nursing

11. What is the American Nurses Association (ANA) goal of Nursing Informatics?

According to the ANA the goal of nursing infomatics is to improve health of populations, communities, families and individuals by optimizing information management and communication.

31. Understand why a medical insurance company could receive personal health information about a patient, for what purpose?

As a nurse it is important to reassure a patient about the security of their personal health care information. An insurance company can receive personal health information about a patient when it is related to treatment and payment for the treatment they received.

35. Know the benefit of a national health information technology infrastructure for the public, and for nurses.

Chronic diseases are of major concern to the United States, not only because of the impact they have on individuals, but also because of the tremendous cost associated with providing treatment for patients with these conditions. Adult-onset diabetes, for example, has reached epidemic proportions. A national health information technology infrastructure will help providers better identify those patients who are at risk for developing this disease and provide treatment strategies to avoid it and other diseases and chronic conditions. The electronic health record will likely provide the ability to make more efficient and timely nursing care decisions for patients.

6. What is data analysis?

Data analysis is the process by which data collected during the course of a study And is processed to identify trends and patterns of relationships.

8. What is demographic data in the electronic health record?

Demographic data in the EHR could consist of examples of the following: date of Birth, age, religious preference, educational level, gender, etc

26. How are EHRs certified and by whom?

EHRs are certified by the Drummond Group or the Certification Commission for Healthcare Information Technology and must meet multiple criteria. Certification means the EHR meets the minimum qualifications for meaningful use. A certified EHR means that an EHR meets the minimum qualifications for meaningful use. Certification for an EHR Developed by the National Institute of Standards and Technology (NIST) and endorsed by the Office of the National Coordinator for Health Information Technology for EHRs . There are 45 certification criteria ranging from the: - basic ability to record patient demographics, document vital signs, and maintain an up-to-date problem list to more complex functions, such as electronic exchange of clinical information and patient summary records plus additional certification criteria.

Know what data base would be appropriate for a literature search for a particular topic.

Examples: Medline, or CINHAL data base for Nursing Example: Psych Info data base for Psychiatric mental health

30. Know and understand the purpose of HIPAA privacy requirement.

HIPAA was enacted by the federal government for several purposes, including: better portability of health insurance as a worker moved from one job to another, deterrence of fraud, abuse, and waste within the healthcare delivery system, simplification of the administrative functions associated with the delivery of health care, such as reimbursement claims sent to Medicare and Medicaid.

29. Who does HIPAA protect?

HIPPA was enacted by the federal government for several purposes including better portability of health insurance as a worker moves from one job to another, deterrence of fraud, abuse and waste within the healthcare delivery system, and simplification of the administrative functions associated with the delivery of claims. It protects physicians and nurses, curtail healthcare fraud and abuse, enforce standards for health information, guarantee the security and privacy of health information, assure health insurance portability for employed persons. The HIPAA privacy requirements, which went into effect on April 14, 2003, limited the release of protected health information without the patient's knowledge and consent.

27. Know what the acronym HIPAA stands for

Health Insurance Portability and Accountability Act

Define information literacy and how it is accomplished

Information literacy: Intellectual framework for finding, understanding, evaluating, and using information activities that may be accomplished in part through fluency with information technology, Sound investigative methods, Critical reasoning and discernment. Determine the extent of information needed, Access the needed information effectively and efficiently, Evaluate information and its sources critically, Incorporate selected information into one's knowledge base, Use information effectively to accomplish a specific purpose, Understand the economic, legal, and social issues surrounding the use of information and access and use information ethically and legally

34. Define meaningful use.

Meaningful use criteria focus on data capture and sharing

20. Who was offered monetary incentives to implement Electronic Health Records (EHR)? Who can receive monetary incentives to initiate an EHR?

Monetary incentives are available to those who implement EHR systems that meet specified standards. Clinicians and facilities can receive monetary incentives.

15. Know some key responsibilities of an Informatics Nurse Specialist

NI is a nursing specialty that does not focus on direct patient care, but instead focuses on enhancing patient care and safety and improving the workflow and work processes of nurses and other healthcare workers The Informatics Nurse Specialist (INS) participates in informatics organizations that allow INSs to network and share experiences with each other This allows them to bring these new solutions back to their respective organizations and improve informatics issues

17. Know the educational opportunities available for the Informatics Nurse Specialist (INS)

Nurses who choose to specialize in nursing informatics have two certifications available to them: The first is through the American Nurses Credentialing Center (ANCC). The ANCC exam is specific for the informatics nurse. The applicant must be a licensed registered nurse (RN) with at least 2 years of recent experience and have a baccalaureate degree in nursing (BS/BSN). The applicant must have completed 30 contact hours of continuing education in informatics, and a certain number of hours practicing as an informatics nurse, or enrolled in a program toward an NI degree. The second certification exam is sponsored by Healthcare Information and Management Systems Society (HIMSS). Candidates who successfully pass this exam will carry the designation of certified professional in healthcare information and management systems

16. What different skills does the Informatics Nurse Specialist (INS) use?

Nursing informatics is an emerging nursing specialty that combines nursing science, information science, and computer science Informatics practices support nurses to effectively and safely care for their patients as the information that they need is made more readily available

18. How does Nursing Informatics help nurses to more safely care for their patients?

Nursing informatics is an established an ever evolving profession that began when comuters were introduced into healthcare. NI contributes to Healthcare Informatics. Nursing informatics is important to nursing and healthcare as it focuses on representing nursing data, information and knowledge.

36. Understand why the use of personal devices are forbidden in the work place

One of the main reasons why personal devices are forbidden in the workplace is because they can present a security risk.

How do you know if a web page is reliable, and creditable and up to date?

One should never blindly trust information found on a webpage. When possible, check: Date of the most recent update, Contact information (Is a bibliography or list of sources provided?), Links to external sources (Do they seem relevant?), Previous attained knowledge from other reputable sources

25. Know what it means when the Drummond Group and the Certification Commission for Healthcare Information Technology certifies an electronic health record (EHR)

Providers and hospitals must use a certified EHR that meets a set of standard functional definitions to be eligible for the increased reimbursement incentive. Use of the EHR providesiIncreased reimbursement rates from the Centers for Medicare and Medicaid (CMS) Department of Health and Human Services (DHHS) has granted two organizations the authority to accredit EHRs: 1-The Drummond Group and the 2-Certification Commission for Healthcare Information Technology

What methods are used to collect qualitative data?

Qualitative data focuses on experience and meaning. Goal is to describe a situation or look for more robust relationships such as correlations and specific variable contributions to an outcome. The Researcher may be able to make inferences to a population beyond the sample as long as the sample was representative of the population. Qualitative data can include nearly any information that can be captured and is not numerical. Major types of qualitative data include in-depth interviews, direct observation, and written documents.

What methods are used to collect quantitative data?

Quantitative data collection tools or instruments include questionnaires, interviews, surveys, quizzes, assessments, email interviews, and Web-based surveys and often generates numerical data. Nurses may generate and record data from their own observations or with the assistance of various devices. Quantitative data focuses on numbers and frequencies.

Understand the best way to "surf the web" for information

Search engines allow users to surf the Web and find information on nearly anything.

22. What types patient data is included in the electronic health record (EHR). What are some items pertaining to a patient found in the EHR, the type of patient data in an EHR?

Some items pertaining to a patient found in the EHR, the type of patient data in an EHR Demographics, medical and nursing diagnoses, medication lists, allergies, test results

14. Know the different roles and positions of the Informatics Nurse Specialist (INS)

Some of the different roles the INS can engage in could include: Project Manager, Consultant, Educator, Researcher, Product Developer, Decision Support/Outcomes Manager, Advocate/Policy Developer, Clinical Analyst/System Specialist, Entrepreneur The roles that the Informatics Nurse Specialist (INS) may engage in are numerous. One position that nurses do quite well in is the role of the project manager, which is a result of their ability to manage multiple complex situations at one time; planning and implementing and informatics project.

10. What are the concerns with the participants when a nurse is doing an internet based data collection?

Some potential issues associated with internet-based data collection can include the following: Knowing whether participants are who they say they are, Knowing whether participants have the variable of interest or are instead pretending to be someone or something they are not.

24. Know advantages of the electronic health record (EHR)

The EHR supports home telehealth monitoring, improved communications, improved medication administration safety. Increased delivery of guidelines based care Enhanced capacity to perform surveillance and monitoring for disease conditions Reduction in medication errors Decreased use of unnecessary care Reduction in duplication of laboratory and diagnostic testing Decrease in medical record expenses when going paperless Decrease in adverse drug reactions No longer having to interpret poor handwriting and hand written ordersBetter communication among staff especially during patient transfers. An EHR is a data warehouse or repository of information regarding the health status of a client, replacing the former paper-based medical record. An EHR is the systematic documentation of a client's health status and healthcare in a secured digital format. Information is processed, stored, transmitted and accessed by authorized interdisciplinary professionals. The information can be accessed for the purpose of supporting efficient, high quality healthcare across the client's healthcare continuum Some disadvantages to the EHR could include potential confidentiality issues and privacy issues, potential for lack of human contact from the provider.

12. Knowledge work specifically entails a specific amount of what kind of activity?

The Foundation of Knowledge model suggests that the most important aspect of information discovery, retrieval, and delivery is the ability to acquire, process, generate, and disseminate knowledge in ways that help those managing the knowledge reevaluate and rethink the way they understand and use what they know and have learned. Knowledge work specifically entails a specific amount cognitive ability.

32. Understand the purpose of the HITECH act of 2009

The Office of the National Coordinator for Health Information Technology (ONC) is headed by the National Coordinator, who is responsible for overseeing the development of a nationwide Health Information technology (HIT) infrastructure that supports the use and exchange of information in order to: improve health care quality, reduce the cost of health care, improve people's health by promoting prevention, early detection and management of chronic diseases, protect public health by early detection and rapid response to infectious diseases, bioterrorism, and other situations, facilitate clinical research,reduce health disparities/errors, better secure patient health information. The Hi TECH Act Improved privacy and security of patient health information by applying the requirements of HIPAA directly to the business associates of covered entities and strengthens the enforcement of HIPAA. HITECH Act and the HIPAA Privacy and Security Rules are intended to enhance the rights of individuals.

23. Know and understand what the decision support system is in the electronic health record (EHR)

The decision support system is an essential componenet of the EHR. Decision support systems are computer applications designed to facilitate human decision making process. Usually decision support systems (DSS) are rule based, using a specified knowledge base and a set of rules to analyze data and information and provide recommendations to users . An example would be if a physician ordered a test that had already been completed, the MD would receive an alert that this test had already been done, avoiding duplication of services.

19. Health Information Technology (HIT) supports the use and exchange of information for what purposes?

The goals and purposes of HIT infrastructure is to support the use and exchange of information in order to improve health care quality, improve people's health by promoting prevention, early detection and management of chronic diseases, protect public health by fostering early detection and rapid response to infectious diease, bioterrorism and other situations. Communication of the goals of the nationwide HIT infrastructure. HIT infrastructure can also support the use and exchange of information in order to facilitate clinical research and reduce health disparities.

21. What is the intent and purpose of HIPAA?

The intent of HIPAA was to curtail healthcare fraud and abuse and enforce standards for health information, guarantee the security and privacy of health information, assure health insurance portability for employed persons.

28. Name the main intents of HIPAA

The main intents of HIPPA was to curtail health fraud and abuse and enforce stardards for health information, guarantee the security and privacy of health information and assure health insurance portability for employed persons. Patient privacy is a pivotal issue to determining how far and how easy it will be to share data across healthcare organizations. For health information exchanges to reach their full potential the public must be able to trust that their privacy will be protected, or else risk that patients may not share a full medical history or worse yet may not seek care, effectively making the exchange useless

13. What is the skill and Informatics Nurse Specialist (INS) ideally engage in?

The roles that the Informatics Nurse Specialist (INS) may engage in are numerous. One position that nurses do quite well in is the role of the project manager, which is a result of their ability to manage multiple complex situations at one time; planning and implementing and informatics project.

9. What are the concerns with manual data entry as compared to computerized data entry?

When a human is entering data as compared to data being entered by the computer generating into the system, there is more risk for errors and mistakes with human manual entry of the data.

33. When a nurse documents in an electronic health record (EHR) about a patient, why is this considered "meaningful use"?

When a nurse in documenting in and EHR this is considered meaningful use because the nurse is communicating patient information to help coordinate care.