Chapters 10 & 11
An integrated CIS/EHR system supports administrative clinical analytics functions, such as:
Both staffing and acuity data and outcomes measures
The term workflow describes:
Both the action or execution of a series of tasks in a prescribed sequence, and a progression of steps (tasks, events, interactions) that comprise a lot more persons, and create or add value to the organization's activities
A change management plan developed for implementing an EHR includes all of the following, except:
Disciplinary measures for addressing resistance by professionals
The first step in implementing an EHR into an organization is the vendor selection process. The other factor included in the first step is:
Documenting the desired functions of the EHR
Which statement is false?
EBP takes away from the critical-thinking skills used by health care professionals
It is no longer necessary for the informatics specialist to use a theoretical framework to support his/her plan for change.
FALSE
Most EHR benefits studies are hypothesis-testing studies.
FALSE
Most workflow redesign efforts focus on large changes, resulting in widespread change that accompanies transformational activities.
FALSE
Strong health care data through cloud computing would allow for expandability and increased security.
FALSE
The factor that prevents many health care organizations from adopting meaningful use technology is:
Increasing cost
Patient data in an electronic health record (EHR) includes demographics, medical and nursing diagnoses, and:
Medication lists, allergies, and test results
Workflows that are poorly designed and implemented have the potential for:
Non-value added steps
The universal denominator in the development of EHRs is:
Patient safety
The universal denominator of the eight essential components of an EHR as defined by the Institute of Medicine (IOM) is:
Patient safety
What is the visual depiction of workflow analysis?
Process map
An EHR decision support system consists of:
Reminders and alerts to improve patient diagnosis, screening for drug selection, dosing, and interactions, and preventative health reminders
What is a non-value added activity?
Steps in a process that are necessary for regulatory or compliance reasons, but do not bring the process closer to completion or do not change the process
A clinical information system (CIS) is a technology-based system that is applied at the point of care and is designed to support the acquisition and processing of information providing storage and processing capabilities.
TRUE
A critical aspect of the informatics role is workflow design. Health informatics is uniquely positioned to engage in the analysis and redesign of processing technology.
TRUE
An advantage of an EHR is not having to interpret poor handwriting.
TRUE
Clinical transformation is the complete alteration of the clinical environment and, therefore, this term should be used cautiously to describe redesign efforts.
TRUE
Examining workflow surrounding the use of technology enables better use of the technology and more efficient work.
TRUE
Health care professionals must be involved in "meaningful" data collection and reporting.
TRUE
HealthIT.gov emphasizes that EHRs hold the promise of transforming health care by improving all aspects of patient safety and promoting patient safety.
TRUE
One of the most important tools to reduce medication errors is the use of electronic records and information systems to provide point-of-care decisions.
TRUE
Optimization is the process of moving conditions past their current state and into a more efficient and effective method of performing tasks.
TRUE
Patient notification of drug recalls is also a benefit of an EHR.
TRUE
Technology ought not to be implemented for the sake of automation unless it promises to deliver gains in patient outcomes and proper workflow.
TRUE
The American Recovery and Reinvestment Act of 2009 was implemented to encourage health care organizations to adopt the meaningful use of the electronic health record.
TRUE
The EHR may be used to identify patients who qualify for research studies.
TRUE
The term workflow is sometimes used interchangeably with process or process flows, particularly in the context of implementations.
TRUE
To manage change in an organization, health care professionals must modify behavior to produce the intended outcome.
TRUE
Under ARRA, there is now an explicit requirement for providers and hospitals to use a certified EHR that meets a set of standard functional definitions in order to meet reimbursement incentives.
TRUE
Workflow analysis can be conducted as a stand-alone effort. When the process is addressed alone, the effort is termed process improvement.
TRUE
Workflows integrating provide the health care professional with the data necessary to make informed decisions.
TRUE
The future of the electronic health record and interoperability has the potential to improve patient satisfaction because:
There is no medical guessing of prior treatments
