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