Deck 20: Quality Measures and Specialized Electronic

Question 1

A nurse manager is reading a report that describes the Physician Quality Reporting System. The nurse manager would expect to find which concept associated with this system?

A) Provision of financial incentives to fee-for-service providers for cost-effective, high-quality care
B) Payment for the quantity of clients served along with the number of resources that were consumed
C) A focus on decreasing client care costs by decreasing the length of stay in an agency
D) A mandatory program for all agencies billing third parties to obtain incentives for improved outcomes

Answer 1

Provision of financial incentives to fee-for-service providers for cost-effective, high-quality care

Question 2

An agency is selecting a healthcare information system that includes a collection of systems already interfaced. Which did the agency use?

A) Best-of-breed approach
B) Integrated interface approach
C) Integrated enterprise system
D) Clinical decision support system

Answer 2

Integrated interface approach

Question 3

The hospital has installed a clinical information system. Which would a nurse identify as a core information system?

A) Electronic medication administration record
B) Computerized provider order entry
C) Ancillary system
D) Positive client identification

Answer 3

Ancillary system

Question 4

When working with clinical information systems, which systems would be considered a core system? Select all that apply.

A) Laboratory system
B) Electronic medication administration record
C) Pharmacy system
D) Radiology system
E) Positive patient identifier system

Question 5

A nurse is using an electronic clinical documentation system and notices that some of the information is highlighted in red. Which information is the nurse reviewing?

A) Abnormal lab value
B) Overdue medications
C) New nursing order
D) Allergy information

Question 6

A nurse is using an electronic clinical documentation system and enters the client's pulse rate. Which display would the nurse expect to see if the value is considered abnormal?

A) The value as a different color
B) An asterisk placed before the value
C) The block for the value shaded
D) A pop-up box next to the value

Question 7

A nurse manager is preparing a presentation for a group of new nurse managers about clinical documentation systems and using aggregated data. Which information would the nurse manager include about how the nurses could use this type of data?

A) Identify trends for an individual client.
B) Confirm decision-making as correct.
C) Determine best practices.
D) Evaluate clinical workflow.

Question 8

A group of nurses are attending an in-service program on computerized documentation. Which benefit would the group expect to hear as the major impact of using a computerized provider order entry (CPOE) system?

A) Time savings
B) Cost-effectiveness
C) Enhanced understanding
D) Improved client safety

Question 9

The clinical nurse leader is discussing the focus of the Leapfrog Group in regard to the recommendation for using Computerized Provider Order Entry (CPOE). Which quality did the Leapfrog Group identify? Select all that apply.

A) Prevent adverse medication errors.
B) Increase physician communication.
C) Improve patient safety.
D) Make orders less legible.
E) Enhance quality of care.

Question 10

The nurse is using a computerized provider order entry (CPOE) for a medication. Which entries would trigger an alert in a clinical decision support system? Select all that apply.

A) Dose within normal range
B) Drug incompatibilities
C) Allergies
D) Appropriate route
E) Drug-drug interaction

Question 11

When describing the electronic medication record (eMar) to a group of new nurses, the nurse manager would include which aspect as a required necessity for implementation?

A) Computerized provider order entry
B) Positive patient identifier
C) Picture archiving and communication system
D) Ancillary systems

Question 12

When using an admission, discharge, and transfer (ADT) system, which information would a nurse be likely to find? Select all that apply.

A) Client demographics
B) Insurance information
C) Supplies used
D) Next of kin
E) Care providers

Question 13

A nurse is working on a committee addressing problems associated with client flow in the agency and looking at tracking system solutions. When reviewing the various products, which attribute would the committee most likely identify as a common feature? Select all that apply.

A) Visual display of beds
B) Bed availability
C) Transport notification
D) Equipment locators
E) Passive radiofrequency identifier (RFID)

Question 14

A nurse is reading a journal article about the use of healthcare information systems. The article is discussing financial systems and mentions that these systems are mission critical. The nurse interprets this to mean these are:

A) Most important to implement.
B) Essential to the organization's existence.
C) Necessary for use of other information systems.
D) Required to prevent potential fraud.

Question 15

A group of nurses are putting together a proposal for the use of active radiofrequency identifier (RFID) for medication administration. Which benefit would the nurses most likely cite as key?

A) Decrease in medication errors
B) Improved client safety
C) Decrease in disturbing clients
D) Better use of nurse time

Question 16

Which program has replaced the Physicians Quality Report System?

A) Integrated Enterprise System
B) KLAS
C) HIMSS Analytics
D) Merit-based Incentive Payment System

Question 17

Which example demonstrates innovative reimbursement incentives being used to reward quality care?

A) Certification Commission for Healthcare Information Technology
B) Physician Quality Report System
C) HIMSS Analytics
D) KLAS

Question 18

Which characteristics would a nursing informatics specialist include when describing a best-of-breed system? Select all that apply.

A) Need for an integrated interface
B) Integrated interface in place
C) Different vendors for different systems
D) Collection of varying levels of systems
E) Systems meeting the organization's needs at large

Question 19

A nurse is working on a committee that is considering adopting the use of smartphones for voice communication. Which characteristics would most likely influence the committee's decision for adoption? Select all that apply.

A) Increasing popularity of the devices
B) Lack of need for disinfecting the device
C) Ability to encrypt data
D) Antitheft prevention capabilities
E) Integration of EMR and EHR unnecessary

Question 20

EHR certification is used for which purpose?

A) Identify quality measures.
B) Provide financial incentives.
C) Reinforce ethical basis for improved care.
D) Ensure interoperability.

Question 21

A group of nurses have been asked to provide input about what they would like to see in a clinical documentation system. Which features would the group most likely address as important? Select all that apply.

A) Flexibility in data entry
B) No need for entry of free text
C) Nursing process organization
D) Data retrieval capabilities
E) Easy access to reference information

Question 22

A nurse is using passive radiofrequency identifier (RFID) to administer medication to a client. Which barcode would the nurse scan first?

A) Medication barcode
B) Nurse's ID badge barcode
C) Client's armband barcode
D) eMAR barcode

Question 23

A nursing informatics specialist is working as a member of a committee tasked with managing client flow. A review of the agency's data indicates that clients are spending too much time in various departments, especially the emergency department. To help address this issue, the committee suggests implementing a tracking system in the emergency department as recommended by The Joint Commission to ensure that the time a client spends in the emergency department is less than:

A) 4 hours.
B) 5 hours.
C) 6 hours.
D) 7 hours.