Midterm Exam

What is the difference between Evidence-Based-Practice (EBP) and Practice-based-evidence (PBE)?

EBP uses evidence from research to guide practice, PBE gathers evidence from practice and real-world interventions.

What is the EMR a replacement for?

Paper charting

Sylvie is an auditory learner, which of the following would be conducive to her learning style? Select all that apply.

listening to recorded lectures, group discussions, creating a rhyme to help her remember material

Which of the following is NOT a benefit to telehealth?

lower costs for patients and providers

What is one major issue with EHRs?

maintaining privacy and confidentiality

Which component stores demographic information about the patient, such as name address, phone numbers, date of birth and sex?

master person index

data

naming, collecting, and organizing information

what are the principles of learning?

learning is contagious, learning is intentional and unintentional, only so much information can be processed at one time

Not including the additional cost hospitals will spend for maintenance, upgrades, and training, how much should a hospital expect to spend on an electronic health record system?

> 100,000,000

Which of the following is a concept of the Foraging Theory?

A - information and its perceived value

These are all benefits of EHRs EXCEPT

A - user friendly and minimal training involved

What are some of the reasons that the quality of care lags behind knowledge?

Best practice is financially unrealistic, There is too much information to study, Lack of equipment and time

which system is designed to prevent errors during medication administration?

CPOE

Which statement best describes Telehealth?

Clinical care delivered to patients regardless of location of patient or provider with the use of technology

Show me the data" related to which of the following?

EBP

What is the difference between an electronic medical record (EMR) and electronic health record?

EMR is a patient chart in the care facility and EHR is a Lifetime patient record

A system that allows providers to access patient information from anywhere is called an all-access system. (T or F)

F

EHR data supports research not healthcare delivery. (T or F)

F

Everyone learns the same way. (T or F)

F

Knowledgeable healthcare providers do not have to be involved in the selection, design, and implementation of health information systems (T or F)

F

Practice based evidence does not require a large sample size to be effective (T or F)

F

health informatics is a profession, but not a discipline. (T or F)

False

What legislative act facilitated the adoption of EHR's and health information sharing around the United States?

HITECH

Studies indicate that electronic records:

Help prevent fatal hospital-based events

A student who prefers learning through hands-on approaches, and trial and error is most likely a

Kinesthetic learner

What are the biggest barriers to providing and implementing telehealth into health care right now?

Legal and regulatory challenges, licensure/credentials and privileging processes

What is the overall goal of health informatics in the health care industry?

Manage communicating data, information, knowledge and wisdom in the provision of healthcare for individuals, families, groups and communities.

Open systems have three types of characteristics: purpose, function and structure. How are each of these characteristics defined?

Purpose is the reason for the system's existence, function focuses on how the system achieves its purpose, and the structure is the mainframe for the system to operate upon.

What is the encounter-based record?

Records stored data according to the current patient encounter and then are usually purged or archived

what does STEEEP stand for when discussing the 6 critical aims of healthcare?

S - safe T- timely E - efficient E - effective E - equitable P - patient-centered

Which of the following is NOT a high-level component of an EHR infrastructure?

all of the above

COVID has increased the use of telehealth. (T or F)

T

Decisions made about how the technical infrastructure functions have very important consequences for the overall system both in functional capabilities and support of the clinical workflow. (T or F)

T

Ethics should be the same in telemedicine compared to traditional patient care. (T or F)

T

Synchronous technology is considered "real time" - two way interactions such as video conferencing or patient monitoring. (T or F)

T

The goal of Evidence-based practice and practice-based evidence both meet with the expectation of transforming healthcare into a reliable, safe and effective field practice. (T or F)

T

The repository section of the EHR is storage for patient data. (T or F)

T

There is a shortage of specialty providers which can be a barrier to telemedicine? (T or F)

T

the role of the Health information organization (HIO) is to facilitate data exchange according to nationally recognized standards. (T or F)

T

Document literacy

The knowledge and skills needed to perform a search, comprehend, and use noncontinuous texts in various formats such as job applications, payroll forms, transportation schedules, maps, tables, and drug or food labels.

Prose literacy

The knowledge and skills needed to search comprehend, and use continuous texts such as editorials, news stories, brochure, and instructional material.

quantitative literacy

The knowledge and skills required for identifying and performing computations either alone or sequentially, using numbers embedded in printed materials such as balancing a check, figuring out a tip, completing an order form or determining the amount

In the technical infrastructure of electronic health records what is the Master Person Index?

The repository for the information used to uniquely identify each person, patient or customer of a healthcare enterprise.

The two different types of telehealth technologies are synchronous and asynchronous (T or F)

True

Which of the following are examples of health informatics?

all of the above

Benefits of telehealth include

care to patients in underserved regions, a high level of patient satisfaction, and a wide range of technologies

FIT (Fluent with information technology) persons possess the following three types of knowledge EXCEPT for?

diagnostic skills

benefits of telehealth for patient care include which of the following?

enables delivery of care to all, routine delivery of care across the globe, underserved populations, wide range of technologies, high level of patient satisfaction (all of the above)

repository

includes central versus distributed storage model. Is the counter based versus longitudinal records and has the key aspects of accessibility, reliability, and security.

Clinical decision support system

includes inference engine, data services, and communication system. It can be time, data, or user driven.

which of the following are benefits of EHRs?

increase productivity, increased efficiency in billing, better access to patient care information

knowledge information

interpreting, integrating, and understanding

Master person index

is a repository of information that uniquely identifies the patient. Usually including demographic data.

longitudinal record

is an electronic health care record that stores data from all encounters.

Data dictionary

is the source for medical vocabulary terms used in the system.

information compassion

organizing and interpreting data

All of the following of the ACE star model EXCEPT

patient-centered care

Knowledge base

stores and organizes enterprise information and knowledge including orderable items, order sets, policy documents, searchable medical subject matter, clinical guidelines, and decision support rules.

A person that has had advanced training to enable them to educate and troubleshoot issues about the electronic health record (EHR) is called a

super user

What theory helps explain how people work with computers in healthcare?

systems theory

wisdom

understanding, applying, and integrating service with

Clinical applications

user facing views of the EHR that include a variety of technologies and user interface paradigms including rich client, web based applications, and mobile applications.

Computerized Provider Order Entry can send alerts for all of the following except:

wrong medication