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NR 599 midterm exam
Informatics - Answers -science and art of turning data into information what concepts/sciences does informatics apply (3) - Answers -computer science cognitive science information science What does computer science study - Answers -the theory of underpinning information and computation and their implementation in computer systems Facets of computer science (4) - Answers -hardware software communication solutions to related problems What does cognitive science study - Answers -how the human mind works from an information processing perspective What does information science study - Answers -retrieval and management of information and human-computer interaction What are the 2 levels of NI practice - Answers -generalist informatics-nurse specialists Generalist in NI practice - Answers -experience in the field and knowledgeable but not educated at graduate level Informatics Nurse Specialist - Answers -More sophisticated level of understanding and skills- graduate level training Innovator Conducts informatics research and generates informatics theory Does every healthcare setting have an informatics nurse or an informatics nurse specialist? - Answers -No, but every setting requires at least a basic level of nursing- informatics competencies what is knowledge work - Answers -collecting data, turning it into information and creating knowledge/wisdom Why is nursing informatics important - Answers -because nurses are knowledge workers (taking data and turning it into information and knowledge) How can technology aid knowledge work - Answers -helps to:
collect data see trends process information create kowledge According to QSEN is informatics a key skill for optimal patient care - Answers -Yes How do standard terminologies contribute to the development of knowledge - Answers - ensure all professionals share the same understanding/meaning of a concept clarifies communication facilitates research provides structure for support tools and EHRs In regards to the foundation of knowledge model, what do standard terminologies support - Answers -knowledge acquisition dissemination generation processing standard terminology - Answers -structured/controlled what is knowledge according to the text - Answers -awareness that information can be used to make a decision the external process of testing, sensing and interacting is used to describe - Answers - knowledge the internal process of thinking or cognition is used to describe - Answers -knowledge knowledge that is translated into action is - Answers -wisdom sometimes considered the highest form of common sense is ....... - Answers -knowledge application of knowledge in a practical way is ..... - Answers -wisdom _________________ is a building block of knowledge - Answers -information knowledge must be viable --- what does that mean - Answers -must be accessible, timely, and accurate what are the 4 parts of the foundation of knowledge model - Answers -knowledge acquisition, dissemination, generation, and processing what is knowledge acquisition - Answers -getting knowledge what is knowledge dissemination - Answers -giving or distributing knowledge
what is ICD - Answers -international statistical classification of diseases and health related problems diagnosis codes (up to 6 characters) descriptions and classifications of known disease/injuries form of standardized terminology What is ICD used for - Answers -collection of morbidity/mortality stats automated clinical decision support assignment of codes to medical dx and procedures associated with hospital utilization what is CPT - Answers -Current Procedural Terminology billing codes Who maintains the ICD - Answers -World health organization WHO who maintains CPT - Answers -American medical association AMA Difference between ICD and CPT - Answers -CPT - american medical association, ICD world health organization CPT more codes the interventions , ICD is more the diagnosis how many organizations are involved in changing standardized terminology - Answers - 2 -- national like ANA, and international like ICN What is HITECH? - Answers -In 2009, Congress amended HIPAA by passing the Health Information Technology for Economic and Clinical Health (HITECH) Act. This law updated many of HIPAA's privacy and security requirements and was implemented through the HIPAA Omnibus Rule in 2013. What does Division A of the HITECH act address - Answers -development, adoption, and implementation of HIT policies and standards and provides enhanced privacy and security protections for patient info What does division B for the HITECH act address - Answers -medicare and medicaid HIT and provides the significant financial incentives to healthcare professional and hospitals that adopted HIT and engaged in meaningful use of EHRs Why was meaningful use developed - Answers -as an incentive [rogram to assure EHRs are used according to standard to acheive quality, safety, and efficiency measures
HITECH is part of: - Answers -American Recovery and Reinvestment Act of 2009 (ARRA) HITECH is title....division..... - Answers -title XIII (13), division A of the ARRA What did the HITECH Act do? - Answers -offer financial incentive for meaningful use and EHRs access to EHRs by all providers and providing every patient with an EHR are parts of the ........... - Answers -HITECH Act how does HITECH define health information technology - Answers -any services or software that are sold for use as part of health information used by healthcare professionals or patients HIT is key according to the NQS (National quality strategy) to achieve what 3 improvements - Answers -better car affordable care healthy populations what is certified EHR technology - Answers -EHR software that is approved by governing agencies and meets specific standards what is electronic enterprise integration - Answers -linking healthcare providers, health plans, the government, and other interested parties electronically what is a qualified EHR - Answers -an EHR that supports clinical documentation and decisions and is capable of capturing, logging, and sharing that information what does a qualified EHR contain - Answers -patients demographic and clinical health information including medical hx and a list of health problems what office was established by the HITECH act - Answers -office of the national coordinator for health information technology (ONC) what is meaningful use - Answers --an incentive program to encourage the adoption of EHR -doesn't cover the total cost of EHRs -need to use EHR in a meaningful way (certain criteria had to be met) -fostered faster adoption rates of EHR EHR versus EHRS - Answers -EHR - the record, EHRS - the software that enables use of the information EHRS includes - Answers -CPOE (computerized practitioner order entry) CDS (clinical decision systems)
what is TIGER and what are the 3 competencies - Answers -began in 2006, technology informatics guiding education reform -- guide education reform to include information literacy, computer literacy, clinical information management computer literacy includes (3) - Answers -familiar with computer use, navigate links, use database to access information clinical information management includes (4) - Answers -using clinical decision systems (CDS) to protect PHI , use reports for decision making participate in developing technologies use technology to communicate Meaningful use stages - Answers -Stage 1: Data capture and sharing Stage 2:Advance clinical processes Stage 3:Improved outcomes what is the human-technology interface - Answers -the interaction between humans and software or technology Clinical Decision Support - Answers -provides clinicians, staff, patients or other individuals with knowledge and person-specific information, intelligently filtered or presented at appropriate times, to enhance health and health care. Informatics Competencies - Answers -computer skills informatics knowledge informatics skills Beginner nurse informatics competencies - Answers -start computer/log on to application access and send email collect and enter patient data into the information system experienced nurse informatics competencies - Answers -identify risks and limitations of surfing the internet to find EBP info gather data to draw/synthesize conclusions explain how to maintain integrity of info resources Informatics nurse specialist competencies - Answers -fluent in nursing informatics and nursing terminologies
applies aspects of human technology interface to screen, device, and software teach nurses how to locate, access, retrieve and evaluate info informatics innovator competencies - Answers -analyze systems transform software programs to support data analysis and aggregation lead rresearch effores to determine application needs scientific underpinning - Answers -provides basis pf knowledge for adv nursing practice includes sciences such as biology, physiology, ethics, and nursing NI scientific underpinning - Answers -nursing science information science computer science General principles of nursing informatics - Answers -health information systems are important to clinical practice ensure confidentiality of protected patient information assure access control of HIT What does informatics provide medical professionals - Answers -knowledge, skills, and understanding to harness the tools at hand and use them well to enact improvement why is standard terminology important to the devlopment of EHR - Answers -to represent, communicate, exchange, reuse, and report data/information/knowledge in a meaningful way are standard terminologies based on concepts or terms and why - Answers -concepts to allow for growth over time Each concept has a unique identifier known as a ....... which is made of............. - Answers -code, alphanumeric characters What does the code of a concpet support - Answers -tracking data (for EBP, decision support, reports, etc.) EHR basic definition - Answers -database of an individuals healthcare data during healthcare encounters major benefit to electronic health info - Answers -ability to engage pts in their care and provide venues to access caregivers virtually basic functions of electronic record systems - Answers -clinical documentation
electric thermometers videoconferencing etc human-technology interface problems - Answers -complexity of interfaces can cause errors workarounds (i.e. removing armband from pt to easiuly access it) alarm fatigue - Answers -Multiple false alarms or insiginificant alarms causeing nursies to ignore or slowlyy respond to alarms digital natives - Answers -young people who have grown up using the internet and social networking typically born after 1982 digital immigrants - Answers -late adopters of technology
