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| Section | Objectives |
|---|---|
| Healthcare Environment | - Healthcare delivery systems and stakeholders - Healthcare policy, regulations, and standards |
| Privacy, Security, and Data Governance | - Data privacy and confidentiality - Cybersecurity principles in healthcare systems |
| Health Information Systems | - System lifecycle and implementation - System selection and evaluation |
| Information Technology | - Data management and interoperability - IT infrastructure and architecture |
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NEW QUESTION # 59
A data breach has occurred and personally identifiable information has become exposed. The security officer has been notified and has started an investigation. The most appropriate NEXT action is to notify
Answer: B
Explanation:
The most appropriate next action is to notify senior management immediately because an incident involving exposed personally identifiable information requires rapid organizational escalation for governance, legal, operational, and communications decisions. Once the security officer initiates the investigation, executive leadership must be engaged right away to activate the incident response structure, allocate resources, approve containment actions that may affect clinical operations (e.g., taking systems offline), and ensure required stakeholders are involved (legal counsel, privacy officer, compliance, risk management, public relations, and clinical leadership). Early senior leadership notification supports timely decision-making and preserves evidence, while ensuring consistent internal and external messaging.
Waiting until the investigation is completed (option B) risks delays in containment, reporting decisions, and organizational coordination. Options C and D focus on notifying affected individuals within a specific timeframe; however, individual notification requirements vary by jurisdiction and circumstance, and generally depend on confirming the scope, impacted individuals, and whether the incident meets the definition of a reportable breach. Those steps come after leadership is engaged and the response process is coordinated.
Therefore, immediate senior management notification is the best next step to manage risk, compliance, and patient trust effectively.
NEW QUESTION # 60
A healthcare organization is scheduled to decommission 400 computers. An employee committee suggests the computers should be donated to a local charity. Which of the following is the MOST relevant IT policy?
Answer: A
Explanation:
The most relevant IT policy is the media disposal policy because donating decommissioned computers creates a high-risk pathway for unintentional disclosure of sensitive data , including ePHI. Even if the organization's intent is charitable, any storage media inside those computers (hard drives, SSDs, removable media) may contain patient information, employee data, cached credentials, configuration files, audit logs, or locally stored documents. A media disposal policy defines the required processes to prevent data leakage when equipment leaves organizational control, including asset inventory and tracking, approved sanitization methods, verification/validation of data destruction, documentation, and chain-of-custody controls .
In healthcare, secure disposal (or re-use/donation) typically requires sanitization aligned to organizational standards-such as cryptographic wiping, secure erase procedures, degaussing where appropriate, or physical destruction-plus records showing which assets were sanitized, by whom, when, and using what method. This ensures compliance with privacy and security obligations and reduces breach risk.
Conflict of interest and charitable contribution policies may apply to governance and ethics, but they do not address the core IT control required before donation: ensuring all data is irretrievably removed. Release of information policies focus on authorized disclosure of patient records, not device-level data sanitization.
Therefore, media disposal policy is the correct choice.
NEW QUESTION # 61
In reviewing audit logs an analyst finds that a charge nurse, not assigned to a celebrity patient, is reviewing that patient's medical record. Which of the following should the analyst do first?
Answer: D
Explanation:
When an audit log review suggests potential inappropriate access to a patient's record, the first priority is to preserve evidence and maintain an accurate chain of custody . Archiving the security logs ensures the organization retains an immutable snapshot of the access event details-who accessed the chart, timestamps, workstation/device identifiers, actions performed, and any related system context. This preservation step is essential because logs can rotate, be overwritten, or be altered through routine system processes. Without secured logs, a later investigation may be unable to confirm what happened, determine scope, or support corrective and disciplinary actions.
Continuing to monitor (option B) delays response and increases risk of additional improper access. Notifying the risk manager (option C) is an important escalation step, but it should occur after the analyst has ensured the evidence is protected so the investigation can proceed effectively and defensibly. Deleting the logs (option D) is never appropriate; it destroys evidence, undermines compliance obligations, and can create significant legal and regulatory exposure.
In healthcare privacy and security management, suspected inappropriate access is handled through incident response procedures that begin with evidence preservation , then escalation to privacy, compliance, risk management, and HR as required.
NEW QUESTION # 62
Which of the following, if used properly, will reduce medical errors and improve patient safety?
Answer: C
Explanation:
Computerized Provider Order Entry (CPOE) reduces medical errors and improves patient safety by replacing handwritten, verbal, or free-form ordering with standardized, legible, and structured electronic orders . The biggest safety impact occurs when CPOE is tightly integrated with clinical decision support -for example, checking allergies, duplicate therapies, drug-drug interactions, dose ranges, renal dosing guidance, and contraindications at the time the order is placed. This "front-end" prevention is critical because many serious medication and diagnostic errors originate during ordering, before pharmacy verification or nursing administration. CPOE also reduces transcription errors by eliminating re-entry of orders and supporting standardized order sets aligned with evidence-based protocols (e.g., VTE prophylaxis, sepsis bundles), which improves consistency and decreases omissions.
By comparison, CIS (Clinical Information System) is a broad term that can include many tools; it may support safety but does not specify the specific mechanism of order-entry error reduction. CMV is not a standard safety technology category in this context, and CQM (Clinical Quality Measures) focuses on measurement
/reporting of performance rather than directly preventing errors at the point of care. When implemented with good workflow design, training, and governance, CPOE is a direct, proven informatics intervention to reduce preventable errors and enhance patient safety.
NEW QUESTION # 63
Which of the following is the primary function of a project steering committee?
Answer: A
Explanation:
A project steering committee's primary function is to provide oversight of the project . In healthcare information systems initiatives, the steering committee serves as the governance body that ensures the project remains aligned with organizational strategy, clinical priorities, patient safety, regulatory needs, and available resources. Oversight includes setting or approving major direction, validating scope and success criteria, reviewing progress against milestones, monitoring risk, and making high-impact decisions when tradeoffs are required (e.g., timeline vs. scope, workflow standardization vs. local variation). It also establishes accountability across stakeholders-clinical, operational, financial, and IT-and provides executive sponsorship and escalation pathways.
While steering committees often help remove barriers, troubleshooting (A) is a secondary outcome of oversight and escalation rather than the core purpose. Executing milestones (B) is the responsibility of the project team-project manager, analysts, builders, trainers, and operational owners-who perform the day-to- day work. "Meet according to the project plan" (C) describes a procedural detail, not a primary function.
Effective oversight is especially critical in health IT projects because decisions can affect care delivery, clinician workload, data integrity, privacy/security, and operational continuity. Therefore, the best answer is Provide oversight of the project .
NEW QUESTION # 64
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