Informatics Questions

HIPPA protects SSN, name, address but not

Age

The informatics nurse reads an article about the international standards for health information exchanges. In which way will this standardization enhance patient care?

Allows the reuse of information for multiple purposes

What are three roles of a nurse informatics specialist?

Assists users with functionality, procedural issues, and basic troubleshooting Provides expert advice, opinions, and recommendations from a consultant's area of expertise Acts as a liaison between nursing and information services and is both a nursing resource and representative

Predictors of PHR use include which of the following?

Awareness of PHR, ease of access, personal motivation, higher levels of education and health literacy

Meaningful use (MU) of electronic health records (EHRs) is part of the Medicare and Medicaid incentive program. Which two statements best describe MU?

Certified information technologies provide the necessary functions to enable eligible providers to be compensated. MU is used by inpatient and outpatient facilities.

The first task of the project implementation committee is to

Develop a timeline

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

Efficiency User satisfaction Training issues

The informatics nurse is updating the policy on the use of email to send information to include the HIPAA regulations. When should it be identified that personal health information can be sent through email?

Email is sent encrypted Encryption is used so that only the intended recipient can access the information

HITECH

Ensured the collection of aggregate data that could be used to improve policy decisions relative to allocation of services and population health Provided funds and incentives to increased adoption of EHR by providers Funded workforce training, and new technology research and development in HIT

What are expected outcomes of an interoperable system?

Error reduction Revenue improvement Increased communication

___ systems use artificial intelligence to model a decision that experts in the field would make.

Expert

Which statement accurately represents the National Quality Forum (NQF)?

NQF is a not-for-profit, membership-based organization that works to improve healthcare through meaningful measurement.

The informatics nurse is explaining the American Nurses Association criteria for recognizing standardized terminologies in that the terminologies must meet established criteria to be approved. Which criterion must be present?

Nursing process data elements Diagnosis Outcome Identification

How can a nurse informaticist increase interoperability?

Promote use of standardized vocabulary for documentation and coding

The information technology department is reviewing the healthcare-information-security system in place. Which should be kept in mind when reviewing the purpose of this security system?

Saving time and money Guarding against cybercrime Preventing breaches in confidentiality Regarded as a form of insurance against downtime

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

Strategic planning phase

The informatics nurse is explaining smart technology to a group of staff nurses. Which statement suggests that the use of mobile devices in the healthcare setting can enhance patient care?

The elimination of paper copies of lab reports

A patient is being transferred to a trauma hospital in the area. The current hospital uses a different electronic health record (EHR) than the receiving hospital. Which process allows interoperability of the health information exchange (HIE) between the two hospital systems?

The staff at the trauma hospital will obtain the patient's Consolidated-Clinical Document Architecture (C-CDA) via the EHR by the transferring hospital.

What is included in meaningful use stage 3?

The use of electronic prescribing

What is the focus of cognitive science in nursing informatics?

To explore the nature of knowledge and its components, development, and use

What is the mission of the Health Level Seven (HL7) organization?

To provide a comprehensive framework and related standards for the exchange, integration, sharing, and retrieval of electronic healthcare information

Usability is a subset of human-computer interaction (HCI) and one of its major components. Which topics should the informatics nurse include when discussing usability?

Using an application Learning to use a system User satisfaction Error free/error forgiving interactions

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

Benchmarking

The primary database used for searching nursing literature is

CINAHL

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

CIS

The informatics nurse is updating the policy about breaches. For which reason do most breaches of confidentiality occur?

Carelessness

One criterion for eligibility for meaningful use requires the adoption and use of EHRs that have been certified. Which of the following statements best describes the certification process?

Certification provides the assurance that the EHRs has the technical capacity, functionality, and security to meet the meaningful use criteria.

Which informatics competency supports the adoption of a medication administration system?

Change management

___ is the processing of data collected during the course of study to identify trends and patterns of relationships.

Data analysis

An electronic version of the client data found in the traditional paper medical record is the

EMR

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

Implementation phase

What's included in MU stage 3?

Improved outcomes

A multisystem healthcare organization is planning to change the clinical information system. Which professional should be a participant in the planning of this change?

Informatics Nurse

The ___ is a nurse who has received educational preparation to conduct informatics research and generate informatics theory and who has a broad vision of what can be attained using information technology.

Informatics innovator

What role does information technology have in the Magnet journey?

Information systems support the process by providing aggregate data related to quality improvement

The manager plans to hire a new nurse who has just graduated from nursing school. Which informatics activity should this nurse be able to perform?

Input vital signs and intake and output data in the electronic medical record

An order entry system can do all of the following except

Integrate results of data collected at the bedside

A computer program that tells two different systems how to exchange data is called

Interface

What are two quality reporting characteristics informatics nurses practice?

Managing data, information, and knowledge Developing tools and methods

Which of the following statements best reflects acceptance of the International Classification for Nursing Practice as a standard for nursing terminology?

Present nursing classification systems map it to a very high degree

The ARRA

Provides funds for HIT

Which MIPS category replaces the reporting program that assesses care provided to medicare pts to ensure pts get the right care at the right time?

Quality

Which of the following actions on the part of the informatics nurse best exemplifies strengthening the MU of EHRs?

Review of information systems to ensure that MU fields can't be bypassed and educating end users on the need to collect data needed for MU even they may not view it as relevant to the client's presenting symptoms

The informatics nurse reviews the implementation plan for the new health information system. When should the nurse expect the strategic planning process to end?

Review of lessons learned

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

Strategic planning

What is an output of systems analysis?

Technical requirements

The strategic planning committee is developing the project plan for the implementation of a health information system. For which reason is a timeline developed?

The completion of all tasks

Successful EHR

The customer's needs were met

What is used to evaluate a health information system (HIS)?

The electronic medical record adoption model

Who determines the project implementation strategy?

The implementation committee

Goals of information systems strategic planning

To support business and clinical decisions To enhance the organization's image To make effective use of emerging technologies

An advantage to using super users for system training is

They have specialized knowledge of both the system and clinical areas

What's a goal of HIE?

To allow insurance companies and providers to be able to share data

All of the following are examples of goals of information systems strategic planning except

To limit the need for other technologies

The leadership team is reviewing the proposal for equipment to support connected health. Which should be used a guide when determining technical and infrastructure requirements?

Type of services and equipment to be used

Telehealth vs Telemedicine

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

Which two practice environments employ informatics nurses?

A medical device manufacturer A clinical systems vendor

The leadership team of a multisystem healthcare organization are analyzing potential clinical documentation systems. Which demands should the team keep in mind when selecting the system?

Adopting new models of care Eliminating disparities in care Evolving roles for practitioners Ensuring quality, safety, transparency

An order entry system

Alerts all departments to carry out physician orders Provides the current status of each order Checks for duplicate orders

The nurse desires to become more involved with the clinical information system and asks the informatics nurse for direction. Which skills should the informatics nurse identify as important?

Change management Time management Problem solving Communication

An end-of-shift report is given at the nurses' station desk, but it is not completed right away due to competing priorities of answering the telephone, limited access to desktop workstations, addressing patient situations, etc. Which action can a nurse suggest to initiate change?

Complete a time study report comparing logging data at a stationary desk versus using a workstation on wheels (WOW)

Computer resistance by nurses is often the result of which of the following?

Computer anxiety, limited computer skills, poor communication on the part of administration to consult nurses during the change process

The nurse accesses the computer software to locate information about laboratory studies completed and the nurse's notes during the last hospitalization. Which type of system is the nurse accessing?

EHRS includes software to manage: a data repository (the EHR database), practitioner order entry (POE)-also known as computerized practitioner order entry (CPOE)-clinical decision support (CDS), and practitioner documentation

The informatics nurse suggests a clinical information system with computerized provider order entry (CPOE). Which is an advantage of having a CPOE?

Each department is notified simultaneously as orders are processed through the system

The informatics nurse is preparing a presentation for healthcare providers on the benefits of an electronic health record (EHR). Which information should be included?

Faster chart access Improved eligibility for reimbursement Easier access to previous documented encounters Reduced liabilities through accurate documentation

The informatics nurse is on a committee that is considering connected health as a tool to improve the quality of healthcare and save money. In which way will this care delivery approach save money for a healthcare organization?

Follow-up care is more convenient Access to care improves Clients may be treated in their own community Quality of care improves

A standard for the exchange of clinical data between information systems by means of an extensive set of rules that apply to all data sent is the

HL7

The informatics nurse is working with a group of family practice healthcare providers on achieving meaningful use with an electronic health record system (EHRS). Which of the following should the nurse emphasize as outcomes of using the system?

Improving efficacy Decreasing spending Improving the quality of care

Evidence based guidelines are used daily. What's one area of EMR in which evidence based guidelines are found?

In standing physician orders for a sepsis diagnosis

Information and data privacy

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

What can healthcare staff do to keep patient information that has been accessed with a mobile device protected?

Install device updates when available

The informatics nurse is assisting a large physician practice with obtaining health information on patients who reside in different states. Which would enhance the nurse's ability to obtain this information?

Interoperability

What is a major benefit of nursing informatics?

It improves communication among the healthcare team to improve patient outcomes.

What is a gap analysis in the electronic health record (EHR) process?

It is a list of features and functions desired but not immediately available in the new system as identified.

The informatics nurse is preparing a teaching tool about the different types of electronic communication. Which of the following should the nurse use to describe the electronic medical record (EMR)?

Legal record created in a practitioner's office

What are three types of networks or information exchanges?

Local area network (LAN), internet, and wide area network (WAN)

A provider electronically orders blood work at a laboratory. The provider must ensure the local lab system can properly communicate with the provider's system for the results to be usable. Which is the correct term that would be found in these systems?

Logical observation identifiers names and codes (LOINC)

What are two items that exempt eligible clinicians from a merit-based incentive payment system (MIPS)?

Low-threshold provider who bills Medicare less than $90,000 yearly Two hundred or fewer Medicare patients seen annually

A healthcare organization is reviewing the health information exchange being considered. Which is a prerequisite for the HIE organizing infrastructure?

Master person index Record locator service Methods of authentication Authorization for users

The nurse notes that a patient's blood pressure has been trending lower since admission. Which intervention demonstrates the nurse using information to guide nursing care?

Measuring I&O Monitoring for blood in the stool Monitoring for blood in the urine

Data security, accuracy, and integrity management are vital aspects of the informatics nurse role. How does an informatics nurse institute manual and automated procedures to manage data security, accuracy, and integrity?

Monitors patterns and exceptions

Which two tools are used to change a clinical workflow?

Observation Swim lane charts

The informatics nurse is reviewing health information systems. Which clinical system function allows the nurse to provide more efficient patient care?

Order entry

Which measure is included in the vital signs section, in addition to temperature, blood pressure, respiration, and heart rate?

Pain scale

The hospital finance department is reviewing the revenue generated during the last quarter. In which way did the implementation of value-based reimbursement impact this income?

Procedures that impact patient outcomes are prescribed

An organization uses SNOMED CT within the electronic health record. Which is a benefit of this system?

Provides interoperable data collection that can be analyzed and used for evidence-based practice models Provides interoperable data collection that can be analyzed and used for decision-support rules Provides interoperable data collection that can be analyzed and used in reporting quality measures Provides interoperable data collection that can be analyzed and used for administrative billing

Duplicate orders cause quality issues in patient care. What helps to resolve this problem?

Providing training and reminders

What describes an administrative safeguard of electronic protected health information (ePHI)?

Restricting access of all authorized users of the EHR according to their position within the healthcare system

The Health Insurance Portability and Accountability Act (HIPAA) requires organizations to determine threats and appropriate protective measures for information, not only in electronic formats, but in all formats. Which measure is least likely to be incorporated by an organization to secure all data?

Spyware

The informatics nurse is focusing on the analysis of big data. What would be an expected outcome of this analysis?

Support Decisions Recommended Actions Forecast the likelihood of an event

Which mobile device feature may reside on a device indefinitely?

Text messages

Which of the following best typifies the role of the Informatics Nurse Specialist in relationship to legislation?

The INS needs to be aware of the implications of legislation for HIT design and use and to appropriately educate users.

What's 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.

Maintenance of an. information system includes

Updating security protections Performing file backup procedures Problem solving and debugging

Synchronous connected health

Videoconferencing

What are the five rights of clinical decision support?

the right information, to the right person, in the right intervention format, through the right channel, at the right time in workflow.

During the course of client care, a client reports having an abortion but no one else in the family knows. Which term best describes this situation?

Confidentiality

A healthcare organization is implementing an electronic health record that uses SNOMED. Which should the informatics nurse explain about the relationship of this taxonomy with the American Nurses Association (ANA)?

Contains ANA recognized taxonomies

The clinical information system committee is finalizing health-information standards to safeguard collected data. Which categories of standards need to be addressed by this committee?

Content Transport Vocabulary Privacy/Security

The team is planning the implementation of a clinical information system. Which are recommended for developing system procedures and documentation?

Create backup procedures to be used in the event that the system is not running, either because of scheduled maintenance or unforeseen circumstances Develop a data dictionary containing system terms and terms for mapping from one system to another Create separate documentation that includes the downtime procedures and manual requisition forms and locate in an easily identifiable and accessible location

The informatics nurse is highlighting how the health information system supports knowledge. Which standardized nomenclature is an example of textual knowledge for concepts in nursing?

NIC

The nurse manager is reviewing data on patient falls collected over the last month. Where should the manager look to compare the number of falls with other similar organizations?

National database of nursing quality indicators

___ is a combination of hardware and software that forms a barrier between systems or different parts of a single system to protect those from unauthorized access.

Physical security

Which phase of implementation uses small groups of individuals to evaluate potential issues that may occur when making a new systems transition?

Pilot phase/trial

The leadership team is working with the information technology department in the planning of a new computerized information system. Which steps need to be done to ensure the system has the best possible amount of security?

Prepare a security policy Draft a well-crafted security plan Ensure an adequate number of staff members for support Thoroughly assess assets, risk, and necessary resources

A group of information technologists are analyzing how the use of standard terminologies has been scientifically investigated for its effectiveness and impact on patient care. The use of standard terminologies can facilitate which of the following?

Evidence-based practice and decision-support rules

A community hospital is considering implementing an electronic health record (EHR). Which is considered an impediment to the development and implementation of this electronic communication?

Cost Confidentiality Lack of a common vocabulary Development of an electronic infrastructure

Which two care settings would benefit the most from employing a nurse informaticist?

A correctional facility with a clinic A healthcare organization planning a physical expansion

The Patient Protection and Affordable Care Act

Guarantees access to healthcare for all Americans Creates new incentives to change clinical practice and improve quality of care Gives practitioners more information to improve practice Give patients more information to make conscious decisions

A group of healthcare providers are moving into new office space and are reviewing different types of electronic health records. Which legislation should the group review to ensure compliance with meaningful use?

HITECH The Health Information Technology for Economic and Clinical Health (HITECH) Act is a provision of the ARRA, which aimed to ensure that healthcare organizations were not only adopting EHRs but also validating their implementation by showing meaningful use

Nurses use electronic automation to communicate, document, and make decisions about improving the quality of patient care. Which system, organization, or regulation seeks to improve patient care through investments in electronic automation?

Health Information Technology for Economic and Clinical Health Act (HITECH)

The leadership team of a multisystem healthcare organization is strategizing ways to create a culture that values informatics. On which foundational skills should the team focus?

Health Literacy Computer Literacy Information Literacy

What's important for an nurse informaticist to know about change control?

Helps prioritize limited resources and ensures system standards are upheld

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

Lack of reimbursement Privacy and confidentiality concerns Licensure and liability issues

A group of tasks related to the analysis of hardware requirements must be addressed during the implementation phase. Which are considered specific tasks for the implementation team to address?

Network infrastructure analysis Review of workstation types Printer decisions Hardware location requirements

Potential barriers to PHR

No or poor internet access, poorly designed applications, limited clinical integration

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

e-learning