Health Informatics 1st Edition Nelson Staggers Test Bank
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Below you will find some free nursing test bank questions from this test bank:
Chapter 24: Legal Issues, Federal Regulations, and Accreditation
- Which healthcare professional is eligible to participate in the Medicare EHR Incentive Program?
The medical doctor is the only healthcare provider listed who is eligible to participate in the Medicare EHR Incentive Program. The registered nurse, physician assistant, and nurse practitioner are all ineligible for this program.
DIF: Cognitive Level: Remember REF: p. 380
- Which President initiated the Office of National Coordinator?
|a.||President William Clinton|
|b.||President Barack Obama|
|c.||President George W. Bush|
|d.||President George H.W. Bush|
The Office of National Coordinator was implemented in 2004 when President George W. Bush was in office.
DIF: Cognitive Level: Remember REF: p. 378
- Which metrics give providers some flexibility in meeting Meaningful Use criteria?
Because individual providers have different types of practices, the Health IT Policy and Health IT Standards Committees divided the Meaningful Use metrics into “core” required elements and “menu” elements. Permitting providers an opportunity to report on required core elements and then choose to report on a select few menu elements addresses the unique aspects of each provider’s practice/facility and adds flexibility to the financial incentive program.
DIF: Cognitive Level: Understand REF: p. 381
- When there is a breach of one unsecured patient record, it is necessary to notify:
|b.||the Department of Health and Human Services.|
|c.||the media outlets.|
|d.||the Office of National Coordinator for Healthcare Information Technology.|
If there is only a breach of one record versus a breach of more than 500 records, only the patient must be notified within sixty (60) days upon the discovery of the breach.
DIF: Cognitive Level: Apply REF: pp. 381, 391
- If a hospital loses its backup tapes containing 315,000 unencrypted records, it is necessary to notify:
|a.||the Office of National Coordinator for Healthcare Information Technology.|
|b.||the media outlets.|
|c.||the Attorney General.|
|d.||the Department of Justice.|
Pursuant to the HITECH breach notification requirements, because there is a breach of more than 500 unsecured records, the media must be notified to ensure patients are made aware of the breach. In addition to the media outlets, the Department of Health and Human Services Office of Civil Rights Agency must also be notified within sixty (60) days of discovering the breach.
DIF: Cognitive Level: Apply REF: p. 391
- A vendor provided all advanced practice registered nurses with free mobile devices to stimulate referrals. Which regulation is being violated?
|a.||The Anti-Kickback Statute|
|b.||The Stimulus Act|
|c.||The HITECH Act|
The Anti-Kickback Statute makes it a criminal offense to knowingly and willfully offer, pay, solicit, or receive any remuneration to induce or reward referrals of items or services reimbursable a federal health care program. Where remuneration is paid purposefully to induce or reward referrals of items or services payable a federal health care program, the Anti-Kickback Statute is violated.
DIF: Cognitive Level: Apply REF: pp. 388, 392
- The Center for Medicare & Medicaid Innovation was created by:
|a.||the American Recovery and Reinvestment Act of 2009.|
|b.||the Health Insurance Portability and Accountability Act.|
|c.||the Patient Protection and Affordable Care Act.|
|d.||the Health Information Technology for Education and Clinical Health Act.|
The Patient Protection and Affordable Care Act of 2010 created the Center for Medicare & Medicaid Innovation (CMI) to help transform federal and state healthcare programs changing and redesigning the healthcare system. Ultimately, CMI intends to develop better healthcare, improve health, and reduce costs for beneficiaries to enhance the delivery of care for all recipients.
DIF: Cognitive Level: Remember REF: pp. 394-395
- Which entities have the authority to enforce penalties for a breach of PHI? (Select all that apply.)
|a.||State attorney general|
|b.||Office of Civil Rights|
|c.||Office of Inspector General|
|d.||Centers for Medicare and Medicaid Services|
ANS: A, B
Pursuant to the enhanced enforcement authority granted under HITECH, both the Office of Civil Rights and the state attorney general have the authority to enforce penalties for the breach of the HIPAA laws that protect the privacy and security of PHI.
DIF: Cognitive Level: Understand REF: pp. 390, 392
- Which initiatives are a policy priority for Meaningful Use? (Select all that apply.)
|a.||To engage patients and families|
|b.||To lower the cost of delivering healthcare services|
|c.||To improve care coordination|
|d.||To ensure adequate privacy and security of patient information|
ANS: A, C, D
Engaging patients and families, improving care coordination, and ensuring privacy and security are all policy initiatives that were used as foundational elements of how the Health IT Policy Committee defined Meaningful Use to achieve the specific public policy goals. The policy initiatives created the Health IT Policy Committee did not base the Meaningful Use measures upon the intention of lowering the costs.
DIF: Cognitive Level: Remember REF: p. 381
- Which safeguards are implementation specifications for security awareness and training? (Select all that apply.)
|b.||Protection from malicious software|
|d.||Response and reporting|
ANS: A, B, C
Security reminders, protection from malicious software, and log-in monitoring are implementation specifications for security awareness and training. Response and reporting are implementation safeguards for how to address a security incident and are not specifications of security awareness and training.
DIF: Cognitive Level: Understand REF: p. 387