Question 1
2 out of 2 points
The overarching purpose of portfolio management is what?
Selected
Answer:
a.
Determining the best mix of resources for scheduling and
implementing numerous projects
Response
Feedback: Portfolio management involves overseeing numerous, often unrelated,
projects and programs. It involves trade-offs of “unlimited wants” and
“limited resources” and can best be described as determining how to
apply the resources one has in the most advantageous way, across
varied projects and programs.
Question 2
0 out of 2 points
Studying a project’s potential opportunities is part of what area of management?
Selected
Answer:
a.
Integration
Response
Feedback: Risk management deals not only with the threats a project faces, but
also with its opportunities. Scenarios that help or hinder a project must
be considered, and risks must be identified. Every opportunity also has
its commensurate risks and trade-offs, which are aspects of the project
that the risk manager analyzes.
Question 3
2 out of 2 points
Which activity or intervention is the least helpful to the success of an EHR
implementation?
Selected
Answer:
b.
Schedule the go-live date for a Monday when everyone is fresh for
the new workweek.
Response
Feedback: It is best to avoid Monday or Friday as the go-live date, because the
healthcare clinic may be at its busiest and vendor support personnel
may be less available.
Question 4
2 out of 2 points
Point-of-care decision support tools contained within a mobile device all rely on:
Selected
Answer:
c.
accurate algorithms and
protocols.
Response
Feedback: Point-of-care decision support tools can be used in a wide variety of
settings. Some may or may not need WiFi, or a real-time link. But all
will need to be programmed with accurate algorithms and protocols in
order to function effectively. User credentials is not a correct answer,
as many such tools are designed for use by end consumers and not
healthcare workers.
Question 5
2 out of 2 points
Who is most likely to seek health information from social network sites?
Selected
Answer:
c.
Those living with chronic
conditions
Response
Feedback: The text states that caregivers and those with chronic conditions are
the groups of people most likely to seek health information from
social network sites.
Question 6
2 out of 2 points
Which examples are natural disasters that could affect IT systems?
Selected
Answer:
c.
Flood, earthquake,
hurricane
Response
Feedback: Floods, earthquakes, and hurricanes are natural disasters. Bombs
and terrorist attacks are man-made disasters.
Question 7
2 out of 2 points
The emergence of social media such as Facebook, Twitter, and Instagram marked
the turn toward:
Selected
Answer:
c.
Health 2.0.
Response
Feedback: In the first days of the internet, ePatients could perform simple web
searches to learn medical information, a period known as Health 1.0.
When social media emerged, the new capabilities for interaction,
networking, and engagement among users marked the advent of
Health 2.0. The current stage of predictive content seems to be
marking yet another advance toward Web 3.0 and Health 3.0.
Question 8
2 out of 2 points
A nurse gives a patient the wrong drug. This is an example of an error of:
Selected
Answer:
b.
commission.
Response
Feedback: Doing the wrong thing would be considered an error of commission.
Forgetting to do something that is required for a patient would be
considered an error of omission. Condition and remission are not
considered error types.
Question 9
2 out of 2 points
Which specialized method is used in knowledge discovery and data mining?
Selected
Answer:
c.
Selection of the optimal subset of variables/features for use in
modeling
Response
Feedback: Knowledge discovery and data mining (KDDM) makes use of
specialized analytic methods, characteristically machine learning, to
identify patterns in a semi-automated fashion.
Question 10
2 out of 2 points
In a license agreement, the questions of who the users are, whether software can
be distributed, and the number of copies that can be run all fall under the category
of:
Selected
Answer:
b.
scope.
Response
Feedback: Scope is a wide umbrella term in license agreements. It can be
subdivided into “Who are the users?” “rights,” “restrictions and license
metrics” (in other words, whether or not the software can be
distributed), “number of copies,” and “environments and instances.”
Question 11
2 out of 2 points
A case manager wants to communicate with her clients on a regular basis by
sending short messages that encourage health promotion tips. The tool best suited
for this task is:
Selected
Answer:
a.
microblogging
.
Response
Feedback: Clients may benefit from short, directed messages; thus microblogging
(a form of short messages) is the most appropriate. The other choices
(Facebook, e-mail, and Second Life) are not appropriate for sending
short messages.
Question 12
2 out of 2 points
Which of the following is true?
Selected
Answer:
d.
Patent protection applies to inventions.
Response
Feedback: Copyright and patent are two different concepts. Copyright applies to
the authors of original works. Patent protects the invention of an
inventor.
Question 13
2 out of 2 points
Which statement is true of PHRs?
Selected
Answer:
d.
They have been used in paper form for many years, but electronic
versions offer new functionality.
Response
Feedback: PHRs have been used in paper form for many years, but electronic
versions offer new functionality.
Question 14
2 out of 2 points
An unintended consequence associated with the use of an electronic health system
occurs when:
Selected
Answer:
b.
a physician enters orders on a patient who was incorrectly selected
from a drop-down list of the physician’s personal patient list.
Response
Feedback: The physician entering orders on a patient who was incorrectly
selected from a drop-down list of the physician’s personal patient list
would be an example of an unintended consequence. The other
responses are examples of behaviors that are not unique to orders
placed in an EHR and can occur in a paper system as well.
Question 15
2 out of 2 points
The NIC system includes:
Selected
Answer:
d.
interventions for illness prevention.
Response
Feedback: The NIC system includes interventions for illness
prevention.
Question 16
2 out of 2 points
The culture of the patient-clinician partnership always includes:
Selected
Answer:
d.
ePatients and clinicians working in collaboration toward shared
goals.
Response
Feedback: The culture of the patient-clinician partnership always includes
ePatients and clinicians working in collaboration toward shared goals.
The Patient Protection and Affordable Care Act does not require
patient-clinician partnerships. Guided discovery may be used in a
patient-clinician partnership, but not always. Technology specialists
and social media activists are not part of the patient-clinician
partnership.
Question 17
2 out of 2 points
The maxim “Doctors know best”:
Selected
Answer:
a.
is the paradigm for a paternalistic care
model.
Response
Feedback: “Doctors know best” is the paradigm for the paternalistic care model.
Participatory medicine includes the patient as a partner in goal setting
and decision making. Integrated care has to do with interdisciplinary
care. Health 2.0, by its nature, assumes more of a patient-centered
and nonpaternalistic approach.
Question 18
2 out of 2 points
Which definition most accurately describes privacy?
Selected
Answer:
a.
The rights of individuals to control access to their person or
information about themselves
Response
Feedback: Privacy is the rights of individuals to control access to their person or
information about themselves. Security is defined as the means to
ensure health record privacy and confidentiality. Data integrity is
defined as the accuracy and completeness of health information. A
threat is an act that has the potential to cause harm to an informational
asset.
Question 19
2 out of 2 points
Which factor commonly interferes with the goal of successfully completing an EHR
implementation that is on time and within budget?
Selected
Answer:
b.
Scope creep
Response
Feedback: A Big Bang go-live, an integrated EHR system, and delayed transition
to ICD-10 codes do not impact the success of completing an EHR
implementation that is on time and within budget. The only factor that
impacts the success of completing an EHR implementation that is on
time and within budget is scope creep.
Question 20
2 out of 2 points
Which organization recognizes nursing terminologies as supporting nursing
practice?
Selected
Answer:
c.
American Nurses Association (ANA)
Response
Feedback: The organization that recognizes nursing terminologies as
supporting nursing practice is the American Nurses Association.
Question 21
2 out of 2 points
An organization implements a policy on installing software service packs on all its
computers. This is an example of which type of control?
Selected
Answer:
c.
Administrative
Response
Feedback: Administrative controls include establishing and adhering to security
policies and procedures as well as dedicating resources to security.
Implementing a policy on installing and updating service packs would
be an example of administrative controls. Physical controls are actual
physical methods to protect inappropriate access to PHI. Technical
controls are using technology to protect against inappropriate access
to PHI. Electronic controls is not an accurate term.
Question 22
2 out of 2 points
Your task is to study and examine precisely what the project you are involved with is
trying to accomplish, in order to set definable goals and boundaries. What aspect of
the project are you working on?
Selected
Answer:
d.
Scope management
Response
Feedback: Scope is the “area” that a given project entails. Defining scope means
defining the boundaries of what the project is meant to accomplish.
Scope management means overseeing a project to ensure that it
stays within its scope.
Question 23
2 out of 2 points
Which statement is true regarding the continuity of care record (CCR)?
Selected
Answer:
a.
By describing the exact format of the information to be exchanged, it
allows for syntactically interoperable records.
Response
Feedback: The continuity of care record is an extract of the health record that
prescribes the exact format of the information to be exchanged,
allowing for syntactically interoperable records.
Question 24
2 out of 2 points
In the most recent study by the IMS Institute for Healthcare Informatics,
approximately what percent of the healthcare apps tested included an ability to link
the mobile device to a sensor or other healthcare device?
Selected
Answer:
c.
10%
Response
Feedback: The IMS Institute for Healthcare Informatics study examined 26,864
healthcare apps for iOS and Android systems in 2015 and found that
about 10% included such capacity; most of the others only provided
information and little to no interactivity.
Question 25
2 out of 2 points
The Kaiser Permanente PHR mobile app lets users do all of the following EXCEPT:
Selected
Answer:
b.
participate in telemedicine.
Response
Feedback: KP’s mobile app allows users to refill prescriptions, schedule or cancel
an appointment, e-mail their physicians, and even access lab results.
However, the app does not yet allow for the actual performance of
telemedicine.
Question 26
2 out of 2 points
Which system is an example of a core clinical application?
Selected
Answer:
c.
Electronic health record
Response
Feedback: The electronic health record is a core clinical application because it is
used for every patient in every care situation. The scheduling system
and claim scrubbers are revenue cycle applications. The physiologic
monitoring system is an ancillary or specialty area system.
Question 27
2 out of 2 points
A unit has been experiencing a high rate of patient falls for the past 3 months.
According to Donabedian’s model, patient falls would be considered:
Selected
Answer:
d.
outcome.
Response
Feedback: The end results of the structures and processes are considered
outcomes. These may include clinical outcomes. The measurement of
patient falls is considered an outcome.
Question 28
2 out of 2 points
Which example constitutes an internal security event?
Selected
Answer:
c.
A system administrator installed a new server without any security
measures.
Response
Feedback: Internal events are those perpetrated (usually accidentally) by people
within an institution. A system administrator not taking proper security
measures would be an example of this. The remaining examples are
all external events.
Question 29
2 out of 2 points
Which is most available throughout Africa?
Selected
Answer:
d.
Mobile phone
service
Response
Feedback: Mobile phone coverage is very widespread throughout Africa, with
most countries at least 80% covered by phone service. In contrast,
other infrastructure such as electricity, clean water, and sewerage are
lagging behind. Mobile coverage’s reach helps explain why it has
become such a crucial technology for healthcare workers on the
continent.
Question 30
2 out of 2 points
The NANDA-I classification is a:
Selected
Answer:
a.
set of nursing diagnoses of actual problems, risks, and health
enhancement needs.
Response
Feedback: The NANDA-I classification is a set of nursing diagnoses of actual
problems, risks, and health enhancement needs.
Question 31
2 out of 2 points
A hospital has an integrated clinical decision support system embedded in the EHR.
According to Donabedian’s model, this would be considered:
Selected
Answer:
c.
structure.
Response
Feedback: The setting and its attributes (eg, the physical structure of buildings,
staffing rations, the equipment available within an organization, and
the budget to support care provision) are all part of structure. The EHR
with an embedded CDS system is part of the structure of an
organization.
Question 32
2 out of 2 points
Which is not a major driving force fueling the mHealth movement?
Selected
Answer:
b.
An aging society
Response
Feedback: mHealth’s expansion is being fueled by ever-improving tech
functionality, the consumer/patient engagement movement, and the
business side of cost savings and earning potential. An aging society,
while perhaps needing more healthcare, is not a major part of the
expansion.
Question 33
2 out of 2 points
Which organization works on an international level to improve information privacy?
Selected
Answer:
a.
Electronic Frontier Foundation
(EFF)
Response
Feedback: The Electronic Frontier Foundation (EFF) maintains a website listing
international privacy-related accords and agreements. The Health and
Human Services Office of Civil Rights, Health Information Security and
Privacy Collaboration (HISPC), and Department of Health and Human
Services (DHHS) are all examples of federal and/or state
organizations.
Question 34
2 out of 2 points
SERMO for MDs and ANA’s NurseSpace are two examples of what kind of social
media structure?
Selected
Answer:
a.
Provider-Provider
Response
Feedback: SERMO and NurseSpace exemplify social media resources meant to
connect providers with other providers in order to exchange
experiences and clinical information.
Question 35
2 out of 2 points
Healthcare providers should friend patients only if:
Selected
Answer:
c.
they understand their social media policy at work.
Response
Feedback: There is no law prohibiting friending patients. Professional guidelines
and social media policies should outline the instances when friending
is possible.
Question 36
2 out of 2 points
A quantified selfer is best described as one who:
Selected
Answer:
a.
tracks personal metrics.
Response
Feedback: A quantified selfer may or may not use the tactics of graphing data,
recording lab values, and using a sleep diary; however, all of these fall
under the umbrella of tracking personal metrics, which best describes
what it means to be a quantified selfer.
Question 37
2 out of 2 points
A health analytics professional must be skilled in all of the following except:
Selected
Answer:
c.
management and economics.
Response
Feedback: A health analytics professional must have wide skills, from knowledge
of healthcare operations, to understanding computer hacking and
programming enough to be able to manipulate data, to understanding
mathematics and statistics. He or she, however, does not generally
need management or economics training.
Question 38
2 out of 2 points
When negotiating an agreement between a vendor and the HCO, which entity
should write the second draft of the agreement? Which should write the third?
Selected
Answer:
b.
Vendor; HCO
Response
Feedback: The vendor agreement’s first draft is generally created by the vendor.
By having the vendor also create the second draft, the HCO allows the
agreement to move closer to the HCO’s positions and desires before
the HCO starts putting its own language in. Generally the HCO should
write the third draft, as draft-writing is a mutual process with shared
control.
Question 39
2 out of 2 points
Which of these best describes an example of usability?
Selected
Answer:
d.
A researcher is conducting a study of how nurses interact with
electronic documentation to organize care handoffs.
Response
Feedback: An example of usability would be when a researcher is conducting a
study of how nurses interact with electronic documentation to organize
care handoffs. The other items describe ergonomics, non-HIT
workflow, and education/training.
Question 40
0 out of 2 points
Which of the following is true of project process groups?
Selected
Answer:
b.
Defining a project through planning is key, and initiating activities
usually take the most time.
Response
Feedback
:
The chapter lists four basic activities in a project—initiating, planning,
execution, and closing. Initiation is the most important, yet it is often
the least valued. Planning is where projects are formally defined but
are often rushed for “quicker, better, faster.” Execution activities
typically take the most time and resources. And closing activities are
key in order to draw a line and effectively end the project and transition
to maintenance/operational phases.
Question 41
2 out of 2 points
When evaluating quality and patient safety, which approach defines the framework
for Patient Safety and Quality Research Design (PSQRD)?
Selected
Answer:
d.
Quality and safety are based on organizational structure, management
and clinical processes, and their linkages to patient outcomes.
Response
Feedback: According to Donabedian, quality is based on organizational structure,
processes, and their linkages to patient outcomes. Consideration of
current managerial processes in place has a latent effect on patient
outcomes. The framework for PSQRD builds upon Donabedian’s
structure-process-outcome model to support evaluation of an
intervention from the preimplementation testing phase through
implementation and evaluation. In the case of a health information
technology (IT) intervention, the expanded framework supports
understanding where the health IT intervention is most likely to have
an effect, within the organizational causal chain of quality and safety
events. The PSQRD framework provides a means to categorize
interventions according to areas of the causal chain targeted.
Question 42
2 out of 2 points
At which stage of defining requirements are tools for analyzing strengths,
weaknesses, opportunities, and threats useful?
Selected
Answer:
c.
Interview and observe staff
Response
Feedback: The SWOT analysis is useful when preparing to interview current staff
and stakeholders, to help learn what questions to ask in order to get
the clearest picture of the current systems in place and the needs for
the future.
Question 43
2 out of 2 points
If the planned single system downtime is less than 1 hour in the middle of a Sunday
night, which downtime level should be assigned?
Selected
Answer:
c.
Level 1
Response
Feedback: A single system planned downtime at the least busy clinical time
creates the lowest level of downtime risk, or level 1. Levels 2, 3, and
4 are all higher risk in this scenario.
Question 44
2 out of 2 points
A system that incorporates evidence-based content and clinical decision support
includes:
Selected
Answer:
a.
using Tall Man lettering for select medications.
Response
Feedback: Using Tall Man lettering for select medication is the only example of
clinical decision support. Building multiple aliases, enforcing CMS-
approved abbreviations, and providing real-time updates to the order
item master are examples of building specific safety protocols into the
EHR system.
Question 45
2 out of 2 points
You are part of a knowledge management team that is interested in improving the
user experience for your organization. The team members know you have taken a
course in informatics and ask your advice about how to get started with usability in
the organization. You recommend:
Selected
Answer:
b.
examining the support call lists and system change requests.
Response
Feedback: The first step is to understand the key users’ issues, and support call
lists and change requests would give that information.
Question 46
Needs Grading
3. Discuss reasons why clinicians may be reluctant to change their current practice to
accommodate the principles of participatory medicine.
Selected
Answer: According to Okun and Caligtan, participatory medicine as defined by the
Society for Participatory Medicine, “a cooperative model of healthcare that
encourages and expects active involvement by all connected parties, including
patients, caregivers, and healthcare professionals, as integral to the full
continuum of care. The “participatory” concept may also be applied to fitness,
nutrition, mental health, end-of-life care, and all issues broadly related to an
individual's health (2018). This model promotes patient’s autonomy for being the
driver of their healthcare instead of just being passengers, which, ultimately
improves patient’s outcome and satisfaction. However, this goal requires the
epatient, health professionals, and informatics system aligns accordingly (Okun
and Caligtan, 2018, p. 210). Might not be a lot, but for some healthcare
professional, this might be challenging in allocating time and resources to fully
engaged prepared epatients (Okun & Caligtan, 2018, p. 210). Proper allocation of
available resources are important in making sure a high quality of care is being
provided.
It is imperative that patients are being encouraged to make their own decision
and also are capable of controlling their own health. However, some of the
challenges that doctors might face are not having appropriate communication
tools and equipment to elicit patient’s preference, giving patient’s information,
and presenting risk and complications (Say & Thomson, 2003). These are just
some examples of why clinicians might be hesitant to accommodate the
principles of participatory medicine. With enough time and resources, this model
will certainly help improve patient care nationwide by allowing epatients involve
in the care.
References
Okun, S. & Caligtan, C. A. (2018). The engaged epatient. In R. Nelson & N.
Staggers (Eds.), Health informatics: An interprofessional approach (2nd
ed., pp. 204-218).St. Louis, MO: Elsevier.
Say, R. E., & Thomson, R. (2003). The importance of patient preferences in
treatment decisions--challenges for doctors. BMJ (Clinical research
ed.), 327(7414), 542–545. https://doi.org/10.1136/bmj.327.7414.542
Response
Feedback
:
[None Given]
Sunday, February 16, 2020 1:16:51 PM EST
