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FOH521S - FOUNDATIONS OF HEALTH INFORMATIN MANAGEMENT - 1ST OPP - NOVEMBER 2023 |
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n Am I Bl A UnlVERSITY
OF SCIEnCEAnDTECHnOLOGY
FacultyofHealth,Natural
ResourceasndApplied
Sciences
Schoool f HealthScierices
DepartmentofPreventative
HealthSciences
H Ja:ksan KaJJeuSa treet T: -264 612J7 2970
Pr'va:e Ba~ 13388
F: -264 512~79S7J
Windhoek
E: dph5@n~tna
NIIMIBI,,
1/1;: www.rust.ni
QUALIFICATION: BACHELOR OF HEALTH INFORMATION SYSTEM MANAGEMENT
QUALIFICATIONCODE: 07BSHM
LEVEL:5
COURSE: FOUNDATIONS
MANAGEMENT
OF HEALTH INFORMATION
COURSECODE: FOH521S
DATE: NOVEMBER 2023
DURATION: 3 HOURS
SESSION: 1
MARKS: 100
FIRST OPPORTUNITY: QUESTION PAPER
EXAMINER:
MODERATOR:
MR. CHIYESU STEFANUS
MS ELIZABETH NDAKUKAMO
INSTRUCTIONS Answer all questions on the separate answer sheet.
1. Please write neatly and legibly.
2. Do not use the left side margin ofthe exam paper. This must be allowed for the examiner.
3. No books, notes and other additional aids are allowed.
4. Mark all answers clearly with their respective question numbers.
PERMISSIBLE MATERIALS
1. None
ATTACHMENTS
1. None
paper consists of 7 pages including this front page
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SECTION A: MULTIPLE CHOICE
QUESTION 1:
(10 MARKS]
(10)
Select the most appropriate answer from the given possibilities used in the health information
system. Fill in the appropriate letter next to the number of the correct statement on your
ANSWER SHEET.
1.1. HIM has been recognized as an allied health profession since:
a. 1910
b. 1918
C. 1928
d. 2006
1.2. What evolving role assesses quality in health record banking?
a. Physician group consultant
b. Health record reviewer
c. Health data analyst
d. Terminology manager
1.3 Which term is defined as ensuring timely and reliable access to and use of information?
a. Availability
b. Confidentiality
c. Integrity
d. Security
1.4. The traditional model of HIM practice was:
a. Department based
b. Information based
c. Electronically based
d. Analytically based
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1.5. The new model of HIM practice is:
a. Information focused
b. Record focused
c. Department focused
d. Traditionally focused
1.6. What is an information system?
a. A collection of related components that interact to perform a task in order to
accomplish a goal
b. The integration of several elements in a business process to affect a specific
outcome
c. A process that refines raw facts into meaningful information
d. All of the above
1.7. What are the components of an information system?
a. Computer servers, networks, and wiring along with personal computers
b. A combination of hardware, software, and communications technology
c. Data, people, and processes and a combination of hardware, software, and
communications technology
d. Collecting, maintaining, analyzing, and disseminating information
1.8. What is the difference between data and information?
a. Data are composed of numbers, and information is composed of words.
b. Data represent raw facts and figures, and information represents the meaningful
interpretation of data.
c. There is no difference between data and information.
d. All of the above.
1.9. Which of the following is an information system activity?
a. privacy
b. security
c. quality
d. input
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1.10. A physician ordering a lab test is an example of:
a. business process
b. input
c. output
d. storage
SECTION B: TRUE/FALSE QUESTION
[10 MARKS)
QUESTION 2: TRUE/FALSE QUESTIONS
(10)
Evaluate the statements and select whether the statement is true or false. Write the word
'True' or 'False' next to the corresponding number on your ANSWER SHEET.A mark for each
question.
2.1. Data granularity does not require that the attributes and values of data be defined at the
correct level of detail for the intended use of the data.
2.2. Data represent the basic facts about people, processes, measurements.
2.3. Physicians, nurses, and other caregivers don't care about using the information in
individual health records as the basis for making diagnoses and choosing treatment options.
2.4. Passive surveillance often gathers disease data from all potential reporting healthcare
workers.
2.5. Health is defined as an integral method offunctioning that is oriented toward maximizing
personal health.
2.6. One of the assumptions of the wellness approach to living is that individuals must
ultimately be responsible for their own wellness.
2.7. One must pass a health education specialist exam to become a certified health educator.
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2.8. Data accessibility means that the data are easily obtainable.
2.9. Data comprehensiveness means that all the required data elements are included in the
health record.
2.10 Data consistency means that the data are not reliable.
SECTION C: ~HORT /LONG ANSWER QUESTIONS
[40MARKS]
QUESTION 3
(40)
3. Nangula and her family live in a rural area in Namibia where over 52 per cent of the
estimated 2.3million people live. Nangula has recently been diagnosed with Type 2 diabetes.
This happened almost by chance, when she was visiting the nearest health Centre with her
daughter for a routine. During the discussion with the doctor, Nangula reporting feeling
frequently tired herself. The doctor requested a blood test, which led to the diagnosis. It
takes Nangula and her family, including six children over three hours to walk to the health
Centre, which has a visiting doctor from one of the regional hospitals. Nangula has not met
this doctor before and they are unlikely to meet again because the doctor will only be at the
clinic for one day and has over 100 patients to see and children to immunize.
While the doctor is administering the childhood immunization to her daughter, Nangula
mentions she is more tired than usual. The doctor orders a blood test which shows that
Nangula is experiencing the onset of Type 2 diabetes. Nangula's doctor has only one minute
to explain to her what Type 2 diabetes is and how to manage her symptoms. There is no
paper-based information to give her, and thus she must rely on the doctor and community
health worker present to give her the information she needs very quickly.
Walking back to her village from the clinic with her children, Nangula is confused, and does
not understand the implications of the diagnosis or how to manage her condition. She has no
access to written or electronic information on diabetes (such as information available via the
Internet that she could access from her mobile phone. Forgetting about her diagnosis, she
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does not change her diet or level of exercise or receive further support for her condition. Over
time Nangula notices that she is becoming even more tired and is experiencing tingling in the
toes of her left foot and blurred vision. She is no longer able to walk the three hours to the
health center, and the complications from her Type 2 diabetes are becoming more serious.
She is now at great risk of blindness, heart disease, nerve damage and loss of blood flow to
her limbs, as well as kidney disease. Having access to Nangula's EHR means that the visiting
mobile community- based health worker would no longer have to ask Nangula for her health
information each time they meet. This record would also be available to other medical
professionals that Nangula may interact with either in person or by phone.
In this scenario, Nangula is now much more successful in managing her Type 2 diabetes and
in avoiding the serious complications, because there is adequate monitoring of her condition
and control of her blood sugar levels. This means that her quality of life and life expectancy
will be dramatically improved, and she will be able to continue to work, and care for her
family.
7...
3.1 Summari@the benefit of eHealth/mHealth based on the scenario above.
(15}
3.2 Elucidate the advantages of electronic health record (EHR).
(15)
3.3 Founded in 1987, Health Level Seven International (HL7) is a not-for-profit, ANSI-
accredited standards developing organization dedicated to providing a comprehensive
framework and related standards for the exchange, integration, sharing, and retrieval of
electronic health information that supports clinical practice and the management,
delivery and evaluation of health services. HL7 is supported by more than 1,600 members.
Enumerate five (5) keys' points about HL7.
(10}
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SECTION D: SHORT/LONG ANSWER QUESTIONS
QUESTION4
4.1 Discuss five (5) data quality management models
4.2 Elucidate the factors affecting health record data accuracy.
[40 MARKS]
{20}
(10)
(10)
QUESTION 5
(20)
5.1 Before implementing a security program, it is important to understand the potential
threats to data security. Threats from a number of sources can cause the loss of informational
privacy, compromise data integrity and/or the availability of data. Elaborate five {5}
categories' threats to data security from people.
(20)
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END OF QUESTION PAPER
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