WGU C468 Information Management and Application of Technology

System security involves protection against A) poor system design B) noncompliant users C) deliberate attacks, errors, omissions, disasters, and viruses D) vendor breech of support contract Correct answer- C) deliberate attacks, errors, omissions, disasters, and viruses Which of the following is a mechanism that logs a user off the system after a specified period of inactivity on the terminal or computer? A) automatic sign-off B) remote access C) automatic access D) automatic password protection Correct answer- A) automatic sign-off The sharing of private information in a situation in which a relationship has been established for the purpose of treatment, or delivery of services, with the understanding that this information will remain protected is _____________? A) information privacy B) privacy C) confidentiality D) information system security Correct answer- C) confidentiality ____________ is a combination of hardware and software that forms a barrier between systems, or different parts of a single system to protect those systems from unauthorized access. A) Antivirus software B) Firewall C) Physical security D) Application security Correct answer- B) Firewall The ability to use a health enterprise's information system from outside locations such as a physician's office is known as ___________. A) remote access B) automatic access C) system connectivity D) auto connectivity Correct answer- A) remote access What are the driving forces behind the Health Information Exchange (HIE) movement? A) provider demands for cost containment B) international demands C) healthcare insurance reform D) federal legislation, and demands for safer, more efficient healthcare Correct answer- D) federal legislation, and demands for safer, more efficient healthcare How do Health Information Exchanges (HIEs) impact healthcare delivery? A) HIEs have the capacity to improve the quality of care delivered by decreasing access to records B) HIEs have limited impact at this time C) HIEs increase the efficiency and potentially the quality of the healthcare delivery system D) HIEs have not been shown to impact the safety of care delivered Correct answer- C) HIEs increase the efficiency and potentially the quality of the healthcare delivery system Information and data privacy A) provide protection for healthcare information only B) includes the right to choose the conditions and extent to which information is shared C) are best maintained through paper backups D) only applies when a HIPAA release form is signed Correct answer- B) includes the right to choose the conditions and extent to which information is shared The Health Information Technology for Economic and Clinical Health Act (HITECH) is known for all of the following except: A) Including a privacy rule establishing national standards for protecting health information B) Funded workforce training, and new technology research and development in HIT C) Ensured the collection of aggregate data that could be used to improve policy decisions relative to allocation of services and population health D) Provided funds and incentives to increase the adoption of EHRs by providers Correct answer- A) Including a privacy rule establishing national standards for protecting health information The SWOT analysis is conducted in what phase of information system life cycle? A) evaluation phase B) monitoring and control phase C) implementation phase D) strategic planning phase Correct answer- D) strategic planning phase Training documents are developed and user training occurs in which phase of the project management life cycle (PMLC)? A) evaluation phase B) design/plan phase C) implementation phase D) monitoring and control phase Correct answer- C) implementation phase Maintenance of an information system includes all of the following except ____________. A) problem solving and debugging B) training end users C) performing file-backup procedures D) updating security protections Correct answer- B) training end users Who determines the project implementation strategy? A) the system analyst B) the vendor C) the implementation committee D) the board of directors and CEO Correct answer- C) the implementation committee The first task of the project implementation committee is to ____________. A) gather data B) develop a timeline C) recruit key stakeholders D) establish subcommittees Correct answer- B) develop a timeline An advantage to using super users for system training is that ___________. A) super users leave after the initial training is complete B) super users have extensive preparation in learning theory C) super users have a specialized knowledge of both the system and clinical areas D) super users have in-depth knowledge of system code Correct answer- C) super users have a specialized knowledge of both the system and clinical areas What is the most important factor in maintaining the proper use of an information system? A) revenue and resources B) planning C) education D) implementation Correct answer- C) education Training class content should address the following area(s): A) how class trainers were selected B) basic computer literacy, workflow, policies, and human factors C) computer-related positions in the facility D) how to lodge complaints on the information system that was selected Correct answer- B) basic computer literacy, workflow, policies, and human factors Personal Health Record (PHR) use for management of chronic conditions is felt to hold great promise for which of the following reasons? A) PHRs reduce physician case loads B) PHRs have conclusively been shown to decrease the number of face-to-face visits and phone calls C) PHRs may serve to heighten client disparities D) PHRs may help health systems achieve greater efficiency through facilitating prescription refills, communication, and improved coordination of chronic conditions as well as quality of care Correct answer- D) PHRs may help health systems achieve greater efficiency through facilitating prescription refills, communication, and improved coordination of chronic conditions as well as quality of care Client engagement is considered to be critical to achieving healthcare reform. Fully functional PHRs support which of the following principles that engage clients in their own care? A) Client control, individualized care based upon client needs and values, and shared knowledge with easy flow of information B) Informed provider choice for out-of-network participants C) Provider option to participate with email access only D) To decrease the number of face-to-face visits and phone calls Correct answer- A) Client control, individualized care based upon client needs and values, and shared knowledge with easy flow of information Benefits associated with PHRs include the following: A) Improved client satisfaction, outcomes and communication with fewer telephone calls and outpatient visits B) Improved payer satisfaction and data collection C) Reduced revenue cycle D) Reduced coordination of care Correct answer- A) Improved client satisfaction, outcomes and communication with fewer telephone calls and outpatient visits What is the basic premise underlying value-based reimbursement? A) Physician payment is based on volume of services B) Client will play a less active role in this payment method C) Providers are rewarded financially for good results D) Payment is based on the value of tests and treatments to patient and organizational outcomes Correct answer- D) Payment is based on the value of tests and treatments to patient and organizational outcomes Which of the following statements most accurately reflects what the Informatics Nurse Specialist (INS) needs to know when working with end users to purchase or design an information system relative to reimbursement of services? A) Can the current system, or the system under consideration, support reimbursement requirements? Compliance deadlines? Automatic capture of charges? B) The INS must be able to manually update the system to ensure compliance with changes in regulation and reimbursement C) Hardware preferences drive software selection D) How much do they want to spend? Correct answer- A) Can the current system, or the system under consideration, support reimbursement requirements? Compliance deadlines? Automatic capture of charges? Which of the following actions on the part of the informatics nurse best exemplifies strengthening the Meaningful Use of EHR systems? A) ensuring that the information system staff understand Meaningful Use requirements B) educating administrators on the information system fields that they must complete in order to collect Meaningful Use required data C) educating medical records personnel on their role in collecting and submitting data for Meaningful Use D) review of information system screens to ensure that Meaningful Use fields cannot be bypassed and educating end users on the needs to collect data needed for Meaningful Use even though they may not view it as relevant to the client's presenting symptoms Correct answer- D) review of information system screens to ensure that Meaningful Use fields cannot be bypassed and educating end users on the needs to collect data needed for Meaningful Use even though they may not view it as relevant to the client's presenting symptoms A benefit of the electronic medical record is _______________. A) An increase in data entry B) Improved access to information C) Redundancy of data entry D) A reduction in errors and quality of communication Correct answer- B) Improved access to information What type of system supports the nurse by automatically notifying the dietary department to hold a client's breakfast, the pharmacy to send the appropriate medications, and the radiology department to schedule the test for a barium enema? A) Nurisng information system B) Laboratory system C) Administrative information system D) Order entry system Correct answer- D) Order entry system _____________ systems use artificial intelligence to model a decision that experts in the field would make. A) AI B) Expert C) Physician practice management D) Decision support Correct answer- B) Expert In what way can clinical decision support systems save healthcare dollars? A) They aid in diagnosis and provide access to practice guidelines which subsequently decrease the length of hospital stays and costs for treatment B) Clinical decision support systems do not save healthcare dollars but are an element in the computerized patient record C) They reduce redundant documentation between care providers D) They allow physicians to write prescription orders electronically Correct answer- A) They aid in diagnosis and provide access to practice guidelines which subsequently decrease the length of hospital stays and costs for treatment Which of the following statements best summarizes the accreditation process in healthcare? A) It provides assurance to the public that the facility or program meets nationally accepted standards B) It is a mandatory process required by law C) It requires a fee paid to an accrediting agency but membership is not typically part of the process D) It is based solely on self-ranking Correct answer- A) It provides assurance to the public that the facility or program meets nationally accepted standards The mission of which of the following accrediting bodies focuses on the improvement of the quality of care delivered to the public, the development standards of quality in conjunction with health professionals, and encourages organizations to meet or exceed these standards through the accreditation process? A) The Joint Commission B) CCNE Accreditation C) Commission on Accreditation of Rehabilitation Facilities (CARF) D) Health on the Net Accreditation Correct answer- A) The Joint Commission Which of the following reflect Joint Commission key standards for information management? A) Standards address measures to protect data, uniform definitions, the ability to aggregate data B) Standards address measures to incorporate information management principles into training C) Standards address disaster-preparedness and recovery planning D) All of the above Correct answer- D) All of the above What role, if any, does information technology have in the Magnet Journey? A) The Magnet journey consistently initiates the introduction of information technology B) Information systems support the process by providing aggregate data related to quality improvement C) The Magnet journey was a driving factor behind the TIGER Initiative D) Information Technology is not a consideration unless it introduces new errors into the nursing process Correct answer- B) Information systems support the process by providing aggregate data related to quality improvement Telehealth differs from telemedicine in that ______________. A) telemedicine is a broader term that telehealth and emphasizes the provision of information to healthcare providers and consumers B) telehealth is a narrow term referring only to wellness behaviors C) telemedicine uses the Internet to provide professionals with information while telehealth does not D) telehealth encompasses telemedicine, but is a broader term that emphasizes the provision of information to health care providers and consumers Correct answer- D) telehealth encompasses telemedicine, but is a broader term that emphasizes the provision of information to health care providers and consumers Which of the following can be used as a tool to facilitate the delivery of synchronous connected health? A) Store and forward applications B) Webcasting C) Remote patient monitoring D) Videoconferencing Correct answer- D) Videoconferencing Which of the following are legal and ethical issues related to telehealth and telemedicine? A) Difficulties with technical support B) Lack of reimbursement, privacy and confidentiality concerns, licensure and liability issues C) Lack of Health Information Exchange (HIE) standards D) Cost of equipment Correct answer- B) Lack of reimbursement, privacy and confidentiality concerns, licensure and liability issues All of the following are benefits associated with remote patient monitoring (RPM) except: A) enhanced communication between providers and patients B) increased office visits C) identification of knowledge gaps D) early detection of symptoms Correct answer- B) increased office visits The informatics nurse reviews how Medicare and Medicaid offer financial incentives to healthcare providers to promote adoption and meaningful use of interoperable health information systems and a qualified health record. Which statement should be used to describe the goal of meaningful use? A) Input data in a manner that creates evidence-based practice models B) Provide a warehouse of data that supports medication renewal and patient teaching plans C) Offer the clinician patient-care tools for improved outcomes D) Exchange clinical structured data in a manner that is accurate and complete to improve patient care in a cost-efficient way. Correct answer- D) Exchange clinical