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Q:
Full documentation of an information system requires completion of which of the following system design tools?
a. Data dictionary
b. DFDs
c. Hierarchy charts
d. All of the above
Q:
Each of the following is included in an ERD EXCEPT
a. Attributes.
b. Entities.
c. Processes.
d. Relationships.
Q:
In an MPI, one physician may have several patient entries. What is the linkage in the database called between the physician and each of his or her patients?
a. System integration
b. System interface
c. Entity relationship
d. Data notation
Q:
Which of the following for an EHR system would likely appear in the technical requirements section of an RFP?
a. Accept demographic data from the admission-discharge-registration system.
b. The system allows for user-defined product lines.
c. All drug orders are automatically screened for contraindications.
d. The system is menu-driven.
Q:
The Director of HIMS has calculated the break-even point for purchase of a new transcription system to be four years. Is this analysis correct?
a. Yes, because the break-even point does not consider the time it will take for a system to recover its investment costs fully.
b. Yes, because the break-even point calculates the difference between the current system costs and new system costs.
c. No, because the break-even point does not consider the time it will take for a system to recover its investment costs fully.
d. No, because the break-even point does not calculate the difference between current system and new system costs.
Q:
Using the information in the table below, when will payback occur?
To justify the purchase of a new release of information tracking system, Health Information Management Services (HIMS) wants to calculate the new system's payback period. The cost to operate the current system is $25,000 per year. The proposed cost of the new system for the first year is $35,000 with continuing operation costs per year of $15,000. An increase of $10,000 per year in billing is anticipated with the new system because of the addition of a billing component to the release of information tracking functionality. Data are summarized in the following table: Year 1
Year 2
Year 3
Year 4 Current system cost
$25,000
$25,000
$25,000
$25,000 New system cost
$35,000
$15,000
$15,000
$15,000 Yearly difference in cost
-$10,000
+$10,000
+$10,000
+$10,000 Cumulative differences in costs a. First year
b. Second year
c. Third year
d. Fourth year
Q:
One of the system characteristics required for Rocky Mountain's point-of-care system is "generate automatic drug overdue alert." How would this system characteristic be classified?
a. Input design
b. Output design
c. Processing design
d. File and database design
Q:
In the logical description design, which of the following would be an output description?
a. Highlight drug contraindications in color on the terminal display.
b. Perform data consistency checks on an order entry system.
c. Automatically calculate IV fluid usage.
d. Update patient records in real time.
Q:
Which of the following would be considered a leading or biased question?
a. How would you rate the effectiveness of your decision-support system: good, average, or poor?
b. Is it your opinion that all information systems should have a graphical user interface?
c. Do you have access to a laser printer?
d. How often does your information system go down?
Q:
Which of the following questions would be considered a double-barreled question in a survey document?
a. Are troubleshooting personnel courteous and knowledgeable?
b. Do you agree troubleshooting personnel are discourteous?
c. Do troubleshooting personnel respond in a timely manner?
d. Are troubleshooting personnel highly skilled?
Q:
Which of the following is an attribute for an MPI entry?
a. Patient number
b. Patient record
c. Admission dates
d. Both a and c
Q:
Which of the following questions would be considered a structured question in an interview process?
a. Which of the following word processing software do you use?
b. What do you consider to be the most critical problems with your current system?
c. What features in a computer system are most important to support your daily work tasks?
d. What are your three or four most important tasks?
Q:
All of the following are true about the RFP process EXCEPT
a. Because the RFP is so complete, vendor demonstrations and site visits are usually not necessary.
b. Because system evaluation is required, end-users should be included.
c. Because review of responses to RFPs can be time-consuming, RFPs are only sent to a few vendors.
d. Because the RFP may be used as part of the system contract, it should be complete and accurate.
Q:
Which of the following is true regarding the development of an RFP?
a. Unlike the systems development life cycle, a thorough systems analysis is not required.
b. The RFP process is the preferred method for development of an information system by in-house personnel.
c. Like the systems development life cycle, a thorough systems analysis is required.
d. Lie the systems development life cycle, detailed computer codes must be developed by the facility.
Q:
Which of the following best describes an RFP?
a. A process that describes the systems development life cycle
b. A document that details required system functionality
c. A document developed by a vendor explaining the functionality of a vendor product
d. A process for customizing an information system
Q:
Which of the following best describes cost-effectiveness evaluation?
a. Attempts to evaluate beneficial consequences in nonmonetary terms
b. Determines the costs to operate a current system
c. Assigns dollar values to the costs and benefits of a system
d. Determines whether a system will fully recover its costs
Q:
Which of the following most accurately describes break-even analysis?
a. Determines costs to operate the current system are comparable to those to operate a proposed system
b. Determines whether a new system will fully recover its investment costs before the end of its life cycle
c. Determines how much a system costs in relation to future dollars
d. Determines interest rates and return on investment
Q:
Which of the following is the simplest CBA technique?
a. Break-even analysis
b. Payback period
c. Discounted payback period
d. Benefits analysis
Q:
Each of the following is considered a CBA technique EXCEPT
a. Break-even analysis.
b. Payback.
c. Discounted payback period.
d. Benefits realization.
Q:
Which of the following describes the process of installing and starting up a system in all organization units at the same time?
a. Gradual phase-in by unit
b. Gradual rollout by unit
c. Abrupt changeover
d. Gradual changeover
Q:
Which of the following system startup approaches is most risky?
a. Gradual phase-in of each application in selected organization units
b. Gradual phase-in of all applications across the organization
c. Abrupt changeover from one system to another
d. Total phase-in of all applications in one unit at a time
Q:
Which of the following is one of the most underestimated tasks in the system implementation process?
a. User preparation
b. Site preparation
c. System testing
d. System conversion
Q:
Which of the following statements is true about systems development?
a. Prototyping and the traditional systems development process should not be used together.
b. If given a choice, the traditional systems development life cycle should be chosen over prototyping.
c. Prototyping usually takes more time for product development than the traditional systems development life cycle.
d. Prototyping and the traditional systems life cycle development can be used together.
Q:
All of the following support principles of good interface design EXCEPT
a. Systems response to user commands should be quick.
b. Screens should be layered or windowed.
c. Navigation tools should be provided.
d. Display screens should have limited blank space.
Q:
Which of the following is a true statement about the systems analysis document?
a. Brings together results from various investigative strategies
b. Details the programming code for a new system
c. Details the logical design of a system
d. Details the physical design of a system
Q:
GDSS software is frequently used to facilitate which of the following activities in systems development?
a. Interviews
b. Questionnaires
c. Observations
d. Joint application development
Q:
All of the following statements are true regarding interviewing for systems development EXCEPT
a. The interview should be 60 minutes or less.
b. Interviews may contain a mixture of structured and unstructured questions.
c. All end-users of an information system must be interviewed.
d. The interview protocol should be field-tested.
Q:
Which of the following is true regarding interview protocol questions?
a. Structured questions are difficult to ask.
b. Structured questions require less interviewing skill than do unstructured questions.
c. Structured questions should be avoided in an interview.
d. Structured question responses take more time to gather than responses to unstructured questions.
Q:
Which of the following is an advantage of using unstructured questions in an interview?
a. Allows for probing
b. Takes little interview time
c. Provides a limited range of responses
d. Allows for easy analysis of responses
Q:
Which of the following is an acronym for computer programs used to design, develop, and maintain information systems?
a. CASE
b. SDLC
c. GSLC
d. ISLC
Q:
In which of the following data dictionary notations would specifics such as data element length and type be located?
a. Label
b. Entry type
c. Description
d. Value/meaning
Q:
All of the following would be considered an entry type in a data dictionary notation EXCEPT
a. Data flow.
b. Data process.
c. Data store.
d. Data element length.
Q:
In a data dictionary notation for a data element, the "label" describes which of the following?
a. The project
b. The data name
c. The data entry type
d. The data value or meaning
Q:
Which of the following best defines the data dictionary?
a. Central repository of information about all system data
b. Graphical representation of data flow
c. Transition tool to show change over time
d. Graphic representation of problem decomposition
Q:
In a data flow diagram, an arrow is used to represent which of the following?
a. External entity
b. Data flow
c. Data store
d. Data process
Q:
In a data flow diagram, a closed rectangle is used to represent which of the following?
a. External entity
b. Data flow
c. Data store
d. Data process
Q:
All of the following are part of the system development life cycle EXCEPT
a. Systems analysis.
b. Systems design.
c. Systems implementation.
d. Systems operation.
Q:
Which of the following is likely to contribute to information system obsolescence:
a. Increase in user expectations.
b. Advancement in technology.
c. Mechanical failure.
d. All of the above.
Q:
The phenomenon of discontinuity of information systems being at different stages in the information life cycle causes stress on which of the following organizational resources:
a. Technical assistance.
b. Time.
c. Equipment.
d. All of the above.
Q:
Criteria for evaluating vendor responses to RFPs should encompass each of the following considerations EXCEPT
a. RFP distribution considerations.
b. Hardware and software considerations.
c. Vendor considerations.
d. Economic considerations.
Q:
The phases of development, growth maturity, and deterioration are generally considered the
a. Information systems life cycle.
b. System development life cycle.
c. General system life cycle.
d. Strategic Plan.
Q:
It is the central repository for all the information in the health care organization's data base.
a. Master Patient Index
b. R-ADT
c. Number Bank
d. Data Dictionary
Q:
Which of the following tools could a HIM director use to distribute to a 460-member physician staff about their interest in natural language processing and computer-assisted coding?
a. Interviews
b. Case studies
c. Questionnaires
d. None of the above
Q:
Virtual communities are an aggregation of individuals or business partners who interact around a shared interest, where the interaction is at least partially supported and/or mediated by technology.
Q:
QR code technology allows for all kinds of documents to contain a QR code and be able to be read without a specialized bar code scanner.
Q:
A business intelligence system could access community data systems and other external systems for its stated purposes with appropriate authorization.
Q:
A business intelligence application is used for the same purpose as a decision support system.
Q:
A good design of a Web page will enable the user to obtain the information in the fewest possible steps.
Q:
Hypertext links on a Web page are usually used to reference materials that are available on a separate Web site.
Q:
Clinical context object workstation (CCOW) is specifically mentioned in the Health Insurance Portability and Accountability Act (HIPAA) Security Rule.
Q:
Frames are required to be in each Web page containing health information.
Q:
A user interface is often designed by both users and nonusers of the application.
Q:
Each wireless network has a service set identifier.
Q:
A syndromic surveillance system would be used in treating a patient in a physician's office.
Q:
The Health Insurance Portability and Accountability Act (HIPAA) Security Rule specifies specific software applications that are required for two-factor authentication.
Q:
Secure socket layer (SSL) is an example of public key/private key encryption.
Q:
The public keys used in encryption are distributed by the U.S. government.
Q:
JAVA compilers are usually found in Web browsers.
Q:
Standard query language (SQL) is designed to enable queries to databases.
Q:
Standard query language (SQL) is a type of database model.
Q:
Voice recognition both records the information being said and understands what is being said.
Q:
Results reporting is the process of scanning documents into a clinical system.
Q:
Information can be input and retrieved by use of a smartphone.
Q:
Communications technology is the connecting medium for local area networks (LANs) and wide area networks (WANs).
Q:
A point-of-care system may include order entry decision support systems.
Q:
A virtual machine is able to be connected directly to the information warehouse.
Q:
A point-of-care health information system includes bedside workstations, biomedical devices, and local area networks (LANs).
Q:
In a database, a row is a data field.
Q:
Explain the differences between a data mart and a data repository.
Q:
A hospital is trying to determine the cause of the recent increase in the average length of stay. Explain why a data mining approach to answering this question might be useful.
Q:
What are the typical five roles defined in role-based access control (RBAC)?
Q:
Provide two examples of what can be read by a biometric device.
Q:
Explain why there are issues with physician licensing in telemedicine.
Q:
What does the term "store-and-forward" refer to in telemedicine?
Q:
Give an example of a type of document that would be found on an organization's Intranet.
Q:
Explain what S-HTTP refers to.
Q:
List three functions that an ADT system can support.
Q:
List one benefit of using an interface engine instead of a point-to-point interface.
Q:
A physician's office wants to install software to process patient claims to each insurer. Because patients have multiple types of insurance, the software will need not only to transmit the claims but also to understand what information needs to be sent to each insurer. Would you choose a two-tier or three-tier architecture for this application? Why?
Q:
List the two components of a two-tier architecture.