EHR Regulatory Compliance & Standards 5

Question 1

Which law established the Medicare and Medicaid EHR Incentive Programs (Meaningful Use) and appropriated funding for health IT adoption?

Accepted Answer

HITECH Act within ARRA (2009)

Answer

The Health Information Technology for Economic and Clinical Health (HITECH) Act, enacted as part of the American Recovery and Reinvestment Act (ARRA) in 2009, established the EHR Incentive Programs.

Question 2

A patient requests an amendment to their medical record. Under HIPAA, the covered entity may deny the request if:

Accepted Answer

The information was not created by the covered entity

Answer

A covered entity may deny an amendment request if it did not create the information, as the originating entity is better positioned to assess its accuracy.

Question 3

Under the HIPAA Security Rule, which category of safeguards includes workstation use policies and device and media controls?

Accepted Answer

Physical safeguards

Answer

Physical safeguards under the HIPAA Security Rule include facility access controls, workstation use policies, and device and media controls.

Question 4

When a hospital's EHR is subpoenaed for records, the hospital should release PHI:

Accepted Answer

Only after obtaining a qualified protective order or patient authorization

Answer

HIPAA requires a satisfactory assurance (typically a qualified protective order or patient authorization) before releasing PHI in response to a subpoena not accompanied by a court order.

Question 5

Which interoperability standard, adopted by ONC for the Cures Act API requirements, enables third-party apps to securely access EHR data using OAuth 2.0?

Accepted Answer

SMART on FHIR

Answer

SMART on FHIR (Substitutable Medical Applications, Reusable Technologies) uses OAuth 2.0 and OpenID Connect to enable secure, standardized app access to EHR data.

(EHR) Electronic Health Records Program Certification Practice Test

(EHR) Electronic Health Records Program Certification Practice Test

EHR Regulatory Compliance & Standards 5