Question 1

The best explanations that support using Health Information Exchange (HIE) to reduce readmissions are:

Accepted Answer

✅ HIE allows clinical data to follow patients across care settings

Question 2

Which HIS features best support reimbursement, accuracy, and reduce claim denials? (Select all that apply)

Accepted Answer

✅ PMS claim scrubbing tools.
✅ Integrated PMS with coding and eligibility checks

Question 3

HIS challenge → Most appropriate technology-based solution:
Gaps in follow-up between primary and specialist care

Accepted Answer

✅ Most appropriate technology-based solution:
Implementing HIE

Question 4

HIS challenge → Most appropriate technology-based solution:
Missed drug-allergy interactions

Accepted Answer

✅ Most appropriate technology-based solution:
CDSS

Question 5

HIS challenge → Most appropriate technology-based solution:
Inaccurate or delayed billing cycle

Accepted Answer

✅ Most appropriate technology-based solution:
PMS

Question 6

HIS challenge → Most appropriate technology-based solution:
Limited patient access to recent lab results

Accepted Answer

✅ Most appropriate technology-based solution:
Patient portal

Question 7

HIS challenge → Most appropriate technology-based solution:
Disjointed provider documentation across care transitions

Accepted Answer

✅ Most appropriate technology-based solution:
EHR

Question 8

HIS challenge → Most appropriate technology-based solution:
Lack of insight into appointment backlogs

Accepted Answer

✅ Most appropriate technology-based solution:
Scheduling dashboard

Question 9

For addressing increasing no-show rates for follow-up visits, the best HIS-based approaches are:

Accepted Answer

✅ Use PMS tools to automate appointment reminders and track rescheduling

Question 10

The main risk of an EHR relying on proprietary data exchange standards is:

Accepted Answer

✅ It could hinder seamless data sharing with external providers

Question 11

For alert fatigue, the best administrative response(s) are:

Accepted Answer

✅ Engage clinical informaticists to customize alert logic

Question 12

For strategic decision-making, hospital executives need metrics that reveal financial health, care quality, efficiency, and patient engagement. Here’s how the options line up:

Accepted Answer

✅ Claims denial rates
✅ Rate of duplicate test orders 
✅ Percentage of patients using the patient portal

Question 13

A well-integrated HIS can reduce documentation redundancy and support coordinated patient care.

Accepted Answer

✅ Can reduce documentation redundancy 
✅ Support coordinated patient care

Question 14

What types of HIS-generated metrics can inform strategic decision-making for a hospital executive? (Select all that apply)

Accepted Answer

✅ Claims denial rates
✅ Rate of duplicate test orders
✅ Percentage of patients using the patient portal

Question 15

Health Information System → Aligned function:
CDSS

Accepted Answer

✅ Aligned function: 
Offers clinical recommendations and alerts

Question 16

Health Information System → Aligned function:
PMS

Accepted Answer

✅ Aligned function: 
Supports billing, scheduling, and coding

Question 17

Health Information System → Aligned function:
Patient Portal

Accepted Answer

✅ Aligned function: 
Enables patients to view and manage health info

Question 18

Health Information System → Aligned function:
EHR

Accepted Answer

✅ Aligned function: 
Provides passive viewing of non-interoperable records

Question 19

Health Information System → Aligned function:
HIE

Accepted Answer

✅ Aligned function: 
Supports cross-setting documentation and care plans

Module 2

HSA 6197 Practice Questions

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