NR599 Final Exam Study Guide Questions and Answers, Exams of Medicine

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NR599 Final Exam Study Guide Questions

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Ethical Decision Making - Correct Answer-when making choices about issues based on the standards of right vs wrong Ethical Decision Making - Correct Answer-It requires a systematic framework for addressing the complex and often controversial moral question Bioethical Standards - Correct Answer-Autonomy, freedom, veracity, privacy, beneficence, and fidelity are maximally appropriate to the health care setting. fidelity - Correct Answer-faithfulness; loyalty; keeping promises Telehealth - Correct Answer-wide range of health services that are delivered by telecommunications read tools, such as telephone, videophone, and computer Telehealth - Correct Answer-health service needed to help fill the nursing shortage allowing nursing to see more patients quicker, as well as the aging population Telecommunication Technology - Correct Answer-used to deliver long distance health related services or to connect patients and healthcare providers to maximize patients' health status Telephone - Correct Answer-most basic telecommunication technology Medical Applications - Correct Answer-Software developed for medical purposes, including home medical monitoring system, medical databases for healthcare professionals, etc. Medical Devices - Correct Answer-is any device intended to be used for medical purposes FDA Oversight for Medical Devices - Correct Answer-A federal agency that oversees the safety of medical devices, which includes addressing the management of cybersecurity risks and hospital network security. Recent guidelines recommend that medical device

manufacturers and healthcare facilities take steps to ensure that appropriate safeguards are in place to reduce the risks of failure caused by cyberattack. Privacy - Correct Answer-An improtant issue related to personal information. Restricted access of patient information or data Confidentiallity - Correct Answer-to ensure that all personal information is protected by ensuring that limited access is only given to those who are authorized to view that information. Protecting privacy of personal information or data Cybersecurity - Correct Answer-the stat of being protected against the criminal or unauthorized use of electronic data, or the measures taken to achieve this Computer-aided translators - Correct Answer-a form of language translation in which a human translator uses computer hardware to support and facilitate the translation process HIPAA - Correct Answer-Healthcare institutions are required to meet all standards and comply with the appropriate security measures in order to safeguard patient data. Four parts to HIPAA's Administrative Simplification - Correct Answer-- electronic transactions and code sets standards requirements

• Privacy requirements
• Security requirements
• National identifier requirements ICD- 10 - Correct Answer-an alphanumeric code used by doctors, health insurance companies, and public health agencies across the world to represent diagnoses or medical conditions ICD- 10 - Correct Answer-The system offers accurate and up to date procedure codes to improve health care cost and ensure fair reimbursement policies ICD- 10 - Correct Answer-these current codes specifically help healthcare providers to identify patients in need of immediate disease management and to tailor effective disease managment programs

CPT codes - Correct Answer-medical codes set that is used to report medical, surgical, and diagnostic procedures and services to entities such as physiciansm health insurance companies, and accreditation organizations. Evaluation and Management Coding - Correct Answer-is a medical coding process in support of medical billing. Provider must use this coding to be reimbursed by Mediare, Medicaid programs, or private insurance for patient encounters 3 key components for evaluation and management coding - Correct Answer-history, physical, medical decision making Clinical Support Tools - Correct Answer-are designed to help shift through enormous amounts of digital data to suggest next steps for treatments, alert providers to available information they may not have seen, or catch potential problems, suc as dangerous medication interactions CLinical Support Tools - Correct Answer-a category of CDS using various application use by healthcare professionals to allow for communication between provider to provider and provider to patient. Workflow Analysis - Correct Answer-goal is not to "pave the cow path," but rather to create a future-state solution that maximizes the use of technology and eliminates non-value- added activities Clinical Decision Support (CDS) - Correct Answer-Generate patient specific interventions, assessments, and recommendations. Existed prior the development of EHRs. Clinical Decision Support (CDS) - Correct Answer-goal is to leverage data and the scientific evidence to help guide apporpriate decision making Ways CDS improve healthcare - Correct Answer--reduce clinical variation and duplicative testing

• ensuring patient safety
• avoiding complications that may result in readmissions
• create alerts about drug-drug interactions
• drug allergy contraindications

Ways CDS is challenging healthcare - Correct Answer--alarm fatigue

• clinical burnout
• occur with poorly implemented CDS features
• financial burden CDS - Correct Answer-provides clinicians, staff, patients, or other individuals with knowledge and person-specific information, intelligently filtered or presented at appropriate times to enhance healthcare Qualitive evaluation strategies after implementing CDS program - Correct Answer-focus groups, surveys, questionaires, or ethnographic observational methods, staff interviews, and workflow analysis Quantitive evaluation strategy - Correct Answer-flow charts Telemedicine - Correct Answer-use of a medical information exchange from one site to another via electronic communications to improve patient's health status Telehealth - Correct Answer-use of technology to deliver healthcare, health information, or health education at a distance Adoption of EHR - Correct Answer-refers to how well the staff and users actually use and embrace the system as part of their routine daily activities. Stakeholders including leadership, clinicians, support staff, and patients, aligned with more mature stages in accordance with the diffusion of an innovation theoretical framework Electronic Health Record - Correct Answer-is the systematized collection of patient and population electronically stored health information in a digital format Electronic Health Record - Correct Answer-Health records that is stored electronically and can be shared across different health care settings Electronic Health Record - Correct Answer-______ are real time, patient-centered records that make information available instantly and securely to authorized users. Evaluation of EHR - Correct Answer-how effective is the adoption of an EHR measured through qualitative studies (surveys, questionaires, focus groups or thnographic

observational methods, staff interviews, and workflow analysis) before and after implementation of EHR. Point of Care technology - Correct Answer-encompasses the devices and systems that support healthcare professionals in their daily activities of monitoring patients, calling for them, and documenting their health progress Causist approach - Correct Answer-an approach to ethical decision making that grew out of the concernfor methods of examining ethical dilemmas Causistry - Correct Answer-a specific ehtical reasoning methods that analyzes the facts of a case in a sound, logical, and ordered or structured manner Confidentiality - Correct Answer-to ensure that all personal information is protected by ensuring that limited access in only given to those who are authorized to view that information Ethical Decision Making - Correct Answer-making choices in the issues based on the standars of right or wrong. It requires a systematic framework for addressing the complex and often controversial moral questions Ethical dilemma - Correct Answer-a difficult issue that requires the use of standards to solve issues Principlism - Correct Answer-a foundation for ethical decision making by rational individuals and beliefs Health disparities - Correct Answer-the health status differences between different groups of people, especially minorities and non-minorities Protected health information - Correct Answer-any and all information about a person's health that is tied to any type of personal identification Firewall - Correct Answer-a tool commonly used by organizations to protect their corporate networks when they are attached to the internet Firewall - Correct Answer-can be either hardware or software or combination of the two that can examin all incoming messages or traffic to the network

Firewall - Correct Answer-can be set up to allow only messages from known senders into the corporate network; it can also be set up to look at outgoing information from the corporate network Malware - Correct Answer-a malicious program or software that infects a device and is intended to steal information, take control or destroy data, information, or the device. American Recovery and Reinvenstment Act of 2009 (ARRA) - Correct Answer-an economic stimulus package enacted in Feb. 2009 that was intended to create jobs and promote investment and consumer spending during the recession. Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH) - Correct Answer-healthcare organziations can qualify for financial incentives based on the level of meaningful use achieved