CAHIMS EXAM STUDY GUIDE QUESTIONS AND ANSWERS
1. COO(Chief Operating Officer): handles day-to-day operations
2. CMIO: Chief Medical Information/Informatics Officer: Liaison between CIO and
CMO
3. CMO: chief medical officer, usually a physician serving as a liaison between upper
management and the medical staff at a HCO. Responsible for clinical care, quality
improvement, and sometimes graduate medical education
4. CIO: Chief Information Officer: oversees all uses of IT and ensures the strategic
alignment of IT with business goals and objectives
5. Joint Commission accredits both: medicare and medicaid
6. Insurance paid for by govenment: Single payer
7. HOPD(Hospital Outpatient Department): medicare parts
8. PPO (Preferred Provider Organization): Choose your own specialist
A type of health plan that contracts with medical providers, such as hospitals and doctors
to create a network of participating providers. You pay less if you use providers that
belong to the plan's network.
9. Bundles payments: a single funding amount to a healthcare provider specific to a
certain patient's treatment and recovery; episodes of care
10. URAC: An acronym for Utilization Review Accreditation Commission. One of the
accrediting bodies of health plans.;
11. American Health Information Management Association (AHIMA): a profes- sional
association for health professionals involved in the health information man- agement
needed to deliver quality health care to the public
12. IMIA: International Medical Interpreters Association
13. Both AMIA and IMIA place privacy in: the number one position on their lists of
ethical duties for health informatics professionals
14. Culture refers to: the beliefs and customs of a single group of society
15. diversity means: composed of different elements or types
16. Internal diversity: what humans are born with and is out of their control, such as
gender, race, ethnicity, age, physical ability, and sexual orientation
17. External diversity: religion, education, marital status, and income
18. ethnocentrism: superiority
19. ethnorelativism: the opposite; all are equal though dissimilar
20. High-context: nonverbal cues are improtant
21. low-context: words are more important(help desks)
22. Strategic planning: long-term, assumption, alignment, upper management; need
input from all stakeholders
23. technical planning: short-term, detailed, lower management
24. IT strategic planning: how to best help the business goals of the organization
, CAHIMS EXAM STUDY GUIDE QUESTIONS AND ANSWERS
25. What best explains the need and purpose for having an IT governance structure:
It estabilshed a framework for the leadership and organizational struc- tures, as well
as clarification of the roles and responsibilities at every level of the organization, to
ensure that the IT strategic plan provides maximum facilitation toward achieving the
goals of its BUSINESS strategic plan
26. IT governing bodies: regulatory oversight, procurement, lower managers
27. Governance council: ASSESS alignment, initiate evaluation/approval PRO-
PORSALS, LEAD GOVERNANCE, business division heads, IT senior management
28. IT Executive steering committee: confirm alignment, approve resources, in-
vestments, top management
29. IT governance structure: should be driven by all stakeholders
30. MIPS need to submit data on four performance categories: Cost, Quality,
Improvement Activities, and Promoting Interoperability
31. ACOs: Accountable Care Organizations
Established by Affordable Care Act as a pilot payment models for Medicare
32. ACOs are charged with: reducing the cost of healthcare
33. IOM: Institute of Medicine; "Crossing the quality chasm"
34. "Crossing the quality chasm" has six principles: safe, effective, patient-cen- tered,
timely, efficient and equitable
35. AHRQ (Agency for Healthcare Research and Quality): a federal agency established
to improve the quality, safety, efficiency, and effectiveness of health care for Americans
36. AHRQ provides: evidence
37. AHRQ: works with HHS to produce annual health reports for current state
38. NCQA (National Committee for Quality Assurance): not for profit organization
dedicated to assessing and reporting on quality and performance of health care plans;
accredits HMO's
Quality key measures and PMCHs and ACOs
39. Process measures: examine steps in providing care process
-adherence to professional standards or practice guidelines
-determine if they are sufficient; these improve before outcomes do
40. Outcome measures: data describing the results of healthcare services
impact of changes (views from the patients and other stakeholders)
41. Balancing measures: see if the process works as a whole; looks at costs and the
patient
42. Aims: what, how much, when
43. clinical decision support: provides clinicians, staff, patients or other individuals with
knowledge and person-specific information, intelligently filtered or presented at
, CAHIMS EXAM STUDY GUIDE QUESTIONS AND ANSWERS
appropriate times, to enhance health and health care.
patient specific info with relevant PROTOCOLS
44. Disease management: method of reducing healthcare costs by providing inte- grated
care for chronic conditions
program coordinated with patient for them to provide significant portion of their own
healthcare
45. Disease Registries: a centralized database for collection of data about a dis- ease
patient population
46. Workarounds: occur when people work around the system to accomplish a task or
goal when the normal process or method isn't producing the desired result
47. Artifacts: objects used to communicate information about yourself to those
around you
48. science of safety: procedures you follow to stay safe in the science classroom the
system is perfectly designed to deliver the results it gets
49. Swiss Cheese Model: systems approach to understanding errors. Declares humans
are fallible and errors are to be expected even in the best organization. The holes
represent opportunities for the process to fail
holes represent vulnerabilities
50. Clinicians have not fully accepted clinical decisions support systems (CDSS):
due to myths and different opinions
51. Quality Assurance (QA): process to provide accurate, complete, consistent health
care documentation in a timely manner while making every reasonable effort to resolve
inconsistencies, inaccuracies, risk management issues, and other problems
52. Quality Control: product; the processes an organization uses to maintain its
established quality standards
53. The ultimate goal of TQM is to: maximize customer satisfaction to promote the long-
term success of the organization
54. TQM (Total Quality Management): a management philosophy that focuses on
satisfying customers through empowering employees to be an active part of
continuous quality improvement
55. TQM uses soft techniques: focuses on people, not products
56. Pareto Chart: a bar graph whose bars are drawn in decreasing order of frequen- cy or
relative frequency
uses bars and a line graph to display relationships between similar chunks of data
1. COO(Chief Operating Officer): handles day-to-day operations
2. CMIO: Chief Medical Information/Informatics Officer: Liaison between CIO and
CMO
3. CMO: chief medical officer, usually a physician serving as a liaison between upper
management and the medical staff at a HCO. Responsible for clinical care, quality
improvement, and sometimes graduate medical education
4. CIO: Chief Information Officer: oversees all uses of IT and ensures the strategic
alignment of IT with business goals and objectives
5. Joint Commission accredits both: medicare and medicaid
6. Insurance paid for by govenment: Single payer
7. HOPD(Hospital Outpatient Department): medicare parts
8. PPO (Preferred Provider Organization): Choose your own specialist
A type of health plan that contracts with medical providers, such as hospitals and doctors
to create a network of participating providers. You pay less if you use providers that
belong to the plan's network.
9. Bundles payments: a single funding amount to a healthcare provider specific to a
certain patient's treatment and recovery; episodes of care
10. URAC: An acronym for Utilization Review Accreditation Commission. One of the
accrediting bodies of health plans.;
11. American Health Information Management Association (AHIMA): a profes- sional
association for health professionals involved in the health information man- agement
needed to deliver quality health care to the public
12. IMIA: International Medical Interpreters Association
13. Both AMIA and IMIA place privacy in: the number one position on their lists of
ethical duties for health informatics professionals
14. Culture refers to: the beliefs and customs of a single group of society
15. diversity means: composed of different elements or types
16. Internal diversity: what humans are born with and is out of their control, such as
gender, race, ethnicity, age, physical ability, and sexual orientation
17. External diversity: religion, education, marital status, and income
18. ethnocentrism: superiority
19. ethnorelativism: the opposite; all are equal though dissimilar
20. High-context: nonverbal cues are improtant
21. low-context: words are more important(help desks)
22. Strategic planning: long-term, assumption, alignment, upper management; need
input from all stakeholders
23. technical planning: short-term, detailed, lower management
24. IT strategic planning: how to best help the business goals of the organization
, CAHIMS EXAM STUDY GUIDE QUESTIONS AND ANSWERS
25. What best explains the need and purpose for having an IT governance structure:
It estabilshed a framework for the leadership and organizational struc- tures, as well
as clarification of the roles and responsibilities at every level of the organization, to
ensure that the IT strategic plan provides maximum facilitation toward achieving the
goals of its BUSINESS strategic plan
26. IT governing bodies: regulatory oversight, procurement, lower managers
27. Governance council: ASSESS alignment, initiate evaluation/approval PRO-
PORSALS, LEAD GOVERNANCE, business division heads, IT senior management
28. IT Executive steering committee: confirm alignment, approve resources, in-
vestments, top management
29. IT governance structure: should be driven by all stakeholders
30. MIPS need to submit data on four performance categories: Cost, Quality,
Improvement Activities, and Promoting Interoperability
31. ACOs: Accountable Care Organizations
Established by Affordable Care Act as a pilot payment models for Medicare
32. ACOs are charged with: reducing the cost of healthcare
33. IOM: Institute of Medicine; "Crossing the quality chasm"
34. "Crossing the quality chasm" has six principles: safe, effective, patient-cen- tered,
timely, efficient and equitable
35. AHRQ (Agency for Healthcare Research and Quality): a federal agency established
to improve the quality, safety, efficiency, and effectiveness of health care for Americans
36. AHRQ provides: evidence
37. AHRQ: works with HHS to produce annual health reports for current state
38. NCQA (National Committee for Quality Assurance): not for profit organization
dedicated to assessing and reporting on quality and performance of health care plans;
accredits HMO's
Quality key measures and PMCHs and ACOs
39. Process measures: examine steps in providing care process
-adherence to professional standards or practice guidelines
-determine if they are sufficient; these improve before outcomes do
40. Outcome measures: data describing the results of healthcare services
impact of changes (views from the patients and other stakeholders)
41. Balancing measures: see if the process works as a whole; looks at costs and the
patient
42. Aims: what, how much, when
43. clinical decision support: provides clinicians, staff, patients or other individuals with
knowledge and person-specific information, intelligently filtered or presented at
, CAHIMS EXAM STUDY GUIDE QUESTIONS AND ANSWERS
appropriate times, to enhance health and health care.
patient specific info with relevant PROTOCOLS
44. Disease management: method of reducing healthcare costs by providing inte- grated
care for chronic conditions
program coordinated with patient for them to provide significant portion of their own
healthcare
45. Disease Registries: a centralized database for collection of data about a dis- ease
patient population
46. Workarounds: occur when people work around the system to accomplish a task or
goal when the normal process or method isn't producing the desired result
47. Artifacts: objects used to communicate information about yourself to those
around you
48. science of safety: procedures you follow to stay safe in the science classroom the
system is perfectly designed to deliver the results it gets
49. Swiss Cheese Model: systems approach to understanding errors. Declares humans
are fallible and errors are to be expected even in the best organization. The holes
represent opportunities for the process to fail
holes represent vulnerabilities
50. Clinicians have not fully accepted clinical decisions support systems (CDSS):
due to myths and different opinions
51. Quality Assurance (QA): process to provide accurate, complete, consistent health
care documentation in a timely manner while making every reasonable effort to resolve
inconsistencies, inaccuracies, risk management issues, and other problems
52. Quality Control: product; the processes an organization uses to maintain its
established quality standards
53. The ultimate goal of TQM is to: maximize customer satisfaction to promote the long-
term success of the organization
54. TQM (Total Quality Management): a management philosophy that focuses on
satisfying customers through empowering employees to be an active part of
continuous quality improvement
55. TQM uses soft techniques: focuses on people, not products
56. Pareto Chart: a bar graph whose bars are drawn in decreasing order of frequen- cy or
relative frequency
uses bars and a line graph to display relationships between similar chunks of data
