CMD Technology & Digital Tools 2 — Questions and Answers
Question 1: A long-term care facility is implementing a new EHR system. Which approach best minimizes clinical disruption during the transition?
- Immediate full cutover on a single weekend
- Phased rollout starting with one unit as a pilot (Correct answer)
- Running parallel paper and electronic systems indefinitely
- Delegating all EHR decisions to the IT department
Correct answer: Phased rollout starting with one unit as a pilot
A phased pilot rollout allows staff to adapt and issues to be identified before facility-wide deployment.
Question 2: Under HIPAA, which action is required when a covered entity discovers a breach of unsecured PHI affecting 500 or more individuals in a state?
- Notify affected individuals within 30 days
- Notify HHS and prominent media outlets without unreasonable delay and within 60 days (Correct answer)
- Report only to the state health department
- Wait until the breach investigation is complete before any notification
Correct answer: Notify HHS and prominent media outlets without unreasonable delay and within 60 days
HIPAA Breach Notification Rule requires notification to HHS and prominent media outlets for breaches affecting 500+ individuals in a state within 60 days.
Question 3: Which metric most directly measures the clinical effectiveness of a care coordination technology platform in a post-acute setting?
- Number of staff logins per day
- 30-day hospital readmission rates (Correct answer)
- EHR vendor customer satisfaction scores
- Total number of digital alerts generated
Correct answer: 30-day hospital readmission rates
Reduction in 30-day readmission rates is a direct outcome measure of care coordination effectiveness.
Question 4: A medical director notices that nursing staff frequently override medication safety alerts in the CPOE system. What is the most appropriate first response?
- Disable all alerts to reduce workflow interruption
- Conduct a review to identify alert fatigue and recalibrate alert thresholds (Correct answer)
- Discipline staff who override alerts without documentation
- Replace the CPOE system with a different vendor
Correct answer: Conduct a review to identify alert fatigue and recalibrate alert thresholds
Alert fatigue is a common CPOE problem; reviewing and refining alert thresholds reduces overrides and improves safety.
Question 5: What is the primary purpose of Health Information Exchanges (HIEs) in long-term care?
- To bill Medicare electronically
- To enable secure sharing of patient health information across organizations (Correct answer)
- To replace facility-based EHR systems
- To store medical records for legal purposes only
Correct answer: To enable secure sharing of patient health information across organizations
HIEs facilitate secure, interoperable sharing of patient data across providers and settings to support coordinated care.
Question 6: Which federal program financially incentivizes eligible providers to adopt and meaningfully use certified EHR technology?
- PACE Program
- Medicare Promoting Interoperability Program (formerly Meaningful Use) (Correct answer)
- Conditions of Participation Standards
- PEPPER Reports Initiative
Correct answer: Medicare Promoting Interoperability Program (formerly Meaningful Use)
The Promoting Interoperability Program (formerly Meaningful Use) provides financial incentives for certified EHR adoption and demonstrated meaningful use.
Question 7: When evaluating telehealth platforms for a skilled nursing facility, which factor is most critical from a regulatory compliance perspective?
- The platform's social media integration features
- HIPAA compliance and data encryption standards (Correct answer)
- Availability of mobile app for family members
- Number of telehealth visits covered per month
Correct answer: HIPAA compliance and data encryption standards
Any telehealth platform used in healthcare must meet HIPAA standards for data security and encryption to protect PHI.
CMD Technology & Digital Tools 2
A long-term care facility is implementing a new EHR system.
Which approach best minimizes clinical disruption during the transition?