Hebda, Handbook of Informatics, 5/e Test Bank
Chapter 13
Question 1
Type: MCSA
What is the primary purpose of system integration in a health care facility?
1. Provide reliable flow of information between facility and physician offices
2. Offer seamless data exchange among disparate information systems
3. Prevent system data errors via large scale electronic exchanges
4. Customize information systems within a department
Question 2
Type: MCSA
The timely flow of information is critical to institutional survival. Which of the following statements about
interfaces is accurate?
1. Interfaces use an open systems technology provided by the vendor.
2. Interfaces require installation of a Health Level Seven (HL7) device.
3. Interface connections between different information systems are invisible to the user.
4. Interfaces physically join two or more disparate information systems.
Question 3
Type: MCMA
Health Level Seven (HL7) standards are not the only standards that are evolving to fit the changing health care
model. What other organizations are instrumental in supporting the development of standards and helping to
define data exchange?
Standard Text: Select all that apply.
1. Department of Defense
2. Centers for Medicare and Medicare Services
3. National Science Foundation
4. Institute of Medicine
5. American Medical Informatics Association
Question 4
Type: MCSA
The master patient index (MPI) is a database that lists all identifiers assigned to one client in all the information
systems used within an enterprise. It assigns a global identification number for each client and allows clients to be
identified by demographic information provided at the point of care. When the MPI cannot match a client’s record
based on demographic data, what is provided to the user?
1. The data dictionary resources
2. Non-citizen information so that the user may find a different identifier
3. All possible matches so that the user may view and select
4. The Social Security number
Question 5
Type: MCMA
The master patient index (MPI) saves work because vital information can be obtained from the database rather
than rekeyed with each client visit. This decreases the possibility of making a mistake and eliminates the
inadvertent creation of duplicate records. Which of the following are key features of an effective MPI?
Standard Text: Select all that apply.
1. It is flexible enough to allow inclusion of additional identification.
2. It facilitates the evaluation of client care.
3. It locates records in real time for timely retrieval of information.
4. It is easily reconfigured to accommodate network changes.
5. It can grow to fit an organization of any size.
Question 6
Type: MCMA
The term interoperability is used when discussing the large scale electronic exchange of health care information
across enterprises for the purpose of accessing and maintaining longitudinal health records. The term
interoperability is understood to mean which of the following?
Standard Text: Select all that apply.
1. Has the ability to exchange the structure of the data, but not the meaning of data
2. Has the ability to exchange the structure of data and meaning of data
3. Has the ability to exchange the meaning of data, but not the structure of data
4. Is the ability of two entities, whether human or machine, to exchange and use data
5. It is accurate to use the term interoperability interchangeably with the term interface
Question 7
Type: MCMA
What are the benefits of data integration?
Standard Text: Select all that apply.
1. Potential for improved remote access of clinical data from various systems
2. Trend analysis of financial and clinical data
3. Encouraging the use of systems customized to meet department specifications
4. Development of a computer-based patient record
5. Facilitation of data collection for accreditation purposes
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
Question 8
Type: MCMA
Which of the following answers are factors that slow systems integration?
Standard Text: Select all that apply.
1. Vendors’ false claims that their information systems are interoperable with other systems
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
2. Unrealistic institutional timetable set due to a lack of understanding of the complexity of the integration
process.
3. Vendors who do not provide enough support and assistance to facilitate the integration efforts.
4. Existing systems are insufficiently documented.
5. Merged institutions do not agree on which systems to use.
1. Vendors often falsely promise that their information systems are interoperable with other systems.
2. Unrealistic institutional timetable set due to a lack of understanding of the complexity of the integration
process.
3. User specifications change as the integration process proceeds; users frequently request additional capabilities
or change their minds regarding initial specifications.
4. Vendors may not provide enough support and assistance to facilitate the integration efforts.
5. Existing systems are insufficiently documented which is imperative for achieving successful integration.
6. Merged institutions may not agree on which systems to use which means there are more systems to integrate.
7. All components of a vendor’s products may not work together.
Rationale 2: Factors that slow systems integration include:
1. Vendors often falsely promise that their information systems are interoperable with other systems.
2. Unrealistic institutional timetable set due to a lack of understanding of the complexity of the integration
process.
3. User specifications change as the integration process proceeds; users frequently request additional capabilities
or change their minds regarding initial specifications.
4. Vendors may not provide enough support and assistance to facilitate the integration efforts.
5. Existing systems are insufficiently documented which is imperative for achieving successful integration.
6. Merged institutions may not agree on which systems to use which means there are more systems to integrate.
7. All components of a vendor’s products may not work together.
Rationale 3: Factors that slow systems integration include:
1. Vendors often falsely promise that their information systems are interoperable with other systems.
2. Unrealistic institutional timetable set due to a lack of understanding of the complexity of the integration
process.
3. User specifications change as the integration process proceeds; users frequently request additional capabilities
or change their minds regarding initial specifications.
4. Vendors may not provide enough support and assistance to facilitate the integration efforts.
5. Existing systems are insufficiently documented which is imperative for achieving successful integration.
6. Merged institutions may not agree on which systems to use which means there are more systems to integrate.
7. All components of a vendor’s products may not work together.
Rationale 4: Factors that slow systems integration include:
1. Vendors often falsely promise that their information systems are interoperable with other systems.
2. Unrealistic institutional timetable set due to a lack of understanding of the complexity of the integration
process.
3. User specifications change as the integration process proceeds; users frequently request additional capabilities
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
or change their minds regarding initial specifications.
4. Vendors may not provide enough support and assistance to facilitate the integration efforts.
5. Existing systems are insufficiently documented which is imperative for achieving successful integration.
6. Merged institutions may not agree on which systems to use which means there are more systems to integrate.
7. All components of a vendor’s products may not work together.
Rationale 5: Factors that slow systems integration include:
1. Vendors often falsely promise that their information systems are interoperable with other systems.
2. Unrealistic institutional timetable set due to a lack of understanding of the complexity of the integration
process.
3. User specifications change as the integration process proceeds; users frequently request additional capabilities
or change their minds regarding initial specifications.
4. Vendors may not provide enough support and assistance to facilitate the integration efforts.
5. Existing systems are insufficiently documented which is imperative for achieving successful integration.
6. Merged institutions may not agree on which systems to use which means there are more systems to integrate.
7. All components of a vendor’s products may not work together.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome:
Question 9
Type: MCSA
A female client goes to the clinic’s office complaining of a cough and fever. She gives her name and date of birth
at the admitting registration desk. The registration clerk verifies her current address and asks if she is still covered
by IVY insurance. Client responds yes, is given a chart with the number 3948JAV04830 on it, and is directed to
the physician’s exam room. The physician orders a chest x-ray. The client is sent to the radiology department and
checks in with the registration desk. The registration clerk verifies her current address and asks if she is still
covered by IVY insurance. The client responds yes and is given an order sheet with the number 3948JAV04830 on
it. The admitting office for the clinic and the radiology office use different information systems. The process
depicted in this scenario illustrates the use of which of the following?
1. Uniform language
2. Master patient index
3. Data dictionary
4. Clinical data repository