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Questions and Answers
What is a technical safeguard for ePHI?
Which tool should informatics and ER nurses use for process analysis of a patient admission form?
Which government agency recommended the use of barcode medication administration?
What accurately describes the internet?
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What is an example of an opt-in or opt-out choice regarding the disclosure of personal health information?
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What is an important security consideration related to the use of email application to send and receive patient data?
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What are the maximum penalties for refraining from full participation in the MIPS in years 2017 through 2024?
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Which government organization oversees the meaningful use program?
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What term describes an unanticipated growth of a project?
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Where are POLST (advanced care directives) found on the computer?
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At which Meaningful Use stage can you generate and transmit prescriptions electronically?
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What needs to be done before administering a new IV drip order for an anti-arrhythmic drug?
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What is the first thing patients should do to access their health records?
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Where do you document a patient’s allergy?
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What government agency recommended BCMA?
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What are the ICD ICD10 international classification of diseases?
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What should providers have on their personal mobile devices to protect it from sharing information when stolen?
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What should healthcare staff who use mobile devices to access ePHI do to protect devices before they are lost or stolen?
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If your Pt’s barcode bracelet is not working & you needed to pass meds what would you do?
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The Operating room uses a different system than what is integrated in the EMR. What do you do?
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Provider wants you to change an order what tab would you look under?
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The stem should be negatively stated only when significant learning outcomes require it.
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What facility first used the BCMA?
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What is the first thing patients should do to access their health records?
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What is the primary role of the nurse informaticist?
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What does meaningful use promote in the healthcare setting?
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What is the goal of EHR incentive programs, such as meaningful use?
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Which measure is crucial for a successful implementation of a new computerized provider order entry?
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Which model supports evidence-based practice (EBP)?
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What defines interoperability?
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What is nursing informatics a combination of differentiating it from other nursing disciplines?
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Which item enhances interoperability between organizations when exchanging patient data electronically?
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In which phase of the system life cycle would data be collected from the systems users regarding their analysis needs?
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Where is the continuity of care documented in an EHR?
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How should a nurse determine the validity of a new EBP (Evidence-Based Practice) protocol for treating asthma?
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Which MIPS merit-based incentive payment system performance replaces Meaningful Use for physicians?
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Where in the EHR is used to guide a nurse on the tasks that need to be completed during the shift?
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What should be one of the first steps taken when developing a new clinical workflow?
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If a user contacts you because their legend changes on each screen they go into, what should you tell them?
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Which feature allows a user to navigate between authorized applications & resources within a single organization?
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Where would a nurse look to verify if there are new orders to review after receiving a report?
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Where are POLST (advanced care directives) found on the computer in a healthcare setting?
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What is the primary purpose of a clinical decision support system (CDSS)?
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Where should a nurse find information about the fluid status of a patient when asked by a physician?
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What is considered to be clinical decision support (CDS) within the EHR?
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What is role-based access an example of?
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How is clinical decision support system (CDSS) represented in an EHR?
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What does Health Information Exchange (HIE) improve within a healthcare organization?
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What should unit managers do to determine documentation completion by nurses?
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What is the primary role of the nurse informaticist?
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What is an example of an opt-in or opt-out choice regarding the disclosure of personal health information?
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What defines interoperability in a healthcare context?
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What accurately describes the internet?
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What is the typical role of an informatics nurse?
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What is the responsibility of a superuser?
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What is a reason to have standardized terminology within a healthcare setting?
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What is the harmonization of terminologies?
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What defines interoperability?
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What does meaningful use promote in the healthcare setting?
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What government organization oversees the meaningful use program?
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What accurately describes the internet?
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What needs to be done before administering a new IV drip order for an anti-arrhythmic drug?
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Where do you document a patient’s allergy?
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Which feature allows a user to navigate between authorized applications & resources within a single organization?
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What is an example of an opt-in or opt-out choice regarding the disclosure of personal health information?
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What is the first step patients should take to access their health records?
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What represents privacy & security risks for telehealth technology?
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What are 3 common reasons for HIPAA violation citations?
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What is a physical safeguard of ePHI?
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Besides the provider & the client, which group’s needs are important to consider?
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Which data element would a restraint committee find least useful in a report on restraint usage & documentation compliance?
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What is a structured method used to analyze serious adverse events?
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What form allows stored information in an EHR to be instantly searched, retrieved, combined, and reported in different ways?
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What are 3 purposes of using bar code medication administration (BCMA)?
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What should a nurse do if a Pt’s barcode bracelet is not working and they need to pass meds?
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Where should a nurse look to verify if there are new orders to review after receiving a report?
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What best describes the role of decision support within the EHR?
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Why is it important to control the number of warnings in an EHR?
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What merit-based incentive payment system (MIPS) performance category replaces meaningful use for physicians?
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What do the goals of meaningful use & merit-based incentive programs have in common?
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Which government organization oversees the meaningful use program?
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What should healthcare staff who use mobile devices to access ePHI do to protect devices before they are lost or stolen?
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What is the name of the process that begins with conception & continues through implementation?
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During which phase of the systems development life cycle should a system be activated to effectively be used by end users?
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What three tasks in the design phase during the systems development life cycle (SDLC)?
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What is the term to describe unanticipated growth of a project?
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A healthcare facility is changing to a new health information system. Information from the old system needs to be input into the new system. What will the IT department do to complete this task?
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Study Notes
Technical Safeguards and ePHI
- Technical safeguards for electronic Protected Health Information (ePHI) include encryption, secure user authentication, and access controls.
- The use of electronic health records (EHR) must comply with HIPAA privacy and security rules to protect sensitive information.
Tools for Process Analysis
- Informatics and Emergency Room (ER) nurses should use workflow analysis tools to review patient admission forms.
Government Recommendations
- The Agency for Healthcare Research and Quality (AHRQ) recommended barcode medication administration (BCMA) to enhance medication safety.
Understanding the Internet
- The internet is a vast global network that facilitates information exchange between computers, allowing access to data and communication worldwide.
Personal Health Information Choices
- An opt-in choice could involve patients agreeing to share their health data for research, while an opt-out choice allows them to refuse participation in data-sharing initiatives.
Email Security Considerations
- Sending and receiving patient data via email requires encryption to prevent unauthorized access and ensure confidentiality.
MIPS Penalties
- Maximum penalties for non-participation in the Merit-based Incentive Payment System (MIPS) from 2017 to 2024 can reach up to 9% of Medicare fees.
Oversight of Meaningful Use
- The Center for Medicare and Medicaid Services (CMS) oversees the Meaningful Use program, aiming to improve healthcare quality through EHR use.
Project Growth Terminology
- Unanticipated project growth is referred to as "scope creep," indicating that the project's requirements have expanded beyond the original plan.
POLST Directives
- Physician Orders for Life-Sustaining Treatment (POLST) are accessible within electronic health records under advance care planning or advance directives sections.
Electronic Prescription Transmission
- E-prescribing capabilities can be generated and transmitted electronically at Meaningful Use Stage 2.
IV Administration Protocol
- Before administering a new IV drip for anti-arrhythmic drugs, verification of the order and patient assessment are crucial steps.
Accessing Health Records
- Patients should begin by requesting access to their health records through their healthcare provider's patient portal or office.
Documenting Allergies
- Patient allergies should be documented in the allergy section of the electronic health record (EHR) for consistent tracking and safety.
Clinical Systems and Operations
- The first facility to implement BCMA was the Veterans Administration (VA) hospital system, improving medication administration safety.
Nurse Informaticist Role
- The primary responsibility of a nurse informaticist is to bridge healthcare and technology, optimizing clinical information systems for better patient outcomes.
Impact of Meaningful Use
- Meaningful use promotes improved data exchange and enhances patient care quality through the effective use of EHRs.
Implementation Measures
- Effective computerized provider order entry (CPOE) requires clinician buy-in and proper training to ensure smooth adoption and usage.
Evidence-Based Practice (EBP) Models
- The Iowa Model and the Stetler Model are commonly used for implementing evidence-based practice in clinical settings.
Interoperability Definitions
- Interoperability enables different health information systems to exchange and interpret shared information seamlessly.
Documentation in EHR
- Continuity of care is documented typically in the transitions of care section or discharge summary within the EHR.
Clinical Decision Support Systems (CDSS)
- CDSS provides clinicians with evidence-based knowledge, improving decision-making regarding patient care.
Role-Based Access Control
- Role-based access is an example of managing user permissions to ensure that staff can access only necessary information for their role.
Healthcare Terminology Standardization
- Standardized terminology across platforms enhances communication and data sharing accuracy within healthcare settings.
Data Transfer During System Transition
- Data migration from an old health information system to a new one involves extracting, cleansing, and importing relevant information.
Device Security Protocols
- Healthcare staff should implement strong passcodes and encryption on mobile devices before accessing ePHI to mitigate risks of data breaches.
Clinical Workflow Development
- Developing a new clinical workflow begins with thorough analysis and stakeholder engagement to ensure practicality and efficiency.
Nurse Task Management
- A nurse can review new orders in the EHR system under the orders tab, post-report handoff.
Workflow Efficiency
- Minimizing the number of alerts and warnings within an EHR is key to preventing alarm fatigue and ensuring essential notifications are prioritized.
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Description
Test your knowledge of healthcare IT and nursing informatics with this quiz. Questions cover technical safeguards for ePHI, process analysis tools, government recommendations for medication administration, and web-based application development.