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Hebda, Handbook of Informatics, 5/e Test Bank
Chapter 17
Question 1
Type: FIB
_______________________________ is defined as the electronic movement of health-related information among
organizations according to nationally recognized standards.
Standard Text:
Correct Answer: Health information exchange
Rationale : Health information exchange is defined as the electronic movement of health-related information
among organizations according to nationally recognized standards.
Global Rationale:
Cognitive Level: Remembering
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome:
Question 2
Type: MCSA
Which of the following answers best describes the relationship between the health information exchange (HIE)
and regional health information organization (RHIO)?
1. The HIE provides oversight to authorize the location of health information and the secure transfer and reuse of
that health information electronically.
2. RHIO provides oversight to authorize the location of health information and the unsecured transfer and reuse of
that health information electronically.
3. RHIO provides oversight to authorize the location of health information and the secure transfer and reuse of
that health information electronically.
4. RHIO provides analysis of health information and the secure transfer and reuse of that health information
electronically.
Question 3
Type: MCMA
Health information exchanges can be useful for more than patient care and the uses are described at levels. Which
of the following are considered levels?
Standard Text: Select all that apply.
1. Public health
2. National
3. Individual
4. Agency/organization
5. Professional
Question 4
Type: MCSA
To accomplish exchanges, an HIE infrastructure requires not only technology but an organizing structure for
processes. The organizing structure establishes which of the following?
1. Nontechnical standardization
2. Secure application and rules of operation
3. Transoperational exchanges
4. Standardized workflow to obtain nonessential information
Question 5
Type: MCMA
According to Iowa e-Health, which of the following are key factors that are indispensable prerequisites to
consider for the HIE organizing infrastructure?
Standard Text: Select all that apply.
1. Master person index
2. Record locator service used to access and find health information that matches the identified individual
3. Methods of authentication
4. Provide authorization for users
5. Scope of services provided
Question 6
Type: MCSA
The preparations for an HIE include organizing a governing body and establishing financial sustainability. Which
of the following is considered a conceptual and sustainable public governance model?
1. Public utility HIE with government oversight
2. Public utility HIE with no government oversight
3. Private sector-led HIE with local collaboration
4. Private sector-led HIE with corporation collaboration
Question 7
Type: FIB
_________________ and health systems with nursing homes, hospice, homecare, and clinics integrated with
hospitals are able to exchange with standard content and identifiers adopted across settings.
Standard Text:
Correct Answer: Integrated delivery networks (IDN)
Rationale : Integrated delivery networks (IDN) and health systems with nursing homes, hospice, homecare, and
clinics integrated with hospitals are able to exchange with standard content and identifiers adopted across settings.
All IDNs experienced the challenges of adopting common information formats and learning new workflows for
use cases. Current HIEs are becoming geographically defined and involve organizations that are led by multiple
representatives from professional and healthcare entities to exchange information for the good of the individual
and public services. Furthermore, sustainability can be achieved with adequate funding.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome:
Question 8
Type: MCMA
Which of the following are considered barriers to the implementation of the HIE?
Standard Text: Select all that apply.
1. Equipment
2. Financial
3. Local
4. Personnel
5. Legal procedures
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
Question 9
Type: MCSA
Which of the following is true about the sustainability of the HIE?
1. Sustainability discussions occur after the implementation phase.
2. Sustainability is no longer an issue in HIE.
3. A system that is not sustainable is not an effective one.
4. Sustainable technology is not cost effective.
Question 10
Type: MCMA
Which of the following are considered obstacles to sustainability?
Standard Text: Select all that apply.
1. Underestimating the size and scope of the project
2. Identifying critical mass of data to exchange
3. Identifying critical mass of participants
4. The collaboration between common competitors in communities
5. The resistance to changes in workflow
