Chapter 1: Connecting the Strategic Dots: Does HIT Matter? 1. Data are _________

Question

Chapter 1: Connecting the Strategic Dots: Does HIT Matter?

1. Data are __________________, whereas information is ______________.
a. Processed and analyzed in a formal, intelligent way; raw facts and figures collected by the
organization
b. Raw facts and figures collected by the organization; processed and analyzed in a formal,
intelligent way
c. Processed and analyzed in a formal, intelligent way; expertise and skills acquired by a person
through experience and education
d. Expertise and skills acquired by a person through experience and education; raw facts and
figures collected by the organization

2. In 1980, Goldsmith predicted what healthcare would look like in the future. Which of the
following did he NOT forecast?
a. Problems of the uninsured
b. Expanded role of government financing
c. Undersupply of physicians
d. Shift of financial risk from payers to providers

3. What factor is NOT a primary driver of change in the healthcare system?
a. Healthcare costs, quality, and access
b. Global warming
c. Evidence-based medicine
d. Broad organizational change

4. What is one of the most popular, on-the-rise places consumers are looking to for medical
information and consumer empowerment?
a. Internet
b. Television
c. Newspapers
d. Tweets 2

5. Evidence-based medicine can improve the quality of care by helping physician providers make
effective clinical decisions.
a. True
b. False

6. Healthcare systems changes alter HIT data collection requirements because
a. genomic medicine will become common.
b. health data will be transmitted to foreign countries.
c. care delivery will become more integrated across delivery locations.
d. information technology will become more pervasive in the United States.

7. Consumer empowerment and participation research regarding social media suggests that in
the future
a. patients will be willing to trust and share information from the Internet.
b. patients will share personal health information (positive and negative) via social media.
c. patients will share information regarding their healthcare experiences via social media.
d. patients will seek second opinions and shop for hospitals and doctors using social media.
e. all of the above

8.What was one of the main purposes of the first computer systems?
a. Performing financial transactions
b. Sending personal communications (i.e., e-mail)
c. Documenting patient medical information*
d. Creating media presentations for meetings

9. Which of the following is NOT a major priority in system development?
a. Support for consumers through development of home applications*
b. Interoperability among systems
c. Protection of information security/HIPAA compliance
d. Disuse of wireless devices to improve data entry and access3

10. The Federal Communication Commission (FCC) has which of the following goals to address
opportunities and challenges in facilitating connectivity that makes healthcare more efficient
and effective?
a. Federal agencies should increase collaboration to promote positive outcomes.
b. The FCC should not play a leadership role in advancing mobile health because the market
is better at that.
c. Capacity, reliability, and interoperability should no longer be a priority for government in
HIT.
d. The FCC should discard existing programs that link broadband access and start anew.

11. President Bush's value-driven healthcare called for
a. free Internet access for all citizens.
b. establishment of Internet2 exclusively for healthcare applications.
c. strict privacy of all provider cost and quality information.
d. better security through prohibition of the creation of information systems that easily share
information.*
e. none of the above

12. Which of the following areas do clinical information systems support?
a. Non-patient care activities
b. Patient care
c. Strategic planning
d. Electronic data interchange

13. Which of the following areas do electronic networking and e-health applications support?
a. Non-patient care activities
b. Patient care
c. Strategic planning
d. Electronic data interchange

14. Which of the following is NOT predicted to happen in US healthcare?
a. The Internet will facilitate communication between patients and providers.
b. Patients will participate more fully in decisions about their care.
c. Healthcare decisions will be more physician based.
d. Home-based monitoring systems will become more common and will reduce the need for
repeated outpatient visits.*
15. High-quality patient care relies on careful documentation of each patient's medical history,
health status, current medical conditions, and treatment plans.
a. True
b. False

16. Evidence-based medicine is defined as an information management and learning strategy that
seeks to integrate clinical expertise with the best evidence available to make effective clinical
decisions that will ultimately improve patient care.
a. a. True
b. b. False

17. Medical tourism has limited impact on HIT because care will be delivered outside of the United
States.
a. True
b. False

18.Enhanced websites sponsored by healthcare organizations are being used for all of the following
EXCEPT
a. provision of consumer health information.
b. marketing and promotion.
c. employee recruitment.
d. disclosure of patient information

19 The increasing emphasis on quality of care is the primary reason for the emphasis on clinical
information systems.
a. True
b. False

Chapter 2: External Environment

20. Cost, quality, and access (the healthcare triangle) involve systems challenges faced by our
governmental leaders and do not have a direct impact on healthcare organizations or HIT.
a. True
b. False

21. Key dimensions of health system performance include all of the following EXCEPT
a. quality.
b. efficiency.
c. access.
d. economic growth.
e. equity.

22. The government recognizes the challenges that the healthcare industry faces regarding cost,
quality, and access to care.
a. True
b. False*

23. National health spending reached approximately what figure in 2005?
a. $2 billion
b. $5 billion
c. $2 trillion
d. $5 trillion

24. National health expenditures almost doubled from 2000 to 2010, but
a. health expenditure growth is not a problem for the country because the economy grew by
almost the same amount during this period.*
b. health expenditure growth is a problem because the US population increased only slightly
during this period.
c. health expenditure growth is not a problem for the healthcare system because most of the
increase was to the result of price increases in the economy as a whole.
d. health expenditure growth is a problem because prescription drug spending more than
doubled during this period.

25. National health expendure growth since 2000 poses a major challenge to the United States today
because the rate of growth was much lower in prior decades.
a. True*
b. False

26. Cost control efforts routinely concentrate on the hospital sector because
a. hospital costs increased more than costs in any other major category in the last decade.
b. hospitals are the largest single category of health delivery in terms of total expenditures.
c. hospital leadership is not politically savvy and thus cannot protect hospital interests.
d. hospitals have been slow to adopt HIT.*

27. Decomposition of national health expenditure growth suggests that _________ accounts for
the largest portion of overall growth from 2000 to 2010.
a. rapid population growth
b. genomic advances in diagnosis and treatment of patients*
c. overall inflation in the economy
d. medical conditions and accidents arising from excessive use of handheld devices

28. If health spending continues to increase, the quality of care for even the best-insured Americans
will be threatened.
a. True
b. False*

29. Interoperability, the ability of health information systems to work together within and across
organizational boundaries, is a vital movement for the development of standards.
a. True*
b. False 8

30.Which of the following dimensions is NOT one of Davis's (2004) six domains of quality from
the perspective of the patient?
a. Timeliness
b. Safety
c. Effectiveness
d. Comfort

31. What is a leading cause of adverse health consequences and greater cost burden on society as
a whole?
a. High-tech treatment options*
b. Invasive procedures in outpatient settings
c. Trauma related to chemical dependence
d. Medical errors

32.Problems with quality of care in the United States will be resolved if the following occurs:
a. More than just a few organizations and institutions take the problems of healthcare quality
and safety seriously.
b. Research discovers measures of quality so that hospitals and physicians can improve them.
c. Payment incentives change to reward efficient, effective, patient-centered care and greater
use of HIT.
d. Government finds and delicenses poor-quality providers and substandard hospitals.*

33. According to the US Census Bureau (2012), approximately how many people in the United
States are uninsured?
a. 49 billion
b. 64 billion
c. 49 million
d. 64 million 9

34. The uninsured tend to exhibit poor health outcomes and high overall costs for all of the following
reasons EXCEPT:
a. They receive few health screenings and preventive care.*
b. They delay or forgo medical services.
c. They are often undocumented residents who were sick and came to the United States to obtain
quality healthcare.
d. They use the emergency department as a usual source of care.

35. Improving quality of care has which of the following implications for HIT?
a. Greater need to share information within units in an organization and among organizations
b. Requirement to collect accurate, reliable, and timely information from nontraditional sources
c. Need to adopt greater standards of transparency in reporting quality
d. Obligation to validate and secure information from more sources
e. All of the above

36. Managing access in the future will pose challenges for HIT only because of the 30 million
newly insured individuals.
a. True*
b. False

37. Which of the following mechanisms to reduce or control healthcare costs will have an impact on
HIT?
a. Monitoring Internet traffic
b. Consumers tweeting their providers
c. Reducing duplicate tests and procedures
d. Purchasing and implementing new social media software 10
38. Unlike evidence-based medicine (EBM), evidence-based management may not become
widespread because
a. experience, judgment, intuition, and good sense are still the most vital tools for administrative
decisions.
b. management is more an art than a science.
c. there is really little variation in care that EBM can discover and eliminate.
d. the complexity of healthcare organizations make discovery and dissemination of valid
evidence time consuming and costly.

39. Delivery organizations will change their structure in the future to be better able to
a. offer a vast array of clinical services.*
b. attract the best physicians and nurses to provide care.
c. facilitate coordination of care across the continuum of care by greater investment in
information technology.
d. counter antitrust threats.

40.The growth of managed care in the 1970s prompted all of the following organizational responses
similar to today EXCEPT
a. consolidation of organizations into systems.
b. purchase of medical practices.*
c. efforts to improve efficiency and effectiveness.
d. growth of accountable care organizations.

Explanation / Answer

1.)   (b) Raw facts and figures collected by the organization ; processed and analyzed in a formal, intelligent way.

2.) (c) Undersupply of physicians.

3.) (b) Global Warming.

4.) (b) Television.

5.)    (a) True

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