D220 Review
What is a technical safeguard of ePHI?
Access control. Audit controls. Authentication.
A patients glucose blood sugar is 400. What is a one-time kind of report
Ad Hoc
Why is it important to control the number of warnings in Electronic Health Record (EHR)?
Alert fatigue
Which act in 2009 did MU originate?
American Recover & Reinvestment Act (ARRA) act in 2009
What is the first thing patients should do to access their health records?
Ask for access to their documents
The nurse who effectively uses information technologies is most importantly affecting what aspect of professional nursing in the future?
Assuring that patient care is meeting an acknowledged standard or care
Which government organization oversees the meaningful use program?
CMS
A nurse is entering a verbal medication & encounters a warning the entry is a duplicate. Which action does the nurse take?
Call MD & verify order & MD enter order remotely
Which informatics competency supports the adoption of a medication administration system?
Change management
What plays a primary role in the usability of an electronic health record (EHR)?
Clinical workflow & efficiency
How is a wiki most useful to nursing?
Collaborative work on a research project
Data is
Collection of #, characters, or facts (Body weight)
What are the sciences that make up nursing informatics?
Computer science, information science, nursing science
Standardized terminology supports
Data Mining (the practice of examining large databases in order to generate new information)
What is data goverance?
Defines who can take what action, upon what data, in what situations, using what methods
What is data governance?
Defines who can take what action, upon what data, in what situations, using what methods
What action is more important for a patient to take when considering whether to base health decisions on information found on the web?
Discuss the information with the health care provider
What is an example of sensational writing style?
Drop 30 pounds in 5 days with this new miracle pill
Where is the continuity of care documented?
EHR
What is an example of informatics applied in Nursing?
Electronic Health Record (EHR)
Antivirus programs are best suited to deal with a virus attached to what form of electronic communication?
Emails
What is an important security consideration related to the use of email applications to send & receive patient data
Emails have the potential to go to other users
A provider at the hospital had his laptop stolen from his vehicle. What should be on his laptop to protect it from data breach?
Encryption
What are the expected outcomes of interoperable systems?
Error reduction, revenue improvement, and increased communication
What action did the American Nursing Association take in 1995 to recognize the importance of nursing informatics?
Established the informatics certification examination
Which government agency oversees safety in the workplace?
FDA
T/F: All health-related websites can be trusted to provide reliable information
False
Which barrier to healthcare informatics use does the HITECH Act Aim to reduce?
Financial
Which type of chart uses rectangle, oval & diamonds in both?
Flowchart
Which merit-based incentive payment system (MIPS) merit-based incentive payment system performance replaces Meaningful Use (MU) for physicians?
HITCECH act
What is HITECH?
Health Information Technology for Economic and Clinical Health Act
Healthcare.gov is what type of internet site?
Health portal
Doctor use RFID for which purpose?
Improve documentation time or improve access to documentation
Information may be kept secret to those with an only need to know. What is this?
Information privacy is the right to choose the conditions under which information is shared, & to ensure the accuracy of collected information
What can be installed to allow on operation to access another to enable the exchange of data?
Integration
what can be installed to allow one operation to access another to enable the exchange of data?
Integration
What item describes a basic network code that determines the roles used to create and route packets of data between network devices?
Interface
How does a healthcare policy assure access to health information by authorized user?
It creates a reliable method to verify the identities of users accessing health information
Which change theory begins with creating urgency?
Kotter's Models
What are the ICD ICD10 international classification of diseases?
LOINC & SNOMED
EMR-electronic medical record provides
Legal record often restricted to a Single episode of care , building block of EHR,
PHR-Private Health Record
Lifetime health record, supplied by ind., healthcare providers, pharmacies, therapist, lab test, - Controlled by the consumer,
What are two barriers of adoption the Clinical Decision Support (CDS) in an Electronic Health Record (EHR)
Limited resources & Communication information exchange
What is a physical safeguard of ePHI?
Lock on hard drive. Facility Access Controls Workstation Use Workstation Security - Device & Media Controls
What are three common reasons for HIPPA Violation citations?
Lost or stolen unencrypted devices, social media postings, taking a patient photo with a personal phone
Which information in patient's electronic medical record (EMA), in addition to the nursing flowsheets & provider orders, helps a nurse plan & manage fluctuation in blood glucose levels
MAR
What is an effective way to reduce the risk of access of electronic protected health information (ePHI) by authorized users
Make sure all the users adhere to security & confidentiality policy set forth by the facility
Where are POLST (advanced care directives) found on the computer?
Media tab
MIPPA
Medicare Improvements for Patients and Providers Act Financial incentive for e-prescribing to providers
Which stage of cycle nurse makes new suggestions?
Need assessment
Who is responsible for setting the firewall's protective limits on a network computer?
Network administrator
What is NANDA?
North American Nursing Diagnosis Association type of standardized terminology defines the nursing diagnoses Examples of uniform language
Which government agency recommended the use of the barcode medication administration
ONCHIT
Which of the following are patients' rights regarding their health records?
Patient can access their records, patients can be contacted at some other place other than home regarding their records, patients can choose to designate a person or persons to access their records, patients can change misinformation
What is the goal of Merit-based incentive payment system (MIPS) & meaningful use (MU)?
Patient quality care
Which clinical note type is exempt from being shared with patients according to the United States Core for interoperability (USDI) standards
Physiotherapy notes
What is the typical role of the informatics nurse?
Plans, coordinates, & facilitates education for all computer applications & software for nursing or clinical user group
Issues with NHIN
Politics
Which topics should you consider when determining whether a website can be trusted?
Privacy, date of publication, source
AHQR
Produced evidence making healthcare safer, improve quality, accessibility and affordability
Which statement describes the application of meaningful use
Provider needs to show the use of the Electronic Health record (EHR) technology
Which information in an electronic medical record (EMP) helps a nurse plan & manage a patient's post-operative care after open heart surgery?
Provider's orders
Operating room (OR) staff are reliant upon a manual whiteboard for patient tracking. Recently, surgeons have complained that the turnaround time between surgical cases has increased & blame the manual tracking system (SIS). Which resolution can improve this workflow issue?
Radio frequency identification (RFID) in patient labels
An informatics nurse & an emergency nurse are conducting an analysis of a patient admission from ER. Which tool should these nurses use for a process analysis?
SWOT template
E-Sign
Same legal status as a hand written signature
A laboratory manager requested a report of all patients that had a blood glucose greater than 400 mg/dL for the month of July to provide to the corporate office. Which type of report should the nurse informatics create using information stored in the electronic health record to this one-time request
Short-time report
What meaningful use stage can you generate & transmit Rx electronically
Stage 3
Which two statements defines healthcare informatics?
Standardized languages & terminologies to ensure consistent meanings across all settings
What is the greatest positive impact that communication among health care providers has on patient care?
Staying informed of standards of care and practices
HITECH Provides
Strengthened HIPPA security and privacy protection, provides financial incentive for user of EHR
What is the name of the process that begins with conception & continues through implementation
System Development Life cycles (SDLC)
What is the name of the process that begins with conception & continues through implementation?
Systems Development Life cycles (SDLC)
The nurse receives report that there are new orders to review. Where does the nurse look to verify this information?
The Kardex
Which statement defines interoperability?
The extent to which systems & devices can exchange data & interpret that shared data.
What is the foundation focus of nursing informatics?
The management of patient focused information
What is the intent of the clinical decision support (CDS) system?
This is an application that supports healthcare practitioners in making patient-care decisions
What is the intent of the clinical decision support system?
This is an application that supports healthcare practitioners in making patient-care decisions
Goals of the NHIN
To develop a nationwide interoperable healthcare information technology infrastructure and a strategic plan to guide implementation in both public and private sectors
What is a type of phishing?
Trojan
T/F: An example of information would be a vital signs plotted on a graph
True
T/F: The focus of informatics is information management, not computers
True
T/F: When you are conducting research online, it is important to know who funds the website you are viewing
True
What facility first used the BCMA?
Veterans hospital of Topeka, Kansas
Which is a physician's clinical informatics assessment?
Vital signs
Which clinical information technology enables providers to document patient assessment?
Vitals signs capture
What form of online communication would best substitute for a traditional nursing seminar?
Webinar
What describes and example of opt-in or opt-out choice regarding the disclosure of personal health information
Your information be sent to another facility
What do informatics and computational science have in common?
both fields are interdisciplinary
What is the National Health Information Network?
means to advance healthcare information technology
ARRA provides
provide funds for adoption of technology & provides the right for every individual to receive and electronic copy of EHR
What does the integration of standardized terminology do?
provides uniform definitions of terms and facilitates interoperability, communcation, and exchanged of data with a shared meaning
What describes an example of opt-in or opt-out choice regarding the disclosure of personal health information?
your information be sent to another facility