Questions

Question 1 Among the multiple types of hospital ownership, which is not a common model? A. Public (government) owned and managed B. Private, not for profit (nonprofit) C. Physician owned D. Private, for profit

Question 2 Hospitals may be classified many different ways. Which of the following statements is true regarding hospital classification? A. Private hospitals are always for-profit organizations B. Urban, rural, and children’s hospitals are classified by their geographic locations C. Rural hospitals are most frequently classified as teaching hospitals D. Hospitals may be classified in more than one way; for example, an urban

hospital might also be classified as a government-owned hospital or as a general hospital

Question 3 An ambulatory surgery center would be best classified as A. A teaching hospital B. An outpatient care setting C. A general hospital D. A rehabilitation hospital

Question 4 From the perspective of the healthcare delivery organization, payments generally come from three types of entities: A. Employers, employees, and government entities B. Government-financed and managed programs, insurance programs managed

by private entities, and patients’ personal funds

C. National health systems, national insurance systems, and multipayer systems D. Uninsured, underinsured, and insured

Question 5 In considering the purpose for interrelationships among healthcare organizations, identify the purpose below that is correct: A. Enable access to comprehensive care services from only one healthcare

organization B. Ensure effective transfers of care facilitated by the provision of essential

health information C. Facilitate obtaining appropriate rewards for care referrals D. Facilitate marketing of healthcare services regardless of patients’ consent

Question 6 Ensuring the general portability of healthcare is facilitated by A. Health information exchanges (HIEs) such as Canada’s Health Infoway

and the U.S. HIE programs, including the Nationwide Health Information Network (NHIN)

B. The Organisation for Economic Cooperation and Development (OECD) C. Insurance programs administered by private entities D. The secondary use of healthcare information

Question 7 An example of the secondary use of a patient’s health information would be when the information is shared A. To support transfer of the patient’s care between two providers B. Through an authorized health information exchange to support the portabil-

ity of care C. In support of a diagnostic test required to further the treatment of a patient D. With public health officials for statistical reporting or in support of clinical

research

Question 8 In the financial reimbursement area, the interrelationships between healthcare organizations A. Are unrelated to the efficiency of healthcare claims processing B. May assure government payers that quality healthcare services have been

delivered C. Do not support private insurance organizations in their assessment of the

quality of delivered healthcare services D. Are designed to maximize reimbursement for covered healthcare services

Question 9 Key information technology and information management professionals in healthcare organizations include the A. Chief information officer (CIO), chief executive officer (CEO), and chief

medical information officer (CMIO)

B. Chief information officer (CIO), chief security officer (CSO), and chief medical information officer (CMIO)

C. Chief information officer (CIO), chief financial officer (CFO), and chief technology officer (CTO)

D. Chief information officer (CIO), chief executive officer (CEO), and chief nursing informatics officer (CNIO)

Question 10 Nongovernment professional associations may perform regulatory roles for their profession. Which of the following is not a typical role for a professional association? A. Determining qualifications for a profession by defining professional exami-

nation criteria B. Making laws and regulations regarding reimbursements for their profession C. Issuing a code of conduct to guide professional behavior D. Implementing disciplinary procedures for those in their profession

Question 1 Patients have an expectation that healthcare providers will keep health information entrusted to them A. Private and secure B. Available Monday through Friday C. On paper D. Available for research

Question 2 Data warehouses include A. Data from one hospital only B. Information from the patient C. Data from many different applications D. Financial data only

Question 3 Interface engines support A. Interoperability and data integration B. Manual connections to financial systems C. Cloud storage of patient information D. Encryption of patient-identifiable data

Question 4 Telehealth can be used to A. Constrain patients to specific providers B. Provide specialist care to patients in rural areas

C. Prohibit transfers of patients D. Mandate admissions to academic medical centers

Question 5 mHealth applications can address A. Medical records B. Global health initiatives C. Issues concerning supply chain inventory D. Only cell phones

Question 1 What system will give informative guidelines to practitioners regarding medication and procedures, including warning systems relating to high-risk medications and processes? A. Clinical decision support system (CDSS) B. Computerized practitioner order entry (CPOE) C. Picture archiving and communication system (PACS) D. Electronic health record (EHR)

Question 2 When defining problems and opportunities, major areas of change can occur in the following areas: A. Analytical, supervisory, financial, and administrative B. Clinical, administrative, financial, and application C. Supervisory, administrative, financial, and clinical D. Application, analytical, administrative, and financial

Question 3 When defining requirements, what is the key to implementing safe, sustainable, and cost-effective IT practices? A. Quality tools B. Sustainment plan C. Control plan D. Project plan

Question 4 Sustainable controls for IT implementation can result in A. Uncontrolled security B. Serving minimum purpose possible C. Determining what is practical for local area implementation and testing D. Satisfying integration with policy regulations

Question 5 When performing cost-benefit analysis, important variables to be considered include

A. Sustainability versus total costs per month B. Time and cost of implementation C. Impact on internal parties D. Process mapping

Question 6 The benefits of developing proposals in support of integrating healthcare practices can include A. Secure information sharing B. Minimal communication between various localized care providers C. Stand-alone architectures for various equipment and software applications D. Enhanced efficiency in the communication flow

Question 7 When presenting your analysis to your executive leadership, key elements may include A. Possible changes in the project implementation that can be driven by

changes in technology standards B. Requirements that may change, affecting the strategic capability of the proposal C. Sensitivity to challenges or changes in the internal environment that may

rely on the establishment of a support team within the organization D. Expectations that the implementation of analysis and subsequent proposals

will rely on the presence of standard operational processes in the internal environment

Question 8 When managing projects and resources, it is important to have a work plan that A. Is aimed at establishing a generic implementation setup for a project B. Includes equipment costs C. Plans the intended workflow processes by managing personnel D. Analyzes processes and evaluates outcomes

Question 9 Promotion and application of system analysis can include A. Evaluating past operational situations in an average healthcare facility B. Identifying the minor problems in processes with respect to optimization of

IT use C. Identifying primary solutions to problems through the implementation of IT

policies D. Evaluating alternative solutions’ alignment with the specific objectives set out

in the plan

Question 10 What are possible characteristics that you may encounter when analyzing future healthcare IT trends? A. Integration of possible entities within an organization in preparation for

standardization

B. Alignment with emerging trends on the local IT platform C. Loss of a low volume of business due to nonalignment of health sector

players D. Importance of implementing an operational work plan to align the health-

care sector with current IT trends

Question 1 All of the following are parts of a request for information (RFI) except A. Background B. Submittal information C. Cost requirements D. Introduction

Question 2 The following roles are typically represented in a system design team except A. Technical lead/architect B. Board member C. Information security officer D. Procurement

Question 3 Which of the following must be considered during system design? A. System monitoring B. Disaster recovery C. Availability D. All of the above

Question 4 Detailed technical specifications address all of the following except A. System monitoring B. Programming language C. Security and data encryption D. Government regulations

Question 5 If the design team decides that the system should be built rather than bought, the following more technical roles should be brought onto the design team except A. Data modeler B. Application developer C. Legal D. Technical architect

Question 6 Unclear or poorly written technical requirements can lead to any of the following except A. Positive vendor relationships B. Vendors submitting high bids C. Inability of the vendor to deliver D. Litigation

Question 1 Functional requirements could include the following: A. Printers B. Workflow redesign C. Backup and recovery plans D. System documentation

Question 2 Which is a characteristic of a request for proposal? A. A collection of documents with high-level requirements B. A collection of documents with detailed requirements C. May or may not include costing information D. An informal request for information

Question 3 Implementation execution includes the following: A. Definition of the team’s roles and responsibilities B. Decision on implementation strategy C. Planning for how to manage organizational changes D. System configuration or build

Question 4 The implementation strategy in which all functionality is implemented in one location followed by everywhere else is called A. Phased by location B. Big bang C. Pilot D. Phased by functionality

Question 5 End-user training should be completed at what point in the implementation? A. During the activation B. Right before the activation C. As early as possible D. Right after planning

Question 6 Planning for activation should include which of the following? A. Completing a root cause analysis B. Scheduling postlive support staff C. Defining the testing plan D. Configuration management

Question 7 After the system is live, which of these should be measured and evaluated? A. System usability B. Duration of the implementation C. Quantity of printers D. Number of vendors responding to the request for proposal (RFP)

Question 8 The business continuity plan includes A. The release management plan B. The disaster recovery plan C. The risk management plan D. The configuration management plan

Question 1 The fundamental purpose of information systems testing is A. To give leadership the information necessary to perform a build versus buy

analysis B. To give end users an opportunity to provide inputs regarding system devel-

opment and functionality C. To manage risks of developing, producing, operating, and sustaining

systems D. To justify the expense of the proposed system to the board of directors

Question 2 Test tools include manual and automated tools. Which of the following is a manual test tool? A. Automation software B. Black-box test C. Antivirus program D. Test script

Question 3 Testing performed to validate successful system implementation is called A. Acceptance testing

B. Integration testing C. System testing D. Stress testing

Question 4 System controls are implemented to protect the confidentiality, integrity, and  of data during testing. A. Usability B. Availability C. Format D. Security

Question 5 Test reporting occurs throughout the testing process and, at a minimum, should address A. The test team members and their experience levels B. The estimated cost of the test C. The expected outcomes of the test D. The mission of the test

Question 1 Access privileges for each role should be set A. To provide the maximum access necessary B. To provide the minimum access necessary C. Based on the user’s request D. Based on the user’s physical location

Question 2 Which of the following is typically among the responsibilities of a chief information security officer? A. Assessing rules and regulations B. Validating integrity of backups C. Developing encryption algorithms D. Approving all individual access requests

Question 3 The AAA, or triple-A, approach deals with which area? A. Financial auditing B. Physical safeguard C. User access controls D. Security auditing

Question 4 What should an IT analyst do if she suspects there may have been a loss of data that may contain multiple patients’ sensitive health information? A. Contact the organization’s risk management or compliance department B. Inform all affected patients C. Notify the government regulatory department in charge of the relevant

regulations D. Purge other database records that may be accessed using this health information

Question 5 Locked doors, property control tags on devices, and employee identification badges are all examples of what? A. Technical safeguards B. Physical safeguards C. Audit controls D. Access management

Question 1 The company’s statement that defines where it wants to go or what it wants to be is known as the A. Mission statement B. Vision statement C. Statement of values D. Statement of goals

Question 2 A control chart typically contains each of the following except the A. Stretch goal B. Upper control limit C. Mean D. Lower control limit

Question 3 An SBARC includes each of the following except the A. Situation B. Background C. Assessment D. Constitution

Question 4 Each of the following is a recommended initial assessment tool except A. Face-to-face interviews B. Web surveys

C. Unit or departmental meetings D. Focus group meetings

Question 5 The international organization that serves as a voluntary accrediting, quality, and safety organization is A. Project Management Institute (PMI) B. Centers for Medicare & Medicaid Services (CMS) C. Joint Commission International (JCI) D. International Federation of Health Information Management Associations

(IFHIMA)

Question 6 The actions of doing good, being honest, and acting fairly are all components of a sound A. Business impact analysis B. Systems design C. Corporate mission D. Business ethics position

Question 7 Successful conflict resolution is achieved through a mutual focus on A. Eliminating the differences of opinion or positions B. The common ground of the parties in conflict C. Understanding the personality types of the parties in conflict D. A proposed solution provided by the mediator

Question 8 Which of the following items is not typically a part of the IT strategic plan? A. Current systems state B. Desired future systems state C. A summary of IT initiatives supporting organizational goals D. The IT project sponsors for each initiative

Question 1 IT workforce roles that healthcare providers will need as they transition to EHRs include A. Revenue cycle manager, software support technician, and trainer B. Clinician/practitioner consultant, implementation support specialist, and pay-

roll manager C. Materials management consultant, clinician/practitioner consultant, and trainer D. Implementation support specialist, clinician/practitioner consultant, and

trainer

Question 2 A project manager has been assigned to manage the implementation of a new clinical system. The project manager is responsible for A. Appointing the project steering committee from hospital management B. Delivering project objectives within budget and on schedule C. Delegating project scope decisions to the appropriate team members D. Reporting change requests to the CIO for approval or rejection

Question 3 When undertaking a new project assignment, the best order of approach is A. Initiate, plan, control, execute, and close B. Plan, initiate, execute, control, and close C. Control, plan, initiate, execute, and close D. Initiate, plan, execute, control, and close

Question 4 An advisory committee made up of high-level stakeholders or experts who provide guidance on key issues such as company policy and objectives, budgetary control, marketing strategy, resource allocation, and decisions involving large expenditures is called A. An IT steering committee B. A system development life cycle committee C. A vendor selection committee D. A policies and standards committee

Question 5 An important step to avoid when managing budgets is to A. Negotiate a good budget at the close of the budget cycle B. Stay close to budget C. Beware of cost allocations D. Use proven budget tools and techniques

Question 6 The widely accepted practice in healthcare for managing an organization’s interactions with customers, patients, vendors, and other business associates is A. Enterprise risk management B. Project portfolio management C. Customer relationship management D. Project quality management