Self Assessment Flashcards
Which of the following criteria should be considered before a quality measure is adopted by a healthcare organization?
Availability of measure-related benchmarks from other healthcare organizations
What is the difference between IT innovation and IT transformation?
Innovation is doing something new or in a new way, and transformation involves changing behaviours, beliefs, or culture.
A new compliance officer is beginning to assess the organization’s adherence to information security policies. The FIRST step is to determine if the organization has
formally assigned security responsibility to an individual.
One of the key differences between Requests for Information (RFIs) and Requests for Proposal (RFPs) is that only an RFP
goes through a bidding process.
A disaster recovery plan has been developed for an organization that includes daily tape backup of data, an offsite data center, and an uninterruptible power supply for the servers. Which of the following should be the NEXT priority to focus on enhancing the disaster recovery plan?
Data circuit backup
A healthcare organization has selected a health information system (HIS) for acquisition and installation. Members of the selection team were impressed with the functions and features of the system. However, they were concerned with the implementation experience of the HIS vendor. The vendor has installed the product in a total of ten sites. To minimize financial exposure, the organization may arrange payment terms by establishing:
multiple milestone payments based on explicit vendor deliverables throughout the implementation of the project.
A director is preparing the IT department budget for the upcoming fiscal year. A patient care system maintenance contract will automatically renew at the end of the 2nd quarter next year. The contract term calls for a 10% increase from the current contract rate of 12000 Local Currency Units (LCU) per annum. What amount should be budgeted?
12600 LCU
To which of the following does the phrase ‘operating margin’ refer in financial statements?
Net revenues minus the cost of operating expenses
A healthcare organization acquired six additional medical facilities within its geographic region in a recently executed agreement. The CIO’s current strategic plan for the organization was based on a single institution operating in an aggressive marketing environment. The organization’s executive leadership now wants to develop a strategic plan focusing on the development of an integrated delivery network. Which of the following strategic planning models can the CIO BEST utilize to support such a goal?
Component alignment
A healthcare organization is in the process of developing a 3-year IT strategic plan. To ensure success, who must be included on the strategic planning team?
Clinicians
Which of the following are examples of technology applications directed at improving patient care?
- web page offering health information
- remote monitoring of pacemakers
- chatroom for fibromyalgia sufferers
- claims management system
1, 2, and 3 only
- web page offering health information
- remote monitoring of pacemakers
- chatroom for fibromyalgia sufferers
A team developing a new process should engage in which of the following activities prior to seeking approval for the process?
Brainstorming
What is the primary role for an IT program management office?
Provide a risk-managed enterprise project portfolio to inform executive leadership of progress in relation to organizational priorities.
An analyst is assigned to evaluate congestion in the checkout line in the pharmacy. Which statistical analysis method is the analyst MOST likely to use?
Queueing analysis
A computerized provider order entry project was completed at a location within a multi-facility organization. Which of the following would be the MOST appropriate choice for the CEO to market this product into other areas of the organization?
Collaborate with the sites for adoption support.
When implementing a blood bank system, typical tasks include:
1. end-user training.
2. test plan definition.
3. equipment calibration.
4. clinical validation.
1, 2, and 4 only
- end-user training.
- test plan definition.
- clinical validation.
Which of the following is an example of an administrative safeguard designed to protect the privacy and security of protected healthcare information (PHI)?
An organization’s process by which all requests for access to the Electronic Health Record (EHR) system must originate from a supervisor and be sent to a designated team for review and approval.
Clinical staff are complaining about frequent system downtimes that seem to occur during the busiest times. Building engineers have identified the cause of the problem as intermittent brown- and black-outs due to a 30-year-old electrical system. The existing emergency generator is working at full capacity. Due to the high replacement costs, there are no plans to expand capacity. All servers are on emergency power, but the addition of all workstations to the emergency generator is not possible. Although these outages are relatively short, customer service is compromised and the staff is frustrated. The BEST short-term solution is to:
place critical workstations on uninterruptible power supply units.
A CEO of a for-profit cardiac care center that performed 5,000 cardiac catheterizations last year has 20 million Local Currency Units (LCU 20m) in reserves. The organization is known for adopting state-of-the-art technology. A vendor has announced a new piece of cardiac equipment that is likely to reduce the risks of cardiac catheterization. The CEO should
request a cost / benefit analysis.
The process by which terms from one system are associated with comparable terms in another system is known as
mapping
What are flowcharts, histograms, check sheets, and cause-and-effect diagram analysis tools used for?
Quality control
A vendor is implementing a new cardiology information system in a matrixed IT organizational structure. The vendor is trying to identify the project team and will need to know who is responsible for each of the following roles: Which of the following project team roles directly correspond with the functions in the order listed above?
* keeping the project plans up-to-date
* implementing the cardiology information system
* designing the interfaces and user customizations
* building the procedure tables
Project manager, product manager, software programmer, analyst
keeping the project plans up-to-date
implementing the cardiology information system
designing the interfaces and user customizations
building the procedure tables
The CEO of a large academic healthcare organization desires to leverage IT across research, education, and patient care. A series of CIOs have been unable to manage the complex operations over the past several years. The CEO has now hired a new CIO to address the overall IT governance. Which of the following are critical success factors to address this situation?
1. Outsource all non-core applications.
2. Align strategies between IT and the enterprise.
3. Clarify the role of the CIO.
4. Manage the IT portfolio.
2, 3, and 4 only
- Align strategies between IT and the enterprise.
- Clarify the role of the CIO.
- Manage the IT portfolio.
A project manager receives a change request from the subject matter experts that fits within the scope of a project. Which of the following is the NEXT step for the project manager?
Estimate the impact of the change.
When conducting an analysis of a healthcare organization’s alternatives for replacing patient clinical, financial, and administrative systems, it is especially important to FIRST consider the organization’s
strategic vision.
A person who provides overall leadership in the ongoing development, implementation, advancement, and optimization of electronic information systems that impact patient care, and works in partnership with the organization’s IT leadership to translate clinician requirements into specifications for clinical and research systems, is called the
Chief Medical Information Officer (CMIO).
Technology assessment within a project is used to:
consider the effect of technology when it is introduced, extended, or modified.
Which BEST tracks the quality of help desk performance?
First-call resolution rate
A hospital is monitoring bloodstream infection rates over time. The BEST method to evaluate and present the data is a:
Control Chart
When is the BEST time for a post-implementation study?
3 to 9 months after project implementation
Despite budget reductions, a Chief Information Officer (CIO) has been tasked with improving IT services. Which of the following should the CIO do FIRST?
Develop an approach to assess current service perceptions and present an action plan.
A patient is found to have HIV. The patient calls for his results when the doctor and nurse are out of the office. One of the clerical staff reviews the electronic chart and notifies the patient of his positive result. One of the office supervisors overhears this discussion and realizes the clerical staff should not have been able to review the chart or confidential lab test. Which of the following is the BEST method of preventing similar security violations in the future?
Restrict chart access by using role-based security.
A project plan has been developed to implement a bed tracking system with an interface to the emergency department system. After the project has started, the director of urgent care asks to have the new urgent care system interface with the bed tracking system. The FIRST step for the project manager is to
take the request to the project steering committee.
Six months into a picture archiving and communication system implementation, it is determined that each image takes an average of 10 KB of storage. The facility processes 200 images a day and needs to have online storage available for 1,000 days. What is the minimum amount of storage necessary to accommodate this system?
2.0 Gigabytes
When designing and implementing clinical systems, which of the following is the MOST important consideration?
Workflow of the caregiver
A high profile project has reached 75% of its project budget although the project is only 50% complete. The CIO determines cost overruns result from scope creep due to additional requirements the board of directors requested after the project was fully approved and funded. Which of the following should the CIO do FIRST about this situation?
Document the project budget variance.
The World Health Organization is the directing and coordinating authority on international health within which of the following organizations?
United Nations
A newly recruited IT director for a multi-facility organization discovers the percentage of network outages is exceeding the organizational standard for network availability with several facilities. Upon visiting each facility, the director discovers variations exist in typology, physical media, network equipment, equipment maintenance and replacement programs, and the currency of finance updates on such equipment. By tradition, each facility has been allowed to independently manage all aspects of its network infrastructure. After performing a gap analysis, which of the following should the IT director do NEXT to address this issue?
Develop policies and procedures for the management of network infrastructure across the system.
Seven personnel in a registration department spent 5 hours per day preparing an average of 26 surgery admission packets that should only take 4 minutes each to prepare. Which of the following is the MOST effective way to identify solutions to reduce the time spent on this process?
Conduct a workflow analysis.
Identifying duplicate patient accounts and consolidating into a single account is an important part of maintaining the
MPI.
Which of the following is the FIRST step in the planning process for the chair of the strategic information systems planning committee for the next fiscal year?
Understand the corporate goals and objectives.
Which of the following tools do practitioners of continuous quality improvement use?
1. histograms
2. scatter diagrams
3. Gantt charts
4. bar charts
1, 2, and 4 only
- histograms
- scatter diagrams
- bar charts
A CIO is hearing from staff members that the team needs additional resources to be successful with maintaining all of the organization’s current systems. The MOST appropriate first step for the CIO would be to
review performance indicators and service metrics along with organizational perception of the team’s effectiveness.
A healthcare system’s statement of basic purposes and activities is the
mission statement.
Which is the best definition of Patient Consent as it pertains to an Electronic Health Record (EHR)?
The individual authorizes healthcare personnel to process the individual’s information based on an informed understanding of how it will be used.
An analyst from a consulting firm requests access to the accounts receivable system. The director of patient accounting has engaged the firm to produce some special request reports. The IT director determines that there are no outstanding requests for special reports and asks the patient accounting director why the IT support analysts were not asked to produce the reports. The reply is, ‘The IT department is understaffed and has too many other things to do.’ Which of the following should the IT director do NEXT?
Meet with the patient accounting director to define support expectations.
Which of the following is an interface standard for healthcare electronic data transmission?
HL7
Productivity ratio is the measurement of:
resources to outputs.
A healthcare organization promotes a compliant culture through policy, education, and reinforcement. All management staff have the responsibility to report compliance concerns. One compliance practice requires all gratuities and gifts must be reported through the organization’s intranet site. This policy states that no employee can accept a vendor gift of more than 75 Local Currency Units (LCU 75) in value and no gifts in total from any one vendor exceeding LCU 200 in 1 year. Other potential conflicts of interest are identified in a standard written document signed by each management employee annually. One of the organization’s executives is a key decision maker regarding a significant IT expenditure. An IT director has heard the executive speak of several off-site trips paid for by a vendor. The director knows the executive has a relative that is a regional manager for this vendor. The director serves as a member on the vendor package selection committee. The IT director should:
share what has been observed with the compliance officer.
A healthcare organization has implemented application audit logging and reporting to more closely identify potential system misuse. Which of the following authorization strategies should provide the MOST useful audit data while minimizing false-positive results?
Implement role-based authorization.
