CHAPTER 13: Health Information Systems and Strategy
MULTIPLE CHOICE
1. The ____ (HITECH Act) sets forth a plan for advancing the appropriate use of health information
technology to improve quality of care and establish a foundation for the electronic exchange and use of
health information systems.
a.
Health Information Transfer for Electronic Clinical Health Act
b.
Health Information Technology for Electronic Clinical Health Act
c.
Health Information Technology for Economic and Clinical Health Act
d.
Health Information Transfer for Economic and Clinical Health Act
2. A(n) ____ is generally managed and controlled by the patient or consumer.
a.
personal health record (PHR)
c.
personal medical record (PMR)
b.
electronic health record (EHR)
d.
electronic medical record (EMR)
3. Approximately ____ of hospitals are estimated to have fully operational electronic health record
(EHR) systems.
a.
8-15%
c.
30–42%
b.
20–28%
d.
45–51%
4. The overarching goal of assisting physicians and hospitals in adopting electronic health records (EHR)
that meet industry standards is to have the technology used as a tool to accomplish health outcome
policy priorities such as ____.
a.
reducing patient complaints
b.
improving care coordination
c.
reducing costs for patients
d.
improving profits for health care organizations
5. One approach to aligning the IS function with the rest of the organization includes the idea that IS
function should ____ that of the organization.
a.
control
c.
supplement
b.
unite
d.
mirror
6. Successful strategic ____ should result in a set of IS projects that the organization has identified as
important to its strategic direction or for sustaining existing capabilities.
a.
values
c.
implementation
b.
governance
d.
alignment
7. One advantage of achieving strategic alignment is that it tends to lead to a critical factor in the success
of IS projects, which is executive level and ____ leadership support.
a.
clinical
c.
government
b.
patient advocacy
d.
administrative
8. The construction phase of the systems development life cycle (SDLC) includes system design,
building, and ____.
a.
testing
c.
marketing
b.
selling
d.
contracting
9. Project planning includes developing a project schedule, ____, and staffing.
a.
organizing
c.
budgets
b.
creating a board
d.
designing
10. The three main activities most helpful in successfully managing change in IS projects are
communicating, training, and providing ____.
a.
guidance
c.
feedback
b.
a framework
d.
incentives
COMPLETION
1. Twenty years ago, the Institute of Medicine published a landmark report that outlined the numerous
problems inherent with ____________________ medical record systems and called for the widespread
adoption of electronic health record (EHR) systems.
2. ____________________ is a general term that is often used to describe a broad range of technologies
for transmitting and managing health information for use by consumers, providers, payers, insurers,
and others interested in health care.
3. One function of an electronic health record (EHR) is to enable health information
____________________ across organizational boundaries and more fully engage the patient in his or
her own care through home monitoring and telehealth.
4. The most frequently cited barrier to health information technology is ___________________.
5. It is fundamentally important that an organization recognize the benefits of aligning its IS function
with its organizational strategy; this recognition can be influenced by the role played by the
____________________.
6. Feeny and Willcocks (1998) developed a framework for a high-performing IS function that categorizes
certain capabilities as important for the organization to be able to stay informed of its demand-side
needs and its IS investments; these capabilities include such things as governance, management,
business strategy, and information ____________________.
7. Standard strategic planning tools used to determine what kind of IS capabilities an organization needs
in order to achieve its goals and objectives include analysis of the internal and external environments
and the identification of strategic opportunities and ____________________.
8. Once the executive team defines the IS portfolio of funded projects, project ____________________
becomes crucial to the success of the project.
9. The Lewin/Schein model of change management has three stages: unfreezing, moving, and
____________________.
10. In order for the organization to assess the impact of IS on the ability of the organization to achieve its
strategic goals, the organization must link its IS ____________________ to its organizational strategy.
MATCHING
Match each item with a statement below:
a.
systems development life cycle (SDLC)
b.
reporting and population health management
c.
electronic communication and connectivity
d.
results management
e.
Regional Health Information Organizations (RHIOs)
f.
patient support
g.
decision support
h.
health information and data
i.
administrative processes
j.
order entry and support
1. Brings together unaffiliated stakeholders with clinical data (such as physician practices, labs, hospitals,
and pharmacies)
2. Facilitates and simplifies such processes as scheduling, prior authorizations, and insurance verification
3. Employs computerized clinical decision-support capabilities such as reminders, alerts, and
computer-assisted diagnosing
4. Incorporates use of computerized provider order entry, particularly in ordering medications
5. Includes everything from patient education materials to home monitoring to telehealth
6. Manages all types of results (for example, laboratory test results, radiology procedure results)
electronically
7. Includes medical and nursing diagnoses, a medication list, allergies, demographics, clinical narratives,
and laboratory test results
8. Provides a generic methodology for selecting, acquiring, implementing and maintaining a system
9. Establishes standardized terminology and data formats for public and private sector reporting
requirements
10. Enables those involved in patient care to communicate effectively with each other and with the patient