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

Technical safeguard audit controls (45 CFR 164.312(b)) require covered entities to implement hardware, software, and procedural mechanisms to record and examine EHR access activity.

Question 2

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

Accepted Answer

Automatic logoff

Answer

Automatic logoff is an addressable implementation specification, meaning covered entities must assess whether it is reasonable and appropriate for their environment.

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

Lean methodology, derived from the Toyota Production System, focuses on identifying and eliminating waste (muda) to improve efficiency and value in healthcare processes.

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

ACOs under the Medicare Shared Savings Program incentivize providers to coordinate care across settings to improve quality and reduce costs, sharing in any savings achieved.

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

HITECH directly subjected business associates to HIPAA compliance requirements and substantially increased civil and criminal penalty tiers for violations.

(CEHRS) Certified Electronic Health Records Specialist Practice Test

(CEHRS) Certified Electronic Health Records Specialist Practice Test

CEHRS Regulatory Compliance and Quality Assurance 5