Deck 15: Interoperability at the National

Question 1

When describing foundational interoperability to a group of nurses, what information would the nursing informatics specialist include?

A) Automatic interpretation of messages exchanged
B) Action by computer without human intervention
C) Coordination of workflow management
D) Information transmission and reception for use

Answer 1

Information transmission and reception for use

Question 2

When describing interoperability, which organization would being responsible for setting interoperability standards in health?

A) International Organization for Standardization (ISO)
B) International Electrotechnical Commission (IEC)
C) American National Standards Institute (ANSI)
D) American Society for Testing and Materials (ASTM)

Answer 2

International Organization for Standardization (ISO)

Question 3

The Health Level Seven International (HL7) maintains the framework and standards for which aspect of health information? Select all that apply

A) Exchange
B) Transfer
C) Integration
D) Management
E) Sharing

Answer 3

Exchange
Integration
Sharing

Question 4

A nurse reviewing statistics on global morbidity and mortality rates understands that this information is based on:

A) ICD-9 codes.
B) ICD-10 codes.
C) ICD-11 codes.
D) ICD-12 codes.

Question 5

A nurse is reading a journal article about the International Classification of Functioning, Disability, and Health. Which aspect would the nurse expect to find as the primary emphasis?

A) Disease
B) Body structure
C) Activities
D) Function

Question 6

Which organization would be most involved with setting standards for interoperability of the electronic health record?

A) Digital Imaging and Communications in Medicine
B) Comité Européen de Normalisation
C) Health Level Seven
D) International Health Terminology Standards Development Organization

Question 7

A nurse is working at a facility as part of a group involved with billing. Which data would the group most likely use to categorize clients for a system of prospective payment?

A) ICD codes with clinical modifications (ICD-CM)
B) Diagnosis-related groups (DRGs)
C) Healthcare Common Procedure Coding System
D) Alternative Billing Code Set

Question 8

Which organization is working to facilitate the adoption of health information technology?

A) Nationwide Health Information Network
B) State Health Policy Consortium
C) Office of the National Coordinator for Health Information Technology
D) American Society for Testing and Materials

Question 9

A nursing informatics specialist is conducting a seminar about electronic health records and the importance of interoperability. As part of the seminar, the nurse is describing the mission of the Nationwide Health Information Network. Which description would the nurse specialist include?

A) A group of interworking networks to support health information exchange
B) An organization that recommends the use of ICD-10 for mortality and morbidity statistics
C) An agency whose purpose is to expedite standardization for international commerce
D) An organization that sets standards for functional and semantic interoperability for electronic healthcare data

Question 10

A client had a magnetic resonance imaging test completed while vacationing in Europe. The client's physician in Chicago is able to view the test results through standards developed by which organization?

A) Comité Européen de Normalisation
B) Digital Imaging and Communications in Medicine
C) International Health Terminology Standards Development Organisation
D) Outcome and Assessment Information Set

Question 11

A nurse is reading an online article about the unified medical language system (UMLS). After reading the article, the nurse would identify this system as:

A) A method for standardizing data entry.
B) Data standards on disease classifications.
C) A method designed to match concepts from different terminologies.
D) Support for integrated surveillance systems for information transfer.

Question 12

An informatics nurse specialist is describing the different types of interoperability to a group of staff nurses whose agency has just adopted health information technology. Which term would the nurse specialist use to explain structural interoperability?

A) Automatic interpretation
B) Information transmission
C) Workflow management
D) Algorithm interaction

Question 13

After an in-service program conducted by an informatics nurse specialist about electronic health records, interoperability, and standards, a participant asks, "Why is all this important to us as nurses?" Which response by the nurse specialist would be most appropriate?

A) "You need an understanding of the history behind what is happening now."
B) "Nursing is affected by the decisions made for recording healthcare data."
C) "You will most likely be involved with one of the agencies at some time in your career."
D) "This information is likely to impact the view of nursing as a profession."

Question 14

A nurse is reviewing the information used with International Classification of Functioning, Disability, and Health (ICF). Which method would be used to organize the codes? Select all that apply.

A) Diagnosis
B) Body structure
C) Activities of daily living
D) Injuries
E) Participation in life situations

Question 15

A nurse working in a primary care setting is involved with the billing of healthcare services. With which would the nurse most likely be involved? Select all that apply.

A) ICD codes with clinical modifications (ICD-CM)
B) Digital Imaging and Communications in Medicine
C) Outcome and Assessment Information Set (OASIS)
D) Health Level Seven
E) Diagnosis-related groups (DRGs)

Question 16

When standards are developed by organizations and agencies, which step would they perform first?

A) Operationally state what the standard will achieve
B) Identify the need for a standard
C) Define the specifications to be tested
D) Submit a proposal for public comment

Question 17

A nurse is using an electronic health record in which the pharmacy is able to exchange data with the laboratory and several healthcare providers. The nurse identifies this as:

A) Semantic interoperability.
B) Standard.
C) Algorithm.
D) Structural interoperability.

Question 18

A nurse working in a physician's office is participating in the Health IT Adoption Survey. The nurse understands which information about this survey? Select all that apply.

A) The survey is conducted quarterly.
B) It is designed to monitor electronic health record (her) use.
C) It helps evaluate outcomes of health information exchange (HIE) efforts.
D) It creates standards for securing HIE.
E) It provides a basis for creating curricula for healthcare workers.

Question 19

A nurse is involved with developing standards. As part of the process, the standard is open for public comment. Results indicate a problem. Which step would be performed next?

A) Refine the standard.
B) Subject the standard to testing.
C) Identify the need.
D) Review what the standard is to accomplish.

Question 20

A nurse is involved with the billing process for the primary care setting where he or she works. The nurse identifies which data set as the one commonly referred to as the daily rate guide?

A) Healthcare Common Procedure Coding Systems
B) International Classification of Disease-Clinical Modification (ICD-CM)
C) Medicare Severity Diagnosis-Related Groups
D) Outcome and Assessment Information Set (OASIS)

Question 21

A nurse is working with the billing department of the office. The office uses the healthcare common procedure coding system. Based on the nurses understanding of this system, which service would be coded as Level II? Select all that apply.

A) Walker
B) Lower leg prosthesis
C) Surgery
D) Orthotics
E) Oxygen therapy