211 study

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True or false: As a nurse, you will not be considered a stakeholder in your agency's EHR.

FALSE

Lewin's field theory focuses on what aspect of change related to adopting new innovations Forming a positive attitude about change Identifying the need for change Dealing with the barriers to change Implementing steps to bring about change

Forming a positive attitude about change

How often must providers and hospitals demonstarte meaninful use

Every year. Should be done annually to avoid repercussions.

Which of the following actions would best support a successful EHR implementation (Select all that apply.

Schedule additional staff to reduce patient loads, Engage staff actively with the system, Create a contingency plan for potential rollback

Certified Electronic Health Record Technology (CEHRT) use for continuous quality improvement was implemented in which stage of EHR incentive program

Stage II

T/F Providers must attest to demonstrating meaningful use every year to receive an incentive and avoid medicare payment adjustments

true

Which of the following are benefits of meaningful use for a patient SATA

1. Patients can engage in their health care 2. Privacy and security of information

Which type of funds are distributed through Medicare and Medicaid incentive payments to eligible professionals (EPs) and hospitals who are "meaningful EHR users"

Federal funds Federal funds are distributed through Medicare and Medicaid incentive payments to eligible professionals (EPs) and hospitals who are 'meaningful EHR users.'

Which of the following best describes a recommended pace for a rollout of a new EHR

Gradual

In an EHR implementation project, stakeholders can include which of the following roles

Healthcare agency executives, Financial personnel, Nursing clinicians, System users, Patients

How can cognitive theory help the informatics nurse in designing decision-making tools

Improves understanding of how nurses process information when making decisions

In terms of EHR implementation, a provider with concerns around how the new system will change patient care services, an administrative employee with questions around how it will impact their job duties, and a patient wanting to know how they might access their electronic records are all examples of which of the following

Stakeholder interests

During which year did eligible providers (EP) who are meaningful users officially begin to receive EHR incentive payments

2011 Rationale: The financial incentives established by the ARRA in 2009 were officially dispersed beginning in January of 2011. Since its inception, 'meaningful use' has undergone many transformations and as of 2017 was known as the 'Quality Payment Program' (QPP), Through this program, monetary incentive payments continue today.

How has the federal government attempted to support health care providers with compliance requirements associated with the adoption of EHR

Financial incentives

Which of the following are crucial considerations for EHR implementation (Select all that apply.)

Investment costs, Stakeholder engagement, User training

True/False. EPs who can participate in either the Medicare or Medicaid EHR incentive program will be subject to the payment adjustments, unless they are meaningful users under one of the EHR incentive programs

True This statement is true. EPs who can participate in either the Medicare or Medicaid EHR incentive programs will be subject to the payment adjustments, unless they can demonstrate meaningful use

In the third step before an EHR go-live event, all staff must be actively __________ with the new systems.

Engaged

True or false: Failed rollouts of new EHR systems are rare.

FALSE

True or false: In Phase 1 of preparing for the go-live event of an EHR, the target date should be determined after all necessary training and procedural changes have taken place.

FALSE

True/False Testing for networking and connectivity issues in hardware, software, and user interfaces occurs as a last step before a go-live event.

FALSE

True or False: Only the system's executive stakeholders need to be involved in the initiating phase of an EHR implementation project.

FALSE All system stakeholders, from executives to the users of the system themselves, must be part of the process, since they will all be affected.

True/False EHR incentive programs have largely stayed the same since their original inception with the HITECH Act

FALSE This statement is false. While the HITECH Act was the first to invest billions of government funds in EHR incentives, the incentives programs have evolved over the years as new legislation and new program models have been enacted.

Electronic health records (EHRs) that are designed to improve the delivery of health care

Meaningful use. this term refers to the use of information from electronic health records to make improvements in the delivery of healthcare.

During an EHR implementation project, a lack of which of the following in particular can discourage trust and confidence among users and team members

Planning Rationale: Effective planning is critical to engage and meet the needs of all stakeholders and have the best chance of a successful go-live of the new system. A lack of planning can lead to launch failures, discouraging trust and confidence among users and team members.

Which of the following are examples of EHR government incentives programs (Select all that apply.)

The HITECH Act, Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)

True or False. On Ferb 17 2009, Prez Obama signed the American recovery and reinvestment act of 2009 (recovery act or ARRA) a critical measure to stimulate the economy

True

True or false: Health care providers who receive payments from CMS for their services are required to participate in Quality Payment Program (QPP) and are held accountable for quality patient outcomes.

True

True/False; Hospitals and eligible professionals are required to use EHR technology to receive payments from Medicaid and Medicare.

True

Which stages of change are associated with Lewin's field theory

Unfreezing, Moving, Refreezing


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