Clinical Nurse Leader Certification Health Informatics & Technology Flashcards

Which act requires healthcare providers to give patients access to their electronic health information without unreasonable delay or fees?

Answer: 21st Century Cures Act

The 21st Century Cures Act (2016) mandates immediate patient access to electronic health information and prohibits information blocking.

When implementing a new EHR module, the CNL's role in change management should focus on:

Answer: Engaging end-users early, communicating benefits, and providing workflow-specific training

Early end-user engagement and workflow-specific training reduce resistance, improve adoption, and prevent patient safety errors during go-live.

Which quality metric can be most directly derived from structured EHR data for CNL outcome reporting?

Answer: Hospital-acquired infection rates extracted from documented diagnoses and lab results

Structured EHR fields (diagnosis codes, lab values, culture results) allow automated extraction of HAI rates for quality reporting.

A remote patient monitoring device alerts the CNL that a home-based patient's oxygen saturation has dropped to 88%. The CNL's first action should be to:

Answer: Contact the patient directly to assess symptoms and initiate the escalation protocol

Direct patient contact allows rapid clinical assessment before escalating, balancing urgency with appropriate use of emergency resources.

Which nursing informatics competency is most critical for the CNL when selecting a new point-of-care technology for the unit?

Answer: Ability to evaluate clinical workflow impact, safety evidence, and usability of proposed technology

Workflow impact analysis, safety evidence review, and usability assessment are the core informatics competencies for technology evaluation.

Which best practice reduces the risk of wrong-patient errors when nurses access the EHR on a shared workstation?

Answer: Automatic session time-out combined with two-factor patient identification before charting

Automatic time-out and strict patient identification at every chart entry are the highest-impact safeguards against wrong-patient EHR errors.