Informatics Midterm

According to the New England Journal of Medicine, U.S. adults receive only approximately...

1/2 of the recommended care.

When considering the costs of EHR (Electronic Health Records), the annual maintenance can account for ________ of the purchase price.

18-20%

How many steps are in a practice based evidence study?

6

A 2011 study from the Robert Wood Johnson Foundation found nurses spend ____% of their time documenting, tracking down equipment, or carrying out other duties versus ___-___% of their time actually at the bedside:

70, 20-30

Which of these is not a leading telehealth organization?

Agency for Healthcare Research and Quality (AHRQ)

Telehealth involves

All of above

Electronic health records include which of the following? (select all that apply):

All of the above

Practice models include which of the following?

All of the above

What are components that must be considered in planning for the implementations of telehealth technology?

All of the above

What are the key benefits of an Electronic Health Record (EHR) in the management of patient care?

All of the above

What is a key aspect to the clinical data repository (CDR)?

All of the above

Which attributes that can be used to characterize innovation?

All of the above

Which is a benefit of the EHR system?

All of the above

Which of the following are a benefit that telehealth provides?

All of the above

Which of the following statements are true regarding an Electronic medical record (EMR)?

All of the above

What is the definition of disruptive technology

An innovation that replaces long held traditional ideas and ways of doing things

What does IE stand for and what is it?

An interface engine which allows each network data source to have one outbound interface that can then be connected be connected to any receiving system on the network.

What is GeriPal?

An online community of interdisciplinary providers interested in geriatrics or palliative care

What does B.E.L.T. in B.E.L.T. Framework stand for:

Bandwidth, Education, Leadership, Technology

The six steps of the CDC's program evaluation framework include all of the following EXCEPT:

Broaden the evaluation design

A FIT person is described as a person who is fluent with information technology. Which type of knowledge is NOT possessed by a FIT person?

Code writing theory

The health practitioner's role in electronic medical record adoption is:

Collaborate with the patient and other providers to manage care

What are the three main components of telehealth?

Community, industry, research

What three types of knowledge does a FIT person possess?

Contemporary skills, foundational concepts, intellectual capabilities

In the Staggers and Nelson Systems Life Cycle Model what follows the Plan step

Develop or Purchase

______ is the document related knowleddge and skills needed to perform a search, comprehend, and use non continuous texts in various formats such as job applications, pay roll forms, transportation schedules, maps, tables, and drug or food labels

Document literacy

The process of maintaining balance in a clinical system is known as:

Dynamic homeostasis

Those among the first to use a new technology or product are termed:

Early adopters

What does EMR stand for:

Electronic Medical Record

What is NOT included in STEEEP recommendations to improve quality of healthcare?

Enforced

What are the six steps that are used by the Centers for Disease Control and Prevention's program to evaluate a framework?

Engage stakeholders, describe the program systemically, focus on the evaluation design, gather credible evidence, justify conclusions, ensure use and share lessons learned.

Quality of care lags behind knowledge. Which of these is considered a solution to this problem?

Evidence based practice

Practice based evidence is using evidence to guide practice.

False

True or False: Using the results from experimental research studies to develop clinical guidelines and practice is an example of PBE (practice-based evidence).

False

True or False? Grand theories attempt to explain specific defined phenomena.

False

Which of the following is NOT one of the health informatics core competencies that should be achieved by all healthcare professionals according to the IOM?

Focusing on quality stagnation

What does "GIGO" stand for in systems theory?

Garbage In Garbage Out

Theories that are wide in scope and their purpose is to explain complex phenomena are called:

Grand theories

What is the interdisciplinary professional specialty and scientific discipline that integrates the health sciences, computer science, and information science, as well as a number of other analytic sciences, with the goal of managing and communication data, information, knowledge, and wisdom in the provision of healthcare?

Health informatics

Which of the following is NOT one of the four clinical areas of functionality for interoperability of the EHR?

Healthcare organization profits

Which of the following are NOT components or functions of an EHR?

Inability to incorporate dentistry and optometry records

Which of these are stakeholders of the EHR?

Insurance payers

Public health informatics...

Is the discipline in which informatics methods and tools are used to solve public health problems or support population and public health goals.

What is one of the most important elements of health literacy?

Keeping basic health information obscure

Which repository model stores patient data across all encounters and is known as "womb-to-tomb" storage?

Longitudinal-Based

What is the goal of health informatics?

Managing and communicating data, information, knowledge, and wisdom in the provision of health care for individuals, families, groups, and communities.

What is the repository for the information used to uniquely identify each person, patient, or customer of a healthcare enterprise?

Master Person Index (MPI)

What theory is limited in scope and specific in situation?

Micro theories

What is most important when using technology for the transmission of health data?

Patient confidentiality and privacy

An electronic medical record (EMR) includes all of the following except:

Patient interaction

The "P" in STEEEP stands for:

Patient-Centered

An interface engine which allows each network data source to have multiple outbound interfaces that can then be connected be connected to any receiving system on the network.

Physician

The American Association of College of Nursing essentials specifies that:

Professional nursing practice be grounded in translation of current evidence into practice and further point to the need for knowledge and skills in information management as being critical in the delivery of quality patient care

What is the use of an electronic medication administration record (EMAR)?

Provides a medium to view and document medication use for individual patients

What is the primary goal of the combination of EBP and PBE?

Providing cost-effective, safe, and quality care

The Chasm report, put out by the IOM, came up with what accronym stating the important principles that should be followed in order to narrow the quality gap in healthcare?

STEEEP

The use of electronic information and telecommunications technologies to support long-distance clinical health-care, patient and professional health-related education, public health, and health administration is:

Telehealth

Listed below are all challenges and barriers to telemedicine except

Telehealth increases expenses of health care.

What is the definition of telemedicine?

Telemedicine the transport of medical information electronically between sources and the implementation of that information to the benefit of patient care, treatment plan design and other health related services.

Which is a benefit of an electronic health record (EHR)?

The patient can interact with the system

Definition of telehealth

The use of electronic information and telecommunications technologies to support long-distance clinical health care, patient and professional health related education, public health, and health administration.

What is the goal of EBP?

To achieve safe, cost, effective, quality outcomes

What is the role of health information organizations?

To facilitate data exchange according to nationally recognized standards

10. True or False? 20% to 30% of a nurse's time is actually spent at the bedside, and as much as 70% of their time is spent on documentation, finding supplies, and carrying out other duties?

True

Complexity theory explains how diverse parts are interrelated, interdependent, and linked.

True

EBP is the use of research, data and scientific evaluation as a basis for clinical decision making and the provision of patient care.

True

Practice based evidence incorporates clinical scientists design, implementation, & evaluation of clinical practice

True

STEEP stands for safe, timely, effective, efficient, equitable, and patient centered.

True

Sharing information via networking systems across institutions is a necessity for quality, financial, and regulatory purposes.

True

Telenursing is the use of telehealth technology to deliver nursing care and conduction nursing practice:

True

True or False: Description of the Omaha System consists of the 1) Problem Classification Scheme, 2) Intervention Scheme, and 3) Problem Rating Scale for Outcomes.

True

True or False? The use of electronic medical records and electronic medical administration systems has drastically improved the incidence of medication errors?

True

Which statement about PBE (practice-based evidence) is false?

Typical sample size is 3-4 individuals

What is Telehealth?

Use of electronic information and telecommunication technologies to support long distance clinical health care, health-related education, public health, and health administration.

The two continuums on Kolb's model of learning styles are

Watching <==> Doing & Thinking <==> Feeling

Which is a technology that aids in the prevention of medication administration errors?

a. BCMA b. CPOE c. A and B only d. eMAR e. A, B, and D only

What are the five points of the ACE star model of knowledge? (Select all that apply):

a. Discovery research c. Evidence summary d. Practice integration f. Evaluation g. Translation to guidelines

Telehealth implementation includes which of the following phases? (select all that apply)

a. Implementation phase b. Preimplimentation phase d. Postimplementation phase

What are the five core components that should be achieved by all healthcare professionals? Select all that apply:

a.Delivering patient-centered care b.Working as interdisciplinary teams d.Practicing evidence-based medicine e.Focusing on quality improvement f.Using Informatics

What are the five core competencies of the Institute of Medicine (IOM)? (Select all that apply)

a.Using informatics b.Focusing on quality improvement d.Practicing on evidence based medicine e.Working as part of an interdisciplinary team