HIM 303.

Likely

1. The .......... phase of a BHR project is focused on supporting the transition from the current state
patient record system to EHR system utilization.

A. installation

B. implementation

C. execution

D. initiation

2. CDSS can be categorized along five axes. Which of the following is NOT an axis?

A. Neural Axis

B. Content Axis

C. Knowledge Axis

D. Decision support axis

3. A... includes data modelling, data maintenance, controlled vocabulary, coding system, usage
and knowledge presentation.

A. data transformation

B. data clearing

C. data management

D. data maintenance

4. A(n)... refers to the ability of a software program to accept, send, or communicate data from its
database to other software programs from multiple vendors?

A. interoperatability

B. interprobability
C. interoperability

D. operational continuity

5. A ... correlates data about patient traits with a trustworthy knowledge base to guide a clinician
with patient-specific advice, assessments and recommendations.

A. СРОЕ

B) CDSS

C. CR/RR

D. Clinical Messaging System

6. Within six months of acquiring an BHIR, we will achieve 90% compliance with cervical cancer
screening guidelines through a patient specific reminder. This goal

is/are ..

I. Specific

I. Measurable

III. Achievable

IV. Precise

A I, II and III

B. I, IlI and IV

C. I, II, IlI and IV

D. Il and IV

7. Which of the following are benefits obtained from an EHR utilizations?

I. reduction of transcription cost

Il. increase in hospital attendance and bed user utilizations

IlI. reduction in pharmacy call backs

IV. elimination of paper charts

A. I, II and Ill

B I, III and IV

C. I, Il and IV

D. II and IV only

8. Which of the following describes factors of the twenty-first century that influenced the transition
to healthcare systems integration?

I. cancellation of surgery.

II. demand for immediate availability of information

IlI. highly mobile society

IV. increased instant communication between departments

A. I, II and III

B. I, IlI and IV

C. I, II and IV

D) Il and IV

9. A data repository will include all the following EXCEPT...

A. patient identifiers.

(B) clinical workflow tools.

C. problem lists.

D. order sets.

10. Healthcare systems should NOT promote all clinicians' actions within the healthcare fraternity.

A. True

B. False

11. In healthcare systems implementations, the Steering Committee determines the clinical,
financial, technological, and operational factors for preparing end user

EHR trainings and system migration.

A True

B. False

12. What is the difference between an electronic medical record and a computerized health patient
record?

A. An electronic medical record does not necessarily contain a patient's lifetime record and does
not include dental, behavioural, or alternative care.

B. There is no difference.

C. A computerized patient record does not necessarily contain a patient's lifetime record and does
not include dental behavioural, or alternative care.

D. A computerized patient record contains patient data on allergies and drug interactions; an
electronic patient record does not.

13. Which of the following could have been a reason for the lack of HR implementation

in the 1990s?

A. Doctors perceived EHRs were difficult to operate,

B. Programs offered different features therefore data exchange was difficult.

C. Unknown cost and return on investment.

D All of these

14. Which of the following describes factors of the twenty-first century that influenced

the transition to healthcare systems integration?

I. Cancellation of surgery.

II. Demand for immediate availability of information

III. Highly mobile society

IV. Increased instant communication between departments

A. I. Il and III
B. III and IV
C. I. II and IV
D. Il and IV

15. A CPOE helps to avoid handwriting errors and enhances patient safety by allowing providers
to enter orders directly into a computer system.

A. True

B. False

16. Knowledge Based Systems contains………. while Non-Knowledge Systems rely on……….to
make informed clinical decisions

A. Expert clinical knowledge, Past experience

B. Past Experience, Expert clinical knowledge

C. Inference Engine, Expert Clinical knowledge

D. Expert Clinical Knowledge, Inference Engine'

Recent studies suggest that there are some CDSS features crucial to the success of these systems.
Indicate whether these features are true or false to the success of CDSS.

17. CDSS should provide decision support automatically as part of clinicians' workflow.

A. True

B. False

18. CDS Systems should state a patient assessment rather than just providing a recommendation.

A. True

B. False

19. It should promote clinicians' action rather than inaction.

A. True

B. False

20. Which of the following is not a factor to consider when calculating Return On Investment (ROl)
for an electronic healthcare systems project?

A. Initial cost of the electronic healthcare systems

B. Annual maintenance and support fees

C. Expected revenue from increased patent volume and billing

D. Cost of implementing new hospital policies

21. How can Return On investment (ROT) be improved in electronic healthcare system's selection
and implementation"

A Choosing an electronic healthcare system with the lowest upfront cost

B. Minimizing staff training and education

C. Ensuring that the electronic healthcare system has features that will increase efficiency and
productivity

D. Implementing the electronic healthcare system as quickly as possible to reduce downtime

22. What is the formula for calculating the Return On Investment (ROL)?

A. (Gain from investment - Cost of investment) / Cost of investment

B. (Cost of investment -Gain from investment) / Cost of investment

C. (Gain from investment + Cost of investment) / Cost of investment

D. (Cost of investment - Gain from investment) * Cost of investment

23. When calculating Rerum On Investment (ROT) for an electronic healthcare systems project,
which of the following is an example of a cost that should be included?

A. revenue from increased patient volume

B, increased staff efficiency and productivity

C. annual maintenance and support fees

D. improved patient outcomes

24. Which of the following is not a common challenge in electronic healthcare system

selection and implementation!

A. difficulty in selecting the right vendor

B. resistance from staff to adopt new technology

C. lack of funding for the project

D. lack of available of electronic healthcare systems on the market

25. What is the most important factor to consider when selecting an electronic healthcare system?

A. upfront cost of the system

B. system's ability to meet the hospital's needs

C. availability of technical support

D. system's compatibility with existing hospital technology

26. Which of the following is not a potential benefit of a well-implemented electronic healthcare
system?

A. reduced medical errors a

B. improved coordination of car

C. reduced staff efficiency and productivity

D. increased revenue from improved billing and coding

27. What is a key benefit of conducting a gap analysis during the strategic planning process for
EHR migration?

A. Identifying areas where the organization’s current electronic healthcare system meets or
exceeds requirements

B. highlighting the strengths of the organization's current electronic healthcare systems

C. identifying areas where the organization’s current electronic healthcare system is short of
requirements

D evaluating the effectiveness of the organization's current electronic healthcare

System

28. Which of the following is a benefit of conducting a risk assessment during the strategic
planning process for electronic healthcare system's migration?
A. identifying potential issues that could arise during the electronic healthcare system migration
project

B. highlighting the strengths of the organization's current electronic healthcare system

C. providing an opportunity to evaluate the effectiveness of the organization's current electronic

healthcare system

D identifying areas where the organization's current electronic healthcare systems met or exceeds
requirements

29. What is an important factor in ensuring the sustainability of electronic healthcare systems after
migration?

A. continuous monitoring and evaluation of the electronic healthcare system.

B. conducting a gap analysis after the electronic healthcare system migration project is completed

C. minimizing stakeholder involvement atter the electronic healthcare systems migration project
is completed

D. choosing an electronic healthcare systems vendor with the lowest cost

30. What is the purpose of risk assessment in electronic healthcare systems project

management?

A) to identify potential risks and develop strategies to mitigate them

B) to estimate the total cost of the project

C) to identify end-users and their roles in the project

D) to develop a timeline for implementation

31. Who should be involved in the planning and implementation of an electronic healthcare
systems project?
A) Only Information Technology staff

B) Only clinical staff

C) Both Information Technology and clinical staff

32. What is the purpose of end-user training in electronic healthcare management

A. to ensure that end users are familiar with system

33. What is the most important considerations when developing a healthcare system
implementation

A. Meeting regulatory requirements

34. Which of the following is a critical factor in electronic health care management

C. Involving article there's in a planning and implementation

35. What is the purpose of projects management in electronic health care system management

A. To identify and address issues as they arise

36. What is the purpose of project evaluation in electronic health care management

A. To determine if the projector successful and if the goals...

73. What is strategic planning in the context of electronic health care system implementation

D. planning for the long -term sustainability and growth of the system

38. Which of the following is a potential barrier to the electronic healthcare system implementation

C. Resistance to change from staff

39. Results management is the

A 21° core function

B. 1 core function

C. 6th core function

D. 8th core function

40. The process by which the electronic health record (BHR) as a business record of the institution
is allowed into court can be termed as .... ……..The record custodian must testify that the record
was compiled in the normal course of business.

A. legality of EHR

B. signature issues of EHR

C. retention and durability of EHR admissibility of EHR

41. The ensures that electronic data follow required retention schedules and can be retrieved from
electronic media on which they are stored.

A. legality of records issues

B. signature issues of EHR retention and durability of EHR

D. controlled substance prescription

42. A set of commonly agreed-on specifications is known as

A. Acute Care

B. Evidence-based medicine

C. Standards

D. Continuity of care

43. A computerized, record of one physicians’ encounter with a patient over time, including
medical history, diagnosis, treatment, and prognosis is called.

A. Electronic Medical Record (EMR)

B. Personal Health Record (PHIR)

C. Electronic Health Record (EHR)

D. Computerized physician/provider order entry (CPO) systems

44. The delivery of appropriate and consistent care to an individual over the course of lime can be
referred to as

A. Continuity of care

B. Standards

C. Evidence based medicine

D. Acute Care

45. A/an…………… is the treatment provided in an inpatient setting, such as hospital, for urgent
problems that cannot be handled in another setting

A. Acute Care

B. Evidence-based medicine

C. Standards

D. Continuity of care

46. A comprehensive record of health information that is created and maintained by an individual
over time is called

A. Electronic Medical Record (EMR)

B) Personal Health Record (PHR)

C. Electronic Health Record (EHR)

D. Computerized physician/provider order entry (CPOE) systems

47. A/an………….is a computer-based communication system that allows

prescriptions to be transmitted electronically from physician to pharmacist.

A. Electronic Prescribing

B. Personal Health Record (PHR)

C. Evidence-based medicine

D. Computerized physician/provider order entry (CPOE) systems

48. A computerized lifelong health care record for an individual that incorporates data from all
sources is referred to as

A. Electronic Medical Record (EMR)

B. Personal Health Record (PHR)

C. Electronic Health Record (EHR)

D. Computerized physician/provider order entry (CPOE) systems

49. Medical care that is based on the latest and most accurate clinical decisions about the care of
patients is called

A Acute Care

B Evidence based medicine

C. Standard

D Continuity of care

50. Systems in which clinicians enter documentation of clinical findings and service provided as
they are taking care of patients is known as

A. Aggregate data

B. Care management
C Clinical documentation systems

D. Clinical messaging

51. Function of electronically delivering data and automating the work flow around the
management of clinical data is referred to as

A. Aggregated data

B. Case management

C. Clinical documentation systems

D. Clinical messaging

52. A/an………. can be referred to as data from a population that are combined to form
deidentified information that can be compared and analysed.

A. Aggregate data

B. Case management

C. Clinical documentation systems

D. Clinical messaging

53. The ongoing concurrent review performed by clinical professionals to ensure the necessity and
effectiveness of the clinical services being provided to a patient is referred to as what?

A. Aggregated data

B. GAS Case management

C. Clinical documentation systems

D. Clinical messaging

54. Retention and durability, storage, signature issues, accuracy of entries, and transmission
integrity are concerns relating to
A Metadata of EHR

B. Storage of EHR

Legality of EHR

D. EHR as Evidence

55. What are being provided to organizations that already have HR to improve it?

A. Encryption and Nonrepudiation

B. Audit Controls

C. Retention and Durability

D. Beacon grants

56. What can be added to create a digital signature?

A Encryption and Nonrepudiation

B. Audit Controls

C. Retention and Durability

D. Beacon grants

57. Man includes data and time stamps, practice guidelines, clinical decision support, retention
policies, and layers of BA All the information that surrounds the medical record. This information
can bs used court but the institution can set guidelines as to what is included in the legal resold

A. Metadata of EMB

B. Storage oF EMIR

C. Legality of EHR

D. EHR as Evidence
58. A/an ……………….. needs to be admissible to court when electronically.

A. Metadata of EHR

B. Storage of LEHR

C. Legality of EHR

D EHR as Evidence

59. What ensures that electronic data follow required retention schedules retrieved form the
electronic media on which they are stored?

A. Encryption and Nonrepudiation

B. Audit Controls

C Retention and Durability

D. Beacon grants

60. The exchange of information in electronic media that may sit the extranet that is accessible
only to collaborating parties, leased lines private networks, and the physical movement of
removable/transportable electronic storage media is known as what?

A. Encryption and Nonrepudiation

B. Audit Controls

C. Retention and Durability

(D) Electronic Transmission

24. The……………….provide the ability to examine systems.

A. encryption and nonrepudiation

C audit controls

C. retention and durability

D. electronic transmission

61. Lack of interoperability, financial investment, time, employee resistance and gaps are the ....

(A) disadvantages of EHR adoption

B. disadvantages of total conversion

C. main reasons for not using medical records

D. advantages of CPOE prescriptions

62. Data in EHR is protected against loss, destruction, tampering, and unauthorized are issues
relating to KNowSHr

A. Metadata of EHR

B) Storage of EHR

C. Lepality of HER

D. EHR as Evidence

63 EHR as Evidence Patient support is the

A. St core function

B. 8 Core function

C. 6t core function

D. 4* core function

64. Planning, Executive Management Support, Medical staff ownership and the Use of a physician
champion can be referred to as what?

A. Process of project management

B. Key performance indicators

C. Executive champions
D) Prerequisites for EHR Success

65. When you implement an EHR, it is a clinical and

A. controlling

B. concerns cultural

C. Gantt chart

D. transformation.

66. The PHR allows patients to do all of the following EXCEPT

A. schedule appointments

B. request medication refills

c. access other patient records

D access their lab or radiology results

67. The active transition from the current method of managing records to the new EHR system
implementation is technically called….

Go live

68. The baseline for measuring improvement of EHR are called

Metrics