Health Care Information Systems A Practical Approach for Health Care Management, 2nd Edition Test Ba

Health Care Information Systems A Practical Approach for Health Care Management, 2nd Edition By Wager, Lee, Glaser

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 Part One: Health Care Information Chapter 1: Introduction to Health Care Information TRUE/FALSE 1. Without health care data and information, there would be no need for health care information systems. a. True b. False Correct Answer: a. True Rationale: (p38) 2. All the information that must be managed in a health care organization is protected health information. a. True b. False Correct Answer: b. False Rationale: (p5) 3. Health care organizations maintain medical records for one primary purpose. a. True b. False Correct Answer: b. False Rationale: (p8) 4. Legal documentation is considered the number one reason for maintaining patient records. a. True b. False Correct Answer: b. False Rationale: (p8/9) 5. The identification sheet is started during admission to a health care facility. a. True b. False Correct Answer: a. True Rationale: (p13) 6. Health care information systems and health care processes are closely entwined with on another.

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 a. True b. False Correct Answer: a. True Rationale: (p17) 7. The MDS is the oldest uniform date set used in the United States. a. True b. False Correct Answer: b. False Rationale: (p23) 8. The UHDDS facilitates the classification of diagnoses and procedures for reimbursement and for clinical research and comparative studies. a. True b. False Correct Answer: b. False Rationale: (p25) 9. Balanced scorecards are a method of measuring performance in health care organizations. a. True b. False Correct Answer: a. True Rationale: (p33) 10. The AHRQ website offers an interactive tool for obtaining report cards on specific health plans. a. True b. False Correct Answer: b. False Rationale: (p35)

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 MULTIPLE CHOICE 1. Whose definition of health information is concerned with protected information? a. HIPAA b. National Alliance for Health Information Technology c. The Joint Commission d. AHRQ Correct Answer: a. HIPAA Rationale: (p6) 2. Which type of patient-specific data is strictly administrative? a. Medication record b. Lab results c. Identification sheet d. Consent Correct Answer: d. Consent Rationale: (p7) 3. Which purpose of documentation uses the phrase, “If it was not documented, it was not done” a. Patient care b. Communication c. Legal documentation d. Billing and Reimbursement Correct Answer: c. Legal documentation Rationale: (p9) 4. In which part of the patient record would one find notes made by physicians, nurses, therapists, social workers, and other clinical staff caring for the patient? a. Problem list b. Progress notes c. Consultation d. Physician orders Correct Answer: b. Progress notes Rationale: (p10) 5. Who is responsible for the patient record problem list? a. Hospital admission staff b. Attending physician c. Nursing staff d. Billing clerk?

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009

Correct Answer: b. Attending physician Rationale: (p16) 6. Which form is submitted to a third-party payer for reimbursement for health care provider services? a. CMS-1500 b. UB-04 c. NPI d. UHDDS Correct Answer: a. CMS-1500 Rationale: (p18) 7. What is the oldest uniform data set used in the United States? a. NPI b. UHDDS c. AHRQ d. ICD-9-CM Correct Answer: b. UHDDS Rationale: (p22) 8. What is the classification system used to code disease and procedure information? a. NPI b. UHDDS c. DRG d. ICD-9-CM Correct Answer: d. ICD-9-CM Rationale: (p25) 9. What type of database involves data collection used to track information about patients over time and to collect detailed information for research purposes? a. Census statistics b. DRG c. ICD-9-CM d. Tumor registry Correct Answer: d. Tumor registry Rationale: (p30) 10. What are measurable results of a process for quality improvement? a. Outcome measures b. Benchmarking

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 c. Balanced scorecards d. Clinical value compass Correct Answer: a. Outcome measures Rationale: (p32)

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 Part One: Health Care Information Chapter 2: Health Care Data Quality TRUE/FALSE 1. Health care data is generally not very useful for decision making, a. True b. False Correct Answer: a. True Rationale: p. 42 2. Health care data can provide different information to different users. a. True b. False Correct Answer: a. True Rationale: p. 43 3. Data quality is most important at the decision making level. a. True b. False Correct Answer: b. False Rationale: p. 43 4. Dictated physician notes is an example of report generation. a. True b. False Correct Answer: b. False Rationale: p. 46 5. To identify quality data, it must conform to a recognized standard. a. True b. False Correct Answer: a. True Rationale: p. 46 6. The Medical Records Institute (MRI) has established a universally recognized set of health care data quality standards. a. True b. False

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 Correct Answer: b. False Rationale: p. 46 7. Health care data can become obsolete. a. True b. False Correct Answer: a. True Rationale: p. 48 8. Suppliers and consumers must agree on data definitions before exchanging information. a. True b. False Correct Answer: a. True Rationale: p. 54 9. Lack of training leads to random errors. a. True b. False Correct Answer: b. False Rationale: p. 55 10. The narrative format of physician notes and discharge summaries improves data quality a. True b. False Correct Answer: b. False Rationale: p. 57

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 MULTIPLE CHOICE 1. What is health care data? a. Characters, words, symbols, or statistics b. Trends and analysis c. Processed information d. Information for decisions Correct Answer: a. Characters, words, symbols, or statistics Rationale: p. 42 2. What is the highest level in the processing hierarchy? a. Data b. Information c. Knowledge d. Quality Correct Answer: c. Knowledge Rationale: p. 42 3. Which of the major health care functions identified by the Medical Records Institute (MRI) is adversely affected by the lack of shareable information? a. Patient safety b. Public safety c. Continuity of care d. Clinical research and outcomes analysis Correct Answer: c. Continuity of care Rationale: p. 45 4. What is the process of recording device-generated information gathered and/or computed about a patient as part of health care, as identified by the Medical Records Institute (MRI)? a. Report generation b. Data collection c. Data quality standards d. Information capture Correct Answer: d. Information capture Rationale: p. 46 5. According to the AHIMA data quality management model, abbreviation disparity is an example of which common dimension? a. Data accuracy b. Data accessibility

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 c. Data comprehensiveness d. Data consistency Correct Answer: d. Data consistency Rationale: p. 47/48 6. According to the AHIMA data quality management model, reducing redundant data collection is a component of which data comprehensiveness activity? a. Application b. Collection c. Warehousing d. Analysis Correct Answer: c. Warehousing Rationale: p. 50 7. According to the AHIMA data quality management model, what component defines data timeliness? a. Application b. Collection c. Warehousing d. Analysis Correct Answer: d. Application Rationale: p. 52 8. What type of error is the result of transcription errors? a. Preventable errors b. Systematic errors c. Random errors d. Coding errors Correct Answer: b. Systematic errors Rationale: p. 55 9. According to the AHIMA data quality management model, what is sometimes referred to as data atomicity? a. Data granularity b. Data precision c. Data relevancy d. Data timeliness Correct Answer: a. Data granularity Rationale: p. 54

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 10. What is an example of data error detection? a. Composing data checks b. Developing data collection protocol c. Training and motivating users d. Reviewing data collection protocols and procedures Correct Answer: d. Reviewing data collection protocols and procedures Rationale: p. 57

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 Part One: Health Care Information Chapter 3: Health Care Information Regulations, Laws, and Standards TRUE/FALSE 1. Health care organizations must be licensed to operate. a. True b. False Correct Answer: a. True Rationale: p. 62 2. To demonstrate excellence, health care organizations can be certified. a. True b. False Correct Answer: b. False Rationale: p. 62 3. The federal government oversees the licensure of health care facilities. a. True b. False Correct Answer: b. False Rationale: p. 62 4. Licensure must be renewed annually a. True b. False Correct Answer: a. True Rationale: p. 63 5. The best-known health care accrediting agency in the U.S. is the Joint Commission. a. True b. False Correct Answer: a. True Rationale: p. 64 6. The National Committee for Quality Assurance accreditation includes a category on staying healthy. a. True b. False

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 Correct Answer: a. True Rationale: p. 68 7. The Joint Commission provides a free online health plan report card. a. True b. False Correct Answer: b. False Rationale: p. 69 8. Personal health records are an important component of the legal health record. a. True b. False Correct Answer: b. False Rationale: p. 71 9. The Privacy Act of 1975 applies to all U.S. citizens, offering specific protection to private health information. a. True b. False Correct Answer: b. False Rationale: p. 78 10. Patient-specific health care information can be released without the patient’s authorization. a. True b. False Correct Answer: a. True Rationale: p. 80

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 MULTIPLE CHOICE 1. To file Medicare or Medicaid claims, health care organizations must be a. Regulated b. Licensed c. Certified d. Accredited Correct Answer: c. Certified Rationale: p. 62 2. What oversees the licensure of health care facilities? a. The health care facility b. Joint Commission c. Federal government d. State government Correct Answer: d. State government Rationale: p. 62 3. What validates the quality of care within the organization? a. Regulation b. Licensure c. Certification d. Accreditation Correct Answer: d. Accreditation Rationale: p. 64 4. How often must a health care facility be surveyed by the Joint Commission? a. Monthly b. Annually c. Every three years d. Every ten years Correct Answer: c. every three years Rationale: p. 66 5. Which Joint Commission accreditation decision requires an improvement within 90 days? a. Accreditation b. Provisional accreditation c. Conditional accreditation d. Preliminary accreditation

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 Correct Answer: b. Provisional accreditation Rationale: p. 66 6. What is NOT considered part of the legal health record? a. Advanced directives b. Patient-provider emails c. Death certificate d. Discharge instructions Correct Answer: c. Death certificate Rationale: p73 7. According to the AHIMA, how long should the patient health records for children be retained? a. For ten years b. Until they reach the age of majority c. Until they are 21 years of age d. Until they reach the age of majority, plus ten years Correct Answer: d. Until they reach the age of majority, plus ten years Rationale: p. 74 8. What source dictates that health care of organizations follow standard practice, state, and federal laws to ensure the confidentiality of patient information? a. Ethical and professional standards b. Accrediting bodies c. State regulations d. Federal regulations Correct Answer: b. Accrediting bodies Rationale: p. 76 9. What was the first comprehensive federal regulation that offers specific protection to private health information? a. Joint Commission b. Freedom of Information Act c. Privacy Act d. HIPAA Privacy Rule Correct Answer: d. HIPAA Privacy Rule Rationale: p. 78 10. Which component of the HIPAA Privacy Rule determines that individuals can be charged under criminal law for improper handling of PHI? a. Boundaries

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 b. Security c. Accountability d. Public Responsibility Correct Answer: c. Accountability Rationale: p. 79

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 Part Two: Health Care Information Systems Chapter 4: History and evolution of Health Care Information Systems TRUE/FALSE 1. Information technology is a component of every information system. a. True b. False Correct Answer: a. True Rationale: p88 2. A medication administration system is an example of an administrative information system. a. True b. False Correct Answer: b. False Rationale: p89 3. Initially, Medicare and Medicaid program reimbursed hospitals for services using a cost-based reimbursement methodology. a. True b. False Correct Answer: a. True Rationale: p93 4. Cost-based reimbursement led to increased hospital admissions and longer hospital stays. a. True b. False Correct Answer: a. True Rationale: p93 5. Turnkey computer systems could be modified to meet the unique information needs of clinical departments. a. True b. False Correct Answer: b. False Rationale: p95

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 6. Fee-for-service methods of payment promoted cost containment. a. True b. False Correct Answer: b. False Rationale: p96 7. “Best of breed” selection of clinical information systems let to the used of integrated organizational systems. a. True b. False Correct Answer: b. False Rationale: p97 8. Under the resource-based relative value scale (RBRVS), specialty care physicians saw a slight increase in reimbursement for services a. True b. False Correct Answer: b. False Rationale: p97 9. Electronic mail is the greatest single technological advance in the 1990s. a. True b. False Correct Answer: b. False Rationale: p100 10. Value-based purchasing led to the denial of reimbursement for serious clinical preventable events. a. True b. False Correct Answer: a. True Rationale: p103

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 MULTIPLE CHOICE 1. What computer system was centralized rather than distributing? a. Main frame b. Turnkey systems c. Local area network d. Internet Correct Answer: a. Mainframe Rationale: p94 2. Who is seen as the “gatekeeper” in patient care, in the new millennium? a. The health care executive b. Third party payers c. The primary care physician d. IT vendors Correct Answer: c. The primary care physician Rationale: p98 3. What is the top health care priority of the new millennium? a. Health care quality b. Computer based patient record c. Health care reimbursement d. Prevention Correct Answer: a. Health care quality Rationale: p101 4. What is preventing an increased use of telemedicine and telehealth? a. Cost of technology b. Reimbursement issues c. Complexity of systems d. Patient privacy issues Correct Answer: b. Reimbursement issues Rationale: p 101 5. Prescribing a medication with potentially fatal interaction is an example of a. Error of omission b. Error of commission c. Health care transparency d. Patient safety management Correct Answer: b. Error of commission

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 Rationale: p102 6. Who is promoting health care transparency? a. Consumers b. Third party payers c. Health care executives d. Federal government Correct Answer: d. Federal govenment Rationale: p102 7. Which type of reimburse will not pay for preventable events? a. Fee for service b. Diagnostic related groups c. Recourse-based relative value scale d. Pay for performance Correct Answer: d. Pay for performance Rationale: p103 8. Who have realized that information technology is a necessary tool or being able to report performance on key quality indicator to third-party payers? a. Consumers b. Medicare/Medicaid c. Health care providers d. Health care executives Correct Answer: d. Health care executives Rationale: p103 9. Who is adopting the use of personal health records? a. Consumers b. Insurance companies c. Primary care physician practices d. Regional health information organizations Correct Answer: a. Consumers Rationale: p103 10. The complexities in terminology are en example of which reason for slow adaption of health care IT? a. Health care information is complex b. Health care information is highly sensitive and personal c. Health care IT Is expensive d. Health care systems are a conglomeration of systems.

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009

Correct Answer: a. Health care information is complex Rationale: p. 105

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 Part Two: Health Care Information Systems Chapter 5: Current and Emerging Use of Clinical Information Systems TRUE/FALSE 1. Most patient records are still kept in paper form. a. True b. False Correct Answer: a. True Rationale: p110 2. The electronic medical record is a digital version of the paper medical record. a. True b. False Correct Answer: b. False Rationale: p111 3. The electronic medical record shares information across different health organizations. a. True b. False Correct Answer: b. False Rationale: p111 4. The U.S. has lower EMR adoption rates than other countries such as Australia and Finland. a. True b. False Correct Answer: a. True Rationale: p115 5. Physician access to clinical practice guidelines has been shown to increase preventive care. a. True b. False Correct Answer: a. True Rationale: p116 6. A computerized provider order entry system can be integrated or a stand-alone application. a. True

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 b. False Correct Answer: b. False Rationale: p123 7. CPOE has not been widely implement due to real or perceived physician resistance. a. True b. False Correct Answer: a. True Rationale: p123/4 8. The goal of the bar-code-enabled point of care approach is to ensure the five “rights” of drug administration are met. a. True b. False Correct Answer: a. True Rationale: p127 9. The store and forward mediation technology is best used in emergency situations. a. True b. False Correct Answer: b. False Rationale: p128 10. Use of the electronic medical record may require more time from the provider. a. True b. False Correct Answer: a. True Rationale: p 139

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 MULTIPLE CHOICE 1. Which EHR function includes patient education and telehealth? a. Health information and data b. Decision support c. Electronic communication and connectivity d. Patient support Correct Answer: d. Patient support Rationale: p112 2. Which clinical information system might show the cost and offer alternative tests or drugs? a. EMR b. CPOE c. BPOC d. PHR Correct Answer: b. CPOE Rationale: p122 3. What clinical information system includes a barcode for medication administration? a. EMR b. CPOE c. BPOC d. PHR Correct Answer: c. BPOC Rationale: p126/7 4. What is NOT true about what patients need to know about e-mail guidelines between clinicians and patients? a. If not encrypted, email can be read by others b. E-mails will be part of the medical record c. Information may be sent via e-mail to other care providers d. E-mails can be sent to the wrong recipient Correct Answer: b. E-mails will be part of the medical record Rationale: p 131/2 5. What system allows individuals to be “copilots” in their own care? a. EMR b. HER c. PHR d. RHIO

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009

Correct Answer: c. PHR Rationale: p134 6. Data found in an electronic environment that includes access to Medline is a. Ancillary services b. Other clinical and administrative systems c. Knowledge-based reference systems d. Telemedicine and telehealth systems Correct Answer: c. Knowledge-based reference systems Rationale: p135 7. What electron systems consist of technology, standards, and governances that enable the exchange of data between information systems of various health care stakeholders? a. Electronic health record b. Health information exchange c. Regional health information organization d. Nationwide Health Information Network Correct Answer: b. Health information exchange Rationale: p137 8. Currently, who bears the cost of an EMR system? a. Taxpayers b. Physicians c. Third party payers d. IT vendors Correct Answer: b. Physicians Rationale: p138 9. Which financial incentive approach for increased use of the EMR system includes using patient copayments based on predetermined quality measures? a. Payment differentials b. Cost differentials c. Innovative reimbursement d. Shared risk Correct Answer: b. Cost differentials Rationale: p138 10. What will increase physician acceptance of the electronic medical record? a. Reimbursement incentives b. Quality of care data

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 c. Streamlined access d. Shared risk Correct Answer: Reimbursement incentives Rationale: p139

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 Part Two: Health Care Information Systems Chapter 6: System Acquisition TRUE/FALSE 1. The primary cost of an information system application is the upfront cost of the system itself. a. True b. False Correct Answer: b. False Rationale: p.144 2. The primary focus of the planning and analysis phase of the systems development life cycle is on the business problem or the organizational strategy. a. True b. False Correct Answer: a. True Rationale: p145 3. Assessing the information needs of users and defining the functional requirement is a quick but vital component of the systems development life cycle. a. True b. False Correct Answer: b. False Rationale: p146 4. The design phase of the systems development life cycle includes selecting the system to be used. a. True b. False Correct Answer: a. True Rationale: p 146 5. It is common to underestimate the staff and resources needed to effectively keep new and existing information systems functioning properly. a. True b. False Correct Answer: a. True Rationale: p147

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 6. One of the first steps in an EMR acquisition is to define project goals. a. True b. False Correct Answer: b. False Rationale: p. 150 7. RFPs or “request for proposals” tend to be time consuming and costly to develop and complete. a. True b. False Correct Answer: a. True Rationale: p. 154 8. When considering an ASP, it is important to hire qualified IT staff to run the system. a. True b. False Correct Answer: b. False Rationale: p. 157 9. To involve leadership, all vendor requests should be channeled through the CEO or board members. a. True b. False Correct Answer: b. False Rationale: p. 164 10. The RFP is the most important consideration in selecting a vendor. a. True b. False Correct Answer: b. False Rationale: p. 164

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 MULTIPLE CHOICE 1. What is most important in considering the acquisition of a new information system application? a. b. c. d.

Cost of the system Reliability of the system System technology The organization’s needs

Correct Answer: d. The organization’s needs Rationale: p. 144 2. In what phase of the systems development life cycle is it decided if a new IS system is needed? a. Planning and Analysis b. Design c. Implementation d. Support and Evaluation Correct Answer: a. Planning and Analysis Rationale: p. 145 3. What phase of the systems development life cycle can take up to 80 percent of the IS budget? a. Planning and Analysis b. Design c. Implementation d. Support and Evaluation Correct Answer: d. Support and Evaluation Rationale: p. 147 4. The system acquisition process combines what two phases of the systems development life cycle? a. Planning and Analysis and Design b. Design, and Implementation c. Implementation and Support and Evaluation d. Planning and Support and Evaluation Correct Answer: a. Planning and Analysis and design Rationale: p. 147 5. What is the ideal size of the project steering committee? a. 2 members

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 b. Five members c. Ten members d. Twenty five members Correct Answer: b. Five members Rationale: p. 151 6. What must align with the strategic goals of the organization? a. Steering committee membership b. Steering committee project goals c. Steering committee system goals d. Steering committee system requirement prioritization Correct Answer: c. Project committee system goals Rationale: p. 153 7. Which vendor solicitation is designed to obtain basic information on vendors’ backgrounds, product descriptions, and service capabilities? a. RFP b. RFI c. ASP d. RHIO Correct Answer: b. RFI Rationale: p. 155 8. Which acquisition option is best if customization is needed? a. A vendor purchase b. An application service provider c. A systems developer d. An RFP Correct Answer: c. A systems developer Rationale: p. 158 9. For project management, what must be considered to record the project steering committee’s progress and activities? a. A cost-benefit analysis b. A summary report c. A project repository d. A Gantt chart Correct Answer: c. A project repository Rationale: p. 162

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 10. For project success, besides leadership, who must be involved in the selection process? a. Medical staff b. End user c. Market vendor d. IT professional Correct Answer: b. End user Rationale: p. 164

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 Part Two: Health Care Information Systems Chapter 7: System Implementation and Support TRUE/FALSE 1. System implementation acceptance and success depends on the selection of the right system. a. True b. False Correct Answer: b. False Rationale: p. 168 2. Over half of all information system projects fail. a. True b. False Correct Answer: a. True Rationale: p. 168 3. The implementation team should include at least one system champion. a. True b. False Correct Answer: a. True Rationale: p. 169 4. The implementation team should first determine the system goals. a. True b. False Correct Answer: b. False Rationale: p. 170 5. Evaluating the existing workflow can create great user acceptance of a new system. a. True b. False Correct Answer: a. True Rationale: p. 173 6. Workflow analysis includes an evaluation of the workstations. a. True b. False

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 Correct Answer: a. True Rationale: p. 174 7. IT plays a crucial role in workflow analysis a. True b. False Correct Answer: b. False Rationale: p. 173/4 8. Classroom training is most effective for physicians. a. True b. False Correct Answer: b. False Rationale: p. 176 9. Both formal and informal communication is necessary for successful system implementation. a. True b. False Correct Answer: a. True Rationale: p. 177 10. The main criterion sued to evaluate the system’s success depends on the individual’s point of view. a. True b. False Correct Answer: a. True Rationale: p. 180

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 MULTIPLE CHOICE 1. What is NOT a fundamental activity that should occur during any system implementation, regardless of its size or scope? a. Organized an implementation team b. Determine project scope and expectation c. Establish and institute a project plan d. Develop a budget Correct Answer: d. Develop a budget Rationale: p. 168/9 2. Who is the most important person on the implementation team to assist in gaining buyin? a. Physician b. Leadership representative c. IT analyst d. Champion Correct Answer: d. Champion Rationale: p. 170 3. What is the first major item of business for the system implementation team? a. Identify a champion b. Determine the scope of the project c. Determine the goals of the project d. Develop a budget Correct Answer: b. Determine the scope of the project Rationale: p. 170 4. Updating procedure manuals is part of what component of the implementation plan? a. Workflow and process analysis b. System installation c. Staff training d. Conversion Correct Answer: c. Staff training Rationale: p. 172 5. Why is it important for the implementation team to observe the existing system before implementing a new system? a. To identify changes needed b. To automate the current processes c. To obtain patient buy-in

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 d. To ensure that the new system is similar to the current system Correct Answer: a. To identify changes needed Rationale: p. 173 6. IT staff is crucial for which component of the implementation plan? a. Workflow and process analysis b. System installation c. Staff training d. Conversion Correct Answer: b. System installation Rationale: p. 174 7. Which training system uses “super-users”? a. Train the trainer b. Pool of trainers c. Classroom training d. Just in time training Correct Answer: a. Train the trainer Rationale: p. 175 8. When is the best time to “go-live” with the new system? a. At the beginning of the fiscal year b. When patient census is high c. When patient census is low d. After everyone has been trained Correct Answer: c. When patient census is low Rationale: p. 177 9. Which statement is true (as part of the “Ten Commandments for Effective Clinical Decision Support”)? a. Speed is everything b. Physicians will be the most supportive c. Several computer screens with the same information is most effective d. Encourage user’s workflow to change with the system Correct Answer: a. Speed is everything Rationale: p. 178 10. What is the main criterion used to evaluate a new system’s value or success? a. Similarity to the previous system b. Data obtained

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 c. Cost analysis d. User expectations Correct Answer: d. User expectations Rationale: p. 180

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 Part Three: Information Technology Chapter 8: Technologies that Support Health Care Information Systems TRUE/FALSE 1. The most important component of system software is the operating system. a. True b. False Correct Answer: a. True Rationale: p. 193 2. Open source operating systems are the most popular. a. True b. False Correct Answer: b. False Rationale: p. 193 3. The object-oriented database is most common type used in the health care. a. True b. False Correct Answer: b. False Rationale: p. 195, 199 4. A data dictionary tool is vital to help ensure data quality. a. True b. False Correct Answer: a. True Rationale: p. 200 5. The network model TCP/IP was originally used to support U.S. business ventures. a. True b. False Correct Answer: b. False Rationale: p. 203 6. A WAN is a network that extends beyond a LAN and may include satellites. a. True b. False Correct Answer: a. True

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 Rationale: p. 206 7. The vast majority of the Internet and Web applications have been developed within the past decade. a. True b. False Correct Answer: a. True Rationale: p. 211 8. All websites have an IP address. a. True b. False Correct Answer: a. True Rationale: p. 212 9. An intranet links a network of users to include business partners of the health care organization, such as suppliers, customers, or other health care providers. a. True b. False Correct Answer: b. False Rationale: p. 214 10. The thumb drive is the most popular portable flash memory device. a. True b. False Correct Answer: a. True Rationale: p. 222

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 MULTIPLE CHOICE 1. What is the most important component of system software? a. Operating system b. Programming language c. Interface engine d. Data management Correct Answer: a. Operating system Rationale: p. 193 2. What is the most common language used in relational databases? a. Java b. FORTRAN c. Microsoft windows d. Structured query language (SLQ) Correct Answer: d. SLQ Rationale: p. 196 3. What is the most popular local area network technology in use today, both in health care and in business? a. LAN b. Ethernet c. Asynchronous Transfer Mode d. Blue tooth Correct Answer: b. Ethernet Rationale: p. 202 4. Which network communication device is where data from a network comes together? a. Hub b. Bridge c. Router d. Gateway Correct Answer: a. Hub Rationale: p. 209 5. Which is a computer network that is internal to an organization? a. Internet b. Intranet c. Extranet d. World Wide Web

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 Correct Answer: b. Intranet Rationale: p. 214 6. Which is a restricted top-level domain? a. . edu b. . com c. . org d. . net Correct Answer: a. .edu Rationale: p. 212 7. What URL component is “http” in this web address? www.aol.com a. Internet protocol b. Domain c. Directories d. File name Correct Answer: a. Internet protocol Rationale: p. 213 8. Which clinical and managerial decision support system uses “rules of thumb” to build the system? a. Executive information system b. Artificial intelligence c. Expert system d. Natural language processing Correct Answer: c. Expert system Rationale: p. 217 9. A smart phone is an example of which user interface device category? a. Mobile personal computing devices b. External storage device c. Output device d. Input device Correct Answer: a. Mobile personal computing device Rationale: p. 224 10. The “characteristics and capabilities” architectural approach might request a. Monolithic applications b. Visual integration c. Best of breed d. High reliability

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009

Correct Answer: d. High reliability Rationale: p. 226

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 Part Three: Information Technology Chapter 9: Health Care Information System Standards TRUE/FALSE 1. Information system standards often compete with one another. a. True b. False Correct Answer: a. True Rationale: p. 234 2. ICD-9-CM is the vocabulary that meets all the information exchange needs of the health care sector today. a. True b. False Correct Answer: b. False Rationale: p. 237 3. The Logical Observation Identifiers Names and Codes (LOINC) system was developed to facilitate the electronic transmission of laboratory results. a. True b. False Correct Answer: a. True Rationale: p. 238 4. The HL7 HER System Functional Model is a list of specifications for messaging, implementation, and conformance. a. True b. False Correct Answer: b. False Rationale: p. 242/3 5. The role of the Office of the National Coordinator for Health Information Technology is to take responsibility for the development, maintenance, and modification of relevant electronic date interchange standards. a. True b. False Correct Answer: b. False Rationale: p. 245/6

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 6. HIPAA provides leadership for the development and nationwide implementation of interoperable health information technology infrastructures to improve the quality and efficiency of health care. a. True b. False Correct Answer: b. False Rationale: p. 246 7. The regional Health Information Network is the technology, standards, and governance that could connect all health information exchanges. a. True b. False Correct Answer: b. False Rationale: p. 247/8 8. HIEs, RHIOs, and NHIN are considered developed forms of health information systems standards. a. True b. False Correct Answer: b. False Rationale: p. 248 9. Functional EHRs will not be realized until national standards are adopted. a. True b. False Correct Answer: a. True Rationale: p. 249 10. Private sectors play a role in the development of national standards. a. True b. False Correct Answer: a. True Rationale: p. 249

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 MULTIPLE CHOICE 1. HIPAA is an example of which method of establishing health care standards? a. Ad hoc b. De facto c. Government mandate d. Consensus Correct Answer: c. Government mandate Rationale: p. 234 2. Which formal standards development organization does not develop standards, but accredits the organization that develops standards? a. International Organization for Standardization (ISO) b. American National Standards Institute (ANSI) c. Standards development organization (SDOs) d. ANSI-accredited SDOs Correct Answer: b. ANSI Rationale: p. 236 3. What is one of the most difficult problems in exchanging health care information and building longitudinal electronic health records? a. Diverse locations of information b. Common vocabulary c. The lack of a coding and classification system d. HIPAA Correct Answer: a. Diverse locations of information Rationale: p. 237 4. Which classification system is a National Library of Medicine Project? a. Systematized Nomenclature of Medicine – Clinical Terms (SNOMED CT) b. Logical observation Identifiers Names and Codes (LOINC) c. Unified Medical Language System (UNLS) d. International Classification of Disease - Clinical Modification (ICD-9-CM) Correct Answer: c. Unified Medical Language System Rationale: p. 238/9 5. Which classification system has three knowledge sources and supports PubMed? a. Systematized Nomenclature of Medicine – Clinical Terms (SNOMED CT) b. Logical observation Identifiers Names and Codes (LOINC) c. Unified Medical Language System (UNLS) d. International Classification of Disease - Clinical Modification (ICD-9-CM)

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009

Correct Answer: c. Unified Medical Language System Rationale: p. 238/9 6. What is an example of messaging standards to support the exchange, management, and integration of date that support clinical patient care? a. Health Level Seven standards b. Digital Imaging and communications in Medicine standards c. National Council for Prescription Drug Programs standards d. ANSI XI2N standards Correct Answer: a. Health Level Seven standards Rationale: p. 239/40 7. What is an example of messaging standards designed to deal with the electronic data interchange standards in the insurance industry? a. Health Level Seven standards b. Digital Imaging and communications in Medicine standards c. National Council for Prescription Drug Programs standards d. ANSI XI2N standards Correct Answer: d. ANSI X12N standards Rationale: p. 239/40 8. The Continuity of Care standard was designed a. To be a standard health care data summary b. To establish a common patient care vocabulary c. To manage population health d. To eliminate paper transmission of information Correct Answer: a. To be a standard health care data summary Rationale: p. 243 9. The majority of HIPAA transaction standards were taken from the a. Health Level Seven standards b. Digital Imaging and communications in Medicine standards c. Continuity of care standards d. ANSI XI2N standards Correct Answer: d. ANSI X12N standards Rationale: p. 244 10. Which federal initiative designated standard maintenance organization? a. HIPAA b. Centers for Medicare and Medicaid e-Prescribing

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 c. Office of the National Coordinator for Health Information Technology d. Nationwide Health Information Network Correct Answer: a. HIPAA Rationale: p. 244

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 Part Three: Information Technology Chapter 10: Security of Health Care Information Systems TRUE/FALSE 1. HIPAA was at the forefront of health information security concerns. a. True b. False Correct Answer: b. False Rationale: p. 252 2. External security breaches are more common than internal breaches of security. a. True b. False Correct Answer: b. False Rationale: p 254 3. The HIPAA Security rule governs all protected health information. a. True b. False Correct Answer: b. False Rationale: p. 254 4. Every health care organization must have a single individual who is responsible for overseeing the information security program. a. True b. False Correct Answer: a. True Rationale: p. 261 5. User-based access is the most stringent type of access control. a. True b. False Correct Answer: b. False Rationale: p. 265 6. Password systems are the most common and the weakest form of entity authentication. a. True b. False

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 Correct Answer: a. True Rationale: p. 267 7. Pretty Good Privacy (PGP) allows the average person to create and send secure e-mail and data files. a. True b. False Correct Answer: a. True Rationale: p. 271 8. A Trojan horse is a special type of computer virus that stores and then replicates itself and is usually transferred via e-mail. a. True b. False Correct Answer: b. False Rationale: p. 272 9. Lack of user authentication is a security problem with the Wired Equivalent Privacy (WEP). a. True b. False Correct Answer: a. True Rationale: p. 273/4 10. To prevent data from being intercepted during transmission from a remote location, on risk management solutions to prohibit transmission of e-PHI via open networks such as the Internet. a. True b. False Correct Answer: a. True Rationale: p. 277

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 MULTIPLE CHOICE 1. A computer virus is an example of what type of threat? a. Human threat b. Natural threat c. Technology threat d. Unintentional theat.

Correct Answer: a. Human threat Rationale: p. 253/4 2. What is NOT a HIPPA governed covered entity? a. A health plan b. A health care clearing house c. A health care organization d. A health care patient Correct Answer: d. A health care patient Rationale: p. 255 3. An example of a HIPAA Administrative Safeguard is a. Information access management b. Data backup and storage c. Encryption d. Documentation Correct Answer: a. Information access management Rationale: p. 256 4. Unique user identifications are an example of which HIPAA Safeguard? a. Administrative b. Physical c. Technical d. Policy Correct Answer: c. Technical Rationale: p. 258 5. Data storage and backup is addressed in which physical safeguard issue? a. Assigned security responsibility b. Media controls c. Physical access controls d. Workstation security Correct Answer: b. Media controls

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 Rationale: p. 262 6. Which access control is the most stringent? a. User-based b. Role-based c. Context-based d. Password-based Correct Answer: c. Context-based Rationale: p. 265 7. What entity authentication is the most stringent? a. Password system b. Token system c. Biometrics d. Two-factor system Correct Answer: d. Two-factor system Rationale: p. 266/7 8. Which is the best password? a. 2Ki$$ing b. KathySmith c. Nur@3 d. One2three Correct Answer: a. 2Ki$$ing Rationale: p. 268 9. Which type of audit trails is to detect overutilization? a. Individual accountability b. Reconstructing electronic events c. Problem monitoring d. Intrusion detection Correct Answer: c. Problem monitoring Rationale: p. 269 10. What is data called before any encryption has taken place? a. Plaintext b. Encryption algorithm c. Ciphertext d. Key

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 Correct Answer: a. Plaintext Rationale: p. 270

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 Part Four: Senior Management IT Challenges Chapter 11: Organizing Information Technology Services TRUE/FALSE 1. The IT department has recently become an integral part of most hospitals or health care systems. a. True b. False Correct Answer: b. False Rationale: p. 282 2. Most CIO’s report directly to the chief executive officer. a. True b. False Correct Answer: b. False Rationale: p. 287 3. The Chief Medical Informatics officer is usually a physician. a. True b. False Correct Answer: a. True Rationale: p. 288 4. Systems analysts with clinical backgrounds are in high demand. a. True b. False Correct Answer: a. True Rationale: p. 289 5. Webmasters are responsible for the day-to-day website design and creation. a. True b. False Correct Answer: b. False Rationale: p. 295 6. The best organizational format for an IT department is to organize by major job function. a. True b. False

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009

Correct Answer: b. False Rationale: p. 298 7. A critical factor in determining the structure for the IT department is the degree of centralization of organizational decision-making a. True b. False Correct Answer: a. True Rationale: p. 300 8. Most health care IT services are a combination of centralization and decentralization. a. True b. False Correct Answer: a. True Rationale: p. 302 9. Outsourcing IT services is more cost effective than providing IT services in-house. a. True b. False Correct Answer: b. False Rationale: p. 304 10. It is difficult to measure the quality and consequences of consultative services. a. True b. False Correct Answer: a. True Rationale: p. 307

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 MULTIPLE CHOICE 1. Which IT department core function includes IT “housekeeping” tasks? a. Operations and technical support b. Applications management c. Specialized groups d. IT administration Correct Answer: a. Operations and technical support Rationale: p. 283 2. Which IT department core function includes decision-support? a. Operations and technical support b. Applications management c. Specialized groups d. IT administration Correct Answer: c. Specialized groups Rationale: p. 284 3. Making change happen is a College of Healthcare Information Management Executives (CHIME) identified competency for which IT senior leadership role? a. Chief information officer (CIO) b. Chief technology officer (CTO) c. Chief security officer (CSO) d. Chief medical informatics officer (CMIO) Correct Answer: a. Chief information officers Rationale: p. 286 4. Which IT senior leadership role might be involved in the implementation of an electronic medical record? a. Chief information officer (CIO) b. Chief technology officer (CTO) c. Chief security officer (CSO) d. Chief medical informatics officer (CMIO) Correct Answer: d. Chief medical informatics officer Rationale: p. 288 5. Which IT staff role might be called upon to determine what computer software and hardware might be needed for implementing a new information system? a. Programmer b. Database administrator c. Network administrator

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 d. Systems analyst Correct Answer: d. System analyst Rationale: p. 291 6. An IT department that is matrixed functionally and geographically is said to be organized according to a. Major job function b. Product lines c. Critical organizational process d. An integrated delivery system Correct Answer: d. An integrated delivery system Rationale: p. 299 7. What is a benefit of a decentralized IT department? a. Enforcement of hardware and software standards b. Innovative use of information systems c. Easier training d. Easier strategic IT planning Correct Answer: b. Innovative use of information systems Rationale: p. 301 8. Project management skills are important to which Core IT competency? a. Base support and services b. Care improvement c. Technical infrastructure d. Departmental attributes Correct Answer: a. Base support and services Rationale: p. 302 9. An IT department evaluation metric to demonstrate infrastructure service response time might include a. The percentage of time that systems have unscheduled down time b. How quickly an application moves from one screen to another c. How quickly a system can recover after it goes down d. The percentage of help desk calls that are not resolved after five days e. False Correct Answer: b. How quickly an application moves from one screen to another Rationale: p. 307 10. What is important in meeting IT service levels?

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 a. b. c. d.

Management’s definition the desired levels The percentage of the health care budget going to IT Day to day support Technical infrastructure

Correct Answer: A. Management’s definition of desire levels Rationale: p. 308

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 Part Four: Senior Management IT Challenges Chapter 12: IT Alignment and Strategic Planning TRUE/FALSE 1. The primary reason to develop a sound strategic plan is important to avoid significant misdirected organizational resource. a. True b. False Correct Answer: a. True Rationale: p. 316 2. Establishing a political process is important in the IT alignment and strategic-planning process. a. True b. False Correct Answer: a. True Rationale: p. 316 3. The implementation component of strategy development is the development of project plans and budgets. a. True b. False Correct Answer: b. False Rationale: p. 319 4. The linkage between IT agenda and organizational strategies is a straightforward series of steps. a. True b. False Correct Answer: b. False Rationale: p. 319/20 5. The development of an IT strategy follows a specific formula. a. True b. False Correct Answer: b. False Rationale: p. 325

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 6. Governing concepts have a considerable impact on our lives with significant ramifications. a. True b. False Correct Answer: a. True Rationale: p. 329 7. Identifying governing concepts is not complex, emerging from previous strategic plans. a. True b. False Correct Answer: b. False Rationale: p. 329 8. The best way to develop and IT strategy and to ensure alignment is to precede its development with the annual budget. a. True b. False Correct Answer: b. False Rationale: p. 330 9. An IT manager should be involved in task forces and committees involved in organizational strategy development. a. True b. False Correct Answer: a. True Rationale: p. 330 10. Much of what IT does is not strategic nor does it require strategic thinking. a. True b. False Correct Answer: a. True Rationale: p. 341

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 MULTIPLE CHOICE 1. Which IS initiative might be the result of an organizational goal of data sharing across the organizational system? a. Quality measurement databases b. Clinical data repository c. Research patient data registry d. Cost accounting Correct Answer: b. Clinical data repository Rationale: p. 317 2. Identifying gaps between current status and needs meets which IS strategy vector? a. Organizational strategies b. Continuous improvement of core processes c. Examination of the role of new information technologies d. Fundamental views about competition Correct Answer: b. Continuous improvement of core processes Rationale: p. 322 3. Which IS strategy vector is not commonly used in healthcare? a. Organizational strategies b. Continuous improvement of core processes c. Examination of the role of new information technologies d. Fundamental views about competition Correct Answer: d. Fundamental views about competition Rationale: p. 325 4. Which IT asset component includes strategies and plans? a. Applications b. Infrastructure c. Data d. IT governance Correct Answer: d. IT governance Rationale: p. 328 5. Which IT asset component includes the consideration of out-sourcing? a. Applications b. Infrastructure c. Data d. IT governance

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 Correct Answer: a. Applications Rationale: p. 326 6. Why should all major departments have an IT liaison, or a senior IT staff person point of contact? a. To ensure security b. To improve processes c. For easier training d. For quicker day to day support Correct Answer: b. To improve processes Rationale: p. 333 7. Developing competence around enduring goals is an example of which “methodologyless” alignment process? a. IT planning is not a separate process b. IT planning has neither a beginning or an end c. IT planning involves shared decision making d. IT plan emphasizes themes Correct Answer: d. IT plan emphasized themes Rationale: p. 341 8. What may be the most significant and important source of a competitive advantage? a. The rapid and accurate gathering of data b. Product and service differentiation c. Leveraging organizational processes d. Leveraging IT technology Correct Answer: a. The rapid and accurate gathering of data Rationale: p. 348 9. How often can significant organizational changes, or “grand slams,” be anticipated? a. Every year b. Every two years c. Every five years d. Every ten years Correct Answer: c. Every five years Rationale: p. 356 10. Which competitive baggage can lead to a “blindness” of new ideas? a. IT “arms race” b. Governing concepts that fail to evolve c. IT rigidity

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 d. Over sensitivity to the IT market Correct Answer: b. Governing concepts that fail to evolve Rationale: p. 357

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 Part Four: Senior Management IT Challenges Chapter 13: IT Governance and Management TRUE/FALSE 1. Evolving IT governance and management mechanisms are related to a central topic for organizational leadership. a. True b. False Correct Answer: b. False Rationale: p. 360 2. IT governance is static and the same for all organizations. a. True b. False Correct Answer: b. False Rationale: p. 361 3. Governance structures and distribution of responsibilities should be heavily influenced by basic strategic objectives. a. True b. False Correct Answer: a. True Rationale: p. 362 4. An IT user responsibility is to participate in the developing and maintaining of the IT agenda and priorities. a. True b. False Correct Answer: a. True Rationale: p. 366 5. The CIO holds the fundamental accountability for the performance of the IT function. a. True b. False Correct Answer: a. True Rationale: p. 369 6. All major functions and departments of the health care organization should have an IT liaison.

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 a. True b. False Correct Answer: a. True Rationale: p. 370 7. A great CIO in one setting may not be a great CIO in another setting. a. True b. False Correct Answer: a. True Rationale: p. 376 8. Possessing state of the art technology is more important the technical architecture. a. True b. False Correct Answer: b. False Rationale: p. 378 9. No optimal outcome exists when management discusses the categories and targets of an IT budget. a. True b. False Correct Answer: a. True Rationale: p. 383 10. Ground rules are necessary for strategy and operating budget discussions. a. True b. False Correct Answer: a. True Rationale: p. 384/5

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 MULTIPLE CHOICE 1. Routine maintenance of existing infrastructure falls under which area of IT management? a. Governance b. Effectiveness c. Budget d. Development Correct Answer: c. Budget Rationale: p. 360 2. Which area is NOT a foundation of IT governance? a. Principles b. Architecture c. Budget d. Investment and prioritization Correct Answer: c. Budget Rationale: p. 361 3. What is a governance characteristic? a. They can be perceived as unfair b. Authority is clear c. They support the current environment d. Decisions are made slowly and carefully Correct Answer: b. Authority is clear Rationale: p. 362 4. Who has the responsibility of ensuring a secure information system? a. IT Department b. User c. Senior management d. Executive Committee Correct Answer: a. IT department Rationale: p. 364 5. In what area should major IT decisions be made? a. IT department b. The board c. Executive committee d. IT steering committee

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 Correct Answer: c. Executive committee Rationale: p. 369 6. Which key player conceptualizes an initial visionary project idea? a. Project champion b. Envisioner c. Executive sponsor d. IT expert Correct Answer: b. Envisioner Rationale: p. 374 7. Which long-term IT competitive asset involves technical skills? a. IT human resource asset b. Technology asset c. Relationship asset d. Visionary asset Correct Answer: a. IT human resource asset Rationale: p 375 8. What is necessary in the management team for leading to industry-changing systems? a. A business crisis b. A technology maestro c. An IT innovation d. An IT solution Correct Answer: b. A technology maestro Rationale: p. 376 9. According to a summary of the four studies presented in the text, which statement is true for capacity development? a. User capabilities are important b. Team members can be substituted c. Technology can enable and hinder d. True innovation can happen instantaneously Correct Answer: c. Technology can enable and hinder Rationale: p. 378 10. Ground rules are important for which part of the IT budget decision-making process? a. Operating budget submission b. IT leader review of the strategic IT initiative c. Organizational decision on new and ongoing initiative to support d. Strategy and operations budget discussion

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009

Correct Answer: d. Strategy and operations budget discussion Rationale: p. 384

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 Part Four: Senior Management IT Challenges Chapter 14: Management’s Role in Major IT Initiatives TRUE/FALSE 1. Health care organizations rarely undertake projects or initiatives designed to improve the performance or advance strategies. a. True b. False Correct Answer: b. False Rationale: p. 388 2. Change must be lead. a. True b. False Correct Answer: a. True Rationale: p. 391 3. Effectively describing desired outcomes use the words “must” rather than “should”. a. True b. False Correct Answer: b. False Rationale: p 292 4. A project charter may be vague as it is evolving. a. True b. False Correct Answer: b. False Rationale: p. 389 5. The failure of IT initiatives is high. a. True b. False Correct Answer: a. True Rationale: p. 401 6. For success, members of the organization must be convinced of the need of the project. a. True b. False

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 Correct Answer: a. True Rationale: p. 404 7. Previous failures lead to increased future success. a. True b. False Correct Answer: b. False Rationale: p. 405 8. Open debates can support organizational change. a. True b. False Correct Answer: a. True Rationale: p. 405 9. Achievement of project short-term goals must be communicated. a. True b. False Correct Answer: a. True Rationale: p. 408 10. It is the responsibility of the project development team to minimize the occurrence and severity of factors that threaten to undermine change. a. True b. False Correct Answer: b. False Rationale: p. 411

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 MULTIPLE CHOICE 1. Which type of change is risky with a high failure rate? a. Incremental change b. Step-shift change c. Radical change d. Fundamental change Correct Answer: d. Fundamental change Rationale: p. 390 2. Which outcome illustrated thoughtful use of language? a. The hospital should have less debt. b. Providers must attend more educational conferences. c. Patients must not be late for appointments. d. We should enable better sharing of information Correct Answer: d. We should enable better sharing of information.

Rationale: p. 292 3. What is the best motivator to support significant change? a. Enthusiasm b. Fear c. Incentives d. Competition Correct Answer: c. Incentives Rationale: p. 292 4. Who holds the over accountably for the project? a. Business sponsor b. Business owner c. Project manager d. IT manager Correct Answer: a. Business sponsor Rationale: p. 394 5. Which group provides overall guidance and management oversight to the project? a. Project steering committee b. Project team c. Project review committee d. Executive committee Correct Answer: a. Project steering committee

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 Rationale: p. 396 6. What provides the details of the teaks, phases, and resources needed for day-to-day project management? a. Project charter b. Project plan c. Project status report d. Project resource analysis Correct Answer: b. Project plan Rationale: p. 398 7. What barrier of project success might be eliminated with a “town hall meeting” explaining the project and allowing questions? a. Lack of clarity of purpose b. Lack of belief in the project c. Insufficient leadership support d. Lack of candor Correct Answer: d. Lack of candor Rationale: p. 405 8. “It’s been tried before” is an example of what type of project barrier? a. Organizational inertia b. Organizational baggage c. Lack of an appropriate reward system d. Project complexity Correct Answer: b. Organizational baggage Rationale: p. 405 9. Not supplying the best-qualified staff to a project is what type of project barrier? a. Initiative undernourishment b. Failure to anticipate short-term disruptions c. Invisible progress d. Lack of technology stability and maturity Correct Answer: a. Initiative undernourishment Rationale: p. 407 10. For major IT initiatives to be successful, the implementation must be treated as a. A technology installation b. An IT project c. An interdisciplinary project d. A business change effort

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009

Correct Answer: d. A business change effort Rationale: p. 410

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 Part Four: Senior Management IT Challenges Chapter 15: Assessing and Achieving Value in Health Care Information Systems TRUE/FALSE 1. Tangible value can be measured. a. True b. False Correct Answer: a. True Rationale: p. 414 2. It is difficult to quantitatively assess the value of infrastructure investments a. True b. False Correct Answer: a. True Rationale: p. 418 3. A well-crafted project proposal ensures value. a. True b. False Correct Answer: b. False Rationale: p. 420 4. It is common for an organization to have more project proposals than it can fund. a. True b. False Correct Answer: a. True Rationale: p. 424 5. Saving fractions of staff effort leads to salary savings, especially when related to large numbers of staff. a. True b. False Correct Answer: b. False Rationale: p. 426 6. Project proposals may not include time spent by nurses on design development. a. True b. False

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009

Correct Answer: a. True Rationale: p. 427 7. Proposals often fail to adequately account for post-implementation costs. a. True b. False Correct Answer: a. True Rationale: p. 428 8. “Go-live” parties may send an inappropriate signal that implementation is the end point of the IT initiative. a. True b. False Correct Answer: a. True Rationale: p. 431 9. To evaluate value, a good question is “What is the ROI of a computer system?” a. True b. False Correct Answer: b. False Rationale: p. 343 10. IT is a commodity that does not achieve value but is necessary. a. True b. False Correct Answer: a. True Rationale: p. 439

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 MULTIPLE CHOICE 1. What is an example of an intangible IT value? a. Increase in revenue b. Quicker admission process c. Reduction in turnover d. Improvement in communication Correct Answer: d. Improvement in communication Rationale: p. 415 2. Which investment class might upgrade core IT infrastructures? a. Transformation b. Renewal c. Process improvement d. Experiments Correct Answer: b. Renewal Rationale: p. 417 3. Which IT investment purpose might have priority? a. Infrastructure b. Mandated c. Cost reduction d. Specific new product or services Correct Answer: b. Mandated Rationale: p. 419 4. Which IT investment purpose would include decreasing patient waiting time? a. Mandated b. Cost reduction c. Specific new product or services d. Quality improvement Correct Answer: d. Quality improvement Rationale: p. 419 5. A value information source that may over analysis of a new IT investment proposal would be a. Conferences b. Industry publication c. Research organizations d. Consultants

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 Correct Answer: b. Industry publications Rationale: p. 421 6. Which project proposal problem assumes nothing will go wrong with the project? a. Fractions of effort b. Reliance on complex behavior c. Unwarranted optimism d. Shaky extrapolations Correct Answer: c. Unwarranted optimism Rationale: p. 426 7. What project proposal problem may be identified when managers get nervous about decreasing their budget for the same amount of work? a. Phantom square fee b. Underestimating the effort c. Fairy-tale savings d. Failure to account for post-implementation costs Correct Answer: c. Fairy-tale savings Rationale: p. 427 8. What value realization step includes ensuring the presentation of projects occurs in a forum that routinely reviews requests? a. Make sure the homework was done b. Require formal project proposals c. Increase accountability for investment results d. Conduct post-implementation audits Correct Answer: c. Increase in accountability for investment results Rationale: p. 429 9. What value realization step includes a 12 month plan with major themes? a. Celebrate value achievement b. Leverage organizational governance c. Shorten the deliverable cycle d. Communicate value Correct Answer: d. Communicate value Rationale: p. 432 10. What question does NOT effectively assess for potential project value? a. What is the ROI of the system? b. What steps do we need to take to achieve our goals? c. Does the cost seem appropriate?

Wager, Wickham, and Glaser: Health Care Information Systems Text Bank Questions Harrington: December 2009 d. Are we comfortable with our ability to execute?

Correct Answer: a. What is the ROI of the system?

Rationale: p. 434