Exam (elaborations)
CPHIMS EXAM QUESTIONS AND ANSWERS
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CPHIMS EXAM QUESTIONS AND ANSWERS
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CPHIMS EXAM QUESTIONS AND ANSWERSIssues facing healthcare providers (7) - Answers- -Costs Rising
-Quality variations in clinical care
-safety (patient)
-evidence decision making
-administrative process complexity
-consumerish/heightened expectations
-research & tech advances
Providers of care (7) - Answers- -Hospitals
-Ambulatory centers/clinics
-Long term care providers (30+ days)
-Public health agencies
-Community health programs
-physician practices
-pharmacies
Hospital characteristics (5) - Answers- -Level of care provided (primary, secondary,
tertiary, sub-acute)
-Ownership (profit / non)
-Geographic location (urban/metropolitan MSA 50k+ / rural)
-Payor mix (Govt, private)
-Teaching status (teaching hosp, academic med cntr, non-teaching hosp)
Ambulatory centers/clinics - Answers- Services withOUT overnight stay
Long Term Care Services (4) - Answers- 30+ days
-Nursing Home
-Rehab
-Mental Health
-Home Health
Physician Practice types (2) - Answers- -Group practices
-Solo practices
CPOE - Answers- Computerized Practitioner Order Entry (used at pharmacies)
Integrated Delivery Network (IDN) - Answers- Variety of providers organized to provide
a continuum of care (with integrated administration and information sharing)
Formed through
-Merger/Acquisition
-Joint venture
-Alliance
-Network (e.g. virtual organization... IPA)
,Key factors to IDN success (2) - Answers- -Physician involvement
-Interoperable info systems
Payment Systems (2) - Answers- Private Financing
-private insurance
-out of pocket (fee for service)
Public financing
-National Health Insurance System.. private providers (Canada)
-National HEAlth system (Britain) govt providers
Functions of IT Department (4) - Answers- -Operations & tech support
-Applications
-Specialized groups (e.g. process improvement)
-IT Administration (oversee, governance, strategy, staffing, budget)
IT Professionals (Executive) - Answers- CIO (Manages dept, leadership)
CTO (guides tech architecture, tracks new technologies)
CSO (security)
CMIO (Represents physicians in system design)
IT Professionals (Mid-mgmt and Staff) - Answers- -Analysts
-Programmers
-Database admins
-Network admins
-Telecom specialists
-"Management Engineers"
Role of Government (3) - Answers- -Provider of care (Veterans Affairs)
-Payor
National Health Insurance
1) Medicare
2) ontario health insurance plan OHIP
-Regulator
1) Licensure
2) HIPAA and EMTALA.. emergency med treatment and active labor act
3) UK Data protection act of 1998
4) European Union Data Protect Directive EUDPD
Standardization (2) - Answers- ACCREDITATION: Joint Comission & Intl PRIVATE
NON-PROFIT
ICD-10
, -world health organization
-international standard diagnostic classification for all general epidemiological and many
health management purposes
ICD-10 (vs. ICD-9) - Answers- 1) Three volume set
2) Alphanumeric categories rather than numeric
3) changes in chapters, titles, conditions
4) Twice as may categories
5) Changes in coding rules
Future of Healthcare IT (6) - Answers- -Need for greater productivity (nursing shortage!)
-Medical errors/variations in care patterns
-Cost-shifting/consumerization of medicine
-Pay for performance medicine
-Advances in IT (internet... wireless)
-Genetic revolution
Healthcare Workforce (4) - Answers- Physicians
-Primary care
-Specialists
Mid-Level practitioners
-Physician Assistants
-Advanced practice nurses
Nurses
-RNs
-Nursing Informatics
Other
-Administration
-Board members
-Government/payor organizations
-Vendors
-Consultants
-Informatics
Types of structural changes (4) - Answers- MERGER = Assets integrated under
contract
JOINT VENTURE= two orgs assets pooled
ALLIANCE=shared, but not jointly owned
NETWORK=ambition alliance of several providers
VIRTUAL ORG=geographically dispersed but loosely structured for specific/limited
purpose such as referals/shared overhead
Care level services (4) - Answers- primary care (PCP, ob/gyn, general internish)
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