Implementation Manager (IM) Specialist CHTS Practice Test

What workflow does a nurse use to complete work and have a doctor sign later?

1. Deferred signing workflow

2. Concurrent signing workflow

3. Direct signing workflow

4. Progressive signing workflow

The correct answer is: Deferred signing workflow

The deferred signing workflow is designed for situations where a healthcare professional, such as a nurse, completes documentation or tasks that require a physician's signature at a later time. In this workflow, the nurse can carry out patient care activities and enter notes or orders without the immediate necessity for a doctor's approval. The documentation remains valid and is completed in the system, awaiting the physician’s signature, which can be done at their convenience afterward. This approach supports the continuity of care and allows for timely documentation while maintaining compliance with legal and regulatory standards that require a clinician's evaluation or endorsement. In contrast, the other workflows present different processes that require direct involvement or immediate sign-off from the physician, which doesn't align with the needs described in the question. The concurrent signing workflow requires both the nurse and doctor to sign documents simultaneously or in close succession, while the direct signing workflow necessitates that the doctor signs immediately after the nurse completes the work. The progressive signing workflow typically refers to a staged or hierarchical approval process that involves multiple levels of approval, which also does not fit the requirement of deferring the signature to a later time.