978-0132574952 Chapter 17 Part 2

Unlock access to all the studying documents.

View Full Document

Rationale 3: The obstacles to sustainability result from underestimating the size and scope of the project,

identifying critical mass of data to exchange (e.g. standards for medication history, allergies, side effects,

indications, weight/height), identifying critical mass of participants (e.g. pharmacies), the collaboration between

common competitors in communities, the resistance to changes in workflow, and the numbers of unskilled

workforce with HIT.

Rationale 4: The obstacles to sustainability result from underestimating the size and scope of the project,

identifying critical mass of data to exchange (e.g. standards for medication history, allergies, side effects,

indications, weight/height), identifying critical mass of participants (e.g. pharmacies), the collaboration between

common competitors in communities, the resistance to changes in workflow, and the numbers of unskilled

workforce with HIT.

Rationale 5: The obstacles to sustainability result from underestimating the size and scope of the project,

identifying critical mass of data to exchange (e.g. standards for medication history, allergies, side effects,

indications, weight/height), identifying critical mass of participants (e.g. pharmacies), the collaboration between

common competitors in communities, the resistance to changes in workflow, and the numbers of unskilled

workforce with HIT.

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 11

Type: MCSA

Which of the following statements is most accurate about the relationship between the national health information

network (NHIN) and the health information exchanges (HIE) in the United States?

1. The success of the NHIN is dependent on the state-wide HIEs.

2. The success of the NHIN is not dependent on the state-wide HIEs.

3. The success of the state-wide HIEs is dependent on the NHIN.

4. The success of the state-wide HIEs is not dependent on the NHIN.

Question 12

Type: MCSA

The overall role of the state-level HIE initiatives can be loosely grouped into three broad categories. Which of the

following is not considered a category?

1. HIE enabler/readiness

2. HIE sustainability

3. HIE outsourcing/technical partnership

4. HIE operator

Hebda, Handbook of Informatics, 5/e Test Bank

Question 13

Type: MCSA

The HIE initiatives are often started by which of the following?

1. Research teams, advisory councils, and executive committees

2. Informaticians

3. LeapFrog Group

4. TIGER

Question 14

Type: MCSA

As national standards for interoperability are developed, the future of HIEs seems to be in the hands of which of

the following?

1. Nationwide health information network

2. The Department of Homeland Security

3. HIPAA

4. HIMMS

Hebda, Handbook of Informatics, 5/e Test Bank

Question 15

Type: FIB

A volunteer federal _________________________ develops interoperable standards.

Standard Text:

Correct Answer: Health Informatics Technology Standards Panel (HITSP)

Rationale : A volunteer federal Health Informatics Technology Standards Panel (HITSP) develops interoperable

standards. The Secretary of Health and Human Services approves the interoperability standards. The standards are

published for the Certification Commission for Healthcare Information Technology (CCHIT) certification process

and for state HIE programs. The published interoperability standards have been and will require more research in

trial sites for the Nationwide Health Information Network. This is an ongoing system.

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 16

Type: MCSA

As standards are developed for interoperability, there will be an increased number of vendors seeking which of the

following?

1. Funding

2. Contracts

3. Certification

4. Revenue increases

Question 17

Type: MCMA

Which of the following are considered obstacles to the HIE?

Standard Text: Select all that apply.

1. Policy

2. Organizational

3. Structure

4. Financial sustainability

5. Technology design

Question 18

Type: FIB

A ______________________ model enables the access and exchange of data stored in existing provider networks

and also through a central data repository maintained for smaller providers who would not be able to maintain

24×7 services for HIE access.

Standard Text:

Question 19

Type: MCSA

The health information exchange requires exchange of health-related information according to nationally

recognized standards to link into which of the following as it can provide a standardized, secure, and confidential

way to link information systems together for authorized users to share reliable health-related information?

1. Office of National Coordinator (ONC)

2. Health information exchange (HIE)

3. National health information network (NHIN)

4. Health Information Security and Privacy Collaborative (HISPC)

Hebda, Handbook of Informatics, 5/e Test Bank