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Question
The goals of implementing the EHR in all health care systems are fraught with a number of roadblocks. The largest barrier facing most institutions is which of the following?
1. The lack of fully trained professional staff
2. A technology committee that cannot agree on the institution's needs
3. Indecision regarding the choice of vendors
4. Cost
Answer
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Related questions
Q:
A thorough understanding of how information is currently collected and processed is the starting point in performing a needs assessment. This is also known as which of the following?
1. Assessing internal environment
2. Assessing external environment
3. Planning for the change process
4. Implementing the new system
Q:
Which statement best fits a request for proposal (RFP) for a wireless system?
1. The vendor sends literature about its wireless system to several institutions to increase their business.
2. The search committee sends email requests to several vendors stating the needs of the institution for a new wireless system.
3. The steering committee sends a formal document to several vendors to ask for specific information about their wireless system.
4. A formal document is sent by a vendor who heard an institution is upgrading its monitoring system.
Q:
Which statement best fits a request for information (RFI) on a wireless cardiovascular (CV) monitoring system?
1. An Internet search is conducted to find likely wireless CV monitoring system vendors.
2. A brief document is sent to several CV monitoring vendors outlining plans for expansion to a wireless cardiovascular monitoring system.
3. A formal request is sent to one CV monitoring vendor following an initial contact at a trade show.
4. A representative of the wireless CV monitoring system search committee attends a trade show to appraise possible vendors.
Q:
When evaluating a request for proposal (RFP) for the installation of a wireless system, the health care facility would be most impressed with which of the following?
Standard Text: Select all that apply.
1. The proposal is a standard request sent to a number of institutions.
2. The proposal was received a week before the deadline date.
3. A proposal that includes precise answers to specific steering committee questions
4. A proposal that appears to meet most of the "must" requirements
5. A proposal that is written clearly, precisely, and professionally
Q:
The steering committee must consider much information in order to arrive at the best system. Which statements would be considered as favorable during the evaluation of systems for purchase consideration?
Standard Text: Select all that apply.
1. Minimal downtime is required nightly for complete system checks and backup.
2. Connectivity between the application and inputting clinical information, such as vital signs, can be achieved through customization.
3. Open system architecture is utilized for system protocols.
4. Response time for all online transactions is five seconds or more.
5. A separate training environment is used, where new users can utilize the live system for training whenever it is needed.
Q:
Benchmarking is considered an important component of the strategic planning process. Which of the following statements best represents its purpose?
1. Benchmarking is the continual process of measuring services and practices against the toughest competitors in the health care industry.
2. Benchmarking is the continual process of measuring services and practices against the goals set by the committee.
3. Benchmarking is the continual process of measuring services and practices against the mission of the organization.
4. Benchmarking is the continual process of measuring services and practices against scope of the organization.
Q:
Which of the following is most beneficial when the organization decides to purchase a vendor built information system?
1. Weighted scoring tool
2. Internal resources
3. External resources
4. Supportive infrastructure
Q:
A stakeholder is part of the strategic planning process. Which of the following are considered stakeholders?
Standard Text: Select all that apply.
1. Internal customers
2. Unions
3. Government bodies
4. Community members
5. External customers
Q:
The best estimate of the number of informatics nurses needed over the next few years is which of the following?
1. 500 to 1500
2. 6000 to 12,000
3. 2000 to 5000
4. 15,000 to 25,000
Q:
Over the next few years, nursing informatics and other health informatics disciplines will crisscross, resulting in more interdisciplinary projects. This statement is true because of which of the following reasons?
1. Nurse informatics specialists will work collaboratively with other disciplines to develop user-friendly systems.
2. Nurse informatics specialists will work with other disciplines in an attempt to gain control over the use of the health care technology.
3. Nurse informatics specialists understand all of the disciplines and are able to effect changes in technology.
4. Nurse informatics specialists are knowledgeable about the needs of the typical consumer of technology.
Q:
Describe at least three factors in the current healthcare delivery system that drive the implementation of information technology in the acute care setting.
1. Patient safety
2. Nursing shortage
3. Evidence-based practice
4. Increased numbers of digital natives in nursing practice
Q:
Which statement regarding pressures that drive the health care delivery system today is not accurate?
1. The current and projected nursing shortage may be eliminated by instituting technology enhancements in the acute care setting.
2. Evidence-based practice is supported with technology that enables the health care provider to utilize up-to-date research findings.
3. Medication errors and adverse events may be reduced with the implementation of computerized physician order entry (CPOE).
4. Managed care may utilize disease management to identify clients with chronic conditions, and treat them effectively to minimize complications and cost.
Q:
The nurse gathers much data when caring for clients. Which is an example of the higher-level "information" useful in caring for clients?
1. The vital signs are BP of 130/70, HR of 88, RR of 24, temperature of 98.8 degrees F., and oxygen saturation of 98%.
2. Lab work results include an electrolyte panel and complete blood count with differential.
3. The client is a widowed 64-year-old black male admitted with prostatitis.
4. After receiving Rocephin (ceftriaxone sodium) 1.0 gram IV yesterday, the client reported feeling better today.
Q:
The nurse understands that nursing informatics is recognized as a specialty area of practice by which statement?
1. Research priorities for nursing informatics include the development of a standard nursing language and the development of databases for clinical information.
2. A formal educational program at the master's level must be completed before a nurse is eligible to sit for the credentialing examination.
3. As a differentiated practice, nursing informatics is focused upon the client, the environment, health, and the nurse.
4. There is a need for nursing informatics interests to gain representation by work groups and organizations within the United States.
Q:
The Magnet Recognition Program, while not an accrediting body, is very much like an accrediting body because it provides an assurance of quality and recognizes the essential role that information systems play in supporting that process. Which of the following databases is used to measure quality?
1. American Nurses Associations National Database of Nursing Quality Indicators (NDNQI)
2. Joint Commission Standards of Information Technology
3. National American Nurses standardized databases
4. American Medical Association Taxonomy
Q:
_____________determines whether providers receive funding. It also serves to enhance provider image, instills confidence in the quality of services rendered, and attracts qualified professionals. This process has direct implications for how documentation and information systems are structured.
Standard Text:
Q:
Which of the following organizations cannot perform accreditation and establish standards for health care delivery in the United States?
1. The Joint Commission
2. Commission for Accreditation of Rehabilitation Facilities (CARF)
3. Nursing Administrative Quarterly (NAQ)
4. The National Committee for Quality Assurance (NCQA)
Q:
The role of the informatics nurse is important to the success of the implementation of the EHR. Which of the following statements is true about the expanded role of the informatics nurse?
1. The informatics nurse has the responsibility of maintaining the compliance procedures of the health care setting.
2. The informatics nurse has the responsibility of analyzing the coding system.
3. The informatics nurse has the responsibility to serve as the liaison between physician and patient and physician and agency.
4. The informatics nurse has the responsibility of creating meaningful use policies.
Q:
Implementing an electronic health record in a small primary care practice can be cost prohibitive. To assist in the cost of the endeavor, the government has done which of the following?
1. Provided loans to physicians to purchase technology
2. Offered physicians stipends if they use the equipment correctly
3. Has given financial aid to larger practices to purchase equipment
4. Has given physicians the equipment to convert to electronic health records
Q:
There has been an impact of the Health Insurance Reform Act, also known as The Patient Protection and Affordable Care Act, on system use and design. Which of the following actions was enacted upon the president's signature?
1. Young people can remain on their parents insurance until 24 years old.
2. Children with preexisting conditions are no longer covered.
3. New plans must offer free preventive care.
4. There are lifetime limits on benefits.
Q:
Which of the following statements is true about the projected results of the increase in federal and state mandated health care cost reform legislation?
1. The increase in governmental regulations provides for a higher quality of care.
2. Governmental oversight is something that has been lacking in health care over the past several years.
3. The burden of proof is placed on the health care community.
4. The increase in governmental oversight allows for improved outcomes with decreased FTEs.
Q:
Which of the following statements is true about the do-not-pay list?
1. If a patient develops a complication, Medicare will reimburse for all services.
2. If a patient develops complications, Medicaid will reimburse for all services.
3. If a patient has certain complications during the hospital stay, Medicare will not reimburse the hospital at the higher rate for the treatment.
4. If a patient develops a preventable complication, Medicare will demand the immediate transfer of the patient to a different health care setting.
Q:
One of the biggest pitfalls and concerns to health care providers to the transition to the ICD-10 by 2013 is which of the following?
1. Training staff to use the new system efficiently
2. Having enough qualified personnel available to troubleshoot impending issues
3. The need to overcome resistance to change in the health care setting
4. The cost to convert the current systems to accommodate the changes
Q:
Electronic data interchange (EDI) is an effort to help phase out paper claims except under extensive appeal circumstances. The result of this initiative is which of the following?
1. Health care providers were forced to install EDI transmission programs in their billing and medical record systems.
2. A large savings on paper supplies
3. An increased need for assistive software
4. A decrease in the denial of claims
Q:
Which of the following describes the philosophical differences between the trainer's and educator's role?
1. Trainers are concerned with outcomes only whereas educators are concerned strictly with the educational process.
2. Trainers focus on behavior change through skill acquisition while concentrate on learning, thinking, and problem solving as a way to change behavior.
3. Any employee can be a trainer whereas an individual must have an advanced degree to be an educator.
4. Trainers rely on skill acquisition through learning, thinking, and problem solving as a way to change behavior, while educators rely on behavioral psychology which focuses on behavior change.
Q:
Which of the following are specific factors to consider when selecting a training method?
Standard Text: Select all that apply.
1. Time required to develop program
2. Cost of development and training
3. Application training strategies
4. Learning styles of trainees
5. Learning retention strategies
Q:
Among the following, which defines the process for determining health care worker information systems training needs?
Standard Text: Select all that apply.
1. User classes are used to refine the types of training courses needed for system implementation.
2. End-users are identified and grouped by job class responsibilities.
3. Training needs of each job class are determined according to what functions each end-user will perform.
4. Training is delivered based upon what administrators decide to automate first.
5. User class is defined and categorized as the personnel who perform similar functions.
Q:
The most essential knowledge for a staff nurse end-user are which of the following?
Standard Text: Select all that apply.
1. Basic equipment troubleshooting procedures
2. Backing up the computer system at the end of each shift
3. Error message content recognition
4. Protocol for dealing with system "freezes" and "crashes"
5. Data entry error log review
Q:
Which of the following considerations point to the need for a new system?
Standard Text: Select all that apply.
1. Poor performance
2. Frequent down times
3. Up to date programming language
4. No vendor support
5. Outmoded technology
Q:
From a health information technology perspective, health care research has faced some impediments. Which of the following has impeded health care research?
Standard Text: Select all that apply.
1. Slow adoption of uniform languages
2. Limited funding
3. Rapid adoption of data exchange standards
4. Confidentiality of private health information (PHI)
5. Failure to attain a birth-to-death electronic health record (EHR)