Telehealth & Remote Monitoring Flashcards
7 cards from real Clinical Informatics Certification practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Telehealth & Remote Monitoring flashcards as text
Which ethical principle is most challenged when a clinician cannot perform a hands-on physical examination during a telehealth encounter?
Answer: Beneficence
Beneficence—the obligation to act in the patient's best interest—is challenged when diagnostic limitations of remote care may prevent the clinician from providing optimal assessment.
A patient uses a FDA-cleared wearable to detect atrial fibrillation at home and the data integrates directly into the EHR. This is an example of:
Answer: Patient-generated health data (PGHD) integration
Patient-generated health data (PGHD) refers to health data created, recorded, and shared by patients using devices outside of clinical settings that feeds into clinical workflows.
What is the primary regulatory pathway through which the FDA classifies most remote patient monitoring devices intended for clinical use?
Answer: 510(k) premarket notification
Most RPM devices receive FDA clearance through the 510(k) premarket notification pathway by demonstrating substantial equivalence to a legally marketed predicate device.
Which telehealth modality is most appropriate for dermatology consultations where high-resolution imaging is required but real-time interaction is not?
Answer: Store-and-forward teledermatology
Store-and-forward teledermatology allows high-resolution images of skin lesions to be captured and sent to a dermatologist for asynchronous review, which is the standard model in teledermatology.
A health informatics team is designing an RPM dashboard for care coordinators. Which UX principle should be prioritized to prevent alert fatigue?
Answer: Intelligent alert prioritization and threshold tuning
Alert fatigue is best mitigated by tuning alert thresholds and prioritizing clinically actionable notifications so care coordinators are not overwhelmed by low-value alerts.
The '1135 waiver' provisions invoked during the COVID-19 public health emergency primarily allowed CMS to:
Answer: Temporarily waive geographic and facility restrictions for Medicare telehealth reimbursement
Section 1135 waivers temporarily suspended Medicare telehealth restrictions—including originating site and geographic requirements—to expand access during the COVID-19 public health emergency.
When integrating remote monitoring data into an EHR using FHIR, which resource type is most appropriate for representing a single patient measurement such as blood pressure?
Answer: Observation
The FHIR Observation resource is the standard for representing discrete clinical measurements, including vital signs like blood pressure collected via RPM devices.