Networking and Health Information Exchange: Health Information Exchange

Self-assessment key

1. Health Information Exchange enables the interoperable linkage of health care information across
organizations within a ______________?

a. A hospital
b. An enterprise system
c. A region
d. Across a nation
*e. All of the above

Answer: e. Health Information Exchange enables the interoperable linkage of health care information
across organizations within a hospital, an enterprise healthcare system, a region, or a nation.

Objective(s): 1
Lecture(s)/Slide(s): a3

2. Complete interoperability of centralized and federated EHRs is already in place.

a. True
*b. False

Answer: b. False. However, for interoperability, it is important that data elements have the same
coding and meaning and that they can be interchanged when necessary. Complete interoperability
does not exist at present. Consequently, data elements must be mapped, often with a subsequent
loss of information, between the different sites.

Objective(s): 1
Lecture(s)/Slide(s): a5

3. A major concern that people have about including their data in federated EHRs relate to
__________.

a. Misinterpretation of data
b. Inability for their provider to access the data
c. Possibility for incorrect data to be present
*d. Privacy of their data

Answer: d. Privacy of their data. There is an inherent fear that a national health information
interchange means that there will be a big database in Washington DC, run by the US government,
and any privacy will not exist. There are even concerns at the state level.
Objective(s): 3
Lecture(s)/Slide(s): a8
Health IT Workforce Curriculum Networking and Health Information Exchange 1
Version 3.0 / Spring 2012 Health Information Exchange

This material Comp9_Unit10 was developed by Duke University, funded by the Department of Health and Human Services, Office of the
National Coordinator for Health Information Technology under Award Number IU24OC000024.
4. ___________ must exist to support an HIE?

a. Standards what we have discussed in this component,

b. Infrastructure to support aggregation of data into a single patient record which requires
c. Infrastructure to support a regional network
d. Infrastructure and linkage of regional networks to provide a virtual national network
e. a, b and c
*f. All of the above. Each of the following must exist to support a HIE.

Answer: f. All of the above. Each of the following must exist to support a HIE.
Standards, Infrastructure to support aggregation of data into a single patient record which requires,
Infrastructure to support a regional network, Infrastructure and linkage of regional networks to provide
a virtual national network, A business case based on supported facts and includes a financial model
that balances rewards with costs, A workable process that permits us to reach the destination in
doable chunks, Understanding and creating the necessary linkages among stakeholders and State
efforts blended into a common process that will support interoperability among states

Objective(s): 3
Lecture(s)/Slide(s): a9

5. Which of the following is NOT a feature of a control center?

a. Accommodate 3 to 5 million persons

b. Contain aggregated data for an Essential HER
*c. Be external to the region database
d. Be Available 24/7
e. Contain linkages to other centers so patients crossing boundaries of regions can be aggregated

Answer: c. A control center must be local to the region database.

Objective(s): 3
Lecture(s)/Slide(s): a16

Health IT Workforce Curriculum Networking and Health Information Exchange 2

Version 3.0 / Spring 2012 Health Information Exchange

This material Comp9_Unit10 was developed by Duke University, funded by the Department of Health and Human Services, Office of the
National Coordinator for Health Information Technology under Award Number IU24OC000024.