Question 1

What has recently been a complicating factor for implementing Meaningful Use criteria to certify EHRs?

Accepted Answer

A)  The 2015 change from ICD-9-CM to ICD-10-CM 
B)  The judicial overturning of parts of the Affordable Care Act 
C)  Slowing adoption of EHR systems by healthcare facilities after initial enthusiasm 
D)  The conversion to HIPAA standard 4010 
A)  The 2015 change from ICD-9-CM to ICD-10-CM 
B)  The judicial overturning of parts of the Affordable Care Act 
C)  Slowing adoption of EHR systems by healthcare facilities after initial enthusiasm 
D)  The conversion to HIPAA standard 4010 A

Question 2

Which activity or intervention should be avoided when implementing an EHR system?

Accepted Answer

A)  Public and unwavering support for the project by the organization's leadership 
B)  Building a large number of aliases for orders and alerts for select clinical scenarios 
C)  Input from representatives from different disciplines over the course of the project 
D)  Default clinical information and responses to order prompts on orders and fill in as much as possible on order sets 
A)  Public and unwavering support for the project by the organization's leadership 
B)  Building a large number of aliases for orders and alerts for select clinical scenarios 
C)  Input from representatives from different disciplines over the course of the project 
D)  Default clinical information and responses to order prompts on orders and fill in as much as possible on order sets B

Question 3

Which activity or intervention is the least helpful to the success of an EHR implementation?

Accepted Answer

A)  Schedule the go-live date for a Monday when everyone is fresh for the new workweek. 
B)  Anticipate user resistance and plan extensively for it. 
C)  Prepare for continual EHR maintenance and oversight. 
D)  Provide a hotline phone number for communication and troubleshooting. 
A)  Schedule the go-live date for a Monday when everyone is fresh for the new workweek. 
B)  Anticipate user resistance and plan extensively for it. 
C)  Prepare for continual EHR maintenance and oversight. 
D)  Provide a hotline phone number for communication and troubleshooting. A

Question 4

A large medical center that specializes in high-risk pregnancies is implementing an entire suite of clinical applications such as CPOE, barcode medication administration (BCMA), nursing documentation, data acquisition system to collect clinical data from cardiac and fetal monitors and ventilators, laboratory system, radiology system, PACS, and cardiology. It has a large, highly skilled, experienced IT team. The project team decided to go with a Big Bang go-live versus an incremental or phased approach. Which factor best supports this decision?

Accepted Answer

A)  The Big Bang approach decreases the possibility of errors. 
B)  The incremental approach is best for hospitals with large IT departments. 
C)  The Big Bang approach minimizes overall productivity loss. 
D)  The incremental approach normally has lower implementation costs. 
A)  The Big Bang approach decreases the possibility of errors. 
B)  The incremental approach is best for hospitals with large IT departments. 
C)  The Big Bang approach minimizes overall productivity loss. 
D)  The incremental approach normally has lower implementation costs.

Question 5

Which kinds of testing are crucial when implementing a new information system solution? (Select all that apply.)

Accepted Answer

A)  User testing 
B)  Hardware testing 
C)  Software testing 
D)  Functional testing 
E)  Stress testing 
A)  User testing 
B)  Hardware testing 
C)  Software testing 
D)  Functional testing 
E)  Stress testing

Question 6

An unintended consequence associated with the use of an electronic health system occurs when:

Accepted Answer

A)  a physician places a medication order with an inappropriate drug dose for a pediatric patient in a CPOE system. 
B)  a physician enters orders on a patient who was incorrectly selected from a drop-down list of the physician's personal patient list. 
C)  a nurse enters a telephone order from the attending physician into the electronic health system and fails to read back the order. 
D)  a nurse enters PRN pain medication orders on a patient and fails to record the indications for each pain medication. 
A)  a physician places a medication order with an inappropriate drug dose for a pediatric patient in a CPOE system. 
B)  a physician enters orders on a patient who was incorrectly selected from a drop-down list of the physician's personal patient list. 
C)  a nurse enters a telephone order from the attending physician into the electronic health system and fails to read back the order. 
D)  a nurse enters PRN pain medication orders on a patient and fails to record the indications for each pain medication.

Question 7

The first country to implement ICD-10 codes was:

Accepted Answer

A)  Denmark. 
B)  England. 
C)  Canada. 
D)  the United States. 
A)  Denmark. 
B)  England. 
C)  Canada. 
D)  the United States.

Question 8

Which factor commonly interferes with the goal of successfully completing an EHR implementation that is on time and within budget?

Accepted Answer

A)  Scope creep 
B)  Big Bang go-live 
C)  An integrated EHR system 
D)  Delayed transition to ICD-10 codes 
A)  Scope creep 
B)  Big Bang go-live 
C)  An integrated EHR system 
D)  Delayed transition to ICD-10 codes

Question 9

A system that incorporates evidence-based content and clinical decision support includes:

Accepted Answer

A)  building multiple aliases. 
B)  using Tall Man lettering for select medications. 
C)  enforcing the use of only CMS-approved abbreviations. 
D)  providing real-time updates to the order item master. 
A)  building multiple aliases. 
B)  using Tall Man lettering for select medications. 
C)  enforcing the use of only CMS-approved abbreviations. 
D)  providing real-time updates to the order item master.

Question 10

A large medical practice that specializes in cancer care is weighing the advantages and disadvantages of implementing the most recent version of a commercial EHR or building its own homegrown system for its office. The staff selects a commercial EHR from a major vendor. Which factor best supports this decision?

Accepted Answer

A)  A commercial product can be easily customized to accommodate the unique needs of the hospital. 
B)  A homegrown system cannot be certified by the Certification Commission for Healthcare Information Technology. 
C)  The commercial version is considered one of the "Best of Breed" products. 
D)  A homegrown system is typically interfaced with the organization's ADT system and downstream systems. 
A)  A commercial product can be easily customized to accommodate the unique needs of the hospital. 
B)  A homegrown system cannot be certified by the Certification Commission for Healthcare Information Technology. 
C)  The commercial version is considered one of the "Best of Breed" products. 
D)  A homegrown system is typically interfaced with the organization's ADT system and downstream systems.

Exam 19: Implementing and Upgrading an Information System Solution

What has recently been a complicating factor for implementing Meaningful Use criteria to certify EHRs?

Which activity or intervention should be avoided when implementing an EHR system?

Which activity or intervention is the least helpful to the success of an EHR implementation?

Which kinds of testing are crucial when implementing a new information system solution? (Select all that apply.)

An unintended consequence associated with the use of an electronic health system occurs when:

The first country to implement ICD-10 codes was:

Which factor commonly interferes with the goal of successfully completing an EHR implementation that is on time and within budget?

A system that incorporates evidence-based content and clinical decision support includes:

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

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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