Clinical Informatics Certification Health Information Exchange 3

Question 1

Under the 21st Century Cures Act, what does 'information blocking' refer to?

Accepted Answer

Practices that interfere with the access, exchange, or use of electronic health information

Answer

Under the 21st Century Cures Act, information blocking refers to practices by providers, HIEs, or health IT developers that unreasonably restrict access to, exchange of, or use of electronic health information.

Question 2

Which federal agency is primarily responsible for overseeing national health information exchange policy and TEFCA implementation?

Accepted Answer

Office of the National Coordinator for Health Information Technology (ONC)

Answer

The ONC, within the Department of Health and Human Services, is the principal federal entity charged with coordinating nationwide efforts to implement health IT and electronic health information exchange.

Question 3

What is the primary purpose of a Data Use and Reciprocal Support Agreement (DURSA) in an HIE network?

Accepted Answer

To establish the legal framework governing how participating organizations may use and share data

Answer

A DURSA is a multi-party agreement that establishes the legal rights, responsibilities, and obligations of all participants in an HIE network regarding data use, privacy, and security.

Question 4

In an 'opt-in' HIE consent model, what must occur before a patient's data can be shared through the HIE?

Accepted Answer

Patients must actively agree to participate before their data can be shared

Answer

In an opt-in consent model, patients must explicitly agree to have their health information shared through the HIE before any exchange occurs, giving patients greater control over their data.

Question 5

Which metric best demonstrates the clinical effectiveness of an HIE implementation?

Accepted Answer

Reduction in duplicate diagnostic testing due to information availability at point of care

Answer

Reduction in duplicate testing is a key clinical outcome metric for HIE effectiveness, demonstrating that providers are accessing and using shared information to avoid redundant and potentially harmful repeated procedures.

Clinical Informatics Certification Practice Test

Clinical Informatics Certification Practice Test

Clinical Informatics Certification Health Information Exchange 3