Question 1

Which functions are characteristic of a master person index? (Select all that apply.)

Accepted Answer

A)  Store the current and former names of a patient 
B)  Store the most recent vital sign information for each patient 
C)  Coordinate the various identifiers a patient uses, such as medical record number, insurance account number, and driver's license ID 
D)  Provide a unique identifier for each patient that is used by components of the EHR to positively identify the patient 
E)  Report potential drug interactions from new prescriptions to the medical facility and patient's pharmacy 
A)  Store the current and former names of a patient 
B)  Store the most recent vital sign information for each patient 
C)  Coordinate the various identifiers a patient uses, such as medical record number, insurance account number, and driver's license ID 
D)  Provide a unique identifier for each patient that is used by components of the EHR to positively identify the patient 
E)  Report potential drug interactions from new prescriptions to the medical facility and patient's pharmacy A, C, D

Question 2

You are leading an effort to implement a clinical decision support system. In order to improve the patient specificity of your CDS rules, you would:

Accepted Answer

A)  make sure that rules cannot be changed once they are implemented. 
B)  give the results of the rules directly to the patient. 
C)  store rules in a knowledge base and allow clinician experts to review and update the rules. 
D)  ensure that the rules were written in the most up-to-date programming language available. 
A)  make sure that rules cannot be changed once they are implemented. 
B)  give the results of the rules directly to the patient. 
C)  store rules in a knowledge base and allow clinician experts to review and update the rules. 
D)  ensure that the rules were written in the most up-to-date programming language available. C

Question 3

Which item is an example of information we might find in an EHR's clinical data repository?

Accepted Answer

A)  A physician's surgical schedule 
B)  The list of medications available in a hospital's formulary 
C)  The result of a patient's microbiology lab test 
D)  Monthly billing charges for the radiology department 
A)  A physician's surgical schedule 
B)  The list of medications available in a hospital's formulary 
C)  The result of a patient's microbiology lab test 
D)  Monthly billing charges for the radiology department C

Question 4

Which example best describes knowledge base content?

Accepted Answer

A)  Standard admission order sets based on presenting problems 
B)  Patient contact information 
C)  Organizational structure of a healthcare enterprise 
D)  The most recent lab results for current inpatients 
A)  Standard admission order sets based on presenting problems 
B)  Patient contact information 
C)  Organizational structure of a healthcare enterprise 
D)  The most recent lab results for current inpatients

Question 5

Which factor would strongly influence the reliability of an EHR's repository?

Accepted Answer

A)  The redundancy of storage hardware 
B)  Clinician training on EHR applications 
C)  The coding system used for laboratory results 
D)  The use of strong passwords 
A)  The redundancy of storage hardware 
B)  Clinician training on EHR applications 
C)  The coding system used for laboratory results 
D)  The use of strong passwords

Question 6

Which statement describes a repository with central storage of a longitudinal record?

Accepted Answer

A)  Patient data are from a single hospital's data for the most current encounters. 
B)  Data from multiple hospitals are kept compact and efficient by deleting "old" data. 
C)  Portions of a patient's lifetime medical record are stored in databases at the facility where the data were collected. 
D)  The information collected by the organization is stored in a single database no matter when or where the patient was seen. 
A)  Patient data are from a single hospital's data for the most current encounters. 
B)  Data from multiple hospitals are kept compact and efficient by deleting "old" data. 
C)  Portions of a patient's lifetime medical record are stored in databases at the facility where the data were collected. 
D)  The information collected by the organization is stored in a single database no matter when or where the patient was seen.

Question 7

A method for exchanging patient data among healthcare organizations that is endorsed by the federal government is:

Accepted Answer

A)  copying information to a secure USB drive and giving it to another organization. 
B)  providing EHR log-in accounts to providers outside the organization. 
C)  implementing a secure internet connection using components of the eHealth Exchange. 
D)  The federal government does not endorse sharing health information among organizations. 
A)  copying information to a secure USB drive and giving it to another organization. 
B)  providing EHR log-in accounts to providers outside the organization. 
C)  implementing a secure internet connection using components of the eHealth Exchange. 
D)  The federal government does not endorse sharing health information among organizations.

Question 8

Which is a significant challenge to technical infrastructures in healthcare environments?

Accepted Answer

A)  Implementing a data repository that will be able to handle unanticipated new information and advances in medicine 
B)  Arranging data entry components properly in a documentation application to improve data collection efficiency 
C)  Training clinicians to use EHRs effectively 
D)  Agreeing on policies for sharing information among healthcare organizations 
A)  Implementing a data repository that will be able to handle unanticipated new information and advances in medicine 
B)  Arranging data entry components properly in a documentation application to improve data collection efficiency 
C)  Training clinicians to use EHRs effectively 
D)  Agreeing on policies for sharing information among healthcare organizations

Question 9

Which examples describe how clinical applications are tied to other components in the EHR infrastructure? (Select all that apply.)

Accepted Answer

A)  Searching and extracting data from the repository for reporting purposes 
B)  Using the data dictionary to code assessment information with a documentation application 
C)  Utilizing clinical decision support system rules to assist with appropriate lab test ordering 
D)  Utilizing the master person index to document vital signs 
E)  Utilizing the financial system to determine patient insurance copays 
A)  Searching and extracting data from the repository for reporting purposes 
B)  Using the data dictionary to code assessment information with a documentation application 
C)  Utilizing clinical decision support system rules to assist with appropriate lab test ordering 
D)  Utilizing the master person index to document vital signs 
E)  Utilizing the financial system to determine patient insurance copays

Question 10

For healthcare infrastructures with many communicating systems, an interface engine is helpful because:

Accepted Answer

A)  it increases the administrative overhead with maintaining interfaces. 
B)  it decreases the number of interfaces that must be maintained and lessens complexity. 
C)  there is no other way to connect systems. 
D)  interface engines automatically update and rewrite the code built within legacy systems. 
A)  it increases the administrative overhead with maintaining interfaces. 
B)  it decreases the number of interfaces that must be maintained and lessens complexity. 
C)  there is no other way to connect systems. 
D)  interface engines automatically update and rewrite the code built within legacy systems.

Exam 5: Technical Infrastructure to Support Healthcare

Which functions are characteristic of a master person index? (Select all that apply.)

You are leading an effort to implement a clinical decision support system. In order to improve the patient specificity of your CDS rules, you would:

Which item is an example of information we might find in an EHR's clinical data repository?

Which example best describes knowledge base content?

Which factor would strongly influence the reliability of an EHR's repository?

Which statement describes a repository with central storage of a longitudinal record?

A method for exchanging patient data among healthcare organizations that is endorsed by the federal government is:

Which is a significant challenge to technical infrastructures in healthcare environments?

Which examples describe how clinical applications are tied to other components in the EHR infrastructure? (Select all that apply.)

For healthcare infrastructures with many communicating systems, an interface engine is helpful because:

An Introduction to Health Informatics

Theoretical Foundations of Health Informatics

Evidence-Based Practice, Practice-Based Evidence, and Informatics

Models, Theories, and Research for Program Evaluation

Electronic Health Records and Applications for Managing Patient Care

Administrative Applications Supporting Healthcare Delivery

Telehealth and Applications for Delivering Care at a Distance

Home Health and Related Community-Based Systems

Clinical Decision Support Systems in Healthcare

Public Health Informatics

The Evolving Epatient

Social Media Tools for Practice and Education

Personal Health Records PHRS

Mhealththe Intersection of Mobile Technology and Health

Identifying and Selecting an Information System Solution

Project Management Principles and Clinical Systems

Contract Negotiations and Software Licensing

Implementing and Upgrading an Information System Solution

Health Information Systems: Downtime and Disaster Recovery

Improving the User Experience for Health Information Technology Products

Informatics-Related Standards and Standards-Setting Organizations

Data Science and Analytics in Healthcare

Patient Safety and Quality Initiatives in Informatics

Legal Issues, Federal Regulations, and Accreditation

Privacy and Security

The Health Information Technology for Education and Clinical Health Hitech Act, Meaningful Use Mu, and Medicare Access & Chip Reauthorization Act of 2015 Macra

Health Policy and Health Informatics

Health Information Technology Governance

Informatics in the Curriculum for Healthcare Professionals

Distance Education: Applications, Techniques, and Issues

Informatics Tools for Educating Health Professionals

Simulation in Healthcare Education

International Informatics Efforts

The Evolution of Health Informatics

Future Directions and Future Research in Health Informatics

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