C468

describe information systems

(another branch on the informatics tree) -used to collect, create and distribute useful data -the development, use and management of overall organizations IT infrastructure -an umbrella term for sub-categories such as: clinical information systems, core business systems, case management, communication system -a computer system that uses hardware and software to process data into information in order to solve a problem

describe informatics

(like a big oak tree) combination of nursing, computer, information science

describe information science

(root of the informatics tree, not a branch) -primarily focused on input, processing, output, and feedback thru technology integration -incorporates features from communication science, computer science, social science, library science and cognitive science -applies technology to make information usable -supports the collection and management of information -basis for which the informatics tree grew

describe knowledge worker

-a continuous learner and specialist in their field -has advanced formal education -can apply theoretical and analytical knowledge -generates knowledge as product -knowledge worker spend at least 50% of their time searching for and evaluating information -data gatherer

technical safeguards

-a covered entity must implement technical policies and procedures that allow only authorized persons to access electronic protected health information -covered entity MUST implement HARDWARE, SOFTWARE, procedural mechanisms to record and examine access and other activity in information system that contain EHR -ensure information is not improperly altered or destroyed -must implement security measures that guard against unauthorized access

what are some security measures

-access on a need-to-know basis -firewalls- barrier created from software and hardware -automatic sign-off -physical restrictions to system access (limiting number of computers in any given area or have them located behind locked doors) -encryption (when contact needs to be kept secure and confidential, prevents data leakage during data storage or transmission) -antivirus and spyware detection -users sign on and passwords or other means of identity management -passwords (inexpensive, but not the most effective means of authentication) -biometrics (identification based on unique biological trait)

transaction and code sets rule

-adoption of standardization -transactions are electronic exchange involving transfer of information between two parties for specific purposes **ex: physician will send a claim to health plan to request payment for medical services. HIPPA adapted certain standard transactions for electronic data interchange and administrative healthcare data under HIPPA, if covered entity conducts one of the adopted transactions electronically, they MUST use adapted standard

what is the benefits of e-prescribing

-allows physician to enter a prescription and then electronically sent to the pharmacy from computers, PDAs -provides a longitudinal prescription record -checks formulary compliance and reimbursement -provides alerts about drug interactions -generates reminders to order home meds for the discharged client -eliminates phone authorization for refills

An order entry system can

-check for duplicate orders -alert all departments to carry out physician orders -provide the current status of each order

what is decision support system (DDS)?

-computer applications designed to facilitate human decision-making process -usually rule-based, using a specified knowledge base and a set of rules to analyze data and information and provide recommendations to users -develops "what if" models to analyze the options or choices and alternatives -it can take the form of alerts such as: abnormal VS, medication contraindications or even lab results -act as preventative reminders for vaccinations, house screening and clinical guidelines for disease treatment -decision support can be a single recommendation or series of recommendation implying next steps based on care protocols -can be referred to as clinical decision support (CDS) b/c it assists clinician in making providing suggestions for clinical interventions

it supports nursing roles by

-computerized charting -documentation prompts -device integration -decision support systems

informatics innovator

-conducts informatics research and generates informatic theory -use holistic view, work across settings -have a vision of what's possible and keen sense of timing to make things happen -sophisticated level of skills and understanding in computer technology and information management -proficient with informatics applications to support all areas of nursing practice

implementation committee tasks

-develop plan (work breakdown structure) -schedule tasks for implementation -define the scope of each task -identify time and "go-live" dates -identify resources and constraints *it's necessary for the project leader to set goals and realistic expectations for individuals and the group as a whole- such as budget, key stakeholders, benefits and goals are addressed during this stage *Energy and good information is exchanged during this time --> questions can be adequately addressed *Work breakdown structure is created to help develop the project timeline and build a higher archival arrangement of all tasks

covered healthcare entities include providers such as

-doctors -clinics -psychologists -dentists -chiropractors -nursing homes -pharmacies

how does DSS (CDS) can ensure the 5 rights of med administration are implemented?

-during administration phase DSS assist with patient identification, assessment parameters -checks for drug-to-drug interaction and allergies -what ordering, it can prompt the clinician to select the appropriate medication based on client data -most recently documented ht, weight, cr clearance

confidentiality

-electronic personal health information is not available or disclosed to unauthorized persons -security rules confidentiality requirement supports the privacy prohibitions against improper use and disclosures of personal health information

security

-establishes a national set of security standards for protecting certain health information that is held or transferred in electronic form -major goal: protect privacy while adopting new technologies to improve quality and efficient of patient care. -designed to be flexible, scalable --> so covered entity can implement policies, procedures, technologies that are appropriate for entity's particular size, organizational structure, risks to consumers electronic private health information -health plans are providing access to claims and care management --> medical work force can be more mobile and efficient --> but this adoption can increase potential security risks

privacy

-establishes standards for privacy of individually identifiable health information -address the use and disclosure of individuals health information by covered entities, standards for individual's privacy rights -major goal: ensure that individual's health information is properly protected while allowing the flow of health information needed to provide and promote high quality healthcare and to protect public's health and well being -rules designed flexible, comprehensive to cover variety of uses and disclosures that need to be addressed -protects all individually identifiable health information held or transmitted by a covered entity or its business associate in any form or media whether electronic, paper or verbal

duties of an informatic nurse specialist

-focus on overall information needs of nursing -evaluating performance and impact of information management technologies on clinical practice, education, administration, and research -design and testing of information systems -help to shape policy and serve as advocate for design and use of informatics -use critical thinking process skills, data management skills, computer skills to contribute to overall body of nursing knowledge -needs to be aware of implication of legislation for HIT design and use and to appropriately educate users

novice nurse expected to have

-have basic computer skills -use information system to manage patients -access data and charts electronically -analyze and interpret data, use information tools -support patient safely initiatives using information technology -recognize role of informatics in nursing

what are the drawbacks to informatics

-high startup costs -ongoing maintenance costs -adoption can be slow -cost of implementation and training -temporary loss in productivity when learning a new system -disruption in workflow -reporting is only as accurate as the data recorded -susceptibility to network hackers -over-dependency on technology

Benefits associated with remote patient monitoring

-identification of knowledge gaps -early detection of symptoms -enhanced communication between providers and patients

meaningful use is using certified EHR technology

-improve quality, efficiency, reduce health disparities -engage patient and family in their health care -improve care coordination -improve population and public health -all maintaining privacy and security

whats the benefits of smart technology

-improves quality, safety, efficiency in patient care -optimization of workflow by reducing and creating better workflow for clinician -benefits clinician and patients -keep in mind - adoption can at times be slow and expensive example) smart pumps (dose calculation software) --> can communicate with EHR --> document IV intake and output

whats the benefits of the EHR

-increase data integrity and quality -increases productivity -increases satisfaction for caregiver -decrease redundant data collection -ongoing record, allows data comparison from prior visits -improve efficiency with better/faster data access -supports decision support and research -improved documentation -prompts to ensure administration of treatment and medications -supports trending

benefit of computerized physician order entry (CPOE)

-initiative to improve the quality of care and reduce medication errors -eliminates transcription errors -expedites treatment -encourages more accurate, complete order *Ex order "sets" of blood

ICD-9 & ICD-10 (international classification of diseases)

-international standard diagnostics classification for all general medical conditions -conditions are then translated into medical codes through use of this classification structure -international classification of disease is designed to promote international comparability in collection, processing, classification, and presentation of condition identification

Nursing Outcomes Classification (NOC)

-is classification system that describes patient outcomes sensitive to nursing interventions -measurable individual, family, or community state, behavior, or perception that is measured along a continuum and is responsive to nursing interventions -evaluate the effects of nursing care as part of healthcare -consists of outcomes for individual patients, families, and communities

Common Procedural Terminology (CPT)

-its a classification system used for billing and reimbursement of outpatient procedure and interventions -most widely accepted procedures and services under public and private health insurance programs -used to code all medical procedures performed in healthcare except for alternative medicine

describe knowledge user

-knowledge user occurs when they begin to notice trends in the patient's clinical data, determine if that data falls within or without side the normal data range -knowledge user compares the data they've collected then compare it with the existing nursing knowledge

United Medical Language System (UMLS)

-large meta-thesaurus that contains more than 100 source vocabularies -national library developed this language system to provide web-based application in which the user can do multiple searches identifying synonymous, acceptable terms

what are the benefits of EHR

-medical practice efficiencies and cost savings -improve care coordination -improved diagnostics and patient outcomes -improved patient care using EHRs -increase patient participation in their care

What is a superuser?

-member of implementation team -sole purpose is to support end-users -work various shifts to accommodate user needs technically savvy individuals : show interest in nursing informatics, great leaders and educators, effective communicators, champions of new system

describe knowledge work and provide an example

-non-repetitive, non-routine work that entails a significant amount of cognitive activity example: interpreting trends in labs or pt's signs and symptoms. 6

training for committee

-on site training by the vendor -vendor training at corporate headquarters -consultants may provide training -hospital staff travel to vendor's corporate center to become trained in the new system

what is a custom system

-organization most often choose this system according to their facility current policies, protocols, work flows -some vendors only allow a percentage of informatics systems to be customize -can drive up cost significantly -the decision impacts implementation -customization requires time and resources -customization may also have ripple effects on other systems and interoperability

what's the driving forces for EHR

-patient safety -need to restructure healthcare delivery system to improve the quality of care -cost containment

informatics nurse expected to have

-proficient with informatics applications to support all areas of nursing practice -demonstrates critical thinking data management decision making and system development and computer skills -identifies/provides data for decision making -have advanced knowledge and proficiency in the use of information technology -expected to be proficient in all applications, integrate technology --> so that across all disciplines can communicate more efficiently with each other --> involve with informatic development systems and able to manage those systems

The Heath Information Technology for Economic and Clinical Health Act )HITECH) is known for all of the following

-provided funds and incentives to increase the adoption of EHRs by providers -funded workforce training, and new technology research and development in HIT -ensured the collection of aggregate data that could be used to improve policy decisions relative to allocation of services and population health

experienced nurse expected to have

-pulls trends out of data -support specialty care, including quality improvement and other activities via IT -use evidence-based databases to support evidence-based practice -promote technology applications -use information systems and work with IT staff to enact system improvements

benefits of dashboard reports

-quality indicators such as infection rates, falls, pressure ulcers can be tracked, and comparisons can be made from one facility to the next -allows for data transparency -keep in mind-reports are only as good as the data recorded example: National Database of Nursing Quality Indicator - provides comparison reports to monitor

Digital imaging and communications in medicine (DICOM)

-refers to both an organization and standard -DICOM standard was first developed for transmission of medical images and their associated information -used for production, display, storage, retrieval and printing of medical images

security planning saves and guards what

-saves time and money -guards against: downtime breeches in confidentiality loss of consumer confidence cybercrime liability lost productivity *helps ensure compliance with HIPPA

Joint commission key standards for information management are

-standards address measures to protect data, uniform definitions, the ability to aggregate data -standards address measures to incorporate information management principles into training -standards address disaster-preparedness and recovery planning

IT impacts

-strengthens clinical databases -supports evidence-based care

benefits of clinical decision support (CDS)

-suggests appropriate medical and nursing interventions based on patient data ex of CDS system (software) that enhance med admin--> consider pt's ht, wt, clinical condition, renal function, concurrent meds ex of CDS: electronic calculated scoring systems that can trigger nurse to take additional measures at certain criteria -can facilitate decision making and overall efficiency -CDS can organize information and trigger prompts to the clinician thereby decreasing patient safety risks and increasing positive patient outcomes

what is a base system

-supplied by vendor without any changes -model system, uniformed in its functionally regardless of where it gets implemented -organization can choose to implement a base system if it fits their organizations needs

what are advantages of informatics

-support for work processes -improved records -decreased redundancy -increased convenience -improved data collection -prompts to improve documentation -improved safety with better patient identification, decision support, and tracking -improved communication and access to information

american nurses credentialing center (ANCC) content is on

-theory -information management principles -database management -human factors, analysis, design, implementation, evaluation, support, marketing of information system, transit issues *after passing ANCC exam, considered board certified in nursing informatics

implantation pitfalls

-underestimation of time and resources needed -ongoing addition of changes and more features (scope creep) -failure to consider costs for annual maintenance and other expenses -problems with testing or training -lack of system "ownership" by users

Maintenance of an information system includes

-updating security protection -problem solving and debugging -performing file backup procedures

describe information technology

-use computers to transmit data -has different types of technologies

whats the benefit of barcode medication administration

-uses barcode on the medication package and patient armband to ensure right patient, right drug, right dose, right time, right route -greatly reduces med administration errors by providing positive patient ID -provides warning alerts when scanning incorrect patients, doses, routes, or if contraindications exist

threats to system security and information

-viruses, worms, trojan horses *software - malware threatens data integrity *trojan horses- downloadable free program damage to the system -hackers -comprised devices -unauthorized insider access -poor password management -human error -power fluctuations -fire and natural disasters

describe information user and provide example

-when nurse interpret the collected/recorded data -analyze, interpret clinical data example: elevated blood pressure, increased pain to help guide patient care decisions and patient monitoring overtime

the 3 components of meaningful use

1. EHR in meaningful manner (e prescribe) 2. electronic exchange of health info to improve quality 3. Submit clinical quality measure and other measures

steps to security

1.assessment of risk and assets 2.organizational plan (developing or establishing policies, enforcing them 3.a culture of security 4.the establishment and enforcement of policies ("acceptable use" policy ex: are employees permitted to surf networking sites while they're on the job?)

standardized terminologies benefits

1.decreased costs by eliminating redundant data, collection, and testing 2.increased quality 3.improved safety 4.outcomes measurement --> data trend evaluation translates to improve patient care and efficiency *its designed to enable and support widespread interoperability among healthcare software applications for the purpose of sharing information

Clinical Care Classification (CCC)

1.facilitates patient care documentation at the point of care 2.nursing to document the 6 steps of nursing process and care continuum

whats the 4 i's?

1.informatics 2.information technology 3.information systems 4.information science

international classification of nursing practice (ICNP)

1.it's unified nursing language for nursing practice that facilitates the development and cross-mapping of exiting terminologies 2.developed specific guidelines to develop nursing diagnosis, outcome, intervention statements (care plans)

what is the role of a project manager

1.motivate a diverse group of people to follow them 2.can build consensus on important decisions 3.know how to communicate progress to key executives 4.anticipate and resolve interpersonal conflicts that can derail the project 5.define scope and results of the project, identify when task must occur 6.establish timelines 7.make project decisions, provide communication about project status

the three core sciences of nursing informatics are

1.nursing science 2.computer science 3.information science

Merit-based Incentive Payment System (MIPS) 4 pillars that are connected that affect how medicare will make payments

1.quality 2.improvement activities 3.advancing care information 4.costs

top 3 responsibilities of nurse informaticist

1.system implementation 2.system development 3.quality initiatives

3 type of interoperability

1.technical 2.semantic 3.process

Firewall

A combination of hardware and software that creates a buffer between an internal network and the Internet to prevent unauthorized access.

nursing informatics was first recognized as a specialty by

ANA in 1992

HIPPA protects everything but

Age

what are the two certifications available for informatic nurses

American Nurses Credentialing Center (ANCC) or Health information and management system society (HIMSS)

The primary database used for searching nursing literature

CINAHL

___ are used to access client data that are used to plan, implement, and evaluate care

Clinical information systems (CIS)

The delivery of content and stimulation of learning primarily through the use of telecommunication technologies and often used for corporate training is

E learning

examples of information technology

EHR Barcode Medication Administration Clinical decisions support tools.

What is the most important factor in maintaining proper use of an information system?

Education

Goal of meaningful use

Exchange clinical structured data in a manner that is accurate and complete to improve patient care in a cost efficient way

What are the driving forces behind the Health Information Exchange movement

Federal legislation, and demands for safer, more efficient healthcare

How do Health Information Exchanges (HIEs) impact healthcare delivery?

HIEs increase the efficiency and potentially the quality of the healthcare delivery system.

Training documents are developed and user training occurs in which phase of the project management life cycle

Implementation phase

Benefits of electronic health records

Improved access to information

Information and data privacy

Includes the right to choose the conditions and extent to which information is shared

What of the following are legal and ethical issues related to telehealth and telemedicine

Lack of reimbursement, privacy and confidentiality concerns, licensure and liability issues

What is the role of nursing in the adoption and use of standard terminologies

Nursing needs to adopt standard terminologies as a means to collect data that has a uniform meaning across settings as a way to increase the body of nursing knowledge.

What is the basic premise underlying value-based reimbursement

Payment is based on the value of tests and treatments to patient and organizational outcomes

Usability is important to informatics nurse specialists for which of the following reasons?

Poor usability can lead to errors, jeopardize patient safety, and impact acceptance and use of technology

Access levels

Settings that determine who can access an item and what they can do with it (read, write, delete). Applies to files, folders and databases among other things.

The development of a comprehensive long-range plan for guiding the activities and operations of an organization is

Strategic planning

The SWOT analysis is conducted in what phase of the information system life cycle

Strategic planning phase

What is the role of the informatics nurse specialist in the adoption and use of standard terminologies

The INS needs to play an active role on a local, national, and international level in the adoption and use of standard terminologies

Focuses on the improvement of the quality of care delivered to the public, the development standards of quality in conjunction with health professionals, and encourages organizations to meet or extend these standards through the accreditation process

The joint commission

In what way can clinical decision support systems save healthcare dollars?

They aid in diagnosis and provide access to practice guidelines which subsequently decrease the length of hospital stays and costs for treatment

meaningful use (MU)

Use of health information technology (HIT) legislated by ARRA of 2009 to collect specific data with the intent to improve care and populations health, engage patients, and ensure privacy and security, with financial incentive from Medicare and Medicaid

Can be used as a tool to facilitate the delivery of synchronous connected health

Videoconferencing

describe interface

a computer program that tells two different systems how to exchange data 3

administrative safeguards

a covered entity MUST identify, analyze and reduce risk to electronic data vulnerabilities *must implement security *periodic assessment of how well the covered entities security policies

physical safeguards

a covered entity must limit physical access to its facilities while ensuring that authorized access is allowed a covered entity must implement policies/procedures (into specific proper use of AND access to workstations and electronic media)

describe EHR

a database of an individual's healthcare data during healthcare encounters, is comprised of any patient data stored in electronic form

what is electron health record? EHR

a database of individual's healthcare data during healthcare encounters. Is comprised of any patient data stored in electronic form

informatics nurse specialist is

a nurse with advance graduate education in nursing informatics or related field, hold national certification in informatics --> they're prepared to assume roles that required advanced knowledge

expert system

a type of decision support system that implements the knowledge of one or more human experts without human intervention *convey concept that computer has made the best decision based on criteria that experts would use example insulin pump -senses BG, then administer insulin based that data without involvement of user -capable of interpreting clinical images (xray, ct, mri)- greatest benefit in detecting minute change over time that otherwise be missed by clinician-

technical

ability to exchange data from one point to another

describe information literacy

ability to recognize when information is needed as well as the skills to find, evaluate, and use needed information effectively

what does informatics and information technology have in common?

aids in clinical decision making, major resource for many organizations

integration

allows for different information system to be accessed from one point by the user

who authorize standardized nursing terminology

american nurses association

the accreditation process in healthcare provides?

assurance to the public that the facility or program meets nationally accepted standards

what are the skills of a project manager?

being able to prioritize all projects can estimate benefits, resources, cost and timelines for each project know how to re-eval priority of each project as new development come into play (such as new legislation, new initiatives or change in customer demands)

conversion

bring in old data, plans for which individuals will be tasked with this responsibility and how far back to input that info

what is identity management

broad administrative area that deals with identifying individuals in a system and controlling their access to resources within that system by associating user rights and restrictions with the established identity --> provide managers and directors a unique view of each user in the system according to job function and security access

how do committee members partake in system implementation

buy into the need for the new process represent all disciplines in the decision work towards as a common goal

how does decision support system save healthcare money

by aiding in diagnosis and providing access to practice guidelines which subsequently decrease the length of hospital stay and cost for treatment

example of non-knowledge work

calling the lab to check on results or making up with patient at the bed

survivability

capability of system as a whole to fulfill its mission in a timely manner in the presence of any attack, failure, or accident

how does EHR attributes to technology sources that support quality improvement and patient safety

captures data for -quality improvement -risk management -resource planning -performance management *supports clinical research trails and evidence-based research

how can certified EHR technology help with quality measurement reporting?

certified EHR technology support your MIPS participation in 2 ways 1.it may reduce workload 2.it may help earn electronic reporting bonus

what is antivirus and spyware detection

computer programs that can locate and eradicate viruses and other malicious programs from scanned memory sticks, storage devices, individual computers and networks

What is benchmarking?

continual process of measuring services and practices against the toughest competitors in the healthcare industry

process

coordinates processes to enable business processes at an organization, housing the systems to work together

knowledge management refers to

creation of systems that enable organizations to tap into the knowledge, experiences, and creativity of their staff to improve their performance =

project scope

defines the size and details of an effort

scope of the mission can be described as

defines type of activities and services that will be performed should be clearly identified to help employees and customers understand the priorities of the organization --> to appropriately guide administrators and managers in their decision making

System security involves protection against

deliberate attacks, errors, omissions, disasters and viruses

The first task of the project implementation team is to ________.

develop a timeline

NANDA-I (North American Nursing Diagnosis Association International)

diagnosis are used to identify human responses to health promotion, risk and disease *it describes patient's reaction to disease and treatment

inadvertent disclosure

disclosing info by errors, intentionally to unauthorized users

In addition to ease of use and potential for unintended error, usability also considers which of the following?

efficiency, user satisfaction, and training issues

how does expert system differ from decision support system?

expert system relies on the wisdom of the user to take appropriate action to the provided recommendation

American Medical Informatics Association (AMIA)

focuses on development and application of biomedical and health care informatics

TIGER Initiative (Technology Informatics Guiding Education Reform)

formed in 2004 to advance nurses' competencies related to informatics. Primary objective was to develop a US nursing workforce capable of using electronic health records to improve the delivery of health care

knowledge management is structured process for

generation, storage, distribution, application of personal experience along with knowledge evidence in organizations

specify achievable goals and objectives for vision

goal: open-ended statement that describes what is to be accomplished objectives: specify how and when goals will be met

what is the patient protection and affordable care act

guarantees access to healthcare for all Americans and incentives to change clinical practice to foster better coordination and quality of care

semantic

guarantees that the meaning of exchange data remains the same on both ends of transaction

what is the challenges of DSS and expert systems.

has direct effect on patient outcomes -caution is advised -ethical and clinical judgment warranted

centers for Medicare and Medicaid services (CMS) developed core criteria that defined basic functions of EHRs must demonstrate

includes basic entry of clinical information, use of several software applications and entry of clinical orders with safety measures

example of information security/action

install resilient computers and facilities, backup systems --> capable for restoring damaged data, ensuring smooth operation of that information system

Nursing Minimum Data Set (NMDS)

is described as minimum data elements necessary for defining the cost and quality of nursing care 3 major elements that make up NMDS 1.nursing care elements 2.nursing diagnosis 3.nursing intervention outcome and intensity of care **patient demographic elements: personal identification, DOB, sex, race, ethnicity, residence **service elements: unique facility identification numbers, unique patient healthcare numbers, episode encounter dates

systemized nomenclature of human and veterinary medicine clinical terms (SNOMED-CT)

it's globally-recognized controlled healthcare vocabulary that provides a common language for electronic health applications. Supports interoperable data collection

information integrity

it's protecting info from any unauthorized change, ensuring that information is intact and accurate at all times

Logical Observation Identifiers Names and Codes (LOINC)

language that includes lab and clinical observations

what is electronic medical record

legal record created in hospitals and ambulatory settings of a single encounter or visit that is the source of data for the electronic health record. Brings together diagnostic and treatment information for an individual in a specific healthcare setting

what is a personal health record

lifelong tool for managing health information, such as conditions, allergies, medications, past surgeries, and other relevant information

describe knowledge builder

occurs when starting to examine clinical data to shows patterns across patients --> this information can start to create new knowledge

what is the big bang

old system is shut down completely when new system goes live. this is used when running more than 1 system is too costly, too cumbersome or when dealing with tight deadlines

what information system security and it's primary goals

ongoing protection of both information housed on the system and system itself from threats or disruption primary goals -protection of client confidentiality -protection of information integrity -ready availability of information when needed

health information and management system society (HIMSS) is

open to any candidate who's involved in health care informatics candidate must hold position in the fields of either administration and management, clinical information systems, eHealth, management or management engineering -candidates can include your chief executive officers, your chief information officers, senior execs, staff, physicians, nurses, academia and students *after passing HIMSS exam, carry the designation of certified professional in HIMSS

data analysis

processing of data collected during the course of study to identify trends and patterns of relationship

implementation committee

project leader (needs to be involved in the entire process) -CIO, project manager, consultant, or informatics specialist can also work in this capacity of project leader -has firm understanding about vision, goals, expectations for the system

data warehouse

provides a powerful method of managing and analyzing data

availability

providing useful information when it's needed

the mission can be describe as

purpose for organizations existence represents fundamental and unique aspirations that make the organization different from others guides the planning process

what is health level 7

refers to both an organization and its standards for the exchange of clinical data --> purpose is to provide standards of interoperability that improve care delivery, optimize work flow, reduce ambiguity, enhance knowledge transfer among all stakeholders -it provides a structure that defines data and elements and specifies how the data are coded -structure and data must follow HL7 rules, such as specifying the length of fields and code nomenclature

The ability to use a health enterprises information system from outside locations such as a physicians office is known as

remote access

project manager

responsible for the success of a project by managing the planning and enactment of the project

strategic planning is led by upper management what's the role of chief strategy officer

role emerged to oversee the detailed plan --> clarify that vision created by CEO in leadership team. decided to drive the change and monitor timelines and progress toward realization of strategic plan

whats the current version of personal health record (PHR)

secure application thru which an individual may access, manage and share health information he or she has entered was supplied by providers, pharmacies, and labs

project management

set of practices intended to raise the likelihood that a project will succeed

Nursing Interventions Classification (NIC)

standardized classification of interventions that describe activities that nurses perform upon clinical judgement in order to enhance patient outcomes

what is clinical decision-support (CDS)

supports healthcare practitioners in making patient-care decisions by integrating patient data with current clinical knowledge

describe knowledge

synthesis of information from several sources to produce a single concept or idea

give an example of committee members

technical staff, clinical staff (includes working at bedside, lab, pharmacy staff), informatics nurse specialist or informatic nurse

Telehealth differs from telemedicine in that

telehealth encompasses telemedicine, but is a broader term that emphasizes the provision of information to health care providers and consumers

Interoperability

that allows for meaningful exchange of information that retains its meaning as it crosses from one system to another

Confidentiality

the act of holding information in confidence, not to be released to unauthorized individuals

Who determines the project implementation strategy

the implementation committee

what is computerized physician order entry (CPOE)

the prescribers' decision to enter orders and immediately share the orders with appropriate health professionals who execute the orders and the department that need to dispense, schedule, or immediately deliver services to patient

information security

the protection of information against 1. threats to its integrity 2.inadvertent disclosures 3.availablity

Health Information Technology

the use of various forms of technology to improve the quality of health services to individuals and communities as an informaticist and healthcare provider, it's our responsibility to recognize and embrace HIPPA requirements

what is system implementation

third phase of life cycle begins with purpose of system requires planning, before purchase entails selection of implementation committee

what's the mission of American medical informatics association?

to advance the field of nursing informatics with communication, education, research and professional activities

why did ARRA 2009 include health information technology for economics and clinical care act (HITECH)

to authorized incentive payments to specific types of hospitals and healthcare professionals for adapting interoperable health information technology and EHR

gap analysis is used

to identify needed changes in the current workflow once moving to the new system **at this point, prototype and demoed to your implementation team and select group of staff to help increase user acceptance of system, decrease resistance

quality outcomes

to meet "meaningful use" criteria specified by Health Information Technology for Economic and Clinical Health (HITECH) Act, healthcare providers must use technology to collect data with the intent to improve care.

national provider identifiers and enforcement

unique identification number for all covered health care providers *must use under HIPPA

describe clinical information systems

used to access client data that are used to plan, implement, evaluate care

whats the role of a chief information officer (CIO)

vice president/senior team member helps management see the role of IT in meeting goals guides technology acquisition strong link between strategic plan and information technology plan

omaha home health care system (OHHCS)

widely used in setting such as home care, hospice, public health, school health and prisons consists of 3 relational components: problem-solving model for practice, education, research 1.assessment component 2.intervention component 3.outcomes component