Certified Associate in Healthcare Information and Management Systems (CAHIMS) Exam questio, Exams of Nursing

Download Certified Associate in Healthcare Information and Management Systems (CAHIMS) Exam questio and more Exams Nursing in PDF only on Docsity! Certified Associate in Healthcare Information and Management Systems (CAHIMS) Exam questions with correct answers What has incentivized the uptake of healthcare information technology in the US? Correct Answer-Financial incentives in the HITECH Act In recent years, what 3 main things have added to the complexity in understanding healthcare information technology? Correct Answer-- The challenge of maintaining privacy, confidentiality, and security in the widely expanding architecture - Healthcare data becoming more accessible to multiple groups, including patients - Mobile computing and the use of clouds for storage have increased What innovations are driving new roadmaps, workflows, and algorithms in the delivery of healthcare? Correct Answer-Mobile devices, genetics, genomics, and telehealth Which US government agency provides the regulatory framework for device manufacturers and importers? Correct Answer-The FDA What aspect of HIPAA security risk analysis covers cybersecurity for medical devices? Correct Answer-Trick question! The HIPAA currently does not include security risk analysis for PHI cybersecurity in medical devices. However, many devices include PHI. In what year did cybersecurity become a priority concern for healthcare organizations? Correct Answer-In 2009, with the passage of the HITECH Act What event has led to the surge in cybersecurity threats to healthcare organizations? Correct Answer-The HITECH Act of 2009 What is an Academic Health Center? Correct Answer-- A hospital or health system that has a formalized relationship with a university - Usually support the training of many of the health professionals, support and conduct research, and offer care not widely available in the regions they serve What is an Urgent Care Center? Correct Answer-- Centers providing care outside the usual hours of ambulatory care providers - Conveniently located (i.e. in shopping centers and malls) - NOT designed to provide care for complex or life- threatening illnesses What is Hospice Care? Correct Answer-- Care provided in a variety of settings, including the home - Focused on palliative care, including the patient's spiritual and emotional needs - NOT intended to cure or treat the illness 4) Consumer- Directed Health Plans (CDHPs) 5) Health Savings Accounts (HSAs) How is the distribution of Medicare's beneficiaries across insurance products different from that of private insurance? Correct Answer-Traditional (open- access, FFS) care dominates Medicare, which is rare in the private sector In general, how does Medicare pay physicians? Correct Answer-Physicians are paid based on the Medicare fee schedule, which in turn is based on a resource- based relative value scale (RBRVS) In general, how does Medicare pay hospitals? What is increasingly effecting hospital reimbursement [esp by Medicare]? Correct Answer-Using diagnosis- related groups (DRGs) for more than 2 decades, now Effect on Reimbursement: Quality performance is increasingly enhancing/ threatening payments to hospitals What is the Medicare Shared Savings Programs (MSSP)? Correct Answer-- A voluntary program that gives hospitals (through establishing ACOs) the opportunity to improve profitability by generating savings (but only if they reduce their own production costs as well) - It also permits providers to share savings with the Medicare program What are Patient- Centered Medical Homes (PCMHs)? Correct Answer-Primary care practices, with infrastructure designed to coordinate care (primarily ambulatory care; although transitions from hospital to home are important as well) How have bundled payments been used thus far? Correct Answer-- Hospital DRGs through Medicare - Private- sector pilots and demonstrations from the 1990s- early 21st century How has the ACA increased the efficiency of health insurance? Correct Answer- By bringing more (and lower- risk) Americans into the insurance risk pool Given the ACA supplement, what is the minimum FMAP that will qualify a state for the maximum eFMAP? Correct Answer-The maximum allowed eFMAP is 100%; thus, to find the answer, the following algebra equation must be solved for x: x + 0.30 * (100%- x) + 23%= 100% (formula in chapter 3) Which types of information systems are relevant to public health informatics? Correct Answer-Interoperability between clinical information systems such as... - Electronic medical records (EHR) - Public health laboratory information systems - Public health related registries (i.e. for cancer and immunizations) Who is responsible for creating and implementing regulations relevant to public health? Correct Answer-The essential governmental role in public health is guided and implemented by a variety of federal, state, and local laws/regulations, as well as federal, state, and local health departments In the United States, responsibility for collecting and sharing data on population health is distributed at what organizational level(s)? Correct Answer-Shared by federal, state, and local governmental public health departments What sort of activities are designed to simplify data collection and public health department reporting for clinical practitioners? Correct Answer-Adoption of EMRs & Health Information Exchange (HIE) >> the federal government provides subsidies, guidelines, and other incentives for adoption of these tools >> the CMS and ONC are making it easier for clinical providers to adopt healthcare IT based on clinical information standards that will facilitate reporting data for public health purposes What is true regarding clinical information standards that have been adopted to facilitate sharing of data between clinical- care providers and public health departments? Correct Answer-Several standards for terminologies and transport: i.e. LOINC codes for clinical observations and the HL7 Clinical Document Architecture What sort of protocol do Remote Desktops (formerly Terminal Services) use to launch an EMR application? Correct Answer-Remote Desktop Protocol (RDP) What are 4 of the standard tools used for data transfer? Of these, which is the fastest? Correct Answer-1) USB 3.0 2) Fire Wire 800 3) IDE 4) SATA 3.0 **fastest at 750 MBps (6 Gbps) Which types of backup clear the archive bit? Which doesn't? Correct Answer-Daily (full) & incremental backups clear the archive bit, differential backups DON'T **Files will be backed up again during the next backup after a differential backup, regardless of whether it has changed What is an ARCHIVE BIT? Correct Answer-A file attribute that determines whether a file must be backed up >> changes to a file turn on the archive bit, which means the file must be backed up Of the following, which external hard disk provides the best storage?: eSATA USB 2.0 FireWire 400 Correct Answer-eSATA --> 3 Gbps Simply put, what is Integrated Drive Electronics (IDE)? Correct Answer-Internal hard disk storage What are Hotfixes? Correct Answer-Solutions to a very specific problem not normally publicly available for download (like service packs, updates, and patches), and which many vendors will send you an email detailing how to obtain In programming language, what is a compiler? Correct Answer-A program that transforms language source codes into machine- specific instructions >> codes are then saved as executable computer- readable files What are Apple iOS or Google Android examples of? Correct Answer-Mobile device operating systems What text editors can be used to edit a C program? Correct Answer-TextPad, Adobe Dreamweaver, Microsoft WordPad, and Microsoft Notepad Describe the programming language, C++ : Correct Answer-- Object- oriented language - Able to be implemented on a wide variety of hardware and operating system platforms In Java, what are bytecodes? Correct Answer-The machine language of the Java Virtual Machine What is Hyper-text Markup Language (HTML)? Correct Answer-- A markup language for describing web pages (not a programming language) >> used for structuring, storing, and transferring data (same as XML) >> focuses on how data looks >> has pre- defined tags Name the main types of programming languages that exist: Correct Answer-- C - C++ - Java What is XML? Correct Answer-- A markup language for describing web pages (not a programming language) >> used for structuring, storing, and transferring data (same as HTML) >> tags are self- descriptive (not pre- defined); document authors must define their own tags What is Hypertext Preprocessor (PHP)? Correct Answer-A server- sided scripting language where the scripts are executed on the server and returned to the browser as plain HTML What is a database model? Correct Answer-The structure of a database What is the basic unit of data storage in the relational database model? Correct Answer-Tables