Deck 13: System Integration and Interoperability

Question 1

Which of the following is a classification system for surgical, diagnostic, and therapeutic procedures and is used for hospital billing and payer reimbursement?

A)NOC
B)CPT-4
C)NIC
D)NANDA

Answer 1

CPT-4

Question 2

The master patient index (MPI) saves work because vital information can be obtained from the database rather than rekeyed with each client visit. This decreases the possibility of making a mistake and eliminates the inadvertent creation of duplicate records. Which of the following are key features of an effective MPI?

A)It is flexible enough to allow inclusion of additional identification.
B)It facilitates the evaluation of client care.
C)It locates records in real time for timely retrieval of information.
D)It is easily reconfigured to accommodate network changes.
E)It can grow to fit an organization of any size.

Answer 2

It is flexible enough to allow inclusion of additional identification.
It locates records in real time for timely retrieval of information.
It is easily reconfigured to accommodate network changes.
It can grow to fit an organization of any size.

Question 3

Which of the following supports the development of an EHR by classifying and categorizing nursing data?

A)North American Nursing Diagnosis Association (NANDA)
B)HL7
C)Service oriented architecture (SOA)
D)SNOMED

Answer 3

North American Nursing Diagnosis Association (NANDA)

Question 4

Integration is a massive project within institutions and enterprises. It generally requires more time and effort than originally projected. Which of the following are factors that may slow down the integration process?

A)Unrealistic institutional timetable
B)Lack of agreement among merged institution
C)Insufficient documentation
D)Changing user specifications
E)Lack of vendor support

Question 5

The role of the nurse in the system integration efforts should include which of the following?

A)Ensuring that data will be collected in only one system and shared as needed among others
B)Involvement in the formation and maintenance of the electronic health record
C)Promoting the development and maintenance of archetypes
D)Determining measures to assure the quality of data
E)Identifying and defining data elements

Question 6

The term interoperability is used when discussing the large scale electronic exchange of health care information across enterprises for the purpose of accessing and maintaining longitudinal health records. The term interoperability is understood to mean which of the following?

A)Has the ability to exchange the structure of the data, but not the meaning of data
B)Has the ability to exchange the structure of data and meaning of data
C)Has the ability to exchange the meaning of data, but not the structure of data
D)Is the ability of two entities, whether human or machine, to exchange and use data
E)It is accurate to use the term interoperability interchangeably with the term interface

Question 7

Which of the following answers are factors that slow systems integration?

A)Vendors' false claims that their information systems are interoperable with other systems
B)Unrealistic institutional timetable set due to a lack of understanding of the complexity of the integration process.
C)Vendors who do not provide enough support and assistance to facilitate the integration efforts.
D)Existing systems are insufficiently documented.
E)Merged institutions do not agree on which systems to use.

Question 8

Web-based tools can provide benefits of an alternative method for obtaining patient information from diverse information systems. Which of the following is accurate regarding recent advances toward interoperability?

A)The framework has been built and is in place.
B)National priorities will be set within the next five years.
C)Data exchange standards need to be developed.
D)Interoperability of electronic health data will be costly.

Question 9

What are the benefits of data integration?

A)Potential for improved remote access of clinical data from various systems
B)Trend analysis of financial and clinical data
C)Encouraging the use of systems customized to meet department specifications
D)Development of a computer-based patient record
E)Facilitation of data collection for accreditation purposes

Question 10

Health Level Seven (HL7) standards are not the only standards that are evolving to fit the changing health care model. What other organizations are instrumental in supporting the development of standards and helping to define data exchange?

A)Department of Defense
B)Centers for Medicare and Medicare Services
C)National Science Foundation
D)Institute of Medicine
E)American Medical Informatics Association

Question 11

Nursing can reap significant benefits from integration. Which of the following integration statements is accurate for nursing?

A)Trends in client care data and cost analysis can be used to justify nursing staffing levels.
B)Nursing should be sure that data will be collected in several systems for sharing.
C)The use of a data dictionary can interfere with system integration processes.
D)Nursing involvement is unnecessary so long as I.S.staff members are given requirements.

Question 12

The timely flow of information is critical to institutional survival. Which of the following statements about interfaces is accurate?

A)Interfaces use an open systems technology provided by the vendor.
B)Interfaces require installation of a Health Level Seven (HL7) device.
C)Interface connections between different information systems are invisible to the user.
D)Interfaces physically join two or more disparate information systems.

Question 13

_______________________ uses XML (Extensible Markup Language) for storage and movement of clinical documents between systems.

Question 14

Interface engines work in the background and are not seen by the user. This technology allows applications to interact with hardware and other applications. Which of the following are considered benefits associated with the use of interface engines?

A)Improves timeliness and availability of critical administrative and clinical data
B)Improves data quality because of data mapping and consistent use of terms
C)Allows clients to select the best system for their needs
D)Preserves institutional investment in existing systems
E)Preserves institutional investment in existing systems.

Question 15

______________________________ interoperability is the ability to exchange the structure of the data, but not necessarily the meaning of the data. It is also referred to as functional interoperability. Web pages built with HTML illustrate this type of interoperability.

Question 16

The master patient index (MPI) is a database that lists all identifiers assigned to one client in all the information systems used within an enterprise. It assigns a global identification number for each client and allows clients to be identified by demographic information provided at the point of care. When the MPI cannot match a client's record based on demographic data, what is provided to the user?

A)The data dictionary resources
B)Non-citizen information so that the user may find a different identifier
C)All possible matches so that the user may view and select
D)The Social Security number

Question 17

A female client goes to the clinic's office complaining of a cough and fever. She gives her name and date of birth at the admitting registration desk. The registration clerk verifies her current address and asks if she is still covered by IVY insurance. Client responds yes, is given a chart with the number 3948JAV04830 on it, and is directed to the physician's exam room. The physician orders a chest x-ray. The client is sent to the radiology department and checks in with the registration desk. The registration clerk verifies her current address and asks if she is still covered by IVY insurance. The client responds yes and is given an order sheet with the number 3948JAV04830 on it. The admitting office for the clinic and the radiology office use different information systems. The process depicted in this scenario illustrates the use of which of the following?

A)Uniform language
B)Master patient index
C)Data dictionary
D)Clinical data repository

Question 18

What is the primary purpose of system integration in a health care facility?

A)Provide reliable flow of information between facility and physician offices
B)Offer seamless data exchange among disparate information systems
C)Prevent system data errors via large scale electronic exchanges
D)Customize information systems within a department

Question 19

One step in the integration process is the development of a uniform definition of terms, or language. The American Nurses Association sponsors the Congress of Nursing Practice Steering Committee on Databases. Which of the following is a primary goal of this steering committee?

A)Categorize interventions that nurses carry out.
B)Measure client outcome position.
C)Develop a mapping system to link various classification schemes.
D)Identify client care problems that nurses treat independently.

Question 20

The clinical data repository provides data definition consistency through which of the following?

A)Mapping
B)Interface engine
C)Point-to-point interface
D)Clinical data warehouse

Question 21

The use of HL7 standards in individual applications can improve the integration of applications with other applications or systems through the use of which of the following?

A)Digital imaging and communications in medicine (DICOM)
B)Interface engine
C)Radiology information system (RIS)
D)Current procedural terminology (CPT) codes

Question 22

Using what kind of strategy will permit data exchange within each hospital and across health care networks or enterprises?

A)Integration
B)Syntactic interoperability
C)Semantic interoperability
D)Using a clinical data repository

Question 23

What is a computer program that tells two different systems how to exchange data?

A)An interface
B)Request for proposal
C)Syntactic operability
D)HL7

Question 24

____________________ and Internet technology were seen as a means to provide access to data from disparate information systems.

Question 25

The lack of which of the following has long been a barrier to effective data reporting and analysis?

A)Knowledge
B)Interoperability
C)Resources
D)Information technology

Question 26

What uses archetypes (clinical models of content and process) as a means of exchanging clinical documents between systems?

A)Service oriented architecture
B)HL7
C)Open EHR
D)Semantic interoperability

Question 27

Nurses must be involved in identifying and defining data elements that an interface may be able to supply. One way to ensure participation is to recruit staff nurses to do which of the following?

A)Provide input during the interface design.
B)Be a member of the technology committee
C)Participate in the creation of a RFP.
D)Define language needed for interoperability.