Clinical Nurse Leader Certification Health Informatics & Technology Flashcards

Which federal legislation established meaningful use criteria for electronic health records (EHRs) in the United States?

Answer: Health Information Technology for Economic and Clinical Health (HITECH) Act

The HITECH Act of 2009 created incentive programs to promote meaningful use of certified EHR technology in US healthcare settings.

A CNL notices that nurses frequently override clinical decision support (CDS) alerts in the EHR. The most appropriate response is to:

Answer: Analyze override patterns to determine if alerts are irrelevant or poorly designed

Alert fatigue occurs when too many low-value alerts are generated; analyzing override patterns allows targeted refinement of CDS tools.

Under HIPAA, which action by a nurse constitutes a breach of protected health information (PHI)?

Answer: Texting a patient's diagnosis to a colleague using a personal smartphone

Transmitting PHI via unsecured personal devices violates HIPAA's minimum necessary standard and technical safeguard requirements.

Which term describes the ability of different EHR systems to exchange and use patient data seamlessly?

Answer: Interoperability

Interoperability refers to the capacity of health IT systems to communicate, exchange, and use shared patient data across platforms.

When using telehealth to manage a patient with diabetes, the CNL should prioritize which nursing action?

Answer: Assessing patient's technology literacy and access to ensure equitable care delivery

Assessing digital literacy and access addresses the social determinant of health that can create telehealth disparities among vulnerable populations.

Which data type is most useful for the CNL when evaluating the impact of a new fall prevention protocol?

Answer: Outcome data: fall rates per 1,000 patient days before and after implementation

Outcome data measuring fall rates before and after implementation directly demonstrates the protocol's clinical effectiveness.