent, easy to use and manage, and has a database management system. Therefore, it is the best choice for the new information system's database. The other options, network and hierarchical, are also structurally independent but are often more complex and difficult to manage. Bus is not a database model, it is a type of computer architecture.

Question 12

Your administrator has asked for the name of a standard that will allow different compu applications to communicate. Which of the following standards would you give him?

Accepted Answer

HL-7 (Health Level Seven) is a commonly used standard for exchanging information between different healthcare applications. It defines a set of protocols for the transfer, integration, and retrieval of clinical information to support patient care and related activities. Joint Commission and IOM CPR definition are not related to communication standards. ASC X12 is a standard used for electronic data interchange (EDI) of business documents, but it is not specifically designed for healthcare applications.

Question 13

You are developing an entity-relationship diagram. The entity that you are currently working is "patient". Which of the following would be the primary key for the entity patient?

Accepted Answer

The health record number is unique to each patient and serves as the most appropriate primary key for the patient entity. Last name and address may not always be unique and attending physician number may not be applicable to all patients.

Question 14

Which type of system would be utilized to help the CEO of a facility in determining whether not to expand the radiation therapy services?

Accepted Answer

A strategic decision support system would be the best choice as it is designed to assist top-level executives in making strategic decisions, such as whether or not to expand services. The other options (clinical information system, ambulatory care system, and enterprise system) are more focused on specific functions within a healthcare organization and may not provide the necessary tools or analysis for this type of decision-making.

Question 15

Your transcription system utilizes disk mirroring. This is an example of a technology called

Accepted Answer

Disk mirroring is a type of RAID (Redundant Array of Independent Disks) technology, where data is written simultaneously to two or more disks to provide redundancy and improve data availability. Option B, HL-7, is a standard for exchanging health information electronically. Option C, DASD, stands for Direct Access Storage Device, which refers to hard disk drives or other storage devices that can be directly accessed by a computer. Option D, CPOE, stands for Computerized Physician Order Entry, which is a healthcare technology that enables providers to electronically enter and manage patient orders.

Question 16

The table above presents an example of

Accepted Answer

The table is presenting functional specifications, which outline the specific functions and requirements of the system. It is not describing system standards, a request for information (RFI), or a systems design.

Question 17

Webster Medical Center is installing a computerized provider order-entry system. Currently are training the staff and testing the system. We must be in the

Accepted Answer

The installation of a computerized provider order-entry system is a part of the implementation phase of the system's life cycle, which includes training the staff and testing the system. The design phase comes before implementation, while the maintenance phase comes after implementation. The analysis phase focuses on identifying the requirements and objectives of the system design, which happens before the design phase.

Question 18

The most secure model of signatures used in information systems is

Accepted Answer

Digital signatures use encryption technology to provide the highest level of security and authenticity for signatures in information systems. Electronic and digitized signatures may not offer the same level of security or legal recognition as digital signatures.

Question 19

An acute care facility is installing a new computer system in the chart-tracking area. Du implementation, the current existing system will continue to operate while bringing up the system, allowing a comparison of the outputs from both systems for accuracy over a 1-mon period. This process describes what type of conversion?

Accepted Answer

The process of installing the new computer system while allowing the current system to continue operating for comparison purposes is known as parallel conversion. This allows for a smoother transition and minimizes the risk of errors or disruptions in patient care.

Question 20

Administration has asked the clinical provider order-entry task force to select the method implementation that will reduce risk to the hospital. What method should they choose?

Accepted Answer

Implementing all modules across the entire organization while running the current system parallel (option C) would be the ideal approach to minimize risk, but it could also be time-consuming and expensive. Implementing one module in one unit while shutting down the existing system (option D) could be too risky and could disrupt patient care. Therefore, implementing one module in one unit while running the current system in parallel (option B) would be the best choice as it allows for a controlled implementation with minimal risk and can serve as a pilot for future roll-outs.

Exam 1: Registered Health Information Administrator