Deck 8: Health Information Systems and Technologies

Question 1

Information systems in health care have traditionally been used to manage which of the following?

A) Physicians
B) Pharmacy expenses
C) Clinical staff
D) Business operations
E) Nurses

Answer 1

D

Question 2

Which of the following departments in a health care organization does not need software because it is not needed to achieve the department's goals?

A) Customer Relationship Management (CRM)
B) Accounts receivable
C) Payroll
D) Laboratory systems
E) All of these departments require software to achieve their goals.

Answer 2

E

Question 3

Computer systems were not used initially by clinicians because early systems:

A) were expensive.
B) took more time to use.
C) were cumbersome to use.
D) both took more time to use and were cumbersome.
E) All of these are correct.

Answer 3

D

Question 4

By definition, which of the following is true about Electronic Medical Records (EMR)?

A) It is accessible only by a patient's doctor.
B) It is considered a legal record.
C) It is accessible only by a patient's doctor and is considered a legal record.
D) It is accessible by anyone.
E) All of these are correct.

Question 5

Which of the following are characteristics of the EMRAM?

A) Comprised of stages 0-7
B) Measures EMR adoption in hospitals
C) Was created by a professional organization, HIMSS
D) Is focused primarily on the use of clinical systems
E) All of these are correct.

Question 6

Which of the following is a potential benefit in having clinical data automated and able to exchange with other care settings?

A) Lower cost to the patient
B) Reduction in the number of repeat tests needed
C) Ability to more quickly identify relevant information about the patient (allergies, etc.)
D) Ability to offer insurance to all Americans
E) Both reduction in the number of repeat tests needed and the ability to more quickly identify relevant information about the patient

Question 7

Which of the following is the three primary reasons that EMR adoption and optimization is not higher in the US?

A) An inability to prove value, design, and lack of standards
B) High cost, inability to prove value, and low administrative support
C) High cost, user unfriendliness, and design
D) Inability to prove value, high cost, and user unfriendliness
E) High cost, user unfriendliness, and low administrative support

Question 8

Which of the following statements is true?

A) EMR adoption in physician practices is not as important because most patient care occurs in hospitals.
B) EMR adoption and optimization in physician offices is lower than in hospitals.
C) EMR adoption and optimization in smaller physician practices is higher than in larger physician practices.
D) Cost as a barrier does not have the same significance in the physician practice as in the hospitals.
E) EMR adoption and optimization rates are not as important in the physician practice setting as they are in nursing homes.

Question 9

PHI, NOPP, and HIPAA all address which of the following?

A) The cost of health care in the US
B) Government regulation around health care organizations
C) The lack of EMR adoption in the US
D) The privacy and security of patient information
E) New quality measures established through ARRA

Question 10

What methods are defined by the HITECH portion of ARRA to increase adoption of EMRs in hospital and physician settings?

A) Financial incentives for early adoption
B) Financial incentives for finding more cost effective EMR solutions
C) Penalties for late adoption
D) Penalties for selecting less cost effective EMR solutions
E) Both financial incentives for early adoption and penalties for late adoption

Question 11

Managers in the evolving health care industry need to do which of the following?

A) Understand technology
B) Embrace the features new software can provide to managing operations
C) Evaluate how employees are effectively using technology
D) All of these are correct.
E) None of these is correct.

Question 12

Data from health information systems can be used for a variety of purposes, including:

A) research.
B) policy.
C) analytics.
D) population health.
E) All of these are correct.

Question 13

Health information systems are commonly used to manage functions that include all of the following, except:

A) budget systems.
B) enterprise resource systems.
C) marketing systems .
D) HR systems.
E) medical record systems.
F) Health information systems are commonly used to manage all of these functions.

Question 14

The stages of the EMRAM model reflect adoption of health information systems at all of the following levels, except:

A) data sharing
B) CPOE
C) HR systems
D) ancillary systems
E) EMR

Question 15

EHR adoption and optimization has been slow as a result of:

A) physician resistance.
B) lack of implementation resources.
C) poor design.
D) costs.
E) All of these are correct.

Question 16

MIPS includes concepts relating to which of the following?

A) Coordination of care
B) Improvement in population health
C) Engaging patients and families in their health care
D) Reducing health disparities
E) None of these is correct.
F) All of these are correct.

Question 17

The purposes of the Health Insurance Portability and Accountability Act include all of the following, except:

A) protecting personal health information.
B) maintaining privacy of health records.
C) requiring business associates to comply with the law.
D) providing health care coverage to more people.
E) requiring severe financial penalties for violations.

Question 18

Current changes in health information systems include which of the following?

A) Producing artificial body parts with computer printers
B) Wearable devices to monitor patient status
C) Use of telehealth and telemedicine
D) Microbots for treatment and medication
E) All of these are correct.

Question 19

Which of the following is a component of e-health?

A) The practice of providing clinical services electronically
B) The provision of environmental health services
C) The use of telecommunications to delivery health information
D) The delivery of e-mail about health care
E) All of these are correct.

Question 20

The following are all forms of health information technology that are currently in use, except:

A) telehealth.
B) m-health.
C) health informatics.
D) z-health.
E) All of these are forms of health information technology that are currently in use.

Question 21

Health care managers must be able to achieve which of the following with regard to health information systems and technology?

A) Develop competences to effectively and efficiently manage the HIT function
B) Assist staff by providing resources to maintain state-of-the-art systems
C) Provide adequate training on EHRs
D) Assure that patient health information is kept confidential
E) All of these are correct.

Question 22

Intranets are information networks that are external to an organization and used for information sharing.

Question 23

Advances in health care technology are having a significant impact not only on how health care organizations do business, but also on their internal need for storing information.

Question 24

Computerized provider order entry (CPOE) is used only to order medications.

Question 25

Most hospitals and health care systems in the US have reached Stage 7 in the EMRAM model.

Question 26

EHRs have a broader focus than EMRs as a result of interoperability, and thus the capacity to share data between providers and other users.

Question 27

Adoption of EHRs is easier for small physician practices.

Question 28

Long-term care facilities, community health centers, and mental health facilities typically have the know-how and resources to devote to adoption of EHRs and other health information systems.

Question 29

The HITECH provisions of the American Recovery and Reinvestment Act have not been an important factor in the adoption of health information systems by hospitals and physician practices.

Question 30

Meaningful use and MIPS have been a readily accepted concept by the health care industry.

Question 31

Stage 1 of meaningful use is equivalent to stage 1 in the EMRAM model.

Question 32

Wearable medical devices cannot always readily be linked to EHRs.

Question 33

Interoperability refers to the concept of being able to exchange data among providers of health care.

Question 34

Capturing population health data in EHRs is not part of the efforts of the Affordable Care Act's focus on prevention and reducing health disparities.

Question 35

Read and analyze the following scenarios utilizing the information provided in Chapter 8, including the following criteria: major issues, what should be done, and why.
-Mary, the receptionist at the Better Days Behavioral Health Facility spots a well-known actor on admission. When she goes on lunch break, she sits with Nurse Nosy, who works in the 10-bed unit for detoxification from alcohol before a client is sent to live with the rest of the residents. Mary whispers that she's positive he been out of work because he's a heroin addict. It's in all the tabloids at the grocery store checkout stands, so it must be true. Nurse Nosy says she heard it was cocaine. They make a bet, winner buys the other one lunch if they're correct. Nurse Nosy will access his medical record when she gets back to the floor and call Mary. Mary says, "No, that's not good enough. You need to take a photo to prove it." Nurse Nosy agrees, and they giggle and go their separate ways after finishing lunch.

Question 36

Read and analyze the following scenarios utilizing the information provided in Chapter 8, including the following criteria: major issues, what should be done, and why.
-Dr. Jones provides care to patients at Tranquility Acres, a nursing home that serves low-income Medicaid and Medicare patients. He also owns 80% of the facility, with the rest of it distributed to his children. Dr. Jones is frustrated by the declining profits on his investments and instructs the Nursing Home Administrator, Ann Enigma, to add weekly visits to the same patients he normally rounds on once a month. He won't actually see them, but instructs her to add his visits to the medical records as if he had. Ann protests, saying they can be charged with fraud. He waves her concerns away saying, "If you're as good at this electronic record stuff as you say you are, they'll never catch on."