informatics exam 2
In an EHR implementation project, stakeholders can include which of the following roles? (Select all that apply.) 5
Healthcare agency executives, Financial personnel, Nursing clinicians, System users, Patients
True or false: As a nurse, you will not be considered a stakeholder in your agency's EHR.
FALSE
True or false: Failed rollouts of new EHR systems are rare.
FALSe
Which type of funds are distributed through Medicare and Medicaid incentive payments to eligible professionals (EPs) and hospitals who are 'meaningful EHR users'?
Federal funds
Which stages of change are associated with Lewin's field theory? (Select all that apply.) 3
Unfreezing , Moving, Refreezing
True or false: As the use of electronic health records has increased, so has security; as a result, breaches of health care data have gone down.
FALSE
True or false: Audit trails cannot identify individuals who access protected patient information within electronic health records.
FALSE
True or false: Because it is a newer field, the focus of nursing informatics education remains consistent from program to program.
FALSE
True or false: HIPAA stands for the Health Insurance Protection of Assets Act.
FALSE
Which of the following are key advantages of electronic health records? (Select all that apply.) 3
Accessibility, Efficiency, Quality of care
Which of the following are examples of EHR subsystems?
All of the above
What safeguards are involved in ensuring patient health information is protected? 3
All of the above administrative, technical, and physical.
Which of the following is a risk to electronic health records? (Select all that apply.) 3
All of the above 1.Storing health information electronically leaves it particularly vulnerable to computer viruses and hacking, 2.destructive natural disasters, and device failures. 3.It is important to have safeguards in place to protect against these risks.
Which of the following is a critical component to risk analysis/assessment? 3
All of the above 3.Analyzing system vulnerabilities, 2.reviewing current measures and policies, 3. tracking potential threats are all critical to identifying, preparing for, and mitigating security threats.
Who is responsible for risk assessment and prevention of security breaches? (Select all that apply.) 3
Information Technology staff, Physicians, Nurses
In health care settings, the standardization of terminologies helps facilitate which of the following?
Interoperability
Which of the following are crucial considerations for EHR implementation? (Select all that apply.)
Investment costs, Stakeholder engagement, User training
Health care providers should reassure the patient/consumer which safeguard exists in order to protect their personal health information?
Protocols that govern data access
How often must providers and hospitals demonstrate meaningful use?
Every year
True or false: The purpose of billing terminologies is to assist in billing patients for the services provided by health care organizations.
FALSE
True or false: The three concepts involved in Lewin's Force Field Theory are behavioral disruptions, behavioral compliance, and balance.
FALSE
Lewin's field theory focuses on what aspect of change related to adopting new innovations?
Forming a positive attitude about change
What term is used to identify requirements associated with the implementation of electronic health records (EHRs) that are designed to improve the delivery of health care?
Meaningful use
True or False: If a healthcare provider violates HIPAA, they could face legal ramifications including fines.
TRUE
True or false: Hospitals and eligible professionals are required to use EHR technology to receive payments from Medicaid and Medicare.
TRUE
True or False: There is no difference between the roles of an informatics nurse and informatics nurse specialist.
FALSE
The foremost goal of 'meaningful use' is to use information from EHRs to do which of the following?
Improve quality of care
How can cognitive theory help the informatics nurse in designing decision-making tools?
Improves understanding of how nurses process information when making decisions
Which of the following accurately reflects the overall trend seen in EHR adoption rates among health care providers?
Increase
Which situation is an example of how a hospital's interoperable EHR subsystems support nursing care?
The nurse determines that a patient is likely to be discharged after reviewing daily laboratory results.
Which of the following are considered part of the Scope and Standards for Nursing Informatics Practice established by the American Nurses Association (ANA)? (Select all that apply.) 6
Assessment, Diagnosis, Outcome Identification, Planning, Implementation, Evaluation
Which of the following terms refers to authorized care providers maintaining all personal health information as secret, except to other care providers who need that information and to others that the patient has consented to allow access?
Confidentiality
Testing for networking and connectivity issues in hardware, software, and user interfaces occurs as a last step before a go-live event.
FALSE
True or False: As long as an EHR functions efficiently to meet a single department's needs, it is considered sufficient for that organization.
FALSE
True or False: EHR Incentives programs have largely stayed the same since their original inception with the HITECH Act.
FALSE
True or False: Only the system's executive stakeholders need to be involved in the initiating phase of an EHR implementation project.
FALSE
True or false: A health care agency only needs to conduct a security risk assessment if a threat is imminent.
FALSE
True or false: In Phase 1 of preparing for the go-live event of an EHR, the target date should be determined after all necessary training and procedural changes have taken place.
FALSE
True or false: Only nurses who work in the lab need to learn about the laboratory information system (LIS).
FALSE
True or false: The International Classification of Disease (ICD) is an important clinical terminology in the United States.
FALSE
True or false: The primary purpose of the meaningful use criteria in the HITECH Act is to eliminate paper from all health care facilities.
FALSE
How has the federal government attempted to support health care providers with compliance requirements associated with the adoption of electronic health records (EHRs)?
Financial incentives
Which of the following best describes a recommended pace for a rollout of a new EHR?
Gradual
Which of the following is the standard billing terminology used to code for diagnoses? Time Spent - 00:00:07
ICD
Which of these is not one of the stages in Lewin's Field theory?
Melt
The hundreds of medical/healthcare record breaches that occur each year affect how many individuals?
Millions
Which of the following most accurately describes the process of standardization of medical and clinical terminologies?
Normalizing and mapping information to code sets and terminologies
During an EHR implementation project, a lack of which of the following in particular can discourage trust and confidence among users and team members?
Planning
In addition to conducting risk assessments, employee training, data encryption, loss prevention software, and cyber liability insurance are all methods known as which of the following?
Prevention measures
True or False: It can be said incentives programs have been largely successful at increasing EHR adoption rates.
TRUE
True or False: The order entry management component of EHRs has the ability to decrease medical errors.
TRUE
True or False: The primary need for healthcare records to be electronic is to improve patient care.
TRUE
True or false: All patients expect healthcare professionals to be a good steward of safeguarding their protected health information (PHI).
TRUE
True or false: EPs who can participate in either the Medicare or Medicaid EHR incentive programs will be subject to the payment adjustments, unless they are meaningful users under one of the EHR incentive programs.
TRUE
True or false: Electronic transmission of patient care summaries across multiple settings is a focus of Stage 2 of the meaningful use criteria in the HITECH Act.
TRUE
True or false: Health care providers who receive payments from CMS for their services are required to participate in Quality Payment Program (QPP) and are held accountable for quality patient outcomes.
TRUE
True or false: In Lewin's Field theory, moving is when the change is implemented.
TRUE
True or false: Nurses are ethically and legally bound to protecting the security of patient information.
TRUE
True or false: On Feb. 17, 2009, President Obama signed the American Recovery and Reinvestment Act of 2009 (Recovery Act or ARRA), a critical measure to stimulate the economy.
TRUE
Nursing informatics training is offered for which of the following types of programs?
all of the above All of these answer choices are correct: informatics education programs exist for undergraduate, graduate, and continuing education students alike.
Systematic Nomenclature of Medicine Clinical Terms (SNOMED), Health Level Seven (HL7), and Logical Observation Identifier Names and Codes (LOINC) are all examples of which type of terminology?
:Clinical
True or false: Today, the trend is to require advanced formal academic preparation in the field of nursing informatics.
:TRUE
Which of the following theories or disciplines is related to nursing informatics?
Cognitive science theory
What are some noted challenges that accompanied the rollout of meaningful use criteria? (Select all that apply.) 3
Complexities of coding systems, Lack of implementation strategy, Increased costs
Computer competency alone is sufficient for a career in informatics.
FALSE
True or False: The HIPAA law protects all patient information.
FALSE
Which of the following is NOT a fitting quality for a nurse informaticist?
Low tolerance for change
What are key benefits to Computerized Provider Order Entry (CPOE)? (Select all that apply.) 3
Promotes safety, Saves money, Saves time
What process should be regularly conducted by a health agency in order to protect patients' PHI?
Risk analysis/assessment
Which of the following actions would best support a successful EHR implementation? (Select all that apply.) 3
Schedule additional staff to reduce patient loads, Engage staff actively with the system, Create a contingency plan for potential rollback
Which of the following terms refers to measures implemented to prevent unauthorized user access to the personal health information of patients?
Security
How were most of today's practicing informatics nurses prepared for their role?
Self-learning
The American Nurses Association (ANA) Scope and Standards for Nursing Informatics Practice has established how many standards to be met?
Six
Using certified electronic health records (CEHRT) to improve health outcomes is the focus of which stage of the meaningful use criteria of the HITECH Act?
Stage 3
True or False: The components of an EHR make it a more beneficial system than a paper record system.
TRUE
True or false: Providers must attest to demonstrating meaningful use every year to receive an incentive and avoid a Medicare payment adjustment.
TRUE
A home health nurse uses a laptop computer to document her patient assessments. In order to be compliant with HIPAA regulations, what must be in place?
A plan to prevent the loss of the patient data on the laptop.
Which of the following reflect benefits of EHRs? (Select all that apply.) 4
Accessibility, Quality improvement, Security, Data reporting
Which security measure is an important technical safeguard?
Encrypting data
In the third step before an EHR go-live event, all staff must be actively __________ with the new systems.
Engaged
Certified Electronic Health Record Technology (CEHRT) use for continuous quality improvement was implemented in which stage of EHR incentive program?
Stage II
In terms of EHR implementation, a provider with concerns around how the new system will change patient care services, an administrative employee with questions around how it will impact their job duties, and a patient wanting to know how they might access their electronic records are all examples of which of the following?
Stakeholder interests
With the proper credentials, what role can the nurse with informatics knowledge assume? Select all that apply. 4
Systems educator, An information technology advocate, Clinical systems coordinator, Researcher
Which of the following are examples of EHR government incentives programs? (Select all that apply.) 2
The HITECH Act, Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)
When considering health information technology (HIT), what does the term interoperability mean?
Two or more health-related service providers can access and share information.
During which year did eligible providers (EPs) who are meaningful users officially begin to receive EHR incentive payments?
2011
The P in HIPAA stands for:
Portability
True or False: Data inaccuracies can put patients at risk.
TRUE
True or false: Interoperability is central to achieving meaningful use.
TRUE
Which of the following roles would be open to an informatics nurse?
Clinical systems analyst who troubleshoots system problems
Stage 1 of the meaningful use criteria in the HITECH Act focuses on which of the following objectives?
Data capture and sharing
Effective data management involves protecting against which of the following? (Select all that apply.) 4
Data errors, Unauthorized access, Security breaches, Data loss
Which important health information policy has been strengthened in the wake of growing use of electronic health records, but still sometimes falls short of protecting personal health information?
Health Insurance Portability and Accountability (HIPAA) Act
Which of the following is NOT a component of Electronic Health Records (EHRs)?
Medical billing
On which area of privacy is the Health Insurance Portability and Accountability Act (HIPAA) focused?
Patient privacy
which of the following are benefits of meaningful use for a patient? (Select all that apply.
Patients can personally engage in their health care, Privacy and security of health information
Accuracy of data is the responsibility of which groups of individuals? (Select all that apply.) 4
Physicians, Nurses, Nursing Assistants, Physical Therapists
Which of the following terms refers to the right of patients to control what happens to their personal health information?
Privacy
Which job title is reserved for only an informatics nurse specialist?
Researcher
What is a key benefit to a Picture Archiving and Communication System (PACS)?
Stores diagnostic images and scans including from ultrasounds, MRIs, CTs and more
HIPAA provides guidance to healthcare providers regarding the storage and use of protected health information.
TRUE
What consequences exist for healthcare providers who access protected patient information they have no authority or need to access? (Select all that apply.) 2
Termination., Suspension.
In most healthcare facilities, what group of individuals has primary responsibility for data security?
The information systems team
Which security measure is an important administrative safeguard?
Training staff
