CPHIMS Questions Flashcards
What are the learning objectives of Clinical Informatics?
To understand global aspects, domains, vocabulary, tools, and outcomes in clinical informatics.
What are the global aspects covered in Clinical Informatics?
Global aspects include basic clinical vocabulary, information technology vocabulary, and common data analytics tools.
What does Clinical Informatics cover in terms of basic clinical vocabulary and terms?
Basic clinical vocabulary and terms are explained, along with basic information technology vocabulary and terms.
Which tools are discussed in relation to clinical content and decision support?
Tools include clinical data analytics tools, clinical outcomes, and operational outcomes.
What aspects are highlighted under Healthcare Information and Systems Management?
Operational, managerial, and strategic aspects of IT implementation in healthcare systems.
What are the applications mentioned for clinical functions in healthcare systems management?
Applications for clinical functions include administrative services and financial services.
What is the importance of workflow and process mapping in healthcare facilities?
Workflow and process mapping help analyze current clinical processes and assess functional needs.
What methodology is discussed for process improvement in healthcare practices?
DMAIC and PDCA/PDSA methodologies are explored for process improvement.
How are deficiencies in current IT healthcare practices addressed?
Deficiencies are addressed by considering patient support, reduction in revenue generation, and industry standardization.
What are the key activities during the implementation process of healthcare information systems?
Activities include change management, system integration, user training, and activation planning.
What does CHC stand for in the context of healthcare services?
Community Health Centers
What type of areas are Community Health Centers (CHCs) associated with in the United States?
Medically underserved areas
What is the designation that allows small community hospitals in rural areas to receive higher reimbursement rates?
Critical Access Hospitals (CAHs)
What are services like laboratory and diagnostic imaging commonly referred to as?
Ancillary services
Which healthcare delivery organization serves citizens 65 years and older in the United States?
Medicare
In the U.S. healthcare system, what program supports care for low-income families?
Medicaid
In Germany, who mandates shared health insurance contributions from employers and employees?
Germany
What type of health insurance is funded by employers or citizens directly in the United States?
Private health insurance
How do healthcare organizations receive payment when treating patients insured through a private entity?
They bill the private health insurance entity.
What type of healthcare payment involves individuals using their personal funds for services?
Personally funded healthcare services
What may private health insurance allow the purchaser to receive that is not covered under a national benefit structure?
Services not covered under a national benefit structure
What is the term for documents that support analysis, decision-making, acquisition, and implementation processes?
System documentation
What common model is often used for change management?
ADKAR
In risk management, what is assessing the likelihood and impact of a risk-related event called?
Quantification
What are the ‘four pillars’ of the healthcare environment?
Cost, access, value, and quality
How may hospitals be classified according to the notes?
Hospitals may be classified in more than one way.
How would an ambulatory surgery center be best classified?
An outpatient care setting
Where do payments generally come from, from the perspective of a healthcare delivery organization?
Government-financed programs, insurance programs, patients’ personal funds
What is the purpose for interrelationships among healthcare organizations according to the notes?
Ensure effective transfers of care facilitated by providing health information
How is general portability of healthcare facilitated according to the notes?
By health information exchanges (HIEs) like NHIN
What is an example of the secondary use of a patient’s health information?
Sharing with public health officials for statistical reporting
In financial reimbursement, what interrelationships between healthcare organizations may assure government payers?
Quality healthcare services have been delivered
Who are the key information technology professionals in healthcare organizations?
CIO, CSO, CMIO
What is a unique role nongovernment professional associations may not typically perform?
Making laws and regulations regarding reimbursements
What type of facility has there been a shift in care settings to according to the notes?
Outpatient centers
What is the expectation patients have regarding their health information security?
Private and secure
What do data warehouses include according to the notes?
Data from many different EHRs
What do interface engines support in the healthcare environment?
Interoperability and data integration
For what purpose can telehealth be used according to the notes?
To provide specialist care to patients in rural areas
What can mHealth applications address according to the notes?
A way to utilize mobile technology to achieve improved health goals
What makes healthcare data integration unique according to the notes?
Myriad un-adopted or poorly implemented standards
What are the main goals of an Enterprise Analytics department within a hospital?
All of the above
What do clinical informaticists use their knowledge to do according to the notes?
Various tasks related to clinical informatics
What process results in documentation of what the system actually does?
Requirement analysis
What does DMAIC stand for?
Define, measure, analyze, improve, control
Why is it important to have a work plan when managing projects and resources?
To plan the intended workflow processes by managing personnel
What type of information is collected as part of the RFP process?
Functional specifications, operational requirements, technical requirements, licensing and contractual information
What protects organizations from having their confidential information shared without consent?
Non-disclosure agreement
Identify two key aspects of system design.
Compatibility and interoperability
What roles are typically represented in a system design team?
Solution architect, information security officer, project manager
Which factors must be considered during system design?
System monitoring, disaster recovery, usability
What does detailed technical specifications address?
Availability, programming language, security and data encryption
Which phases are included in the Usability Maturity Model (UMM)?
Unrecognized, Implemented, Strategic, Optimized
What can unclear technical requirements lead to?
Positive vendor relationships
What is not included in the Data Management International (DAMA®) framework?
Data value analysis
What is included in the Technology Adoption Curve?
Innovators, technology enthusiasts, early adopters, visionaries, late majority conservatives
What could be part of functional requirements?
Printers, workflow redesign, backup and recovery plans
What is a characteristic of a request for proposal?
A collection of documents with detailed requirements
What does implementation execution involve?
Definition of the team’s roles and responsibilities, decision on implementation strategy
What is the goal of finding a structure for IT integration in the healthcare sector?
To include cost-effectiveness, patient safety and care, ease of processes, and industry standardization.
What key objectives must be identified initially for the IT integration work in healthcare facilities?
Evaluation of current operational situation, identification of major problems, and proposing alternative solutions.
What does the stage of identifying major problems in processes involve?
Comparing current processes’ efficiency with IT implementation efficiency in a similar setting.
What is involved in the stage of carrying out a comparative analysis of alternative processes and original routines?
Using flow charts, tables, process flows, and other analytic tools to guide policy implementation decisions.
Why is evaluating the ethical, legal, social, and economic implications of alternatives important in the IT integration process?
To conduct a comprehensive cost–benefit analysis and foresee any potential implications.
What resources are usually assigned in the IT integration plan for healthcare facilities?
Personnel, partners, equipment, and legal/regulatory infrastructure.
What role does the project management or steering committee play in the implementation of a proposal?
Regulating budget allocations, monitoring expenditures, and overseeing accounts reconciliation.
What should the proposed solution model for healthcare facilities aim to meet?
Patient satisfaction, revenue generation, efficient processes, and conformity to industry standards.
What does project cost management involve?
Estimating project cost and ensuring completion within approved budget.
Explain project human resource management.
It involves obtaining, developing, and managing the project team.
What does project procurement management encompass?
Managing acquisition of products and services from external sources.
Define project risk management.
Focuses on identifying project risks and appropriate responses.
Describe project quality management.
Involves ensuring the project meets its objectives and requirements.
What is project integration management?
Integration of various project activities including planning, execution, monitoring, and closing.
What is the role of a project manager (PM)?
Responsible for meeting project goals within budget and on schedule, controlling resources, managing scope, schedule, and cost.
Why are vendor relationships important in healthcare?
Vendors provide expertise and support for meeting technology requirements.
What are the benefits of a well-managed vendor relationship?
Increased customer satisfaction, reduced costs, better quality and service.
What should be considered when selecting a vendor?
Analyzing business requirements, performing a vendor search, selecting based on needs.
Why is vendor performance monitoring important?
To ensure critical requirements are met and to avoid problems.
What are common pitfalls to avoid in vendor management?
Not confusing vendor selection with management and not selecting based on price alone.
What is the role of a credentialed medical assistant in entering orders into the medical record?
To enter orders as per state, local, and professional guidelines.
How does Patient Electronic Access to Health empower patients?
By providing timely electronic access to health information and education.
Explain the importance of Coordination of Care Through Patient Engagement.
To engage patients or their representatives about the patient’s care.
How does Health Information Exchange support seamless care transition?
By providing a summary of care record when transitioning patients to another setting.
What is the significance of Public Health and Clinical Data Registry?
To submit electronic public health data in a meaningful way.
How can eligible hospitals protect patient health information?
By protecting ePHI through appropriate safeguards.
What is the purpose of Electronic Prescribing?
To generate and transmit permissible prescriptions electronically.
Why is Clinical Decision Support (CDS) important?
To implement interventions focused on improving health conditions.
Who can use Computerized Practitioner Order Entry (CPOE)?
Any licensed healthcare professional or credentialed medical assistant.
How does Patient Electronic Access to Health benefit patients?
By providing timely electronic access to health information and education.
What are technical safeguards in healthcare data security?
Electronic means to ensure data is not accessible or encrypted for third parties.
Give examples of technical safeguards in healthcare data security.
Network firewalls, secure protocols on public networks, and encryption on storage media.
What do physical safeguards in healthcare data security consist of?
Physical measures, policies, and procedures to protect electronic information systems.
Provide examples of physical safeguards in healthcare data security.
Data centers outside floodplains, redundant power sources, and limited access to server rooms.
What major cybersecurity threat do security professionals face today?
Cybersecurity - unauthorized access and malicious attacks on healthcare information systems.
What is ransomware in healthcare data security context?
Ransomware holds patient health information hostage for payment.
What is the purpose of a data classification policy in healthcare?
To protect information from unauthorized disclosure, use, modification, and deletion.
What is the importance of data management in healthcare providers?
To ensure the most useful data is quickly available.
Why is it advised for healthcare providers to develop a data retention and destruction policy?
To systematically destroy non-useful or end-of-life data.
What should be included in an organization’s disaster recovery and business continuity plans?
Analysis of critical applications and data, data backup plan, disaster recovery plan, emergency-mode operation plan.
What are the primary priorities for individual healthcare facilities according to the needs hierarchy model?
Patient safety, profitability, ease of processes, industry standardization.
What is the significance of workflow and process mapping in healthcare?
To understand current processes, identify broken processes, aid in change management.
How do workflow and process mapping support functional data and technical strategies?
By guiding system configuration, creating test cases, and aiding new user training.
What does process mapping help identify in healthcare organizations?
Broken processes, need for process improvement through automation, and standard data structures.
What do process diagrams and flowcharts visually represent?
The boundaries of the process, steps involved, and sequence of steps.
What forms can workflow and process mapping diagrams take?
Activity diagrams, swim lane charts, data flow diagrams, system flowcharts, entity relationship diagrams, class diagrams, use cases.
How does proper IT implementation impact the process of patient briefing in healthcare?
Allows convenient patient briefing and follow-up through trusted e-mail services, enables patient choice of communication channel.
In what areas can IT be effectively used in healthcare processes based on process flow diagrams?
Administrative and financial, operational, process flow and standardization.
List the seven protection and accountability principles of data protection under GDPR.
- Lawfulness, fairness and transparency 2. Purpose limitation 3. Data minimization 4. Accuracy 5. Storage limitation 6. Integrity and confidentiality 7. Accountability
What are the eight privacy rights of EU individuals under GDPR?
- Right to be informed 2. Right of access 3. Right to rectification 4. Right to erasure 5. Right to restrict processing 6. Right to data portability 7. Right to object 8. Rights in relation to automated decision making and profiling
Define ‘Personal data’ as per GDPR.
Any information about an individual who can be directly or indirectly identified.
Who is a ‘Data controller’ according to GDPR?
The person who decides why and how personal data will be processed.
What are some examples of tools used to assess GDPR readiness for organizations?
Tools may include review of current policies, procedures, contracts, and relevant documents.
What are the consequences for not being GDPR compliant?
Maximum penalty of €20 million or 4% of global revenue, along with other sanctions.
Explain ‘Data processor’ as per GDPR.
A third party that processes personal data on behalf of the data controller.
What criteria must a data processor meet to legally process personal data under GDPR?
Consent of the data subject, necessity for a contract, legal obligation, saving a life, public interest, or legitimate interest.
What measures should organizations implement for GDPR compliance?
Technical measures like two-factor authentication, end-to-end encryption, and organizational measures like staff training, data privacy policy.
What should a well-developed plan map in an organization?
Organizational strategies and supporting applications/processes.
What does the map of a well-developed plan provide?
Visual representation of current systems status.
What does the gap analysis in a plan focus on?
Focuses on the gaps between current state and desired future state.
What approach can be considered to evaluate the current organization?
SWOT analysis - strengths, weaknesses, opportunities, threats.