This work is funded by the National Science Foundation
Advanced Technological Education Grant 1003223
The CAHIMS Exam Preparation Course
and the CAHIMS exam are the result of
collaboration between the Life Science
Informatics Center at Bellevue College
and the Healthcare Information and
Management Systems Society (HIMSS).
Significant content found in the CAHIMS
Exam Preparation Course stems from the
Office of the National Coordinator for
Health Information Technology. Creation
of the CAHIMS Exam Preparation Course
and the CAHIMS exam was made
possible through support from the National
Science Foundation (NSF).
Curriculum Team:
Margaret Schulte, DBA
Michèle Royer, PhD
Nathan Savage, MLIS
This work is funded by the National Science Foundation
Advanced Technological Education Grant 1003223
Section 4 - HIMS Selection and Acquisition
Lesson 4.3 - Interoperability Standards and Certification
Assessment Questions Answer Key
Lecture 1
1. Which of the following is an example of “competent human intervention” as
described in the 1989 FDA policy?
a. A nurse stopping a patient from taking the wrong drug
*b. A physician deciding not to follow the advice of a clinical decision support
system
c. A chairperson of an FDA panel helping the panel to reach consensus on
approving a piece of clinical software
d. A health IT professional assuring that an electronic medical record is
configured properly
Answer: b. A physician deciding not to follow the advice of a clinical decision
support system
Lecture(s)/Slide(s): 1/9
2. Which organization was already an EHR certification organization prior to the
establishment of the current ONC Authorized Testing and Certification Bodies?
a. Drummond
b. CDRH
*c. CCHIT
d. FDA
Answer: c. CCHIT
Lecture(s)/Slide(s): 1/17-18
3. What was one of the recommendations from the 1996 FDA workshop on
regulating clinical software?
*a. Software quality audits
b. Competent human intervention as a guiding principle
c. FDA regulation of EHRs
d. Establishment of a certification process for EHRs
Answer: a. Software quality audits
Lecture(s)/Slide(s): 1/10
This work is funded by the National Science Foundation
Advanced Technological Education Grant 1003223
Page 1
4. HITECH mandates certification of EHRs to assure that
a. unsafe EHRs are not permitted.
*b. EHRs include functionality for meaningful use.
c. good manufacturing practices are followed by EHR vendors.
d. EHRs are implemented properly.
Answer: b. EHRs include functionality for meaningful use.
Lecture(s)/Slide(s):1/22
5. FDA regulation of EHRs is UNLIKELY to reduce errors due to
a. faulty hardware.
b. faulty software.
c. design flaws.
*d. implementation flaws.
Answer: d. implementation flaws
Lecture(s)/Slide(s): 1/8, 27
6. Which of the following explains why FDA or CDRH pre-market and post-market
reviews are difficult to perform on EHR software programs?
a. The standard for “meaningful use” continues to change.
*b. Problems caused by related sources and configuration designs are not easily
tested.
c. Congressional debates concerning jurisdiction delays the reviewing process.
d. Testing the software does not ensure proper use of the software.
Answer: b. Problems caused by related sources and configuration designs are
not easily tested.
Lecture(s)/Slide(s): 1/7, 8
7. Which of the following publications served as a catalyst for valuing HIT in
relation to patient safety?
a. Ross Koppel’s study in JAMA
b. Dual review reports in the Annals of Internal Medicine and JAMIA in the late
90’s
*c. Institute of Medicine report, “To Err is Human”
d. Leapfrog’s “Development of a Consumer Communications Toolkit”
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Page 2
Answer: c. Institute of Medicine report, “To Err is Human”
Lecture(s)/Slide(s): 1/11, 13, 15, 20
8. Which was not a reaction by the Office of the National Coordinator to the
anticipated use of EHRs?
a. Collaboration with NIST to develop EHR usability measures
b. Overseeing the establishment of Authorized Testing and Certification Bodies
c. Initiating a panel discussion by the Institute of Medicine on HIT and safety
*d. Recommending stricter regulations by the FDA on EHR design and
implementation
Answer: d. Recommending stricter regulations by the FDA on EHR design and
implementation
Lecture(s)/Slide(s): 1/21-27
9. According to the lecture, which is a possible drawback to EHR regulation?
*a. Decrease in innovative designs
b. Increased levels of problems in contracting processes that discourage
reporting flaws in EHR systems
c. Decrease in the application of the “competent human intervention” principle
d. Increase in healthcare costs to the consumer
Answer: a. Decrease in innovative designs
Lecture(s)/Slide(s): 1/27
Lecture 5
10. Which of the following is NOT a reason why Electronic Health Record (EHR)
system should be certified by the Certification Commission for Health Information
Technology (CCHIT)?
a. Evaluate patient care through quality assurance measures
b. Foster information exchange among clinicians and patients
*c. To ensure adoption of the system by all clinicians in a facility
d. To support clinical decision making by clinicians and patients
Answer: c
Slides: 3-6
This work is funded by the National Science Foundation
Advanced Technological Education Grant 1003223
Page 3
11. The Certification Commission for Health Information Technology (CCHIT) can
best be described as:
a. A consortium of EHR vendors
*b. An independent, non-profit organization
c. A professional society
d. A regulatory agency of the U.S. Government
Answer: b
Slides: 3-6
12. Identify 1-2 characteristics the Certification Commission for Health
Information Technology (CCHIT) with respect to the following:
a.
b.
c.
d.
Type of Organization (profit/nonprofit/other):
Year Founded:
Governing Body:
How Financed:
Answer:
a. Type of Organization (profit/nonprofit/other): Independent, non-profit
b. Year Founded: 2004
c. Governing Body: Office of the National Coordinator for Health Information
Technology
d. How Financed: Industry Partners
Slides: 3-6
13. Which of the following is a good example of meeting the functionality
criterion, as given by the Certification Commission for Health Information
Technology (CCHIT).
a. An EHR that requires authorized access.
*b. An EHR has a Computerized Provider Order Entry (COPE)
c. An EHR uses HL Seven standards
d. All of the above are good examples of meeting the “functionality criterion”.
Answer: b
Slide: 7
14. Provide 1 example of an EHR system that would meet the Certification
Commission for Health Information Technology (CCHIT) criteria on the following
CCHIT criterion
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Page 4
a. Functionality:
b. Security:
c. Interoperability:
Answer:
a. Functionality: An EHR having a Computerized Provider Order Entry (COPE)
b. Security: An EHR requires authorized access for users
c. Interoperability: An EHR uses HL Seven standards
Slide: 7
15. Which of the following is NOT a criterion used by the Certification
Commission for Health Information Technology (CCHIT) for EHR systems?
a. Functionality
b. Interoperability
*c. Return on investment
d. Security
Answer: c
Slide: 7
16. It is important to certify that EHRs are up to certain quality standards for all of
the following reasons EXCEPT for which one?
a. Acceptance of records by clinicians
b. Health information exchange
c. Impact on patient safety
*d. Mandated regulations by governing bodies
Answer: d
Slide: 7
17. The process of Certification Commission for Health Information Technology
(CCHIT) includes all of the following EXCEPT which one?
a. Providing system vendors with certification handbooks
b. Providing system vendors with test scripts
*c. Providing system vendors with example EHRs
d. None of the above
Answer: c
Slide: 7
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Advanced Technological Education Grant 1003223
Page 5
18. Under the American Recovery and Reinvestment Act (ARRA) of 2009,
hospitals and health care professionals are required to become ‘meaningful
users’ of certified EHR technology in order to do which of the following?
a. Avoid financial penalties
b. Practice medicine
c. Receive incentive payments
*d. A and C only
e. A and B only
Answer: d
Slides: 8-10
19. Which of the following is an example of ‘meaningful use’ of EHRs?
a. Keeping track of patient appointments using an EHR system
b. Keeping track of patient demographic information using an EHR system
c. Keeping track of practitioner work schedules using an EHR system
*d. Keeping track of medications administered to a patient using an EHR system.
Answer: d
Slides: 8-10
20. Which of the following is an example of Stage 2 for implementing ‘meaningful
use’ criteria of ARRA?
a. Advanced decision-support and population health
b. Submission of 80% of provider orders electronically
*c. Structured data exchange and continuous quality improvement
d. Use of EHR data to track conditions and coordinate care
Answer: c
Slides: 12-13
21. Which of the following is an example of Stage 3 criteria for ‘meaningful use’?
*a. Advanced decision-support and population health
b. Submission of 80% of provider orders electronically
c. Structured data exchange and continuous quality improvement
d. Use of EHR data to track conditions and coordinate care
Answer: a
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Slides: 12-13
22. Which of the following is NOT a National Patient Safety Goal?
a. Accurately reconcile medications
b. Identify patients correctly
c. Improve the safety of using medications
*d. Improve tracking of public health data
Answer: d
Slides: 16-17
23. The role of the Food and Drug Administration (FDA) in overseeing patient
safety problems include all the following EXCEPT for which of the following?
a. Collaborate about certification criteria
b. Focus on areas of EHR implementation that have safety risks
c. Monitor patient safety problems
*d. Verify that a healthcare organization is using an EHR correctly
Answer: d
Slides: 16-17
24. Which of the following is a benefit of Joint Commission Accreditation?
a. To achieve the National Patient Safety Goals
b. To be eligible for Medicare reimbursement
c. To verify correct use of EHRs in providing patient care
*d. All of the above
Answer: d
Slides: 16-17
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Advanced Technological Education Grant 1003223
Page 7
Lecture 4
25. Which of the following is an example of a component to consider when
developing information architecture?
a. Printers
b. Databases
c. Business process
d. b & c
*e. All of the above
Answer: e
Lecture/Slides: 1-5
26. Select the appropriate sequence for developing an enterprise architecture
plan:
a. Information architecture, business process, technology architecture
b. Business process, technology architecture, information architecture
c. Technology architecture, information technology, business process
*d. Business process, information architecture, technology architecture
Answer: d
Lecture/Slides: 1-5
27. Which of the following is an example of a component to consider when
developing technology architecture?
a. Applications
b. Databases
*c. Infrastructure
d. Integration
Answer: c
Lecture/Slides: 1-5
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Advanced Technological Education Grant 1003223
Page 8
28. The purpose of which of the following is to provide uniformity to the
availability of different types of systems and communication methods in public
health informatics?
*a. Data Standards
b. Architecture
c. Data Configuration
d. None of the Above
Answer: a
Lecture/Slide: 9
29. Data standards specific to Information include all of the following EXCEPT for
which one?
a. Extensible markup language
b. Fiber-optics
c. Networks
d. Intranet
*e. E-commerce
Answer: e
Lecture/Slides: 10-13
30. Which of the following is an example of a Clinical Data Representation?
a. ICD-9-CM
b. SNOMED-CT
c. ICD-10-PCS
d. a & c
*e. All of the above
Answer: e
Lecture/Slides: 10-13
31. A patient is taking Digoxin for his atrial fibrillation. Which data standard
would be MOST appropriate in this situation?
a. Technical
*b. Medication terminology
c. Privacy and security
d. Clinical data representation
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Answer: b
Lecture/Slides: 10-13
32. Which of the following is a factor to consider for grammar data standards for
communicating public health information?
a. The order of data
b. The structure of data
c. The environment of the data
*d. a and b
e. All of the above
Answer: d
Lecture/Slides: 20
33. Which of the following is a component to consider when implementing
context and data standards required for communication in informatics?
a. Hardware
b. Software
c. Confidentiality requirements
d. a and b
*e. All of the above
Answer: e
Lecture/Slides: 21
34. Which of the following is an example of a public health classification system?
a. ICD-9-CM
b. ICD-10-CM
c. ICD-0
d. a and b
*e. All of the above
Answer: e
Lecture/Slides: 14, 24-25
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Advanced Technological Education Grant 1003223
Page 10
35. Which of the following is the standards development organization
responsible for the interchange of clinical and financial information?
a. Accredited Standards Committee X12
b. American Society for Testing & Materials
*c. Health Level 7
d. Institute of Electrical and Electronics Engineers
Answer: c
Lecture/Slides: 26-33
36. Which of the following is the organization responsible for data standards
applicable to pacemakers or insulin pumps?
a. Accredited Standards Committee X12
b. American Society for Testing & Materials
c. Health Level 7
*d. Institute of Electrical and Electronics Engineers
Answer: d
Lecture/Slides: 26-33
This work is funded by the National Science Foundation
Advanced Technological Education Grant 1003223
Page 11