AHIC Clinical Informatics and Patient Care 3

Question 1

A patient uses a wearable device that transmits heart rate data to their provider's EHR. Under HIPAA, this transmitted data is considered:

Accepted Answer

Protected Health Information (PHI)

Answer

De-identified data exempt from HIPAA

Answer

Consumer wellness data outside HIPAA scope

Answer

Research data requiring IRB approval

Question 2

Which metric is MOST relevant when evaluating the impact of a CDS intervention on clinical outcomes?

Accepted Answer

Change in the targeted clinical event rate

Answer

Number of alerts generated

Answer

Alert override rate

Answer

System uptime percentage

Question 3

A provider copies and pastes a prior visit note into today's encounter without updating clinical findings. This practice is known as:

Accepted Answer

Note bloat or cloning

Answer

Template-based documentation

Answer

Structured data entry

Answer

Forward documentation

Question 4

Which HL7 FHIR resource type is used to represent a patient's allergy or intolerance in an interoperable clinical system?

Accepted Answer

AllergyIntolerance

Answer

Condition

Answer

MedicationStatement

Answer

Observation

Question 5

A clinical informaticist is asked to reduce 30-day hospital readmissions. Which informatics tool is MOST directly applicable?

Accepted Answer

Predictive risk scoring at discharge

Answer

Natural language processing of operative reports

Answer

PACS image compression optimization

Answer

Scheduling system load balancing

Question 6

In clinical informatics, 'information overload' at the point of care is BEST addressed by:

Accepted Answer

Contextual filtering and prioritization of relevant data

Answer

Displaying all available data by default

Answer

Removing data from the EHR to reduce clutter

Answer

Requiring nurses to pre-filter data for physicians

Question 7

Which approach is MOST consistent with the 'five rights' of clinical decision support?

Accepted Answer

Right information, to the right person, in the right format, through the right channel, at the right time

Answer

Delivering all alerts to all users at all times

Answer

Implementing hard stops for all safety-critical decisions

Answer

Using the same CDS rules across all clinical specialties