Informatics 3/28
What year was the Diffusion of Innovation Theory published?
1962- evrett rogers Diffusion of Innovation Theory
Chaos Theory Who Came up with this and when
1963 Edward Lawerence
The ANA published the first nursing Informatics: Scope and Standards of Practice in A. 1992 B. 1994 C. 1995 D. 1996
1995
During which year did eligible providers (EPs) who are meaningful users officially begin to receive EHR incentive payments? 2009 2011 2017
2011
How many stages did Kurt Lewin talk about? And what were they?
3 1. Unfreezing 2. Moving 3. Refreezing
The new nurse understands that an organization s strategy for maintaining service or product delivery in the face of disaster is called the A. Business continuity plan B. Controlling C. Debugging D. Systems life cycle
A. Business continuity plan
1. Which of the following would a nurse identify as a positive aspect of online support groups? A. Diversity of viewpoints B. The quality of information provided C. Restrictions in group membership D. Quick response return
A. Diversity of viewpoints
A nurse is reviewing the role of health information technology in client care with a newly licensed nurse. Which of the following information should the nurse include? SATA A. Facilitates care coordination B. Improves practice efficiencies C. Is capable of being overridden by a nurse D. Improves clinical outcomes E. Increases human error
A. Facilitates care coordination B. Improves practice efficiencies C. Is capable of being overridden by a nurse D. Improves clinical outcomes
What are some barriers to the personal health record (PHR)? (Select all that apply) A. Provider reluctance and responsibility B. There is no need for a unique patient identifier C. Data privacy and security D. Lack of data standardization and presentation E. Financing/Cost
A. Provider reluctance and responsibility C. Data privacy and security D. Lack of data standardization and presentation E. Financing/Cost
1. The nurse tells the nursing students that the electronic medical record (EMR) is a(n) A. The electronic version of the traditional record B. Complicated way to document patient information C. Record owned by the patient D. None of the above
A. The electronic version of the traditional record
A nurse is reinforcing teaching to a client who has low health literacy. Which of the following actions should the nurse take? SATA A. Use teach-back method B. Encourage questions C. Speak slowly D. Use medical terminology E. Provide written materials
A. Use teach-back method B. Encourage questions C. Speak slowly
Governmental organizations that publish credible health related information which registered nurses can utilize include all of the following except: A. National Institute of Health B. American Nurses Association C. Centers for Disease Control and Prevention D. Centers for Medicare and Medicaid Services
B. American Nurses Association
A nurse is working in a practice and is trying to get the best research evidence for hospital acquired infections to better manage pt care. What database should the nurse use? A. CINAHL B. Cochrane library C. Pubmed D. PsycInfo
B. Cochrane library: it contains systematic review.
What is dataferrett?
Browser designed by the federal gov't where you can get credible information usually from federal agencys.
1. The nursing student wants to know what is owned and managed by the institution or agency that created them, what should the nurse reply? A. The personal health record (PHR) B. The electronic health record (EHR) C. The electronic medical record (EMR) D. The personal medical record (PMR)
C. The electronic medical record (EMR)
What is the most common nursing database?
CINAHL
1. The nurse is explaining project management to the nurse student. The nursing student shows an understanding of project management when she states that it involves A. Initiating B. Planning C. Executing D. All of the above
D. all of the above
Nursing Informatics Theories: change theories. What did Rogers talk about?
Diffusion of Innovation Theory
What is the education preparation for nursing informatics specialists?
Either a masters or doctoral level degree or a post masters or post doctoral degree.
How often must providers and hospitals demonstrate meaningful use?
Every year
True or False: Only the system's executive stakeholders need to be involved in the initiating phase of an EHR implementation project.
False
Which type of funds are distributed through Medicare and Medicaid incentive payments to eligible professionals (EPs) and hospitals who are 'meaningful EHR users'? Federal funds
Federal funds
How has the federal government attempted to support health care providers with compliance requirements associated with the adoption of electronic health records (EHRs)? Financial incentives Extended implementation deadlines, suspension of noncompliance fines technical support systems
Financial incentives
In an EHR implementation project, stakeholders can include which of the following roles? (Select all that apply.) Healthcare agency executives, Financial personnel, Nursing clinicians, System users, Patients, general public
Healthcare agency executives, Financial personnel, Nursing clinicians, System users, Patients
Which of the following are crucial considerations for EHR implementation? (Select all that apply.) Investment costs, Stakeholder engagement, User training, public relations
Investment costs, Stakeholder engagement, User training
1. The nurse explains that the weakness of paper records include A. No waiting at computers terminal B. Transportable C. No down time D. Legibility issues
Legibility issues
What term is used to identify requirements associated with the implementation of electronic health records (EHRs) that are designed to improve the delivery of health care?
Meaningful use
Which of the following are benefits of meaningful use for a patient? (Select all that apply.) Patients can personally engage in their health care, Privacy and security of health information, Imparting diverse research data on health systems and interoperability with multiple different systems
Patients can personally engage in their health care, Privacy and security of health information
During an EHR implementation project, a lack of which of the following in particular can discourage trust and confidence among users and team members?
Planning
Which of the following actions would best support a successful EHR implementation? (Select all that apply.) Schedule additional staff to reduce patient loads, Engage staff actively with the system, Create a contingency plan for potential rollback, drawing attention away from the event is not recommended, Encouraging new users to address bugs in the system
Schedule additional staff to reduce patient loads, Engage staff actively with the system, Create a contingency plan for potential rollback
What is an online diagnoser?
Someone who searches online and starts making diagnoses without consulting pcp
Certified Electronic Health Record Technology (CEHRT) use for continuous quality improvement was implemented in which stage of EHR incentive program? Stage 1 Stage II Stage III
Stage II
In terms of EHR implementation, a provider with concerns around how the new system will change patient care services, an administrative employee with questions around how it will impact their job duties, and a patient wanting to know how they might access their electronic records are all examples of which of the following?
Stakeholder interests
What is a cyberchondriac
a person who compulsively searches the Internet for information on real or imagined symptoms of illness.
1. A nurse is reading an article about the advantages of online support groups. Which information would the nurse expect to find? Select all that apply a. The groups are highly diverse in their perspectives b. Anonymity allows for the discussion of sensitive issues. c. Messages can be carefully thought out before they are posted d. Most interactions occur synchronously. e. Membership is not restricted by time or geography.
a. The groups are highly diverse in their perspectives b. Anonymity allows for the discussion of sensitive issues. c. Messages can be carefully thought out before they are posted e. Membership is not restricted by time or geography.
Where you can get information on research that has to do with quality access cost and information technology.
agency for healthcare research and quality (HHRQ)
What are the principles of the chaos theory?
anytime you introduce smth there will be chaos but eventually things will settle down.
1. When describing an electronic health record, which characteristic makes the software a true electronic health record? a. Information included in the record b. Ability to interface with outside agencies c. Access to information by clients d. Healthcare information owned by the agency
b. Ability to interface with outside agencies
The nursing professor tells her students that which website focuses on research on quality, access, cost, and information technology? a. DataFerrett b. Agency for Healthcare Research and Quality (AHRQ) c. World Health Organization Data d. Centers for Medicare and Medicaid Services
b. Agency for Healthcare Research and Quality (AHRQ)
1. Which conversion is occurring when an agency plans to implement a new system throughout the entire agency at the same time? a. Pilot conversion b. Big- bang conversion c. Parallel conversion d. Phased conversion
b. Big- bang conversion
1. Which of the following is useful in reviewing microdata from federal government agencies? a. National Institute of Health b. DataFerrett c. Centers for Medicate and Medicaid Services d. World Health Organization Data
b. DataFerrett
A group of nurses are creating a database. Which step would the nurses need to do first? a. Determine the data to be collected b. Identify the question needing an answer c. Develop a purpose for the database d. Identify the pieces of data to enter
b. Identify the question needing an answer
1. In Roger's Diffusion of Innovation Theory, there are five stages of individual change. Which stage is first? A. Knowledge B. Persuasion C. Decision D. Implementation E. confirmation
b. Knowledge
1. An electronic medical record is best described as a: a. Complete record of a client's healthcare information b. Record of a client's stay in an agency such as a hospital c. Record that is accessible by outside agencies. d. Record that allows clients to enter data
b. Record of a client's stay in an agency such as a hospital
1. Which statement best describes cyberchondria? a. It is characterized as a personality disorder. b. It reflects individuals who search online for health information c. It involves anxiety-related to repeated and excessive online searches. d. It is typical of most consumers who search for health information
c. It involves anxiety-related to repeated and excessive online searches.
How can you enhance knowledge according to Rogers?
education, advertisement.
In the third step before an EHR go-live event, all staff must be actively __________ with the new systems.
engaged
Testing for networking and connectivity issues in hardware, software, and user interfaces occurs as a last step before a go-live event.
false
True or false: As a nurse, you will not be considered a stakeholder in your agency's EHR.
false
True or false: Failed rollouts of new EHR systems are rare.
false
True or false: In Phase 1 of preparing for the go-live event of an EHR, the target date should be determined after all necessary training and procedural changes have taken place.
false
Kurt Lewin Theory
father of social change theory
Which of the following best describes a recommended pace for a rollout of a new EHR?
gradual
What is the difference btwn health literacy and health numeracy?
health literacy is the ability to process and understand health information health numeracy has to do with the ability to interpret all number related information.
which of the following factors limits the usefullness of electronic health care information for consumers
lack of regulation of online health resources
what is the importance of utilizing support groups
these are people who have similar experiances , this provides emotional and psychological support to all the people who are expressing similar issues
1. The HER is a transportable subset of the EMR designed for use in healthcare organizations and physician practices and other providers. True False
true
True or false: EPs who can participate in either the Medicare or Medicaid EHR incentive programs will be subject to the payment adjustments, unless they are meaningful users under one of the EHR incentive programs.
true
True or false: Health care providers who receive payments from CMS for their services are required to participate in Quality Payment Program (QPP) and are held accountable for quality patient outcomes.
true
True or false: Hospitals and eligible professionals are required to use EHR technology to receive payments from Medicaid and Medicare.
true
True or false: On Feb. 17, 2009, President Obama signed the American Recovery and Reinvestment Act of 2009 (Recovery Act or ARRA), a critical measure to stimulate the economy.
true
True or false: Providers must attest to demonstrating meaningful use every year to receive an incentive and avoid a Medicare payment adjustment.
true
true or false, according to Rogers progression through the stages is NOT uniform
true