Quiz 3

Question 1

telehealth can be delievered by:
A. Telephone
b. Videophone
c. Computer

Answer 1

all of the above

Question 2

t/f: Telemedicine is more broad compared to telehealth

Answer 2

false

Question 3

All of the following are benefits of telehealth except

a. Convient & Cost Effective
b. Requirement of additional requirement or software
c. Decrease white coat syndrome
d. Improves healthcare access for rural americans

Answer 3

b. Requirement of additional requirement or software

Question 4

What is a challenge telehealth faces?

a. Risk for overuse
b. Patient data Security
c. Internet Access
d. All of the above

Answer 4

d. all of the above

Question 5

t/f: One goal of telehealth is to decrease the communications between healthcareprofessionals and patients

Answer 5

false

Question 6

The following are examples of telehealth monitoring EXCEPT

a. Glucometer
b. Electrocardiograms
c. Pulaski
d. Electronic Fetal Monitors

Answer 6

c. pulaski

Question 7

What does HRO stand for?

Answer 7

High Reliability Organizations

Question 8

What are HROs?

Answer 8

Organizations in complex domains without bad accidents

Question 9

Which organization facilitate HROs and its models

Answer 9

JCAHO

Question 10

How many principles of HROs are there?

Answer 10

5

Question 11

what is reliability?

Answer 11

Repeatability of findings

Question 12

t/f: All healthcare organizations are highly reliable

Answer 12

false

Question 13

Why do we look to HROs for insight?

Answer 13

For error and harm reduction

Question 14

t/f: HROs can only be executed within healthcare

Answer 14

false

Question 15

Medical Errors are the ___ leading cause of death in the US

Answer 15

third

Question 16

Which HRO principle refers to contacting staff with the greatest knowledge or expertise of a given situation?

Answer 16

deference to expertise

Question 17

t/f: Only leadership can be involved in the improvement of HROs

Answer 17

false

Question 18

Which HRO concept is this? Leaders need to be trained and prepared to know how to respond when system failures happen.

Answer 18

Commitment to resilience

Question 19

What do HROs within high-risk situations continually do?

Answer 19

reinvent themselves

Question 20

t/f: HRO implementation and improvement is a quick process

Answer 20

false

Question 21

t/f: As CNLs, we can contribute to the efficacy of HROs

Answer 21

true

Question 22

5 traits of HROs

Answer 22

preoccupation with failure
reluctance to simplify interpretations
deference to expertise
sensitivity to operations
commitment to resilience

Question 23

mission and vision of HROs (3)

Answer 23

1. A goal within leadership to cause zero harm
2. A safe culture where all staff feel safe to speak up as a way of improving the organization
3. A strong and empowered workforce that takes concepts from RPI to address improvement opportunities that create lasting change

Question 24

applications in healthcare - recommendations for achieving HRO status

Answer 24

Ongoing process
Build the Foundation
Commitment to Safe, Efficient Care
Rigor in Process Improvement 
Maintain Consistency
High Performance/Minimal Error

Question 25

real world applications of HROs

Answer 25

Air traffic control Wildfire Fighting Nuclear Power Plants NASA at risk for catastrophic events preforms at levels nearly error-free

Question 26

3 challenges of HROs

Answer 26

HROs are preoccupied with failures Focused on risk analysis, resulting in failure to identify simple, low risk problems Management encourages reporting of flaws, resulting in lack of celebration for achievements

Question 27

3 components of telehealth and HIPAA

Answer 27

1. Only authorized users should have access to ePHI. 2. A system of secure communication should be implemented to protect the integrity of ePHI. 3. A system of monitoring communications containing ePHI should be implemented to prevent accidental or malicious breaches

Question 28

secure communication

Answer 28

To be compliant with HIPAAʼs Security Rule, all telehealth communication should take place via encrypted channels that the provider can verify are private and HIPAA-compliant

Question 29

3 examples of telehealth

Answer 29

Nurse phone lines Remote pharmacist services Teletherapy

Question 30

4 benefits of telehealth to patients

Answer 30

Convenience and cost effective More direct physical intervention Decreases chance of white coat syndrome Improve access for rural Americans

Question 31

4 ways teleheath benefits healthcare system

Answer 31

Appropriate triaging Asset in emergency situations Mitigate risks with physician shortages Improve access for providers that are located in rural america

Question 32

5 challenges of telehealth

Answer 32

``` Only done in state of license Patient data security Quality of assessments Risk for overuse Internet access and technology literacy ```

Question 33

4 telelhealth transmission formats

Answer 33

Store and forward Real time Remote monitoring M health

Question 34

2 goals of telehealth tools

Answer 34

Increase communications between healthcare professionals and patients Increase professionals knowledge of patients status in a timely manner

Question 35

Ryan Haight act

Answer 35

Requires at least one in person eval for controlled substances Paused during covid

Question 36

4 ps of telehealth

Answer 36

Planning Preparing Providing Performance evaluation