Clinical Informatics Certification Clinical Informatics Health Systems 2

Question 1

Which interoperability standard uses a document-centric approach with a defined header and body structure for exchanging clinical documents?

Accepted Answer

Clinical Document Architecture (CDA)

Answer

HL7 v2.x messaging

Answer

FHIR RESTful API

Answer

DICOM SR

Question 2

A hospital wants to measure care coordination quality. Which metric best reflects transitions of care effectiveness?

Accepted Answer

30-day all-cause readmission rate

Answer

ED door-to-doctor time

Answer

Average length of stay

Answer

Nurse-to-patient ratio

Question 3

In a health system's data governance framework, who is typically responsible for defining data quality rules and authoritative data definitions?

Accepted Answer

Data steward

Answer

Data custodian

Answer

Chief Information Officer

Answer

Database administrator

Question 4

Which ACO model under the Medicare Shared Savings Program requires participants to accept downside financial risk?

Accepted Answer

Track 3 / Enhanced

Answer

Track 1

Answer

Track 1+

Answer

Track 2

Question 5

A clinician receives a CDS alert for every penicillin order in a patient with a documented penicillin allergy. Providers begin ignoring the alert. This is an example of:

Accepted Answer

Alert fatigue

Answer

Automation bias

Answer

Decision support failure

Answer

Workflow fragmentation

Question 6

Under HIPAA's Minimum Necessary Standard, a covered entity must:

Accepted Answer

Limit PHI access to what is reasonably needed for a given task

Answer

Encrypt all PHI at rest and in transit

Answer

Obtain patient authorization before any PHI use

Answer

Audit all PHI access in real time

Question 7

Which type of clinical study design is most susceptible to recall bias?

Accepted Answer

Retrospective case-control study

Answer

Randomized controlled trial

Answer

Prospective cohort study

Answer

Cross-sectional survey at enrollment