Question 1

Which factors represent internal and external forces that require effective informatics governance? (Select all that apply.)

Accepted Answer

A)  Increasing demand for decision support and analytics 
B)  Greater expectations for information access and transparency 
C)  Clinician demand 
D)  Meaningful Use and healthcare reform 
E)  An increase in the use of internally produced, transaction-based applications to support back-office functions and the delivery of clinical care 
A)  Increasing demand for decision support and analytics 
B)  Greater expectations for information access and transparency 
C)  Clinician demand 
D)  Meaningful Use and healthcare reform 
E)  An increase in the use of internally produced, transaction-based applications to support back-office functions and the delivery of clinical care A, B, D

Question 2

What is the first factor in deciding on an optimal health IT governance for an institution?

Accepted Answer

A)  The EHR system in use 
B)  The organizational culture 
C)  The size of the IT budget 
D)  Whether the organization is a for-profit or non-profit entity 
A)  The EHR system in use 
B)  The organizational culture 
C)  The size of the IT budget 
D)  Whether the organization is a for-profit or non-profit entity B

Question 3

The trend in healthcare IT is shifting from what to what?

Accepted Answer

A)  Data warehouses developed by third-party vendors to infrastructure developed in-house 
B)  IT infrastructure being developed in-house to data warehouses developed by vendors and in-house resources 
C)  A wide array of decision support tools to more closely defined transaction-based applications 
D)  Litigation avoidance costs to operational productivity costs 
A)  Data warehouses developed by third-party vendors to infrastructure developed in-house 
B)  IT infrastructure being developed in-house to data warehouses developed by vendors and in-house resources 
C)  A wide array of decision support tools to more closely defined transaction-based applications 
D)  Litigation avoidance costs to operational productivity costs B

Question 4

Why is it difficult to establish effective health IT governance?

Accepted Answer

A)  Fundamentally, effective governance means that some stakeholders' informatics needs will need to be de-prioritized. 
B)  There is too much literature available on the topic, making it difficult to choose which approach to follow. 
C)  So few activities within a healthcare organization involve informatics. 
D)  No stakeholder wants to have a say in how informatics resources are leveraged. 
A)  Fundamentally, effective governance means that some stakeholders' informatics needs will need to be de-prioritized. 
B)  There is too much literature available on the topic, making it difficult to choose which approach to follow. 
C)  So few activities within a healthcare organization involve informatics. 
D)  No stakeholder wants to have a say in how informatics resources are leveraged.

Question 5

Why is health IT governance needed? (Select all that apply.)

Accepted Answer

A)  It ensures the alignment of informatics resources with institutional priorities. 
B)  It effectively prioritizes the use of informatics resources. 
C)  It optimizes the return on investment on informatics investments. 
D)  It encourages clinician involvement. 
E)  It can prevent malpractice litigation. 
A)  It ensures the alignment of informatics resources with institutional priorities. 
B)  It effectively prioritizes the use of informatics resources. 
C)  It optimizes the return on investment on informatics investments. 
D)  It encourages clinician involvement. 
E)  It can prevent malpractice litigation.

Question 6

The Informatics Capability Maturity Model:

Accepted Answer

A)  has been overtaken by a newer generation of assessment tools. 
B)  was developed by a partnership of the CDC and National Institutes of Health. 
C)  is a qualitative model that measures an organization's capabilities along five dimensions. 
D)  is intended to be administered by an outside, and thus neutral, agency. 
A)  has been overtaken by a newer generation of assessment tools. 
B)  was developed by a partnership of the CDC and National Institutes of Health. 
C)  is a qualitative model that measures an organization's capabilities along five dimensions. 
D)  is intended to be administered by an outside, and thus neutral, agency.

Question 7

Which groups are relevant stakeholders for health IT governance? (Select all that apply.)

Accepted Answer

A)  Specialists refining clinical processes 
B)  Institutions working on payment reform and personalized medicine 
C)  Health services researchers 
D)  Actual healthcare providers 
E)  Senior organizational leadership 
A)  Specialists refining clinical processes 
B)  Institutions working on payment reform and personalized medicine 
C)  Health services researchers 
D)  Actual healthcare providers 
E)  Senior organizational leadership

Question 8

Which activities represent dimensions of the National Health Service's Informatics Capability Maturity Model? (Select all that apply.)

Accepted Answer

A)  Clinical documentation 
B)  Managing information 
C)  Using business intelligence 
D)  Aligning business and informatics 
E)  Cost control 
A)  Clinical documentation 
B)  Managing information 
C)  Using business intelligence 
D)  Aligning business and informatics 
E)  Cost control

Question 9

Which components are necessary for effective health IT governance? (Select all that apply.)

Accepted Answer

A)  Organizational structures for assessing clinical processes 
B)  Organizational structures responsible for clearly defining institutional priorities 
C)  Organizational structures responsible for ensuring that informatics efforts are aligned with institutional priorities and optimally utilized 
D)  Accompanying processes to operationalize the governance 
E)  Proper procedures for punishing transgressions 
A)  Organizational structures for assessing clinical processes 
B)  Organizational structures responsible for clearly defining institutional priorities 
C)  Organizational structures responsible for ensuring that informatics efforts are aligned with institutional priorities and optimally utilized 
D)  Accompanying processes to operationalize the governance 
E)  Proper procedures for punishing transgressions

Question 10

According to the Informatics Capability Maturity Model, the degree to which IT is innovatively leveraged to enable leaner processes and seamless information flows represents which dimension?

Accepted Answer

A)  Managing information 
B)  Using business intelligence 
C)  Aligning business and informatics 
D)  Using information technology 
A)  Managing information 
B)  Using business intelligence 
C)  Aligning business and informatics 
D)  Using information technology

Exam 29: Health Information Technology Governance

Which factors represent internal and external forces that require effective informatics governance? (Select all that apply.)

What is the first factor in deciding on an optimal health IT governance for an institution?

The trend in healthcare IT is shifting from what to what?

Why is it difficult to establish effective health IT governance?

Why is health IT governance needed? (Select all that apply.)

The Informatics Capability Maturity Model:

Which groups are relevant stakeholders for health IT governance? (Select all that apply.)

Which activities represent dimensions of the National Health Service's Informatics Capability Maturity Model? (Select all that apply.)

Which components are necessary for effective health IT governance? (Select all that apply.)

According to the Informatics Capability Maturity Model, the degree to which IT is innovatively leveraged to enable leaner processes and seamless information flows represents which dimension?

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

Technical Infrastructure to Support Healthcare

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

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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