The CAHIMS Exam Preparation Course and the CAHIMS exam are the result of collaboration between the Life Science Informatics Center at Bellevue College and the Healthcare Information and Management Systems Society (HIMSS). Significant content found in the CAHIMS Exam Preparation Course stems from the Office of the National Coordinator for Health Information Technology. Creation of the CAHIMS Exam Preparation Course and the CAHIMS exam was made possible through support from the National Science Foundation (NSF).
*a. Sponsor programs that reward physicians for achieving certain clinical measures of excellence
b. Sponsor programs that reduce waiting times for patients seeking care
c. Encourage improvements in quality of care by including patients in decisions that affect them
d. Encourage physicians to participate in health IT “steering committees”
Answer: a. Sponsor programs that reward physicians for achieving certain clinical measures of excellence
4. According to the lecture, which of the following payor groups is considered most generous?
*c. Traditional insurers
Answer: c. Traditional insurers
5. According to the lecture, in addition to directly and indirectly incentivizing health IT among providers, payors can also influence health IT adoption by
*a. making available claims data from health information exchange.
b. lobbying Congress for more stringent health IT requirements for providers.
c. convening stakeholders to discuss data standards.
d. hiring nurses to be health IT liaisons to doctors.
Answer: a. Making available claims data from health information exchange
Lecture(s)/Slide(s): 4/18, 19
6. According to the lecture, which entity would financially gain the most by the adoption and use of EHRs and engagement in HIE?
d. Managed care organizations
Answer: b. Private insurance companies
9. According to the lecture, which of the following explains the necessity for linking HITECH Act incentives to “meaningful use”?
a. Healthcare organizations which are primarily paid through Medicaid have lower clinical outcomes.
b. Healthcare organizations with mainly private insurance payors have quality HIT but generally do not value interoperablility with government agencies.
*c. Simply having an EHR system does not ensure maximum benefits for patients, physicians and payors.
d. HIT is the tool to provide equality of healthcare services for all citizens.
Answer: c. Simply having an EHR system does not ensure maximum benefits for patients, physicians and payors.
Lectures 1 & 2
10. Published reports from which of the following organization emphasized the role of health IT in promoting patient safety?
Answer: c. IOM
11. Which of the following was a NEW development in the 1990s?
a. Computer applications just started to be developed to support scientific medical practice.
b. The professionalism of informatics specialists that began in the 1980s decreased.
*c. The part of the Internet known as the World Wide Web was invented.
d. Voice recognition software began to be used routinely in healthcare.
Answer: c. The part of Internet known as the World Wide Web was invented.
12. What is a likely future outcome from the clinical and translational science awards?
*a. Systems for using EHR data for research will be developed.
b. Academic informatics professionals will be less needed.
c. Informatics research will focus on supporting basic science discoveries.
d. Informatics applications for translating scientific papers from other languages into English will get more attention.
Answer: a. Systems for using EHR data for research will be developed.
13. Which of the following occurred in 2004?
a. The HIPAA legislation was passed.
b. The HITECH legislation was passed.
c. The Institute of Medicine was formed.
*d. The ONC was established.
Answer: d. The ONC was established.
14. Which of the following is the MOST likely reason that Chief Information Officers began to report to the CEOs of hospitals in the 1990s?
a. There were major hospital reorganizations and no other administrator wanted the responsibility for the information systems.
*b. The CIO’s role became much broader than it had been previously.
c. CIOs demanded that they get more recognition and wanted to report to the top administrator.
d. CEOs began to take over many functions previously given to CFOs and this was one of them.
Answer: b. The CIO’s role became much broader than it had been previously.
15. Which of the following is the MOST likely explanation for increased clinical computer use after 2000?
a. Computers were very cheap and more doctors bought them for their offices.
*b. Doctors were more comfortable using computers.
c. There were laws passed that mandated clinical computer use.
d. Research evidence was very strong that doctors could increase their income if they used EHRs.
Answer: b. Doctors were more comfortable using computers.
Lecture(s)/Slide(s): 2/7, 21-25
16. Why was there increased interest in the 1990s in standardized clinical vocabularies?
*a. There was more interest in using EHR data for research.
b. Good standardized vocabularies were not around earlier.
c. Doctors were buying electronic health records and they need to understand what is in the EHR.
d. Doctors preferred to dictate using standardized terminologies.
Answer: a. There was more interest is using EHR data for research.
Lecture(s)/Slide(s): 2/14; 1/20
17. What was the view of the Leapfrog Group about health information technology? The Leapfrog Group
a. thought health IT was too expensive.
b. wanted hospitals to use health IT to hold down healthcare costs.
*c. recommended health IT as a way to promote patient safety.
d. was concerned about the dangers of health IT.
Answer: c. recommended health IT as a way to promote patient safety.
18. What has been an impact of the increased interest in quality improvement over the last two decades?
a. Hospitals have rushed out to purchase new health IT software.
*b. The Agency for Healthcare Research and Quality funded health IT research.
c. Academic informaticians shifted their interests from administrative to clinical computing.
d. Physicians protested that their quality was good enough and did not see any need for improvement.
Answer: b. The Agency for Healthcare Research and Quality funded health IT research.
19. Which method of reducing healthcare costs is demonstrated in the following scenario?
After multiple visits to her primary care physician for concerns about the same problem, Aunt Sally could stay in the hospital for only 2 days for a preapproved procedure.
a. Minimal care system
*b. Managed care system
c. Fee –for –service system
d. Reasonable reduction system
Answer: b. Managed care system
20. The following scenario demonstrates which factor that influenced the positive reception of Healthcare IT?
After accessing information on the internet, Helen, age 54, suspected her symptoms were caused by a tumor on her pituitary gland. She researched surgical methods of removal and chose surgeons and a hospital according to her desired surgical procedure.
Answer: c. Patient empowerment
21. Which use of technology is indicated by the following scenario?
Cheryl, age 74, has mobility problems. She uses an electronic blood pressure cuff and transmits, via a telephone connection, her daily blood pressures to a nurse who reviews the blood pressure trends and notifies her if she need to see her doctor. She avoids frequent trips to the physician’s office for simple blood pressure monitoring.