course material

1. HSA 520 Final Exam Part 1 & 2
QUESTIONDEC 15, 2016HSA 520 Final Exam Part 1 & 2PART-11) An information-inquiring
culture has transparent: Answerinformation discovery.Core values.direct
reports.accounting and finances.2) Emerging trends that are encouraging heathcare
executives to become interested in developing innovative, integrative, and cost-beneficial
HMIS solutions include: Answerwireless, user-friendly portables.tape recordings.X-ray
films.accessible records3) An information-discovery culture ensures: Answercritical
information about due processes.sharing of insights freely and encourages employees to
collaborate.sensitivity for privacy.giving up the power of controlling others.4) The genesis
of Health Management Information Systems (HMIS) goes back to the roots of numerous
areas, including: Answercomputing privacy.information economicsmultidimensional data
sets.medical policies.5) The executive who oversees the financing function, budgeting, and
funding of the health services organization’s operating programs is
the: AnswerCEOCOOCFOCPO6) Question 6Effective communication is essential for forming
all kinds of work relationships, especially for: Answerdelivering one-sided, manager to
subordinate, communication.telling board members what is going to happen.providing
clear, firm autocratic orders.building strong social networks among key
stakeholders.Question 7As a trustworthy leader, the senior executive must have the ability
to: Answerexude trust from their direct reports and corresponding followers.develop a
“top-down” working relationship with followers.articulate how or why certain things are or
are not being executed without explanations.dictate to others on how to manage their
time. Question 8In a healthcare services organizational context, the mission, goals, and
objectives of the health organization determine how: Answerto evaluate verified data.to
verify the veracity of amassed healthcare information.HMIS should be incorporated
throughout an organization.to network computer systems and functional tasks.Question
9The role of the CEO or CIO to oversee the use of HMIS in any healthcare services
organization requires that the individual has been trained and has experience and mastered
a certain set of: Answerrules and laws.strategic, tactical, and operational IT
competencies.department goals and strategies.efficient business processes.Question
10Within the context of healthcare services organizations, there are many published
examples of Internet use, including: AnswerPowerPoint presentations.access to online
insurance service data.access to personal credit scores.final reports developed in
ACCESS.Question 11The 2006 Pew Internet and American Life Project survey found that the
following users seek health information online in the United States: Answer1 of 105 of 108

2. of 1010 of 10Question 12The digital divide stands to
affect: Answertelecommunications.health quality.myriad online activities.information
associations.Question 13URL stands for: Answeruniform relocation lab.universal resource
locators.uniform restructuring linkusability relocation linkQuestion 14Customer
relationship management (CRM) software must be designed with the following in
mind. AnswerAn in-depth recognition of its customers’ specific needs.Strategic
communication is for different types of software.Enhancement of existing programs and
services.Creative services that would progress and fulfill the organizational long-term
goals.Question 15SCM ensures readily available access to: Answerorder tracking.return on
investment (ROI).health maintenance organizations (HMOs).demand printing. Question
16The primary goals of supply chain management (SCM) are: Answerto achieve increased
efficiencies with regard to information flows and exchanges between the organization and
its external parties.to satisfy the need for economies of scale.to increase the volume of daily
purchasing.to decrease efficiencies with regard to information flows and
exchanges.Question 17Existing ERP packages
include: AnswerHMOs.Oracle.SCM.HMIS.Question 18For practice management systems
delivered from private healthcare organizations and hospitals, electronic billing and patient
scheduling are being developed for numerous benefits, including: Answerkeeping manual
follow-up procedures.reducing, or possibly eliminating, all paper-based forms for which
healthcare services organizations are especially vulnerable.increase the accuracy of
billing/coding.eliminating electronic order processing Question 19Issues that may arise
with a RHINO setup like the Mayo Clinic’s include problems with: Answermaintaining
separate processes as previously developed.using insurance companies to iron out
problems.difficulties with patients.data shadowing and the need for creating interfaces to
communicate among disparate platforms and software. Question 20One of the stated goals
of HL7 collaboration is to: Answerdevelop coherent, extendable standards that permit
structured, encoded healthcare information of the type required to support patient
care.sustain interoperabilityenhance existing programs and services.create services that
would progress and fulfill the organizational long-term goals. Question 21Consolidation,
sometimes purported as a “market-sheltering activity” occurs when: Answerthe central
processing unit (CPU) of a computer is shared.the program instructions and data provides
the CPU with a working storage area.two or more comparable healthcare services
organizations combine to augment or preserve market power.read-only memory (ROM) is
shared. Question 22EHR will be one of the most costly project expenditures that a
healthcare services organization will undertake, with regard to the investments of time and
money and the resultant challenge of returns on investments (ROI). This is due
to: Answerthe significance of the returns to be realized from an EHR implementation
remains a concern for many healthcare executives.the program instructions provide the
CPU with a working storage area.two or more comparable healthcare services organizations
combine to augment or preserve market power.read-only memory (ROM) is
shared. Question 23When combined with various other workflow tools, computerized
physician order entry (CPOE) can also be useful in providing information
about: Answermanual follow-up procedures.reducing paper-based forms.patient

3. scheduling.eliminating electronic orders.Question 24Three categories of healthcare data are
required, almost universally, by healthcare services organizations for supporting their
planning and decision-making activities, and one of these is: Answervital
statistics.environmental statistics.census statistics.consensus statistics. Question
25Substantial administrative and clinical benefits can be achieved, should a universal EHR
system be finally realized and these include: Answerincreased paperwork.greater
documentation errors.easy dissemination of critical patient information to other care
providers for follow-up assessments.extremely slow accessibility of patient records
universally. Question 26Language interoperability challenges include: Answeroperating
system interoperability.semantic differences.data stored in different database platforms
such as Microsoft SQL server.different HMIS have been designed and developed by different
IT providers. Question 27WSIHIS provides user interfaces that
provide: Answerencapsulated business logic in a shared middle tier.data related to patients’
medical profiles and information about the progress and status of treatment.medical
content generated dynamically based on a specific patient’s medical profile.client
applications that will access the same middle tier. Question 28Technically, most legacy
systems were developed using different languages such as: AnswerJava or Visual
Basic.Linux operating systems (OS).Microsoft SQL server.Macintosh operating systems
(OS). Question 29In the United States, Europe, and elsewhere, growing demands for health
care due to an aging population and the slowing down in mortality rate among older adults
over the last few decades have led to: Answeran increase in non-profit organizations.less
need for sensor-based monitoring.further growth and development of mobile health
care.less demand for medical devices. Question 30Core functions of WSIHIS are based on
different Web services, including: Answerstandardization service.the appointment
service.census statistics service.implementation service.Part IIQuestion 1What is an
example of “the study is authorized” step when developing business systems planning (BSP)
that is normally taken by HMIS management? AnswerSenior management gives the
directive to implement an e-prescribing system to replace the hospital’s manual system.The
first-level HMIS manager assigns the project manager, consultant, and an HMIS employee to
the team.The HMIS from the architecture are prioritized, with the capabilities of each HMIS
documented.Interviews are conducted with senior management to ensure that the
architecture developed is correct and appropriate. • Moving to another question will save
this response. Question 2Healthcare senior management expect that those individuals who
comprise the health management information systems (HMIS) team not only share in the
vision of an organization, but also: Answerdevelop goals that are separate from the main
goals of the organization.develop an infrastructure that works with the Internet Explorer
(IE) browser.develop achievable, measurable goals that are consistent with the
strategy.develop a vision and mission statement specific to HMIS. Moving to another
question will save this response. Question 3Operational decisions: Answerrequire
information for these short-term decisions that is much more difficult to predict than for
strategic decisions.happen more frequently than strategic decisions.are made by those at
higher levels of the organization.are not required for HMIS. • Moving to another question
will save this response.Question 4The planning, organizing, directing, and controlling

4. (PODC) model is presented as an operationalized and rationally designed tool to assist in
meeting: Answerorganizational goals.operational platforms.programming
language.operating systems.Question 5An evolutionary approach of prototyping contains
the following major concept: AnswerApplies focus to a healthcare organization’s vision and
mission. If the goal(s) is attained, the mission has been accomplished.Adds an electronic
version of patients’ health records.Merges prototyping techniques and produces an
evolution of traditional and structured programming.Holds an individual responsible for
delivering a set of goals, objectives, and/or tactics. Question 6The business information
analysis and integration technique (BIAIT) addresses top management requirements
by: Answerusing IT systems.using “order-supplier” relations.using a set of seven close-
ended binary questions to generate a model that aids the analysts.using software
vendorsQuestion 7The revolutionary approach of prototyping contains the following major
concept:AnswerApplies programming tools and techniques in a new and revolutionary way;
argues against traditional methodological mind-sets.Applies focus to a healthcare
organization’s vision and mission. If the goal(s) is attained, the mission has been
accomplished.Adds an electronic version of patients’ health records.Holds an individual
responsible for delivering a set of goals, objectives, and/or tactics. Question 8The Waterfall
model embodied the systems development life cycle (SDLC) concept, a highly regarded
concept among healthcare services systems analysts as a way to provide much more control
over SA and SD processes than was previously possible. Which of the following is not one of
the six hierarchical steps? AnswerFeasibility studySystems investigationSystems analysis
(SA)Physiotherapy assessment Question 9Which of the following may be considered the
number-one priority when designing, implement, and evaluating HMIS? Answerthe
“physical” aspect of programmingdata analysishigh-quality datadatabase software Question
10Which of the following is not a risk for accurate and repeatable entry and updates
processes? Answerupdating the wrong recordincorrectly updating the correct
recordupdating the correct record correctlynot updating any record at all Question 11How
is business intelligence, a major component of data stewardship, defined? AnswerThis
component is concerned with providing current, accurate, and consistent information
whenever and wherever the data are accessed.This is the physical aspect of handling or
managing data from the point the data are collected to the point the data are used and
archived.This component has to do with controlling access to the data to ensure that not
only are data available and retrievable to those who are supposed to access the data but the
release of data is also securely guarded from those who are not supposed to have access to
the data.This component has to do with utilizing the data to yield better, more complete,
and more usable information. Question 12Which of the following factors provide a primary
challenge for accurate billing? Answerthe human factorHMISincorrect invoicesinadequate
software uploads Question 13Organizational characteristics that can influence HMIS
implementation success include which one of the following? Answerhardware-software
performanceorganizational structure and powersystems interface characteristicsdecision-
making support provided to the user Question 14Minor issues that do not warrant top
management consideration can be delegated to middle managers, who can oversee these
issues or control them with inputs from top management on an ad hoc basis during the

5. actual implementation. In which of the following situations should top management get
involved? AnswerWhen minor issues are truly major issues in disguise.When minor issues
stay minor issues.When minor issues are resolved.When major issues run out. Question
15Program coding, or simply programming, refers to the: Answersoftware that is installed
in a CPU.software that comes with an operation system.process of writing instructions that
the computer system can execute directly.process of creating documents in a Microsoft
Office software package. Question 16Training modules focused on the systems, and not the
operational, perspective is called? Answerholistic trainingout-sourced trainingtechnical
trainingstrategic program language training Question 17In addition to examining various
staffing issues at the system level, what strategy most helps ensure a smooth and timely
HMIS implementation?Answerturnkey systemseducational planning and training for
specific levels of userssystems serviced by a single vendorprepackaged systems Question
18One of the reasons DICOM standards have been popularly accepted and adopted across a
wide variety of clinical imaging contexts is that these standards specify a conformance
statement that improves: Answershort-term decisions that are much more difficult to
predict than strategic decisions.the communication of software specifications for imaging
equipment.those programmers at higher levels of the organization.the hardware
specification for mainframes. Question 19Despite the overwhelming array of benefits
presented by the gold standards of both MI and HMIS disciplines, their adoption
has: Answerbeen incorporated universally.been rapidly endorsed.been either too sluggish
or not universal.been implemented without problems. Question 20The LOINC coding
system representing healthcare concepts is described as: Answera detailed set of codes
used to explain patient care and treatment information.standard codes and classifications
for identifying laboratory and clinical terms.new diagnostic codes developed by the World
Health Organization (WHO), not yet used in North America.codes of nursing
diagnoses. Question 21Consumer control means that: Answerconsumers can refuse to sign
an authorization form and still request the release of their records.consumers have control
over healthcare professionals.consumers have a right to control the release of their
information.consumers are controlled and do not have rights pertaining to their health
records. Question 22The WHO categorizes the application of e-health into broad areas, one
of which is knowledge services, which means: Answerservices that provide information to
people via the Internet.services that are comparable to tele-education in that they aim at
conveying medical information, knowledge, and education to the healthcare professionals
who are in training and practice.services that focus on the utilization of e-health
applications to deliverservices that provide codes to others. Question 23Using the e-health
strategic framework developed by the World Bank and the World Health Organization
(WHO), telemedicine and e-health adoption: Answeris happening in developed, developing,
and underdeveloped countries.has been proven impossible.has not been attempted yet.is
only happening in developed countries. Question 24E-health is considered to be a service
with positive externalities that will bring values to the society. The positive externalities of
e-health can be derived from two major sources: Answershort-term and long-term
decisions.ICT and health care.programmers at middle and higher levels of the
organization.frameworks and the adoption model.4 pointsQuestion 25Legal barriers to e-

6. health adoption are: Answerdue to the problems including infrastructure, standardization,
compatibility, reliability, and capacity.due to an overwhelming list of key issues that include
confidentiality and security, patients’ right of access, data protection, and duty of care.due
to differences among nations around the world that make it almost impossible to ensure
that a specific e-health application would be acceptable similarly across various societies
and cultures.due to the fact that some nations still find it difficult to acquire the necessary
infrastructure and their citizens still lack basic necessities such as water, food, housing, and
basic education.Question 26What are primary barriers for innovation diffusion in the
healthcare sector wearable monitoring device technology? Answerbattery life; privacy and
security; invisibility and social acceptance; usability; language barriers; fragmented data
standardstechnology barrier; business barrierscost; infrastructure; wireless network;
security; global standards; RF impactrequires an extensive understanding and reworking of
the fundamental organizational service processes; interoperability; start-up costs; legal
issues, economic interests; privacy standards; language barrierQuestion 27What are
primary benefits of the clinical decision support systems? AnswerIncreases the quality of
patient care, improves a hospital’s overall operation, and reduces costs.Provides just-in-
time reminders to clinicians at the point of care, consistent with latest evidence-based
medicine guidelines.Assist with diagnosing a patient’s condition, drug dosage; procedures
administering reminders to patients.Digitize patient information for decision
support.Question 28What are primary barriers for innovation diffusion in the healthcare
sector semantic Web technology? Answerbattery life; privacy and security; invisibility and
social acceptance; usability; language barriers; fragmented data standardstechnology
barrier; business barrierscost; infrastructure; wireless network; security; global standards;
RF impactrequires an extensive understanding and reworking of the fundamental
organizational service processes; interoperability; start-up costs; legal issues, economic
interests; privacy standards; language barrierQuestion 29What are primary barriers for
innovation diffusion in the healthcare sector for e-health (telemedicine, tele-health)
technology? Answerbattery life; privacy and security; invisibility and social acceptance;
usability; language barriers; fragmented data standardstechnology barrier; business
barrierscost; infrastructure; wireless network; security; global standards; RF
impactrequires an extensive understanding and reworking of the fundamental
organizational service processes; interoperability; start-up costs; legal issues, economic
interests; privacy standards; language barrier Question 30What are primary benefits of the
wireless local area network (WLAN)-based mobile computing system and wearable
monitoring devices? AnswerIncreases the quality of patient care, improves a hospital’s
overall operation, and reduces costs.Provides just-in-time reminders to clinicians at the
point of care, consistent with latest evidence-based medicine guidelines.Assist with
diagnosing a patient’s condition, drug dosage; procedures administering reminders to
patients.Digitize patient information for decision support.