Unit 1a Objective 3
This is a tool that serves as the central component of the health IT infrastructure. It is an individual's official, digital health record and is shared among multiple facilities and agencies
EHR (Electronic Health Record)
The responsibility for developing an overall policy infrastructure that supports health IT and HIEs primarily lies with the
Office of National Coordinator for Health IT (ONC)
True or False: an increasing number of digital tools are being used as a part of Health IT by patients and their families, caregivers and consumers
True
This is in many cases a legal document that can prove or disprove the actions of the care provider being justified in delivery of safe, quality care. Poor documentation or omission can lead to further mistreatment by other providers if this is not accurate
The health record
ONC rules specify the...,...........and other criteria for EHR systems to be certified
standards; implementation specifications
What are the key elements of communication in today's health care environment?
Patient safety/care quality, the electronic health record and advocacy
Learning to manage............is crucial to managing technological change
People
What does QSEN stand for?
Quality and Safety Education for Nurses
In Nursing, the ..............has defined the scope and standards for an informatics nurse and informatics nurse specialist
ANA
The ONC works with the............to assist in establishing policies related to Medicare and Medicaid payment for "meaningful use" of EHRs
Centers for Medicare and Medicaid Services (CMS)
This is the application of information and communication technologies to the delivery of health care services. It has two subdomains
Clinical Informatics
True or False: All nurses need informatics knowledge and skills to practice in a technology-intensive health care environment
True
What are the three informatics domains according to the American Medical Informatics Association?
1. Clinical informatics 2. Public Health informatics 3. Translational Bioinformatics
The increased use of technology is driving its integration into health care. What are the three technological revolutions noted by the Pew Research Center in the last 15 years?
1. Greater access to broadband, which has increased internet access 2. Mobile connectivity and concept of anywhere/anytime access 3. The presence of social media and social networks in daily life
Nurses can become certified in nursing informatics through the
ANCC
This is another fundamental communication skill for a nurse. It can provide information to a provider, or with the advent of the EHR, other facilities and health care personnel can use the information provided by the nurse in this manner.
Accurate and Timely documentation
This is the act of speaking for others to assist them meet to meet needs. It can apply in self-situations to speak out on behalf of the nursing profession, on behalf of a patient, family members .
Advocacy
According to this association, Health informatics is defined as referring to applied research and practice of informatics across the clinical and public health domains
American Medical Informatics Association
EHRs must use consistent terminology as recognized by the:
American Nurses Association (ANA)
The ANCC stands for
American Nurses Credentialing Center
This is a type of clinical informatics that seeks to transform health care and enhance human health through a creative and innovative use of informatics. It is accomplished through a well-educated and properly trained workforce, public policy, enhanced performance of health care processes and relevant research agenda.
Clinical Health Care Informatics
This is a subset of clinical informatics that is meant to advance the biomedical/health sciences through the humane and ethical use of informatics. Relates to the use of information and technology in health care
Clinical Research Informatics
What are the two subdomains of clinical informatics?
Clinical health care informatics and Clinical Research Informatics
These offer the best set of tools for achieving quality outcomes and are at the heart of health care IT and informatics
Clinical information systems
This is a process of interaction between people in which symbols are used to create, exchange, and interpret messages about ideas, emotions and mind states
Communication
This is a branch of engineering that studies computation and computer technology, hardware, and software as well as theoretical foundations of information and computation techniques
Computer science
This is a subset of clinical health care informatics that is a form of health information technology geared toward delivery of care based on the consumer's perspective
Consumer health informatics
Tools provided by health IT and health informatics are used by groups including:
Consumers, patients and their families, caregivers, health care professionals, administrators and any personnel supporting delivery of health care
Technology is the product of............and is sustained by.............
Creative human action; human action
The professional role requires that nurses develop and practice a variety of communication skills that will ensure successful role function as well as the............
Delivery of quality patient care
Examples of Clinical Information systems include
EHR, clinical data repositories, decision support programs, handheld and mobile devices for collecting and viewing reference materials
This is an individual's health record within a provider's facility
EMR (Electronic Medical Record)
Communication competence in nursing means that the communication is:
Effective and Appropriate
In order to achieve health care reform, regarding technology use, the health care system must make:
Effective use of information technologies to automate clinical information and make it readily accessible to patients and all members of the care team
Not only EHRs must be used meaningfully, but what else must be considered in terms of continued reform to provide high quality, safe and effective care to clients?
Examine the use of communication tools and patient portals to foster communication between patients and clinicians and transform health professional education
Effectiveness is achieved when
Goals of the communication are met
This is a major social activity established for the purpose of helping people with their health concerns
Health Care
This is the application of information processing involving computer hardware, computer software, communications and networking technologies that enables the storage, retrieval, sharing and use of health care data, information, knowledge and wisdom for communication and decision making.
Health IT
This provides the umbrella framework to describe the comprehensive management of health information and it's secure exchange between consumers, providers, government and quality entities and insurers
Health IT
In today's world, you can't have......without............
Health Informatics; Health IT
These are infrastructure health technologies that support the sharing of health data across health care institutions
Health Information Exchanges (HIE)
This is considered the essential antecedent for health informatics
Health Information Technology
What does HIPAA stand for
Health Insurance Portability and Accountability Act
This is a discipline in which health data are stored, analyzed and disseminated through the application of information and communication technology
Health informatics
The CMS gives rules that specify
How physicians, hospitals and other eligible professionals must demonstrate meaningful use to receive payment incentives
What does ISBARR stand for?
Identify self, SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION and READ BACK ORDERS
This is a person who works in the field of informatics, sometimes called an informaticist
Informatician
An.........workforce with the right skillset is critical to the advancement of health IT and informatics
Informatics
This is a broad term derived from the French word "informatique"-it is the science that encompasses information science and computer science to study the process, management and retrieval of information.
Informatics
Informaticians are
Informatics specialists that collaborate with health care professionals and IT specialists to enhance and support patient-centered quality health care
This is an interprofessional science primarily concerned with the analysis, collection, classification, manipulation, storage, retrieval, and dissemination of information
Information Science
What does CIS consist of?
Information technology applied at the point of care
What is the purpose and use of SBAR in clinical setting?
It is a structured communication tool to effectively pass information between nurses, providers and respecting status of the nurse's role in the care team
This is a subset of clinical health care informatics that integrates nursing science with multiple information and analytical sciences to identify, manage, define and communicate data, information, knowledge and wisdom in nursing practice
Nursing Informatics
Informatics is not limited to hardware and software. It also includes..........and............
People and organizational skills
This involves the sociological side of informatics implementations and includes issues such as productivity, teamwork, group dynamics, etc
Peopleware
We can evaluate biosurveillance, outbreak response and electronic laboratory reporting with application of principles and practices of............
Public Health Informatics
This is the application of information, computer science, and technology to public health science to improve the health of populations
Public Health informatics
True or False: Using appropriate technologies has been recommended as a solution to reduce errors and ensure patient safety
True
Building the public's trust in health IT requires comprehensive.................and..........protections that establish clear rules on how patient data can be accessed, used and disclosed
Security; privacy
The Institute of Medicine has said that the leading cause of ...............and errors in care delivery has been communication
Sentinel events
This describes the knowledge and use of tools, machines, materials and processes to help solve human problems
Technology
This is the knowledge and use of tools, machines, materials and processes to help solve human problems
Technology
Health informatics involves the use of.............and..............systems to support the health care industry
Technology; information
Standardized.............within an EHR is critical for communicating care to the interprofessional team and exchanging health information
Terminology
Appropriateness is achieved when
The communication has been adapted to the people and situation involved
Why must evidence based practice guidelines and alerts be incorporated to help nurses conduct their assessments, diagnose and determine the nursing interventions to achieve optimal patient outcomes?
To facilitate provision of care
This is the development of storage, analytic and interpretive methods to optimize the transformation of increasingly voluminous biomedical and genomic data into proactive, predictive, preventive and participatory health
Translational Bioinformatics
True or False: HIPAA rules have been modified to reflect newer Health IT
True
True or False: Health IT and Health informatics intersect with the science of health to provide powerful tools and processes for advancing health practices and serve as an infrastructure to support and promote a continuously learning health care system.
True
True or False: Health IT is a precursor or antecedent to health informatics
True
True or False: Nurses are involved in informatics in terms of their own professional roles and responsibilities and with their interprofessional roles and responsibilities with other health care professionals within a heath care institution.
True
True or False: The universal requirement for quality patient care, efficiency, and cost containment makes it imperative to express data, information and knowledge in a meaningful way that can be shared across disciplines and care settings
True
True or False: There is no consolidated list of competencies in informatics available
True
What is an IOM recommendation to support effective communication
Use of ISBARR
