C427 Technology Applications in Healthcare

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Free C427 Technology Applications in Healthcare Questions

1. What does “optimization” refer to in the post-go-live phase?
  • Hardware upgrades
  • Ongoing improvement of workflows, content, and user proficiency
  • Initial data entry
  • Vendor contract renewal

Explanation

Optimization occurs 30–90 days post-go-live and beyond, using metrics, user feedback, and audits to refine order sets, reduce clicks, adjust alerts, and expand functionality. It drives ROI and user satisfaction. C427 requires an optimization plan in the performance assessment to sustain benefits and prepare for upgrades or analytics initiatives.
2. Which technology uses remote monitoring devices to deliver care outside traditional clinical settings?
  • Telehealth
  • Barcode scanning
  • Clinical decision support
  • Patient portal

Explanation

Telehealth encompasses virtual visits, remote patient monitoring (RPM), and store-and-forward consultations using video, wearables, and mobile apps. It expands access, especially in rural areas, and supports chronic disease management. C427 highlights telehealth’s growth post-COVID, reimbursement changes (e.g., CMS telehealth codes), and integration with EHRs for documentation and billing.
3. Which document outlines procedures if the EHR is unavailable during a downtime event?
  • Training manual
  • Downtime contingency plan
  • Hardware warranty
  • Budget report

Explanation

The Downtime contingency plan details steps for scheduled and unscheduled outages—activating paper forms, read-only access, backup communication (pagers), and data reconciliation upon recovery. C427 mandates this plan to meet Joint Commission and HIPAA availability requirements and protect patient safety.
4. Which document must a covered entity provide to patients upon request under the HIPAA Privacy Rule?
  • Notice of Privacy Practices
  • Employee handbook
  • Billing statement
  • System downtime log

Explanation

The Notice of Privacy Practices (NPP) informs patients how their PHI may be used and disclosed, their rights (e.g., access, amendment, accounting of disclosures), and the organization’s legal duties. It must be provided at the first encounter and made available ongoing. In C427, the NPP is a key patient engagement and transparency tool, required for compliance and often delivered via portals, registration packets, or posted signage.
5. Which trend focuses on giving patients full control over who accesses their health data?
  • Consumer-mediated exchange
  • Provider-mediated exchange
  • Payer-mediated exchange
  • Government-mediated exchange

Explanation

Consumer-mediated exchange empowers patients via apps and portals to grant, revoke, and audit access to their data (e.g., Apple Health, CARIN Blue Button). It aligns with information blocking rules. C427 presents this as the future of patient-centric care, driven by FHIR, TEFCA, and individual consent preferences.
6. What is the purpose of smart pumps in intravenous medication delivery?
  • Increase infusion speed
  • Prevent programming errors through dose error reduction software
  • Store medication inventory
  • Generate patient labels

Explanation

Smart pumps contain drug libraries with hard/soft limits that alert for over/under doses, incorrect rates, or incompatible drugs. They log events for analysis. C427 identifies smart pumps as a point-of-care safety device that interfaces with eMAR to enforce the five rights and reduce adverse drug events.
7. Which of the following is a required physical safeguard under HIPAA?
  • Firewalls and encryption
  • Facility access controls and device security
  • Password policies
  • Incident response plans

Explanation

Physical safeguards protect electronic systems, equipment, and data from environmental and unauthorized physical access. Examples include locked server rooms, workstation use policies, and device/media controls (e.g., secure disposal). While firewalls and encryption are technical safeguards, facility access controls are physical. C427 distinguishes these layers to show how physical security complements technical and administrative measures in a defense-in-depth strategy.
8. What does the acronym HMIS stand for in the context of healthcare organizations?
  • Health Management Information System
  • Hospital Medical Imaging Service
  • Human Machine Interface Software
  • Healthcare Maintenance and Inspection Schedule

Explanation

Health Management Information System (HMIS) refers to the integrated set of components—including hardware, software, data, and people—that collect, process, store, and distribute information to support healthcare decision-making at clinical, administrative, and strategic levels. HMIS encompasses EHRs, billing systems, analytics platforms, and reporting tools. In C427, understanding HMIS is foundational for discussing how data flows through an organization to improve quality, reduce costs, and meet regulatory requirements such as HIPAA and Meaningful Use.
9. What feature allows secure, HIPAA-compliant messaging between providers and patients within the EHR?
  • Secure messaging
  • Email forwarding
  • Fax integration
  • Social media link

Explanation

Secure messaging in the patient portal enables encrypted, asynchronous communication tracked in the legal record. It meets Promoting Interoperability objectives for patient engagement. C427 highlights secure messaging for reducing phone tag, supporting chronic care management, and ensuring auditability compared to standard email.
10. What is the HITECH Act’s primary impact on HIPAA?
  • It eliminated the Privacy Rule
  • It strengthened enforcement, breach notification, and business associate liability
  • It mandated paper records
  • It reduced penalties for small providers

Explanation

The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 expanded HIPAA by introducing mandatory breach notification, increasing penalties, extending Security Rule obligations directly to business associates, and promoting EHR adoption via incentives. In C427, HITECH is linked to Meaningful Use and the shift toward accountability across the healthcare IT ecosystem, including vendor contracts and audit readiness.

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