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D033 Exam With 100% Correct And

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Dumb terminals (type of computer) - Correct Answer-all of the processing is performed at the server or mainframe personal computers (PCs) - Correct Answer-some or all of the processing is performed on the PC Many healthcare facilities began the transition to the EHR after the - Correct Answer- American Recovery and Reinvestment Act of 2009 was passed. extranet - Correct Answer-uses a system of connections of private Internet networks outside an organization's firewall and uses Internet technology to enable collaborative applications to allow external users to access the IS.This system can be used by healthcare organizations to allow patients to access health information and schedule appointments and by vendors to allow healthcare facilities to monitor the status of orders. Clinical pathways - Correct Answer-are a tool designed to coordinate multidisciplinary care planning for specific diagnoses and treatments. Data analytics can be divided into three categories: - Correct Answer-descriptive, predictive, and prescriptive. Descriptive analytics - Correct Answer-addresses the past to determine what has already occurred. Predictive analytics - Correct Answer-addresses the future to predict what will likely occur Prescriptive analytics - Correct Answer-concerns what to do with what you have learned optical character recognition (OCR) - Correct Answer-OCR is defined as a method of encoding text from analog paper into bitmapped images and translating the images into a form that is computer readable.With OCR, a text can be scanned, and the content can be edited. Components of a Document Management System - Correct Answer-DMS is made of many components, including a scanner, magnetic storage, and file server. Target sheets - Correct Answer-are pages that contain only a barcode that tells the scanner and, ultimately, the computer the content of the pages that follow.

scanning workstation - Correct Answer-is the desktop computer that controls the scanner. Once a document is scanned, the workstation compresses the file created by the scanner in order to save storage space. Another step performed by the scanning workstation is to give each document scanned an individual file name. The name is used to store the image and is ultimately used when the file is retrieved. Abstracting and Quality Control Workstation - Correct Answer-Rather than scanning, this workstation is used for indexing and quality control. The healthcare facility determines the data elements to be indexed based on its needs. During the quality control process, the clerk views every image to check for the quality of the image and verifies that indexing is accurate and patient demographics are correct. File Server - Correct Answer-The file server is a large PC or other computer that is extremely powerful and has a large amount of memory and magnetic hard drive. When the user performs an inquiry on a PC to retrieve a patient's health record, the file server receives the request for the document images, retrieves the document images, and sends the document images back to the requester. When documents are scanned into the computer, the files created are stored on the file server's magnetic hard drive. Retrieval Workstation - Correct Answer-This is the workstation used by the physician, HIM staff, or other users to retrieve patient information and view document images. Annotation - Correct Answer-is the ability to add to the image in some way. Because the image may be a legal document, the image itself cannot be altered; however, an overlay to the document will show the annotation. These annotations are useful to call attention to some data on the form and to enhance viewing The recommended barcode symbiology, - Correct Answer-Code 39, also known as Code 3 of 9 picture archival communication system (PACS) - Correct Answer-A PACS is an integrated information system that obtains, stores, retrieves, and displays digital images. Nursing documentation traditionally includes: - Correct Answer-Admission assessment • Nursing activities • Intake and output • Graphic information • Activities of daily living • Nursing care plans • Nurses' notes • Medication administration record Three uses of smart cards in healthcare are - Correct Answer-emergency treatment, reducing fraud and abuse, and reducing administrative costs There are two categories of smart cards - Correct Answer-contact and contactless. The contact smart cards require a scanner through which the card is scanned in order to read it. The contactless card only has to be close to the scanner

about their consent options, who may release their information and how, and the significance of the consent choice.

2. Technology--using technology to capture and maintain patient consent decisions, identify which sensitive portions of patient information are restricted from access, and communicate these restrictions electronically with others.
3. Law and Policy--ensuring alignment with federal and state law and other legal and policy requirements pertaining to consent, individual choice, and confidentiality. database administrator (DBA) - Correct Answer-is the individual responsible for the technical aspects of designing and managing databases The parts of the DBMS include - Correct Answer-data definition language, data manipulation language, data control language, and data dictionary. data definition language (DDL) - Correct Answer-is a special type of software used to create the tables within a relational database.DDL commands can be used to add, remove, or modify tables within a database data manipulation language (DML) - Correct Answer-is a special type of software used to retrieve, update, and edit data in a relational database. The DML accesses, makes changes to, and retrieves data from the database. These capabilities can easily be performed in a database without the user being an experienced computer programmer Four user methods to access data contained in the database are - Correct Answer- natural language queries, query by example, structured query language, and data dictionary Natural language queries - Correct Answer-use common words to tell the database which data are needed. Data modeling - Correct Answer-is the process of determining the users' information needs and identifying relationships among the data. conceptual data model - Correct Answer-is not tied to a particular database model, but rather defines the requirements for the database to be developed. entity-relationship diagram - Correct Answer-is a common type of data modeling that focuses on relationships between entities. An entity is a person, location, thing, or concept that is to be tracked in the database. In healthcare, entities would include such items as patient, physician, and laboratory test. Each entity has attributes, which are facts or data about the entity. In the relational database, data are stored - Correct Answer-in tables. It is named for the relationships that are created when there are data elements, such as health record number, in common between the tables. The database table contains all data related to a particular subject or concept, such as a patient, and is made up of the records and

fields. In the table, the data are stored in rows and columns much like a spreadsheet. The data in a database is stored in a file. A file is a collection of digital data stored in the database. In healthcare, a file contains information on patient care, patient accounts, employee files, or another subject. Within the file are multiple records Within the relational database model, each row in the database table is called - Correct Answer-record hierarchical database model - Correct Answer-A parent-child relationship is created by the relationships developed by the pointer. The relationship can be described as one-to- many. This means that a parent can have many nodes but a child can have only one parent Network Database Model - Correct Answer-uses pointers to connect data. The nodes are called owners and members rather than parent and child nodes, as in the hierarchical database model. A member node in the network database model can have more than one owner, unlike in the hierarchical database model object-oriented database model - Correct Answer-handles text, images, audio, video, and other objects. These images and other nontext items are stored as objects. An object is the basic component in an object-oriented database that includes both data and their relationships within a single structure. Each data element is called a variable. The object-oriented database uses programming tools such as Java a programming language that was designed to be used on the Internet and that runs some of the functions of Internet applications Two concepts related to the object-oriented model are - Correct Answer-encapsulation and inheritance Encapsulation - Correct Answer-is defining the characteristics of an object. For example, a laboratory test would have a name, test result, time, and date. inheritance - Correct Answer-an object can inherit properties from another object when the characteristics are similar. Multidimensional Database Model - Correct Answer-is used in data warehouses. The data are collected from multiple sources, such as other databases, and then summarized. This enables data analysis using a wide range of data. The multidimensional database is designed to quickly access this summarized data data repository - Correct Answer-is an open-structure database (not dedicated to the software of any particular vendor or data supplier) in which data from multiple ISs are stored so that an integrated, multidisciplinary (includes a variety of healthcare providers) view of the data can be achieved in a single source. The data repository is updated by the various ISs in real time, thus providing users with access to the most current

Typical payment milestones include - Correct Answer-delivery of software, go-live, and acceptance testing. Force majeure - Correct Answer-is a legal term that refers to "an event or effect that cannot be reasonably anticipated or controlled" Source code - Correct Answer-is the programming code that was used to develop the system Escrow - Correct Answer-is a situation in which a third party holds a copy of the software in case the vendor goes bankrupt he Ask Me 3 initiative - Correct Answer-is a method promoted to patients to help them get the information that they need. It consists of three questions: • What is my problem?

• What should I do? • Why do I need to do this Consumer engagement factors - Correct Answer-individual tailoring of the interaction based on the characteristics of the patient; personalization, which is customizing the program specifically for the patient; and behavior feedback, which provides messages to the patient about how well he is doing and where he is in the program Source systems - Correct Answer-are information systems that capture and feed data into the EHR. Source systems include the electronic medication administration record (EMAR), laboratory information system, radiology information system, hospital information system, nursing information systems, and more. continuity of care record (CCR) - Correct Answer-he CCR is a core data set, which is the most relevant administrative, demographic, and clinical information about a patient's healthcare, covering one or more healthcare encounters. The testing of the EHR product is performed by - Correct Answer-Accredited Testing Laboratories (ATLs) Alerts - Correct Answer-may notify the physician of medication contraindications or that a prescription is about to expire. Reminders usually notify the physician of - Correct Answer-laboratory test results and preventive measures such as scheduling for a mammogram. eight rights of medication administration - Correct Answer-the right patient, right medication, right time, right dose, right route, right position, right documentation, and the right of the patient to refuse medication. Which of the following technologies support the eight rights of medication administration for patients? - Correct Answer-EMAR

de facto standards - Correct Answer-Technology companies incorporate their own standards into the software and hardware products they sell Logical Observation Identifiers Names and Codes (LOINC) - Correct Answer-is the preferred standardized terminology for laboratory data in information systems and provides a standard set of codes and names for the electronic reporting of laboratory results RxNorm - Correct Answer-is a clinical drug nomenclature developed by the Food and Drug Administration, the Department of Veterans Affairs, and HL7 to provide standard names for clinical drugs and administered dose forms. Unified Medical Language System (UMLS) - Correct Answer-is a program designed to build an automated system that can understand biomedical concepts, words, and expressions and their interrelationships, and it includes concepts and terms from many different vocabularies These two key concepts of UMLS - Correct Answer-semantics and syntax. Semantics - Correct Answer-is a "branch of linguistics dealing with the study of meaning, including the ways meaning is structured in language and how changes in meanings and form occur over time Syntax - Correct Answer-is described as "the study of patterns of formation of sentences and phrases from words and the rules for the formation of grammatical sentences in a language" MEDCIN - Correct Answer-is the most comprehensive vocabulary for signs and symptoms Mapping - Correct Answer-the process of associating concepts from one coding system with concepts from another coding system and defining their equivalence in accordance with a documented rationale and a given purpose. An example of a map is a link between the code for acne in ICD-9-CM and the code for acne in ICD-10-CM. Before the map can be created, there must be an understanding of how the data will be used, because the map must be consistent. Categories, such as the following, can be used in mapping. • One-to-one: An exact match is made between the systems • Narrow-to- broad: A more granular term in the starting system maps to a more general term in the receiving system • Broad-to-narrow: A more general term in the starting system maps to a more granular term in the receiving system • Unmappable: There is no matching into the receiving system narrow - Correct Answer-granular Broad - Correct Answer-general

National Council for Prescription Drug Programs (NCPDP) - Correct Answer-is an independent SDO and is ANSI-accredited. These standards were developed for and used by retail pharmacies and payers for claims, eligibility, and remittance advice NCPDP is regulated under the - Correct Answer-Medicare Modernization Act (MMA) of 2003, Medicare Part D e-prescribing healthcare clearinghouse - Correct Answer-collects billing data and processes it for the healthcare provider. The healthcare clearinghouse then submits the claim to the health plan for payment The Department of Health and Human Services (HHS) has assigned the responsibility of developing and maintaining standards for the Transaction and Code Sets rule to six organizations, called - Correct Answer-designated standard maintenance organizations (DSMOs):

• Accredited Standards Committee X
• Dental Contact Committee of the American Dental Association
• Health Level 7 (HL7)
• National Council for Prescription Drug Programs
• National Uniform Billing Committee
• National Uniform Claim Committee (45 CFR 160, 162, and 164 2013) The American Recovery and Reinvestment Act of 2009 (ARRA) introduced new requirements related to security: - Correct Answer-Certification of EHRs • Mandated HIPAA audits • Increased severity of penalties • Business associates subject to privacy and security regulations Threats - Correct Answer-are the potential for a vulnerability to be exploited Vulnerabilities - Correct Answer-are weaknesses that could be exploited, thus creating a breach of security. T There are five types of human threats to data security, which can be made by current employees, former employees, and hackers - Correct Answer-Threats from employees who make honest mistakes (human error)
• Threats from employees who exploit their access to data
• Threats from employees who use their access to data for malice or financial gain
• Threats from external individuals who attempt to access data or steal hardware or other equipment
• Threats from angry employees or others who attack the information systems of the CE Risk management - Correct Answer-is a comprehensive program of activities intended to minimize the potential for injuries to occur in a CE and to anticipate and respond to ensuring liabilities for those injuries that do occur.

The first step in risk management is the - Correct Answer-development of a risk management plan information system activity review - Correct Answer-which monitors for the inappropriate use or disclosure of ePHI. HIPAA does not mandate the frequency of this review nor the way this review is to be conducted. workforce clearance procedure - Correct Answer-ensures that each member of the workforce's level of access is appropriate. The steps in forensics include: - Correct Answer-Documentation of the investigation conducted

• Protection and preservation of any evidence found, the logs reviewed, and reports
• Documentation of the chain of custody (who had access)
  • Use of an exact copy of the media in the investigation spoliation - Correct Answer-Intentional destruction, mutilation, alteration, or concealment of evidence or alteration of evidence Redundancy - Correct Answer-is duplication of data, hardware, cables, or other hardware components of the information system. As data are entered, it is also saved onto a second computer server, creating a way to access an operational information system with little to no downtime. emergency mode operation plan - Correct Answer-encompasses procedures necessary to keep the critical business processes of the CE in place during information system downtime. hot site - Correct Answer-is a remote location that is set-up with an exact duplicate of the information systems and data. With a hot site, a healthcare facility can switch from its local information systems to the hot site automatically preventing downtime and data loss Context-based authentication - Correct Answer-controls access not only by the role that the employee has in the CE but also by the individual data elements and the context in which the user is working. This is helpful when there are employees, such as nurses, who work in various units or have different roles at different times. For example, a nurse who works full-time in the quality improvement department may work at a nursing unit to earn some extra money for Christmas. As the ePHI and functions needed to perform these roles differ, the access that she has depends on her role at the time. emergency access procedure - Correct Answer-break the glass. accessing data when required, bypassing a computer password or a log in One-factor authentication - Correct Answer-utilizes one level of access control such as a username and password

knowledge and then provides this information to someone with whom the user may not want to share the information. Phishing - Correct Answer-is "a scam by which an e-mail user is duped into revealing personal or confidential information which the scammer can use illicitly" Remote wipe - Correct Answer-is used when data must be deleted from the mobile device remotely because it has been lost or stolen Certified in Healthcare Privacy and Security (CHPS) - Correct Answer-credential demonstrates advanced privacy and security skills. These advanced privacy and security skills exceed those in the Registered Health Information Administrator or Registered Health Information Technician examinations. It is sponsored by the American Health Information Management Association (AHIMA). The CHPS examination includes both technical and managerial issues, including a number of topics related to privacy and security. Certified Information Systems Security Professional (CISSP) - Correct Answer- certification is sponsored by the International Information Systems Security Certification Consortium [(ISC)2]. It is a generic security certification and therefore is not healthcare specific Certified Information Security Manager (CISM) - Correct Answer-is sponsored by ISACA. It is an international examination that is designed for leaders in security who oversee the security programs of organizations pilot method - Correct Answer-involves only one unit, department, or other entity starting to use the new system at a time.A new department starts to use the IS if it was successful for the previous department. big bang - Correct Answer-the riskiest. The healthcare organization stops using the old system and starts using the new one. parrallel processing - Correct Answer-both the old and new system is used at the same time phased approach - Correct Answer-Introduces the new system in stages either by functions or by organizational units. back-end speech recognition - Correct Answer-done by a transcriptionist front end speech recognition - Correct Answer-done by the provider and it is time consuming security event - Correct Answer-poor security practices that have not led to harm, whereas security incidents have resulted in harm or a significant risk of harm

CAHIM - Correct Answer-Commission on Accreditation for Health Informatics and Information Management Education Commission on Certification for Health Information and Information Management (CCHIIM) - Correct Answer-the independent body within AHIMA that establishes and grants professional certifications in health informatics and HIM professions. Systems analyst - Correct Answer-Identifies the stakeholders of an information system as well as the functionality required of a system. Tasks include data collection, data analysis, and developing data flow diagrams. The systems analyst would assist in the reengineering of business processes that would take advantage of the benefits of the system being implemented. System implementation - Correct Answer-Assist in many aspects of the process, such as systems analysis, developing the request for proposal, selecting systems, setting configurations, training, reengineering, and other steps in the process. director of clinical informatics - Correct Answer-is the leader in the implementation of the EHR as well as the post-implementation services. The director is the champion for the EHR and works with the implementation team to ensure they have the resources needed research and development scientist - Correct Answer-works to create new abilities in health information technology. These roles may be found in colleges and universities. The research and development scientists invent the technologies that are used in healthcare, such as telehealth applications. mapping specialist - Correct Answer-creates maps between systems such as vocabularies and classification systems clinical informatics coordinator - Correct Answer-They are experts in the data retrieval needed by healthcare providers while conducting patient care Informatics researcher - Correct Answer-is responsible for ensuring the availability of data needed. This role also develops the data collection methods needed for the various types of data. The focus is to identify best practices in providing healthcare content analyst - Correct Answer-designs the clinical information system that will be implemented. Their work is directed by the needs of the users. They are also advocates in the usage of health information technology in healthcare chief technology officer - Correct Answer-assists in the development of the healthcare facility's strategic business plan in relation to information systems and technology. Their goal is to ensure the healthcare facility operates effectively and that they are competitive with other healthcare facilities within their community

quantitative analysis, the reviewer determines whether or not the reports are present or absent from the health record. qualitative analysis - Correct Answer-is a review of the health record to ensure that standards are met and to determine the adequacy of entries documenting the quality of care. Eg is legibility, whether only approved abbreviations are used, and if all required components are in the discharge summary or other document Data comprehensiveness - Correct Answer-means that the patient's health record must be complete, meaning that all required data are included. data definition - Correct Answer-is the specific meaning of a healthcare-related data element. Defining each data element provides the foundation that allows everyone to interpret and collect the data in the same way. Data granularity - Correct Answer-describes the level of detail at which the attributes and values of healthcare data are defined. Data precision - Correct Answer-ensures that there is justification for the need to collect the data, such as for patient care, data analysis, billing, and other operational tasks. Data relevancy - Correct Answer-is the extent to which healthcare-related data are useful for the purposes for which they were collected. Thus, only data that are needed or are expected to be needed in the future are collected. Version control - Correct Answer-is the process whereby a healthcare facility ensures that only the most current version of a patient's health record is available for viewing, updating, and so forth Checking for missing information and outliers is known as - Correct Answer-Data cleansing Documentation integrity issues includes ____________. - Correct Answer-Amendments