Nursing Informatics Test 2 Chapters 7-13

How is strategic planning different than operational planning?

Operational planning is generally short term, focuses on annual cycles, and requires the development of yearly objectives, tasks, and plans.

What is the "go-live" process and what are the components involved in planning for it?

When the system will be operational and used to collect and process actual client data (also production environment) Implementation strategy: staggered (roll-out), modular, all at once Conversion to the new system: decisions must be made regarding what info will be backloaded, or preloaded into the system before the go-live date Developing the support schedule: providing on site support Developing evaluation procedures: satisfaction questionnaires and a method for communicating during the go-live Developing a procedure to request post go-live changes: changes to make the system work or additional changes that are put before an implementation committee

What is strategic thinking?

a broad process that an organization uses to determine what its future should look like

What is an information systems vendor?

a company that designs, develops, sells, and supports systems

What is the vision?

a future oriented, lofty view of what an organization would like to become, usually the first consideration in strategic planning

What are the request for information and request for proposal (RFP) documents?

a letter or brief document sent to vendors that explains the institution's plans for purchasing and installing an information system a document sent to vendors that describes the requirements of a potential information system, prioritizes or ranks these requirements in order of their importance to the organization

Who is strategic planning led by?

members of the organization's upper management i.e. board of directors and chief executive officer

What are legacy systems?

older vendor-based systems that have often been highly individualized to meet customer specifications

What is the test environment?

one copy of the software where programming changes are initially made

Strategy development is an ___________ task.

ongoing

What is the help desk?

provides round the clock support that is usually available by telephone

What is the role of middle management?

report to the CEO, guide technology acquisition, ensure executives understand the role that information technology play sin the organization as well as how information technology can be used to advance the goals of the organization

What is response time?

the amount of time between a user action and the response from the information system

What are bench marking?

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

What are human factors?

the interactions between humans and tools of all kinds

What is the role of the CNIO?

the most senior informatics executive who functions as a bridge between nursing and the Information Technology department

What is the term life cycle as it relates to information systems?

the ongoing process of developing and maintaining an information system

What is downtime?

the period of time when an information system is not operational or available for use

What is strategic planning?

the process of determining what an organization whats to be in the guture and planning how it will get there a managment tool that allows an organziation to move toward a desired future while responding to dynamic internal and external environments a creative and interactive process

What are the steps of strategic planning?

1) identify the strategic planning teams 2) Identify the goals, scope, and vision 3) Scan the Internal and External environments 4) Data analysis 5) Identification of Potential Solutions 6) Selecting a course of action 7) Implementation 8) Ongoing Evaluation and Feedback

What are the phases of the life cycle of an information system?

1) needs assessment 2) system selection 3) system implementation 4) Maintenance

What is the importance of assessing the internal and external environments during the planning process?

1) to define the current situation 2)to identify areas of need

What are the characteristics of Usability Studies?

An early and central focus on users in the design and development of systems Iterative design of applications Systematic usability measures or observations of users and information systems

What is the steering committee?

An essential component of the assessment and selection processes which includes board members who ensure information technology is aligned with the organization's overall strategy

What are the lower level management roles?

Department heads: responsible for supporting the planning process by providing information related to the current operations as well as insight into future needs of the organization Also administrators, clinicians and information services personnel

What should the RFP include?

Description of the organization Mission and goals Structure of the organization Type of healthcare facility Payer mix Volume statistics System requirements Criteria for evaluation of responses Deadline dates

How is strategic planning related to a organization's mission, scope, vision, goals, and objectives?

Driven by : Mission and vision, long term goals, services to be offered, populations to be served and resources to be acquired

What are the goals of HCI usability and its three axioms?

Ergonomics, usability, human-computer interaction

What is a SWOT analysis?

Evaluation of strengths, weaknesses, opportunities, and threats

What are training strategies and what is blended learning as an instructional approach?

How you choose to train Using multiple ways can help people learn the best

What is included in internal environment sampling?

Interviews and questionnaires from managers and end users Observations of current technology and operations, as well as anticipated technological developments

What hardware requirements should be analyzed during this time?

Network infrastructure Type of workstation or mobile devices Workstation location strategy Hardware location requirements Printer decisions

What is system selection criteria?

Overall costs Vendor characteristics Software features Environmental issues Energy consumption of equipment Recycling and e-waste options once equipment is outmoded

What are the factors involved with ongoing system and technical maintenance?

Performing problem solving and debugging Maintaining a backup supply of hardware such as monitors, printers, cables, trackballs, and mice for replacement of faulty equipment in user areas Performing file backup procedures Monitoring the system for adequate file space Building and maintaining interfaces with other systems Configuring, testing, and installing system upgrades Maintaining and updating the disaster recovery plan

What is included in external environment sampling?

Published literature and reports Information from vendors Organizations such as HIMSS or KLAS Regulatory and accreditation requirements Information related to market trends

What are the ways in which steering committees might evaluate potential equipment and vendors?

Questionnaires, observation of day to day activities figure out the musts and wants weight the list

What is an objective?

States how and when an organization will meet its goals

Who is included in the middle level of management?

The CMIO CIO and CNIO

What is the mission?

The mission is the purpose or reason for the organization's existence and represents the fundamental and unique aspirations that differentiate the organization from others

What are some things that should be considered before the system is installed in the event that clarification or changes are necessary?

The technology Vendor standing Vendor compliance with regulatory requirements Integration with other systems Use for different types of patient accounts Electronic medical record support Remote access Clinician support

What are some of the goals of information systems strategic planning?

To support business and clinical decisions To make effective use of emerging technologies To enhance the organization's image To promote satisfaction of market and regulatory requirements To be cost effective To provide a safer environment for patients

What are the factors such as timing, location, equipment, etc., that contribute to effective training?

Training is most effective if the training session is a scheduled time independent from the learners' other work responsibilities and at a site separate from the work environment

What are examples of technical criteria?

Type of architecture Amount of downtime Connectivity standards Test environment separate form live environment Response time Support of electronic technologies Security levels to comply with regulatory and legal requirements Data standards and data exchange Data storage options Report capabilities Ability to integrate with health information exchange

What are the major components of human-computer interaction models?

UFuRT framework (user, fuction, representation, and Task analysis)

What is project management?

a set of practices that, if executed well, will raise the likelihood that a project will succeed Includes: Understanding the internal and external drivers of change Overseeing a detailed analysis and feasibility review Defining the scope of the project Determining the outcomes to be achieved Identifying the tasks within the project, when they must occur and any interdependencies Obtaining and organizing the human resources Defining who will be responsible for each task Establishing timelines for task and project completion Establishing how project decisions will be made Ensuring that stakeholders receive appropriate communication about the status of the project

What is the Request for Quote?

a statement of need that focuses upon pricing, service levels, and contract terms

What is usability?

a subset of HCI and one of its major components, the extent to which a product can be used by specific users in a specific context achieve specific goals with effectiveness efficiency and satisfaction

What is a function?

a task that may be performed manually or automated; some examples include order entry, results reporting, and documentation

What is a goal?

an open ended statement that describes in general terms what is to be accomplished

What is a stakeholder?

any group or individual who can affect or is affected by the achievements of the organization's objectives internal, external individual customers, organizations, community members, and governing bodies that have a direct or indirect stake in the organization mission, scope, and goals

What is the role of the CSO?

chief strategy officer clarifies the vision created by the CEO and leadership team for his or her own benefit and for all managers and employees

What is the scope?

defines the type of activities and services it will perform, should clearly show what is most important

What is a training plan?

designed and developed to help ensure instructional success and address the following areas

What is meaningful use?

determines how organizations would receive reimbursement for their implementation

What is training?

focuses on acquiring practical knowledge and skilled behaviors and is an organized approach to providing large numbers of staff and healthcare workers with the knowledge needed to use an information system in a clinical setting

What is ergonomics?

human performance as it relates to the physical characteristics of tools, systems, and machines

What is the internal environment?

includes employees of the institution, as well as physicians and members of the board of directors

What is the external environment?

includes those interested parties and competitors who are outside of the healthcare institution, such as vendors, payers, competitors, clients the community, and regulatory agencies

What is architecture?

the structure of the central processing unit and its interrelated elements

What is human-computer interaction (HCI)?

the study of how people design, implement, and evaluate interactive computer systems in the context of users' tasks and work

What is a work breakdown structure? (WBS)

the type of plan (timeline or schedule and a hierarchical arrangement of all specific tasks)

What is feature creep?

the uncontrolled addition of features or functions without regard to timelines or budget

What is scope creep?

the unexpected and uncontrolled growth of user expectations as the project progresses

What is the role of the CIO?

they are responsible for information systems (IS) strategic planning, selects the project manager or leader for each major project within the overall strategic plan if the organization does not have a dedicated project management office

What is the purpose of the needs assessment?

to determine the gap between an organization's current state and the overall needs of the organization with consideration to the strategic plan

What is an open system?

uses protocols and technology that follow publicly accepted conventions and are used by multiple vendors, so that various system components can work together