informatics - test 3

no

are stand-alone personal health records HIPAA protected?

granularity

describes the detail that is captured by term or phase; the greater this is, the greater detail or specificity of the term or phase. different levels are needed for different purposes. at the clinical level, very granular data are usually needed. billing and secondary data are usually needed. billing and secondary data uses often require less grandular data

electronic medical record (EMR)

digital health care creasted by healthcare providers or agencies, such as a hospital; meet national standards for interoperability will be able to share health information with this

personal health record (PHR)

allows users to maintain/manage their own health information and communicate the information with authorized providers. if this conforms to interoperability standards, it can contain data from the EHR, but still controlled by the individual. can communicate with EHRs are private, secure, confidental, and protected by HIPAA

electronic health record (EHR)

interoperable elctronic healthcare record that can contain data from the EMRs of all health care providers, including care facilities, clinicians, laboratories, and pharmacies involved with the patients care. provides real-time information and includes evidence-based decision support tools.

oral communication

it is easy for clients to misunderstand medical jargon. to help with this and other oral communication issues, healthcare professionals can turn to many excellent resources.

interoperable

means that the data can be shared electronically

health literacy

not simply the ability to read but "to obtain, process, and understand basic health information and services need to make appropriate decisions"

patient portal

provides patient with access to their electronic health records. common communication functions include the ability to make routine appointments, request prescription refills, or receive alerts

confidentiality

refers to authorized care providers maintaining all personal health information as secret, except to other care providers who need access to that information and to others that the patient has consented to allow access

mapping

refers to matching a concept in one standardized terminology with a concept in one standardized terminology with a concept in another standardized terminology. for example, the NANDA nursing diagnosis, "ineffective airway clearance" could be mapped with the CCC nursing diagnosis, "airway clearance impairment"

cyberchondria

teram that describes people who become distressed and frightened after repeated and excessive web searches for health information. however, this is an anxiety disorder and does not typify most consumer searches for health information

health numeracy

the ability of a consumer to interpret and act on all numerical information, such as graphical and probabilistic information needed to make effective health decisions

semantic interoperability

the highest level of interoperability and takes this one step further. -information is transmitted so that it is understandable but on this level, the interpretation and action on messages exchanged by two computers occur without human intervention -effectiveness depnds on the interaction between algorithms, the data used in the message, and the terminology used to designate those data -allows authorized users to receive information from different EHRs to plan and provide safe and effective care. -functionalitiy enables exchange of data from a laboratory system with the pharmacy system. -enables exchange of data from one health care provider with another

structural interoperability

the intermediate level in which the structure or format of the exchange data is defined by message formats. the purpose of this is to coordinate work processes. it refers to the uniform format or structure of the exchanged messages. it is necessary to preserve the meaning and purpose of the information. data exchange between information systems allow for interpretation at the data field level.

foundational interoperability

the lowest and most basic level of interoperability and refers to the ability of one system to transmit data and another to receive the data without the ability of the receiving system to interpret the data. these are able to send and receive usable data from different systems

readability

there are several methods to test written information for this, including microsoft word and websites

benifits of personal health records

these are what? -enhanced collaborative care -better management of one's disease treatment -more personalized; higher quality of care with improved communication

barriers of personal health records

these are what? -provider reluctance and responsibility -need for unique patient identifier -data privacy and security -lack of data standardization and presentation -required change in patient thinking to that of healthcare consumer with responsibility for active participation -financing/cost

the flesch reading ease

this calculates a value from a formula using the average sentence length and the average number of syllables per word. the recommended score is between 60-70; higher scores correlate with EASIER readability

interface terminology

translate the clinician's common phrases into data that the computer can use. there are seven of these. you may be most familiar with 3: NANADA, nursing intervention classification system (NIC), and nursing outcomes classification (NOC)

evaluating usability of a website

when health websites were evaluated by both usability experts and older adults, they agreed on many problem areas such as difficulty finding drop-down menus, too much infomration on the screen, too small a font size, lack of instructions for playing video, and navigation problems