Domain 4 Flashcards

1
Q
Which of the following stores data in predefined tables consisting of rows and columns?
A. Spreadsheet
B. Relational database
C. Hierarchical database
D. Network database
A

B. Relational database store data in predefined tables similar to a spreadsheet and are often used in healthcare applications

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2
Q

Which of the following best describes the function of kiosks?
A. Computer station that physicians can use to order medications
B. Computer station that facilitates integrated communications within the healthcare organizations
C. Computer station that unlocks workstations
D. Computer station that promotes the healthcare organization’s services

A

D. Computer station that promotes the healthcare organization’s services

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3
Q
To ensure that a CPOE system supports patient safety, what other system must also be in practice?
A. Digital dictation
B. Electronic nursing notes
C. Pharmacy information system
D. Point of care charting
A

C. Pharmacy information system
Uses standard order sets and clinical decision support to assist the providers. Once the provider’s order’s are checked by the CDS and the physician signs off the orders are routed to their destination

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4
Q
When some computers are used primarily to enter data and others to process data, this architecture is called?
A. Client/server
B. LAN
c. Mainframe
D. Web services
A

A. Client/server

Allows for the sharing of a database, printers, disc space, etc. across a network

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5
Q
These standards cover the use of personal ID numbers that restrict the use to a system. 
A. Identification 
B. Authentication
C. Certification
D. All of the above
A

D. All of the above

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6
Q
A transition technology used by many hospitals to increase access to health record content, and receive it as quickly as possible is: 
A. EHR
b. EDMS
C. Electronic signature authentication 
D. EDI (electronic data interchange)
A

B. EDMS (electronic document management system)
Is a collection of technologies that work together to provide a comprehensive solution for managing the creation, capture, indexing, storage, retrieval, and disposition of records and information assets of the organization

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7
Q
This type of information system would be used for processing patient admissions, employee time cards, and purchase orders, the day to day operations of a business
A. Transaction processing system
B. MIS
C. Decision-processing system
D. Expert systems
A

A. A transaction processing system
Is an information processing system for business transactions involving the collection, modification and retrieval of all transaction data.

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8
Q

Which of the following would be used to control user access in an EHR?

A. Data definition
B. Relational database
C. Database management system
D. Data mining

A

C. Database management system

One of the main functions of the DBMS is security to prevent unauthorized access

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9
Q
In which phase of the systems development life cycle is the primary focus on identifying and assigning priorities to the various upgrades and changes that might be made in an organization’s information systems?
A. Design 
B. Implementation 
C. Maintenance
D. Planning
A

D. Planning is used to adopt new IS technology and identifying and assigning priorities and various upgrades

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10
Q
Which of the following tasks is NOT performed in an EHR system?
A. Document imaging
B. Analysis
C. Assembly
D. Indexing
A

C. Assembly

This function is replaced by record preparation and document scanning

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11
Q
Systems testing of a new IS should be conducted using:
A. Data supplied by the vendor
B. Test data
C. Actual patient data
D. Data from the training database
A

C. Actual patient data to ensure accuracy

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12
Q

The concept of systems integration refers to the healthcare organization’s ability to
A. Combine information from any system within the organization
B. Combine information from any system at a time
C. Combine information from systems outside the organization
D. Use information from any syste

A

A. Combine information from any system (LK) within the organization. Interoperability allows information to be shared from one compute system to another

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13
Q
What is the key piece of data needed to link a patient who is seen in a variety of care settings?
A. Facility medical record number 
B. Facility identification number
C. Identity matching algorithm
D. Patient birth data
A

C. Identity matching algorithm,

HIE organizations utilize probability equations to identify patients

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14
Q
Which of the following is a snapshot in time and consolidates data from multiple sources to enhance decision making
A. CDW
B. DSS
C. KMS
d. MIS
A

A. CDW
Clinical data warehouse is a real time database tha consolidates data from a variety of clinical sources to present a unified view of a single patient

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15
Q
Before purchasing an EHR system, a clinical office practice should consult which of the following to ensure the system meets the HL7 standards for EHR system functionality?
A. CCHIT
B. HIE
C. CMS
D. NCVHS
A

A. CCHIT
The certification Commission for Healthcare Information Technology is an independent, not for profit group that certifies electronic health records (EHR) and networks for health information exchange (HIE) in the United States

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16
Q
I am looking for a method of data security. Which of the following would be one of my choices?
A. Cryptography 
B. Firewall 
C. User access
D. All of the above
A

A. Cryptography

Cryptography is for data security, the other answers are for systems security

17
Q
Which of the following security controls are built into a computer software program?
A. Physical safeguards
B. Administration safeguards
C. Application safeguards
D. Media safeguards
A

C. Application safeguards

Such as password management are contained within the application software

18
Q

Which statement is true concerning CDR and EHR?
A. CDR supports management of data for an EHR
B. CDR and an EHR are the same
C. CDR is an early stage of EHR
D. CDR captures documents, EHR captures data

A

A. CDR supports management of data for an EHR.
EHR;s are based on the use fo a clinical data repository. A CDR is a database that manages data from different source systems in the hospital or provider settings, they can also store and make accessible paper document images and clinical images such as those from PACS

19
Q
Which of the following is a family of standards that aids in the exchange of data among hospital systems and physiatrist practices?
A. CTI
B. LAN
c. HL7
D. WAN
A

C. HL7
HL7 is an ANS-accredited standards developing organization that provides comprehensive standards for exchange, integration, sharing and retrieving of electronic health information among hospital systems and provider systems

20
Q

One to the advantages of an EDMS is that it can:
A help manage work tasks
B. Decrease the time records should be retained
C. Improve communications with physicians
D. Eliminate all of the problems encountered with the paper record

A

A. Help manage work tasks
Workflow support has also been added to Electronic Document Management systems and these functions can work in sequence or simultaneously