CMD Technology & Digital Tools 3 — Questions and Answers
Question 1: A CMD is reviewing fall prevention data. Which type of technology has shown evidence of reducing falls in long-term care through real-time monitoring?
- Social media monitoring tools
- Wearable sensors and bed/chair exit alarms integrated with nursing alerts (Correct answer)
- Electronic billing systems
- Patient satisfaction survey kiosks
Correct answer: Wearable sensors and bed/chair exit alarms integrated with nursing alerts
Wearable sensors and integrated exit alarms provide real-time alerts that allow staff to intervene before falls occur.
Question 2: What does 'interoperability' mean in the context of health information technology?
- The ability of software to generate billing codes automatically
- The ability of different health IT systems to exchange and use patient data seamlessly (Correct answer)
- The process of converting paper records to digital format
- The facility's ability to operate during a power outage
Correct answer: The ability of different health IT systems to exchange and use patient data seamlessly
Interoperability refers to the capacity of disparate health IT systems to communicate, exchange, and accurately use shared patient data.
Question 3: Which framework is commonly used to evaluate and score clinical decision support (CDS) alerts before implementation?
- PDSA Cycle
- The Five Rights of CDS (right information, right person, right format, right channel, right time) (Correct answer)
- SWOT Analysis
- Donabedian Model
Correct answer: The Five Rights of CDS (right information, right person, right format, right channel, right time)
The Five Rights of CDS provides a framework to design alerts that deliver actionable information to the correct clinician at the point of care.
Question 4: A facility's EHR vendor proposes using residents' de-identified data for AI model training. What is the medical director's primary ethical concern?
- The cost of the AI training contract
- Adequacy of de-identification and potential re-identification risks to resident privacy (Correct answer)
- Whether the AI will replace nursing staff
- The speed of the AI model development timeline
Correct answer: Adequacy of de-identification and potential re-identification risks to resident privacy
Even de-identified data carries re-identification risks, and the medical director must ensure resident privacy is protected before consenting to such arrangements.
Question 5: Which type of clinical documentation tool uses natural language processing to automatically generate structured notes from voice recordings?
- Electronic medication administration record (eMAR)
- Ambient clinical intelligence / AI-powered voice documentation (Correct answer)
- Picture archiving and communication system (PACS)
- Pharmacy dispensing robot
Correct answer: Ambient clinical intelligence / AI-powered voice documentation
Ambient clinical intelligence solutions use NLP and AI to convert physician-patient conversations into structured clinical documentation automatically.
Question 6: Under the CMS Interoperability and Patient Access Final Rule, what are payers and providers required to implement to give patients access to their health data?
- Paper-based patient portals
- HL7 FHIR-based APIs for patient data access (Correct answer)
- Fax-based record release systems
- Proprietary vendor-specific data formats
Correct answer: HL7 FHIR-based APIs for patient data access
The CMS rule mandates implementation of HL7 FHIR-based APIs to enable patients and third-party apps to securely access health information.
Question 7: What is the most effective strategy for a medical director to ensure technology adoption success among clinical staff?
- Mandate use without explanation and monitor compliance strictly
- Engage frontline staff early in selection, training, and workflow redesign (Correct answer)
- Purchase the lowest-cost system available to minimize budget impact
- Implement all technology changes simultaneously to reduce disruption
Correct answer: Engage frontline staff early in selection, training, and workflow redesign
Involving frontline staff in selection and workflow design increases buy-in, reduces resistance, and improves effective adoption.
CMD Technology & Digital Tools 3
A CMD is reviewing fall prevention data.
Which type of technology has shown evidence of reducing falls in long-term care through real-time monitoring?