Question 1

Which scenarios illustrate how equity concerns may arise in healthcare adoption? Select all that apply

Accepted Answer

✅ Vendor's diagnostic AI trained on data from narrow pop. fails to gnrlyz diverse pts
✅ Pred. analytics unintntionally deprioritize pts w/ limited historical records
✅ Hptal deploys AI scheduling tool that differs assnmnt of Medicaid pts to longer waits

Question 2

Which of the following are official requirements in USCDI V4 (United States Core Data for Interoperability, Version 4)? Select all that apply.

Accepted Answer

✅ Patients’ pharmacy (captured under Medication data class → "Medication dispense" / "Pharmacy name")
✅ Body mass index (BMI) (captured under Clinical Test Results → "Vital Signs")

Question 3

The CMS interoperability and prior authorization final rule requires payers to support FHIR APIs. As a provider organization, which impacts our most relevant to your planning?

Accepted Answer

✅ Integration of payer APIs into EHR and care management workflows
✅ Staff training for electronic prior authorization workflows
✅ Coordination with vendors to ensure timely connectivity and testing

Question 4

ONC’s HTI-1 Final Rule requires transparency around Decision Support Interventions (DSIs). Which administrative actions best prepare your organization? Select all that apply.

Accepted Answer

✅ Require vendors to disclose AI/ML logic that influences clinical decision support
✅ Establish internal governance for approving and monitoring DSIs
✅ Budget for auditing tools that track AI recommendations versus clinician actions

Question 5

An organization must plan for USCDI v4 adoption (2023-2024) deadlines. Which steps support successful compliance and clinical use? Select all that apply.

Accepted Answer

✅ Map new data elements (e.g. SOGI) to standard vocabularies
✅ Include patient facing portals and testing new data classes
✅ Assign ownership for terminology updates and governments 
✅ Update EHR templates to capture social dtrmnants of health data

Question 6

Your health system is planning to replace its scheduling platform. Which actions best support a structured and transparent vendor selection process? Select all that apply

Accepted Answer

✅ Developing clinical and operational use cases
✅ Conducting vendor demos and scripted scenarios
✅ Using a RACI matrix to clarify responsibilities
✅ Evaluating Total Cost of Ownership beyond licensing fees

Question 7

Which government mechanisms are most appropriate for overseeing AI and automation in a healthcare system? Select all that apply

Accepted Answer

✅ Establishing an AI oversight committee with clinical, technical, and compliance input.
✅ Crafting clear escalation pathways when clinicians disagree with AI outputs.
✅ Requiring periodic equity audits of deployed AI systems

Question 8

Ethical use of AI in healthcare requires attention to which principles? Select all that apply.

Accepted Answer

✅Minimizing bias by diversifying training datasets.
✅Informed consent and transparency around secondary data use. 
✅Maintaining accountability through documented governance processes.

Question 9

Your health system is negotiating a vendor contract for AI powered documentation support. Which clauses strengthen organizational protection? Select all that apply.

Accepted Answer

✅ Alignment with ONC certification and HTI-1 requirements
✅ SLA commitments for uptime, incident response, and data portability
✅ Requirement for vendor disclosure of training data sets and limitations
✅ Clear exit strategy with FHIR bulk data export

Question 10

Looking ahead, which factors most determine whether emerging HIT innovations deliver real value for healthcare organizations? Select all that apply.

Accepted Answer

✅Measurable impact on quality, equity, and efficiency. 
✅Alignment with clinical and operational workflows.

Module 5

HSA 6197 Practice Questions

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