Deck 9: Health Information Systems: Collaboration, Analysis, Design, Implementation, and Operations

Question 1

All of the following statements are True regarding interviewing for systems development EXCEPT

A) The interview should be 60 minutes or less.
B) Interviews may contain a mixture of structured and unstructured questions.
C) All end-users of an information system must be interviewed.
D) The interview protocol should be field-tested.

Answer 1

All end-users of an information system must be interviewed.

Question 2

Which of the following tools could a HIM director use to distribute to a 460-member physician staff about their interest in natural language processing and computer-assisted coding?

A) Interviews
B) Case studies
C) Questionnaires
D) None of the above

Answer 2

Questionnaires

Question 3

The phenomenon of discontinuity of information systems being at different stages in the information life cycle causes stress on which of the following organizational resources:

A) Technical assistance.
B) Time.
C) Equipment.
D) All of the above.

Answer 3

All of the above.

Question 4

In a data flow diagram, an arrow is used to represent which of the following?

A) External entity
B) Data flow
C) Data store
D) Data process

Question 5

Criteria for evaluating vendor responses to RFPs should encompass each of the following considerations EXCEPT

A) RFP distribution considerations.
B) Hardware and software considerations.
C) Vendor considerations.
D) Economic considerations.

Question 6

Which of the following is an acronym for computer programs used to design, develop, and maintain information systems?

A) CASE
B) SDLC
C) GSLC
D) ISLC

Question 7

Which of the following is likely to contribute to information system obsolescence:

A) Increase in user expectations.
B) Advancement in technology.
C) Mechanical failure.
D) All of the above.

Question 8

It is the central repository for all the information in the health care organization's data base.

A) Master Patient Index
B) R-ADT
C) Number Bank
D) Data Dictionary

Question 9

All of the following support principles of good interface design EXCEPT

A) Systems response to user commands should be quick.
B) Screens should be layered or windowed.
C) Navigation tools should be provided.
D) Display screens should have limited blank space.

Question 10

GDSS software is frequently used to facilitate which of the following activities in systems development?

A) Interviews
B) Questionnaires
C) Observations
D) Joint application development

Question 11

In which of the following data dictionary notations would specifics such as data element length and type be located?

A) Label
B) Entry type
C) Description
D) Value/meaning

Question 12

All of the following would be considered an entry type in a data dictionary notation EXCEPT

A) Data flow.
B) Data process.
C) Data store.
D) Data element length.

Question 13

In a data dictionary notation for a data element, the "label" describes which of the following?

A) The project
B) The data name
C) The data entry type
D) The data value or meaning

Question 14

Which of the following best defines the data dictionary?

A) Central repository of information about all system data
B) Graphical representation of data flow
C) Transition tool to show change over time
D) Graphic representation of problem decomposition

Question 15

All of the following are part of the system development life cycle EXCEPT

A) Systems analysis.
B) Systems design.
C) Systems implementation.
D) Systems operation.

Question 16

In a data flow diagram, a closed rectangle is used to represent which of the following?

A) External entity
B) Data flow
C) Data store
D) Data process

Question 17

Which of the following is True regarding interview protocol questions?

A) Structured questions are difficult to ask.
B) Structured questions require less interviewing skill than do unstructured questions.
C) Structured questions should be avoided in an interview.
D) Structured question responses take more time to gather than responses to unstructured questions.

Question 18

The phases of development, growth maturity, and deterioration are generally considered the

A) Information systems life cycle.
B) System development life cycle.
C) General system life cycle.
D) Strategic Plan.

Question 19

Which of the following is a True statement about the systems analysis document?

A) Brings together results from various investigative strategies
B) Details the programming code for a new system
C) Details the logical design of a system
D) Details the physical design of a system

Question 20

Which of the following is an advantage of using unstructured questions in an interview?

A) Allows for probing
B) Takes little interview time
C) Provides a limited range of responses
D) Allows for easy analysis of responses

Question 21

Which of the following system startup approaches is most risky?

A) Gradual phase-in of each application in selected organization units
B) Gradual phase-in of all applications across the organization
C) Abrupt changeover from one system to another
D) Total phase-in of all applications in one unit at a time

Question 22

The Director of HIMS has calculated the break-even point for purchase of a new transcription system to be four years. Is this analysis correct?

A) Yes, because the break-even point does not consider the time it will take for a system to recover its investment costs fully.
B) Yes, because the break-even point calculates the difference between the current system costs and new system costs.
C) No, because the break-even point does not consider the time it will take for a system to recover its investment costs fully.
D) No, because the break-even point does not calculate the difference between current system and new system costs.

Question 23

Which of the following would be considered a leading or biased question?

A) How would you rate the effectiveness of your decision-support system: good, average, or poor?
B) Is it your opinion that all information systems should have a graphical user interface?
C) Do you have access to a laser printer?
D) How often does your information system go down?

Question 24

Which of the following statements is True about systems development?

A) Prototyping and the traditional systems development process should not be used together.
B) If given a choice, the traditional systems development life cycle should be chosen over prototyping.
C) Prototyping usually takes more time for product development than the traditional systems development life cycle.
D) Prototyping and the traditional systems life cycle development can be used together.

Question 25

Which of the following best describes cost-effectiveness evaluation?

A) Attempts to evaluate beneficial consequences in nonmonetary terms
B) Determines the costs to operate a current system
C) Assigns dollar values to the costs and benefits of a system
D) Determines whether a system will fully recover its costs

Question 26

Which of the following is an attribute for an MPI entry?

A) Patient number
B) Patient record
C) Admission dates
D) Both a and c

Question 27

Which of the following is True regarding the development of an RFP?

A) Unlike the systems development life cycle, a thorough systems analysis is not required.
B) The RFP process is the preferred method for development of an information system by in-house personnel.
C) Like the systems development life cycle, a thorough systems analysis is required.
D) Lie the systems development life cycle, detailed computer codes must be developed by the facility.

Question 28

Which of the following questions would be considered a double-barreled question in a survey document?

A) Are troubleshooting personnel courteous and knowledgeable?
B) Do you agree troubleshooting personnel are discourteous?
C) Do troubleshooting personnel respond in a timely manner?
D) Are troubleshooting personnel highly skilled?

Question 29

Using the information in the table below, when will payback occur? To justify the purchase of a new release of information tracking system, Health Information Management Services (HIMS) wants to calculate the new system's payback period. The cost to operate the current system is $25,000 per year. The proposed cost of the new system for the first year is $35,000 with continuing operation costs per year of $15,000. An increase of $10,000 per year in billing is anticipated with the new system because of the addition of a billing component to the release of information tracking functionality. Data are summarized in the following table:
$$\begin{array} { | l | c | c | c | c | } \hline & \text { Year 1 } & \text { Year 2 } & \text { Year 3 } & \text { Year 4 } \\\hline \text { Curent systern cost } & \$ 25,000 & \$ 25,000 & \$ 25,000 & \$ 25,000 \\\hline \text { New 5ystern cost } & \$ 35,000 & \$ 15,000 & \$ 15,000 & \$ 15,000 \\\hline \text { Yearly difference in cost } & - \$ 10,000 & + \$ 10,000 & + \$ 10,000 & + \$ 10,000 \\\hline \begin{array} { l } \text { Curmulative differences } \\\text { in costs }\end{array} & & & & \\\hline\end{array}$$

A) First year
B) Second year
C) Third year
D) Fourth year

Question 30

Each of the following is considered a CBA technique EXCEPT

A) Break-even analysis.
B) Payback.
C) Discounted payback period.
D) Benefits realization.

Question 31

Which of the following describes the process of installing and starting up a system in all organization units at the same time?

A) Gradual phase-in by unit
B) Gradual rollout by unit
C) Abrupt changeover
D) Gradual changeover

Question 32

Which of the following is one of the most underestimated tasks in the system implementation process?

A) User preparation
B) Site preparation
C) System testing
D) System conversion

Question 33

Which of the following most accurately describes break-even analysis?

A) Determines costs to operate the current system are comparable to those to operate a proposed system
B) Determines whether a new system will fully recover its investment costs before the end of its life cycle
C) Determines how much a system costs in relation to future dollars
D) Determines interest rates and return on investment

Question 34

In the logical description design, which of the following would be an output description?

A) Highlight drug contraindications in color on the terminal display.
B) Perform data consistency checks on an order entry system.
C) Automatically calculate IV fluid usage.
D) Update patient records in real time.

Question 35

All of the following are True about the RFP process EXCEPT

A) Because the RFP is so complete, vendor demonstrations and site visits are usually not necessary.
B) Because system evaluation is required, end-users should be included.
C) Because review of responses to RFPs can be time-consuming, RFPs are only sent to a few vendors.
D) Because the RFP may be used as part of the system contract, it should be complete and accurate.

Question 36

Which of the following for an EHR system would likely appear in the technical requirements section of an RFP?

A) Accept demographic data from the admission-discharge-registration system.
B) The system allows for user-defined product lines.
C) All drug orders are automatically screened for contraindications.
D) The system is menu-driven.

Question 37

One of the system characteristics required for Rocky Mountain's point-of-care system is "generate automatic drug overdue alert." How would this system characteristic be classified?

A) Input design
B) Output design
C) Processing design
D) File and database design

Question 38

Which of the following questions would be considered a structured question in an interview process?

A) Which of the following word processing software do you use?
B) What do you consider to be the most critical problems with your current system?
C) What features in a computer system are most important to support your daily work tasks?
D) What are your three or four most important tasks?

Question 39

Which of the following best describes an RFP?

A) A process that describes the systems development life cycle
B) A document that details required system functionality
C) A document developed by a vendor explaining the functionality of a vendor product
D) A process for customizing an information system

Question 40

Which of the following is the simplest CBA technique?

A) Break-even analysis
B) Payback period
C) Discounted payback period
D) Benefits analysis

Question 41

When a HIM director realizes there is a problem with attending physicians receiving their transcribed reports in the EHR for authentication, she decides to use tools to identify where the issue(s) is(are) occurring. The general term for these tools is(are) ___________________________ tools.

Question 42

Health Information Management Services has an automated release of information (ROI) system that was installed 4 years ago to assist staff in responding to requests for information. The system is updated regularly to accommodate user needs and changes in laws and regulations. Given this information, at what phase in the information system's life cycle is the ROI system?

A) Design phase
B) Implementation phase
C) Maintenance phase
D) Obsolescence phase

Question 43

A _______________manual lists, defines, and describes system features, while a _______________manual describes system features critical to specific users.

Question 44

Which is True of CASE products?

A) Increase productivity
B) Reduce costs
C) Standardize output
D) Both a and c

Question 45

ERDs should be developed whether the information system is to be developed in-house or purchased from a vendor. Do you agree?

A) Yes
B) No

Question 46

It is enough to have a clear understanding and commitment to the final outcome of an EHR project for it to be a success.

Question 47

Work teams established to perform specific tasks are known as environmental basics.

Question 48

When there is a steady stream of EHR processes in a health care organization, this is known as an EHR project.

Question 49

Each of the following is included in an ERD EXCEPT

A) Attributes.
B) Entities.
C) Processes.
D) Relationships.

Question 50

Which of the following provides a global view of the information and forms the basis for the physical design of the database?

A) RFPs
B) DFDs
C) ERDs
D) Data dictionary

Question 51

Full documentation of an information system requires completion of which of the following system design tools?

A) Data dictionary
B) DFDs
C) Hierarchy charts
D) All of the above

Question 52

These tools need to be updated on a regular basis to assure they meet the latest discoveries, medication interactions, and any quality-of-care issues. They are called
___________________________ tools.

Question 53

When upgrading an EHR system, physicians, nurses, social workers, and radiology technicians are all examples of potential stakeholders.

Question 54

A hierarchy chart is composed of which elements?

A) Attributes
B) Processes
C) Entities
D) Nodes

Question 55

Those individuals who have a strong interest in connecting medical devices to the organization's EHR system are called ___________________.

Question 56

A year ago, a skilled nursing facility purchased a computer system to process billing claims. Six months ago, the administrative office also acquired a computer system to support clerical functions. Two months ago, a system was purchased to assist with dietary planning. Last month, a consultant was hired to merge the systems. Referring to the information in the scenario above, which of the following technology management practices is likely at the current point in time for this organization?

A) Little control
B) Centralization of all resources
C) Centralization of technology standards
D) Integration of technologies

Question 57

There are many principles to consider when embarking on a major systems development project such as an EHR implementation. The chapter suggests at least eight such principles. Name at least three.

Question 58

In the absence of clear principles and policies concerning information management, staff will always work it out.

Question 59

When the HIM director and her management team are meeting to decide on the necessities of a new coding system for ICD-11, they are in the ____________________ phase.

Question 60

In an MPI, one physician may have several patient entries. What is the linkage in the database called between the physician and each of his or her patients?

A) System integration
B) System interface
C) Entity relationship
D) Data notation

Question 61

When the combined labor of users and Information Systems staff results in the successful implementation of an EHR system, most likely there was a strong collaboration during all phases of the project.

Question 62

An entity relationship is represented by a rectangle in an ERD.

Question 63

Collaboration in health care projects occurs only when there are formally established groups.

Question 64

Attributes describe both entities and relationships in a database.

Question 65

Over time, no one will know the EHR system better than its users - including the Information Systems department.

Question 66

A system hierarchy chart is used to illustrate the logical design of an information system database.

Question 67

When considering the physical design of a system, window interfaces can be used to provide views of the document.

Question 68

Icons have cross-cultural advantages over dialog and menu interfaces when considering systems design.

Question 69

When the Chief Financial Officer (CFO) of a health care organization continues to demand written, weekly detailed progress reports of an in-house EHR implementation, he is exhibiting the collaboration principle of trust.

Question 70

The electronic development of systems analysis aids can be facilitated by RFPs.

Question 71

Information technology people think in terms of business tasks; users think in terms of systems.

Question 72

Windows and icons are interfacing elements for data displays in an information system.