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Rationale 1: This scenario is an example of the use of the MPI of patient identifiers. Both information systems,
though different, used the same global identification number for the client and allowed for client identification at
the point of care. The data dictionary defines terminology, the clinical data repository is a database where
collective data from all information systems are stored, and many efforts to develop uniform languages are under
way in the health care arena.
Rationale 2: This scenario is an example of the use of the MPI of patient identifiers. Both information systems,
though different, used the same global identification number for the client and allowed for client identification at
the point of care. The data dictionary defines terminology, the clinical data repository is a database where
collective data from all information systems are stored, and many efforts to develop uniform languages are under
way in the health care arena.
Rationale 3: This scenario is an example of the use of the MPI of patient identifiers. Both information systems,
though different, used the same global identification number for the client and allowed for client identification at
the point of care. The data dictionary defines terminology, the clinical data repository is a database where
collective data from all information systems are stored, and many efforts to develop uniform languages are under
way in the health care arena.
Rationale 4: This scenario is an example of the use of the MPI of patient identifiers. Both information systems,
though different, used the same global identification number for the client and allowed for client identification at
the point of care. The data dictionary defines terminology, the clinical data repository is a database where
collective data from all information systems are stored, and many efforts to develop uniform languages are under
way in the health care arena.
Global Rationale:
Cognitive Level: Understanding
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome:
Question 10
Type: MCSA
Which of the following is a classification system for surgical, diagnostic, and therapeutic procedures and is used
for hospital billing and payer reimbursement?
1. NOC
2. CPT-4
3. NIC
4. NANDA
Question 11
Type: MCMA
The role of the nurse in the system integration efforts should include which of the following?
Standard Text: Select all that apply.
1. Ensuring that data will be collected in only one system and shared as needed among others
2. Involvement in the formation and maintenance of the electronic health record
3. Promoting the development and maintenance of archetypes
4. Determining measures to assure the quality of data
5. Identifying and defining data elements
Question 12
Type: MCSA
One step in the integration process is the development of a uniform definition of terms, or language. The
American Nurses Association sponsors the Congress of Nursing Practice Steering Committee on Databases.
Which of the following is a primary goal of this steering committee?
1. Categorize interventions that nurses carry out.
2. Measure client outcome position.
3. Develop a mapping system to link various classification schemes.
4. Identify client care problems that nurses treat independently.
Question 13
Type: MCSA
Web-based tools can provide benefits of an alternative method for obtaining patient information from diverse
information systems. Which of the following is accurate regarding recent advances toward interoperability?
1. The framework has been built and is in place.
2. National priorities will be set within the next five years.
3. Data exchange standards need to be developed.
4. Interoperability of electronic health data will be costly.
Question 14
Type: MCMA
Interface engines work in the background and are not seen by the user. This technology allows applications to
interact with hardware and other applications. Which of the following are considered benefits associated with the
use of interface engines?
Standard Text: Select all that apply.
1. Improves timeliness and availability of critical administrative and clinical data
2. Improves data quality because of data mapping and consistent use of terms
3. Allows clients to select the best system for their needs
4. Preserves institutional investment in existing systems
5. Preserves institutional investment in existing systems
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
2. Decreases integration costs by providing an alternative to customized point-to-point interface application
programming
3. Improves data quality because of data mapping and consistent use of terms
4. Allows clients to select the best system for their needs
5. Preserves institutional investment in existing systems
6. Simplifies the administration of health care data processing
7. Simplifies systems integration efforts
8. Shortens the time required for integration
9. Improves management of care, the financial tracking of care rendered, and efficacy of treatment
Rationale 2: 1. Improves timeliness and availability of critical administrative and clinical data
2. Decreases integration costs by providing an alternative to customized point-to-point interface application
programming
3. Improves data quality because of data mapping and consistent use of terms
4. Allows clients to select the best system for their needs
5. Preserves institutional investment in existing systems
6. Simplifies the administration of health care data processing
7. Simplifies systems integration efforts
8. Shortens the time required for integration
9. Improves management of care, the financial tracking of care rendered, and efficacy of treatment
Rationale 3: 1. Improves timeliness and availability of critical administrative and clinical data
2. Decreases integration costs by providing an alternative to customized point-to-point interface application
programming
3. Improves data quality because of data mapping and consistent use of terms
4. Allows clients to select the best system for their needs
5. Preserves institutional investment in existing systems
6. Simplifies the administration of health care data processing
7. Simplifies systems integration efforts
8. Shortens the time required for integration
9. Improves management of care, the financial tracking of care rendered, and efficacy of treatment
Rationale 4: 1. Improves timeliness and availability of critical administrative and clinical data
2. Decreases integration costs by providing an alternative to customized point-to-point interface application
programming
3. Improves data quality because of data mapping and consistent use of terms
4. Allows clients to select the best system for their needs
5. Preserves institutional investment in existing systems
6. Simplifies the administration of health care data processing
7. Simplifies systems integration efforts
8. Shortens the time required for integration
9. Improves management of care, the financial tracking of care rendered, and efficacy of treatment
Rationale 5: 1. Improves timeliness and availability of critical administrative and clinical data
2. Decreases integration costs by providing an alternative to customized point-to-point interface application
programming
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
3. Improves data quality because of data mapping and consistent use of terms
4. Allows clients to select the best system for their needs
5. Preserves institutional investment in existing systems
6. Simplifies the administration of health care data processing
7. Simplifies systems integration efforts
8. Shortens the time required for integration
9. Improves management of care, the financial tracking of care rendered, and efficacy of treatment
Global Rationale:
Cognitive Level: Understanding
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome:
Question 15
Type: MCMA
Integration is a massive project within institutions and enterprises. It generally requires more time and effort than
originally projected. Which of the following are factors that may slow down the integration process?
Standard Text: Select all that apply.
1. Unrealistic institutional timetable
2. Lack of agreement among merged institution
3. Insufficient documentation
4. Changing user specifications
5. Lack of vendor support
Question 16
Type: MCSA
Nursing can reap significant benefits from integration. Which of the following integration statements is accurate
for nursing?
1. Trends in client care data and cost analysis can be used to justify nursing staffing levels.
2. Nursing should be sure that data will be collected in several systems for sharing.
3. The use of a data dictionary can interfere with system integration processes.
4. Nursing involvement is unnecessary so long as I.S. staff members are given requirements.
Question 17
Type: MCSA
The clinical data repository provides data definition consistency through which of the following?
1. Mapping
2. Interface engine
3. Point-to-point interface
4. Clinical data warehouse
