Comp8

1.

True or False: End user testing is best suited for less-experienced staff and should represent a cross-section of the end-user environment.

True

False

2.

True or False: Server applications and client applications can exist on the same physical device.

True

False

3.

What are three things to consider when purchasing an EHR server?

A. Reliability, performance, scalability

B. Size of the unit, performance, power consumption

C. Client-Server, Service Requester, client requests

4.

True or false? Business practices may have to be modified for, and workflow often has to be adapted to, the particular design of the COTS product.

True

False

5.

Most EHR systems today are based on what kind of computer model?

A. Hardware-software

B. Client-server

C. Hosted

6.

Which statement is true of an interface engine?

A. More separate connectivity points than point-to-point

B. More flexible and scalable than point-to-point

C. Easier to install and maintain than point-to-point

D. Both B and C

7.

What is an appropriate length of time for staff education and training before system implementation?

A. Two hours

B. Two days

C. Two weeks

D. Two months

E. Two years

8.

Which of the following, according to the IOM, is a software element of an EHR?

A. Patient support

B. Software

C. Hardware

9.

What does HL7 stand for?

A. Health Level 7

B. High Load 7

C. EHR Code of ethics guaranteeing safety

10.

True or false: HIPAA requires protection not only of information that explicitly links to the patient (e.g., social security number), but also of information that could reasonably be used to identify the patient (e.g., ZIP code).

True

False

11.

Software can be defined as:

A. The nuts and bolts that make things work.

B. The physical components of servers.

C. A collection of computer programs and related data that provide the instructions telling a computer what to do.

12.

This type of backup allows a complete system restore with just one source:

A. Full backup

B. Incremental backup

C. Differential backup

D. Synthetic full backup

13.

Triage is an important step in:

A. Baseline testing.

B. Help desk activity.

C. Creating the production support team.

D. Upgrading the EHR application.

14.

Hardware can be defined as:

A. The physical components that make things work.

B. Data needed to tell the computer what to do and how to behave.

C. Fast, low cost PC systems that permeate the workplace often less than $500 each.

D. A computer designed to efficiently run server applications.

15.

Which is NOT an important tool for data security?

A. Solid-state drive

B. Firewall

C. Encryption

D. Virtual Private Network (VPN)

E. Strong passwords

16.

Which is NOT an important step in creating a testing strategy?

A. Identify testing environment.

B. Create test scenarios and scripts.

C. Identify participants.

D. Identify required equipment.

17.

Which of the following is one of the four key components of any EHR system?

A. Provides mobility for healthcare workers

B. Provides “longitudinal health data” on individuals

C. Provides secure access by sacrificing efficiency

18.

What is one suggestion to consider when forming a EHR selection committee?

A. Invite “movers and shakers” onboard in the decision-making process.

B. Invite patients on your committee.

C. Exclude as many top administrators as possible since their skill set with regards to EHR systems is often too limited.

D. Be sure to limit physician input only to relevant topics such as workflow.

19.

Designing the test scenarios is best performed by:

A. Less-experienced staff.

B. Program experts.

C. Workflow experts.

D. B and C.

E. All of the above.

20.

True or False: Implementation day for the pilot group is the perfect opportunity for IT to celebrate the completion of a successful project with a team-building retreat.

True

False

21.

The most appropriate training strategy is:

A. Classroom-style.

B. Web-based.

C. One-on-one.

D. Train the trainer.

E. All of the above.

22.

This type of backup saves only the changes since the last full backup:

A. Full backup

B. Incremental backup

C. Differential backup

D. Synthetic full backup

23.

True or false: Local and state laws governing privacy of health information tend to supersede federal laws.

True

False

24.

HITECH requires healthcare institutions to switch to some sort of EHR system by this year to avoid financial penalties:

A. 2013

B. 2015

C. 2020

D. 2025

25.

All of the following should be considered in selection of the pilot group EXCEPT:

A. Advice of the steering committee.

B. Representativeness of a cross-section of the user community.

C. Readiness for the technology.

D. Age.

26.

Which prioritization level is appropriate for a non-functional device that is not impacting patient care?

A. Routine (low)

B. Important (medium)

C. Urgent (high)

D. Critical

27.

This type of fault tolerance compensates for errors in data structures:

A. Hardware fault tolerance

B. Software fault tolerance

C. System fault tolerance

D. Dynamic fault tolerance

28.

True or False: The procedure for sign-off for testing activities identifies the person who will manage defects in the project.

True

False

29.

Functional Requirements can best be defined as:

A. those processes that you want a system to perform.

B. the attributes of the system as a whole or its environment.

C. the requirements needed for the hardware to function.

30.

Which is NOT a common form of security breach?

A. Password-based attack

B. Identity spoofing

C. Application layer attack

D. Eavesdropping

E. Parasite attack

31.

The user acceptance testing phase of a project usually occurs immediately before:

A. Rollout.

B. Project description.

C. System backup.

D. Project sign-off.

32.

Which is NOT a characteristic of the HITECH Act?

A. HITECH Act initially rewards institutions for switching to EHRs.

B. Starting in 2015, HITECH imposes penalties for noncompliance.

C. HITECH helps narrow the initial field of vendors.

33.

What is NOT a true statement regarding the CCHIT?

A. CCHIT stands for Certification Commission for Health Information Technology.

B. CCHIT has partnered with the US Department of Health and Human Resources.

C. It is a government regulatory agency.

D. It is becoming increasingly relevant in the EHR arena.

34.

Which of the 8 project plan components is properly paired with one of its key aspects?

A. Goals/objectives – critical dependencies

B. Quality management – performance measuring activities

C. Scope – defined, measurable achievement

D. Constraints – features and functions

35.

The support team for a production EHR system should do all of the following EXCEPT:

A. Manage user requests for access to the system.

B. Review daily interface error logs for problems with the system.

C. Develop software and new environments to respond to customer needs.

D. Provide rapid response to customer issues.

36.

Though the number or order of these steps is not set in stone, we suggested this number of steps for your selection process:

A. 6

B. 10

C. 12

D. 24

37.

Which of the following is NOT usually included in a project plan?

A. Scope and expectations

B. Business and project goals and objectives

C. Design specifications

D. Roles and responsibilities

E. Quality management approach

38.

Which is NOT commonly considered a phase of the SDLC?

A. Requisition phase

B. Requirements analysis phase

C. Concept development phase

D. Operations and maintenance phase

E. Testing phase

39.

Name three types of servers you may find in a typical EHR system?

A. Hardware, RAM, Dell

B. Configuration, terminal, VPN

C. Application, Database, Citrix

D. Internal, external, hosted

40.

Which is NOT a type of safeguard required by HIPAA?

A. Organizational requirements

B. Virtual safeguards

C. Technical safeguards

D. Physical safeguards

E. Administrative safeguards

41.

The project manager's role makes them which of the following?

A. The focal point of the project, ensuring the successful completion of project

B. The top of a typical hierarchical management role

C. Direct responsibility for the activities of all project participants

D. Both A and C

42.

HIPAA stands for:

A. Health Investment Protection and Availability Act

B. Health Information Protection and Access Act

C. Health Information Portability and Accountability Act

D. Health Insurance Portability and Accountability Act

E. Health Insurance Prosperity and Access Act

43.

What is NOT a category of stage 1 meaningful use criteria?

A. Improve care coordination

B. Improve population and public health

C. Define minimum EHR functionality

D. Ensure adequate privacy and security protections for personal health information.

44.

Project Management can be defined as:

A. A carefully planned and organized effort to accomplish a specific, usually one-time, objective.

B. A way of handling introducing project status to upper management

C. Software

D. Hardware

45.

True or false: The scope of the project generally should remain flexible to accommodate future needs and changes.

True

False

46.

Which are advantages to using COTS software?

A. Development costs are typically lower

B. Integrates best with your present IT system components

C. Easier learning curve for users and administrators

D. A and C

47.

Which statement is NOT true of an HIE?

A. “HIE” stands for Health Improvement Enterprise.

B. It maintains the meaning of healthcare information as it moves between disparate systems.

C. It can be used for integration between EHRs.

D. It can be set up privately or regionally.

48.

Which is NOT true of HL7?

A. Creates communication standards for use only in American healthcare applications.

B. Promotes open system architecture.

C. Created a structured, message-oriented framework for communication between healthcare applications.

D. Created a messaging standard that uses segment headers and delimiters to communicate information.

49.

Which is NOT a reason why integration is an important consideration when installing an EHR?

A. Existing systems can usually share data with newer systems without additional programming or configuration.

B. Many existing systems are too expensive to replace.

C. Many different isolated systems currently exist within healthcare infrastructures.

D. Many existing systems are tailored to meet specific departmental needs and not easily duplicated.

50.

What is NOT something typically found in a RFP?

A. System Implementation plan

B. Proposed costs

C. Shorter development time

D. Institution’s financial statement

51.

True or False: A performance baseline is helpful in troubleshooting because it contains a backup of system critical data.

True

False

52.

This support team member is expert in EHR applications and is able to troubleshoot difficult issues:

A. Super user

B. Help desk analyst

C. Production support consultant

D. Application support specialist

53.

SDLC stands for:

A. System Development List Creation

B. System Depreciation Lifetime Cost

C. Software Depreciation Listed Costs

D. Software Development Life Cycle

54.

Which is NOT a reason why the SDLC is important for EHR systems?

A. Because poorly designed software has not yet been linked to security risks.

B. The Need for user satisfaction and high quality

C. In-house development or integration of an EHR

D. Because failure to plan adequately for software integration can limit efficiency and be costly in project over-runs and lost productivity

55.

True or false: The SDLC covers creation of the product, but routine maintenance and ultimate decommissioning are addressed in different models.

True

False

56.

What is a use case?

A. Background information including organization size and specialty and current systems and hardware in place.

B. A technique for documenting the potential requirements of a new system or any type of system change.

C. The defined learning curve for users/ administrators.

D. Both A and C

57.

Which are recommended steps for using HL7 as a baseline for your EHR requirements?

A. Learn the language: Understand how key words are used within the model.

B. Review and select relevant sections relevant to your healthcare setting.

C. Understand that no organizational structure exists to the document as it is meant to be loosely interpreted.

D. Both A and B.

58.

What is a disadvantage to building your own in-house software solution?

A. Fewer software “bugs” incurred

B. Shorter development time

C. Training must be developed in house

D. A and B

59.

Windows VSS is an example of:

A. Fault tolerance

B. Backup

C. System decommissioning

D. Antivirus protection

60.

Which definition is incorrect?

A. An interface is a point of interaction between components.

C. Integration is the process of connecting various subsystems into the larger system, ensuring that subsystems function together as a whole.

D. An interface engine routes data through a centralized location.

61.

Which is NOT an advantage of integrating EHRs?

A. Enables hospitals to share patient information.

B. Enables providers to meet the HITECH “meaningful use” criteria.

C. Enhances billing/payment and reform initiatives.

D. Improves security and privacy of patient data.

E. Streamlines workflows between hospitals and clinics.

62.

Which project plan component focuses on rules agreed to by team; e.g., reporting, communication, naming conventions, acceptance criteria?

A. Scope

B. Quality management

C. Constraints

D. Project Management

63.

Which statement accurately describes a SDLC model?

A. The waterfall model emphasizes sequential development.

C. The spiral model emphasizes prototyping as part of the cyclical process.

D. Both B and C

E. All of the above (A, B, and C)

64.

The success of the implementation and roll-out is most evidenced by the:

A. End users.

B. Expert analysis.

C. Technical staff.

D. Professional evaluators.

65.

Which statement is true of the point-to-point interface method?

A. It is a newer, less traditional method.

B. Data is routed through a centralized location.

C. Its direct linkages can provide secure transmission.

D. Both B and C

66.

This is an example of hardware fault tolerance:

A. Redundant hard drives in the server

B. Multiple-version programs

C. Both A and B

D. Neither A nor B

Comp8

1. True or False: End user testing is best suited for less-experienced staff and should represent a cross-section of the end-user environment.

2.

What first name or nickname would you like us to use?

2. True or False: Server applications and client applications can exist on the same physical device.

3. What are three things to consider when purchasing an EHR server?

4. True or false? Business practices may have to be modified for, and workflow often has to be adapted to, the particular design of the COTS product.

5. Most EHR systems today are based on what kind of computer model?

6. Which statement is true of an interface engine?

7. What is an appropriate length of time for staff education and training before system implementation?

8. Which of the following, according to the IOM, is a software element of an EHR?

9. What does HL7 stand for?

10. True or false: HIPAA requires protection not only of information that explicitly links to the patient (e.g., social security number), but also of information that could reasonably be used to identify the patient (e.g., ZIP code).

11. Software can be defined as:

12. This type of backup allows a complete system restore with just one source:

13. Triage is an important step in:

14. Hardware can be defined as:

15. Which is NOT an important tool for data security?

16. Which is NOT an important step in creating a testing strategy?

17. Which of the following is one of the four key components of any EHR system?

18. What is one suggestion to consider when forming a EHR selection committee?

19. Designing the test scenarios is best performed by:

20. True or False: Implementation day for the pilot group is the perfect opportunity for IT to celebrate the completion of a successful project with a team-building retreat.

21. The most appropriate training strategy is:

22. This type of backup saves only the changes since the last full backup:

23. True or false: Local and state laws governing privacy of health information tend to supersede federal laws.

24. HITECH requires healthcare institutions to switch to some sort of EHR system by this year to avoid financial penalties:

25. All of the following should be considered in selection of the pilot group EXCEPT:

26. Which prioritization level is appropriate for a non-functional device that is not impacting patient care?

27. This type of fault tolerance compensates for errors in data structures:

28. True or False: The procedure for sign-off for testing activities identifies the person who will manage defects in the project.

29. Functional Requirements can best be defined as:

30. Which is NOT a common form of security breach?

31. The user acceptance testing phase of a project usually occurs immediately before:

32. Which is NOT a characteristic of the HITECH Act?

33. What is NOT a true statement regarding the CCHIT?

34. Which of the 8 project plan components is properly paired with one of its key aspects?

35. The support team for a production EHR system should do all of the following EXCEPT:

36. Though the number or order of these steps is not set in stone, we suggested this number of steps for your selection process:

37. Which of the following is NOT usually included in a project plan?

38. Which is NOT commonly considered a phase of the SDLC?

39. Name three types of servers you may find in a typical EHR system?

40. Which is NOT a type of safeguard required by HIPAA?

41. The project manager's role makes them which of the following?

42. HIPAA stands for:

43. What is NOT a category of stage 1 meaningful use criteria?

44. Project Management can be defined as:

45. True or false: The scope of the project generally should remain flexible to accommodate future needs and changes.

46. Which are advantages to using COTS software?

47. Which statement is NOT true of an HIE?

48. Which is NOT true of HL7?

49. Which is NOT a reason why integration is an important consideration when installing an EHR?

50. What is NOT something typically found in a RFP?

51. True or False: A performance baseline is helpful in troubleshooting because it contains a backup of system critical data.

52. This support team member is expert in EHR applications and is able to troubleshoot difficult issues:

53. SDLC stands for:

54. Which is NOT a reason why the SDLC is important for EHR systems?

55. True or false: The SDLC covers creation of the product, but routine maintenance and ultimate decommissioning are addressed in different models.

56. What is a use case?

57. Which are recommended steps for using HL7 as a baseline for your EHR requirements?

58. What is a disadvantage to building your own in-house software solution?

59. Windows VSS is an example of:

60. Which definition is incorrect?

61. Which is NOT an advantage of integrating EHRs?

62. Which project plan component focuses on rules agreed to by team; e.g., reporting, communication, naming conventions, acceptance criteria?

63. Which statement accurately describes a SDLC model?

64. The success of the implementation and roll-out is most evidenced by the:

65. Which statement is true of the point-to-point interface method?

66. This is an example of hardware fault tolerance:

1.

True or False: End user testing is best suited for less-experienced staff and should represent a cross-section of the end-user environment.

2.

True or False: Server applications and client applications can exist on the same physical device.

3.

What are three things to consider when purchasing an EHR server?

4.

True or false? Business practices may have to be modified for, and workflow often has to be adapted to, the particular design of the COTS product.

5.

Most EHR systems today are based on what kind of computer model?

6.

Which statement is true of an interface engine?

7.

What is an appropriate length of time for staff education and training before system implementation?

8.

Which of the following, according to the IOM, is a software element of an EHR?

9.

What does HL7 stand for?

10.

True or false: HIPAA requires protection not only of information that explicitly links to the patient (e.g., social security number), but also of information that could reasonably be used to identify the patient (e.g., ZIP code).

11.

Software can be defined as:

12.

This type of backup allows a complete system restore with just one source:

13.

Triage is an important step in:

14.

Hardware can be defined as:

15.

Which is NOT an important tool for data security?

16.

Which is NOT an important step in creating a testing strategy?

17.

Which of the following is one of the four key components of any EHR system?

18.

What is one suggestion to consider when forming a EHR selection committee?

19.

Designing the test scenarios is best performed by:

20.

True or False: Implementation day for the pilot group is the perfect opportunity for IT to celebrate the completion of a successful project with a team-building retreat.

21.

The most appropriate training strategy is:

22.

This type of backup saves only the changes since the last full backup:

23.

True or false: Local and state laws governing privacy of health information tend to supersede federal laws.

24.

HITECH requires healthcare institutions to switch to some sort of EHR system by this year to avoid financial penalties:

25.

All of the following should be considered in selection of the pilot group EXCEPT:

26.

Which prioritization level is appropriate for a non-functional device that is not impacting patient care?

27.

This type of fault tolerance compensates for errors in data structures:

28.

True or False: The procedure for sign-off for testing activities identifies the person who will manage defects in the project.

29.

Functional Requirements can best be defined as:

30.

Which is NOT a common form of security breach?

31.

The user acceptance testing phase of a project usually occurs immediately before:

32.

Which is NOT a characteristic of the HITECH Act?

33.

What is NOT a true statement regarding the CCHIT?

34.

Which of the 8 project plan components is properly paired with one of its key aspects?

35.

The support team for a production EHR system should do all of the following EXCEPT:

36.

Though the number or order of these steps is not set in stone, we suggested this number of steps for your selection process:

37.

Which of the following is NOT usually included in a project plan?

38.

Which is NOT commonly considered a phase of the SDLC?

39.

Name three types of servers you may find in a typical EHR system?

40.

Which is NOT a type of safeguard required by HIPAA?

41.

The project manager's role makes them which of the following?

42.

HIPAA stands for:

43.

What is NOT a category of stage 1 meaningful use criteria?

44.

Project Management can be defined as:

45.

True or false: The scope of the project generally should remain flexible to accommodate future needs and changes.

46.

Which are advantages to using COTS software?

47.

Which statement is NOT true of an HIE?

48.

Which is NOT true of HL7?

49.

Which is NOT a reason why integration is an important consideration when installing an EHR?

50.

What is NOT something typically found in a RFP?

51.

True or False: A performance baseline is helpful in troubleshooting because it contains a backup of system critical data.

52.

This support team member is expert in EHR applications and is able to troubleshoot difficult issues:

53.

SDLC stands for:

54.

Which is NOT a reason why the SDLC is important for EHR systems?

55.

True or false: The SDLC covers creation of the product, but routine maintenance and ultimate decommissioning are addressed in different models.

56.

What is a use case?

57.

Which are recommended steps for using HL7 as a baseline for your EHR requirements?

58.

What is a disadvantage to building your own in-house software solution?

59.

Windows VSS is an example of:

60.

Which definition is incorrect?

61.

Which is NOT an advantage of integrating EHRs?

62.

Which project plan component focuses on rules agreed to by team; e.g., reporting, communication, naming conventions, acceptance criteria?

63.

Which statement accurately describes a SDLC model?

64.

The success of the implementation and roll-out is most evidenced by the:

65.

Which statement is true of the point-to-point interface method?

66.

This is an example of hardware fault tolerance: