978-0132574952 Chapter 19

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Hebda, Handbook of Informatics, 5/e Test Bank

Chapter 19

Question 1

Type: MCSA

Which of the following laws, signed by President Clinton in 2000, gives electronic signatures the same legal

status as handwritten signatures?

1. The Health Insurance Portability and Accountability Act (HIPAA)

2. The American Recovery and Reinvestment Act of 2009 (ARRA)

3. Medicare Improvements for Patients and Providers Act (MIPPA)

4. The Electronic Signatures in Global and National Commerce Act

Hebda, Handbook of Informatics, 5/e Test Bank

Question 2

Type: FIB

MIPPA is an acronym for ___________________.

Standard Text:

Correct Answer: Medicare Improvements for Patients and Providers Act

Rationale : MIPPA: Medicare Improvements for Patients and Providers Act

Global Rationale:

Cognitive Level: Remembering

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

Question 3

Type: MCSA

Which act makes several significant changes to the current HIPAA Security and Privacy Rules and provides funds

and incentives to increase the use of electronic health records (EHRs) by physicians and hospitals who meet

eligibility criteria?

1. Health Information Technology for Economic and Clinical Health Act (HITECH)

2. The American Recovery and Reinvestment Act of 2009

3. Medicare Improvements for Patients and Providers Act (MIPPA)

4. The Health Insurance Portability and Accountability Act

Question 4

Type: FIB

The _________________________________________ oversees information- technology standards,

implementation strategies, and impact assessment.

Standard Text:

Correct Answer: Office of the National Coordinator for Health Information Technology (ONCHIT)

Rationale : The Office of the National Coordinator for Health Information Technology (ONCHIT) oversees

information- technology standards, implementation strategies, and impact assessment. To receive the positive

incentives and physicians and hospitals must use EHRs certified by ONCHIT (Tomes, 2010).

Global Rationale:

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

Question 5

Type: MCSA

To comply with the mandate to use EHRs by 2014, physicians and hospitals must have the EHR prepared and

ready for implementation. Which of the following methods are available to entities that will assist in the funding

of the EHR?

1. Medicare and Medicaid

Hebda, Handbook of Informatics, 5/e Test Bank

2. HIPAA

3. Consumer Digest Guidelines

4. American Recovery and Reinvestment Act of 2009

Question 6

Type: MCSA

To receive financial incentives, hospitals and physician offices must meet designated criteria established by which

organization?

1. Centers for Medicare and Medicaid

2. The Joint Commission

3. American Nurses Association

4. TIGER Initiative

Question 7

Type: MCSA

Healthcare entities, as well as their business associates, must notify individuals whose health information is

breached within 60 days of that breach. In which of the following cases does the entity not have to notify the

individual whose information has been breached?

1. If data are anonymous

2. If data are encrypted

3. If data are misplaced in setting

4. If data are lab results

Question 8

Type: MCSA

Which act eases the budgetary impact of EHR thereby facilitating implementation?

1. HIPAA

2. ARRA

3. ESIGN

4. HITECH

Question 9

Type: MCMA

HIPAA and HITECH have designated some technical standards as mandatory. Which of the following are

associated with the implementation of standards?

Standard Text: Select all that apply.

1. The standards are insufficient to enable collection, management, and exchange of the mandated data.

2. Technical standards are needed to assure that structured and codified terminologies

3. Technical standards are needed to sufficiently capture all of health care

4. Standards must be widely available

5. Technical standards should be easily exchanged within and across organizations

2010).

Rationale 2: While HIPAA and HITECH have designated some technical standards as mandatory, those standards

are insufficient to enable collection, management, and exchange of the mandated data. Technical standards are

needed to assure that structured and codified terminologies, sufficiently comprehensive to capture all of health

care, are widely available, that data can be securely and easily exchanged within and across organizations, and

that a valid, safe, and reliable patient-centered community-care record can be created and maintained (Arlotto,

2010).

Rationale 3: While HIPAA and HITECH have designated some technical standards as mandatory, those standards

are insufficient to enable collection, management, and exchange of the mandated data. Technical standards are

needed to assure that structured and codified terminologies, sufficiently comprehensive to capture all of health

care, are widely available, that data can be securely and easily exchanged within and across organizations, and

that a valid, safe, and reliable patient-centered community-care record can be created and maintained (Arlotto,

2010).

Rationale 4: The availability of working technical standards is another challenge. While HIPAA and HITECH

have designated some technical standards as mandatory, those standards are insufficient to enable collection,

management, and exchange of the mandated data. Technical standards are needed to assure that structured and

codified terminologies, sufficiently comprehensive to capture all of health care, are widely available, that data can

Hebda, Handbook of Informatics, 5/e Test Bank

be securely and easily exchanged within and across organizations, and that a valid, safe, and reliable patient-

centered community-care record can be created and maintained (Arlotto, 2010).

Rationale 5: The availability of working technical standards is another challenge. While HIPAA and HITECH

have designated some technical standards as mandatory, those standards are insufficient to enable collection,

management, and exchange of the mandated data. Technical standards are needed to assure that structured and

codified terminologies, sufficiently comprehensive to capture all of health care, are widely available, that data can

be securely and easily exchanged within and across organizations, and that a valid, safe, and reliable patient-

centered community-care record can be created and maintained (Arlotto, 2010).

Global Rationale:

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome:

Question 10

Type: MCMA

Which of the following skills are needed by nurse informaticists?

Standard Text: Select all that apply.

1. Communication

2. Mining data

3. Analyze data aggregates

4. Design in-case process

5. Design functional and clinically valid decision support

Question 11

Type: MCSA

The need for informaticians who understand health care has grown. Which of the following best represents the

future of nursing informatics?

1. The role of the nurse informatician will decrease in the future with an emphasis on medical informatics.

2. The need for nurse informaticians will increase in the future.

3. The need for nurses to specialize in informatics is unnecessary.

4. Nurses need advanced education to participate in the design and implementation of the information system.

Question 12

Type: FIB

____________________________ is a specialty in nursing that focuses on the technology aspect of patient care.

Standard Text:

Correct Answer: Nurse Informatics Specialist

Rationale : Nurse Informatics Specialist is a considered a specialty in nursing that focuses on the technology

aspect of patient care. A nurse can become a specialist through completion of a graduate degree.

Global Rationale:

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Teaching and Learning

Learning Outcome:

Hebda, Handbook of Informatics, 5/e Test Bank