Harris OA 220 Flashcards
A doctor receives an urgent phone call from a nurse caring for a patient while the doctor is at a coffee shop ordering breakfast. How should the doctor proceed to prevent a possible violation of HIPPA?
The doctor should ask the nurse to text him rather than calling as the doctor is in a public location and unable to speak with the nurse on the phone at this time.
During a recent review for a clinical documentation improvement for an ambulatory surgery center a nurse observed that the incorrect current procedural terminology (CPT) codes have been entered for over 100 outpatient procedures. Which set of standards for professional behaviors is the nurse demonstrating when reporting an occurrence to the supervisor?
American Health Information Management Association (AHIMA) Code of Ethics.
A nurse has been asked to set up a secure data capture and collection process for the evaluation of a practice process improvement project. Which approach should the nurse use to help ensure data security?
Collect data on secure access serves.
Information that can be used to identify an individual is known as PHI. This information includes addresses, medical record numbers, demographic information, and other elements that could potentially lead to the identity of the individual. Which term is used to reference this information?
Individually identifiable health information.
Which information technology best practice helps prevent HIPPA violations as an organization?
Requiring devices to be password protected.
In which area of informatics nursing should promote the adoption of and implantation of telehealth programs to increase access to health services belong?
Advocacy
- What is one role a nurse can have in the formulation of health policy?
Representing nurses on a national task force.
A provider asks a nurse caring for a patient to send an update on the patient’s condition in two hours. Which method is appropriate for the nurse to communicate this information to the provider given the laws that protect personal health care information?
Secure chat
In 1996, the United States passed HIPPA to modernize the flow of healthcare information and provide stipulators to protect this information and provide stipulations to protect this information from fraud and theft. Which information is specifically protected under this act?
A patient’s test results.
Which federal government entity supports the adoption of health information technology and promotes a nationwide exchange of HIPPA?
Office of National Coordinator
A worker compensation insurance company calls a clinic to verify charges for a patient. A billing clerk verifies the patient’s charges over the phone. Which allows the clerk to provide the patient’s information to the insurance company?
HIPPA Privacy Rule
Clinical users often request new technology applications or software features to reduce inefficiencies. An informatics nurse specialist may receive many requests that not all can or should be implemented. Which information should an informatics nurse specialist use to build the business case for the technology review committee to determine which requests should be approved?
The cost of implementations, the cost of maintenance, and the return on investment.
What is the benefit of moving information in patient records previously stored in notes into a form or check box?
Forms and checkboxes improve the reliability of data.
Healthcare organizations are encouraged to use standard language in the data they collect. This allows an organization to recommend improvements based on health information technology. What is the benefit of standardizing the data each organization must collect answers?
Information can be combined from multiple organizations to research.
After a medication error, a workgroup is brought together to review a patient’s health record and determine how the error reached the patient. Which type of root cause analysis should be used in the scenario to map out the various causes that affected the sentient even?
Fishbone diagram.
A clinical transformation group at a healthcare facility uses a flowchart to map the process of admitting a patient from the emergency department to an impatient
Using a flowchart, the group can identify unnecessary steps in the admission process.
When benchmarking is an appropriate evaluation method for comparing data before and after adopting new guidelines?
When determining improvement in patient outcomes after a change in process.
The HIPPA requires reporting standards to be followed if more than 500 incidents of unsecured PHI were released or authorized access took place. These reporting standards require notification to both the regulatory agency as well as individuals within the specific period. What is considered a reasonable period to file a violation report?
60 days
In which scenario does a nurse exemplify effective documentation?
A nurse records medication and the patient’s response directly into a computer workstation.
A nurse working at a community clinic has access to an EHR. A patient recently received care at the clinic. The patient’s mother is calling to access the patient’s medical records. How should the nurse respond to the matter?
Tell her that the clinic is unable to provide her daughter’s medical records.
How does the CPOE support quality patient care?
By checking for drug-to-drug interactions.
Which scenario demonstrates a CDSS best practice alert?
An alert is triggered before completing an electronic prescription of sildenafil citrate for a patient who is taking isosorbide mononitrate.
An informatics nurse is facilitating a discussion on the differences between intranet and extranet software with nurse managers. The nurse provides an example of organizational formulary access (via the intranet) versus access to a drug informational portal (via the extranet) What is the benefit of having both intranet and extranet access in the healthcare organization?
It facilitates EBP.
Which data analytics is beneficial in addressing the hospital staffing needs of a large medical center during holidays and weekends?
Predictive analytics
After reviewing documentation from the HER and interviewing multiple staff involved in the process, nursing leadership has decided to make changes to the process of admitting a patient from the ER to a medical unit. Which evaluation tool did the nurse leadership use in this analysis?
Workflow chart
What characteristic of patient management software should the informatics nurse validate as fundamental?
Adhering to legislation for policies and procedures about data privacy and security provisions for medical information.
Which expectations does the HIPAA provide to protect the PHI of patients?
It stipulates how personally identifiable information is protected from fraud and theft.
A recent report showed a sudden increase in nurses overriding medications when using a medical dispensing machine. A nurse educator is asked to create an education plan to address this increase. What should the nurse educator do first to assess the cause of this sudden increase?
Determine the reason for overriding and validate the reasons with the nurses.
A nurse educator is asked to work with the nurses in the command center of a tele-ICU to address their hesitancy in using new technology. Which benefit of tele-ICU monitoring should be emphasized to address this hesitancy?
It provides consistent support and expertise.
A rural hospital is planning to implement teleradiology in its busy ER. What is a security consideration in teleradiology implementation?
Access to patients’ images.
An ambulatory office uses telehealth to monitor patients with chronic illness by using in-home technology to transmit patient data to the office. Which type of telehealth is being used in this situation?
Remote patient monitoring
A facility has recently implemented dictation at the point of care and clinicians have voiced satisfaction with new technology. What is the expected evaluation outcome of implementing this feature?
Clinicians can immediately edit and save documents.
