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| Section | Weight | Objectives |
|---|---|---|
| Systems Management | 27% | - Systems Implementation and Support
|
| Healthcare Environment | 26% | - Clinical and Business Terminology
|
| Technology Environment | 27% | - Applications and Software
|
| Related Topics | 20% | - Healthcare Reform and Trends
|
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NEW QUESTION # 27
Strategic plans include
Answer: B
NEW QUESTION # 28
A consultant has been tasked to evaluate the intake process of the emergency department. Which of the following should the consultant do FIRST?
Answer: D
Explanation:
The first step in evaluating an emergency department (ED) intake process is to understand how the work is currently performed, end-to-end, across people, tasks, information, and enabling technologies. Workflow analysis comes first because it establishes the "current state" process map: who performs each step (registration, triage, bed assignment), what information is collected, where delays occur, how handoffs happen, what systems are used (EHR, tracking board), and where rework or duplication exists. This aligns with health IT and process-improvement best practices emphasized in healthcare information and management contexts: you cannot accurately measure, simulate, or compare a process until you have clearly defined it.
A time study (measuring durations and wait times) is valuable, but it should be guided by the workflow map so the consultant measures the right segments and interprets delays correctly (e.g., delay due to staffing vs.
documentation bottlenecks). Simulation is typically performed after workflow and data collection to test
"what-if" changes (staffing models, fast-track pathways). Benchmarking is also later-stage because comparing to peers is only meaningful when the organization's process boundaries and definitions are consistent and well understood. Therefore, workflow analysis is the correct first action.
NEW QUESTION # 29
A healthcare organization is scheduled to decommission 400 computers. An employee committee suggests the computers should be donated to a local charity. Which of the following is the MOST relevant IT policy?
Answer: C
Explanation:
The most relevant IT policy is the media disposal policy because donating decommissioned computers creates a high-risk pathway for unintentional disclosure of sensitive data , including ePHI. Even if the organization's intent is charitable, any storage media inside those computers (hard drives, SSDs, removable media) may contain patient information, employee data, cached credentials, configuration files, audit logs, or locally stored documents. A media disposal policy defines the required processes to prevent data leakage when equipment leaves organizational control, including asset inventory and tracking, approved sanitization methods, verification/validation of data destruction, documentation, and chain-of-custody controls .
In healthcare, secure disposal (or re-use/donation) typically requires sanitization aligned to organizational standards-such as cryptographic wiping, secure erase procedures, degaussing where appropriate, or physical destruction-plus records showing which assets were sanitized, by whom, when, and using what method. This ensures compliance with privacy and security obligations and reduces breach risk.
Conflict of interest and charitable contribution policies may apply to governance and ethics, but they do not address the core IT control required before donation: ensuring all data is irretrievably removed. Release of information policies focus on authorized disclosure of patient records, not device-level data sanitization.
Therefore, media disposal policy is the correct choice.
NEW QUESTION # 30
A healthcare facility needs to connect with an external agency to send financial billing information from the electronic health record (EHR) system. Which of the following protocols would BEST facilitate this?
Answer: B
Explanation:
The best choice is VPN and HL7 because it combines a secure transport method with a healthcare messaging standard suited to exchanging administrative and financial transactions. A VPN (Virtual Private Network) creates an encrypted tunnel between organizations, supporting secure connectivity over public networks and helping protect sensitive data (including billing-related patient information) during transmission. HL7 - commonly HL7 v2 in many environments-provides standardized message structures used by hospitals to exchange patient demographics (ADT), charges, billing events, and related administrative data with external systems such as clearinghouses, payers, or revenue-cycle partners. Using HL7 reduces interface ambiguity by defining consistent fields and event triggers, which is critical for accurate billing and reconciliation.
Option A (VPN and RDP) is not ideal because RDP is for remote screen access, not structured data interchange; it also introduces operational and security risks when used as a substitute for interfaces. Option B (HTTPS and SSL) focuses on transport security, but does not specify a healthcare data format for billing;
"SSL" is also a legacy term often replaced by TLS, and HTTPS alone doesn't ensure standardized billing content. Option D (HTTPS and DICOM) is incorrect because DICOM is primarily for medical imaging, not financial billing transactions.
NEW QUESTION # 31
An MPI system assigns each patient a
Answer: A
Explanation:
A Master Patient Index (MPI) is a core health information management function that supports accurate patient identity matching across an organization's clinical and administrative systems. Its central purpose is to ensure that each patient's records-encounters, lab results, imaging, medications, allergies, and billing information- are correctly linked to the right individual, even when the patient receives care at multiple locations or has multiple registrations. To accomplish this, an MPI assigns (and maintains) a unique person identifier for each patient. This identifier serves as the consistent "key" used to connect records from different systems and prevent duplicate charts or overlay errors (where one patient's information is mistakenly filed under another's record).
The other choices do not align with what an MPI does. A prescription number relates to a medication order
/dispense transaction, not a person. "Master population index" is not something that is "assigned" to the patient; it is the system/process itself (sometimes called an enterprise master patient index). A medical provider identifier applies to clinicians, not patients. In practice, MPI integrity is supported by demographic attributes (name, DOB, address, phone), matching algorithms, and governance processes for duplicate resolution-built around the patient's unique person identifier .
NEW QUESTION # 32
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