CEHRS Regulatory Compliance and Quality Assurance 5

Question 1

A hospital's HIM department notices that electronic records are being accessed by clinical staff outside their care team. Which HIPAA safeguard addresses this issue?

Accepted Answer

Technical safeguards — audit controls

Answer

Physical safeguards — workstation security

Answer

Administrative safeguards — workforce training

Answer

Organizational safeguards — business associate agreements

Question 2

Under the HIPAA Security Rule, which of the following is an 'addressable' implementation specification rather than 'required'?

Accepted Answer

Automatic logoff

Answer

Unique user identification

Answer

Emergency access procedure

Answer

Audit controls

Question 3

Which quality improvement approach focuses on eliminating waste and improving workflow efficiency, originally derived from Toyota's manufacturing system?

Accepted Answer

Lean methodology

Answer

Six Sigma

Answer

Total Quality Management (TQM)

Answer

Balanced Scorecard

Question 4

A provider participates in a Medicare Shared Savings Program Accountable Care Organization (ACO). This arrangement is primarily designed to promote:

Accepted Answer

Coordinated care and cost reduction across the care continuum

Answer

Fee-for-service payment maximization

Answer

Increased specialist referrals

Answer

Reduced documentation requirements

Question 5

The Health Information Technology for Economic and Clinical Health (HITECH) Act significantly strengthened HIPAA by:

Accepted Answer

Extending HIPAA obligations directly to business associates and increasing penalties

Answer

Creating new categories of covered entities

Answer

Eliminating the need for patient authorizations

Answer

Mandating EHR adoption by all providers

Question 6

A quality benchmark report shows a hospital's readmission rate exceeds the national average. Which CMS program financially penalizes hospitals for excess readmissions?

Accepted Answer

Hospital Readmissions Reduction Program (HRRP)

Answer

Hospital Value-Based Purchasing Program

Answer

Inpatient Quality Reporting Program

Answer

Medicare Advantage Star Ratings

Question 7

When a healthcare organization's compliance officer discovers a potential HIPAA violation, which action should occur FIRST?

Accepted Answer

Conduct an internal investigation to determine scope and facts

Answer

Report immediately to OCR

Answer

Terminate the employee involved

Answer

Notify all affected patients