Domain 3 - Data Analytics and Informatics

Question 1

In order for health information exchange (HIE) participants to search for health records on each of the other systems using patient indexing and identification software, the systems must be linked by a(n):

A - Primary key interface (PKI)
B - Application programming interface (API)
C - Continuity of care record (CCR)
D - Record locator service (RLS)

Answer 1

D - Record locator service (RLS)

Question 2

The performance standard to “respond to release of information requests for continuing care in one working day 95 percent of the time” is an example of a:

A - Qualitative standard
B - Quantitative standard
C - Joint Commission standard
D - Compliance standard

Answer 2

A - Qualitative standard

Question 3

What is the biggest problem with using mean length of stay as a facility statistic?

A - It is not accurate
B - It is influenced by outlier values
C - It is mathematically incorrect
D - It is a dependent variable

Answer 3

B - It is influenced by outlier values

Question 4

HIM departments may be the hub of identifying, mitigating, and correcting master patient index (MPI) errors. But that information often is not shared with other departments within the healthcare entity. After identifying procedural problems that contribute to the creation of the MPI errors, which department should the MPI manager work with to correct these procedural problems?

A - Administration
B - Registration or patient access
C - Risk management
D - Radiology and laboratory

Answer 4

B - Registration or patient access

Question 5

A possible justification for building an information system in-house rather than purchasing one from a vendor is that:

A - It is cheaper to buy than to build
B - The facility has development teams they do not want to give up
C - Integration of systems will be easier
D - Vendor products are not comprehensive enough

Answer 5

B - The facility has development teams they do not want to give up

Question 6

Community Memorial Hospital had 25 inpatient deaths, including newborns, during the month of June. The hospital had a total of 500 discharges for the same period, including deaths of adults, children, and newborns. The hospital’s gross death rate for the month of June was:

A - 0.05%
B - 2%
C - 5%
D - 20%

Answer 6

C - 5%

Question 7

In which of the following phases of systems selection and implementation would the process of running a mock query to assess the functionality of a database be performed?

A - Initial study
B - Design
C - Testing
D - Operation

Answer 7

C - Testing

Question 8

You want to graph the average length of stay by sex and service for the month of April. Which graphic tool would you use?

A - Bar graph
B - Histogram
C - Line graph
D - Pie chart

Answer 8

A - Bar graph

Question 9

In the data warehouse, the patient’s last name and first name are entered into separate fields. This is an example of what?

A - Query
B - Normalization
C - Key field
D - Slicing and dicing

Answer 9

B - Normalization

Question 10

A physician is interested in conducting research on herniated intervertebral disc disease. She wants to compare the success of conservative medical care versus surgical intervention. The best source of this information is the:

A - Disease index
B - Operative index
C - Master patient index
D - Trauma registry

Answer 10

A - Disease index

Question 11

The health information services department at medical Center Hospital has identified problems with its work processes. Too much time is spend on unimportant tasks., there is duplication of effort, and task assignment is uneven in quality and volume among employees. What should the manger do?

A - The manager should have each employee complete a serial work request.
B - The manager should have each employee complete a work distribution chart.
C - The manager should have the employees complete a use case analysis.
D - The manager should develop a flow process chart.

Answer 11

B - The manager should have each employee complete a work distribution chart.

Question 12

A requirements specification that lists what is needed from the vendor to support interoperability is necessary to create:

A - Create a checklist of user concerns about information systems
B - Identify specific features and functions that must be in an information system
C - Make a migration path for future phases of information systems
D - Verify that an information system works as anticipated

Answer 12

B - Identify specific features and functions that must be in an information system

Question 13

By querying the healthcare entity data, you find the patients admitted on a weekend have a mean length of stay that is 1.3 days longer than patients who are admitted Monday through Friday. This method of finding information is called:

A - Structure query language
B - Data mining
C - Multidimensional data structuring
D - Satisficing

Answer 13

B - Data mining

Question 14

A health information professional is preparing statistical information about the third-party payers that reimburse care in the facility. She finds the following information: Medicare reimburses 46 percent; Medicaid reimburses 13 percent; Blue Cross reimburses 21 percept; workers’ compensation reimburses 1 percent; commercial plans reimburse 15 percent; and other payers or self-payers reimburse 4 percent. What is the best graphic tool to use to display this data?

A - Histogram
B - Pie chart
C - Line graph
D - Table

Answer 14

B - Pie chart

Question 15

Suring an influenza outbreak, a nursing home reports 25 new cases of influenza in a given month. These 25 cases represent 30 percent of the nursing home’s population. This rate represents the:

A - Distribution
B - Frequency
C - Incidence
D - Prevalence

Answer 15

C - Incident

Question 16

A community hospital looking to cut cost out of a vendor’s proposal for health IT should consider:

A - Acquiring its own hardware
B - Conducting process improvement in advance to improve return on investment
C - Extending implementation over a longer period of time
D - Writing its own software

Answer 16

B - Conducting process improvement in advance to improve return on investment

Question 17

When a physician office acquires a new EHR in place of its old EHR, the old EHR data will require:

A - Chart conversion
B - Chart transition
C - Data conversion
C - Data processing

Answer 17

C - Data conversion

Question 18

The user needs a list of all of the patients that were diagnoses a cerebral infarction or a cerebral hemorrhage, This is an example of a situation in which what type of search should be used?

A - Structured query language
B - Wildcard search
C - Truncation
D - Boolean search

Answer 18

D - Boolean search

Question 19

A hospital is conducting an analysis of its existing health information systems and is looking at potential areas that need attention. This step is typically referred to as:

A - Identify needs
B - Monitor results
C - Record feedback
D - Specify requirements

Answer 19

B - Monitor results

Question 20

What type of data display tool is used to display discrete categories?

A - Bar graph
B - Histogram
C - Pie chart
D - Line chart

Answer 20

B - Bar graph

Question 21

Assume you are the manage of a 10-physician group primary care practice. The physicians are interested in contracting with an application service provider to develop and manage patient records electronically. Which of the following statements is an indication that an application service provider (ASP) may be a good idea for this practice?

A - The practice does not have an up-front capital or IT staff needed to purchase and implement a system from a health information systems vendor.
B - The practice wants an electronic medical record system and wants to get into the IT management business as well.
C - The practice would like to have the system up and running in a relatively short period of time (less than four months).
D - The practice is not looking to purchase any additional hardware needed for an electronic medical record system.

Answer 21

A - The practice does not have an up-front capital or IT staff needed to purchase and implement a system from a health information systems vendor.

Question 22

The department of surgery has acquired an analytics engine to enable it to provide predictive information at the point of care via the EHR. However, the department is struggling to get physicians to use the functionality because it does not have support staff to program or train users. This situation refers to the fact that the project plan did not illustrate:

A - Conflicts
B - Dependencies
C - Environmental issues
D - Policy decision

Answer 22

B - Dependencies

Question 23

This Health Information Exchange (HIE) consent model requires the patient to give their consent for the inclusion of their dat in the HIE.

A - Opt-in
B - Opt-out
C - Automatic consent
D - Non-consent

Answer 23

A - Opt-in

Question 24

The user of electronic information and telecommunications technologies to support long-distance clinical healthcare, patient and professional health-related education, public health, and health administration is called:

A - Secure messaging
B - Consumer informatics
C - Personalized medicine
D - Telehealth

Answer 24

D - Telehealth

Question 25

A super user of health IT has complained to her supervisor that she is being asked by a physician to perform his data entry. What should the super user’s role be?

A - Aid others in using a new system during go-live and getting to adoption
B - Serve as a scribe for physicians who are new to data entry
C - Train users to learn how to use the system prior to go-live
D - Troubleshooting issues with the system that did not come to light during testing

Answer 25

A - Aid others in using a new system during go-live and getting to adoption

Question 26

At Medical Center Hospital, the master patient index system is not meeting facility needs. There are duplicate numbers and errors in patient identification information. The IS director replaces the system with a newer system from a different vendor. After several months, the new system is exhibiting many of the same problems as the old system , and the facility staff is frustrated and angry. What is the most likely cause of the problem?

A - The new system has the same design flaws as the previous system.
B - The old system was not properly disabled and has infected the new system.
C - Underlying human and process problems were not identified and corrected prior to making a system change.
D - Human error is the cause of all of the problems with both systems.

Answer 26

C - Underlying human and process problems were not identified and corrected prior to making a system change.

Question 27

Which of the following do HIE participants use to search for health records on other healthcare organization systems using patient indexing and identification software?

A - Admit, discharge, transfer
B - Advance patient identifier
C - Continuity of care document
D - Record locator service

Answer 27

D - Record locator service

Question 28

Which of the following would likely be recorded on an information systems issues log?

A - Alan is present every day there is a system test.
B - Betty reported receiving 25 erroneous email-messages.
C - Dr. Brown effectively uses e-prescribing.
D - John requested a supply of tamperproof paper for his office.

Answer 28

B - Betty reported receiving 25 erroneous e-mail messages.

Question 29

A physician is concerned that the data patients enter into an EHR is not as reliable as data entered by another provider. What function serves to distinguish the source of data in an EHR?

A - Data dictionary
B - Data provenance
C - Data quality
D - Data registry

Answer 29

B - Data provenance

Question 30

John Smith, who was treated as a patient at a multihospital system, has three health record numbers. The term used to describe multiple health record numbers is:

A - Duplicates
B - Overlay
C - Overlap
D - Integrity

Answer 30

A - Duplicates

Question 31

Sam is the new HIM supervisor. His first assignment is to evaluate the efficiency and effectiveness of his work unit. He has met with the unit’s customers to determine their expectations and met with his staff to understand their roles. In setting up systems to measure work performance, it is critical for Sam to establish:

A - Proper ergonomics
B - Standards
C - Action plans
D - Work distribution charts

Answer 31

B - Standards

Question 32

A physician office is implementing a vendor’s perosnal health record system to be used by a majority of patient sin order to help improve the office’s achievement of value-based care. What technology would help facilitate this goal?

A - Patient portal
B - Preadmission system
C - Clinical database
D - Chart convesion

Answer 32

A - Patient portal

Question 32

The MPI manager has identified a patter of duplicate health record numbers from the specimen processing area of the hospital. After spending time merging the patient information and correcting the duplicates in the patient information system, the MPI manager needs to notify which department to correct the source system data?

A - Laboratory
B - Radiology
C - Quality management
D - Registration

Answer 32

A - Laboratory

Question 33

A coding manager wants to display the patient types that have the most coding errors in relationship to coder years of service. The desire of the coding manager is to display how coder years of service is responsible for coding errors. The type of graph or chart best suited for this is a:

A - Bar graph
B - Pareto chart
C - Pie chart
D - Line graph

Answer 33

B - Pareto chart

Question 34

The best way to ensure that elements of a health information system work together is to:

A - Adopt all components from a singular vendor
B - Ensure standards are applied to software development that support interoperability
C - Use an application service provider that supports all vendors
D - Verify that a vendor applies a systems’ view to its product development

Answer 34

B - Ensure standards are applied to software development that support interoperability

Question 35

The technology commonly utilized for automated claims processing (sending bills directly to third-party payers) is:

A - Optical character recognition
B - Bar coding
C - Neural networks
D - Electronic data interchange

Answer 35

D - Electronic data interchange

Question 36

If an analyst wishes to predict future ancillary charges for hip replacement patients based on the age of the patient, which of the following is a correct statement?

A - Age is the dependent variable; ancillary charges is the independent variable
B - Age is the independent variable; ancillary is the dependent variable
C - The average ancillary charge is the best estimator
D - The two variables cannot be related

Answer 36

B - Age is the independent variable; ancillary is the dependent variable