Question 1
What is an example of “the study is authorized” step when developing business systems planning (BSP) that is normally taken by HMIS management? Answer
Senior management gives the directive to implement an e-prescribing system to replace the hospital’s manual system.
The first-level HMIS manager assigns the project manager, consultant, and an HMIS employee to the team.
The HMIS from the architecture are prioritized, with the capabilities of each HMIS documented.
Interviews are conducted with senior management to ensure that the architecture developed is correct and appropriate. • Moving to another question will save this response. Question 2
Healthcare senior management expect that those individuals who comprise the health management information systems (HMIS) team not only share in the vision of an organization, but also: Answer
develop goals that are separate from the main goals of the organization.
develop an infrastructure that works with the Internet Explorer (IE) browser.
develop achievable, measurable goals that are consistent with the strategy.
develop a vision and mission statement specific to HMIS. • Moving to another question will save this response. Question 3
Operational decisions: Answer
require information for these short-term decisions that is much more difficult to predict than for strategic decisions.
happen more frequently than strategic decisions.
are made by those at higher levels of the organization.
are not required for HMIS. • Moving to another question will save this response. Question 4
The planning, organizing, directing, and controlling (PODC) model is presented as an operationalized and rationally designed tool to assist in meeting: Answer
organizational goals.
operational platforms.
programming language.
operating systems. Question 5
An evolutionary approach of prototyping contains the following major concept: Answer
Applies focus to a healthcare organization’s vision and mission. If the goal(s) is attained, the mission has been accomplished.
Adds an electronic version of patients’ health records.
Merges prototyping techniques and produces an evolution of traditional and structured programming.
Holds an individual responsible for delivering a set of goals, objectives, and/or tactics. Question 6
The business information analysis and integration technique (BIAIT) addresses top management requirements by: Answer
using IT systems.
using “order-supplier” relations.
using a set of seven close-ended binary questions to generate a model that aids the analysts.
using software vendors
Question 7
The revolutionary approach of prototyping contains the following major concept: Answer
Applies programming tools and techniques in a new and revolutionary way; argues against traditional methodological mind-sets.
Applies focus to a healthcare organization’s vision and mission. If the goal(s) is attained, the mission has been accomplished.
Adds an electronic version of patients’ health records.
Holds an individual responsible for delivering a set of goals, objectives, and/or tactics. Question 8
The Waterfall model embodied the systems development life cycle (SDLC) concept, a highly regarded concept among healthcare services systems analysts as a way to provide much more control over SA and SD processes than was previously possible. Which of the following is not one of the six hierarchical steps? Answer
Feasibility study
Systems investigation
Systems analysis (SA)
Physiotherapy assessment Question 9
Which of the following may be considered the number-one priority when designing, implement, and evaluating HMIS? Answer
the “physical” aspect of programming
data analysis
high-quality data
database software Question 10
Which of the following is not a risk for accurate and repeatable entry and updates processes? Answer
updating the wrong record
incorrectly updating the correct record
updating the correct record correctly
not updating any record at all Question 11
How is business intelligence, a major component of data stewardship, defined? Answer
This component is concerned with providing current, accurate, and consistent information whenever and wherever the data are accessed.
This is the physical aspect of handling or managing data from the point the data are collected to the point the data are used and archived.
This component has to do with controlling access to the data to ensure that not only are data available and retrievable to those who are supposed to access the data but the release of data is also securely guarded from those who are not supposed to have access to the data.
This component has to do with utilizing the data to yield better, more complete, and more usable information. Question 12
Which of the following factors provide a primary challenge for accurate billing? Answer
the human factor
HMIS
incorrect invoices
inadequate software uploads Question 13
Organizational characteristics that can influence HMIS implementation success include which one of the following? Answer
hardware-software performance
organizational structure and power
systems interface characteristics
decision-making support provided to the user Question 14
Minor issues that do not warrant top management consideration can be delegated to middle managers, who can oversee these issues or control them with inputs from top management on an ad hoc basis during the actual implementation. In which of the following situations should top management get involved? Answer
When minor issues are truly major issues in disguise.
When minor issues stay minor issues.
When minor issues are resolved.
When major issues run out. Question 15
Program coding, or simply programming, refers to the: Answer
software that is installed in a CPU.
software that comes with an operation system.
process of writing instructions that the computer system can execute directly.
process of creating documents in a Microsoft Office software package. Question 16
Training modules focused on the systems, and not the operational, perspective is called? Answer
holistic training
out-sourced training
technical training
strategic program language training Question 17
In addition to examining various staffing issues at the system level, what strategy most helps ensure a smooth and timely HMIS implementation? Answer
turnkey systems
educational planning and training for specific levels of users
systems serviced by a single vendor
prepackaged systems Question 18
One of the reasons DICOM standards have been popularly accepted and adopted across a wide variety of clinical imaging contexts is that these standards specify a conformance statement that improves: Answer
short-term decisions that are much more difficult to predict than strategic decisions.
the communication of software specifications for imaging equipment.
those programmers at higher levels of the organization.
the hardware specification for mainframes. Question 19
Despite the overwhelming array of benefits presented by the gold standards of both MI and HMIS disciplines, their adoption has: Answer
been incorporated universally.
been rapidly endorsed.
been either too sluggish or not universal.
been implemented without problems. Question 20
The LOINC coding system representing healthcare concepts is described as: Answer
a detailed set of codes used to explain patient care and treatment information.
standard codes and classifications for identifying laboratory and clinical terms.
new diagnostic codes developed by the World Health Organization (WHO), not yet used in North America.
codes of nursing diagnoses. Question 21
Consumer control means that: Answer
consumers can refuse to sign an authorization form and still request the release of their records.
consumers have control over healthcare professionals.
consumers have a right to control the release of their information.
consumers are controlled and do not have rights pertaining to their health records. Question 22
The WHO categorizes the application of e-health into broad areas, one of which is knowledge services, which means: Answer
services that provide information to people via the Internet.
services that are comparable to tele-education in that they aim at conveying medical information, knowledge, and education to the healthcare professionals who are in training and practice.
services that focus on the utilization of e-health applications to deliver
services that provide codes to others. Question 23
Using the e-health strategic framework developed by the World Bank and the World Health Organization (WHO), telemedicine and e-health adoption: Answer
is happening in developed, developing, and underdeveloped countries.
has been proven impossible.
has not been attempted yet.
is only happening in developed countries. Question 24
E-health is considered to be a service with positive externalities that will bring values to the society. The positive externalities of e-health can be derived from two major sources: Answer
short-term and long-term decisions.
ICT and health care.
programmers at middle and higher levels of the organization.
frameworks and the adoption model.
4 points
Question 25
Legal barriers to e-health adoption are: Answer
due to the problems including infrastructure, standardization, compatibility, reliability, and capacity.
due to an overwhelming list of key issues that include confidentiality and security, patients’ right of access, data protection, and duty of care.
due to differences among nations around the world that make it almost impossible to ensure that a specific e-health application would be acceptable similarly across various societies and cultures.
due to the fact that some nations still find it difficult to acquire the necessary infrastructure and their citizens still lack basic necessities such as water, food, housing, and basic education.
Question 26
What are primary barriers for innovation diffusion in the healthcare sector wearable monitoring device technology? Answer
battery life; privacy and security; invisibility and social acceptance; usability; language barriers; fragmented data standards
technology barrier; business barriers
cost; infrastructure; wireless network; security; global standards; RF impact
requires an extensive understanding and reworking of the fundamental organizational service processes; interoperability; start-up costs; legal issues, economic interests; privacy standards; language barrier
Question 27
What are primary benefits of the clinical decision support systems? Answer
Increases the quality of patient care, improves a hospital’s overall operation, and reduces costs.
Provides just-in-time reminders to clinicians at the point of care, consistent with latest evidence-based medicine guidelines.
Assist with diagnosing a patient’s condition, drug dosage; procedures administering reminders to patients.
Digitize patient information for decision support.
Question 28
What are primary barriers for innovation diffusion in the healthcare sector semantic Web technology? Answer
battery life; privacy and security; invisibility and social acceptance; usability; language barriers; fragmented data standards
technology barrier; business barriers
cost; infrastructure; wireless network; security; global standards; RF impact
requires an extensive understanding and reworking of the fundamental organizational service processes; interoperability; start-up costs; legal issues, economic interests; privacy standards; language barrier
Question 29
What are primary barriers for innovation diffusion in the healthcare sector for e-health (telemedicine, tele-health) technology? Answer
battery life; privacy and security; invisibility and social acceptance; usability; language barriers; fragmented data standards
technology barrier; business barriers
cost; infrastructure; wireless network; security; global standards; RF impact
requires an extensive understanding and reworking of the fundamental organizational service processes; interoperability; start-up costs; legal issues, economic interests; privacy standards; language barrier Question 30
What are primary benefits of the wireless local area network (WLAN)-based mobile computing system and wearable monitoring devices? Answer
Increases the quality of patient care, improves a hospital’s overall operation, and reduces costs.
Provides just-in-time reminders to clinicians at the point of care, consistent with latest evidence-based medicine guidelines.
Assist with diagnosing a patient’s condition, drug dosage; procedures administering reminders to patients.
Digitize patient information for decision support.
