CHI Quality Assurance & Compliance 5

Question 1

Which Joint Commission National Patient Safety Goal (NPSG) specifically addresses the accurate identification of patients to prevent errors such as wrong-patient medication administration?

Accepted Answer

NPSG 01.01.01 — Use at least two patient identifiers

Answer

NPSG 01.01.01 requires healthcare organizations to use at least two patient identifiers (e.g., name and date of birth) whenever providing care, treatment, or services to prevent wrong-patient errors.

Question 2

A health informatician is designing an audit trail for an EHR system. Which HIPAA Technical Safeguard standard requires this capability?

Accepted Answer

Audit Controls (§164.312(b))

Answer

The HIPAA Audit Controls standard (§164.312(b)) requires covered entities to implement hardware, software, and procedural mechanisms that record and examine activity in information systems containing ePHI.

Question 3

In healthcare quality measurement, which term describes a measure that captures a process known to be strongly correlated with a desired patient outcome, such as 'percentage of AMI patients receiving aspirin on arrival'?

Accepted Answer

Process measure

Answer

Process measures capture whether evidence-based care steps are performed; they are preferred when the link between the process and the outcome is well-established, as with aspirin administration in AMI.

Question 4

Under the Anti-Kickback Statute (42 U.S.C. § 1320a-7b(b)), which of the following arrangements is protected from prosecution by a safe harbor?

Accepted Answer

Employment of a physician at fair market value for bona fide services

Answer

The employment safe harbor protects remuneration paid by employers to employees for bona fide employment services at fair market value, provided all other safe harbor criteria are met.

Question 5

A health system is preparing for a HIPAA compliance audit. Which document BEST demonstrates that the organization has systematically identified and addressed risks to ePHI confidentiality, integrity, and availability?

Accepted Answer

A completed and current HIPAA Security Risk Analysis with documented risk management plan

Answer

The HIPAA Security Rule requires a comprehensive risk analysis identifying potential threats to ePHI and a risk management plan documenting how identified risks are reduced to reasonable and appropriate levels.

(CHI) Certified Health Informatician Practice Test

(CHI) Certified Health Informatician Practice Test

CHI Quality Assurance & Compliance 5