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D220 Informatics
American Recovery and Reinvestment Act (ARRA) - correct answer**Authorized INCENTIVE PAYMENTS to specific types of hospitals & healthcare professionals for adopting & using interoperable Health Information Technology and EHR's. The purposes of this act include the following: (1) To preserve/create jobs and promote economic recovery. (2) To assist those most impacted by the recession. (3) To provide investments needed to increase economic efficiency by spurring technological advances in science and health. (4) To invest in transportation, environmental protection, and other infrastructure that will provide long-term economic benefits. (5) To stabilize state and local government budgets, in order to minimize and avoid reductions in essential services and counterproductive state and local tax increases. AHQR (Agency for Healthcare Research and Quality) - correct answerProduced evidence making healthcare safer, improve quality, accessibility and affordability Asynchoronous Applications - correct answerNo contact with patient for data collection. EX: Remote pt monitoring, Using health technologies to share health metrics and data w/ providers. STORE & FORWARD APPS (ex: photos) Administrative Information System - correct answercan include registration and scheduling; tracking through admission, transfer and discharge; patient acuity and staff scheduling; financial or accounting systems; risk management; payroll and human resources; quality assurance; and contract management functions. Affordable Care Act - correct answerlaw passed in 2010 to expand access to insurance, address cost reduction and affordability, improve the quality of healthcare, and introduce the Patient's Bill of Rights, increasing the number of insured persons. Alarm Fatique - correct answerBecoming desensitized to patient care alarms and missing or delaying their response to the alarm. ANA (American Nurses Association) - correct answerProfessional organization for all RNs. Concerned with licensure, collective bargaining and education
Analytics - correct answerA term describing the extensive use of data, statistical and quantitative analysis, explanatory and predictive models, and fact-based management to drive decisions and actions. Audit trail - correct answera report that traces who has accessed electronic information, when information was accessed, and whether any information was changed Authentication - correct answerA method for confirming users' identities Authorization - correct answerThe process of giving someone permission to do or have something Barcode Scanning Technology - correct answerScans drug and patients wristband to verify medication order, inventory control, + pt identification, correct med admin Big Data - correct answera collection of large, complex data sets, including structured and unstructured data, which cannot be analyzed without the use of information technology Bioinformatics - correct answerapplication of mathematics and computer science to store, retrieve, and analyze biological data Biometrics - correct answerthe identification of a user based on a physical characteristic, such as a fingerprint, iris, face, voice, or handwriting Business Continuity Plan - correct answerA plan for how an organization will recover and restore partially or completely interrupted critical function(s) within a predetermined time after a disaster or extended disruption Business Intelligence - correct answerInformation collected from multiple sources such as suppliers, customers, competitors, partners, and industries that analyzes patterns, trends, and relationships for strategic decision making
Clinical Research Informatics - correct answerDiscovery and management of new knowledge pertinent to health and disease from clinical trials via secondary data use. C-CDA (Consolidated Clinical Document Architecture) - correct answerAllows interoperability of health information exchange between to hospitals. 21st Century Cures Act - correct answerdesigned to help accelerate medical product development and bring new innovations and advances to patients who need them faster and more efficiently. Provisions that will improve workflow & exchange of electronic info. ONC (responsible for implementing) seamless & secure access, exchange and use of electronic health info. 5 rights of clinical decision support - correct answerRight information Right person Right intervention format Right channel Right time in workflow Clinical Informatics - correct answerconcentration on the delivery of timely, safe, effective , EB and pt centered care. C - correct answer Clinical Decision Support System - correct answerA special subcategory of clinical information systems that is designed to help healthcare providers make knowledge- based clinical decisions Ex: Alerts for abnormal VS, labs results, med contraindications, screenings, standing orders, reminders in EHR ect...
Clinical Information Systems - correct answerEx: May be specific to certain departments. Lab, radiology, pharm(Both), or particular pt population. Functions may include order entry, results reporting, scheduling and documentation. Lg computerized database used to access the pt data that are needed to plan, implement and evaluate care. Clinical Nurse Specialist - correct answerExpert clinician in a specialized area of practice who engages in research and helps direct practice change. clinical terminology - correct answerstandardized terms and their synonyms used to record pt data with sufficient detail to support clinical care, decision support, outcomes research, and quality improvement, flow sheets, vital signs, assessments and nursing notes. Computer Literacy - correct answerThe ability to use computers for basic tasks, such as developing documents, sending emails and searching the internet for information. Confidentiality - correct answerRelationship has been established where private info shared but NOT disclosed w/out permission configurability - correct answerRefers to the extent that a given software product can be adapted or changed to meet a user's preference Contextual Inquiry - correct answerinvolves studying customers' use of a product at their place of work Focusing on users point of view. CCR (Continuity of Care Record) - correct answerSnapshot/standardized summary of the most relevant and timely health information about pt and shared to a physician who does not have access to pts EHR. Continuous Quality Improvement (CQI) - correct answerContinuous monitoring of performance and supports audit capability also known as QUALITY ASSURANCE SYSTEM
DIKW theory - correct answerData, Information, Knowledge, Wisdom (data is most discrete) Data=pt monitoring, labs, diagnostic systems (CT scans) Information=Clinical Info systems, & DSS (alerts/reminders) Knowledge=Lg databases (med articles) & Artificial Intelligence Data Modeling - correct answerthe process of determining the users' information needs and identifying relationships among the data to support processes for an info system (key step in design of EHR) DSS (decision support system) - correct answeran interactive, flexible, computerized information system that enables managers to obtain and manipulate information as they are making decisions r/t patient care device integration - correct answerCapturing data from patient monitors and anesthesia machines, and filing them directly to a patient's chart in EHR. Ex: entering VS, cardiac monitor download data into EHR Disease Registries - correct answercollections of secondary data related to patients with a specific diagnosis, condition, or procedure. disruptive innovation - correct answera process by which a product or service takes root initially in simple applications at the bottom of a market and then relentlessly moves up market, eventually displacing established competitors Dissemination - correct answerthe act of spreading widely or scattering data including research knowledge. Doctorate of nursing practice (DNP) - correct answerdegree w/ emphasis on EBP, quality improvement and system leadership EHR system - correct answer3 elements: Data, Info, Knowledge. Decrease med errors, increase provider documentation.
Function ex: Bar Code Admin. EMR (electronic medical record) - correct answera record of one episode of care, source data for EHR, Brings together diagnositc & Tx info in a specific healthcare setting. Ergonomics - correct answerThe study of workplace equipment design or how to arrange and design devices, machines, or workspace so that people and things interact safely and most efficiently. EHR - correct answerPt data stored in electronic form(collection of pt healthcare data) **Successful if pt needs met PHR (personal health record) - correct answerLifelong tool for managing health info, controlled by pt - data can be provided by MD or pharmacy. (conditions, allergies, meds, surgeries) Barriers: Poor or no internet, poorly designed apps, limited clinical integration Predictors: Awareness of PHR's, ease of access, personal motivation, increased levels of education and health literacy. emerging trends - correct answer• Secondary data
- Technology-based data management
- Digital information acquisition and retrieval
- International client base
- Information management (patient safety & error reduction) EBP (evidence based practice) - correct answerUsing current best evidence for pt care decision in order to improve pt outcomes (found in standing orders) Ex: sepsis protocols & CDS Expert Systems - correct answerType of CDS/DDS but does NOT need human intervention (artificial intelligence) Ex: Personal Insulin Pump
HIS Health Information System - correct answerBroad term used to describe administrative and clinical systems to streamline work flow processes efficiency. Hardware/software dedicated to the collection, storage, processing, retrieval and communication of patient care info. healthcare terminology standards - correct answerdesigned to enable and support widespread interoperability among healthcare software applications for the purpose of sharing information HIPAA (Health Insurance Portability and Accountability Act) - correct answerKennedy Kassebaum Bill, Federal legislation to protect client records & mandate that all electronic transactions included only HIPAA compliant codes. Sets nation standards of PHI, legal protection of PHI. (signing in devices requires encryption) HIT - Health Information Technology - correct answerTechnology that is used to record, store, and manage patient healthcare information. Ex: CDS, CPOE, EMR, EHR, PHR, Telehealth, E-scribe National & Global implications Health literacy definition - correct answera person's capacity to learn about and understand basic health information and services, and to use these resources to promote one's health and wellness HIS (Hospital Information System) - correct answerWhat is the name of the computer system that tracks admission and discharge information, diagnostic and treatment services, pharmaceutical and equipment information, and billing information? Advantages: Better communication, decreased errors & better access to info. HITECH (Health Information Technology for Economic and Clinical Health Act) - correct answer2009 ARRA includes HITECH - promote adoption and meaningful use to HIT. Goal: Improve quality care, Pt safety, Decrease costs by using meaningful use
Improves Population Health Outcome HL7 (Health Level 7) - correct answerAcronym used to refer a standard of interoperability and exchange of clinical data (HL7 & DICOM-Standardization) HIMSS Healthcare Information & Management Systems Society - correct answerformal group of healthcare organizations that seek to improve delivery of healthcare by advancing technology & data management. *work almost exclusively w/ data *They protect & handle pt data of all kinds (diagnosis, symptoms, test results, med hx, procedures) *They ensure info is accurate, accessible, secure and of high quality *Cause-based, Nonprofit, Global organization focused on better health through info & tech. Health Informatics Management - correct answerfocus on info technology needed to store and retrieve pt data accurately, securely and management of the people & processes. HIE forms - correct answerDirect - send/recieve secure info electronically between providers ex: immunization data, quality measures sent to Medicaide/Medicare Query - find & request info, often used for unplanned care (ER, pregnancy) Consumer mediated - pts to aggregate and control the use of health info among providers (correcting info, tracking their health, providing providers w/ info) Informatics - correct answerthe science and art of turning data into information *Interdisciplinary field Data to info, Info to knowledge, Knowledge to wisdom
Channel Time in workflow Informatics Innovator - correct answerConducts information and RESEARCH & generate THEORY & have advanced understanding in info management & computer technology ICD-10 - correct answerUsed to classify mortality and morbidity data from inpatient/outpatient records, used for reimbursement Integration - correct answerProcess of two systems exchanging data in a way that is seamless to end user. Interoperability - correct answerAbility of 2 entities, human/machine to exchange & predictably use data/info while retaining original meaning of data Ex: Dr-Dr, Hosp-Hosp(C-CDA), escript-pharm Interface - correct answerBridge/connector to send info from 2 different systems interoperable systems - correct answerExpected outcomes=error reduction, improved revenue, increased communication. Systems share limited processes and data Information Security - correct answerSecurity Rule - Nation set of security standards health info in electronic form GOAL: Protect privacy while adopting new technologies to improve quality & efficiency of pt care "Need to KNow basis" The Joint Comission Standards - correct answerStandard The hospital respects the patient's right to receive information in a manner he or she understands. Elements of Performance
The hospital provides language interpreting and translation services Note: Language interpreting options may include hospital employed language interpreters, contract interpreting services, or trained bilingual staff, and may be provided in person or via telephone or video. The hospital determines which translated documents and languages are needed based on its patient population. --do not have family or children translate! -don't have to have one there the whole time - but having one there for discharge would be very important Joint Commision - correct answerACCREDIATATION key standard of information management: Protect & aggregate data, uniform language, teach info management (training), disaster and preparedness knowledge - correct answerSkills, experience, and expertise coupled with information and intelligence that creates a person's intellectual resources Knowledge Database - correct answerA database that not only manages raw data but also integrates them with information from various reference works knowledge translation - correct answerapplying research to practice Knowledge Management (KM) - correct answerstructed process for the generation, storage, distribution and application of both tacit(personal) knowledge and explicit (evidence) knowledge knowledge workers - correct answerGenerate knowledge as product Knowledge work - correct answergathering data which is then used to create info and knowledge Kotter's 8 steps for leading organizational change - correct answer1. establish a sense of urgency
- create the guiding coalition
(standardized lang/terminology, Requires patients to view, download, or transmit their health info online. Capability for secure messaging between providers/pts) Stage 3:Improved outcomes Focused of the enhanced use of EHR's to promote HIE & improve care. Ex: electronic Rx (clinical Quality Measures) MU defined by ARRA - correct answera certified EHR used in a meaningful way to use HIT to collect specific data w/ the intent to IMPROVE CARE & POPULATIONS HEALTH, ENGAGE PTS & ENSURE PRIVACY/SECURITY. Inpatient/Outpatient. Mission Planning - correct answerpurpose of an organizations existence, representing the fundamental and unique aspirations that differ it from others. LONG RANGE PLAN (not short term) MIPS (Merit-Based Incentive Payment System) - correct answerProgram that combines other physician quality reporting system (PRRS) & Medicare EHRs based on QUALITY, resource use, clinical practice environment & meaningful use of EHR tech. "Quality" Meaningful use requirements by CMS - correct answerBasic entry of clinical information/REQUIRES STANDARDIZED TERMINOLOGY (ALLOWS FOR UNIFORMITY & EASIER RETRIEVAL OF NURSING RELATED DATA) *Use of several software apps *Entry of clinical orders w/ safety measures M-Health (mobile health) - correct answerthe use of wireless communication devices to support public health and clinical practice medical informatics - correct answerApplication of informatics to all of the healthcare disciplines as well as to the practice of medicine
LOINC (Logical Observation Identifiers Names and Codes) - correct answerStandard for identifying laboratory and clinical observation for exchange (LAB) NANDA - correct answerNorth American Nursing Diagnosis Association, purpose is to define, refine, and promote a taxonomy of nursing diagnostic terminology of general use to professional nurses.
- Standardized data language for nursing diagnosis Nursing Interventions Classification (NIC) - correct answerA listing of research-based nursing intervention labels that provides standardization of expected nursing interventions. National Library of Medicine (NLM) - correct answerHelps to provide validity of health information MACRA - correct answerMedicare Access and CHIP Reauthorization Act GOAL: drive healthcare reform towards providing improved reimbursement for care based on volume and quality rather than quantity. Omaha System - correct answerA research-based taxonomy designed to generate data following routine client care. Used in homecare, hospice, public health, school health and prisons. Ontology - correct answersystem that organizes concepts by meaning, describing their definitional structure as well as organizing the concept for storage and retrieval of accurate data Patient Protection and Affordable Care Act (PPACA) - correct answer2010 federal legislation designed for comprehensive health reform, with an intent to expand coverage, control health care costs, and improve the health care delivery system *Guarantee's access to healthcare for ALL Americans & incentives to change clinical practice to encourage better coordination & quality care. Insures can't charge for preexisting conditions or demographic status (Except age)
Big Bang Conversion: "All-at-Once" implementation Rollout: Gradual/ staggered implementation Pilot: Small groups of individuals to evaluate potential issues Parallel Conversion: Operates both the old and new systems for a limited time. (3) Monitor & Control (4) Evaluation (5) Lessons learned with knowledge transfer Project Implementation Team/Committee - correct answerThe First Task of this Committee is to Develop a Timeline!! · Compromised of representatives from the user departments. The project team needs to be actively involved as an end-user. The implementation Committee determines the project implementation strategy. Interdisciplinary will plan, test, train, etc. after the EHR is purchased. Project Scope - correct answerdescribes the business need (the problem the project will solve) and the justification, requirements, and current boundaries for the project *Defines the size and details of a collaborative effort. Public Health Informatics - correct answerapplication of information and computer science and technology to public health practice, research, and learning Project Planning - correct answerThe SECOND phase of the project management process that focuses on defining clear, discrete activities and the work needed to complete each activity within a single project. Phishing - correct answerDeceptive method to steal sensitive info via internet. (1st email, 2nd open email, 3rd Hackers have info Physical Security - correct answerThe protection of physical items, objects, or areas from unauthorized access and misuse.
patient data - correct answerpersonal information about a patient, as well as information about the patient's medical insurance coverage. Name, age, wt, VS PGHD (Patient-generated health data) - correct answerHealth related data created, recorded, or gathered by the pt/cg to help address health concerns. Logical Security - correct answeruses technology to limit access to only authorized individuals to the organization's systems and information, such as password controls Quantitative Research - correct answerFocus on #'s and frequencies GOAL: Finding relationships or variables specific to outcome Qualitative Research - correct answerVariable (not focused on counting) Questionnaire's, survey's, interviews, lists "Data Capturing" Ex: personal digital assistants/laptops QSEN (Quality and Safety Education for Nurses) - correct answerfocus on competency needed to continuously improve quality of care in their work environment Patient centered Teamwork and Collaboration Evidence-Based Practice Quality Improvement Safety Informatics-Electronic charts Quality indicators 4 Types: - correct answer1. Prevention
- Inpatient
- Patient Safety
- Pediatric
