CPHIMS CPHIMS Clinical Informatics Principles 5 ā Questions and Answers
Question 1: The 'five rights' of clinical decision support (5 Rights of CDS) include delivering the right information to the right person EXCEPT which of the following?
- Through the right channel
- At the right time in workflow
- At the right cost to the hospital (Correct answer)
- In the right intervention format
Correct answer: At the right cost to the hospital
The 5 Rights of CDS focus on information, person, format, channel, and workflow timingācost is not one of the five rights.
Question 2: When implementing a bar-code medication administration (BCMA) system, which patient safety event is it PRIMARILY designed to prevent?
- Medication prescribing errors
- Wrong-patient, wrong-drug, wrong-dose administration errors (Correct answer)
- Medication storage failures
- Adverse drug reactions from known allergies
Correct answer: Wrong-patient, wrong-drug, wrong-dose administration errors
BCMA verifies the five rights of medication administration (right patient, drug, dose, route, time) at the bedside by scanning the patient's wristband and the medication.
Question 3: Which approach to EHR governance BEST ensures that clinical documentation templates remain clinically relevant and do not contribute to note bloat?
- Allowing each department to create unlimited custom templates
- Establishing a formal template review and retirement process with clinical ownership (Correct answer)
- Using only vendor-default templates without modification
- Eliminating all structured templates in favor of free-text dictation
Correct answer: Establishing a formal template review and retirement process with clinical ownership
A formal governance process with clinical ownership ensures templates are periodically reviewed, updated, and retired when they no longer serve clinical or regulatory needs.
Question 4: In a health information exchange (HIE), the 'directed exchange' model refers to:
- Broad, consent-based sharing of data across an entire community
- Provider-to-provider secure transmission of patient information for care coordination (Correct answer)
- Patient-initiated download of personal health data
- Automated population health data feeds to public health agencies
Correct answer: Provider-to-provider secure transmission of patient information for care coordination
Directed exchange enables providers to securely send and receive patient information to known, trusted recipientsāsuch as referral partners or receiving hospitals.
Question 5: A clinical informaticist reviewing EHR audit logs notices a user accessed 500 patient records in one shift with no matching clinical assignments. This MOST likely indicates:
- A well-functioning population health module
- A potential privacy breach requiring investigation (Correct answer)
- Normal behavior for a night-shift charge nurse
- An EHR performance optimization event
Correct answer: A potential privacy breach requiring investigation
Accessing a high volume of records without clinical justification is a red flag for unauthorized access or data breach that must be investigated under HIPAA.
Question 6: Clinical natural language processing (NLP) is used in health informatics PRIMARILY to:
- Convert structured data into plain-language reports for patients
- Extract structured, computable data from unstructured clinical text (Correct answer)
- Translate clinical notes between languages
- Generate discharge summaries automatically from lab values
Correct answer: Extract structured, computable data from unstructured clinical text
Clinical NLP parses free-text clinical notes to identify and extract structured conceptsāsuch as diagnoses, symptoms, or medicationsāfor analytics and decision support.
Question 7: Which of the following BEST describes the purpose of a patient problem list in an EHR?
- A billing record of all coded diagnoses submitted to payers
- A dynamic, clinician-maintained summary of active and chronic conditions guiding ongoing care (Correct answer)
- An automatically generated list of all ICD codes from every encounter
- A historical archive of resolved conditions only
Correct answer: A dynamic, clinician-maintained summary of active and chronic conditions guiding ongoing care
The problem list is a clinician-curated, longitudinal summary of a patient's active and chronic conditions that drives care planning, alerts, and clinical decision support.
CPHIMS CPHIMS Clinical Informatics Principles 5
The 'five rights' of clinical decision support (5 Rights of CDS) include delivering the right information to the right person EXCEPT which of the following?