1. The "upper level" of the informatics stack: Focuses on interactions between two information systems Focuses on goals and concerns of the organization Focuses on data standards for exchanging data Focuses on technologies used in the service of higher-level goals 2. Goals of the "World" of Clinical care include: Ensuring that "Total Populations" get the best preventive care Ensuring interoperability between clinical information systems Ensuring that illness is treated optimally in patients under care Ensuring that the data transmitted by wearables are interpreted correctly3. An example of "specific module" would be CIS ADT PACS DRG 4. From a policy perspective, informatics/health IT is most valuable because It provides the conduit for representing and communicating the money reimbursed to providers. It determines the new model of care an institution might use. It provides the conduit for representing and communicating data that provides federal decision makers evidence of quality care. It determines how much risk an organization wishes to take within a new model of care.5. In building risk models, an emerging difficulty that threatens populations at risk is Including social determinants of health. Addressing biases in the data Al algorithms use for training. Including healthcare utilization from EHR data. Addressing social services. 6. Which stakeholder is missing from the 1992 model of the "Computer Based Patient Record"? Patient HMO Laboratory Community hospital7. Which of the following is most true regarding informatics interoperability? The business case for interoperability remains a challenge. The ONC goals are all "above the Line". The ONC Policy and Technical Components are not concerned with confidentiality. It concerns only the exchange of data, information, and knowledge. 8. The "Fair" principles apparently underlying HIPAA include Limitation of data quality Limitation of transparency Limitation of disclosure Limitation of distribution9. HIPAA Privacy means that Health care providers may alert the government if a patient contracts HIV Researchers must alert the government if a patient experiences a reportable disease Health plans may alert the government if a patient is shot Employers must alert the government if a patient is shot 10. In "CIA," Confidentiality means Protection from the government Protection from unauthorized access or disclosure The right of individuals to keep information about themselves from being disclosed to others When and where information is rightly needed11. Deidentification is Limited to "limited data sets" Expressed in terms of the probability of re- identification Fool-proof, if you use the "Safe Harbor" 18 items Reinforced by penalties for failure of deidentification 12. Evaluation is needed To test if a software module produces the output the vendor said it would To limit your assessment to data from within the system To make mid-course corrections in deployment or use To find only problems within yo.

1. 1. The "upper level" of the informatics stack: Focuses on interactions between two information
systems Focuses on goals and concerns of the organization Focuses on data standards for
exchanging data Focuses on technologies used in the service of higher-level goals 2. Goals of the
"World" of Clinical care include: Ensuring that "Total Populations" get the best preventive care
Ensuring interoperability between clinical information systems Ensuring that illness is treated
optimally in patients under care Ensuring that the data transmitted by wearables are interpreted
correctly3. An example of "specific module" would be CIS ADT PACS DRG 4. From a policy
perspective, informatics/health IT is most valuable because It provides the conduit for representing
and communicating the money reimbursed to providers. It determines the new model of care an
institution might use. It provides the conduit for representing and communicating data that
provides federal decision makers evidence of quality care. It determines how much risk an
organization wishes to take within a new model of care.5. In building risk models, an emerging
difficulty that threatens populations at risk is Including social determinants of health. Addressing
biases in the data Al algorithms use for training. Including healthcare utilization from EHR data.
Addressing social services. 6. Which stakeholder is missing from the 1992 model of the
"Computer Based Patient Record"? Patient HMO Laboratory Community hospital7. Which of the
following is most true regarding informatics interoperability? The business case for interoperability
remains a challenge. The ONC goals are all "above the Line". The ONC Policy and Technical
Components are not concerned with confidentiality. It concerns only the exchange of data,
information, and knowledge. 8. The "Fair" principles apparently underlying HIPAA include
Limitation of data quality Limitation of transparency Limitation of disclosure Limitation of
distribution9. HIPAA Privacy means that Health care providers may alert the government if a
patient contracts HIV Researchers must alert the government if a patient experiences a reportable
disease Health plans may alert the government if a patient is shot Employers must alert the
government if a patient is shot 10. In "CIA," Confidentiality means Protection from the government
Protection from unauthorized access or disclosure The right of individuals to keep information
about themselves from being disclosed to others When and where information is rightly needed11.
Deidentification is Limited to "limited data sets" Expressed in terms of the probability of re-
identification Fool-proof, if you use the "Safe Harbor" 18 items Reinforced by penalties for failure
of deidentification 12. Evaluation is needed To test if a software module produces the output the
vendor said it would To limit your assessment to data from within the system To make mid-course
corrections in deployment or use To find only problems within your system 13. The evaluation
frameworks concerned with perceived usefulness (as opposed to user satisfaction) are The
Technology Acceptance Models The information Success Model The HOT-fit model The Theory of
Planned Behavior14. Evaluation of health effects in the population from an informatics intervention
are best sought at which Stage of Maturity? Pilot Scale-up Demonstration Pre-prototype/prototype
15. The New Models of care are technically at what Stage of Maturity? Pilot Scale-up Pre-
prototype/prototype Demonstration