86 Questions
What is the first step patients should take to access their health records?
Use the patient portal email from the healthcare organization to create an account
What represents privacy & security risks for telehealth technology?
Pts using speakerphone in the telehealth apps
What are 3 common reasons for HIPAA violation citations?
Lost or stolen unencrypted devices
What is a physical safeguard of ePHI?
A lock on the USB port on computers
Besides the provider & the client, which group’s needs are important to consider?
The Joint Commission
Which data element would a restraint committee find least useful in a report on restraint usage & documentation compliance?
Patient allergy history
What is a structured method used to analyze serious adverse events?
A root cause analysis (RCA)
Which form allows stored information in an EHR to be instantly searched, retrieved, combined, and reported in different ways?
Text data
What was the primary reason for adopting BCMA by healthcare facilities?
To prevent medication administration errors
What describes the role of decision support within the EHR?
Designed to assist with timely clinical decision making
What merit-based incentive payment system (MIPS) performance category replaces meaningful use for physicians?
Quality of care
Which government organization oversees the meaningful use program?
The centers for Medicare & Medicaid services (CMS)
What were 2 objectives of meaningful use as defined by the American reinvestment & recovery act (ARRA)?
Document patient-collected data directly into the EHR, submit electronic data to health information exchanges (HIEs)
What is the name of the process that begins with conception and continues through implementation?
Systems development life cycle (SDLC)
During which phase of the systems development life cycle should a system be activated to effectively be used by end users?
Implementation phase
What 3 tasks are included in the design phase during the systems development life cycle (SDLC)?
Plan the project, define the scope, conduct SWOT analysis
What is the name of the act that recognizes patients' need for more power in their healthcare and emphasizes access to information?
21st Century Cures Act
What action demonstrates data mining to improve patient outcomes?
Electronically capturing patient vital signs without manual entry
What method is used to analyze serious adverse events?
Triangulation
What represents a privacy and security risk for telehealth technology?
Tapping badge
Which category of patients is most able to engage in their own care?
Those whose pain is under control or have good night rest
What is the critical step in Human-Computer Interaction (HCI) that emphasizes the ease of use and effectiveness of technology systems?
Usability
What is the name of the system that allows patients to manage their own healthcare information?
Health Information System (HIS)
What process improves documentation time by capturing patient vital signs electronically without manual input?
Biomedical Device Integration
What is the most appropriate action to take when a CDSS alert is being ignored?
Review each alert's determinant significance and make a decision to maintain or eliminate it
When a spouse requests a patient's medical records, what should be done?
Refer the family member to the medical records department
What is the best method for comparing infection rates across different states?
Bar graph
What is the most appropriate approach for promoting adoption and implementation of telehealth programs?
Advocacy
What is a best practice for maintaining HIPAA compliance?
Requiring password protection
What should be done when an employee falls and gets hurt at work in relation to HIPAA?
Do not provide the information because of HIPAA regulations
What is the appropriate response when a mom calls asking for her child's medical information from a clinic?
The clinic is unable to provide the medical records without proper authorization
What is the best way to analyze a single piece of data in multiple ways?
Predictive Analysis
What kind of notes are not released to patients?
Psych notes
What legislative act mandated research to become accessible for better decision-making based on evidence?
Affordable Care Act
What should a nurse recommend to promote nurse-to-patient interactions?
Encourage patients to eliminate personal technology to increase their attention
Which role falls outside the scope of practice?
Enforce operational procedures
When can you get notes from a provider quickly?
HIE, Query based transfer
What is the primary goal of Health Information Exchange (HIE)?
To improve the efficiency and quality of healthcare delivery
What is the main purpose of using a barcode administration system in healthcare?
To integrate with computerized provider order entry and pharmacy systems for medication management
Which factor is considered an element of Protected Health Information (PHI) under HIPAA?
Patient's insurance policy number
In the context of healthcare technology, what does RPM stand for?
Real-time Patient Monitoring
What method is most effective for EMR charting in nursing?
Concurrent documentation
Which category of patients is most at risk for decreased health literacy?
Elderly patients
What represents an appropriate way for an informatics nurse to evaluate other nurses' opinions on technology?
Organize a survey on technology satisfaction among nursing staff
What technology is used when a nurse carries out an HIE and a NP reviews patient records from a remote facility?
Biomedical device integration
What is one example of data that is tracked for the purpose of improved quality?
Pt falls
What refers to the collection of policies, standards, processes, & controls applied to an organization's data?
Data governance
What kind of notes are not released to patients?
Informatics utilization notes
In the context of healthcare technology, what does RPM stand for?
Remote patient monitoring
What legislative act mandated research to become accessible for better decision-making based on evidence?
ARRA
What is the name of the system that allows patients to manage their own healthcare information?
Patient engagement platform
Which form allows stored information in an EHR to be instantly searched, retrieved, combined, and reported in different ways?
Query and reporting form
Which factor is considered an element of Protected Health Information (PHI) under HIPAA?
Patient's medical records
Which category of patients is most able to engage in their own care?
Patients monitored through RPM
What method is used to analyze serious adverse events?
Root cause analysis
What represents an appropriate way for an informatics nurse to evaluate other nurses' opinions on technology?
Usability testing and feedback collection
What is the focus of the 21st century cures act?
Recognition of patients' need for more power in their healthcare and emphasis on access to information
What is the dollar amount price range for a HIPPA fine per violation (lowest to highest amount)?
$100-$50,000 plus per violation with a maximum of 1.5 million yearly
Differentiate between data & information.
Data: The raw facts describing the patient, Information: Data plus meaning
Describe the progression of data using the DIKW framework.
Data leads to knowledge which leads to wisdom, Information is the discrete components of the DIKW framework
What are 3 common reasons for HIPAA violation citations?
Inadequate security measures, Unauthorized disclosure of patient information, Failure to provide access to patient records
What is the primary goal of Health Information Exchange (HIE)?
To promote interoperability and sharing of patient information among healthcare organizations
What represents privacy & security risks for telehealth technology?
Inadequate encryption of patient data, Insecure video conferencing software, Unauthorized access to telehealth platforms
What are 3 tasks included in the design phase during the systems development life cycle (SDLC)?
Requirement analysis, System architecture design, Coding
What is a physical safeguard of ePHI?
Biometric authentication for accessing electronic health records
Which government organization oversees the meaningful use program?
The Centers for Medicare & Medicaid Services (CMS)
What method is most effective for EMR charting in nursing?
Structured data entry templates for common nursing assessments
What is the primary goal of Health Information Exchange (HIE)?
To enable the secure exchange of patient information between healthcare providers
What is the difference between ARRA & HITECH?
ARRA authorizes incentive payments for HIT adoption, while HITECH focuses on increasing the number of insured persons
What is meant by peer-reviewed literature & why it is important?
Literature that is checked by another expert and it is important for ensuring accuracy and credibility
What data source is used to track specific diseases & conditions?
Disease surveillance
What represents an appropriate way for an informatics nurse to evaluate other nurses' opinions on technology?
Engaging in open discussions and seeking feedback from other nurses
What are 3 common reasons for HIPAA violation citations?
Failure to maintain confidentiality, improper data disposal, and unauthorized access
What were 2 objectives of meaningful use as defined by the American reinvestment & recovery act (ARRA)?
Promoting the adoption and meaningful use of Electronic Health Records (EHRs), improving healthcare quality and outcomes
What does the CCR (Continuity of Care record) aim to improve?
Quality and continuity of care when clients move between various points of care
What is the main focus of the Healthy People initiative?
Establishing and monitoring attainment of science-based population health goals
Which legislation provides more rigorous enforcement of HIPAA and requires notification of breaches?
HIPAA Breach Notification Rule
How does Health Information Exchange (HIE) impact the cost of patient care?
Reduction in redundant tests, improved quality of care, and improved public confidence
What is the relationship between standardized terminologies, quality improvement, and financial rewards related to Meaningful Use?
Standardized terminologies lead to improved patient understanding, engagement, and financial rewards for providers
What is the main goal of Logical Security in a healthcare facility?
To authenticate user-specific passwords
What are the benefits of Electronic Health Records (EHRs)?
Increased data integrity, decreased redundant data collection, and improved public confidence
What represents a potential interoperability issue with Electronic Health Records (EHRs)?
Content lag or technical malfunctions
What are the attributes of quality information according to the text?
Accuracy, completeness, and timeliness
What are two common threat sources to information and information system security?
Malware attacks and hackers
What is the US Initiative that establishes & monitors attainment of science-based population health goals & objectives w/ ten-year target dates?
Healthy People initiative
What does the CCD (Continuity of Care Document) provide to a healthcare provider who does not have access to the person's EHR?
A snapshot of a person's health & healthcare
Study Notes
Accessing Health Records
- First step: patients should request their health records from healthcare providers
- HIPAA gives patients the right to access, inspect, and obtain a copy of their health records
Telehealth Technology Risks
- Privacy and security risks include unauthorized access, data breaches, and cyber attacks
HIPAA Violation Citations
- Three common reasons: failure to implement appropriate safeguards, lack of policies and procedures, and inadequate training
ePHI Safeguards
- Physical safeguards of ePHI include locked file rooms, secure computers, and restricted access
Healthcare Stakeholders
- Besides providers and clients, healthcare stakeholders include family members, caregivers, and payers
Data Analysis
- Structured method used to analyze serious adverse events is root cause analysis
- Data mining is used to analyze large datasets to improve patient outcomes
- Data is transformed into information through analysis and interpretation
EHR Systems
- Electronic Health Records (EHRs) allow stored information to be instantly searched, retrieved, combined, and reported in different ways
- Benefits of EHRs include improved quality of care, increased efficiency, and enhanced patient safety
Meaningful Use
- Primary reason for adopting BCMA (Bar Code Medication Administration) was to improve patient safety
- Decision support within EHRs provides alerts, reminders, and clinical decision support
- MIPS (Merit-based Incentive Payment System) replaces meaningful use for physicians
- ONC (Office of the National Coordinator) oversees the meaningful use program
- Two objectives of meaningful use as defined by ARRA (American Reinvestment and Recovery Act) are to improve quality, safety, and efficiency, and to promote the electronic exchange of health information
System Development Life Cycle (SDLC)
- Process that begins with conception and continues through implementation is systems analysis and design
- System should be activated during the implementation phase to be effectively used by end users
- Three tasks included in the design phase during SDLC are data gathering, system design, and prototyping
Patient Engagement
- Act that recognizes patients' need for more power in their healthcare and emphasizes access to information is the 21st Century Cures Act
- Patients who are most able to engage in their own care are those with higher health literacy
Human-Computer Interaction (HCI)
- Critical step in HCI emphasizes the ease of use and effectiveness of technology systems
Health Information Exchange (HIE)
- Primary goal of HIE is to improve quality of care by sharing patient information among healthcare providers
- HIE impacts the cost of patient care by reducing unnecessary tests and procedures
Test your knowledge on HIPAA compliance and telehealth security with this quiz. Learn about patient portal access, privacy risks, HIPAA violations, and physical safeguards for ePHI.
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