Question 1

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

Accepted Answer

A) True 
 B)False

Question 2

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?

Accepted Answer

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 3

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

Accepted Answer

A) True 
 B)False

Question 4

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:
$$\begin{array} { | l | c | c | c | c | } 
\hline & \text { Year 1 } & \text { Year 2 } & \text { Year 3 } & \text { Year 4 } \
\hline \text { Curent systern cost } & \$ 25,000 & \$ 25,000 & \$ 25,000 & \$ 25,000 \
\hline \text { New 5ystern cost } & \$ 35,000 & \$ 15,000 & \$ 15,000 & \$ 15,000 \
\hline \text { Yearly difference in cost } & - \$ 10,000 & + \$ 10,000 & + \$ 10,000 & + \$ 10,000 \
\hline \begin{array} { l } 
\text { Curmulative differences } \
\text { in costs }
\end{array} & & & & \
\hline
\end{array}$$

Accepted Answer

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

Question 5

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

Accepted Answer

A) True 
 B)False

Question 6

All of the following support principles of good interface design EXCEPT

Accepted Answer

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 7

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

Accepted Answer

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 8

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

Accepted Answer

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

Question 9

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

Accepted Answer

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

Question 10

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

Accepted Answer

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

Question 11

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.

Accepted Answer

The answer of There are many principles to consider when...

Question 12

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

Accepted Answer

A) True 
 B)False

Question 13

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

Accepted Answer

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 14

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

Accepted Answer

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 15

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

Accepted Answer

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

Question 16

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

Accepted Answer

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 17

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

Accepted Answer

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 18

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?

Accepted Answer

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

Question 19

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

Accepted Answer

A) True 
 B)False

Question 20

All of the following are True about the RFP process EXCEPT

Accepted Answer

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.

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

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

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?

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

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

All of the following support principles of good interface design EXCEPT

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

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

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

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

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.

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

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

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

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

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

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

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

All of the following are True about the RFP process EXCEPT