Nursing IT WGU

Health information data gives information on care practices that were performed correctly and appropriately as well as data on aspects of care that need improvement. Organizations first need to establish a culture of safety so that available data can be freely reviewed and efforts toward improvements can follow. What is a characteristic of a culture of safety? - An environment that promotes its safety measures through heavy advertising. - An environment that prioritizes disciplinary action over accountability in patient safety events. - An environment that provides resources for the promotion and maintenance of safety measures.

- An environment that provides resources for the promotion and maintenance of safety measures.

Health information technology continues to grow with cybersecurity, artificial intelligence, and big data leading the list of technologies that will continue to grow in the future. What is another technology in health information technology that is trending as a priority for the future? -Predictive analytics -Remote patient monitoring -Continuity of Care Documents

-Predictive analytics As opposed to reactive analytics, predictive analytics involves the proactive management of the patient at the bedside and in the community to prevent further deterioration of health and avoidance of unnecessary cost of care.

Connected health refers to the delivery of technology-assisted care that occurs outside the traditional face-to-face setting between a patient and a healthcare provider. Connected health is differentiated by two categories: synchronous and asynchronous. What is an example of asynchronous connected health? -Peripheral devices connected to a videoconferencing unit aiding the practitioner in assessment and diagnosis at a distance and in real time. -Remote patient monitoring -Remote ICU -Direct care robotics

-Remote patient monitoring

The nurse's role in advocating and supporting the ethical use of informatics is manifested through the observation of fundamental ethical principles. What is a description of a fundamental ethical principle that refers to integrity? -The promotion of accuracy, honesty, and high principles of morality. -The right of an individual to keep health information private. -The ethical principle or legal right that a physician or other health professional will hold secret all information relating to a patient, unless the patient gives permission to divulge the information. -A situation in which a difficult choice has to be made between two courses of action, either of which entails transgressing a moral principle.

-The promotion of accuracy, honesty, and high principles of morality. (Integrity is the adherence to moral and ethical principles.) //////// other answers////// The ethical principle or legal right that a physician or other health professional will hold secret all information relating to a patient, unless the patient gives permission to divulge the information. (This is the definition for confidentiality.) A situation in which a difficult choice has to be made between two courses of action, either of which entails transgressing a moral principle. (This is the definition of an ethical dilemma.) The right of an individual to keep health information private.(This is the definition of privacy.)

___, drives much of health information technology. ___ is regularly used in the programming for equipment such as infusion pumps or bar code medication administration systems.

AI. Nurses are continuously exposed to health information technology and the health data it produces. Many times, nurses do not realize how they too contribute to the generation of data through the use of health information technology. ie Through programming infusion pumps that are driven by artificial intelligence (AI)

As health informatics and health information technology continues to evolve and proliferate, more legal and ethical issues surface highlighting the need for oversight through the development of healthcare policies, legislation, and regulation. Which three common policies, laws, or regulations affect health information technology? 21st Century CURES Act, and FDASIA (Food and Drug Administration Safety Innovation Act) and PDMP (Prescription Drug Monitoring Program ARRA (American Recovery and Reinvestment Act), 21st Century CURES Act, and HFAP (Healthcare Facilities Accreditation Program) ARRA (American Recovery and Reinvestment Act), 21st Century CURES Act, and FDASIA (Food and Drug Administration Safety and Innovation Act)

ARRA (American Recovery and Reinvestment Act), 21st Century CURES Act, and FDASIA (Food and Drug Administration Safety and Innovation Act) ARRA provisions allowed for federal funding or incentives for healthcare organizations to upgrade health information technology systems. The 21st Century CURES Act is designed to help accelerate medical product development and bring new innovations and advances to patients who need them faster and more efficiently. It also requires patient electronic health information be made available to patients without delay (with few exceptions), at no cost. The FDASIA has improved the FDA's ability to speed patient access to digital records and improve the safety of drugs, medical devices, and biological products.

What is an example of administrative information systems?

Admission discharge transfer (ADT) system Administrative health information systems focus on managing administrative, financial, and demographic data and information and in providing reporting capabilities that support the overall functions of an organization.

True or False It is a professional nurse's responsibility to be involved in the development of health policy in healthcare informatics. An example of change that a nurse could advocate for is supporting a movement from fee-for-service documentation to quality-based care documentation in the electronic medical record (EMR).

Advocating for policy change to eliminate excessive documentation that only contributes to repetitive and redundant entries can streamline patient documentation and improve the quality of its content, thereby improving patient safety.

Big data must meet five property requirements to be deemed useful and applicable. Which statement reflects this property? Volume in big data refers to how many users will benefit from it. Variety in big data refers to the different uses of the data. Velocity in big data refers to how fast it can be processed to generate knowledge.

Big data requires complex processing procedures but cannot take too long to be processed or they may be rendered out of date. Velocity in big data refers to how fast it can be processed to generate knowledge.

Under HIPAA, the definition of a business associate is an individual or organization that creates, receives, maintains, or transmits protected health information (PHI) on behalf of a covered entity. State three examples of a business associate.

Correct responses would consist or any three of the following: medical billing company a third party that assists with claims processing transcription service individual or company legal service individual or company accounting individual or company encryption service provider file sharing vendor backup storage vendor IT support vendor shredding or file disposal vendor

Describe the continuum of data, information, knowledge, and wisdom that makes up the framework of nursing informatics.

Data is the lowest level that is seen in discrete sets of details related to a specific situation, patient, or population. Information results from the processing and organizing of data into more manageable structures and interpreting the meanings of individual data points. Knowledge follows when information is synthesized into formal relationships and connections. Finally, wisdom is the application of knowledge to addressing clinical problems and complex patient health issues, ensuring that it is done in a compassionate and ethical manner.

As the scope of health informatics grows, so will the scope of practice of informatics nurses. Which area is it highly likely that informatics nurses will be seeing their responsibilities grow in as they relate to the specialty's development and support of its use? Creating quality management policies and procedures as they relate to the use of health informatics Facilitating training of new bedside procedures for new graduates Designing and facilitating changes in care models in response to evidence-based practice outcomes as they evolve, moving toward more predictive and preventive models Delivering financial feasibility studies on the implementation of new health information technology solutions

Designing and facilitating changes in care models in response to evidence-based practice outcomes as they evolve, moving toward more predictive and preventive models As the management of patient care moves toward the more aggressive use of evidence-based predictive models, the informatics nurse will become more involved and highly needed in designing and facilitating workflows, practice changes, and care models to improve patient outcomes.

As nursing informatics has expanded owing to the fast-growing needs of health information technology, its functional areas of practice have also expanded. What are three functional areas of practice for nurse informaticists? Development of systems, products, and resources Advertising Fundraising

Development of systems, products, and resources A major responsibility of the nurse informaticist is to understand workflow processes, particular informatics solutions, and the use of resources to successfully develop systems and products.

What is a form of health information exchange Interoperability Open inquiry exchange Directed exchange

Direct exchange Providers send and receive secure information to each other electronically to support coordinated care (e.g., sending laboratory orders, test results, or discharge summaries directly to another healthcare professional over the internet through a secure connection).

An emerging trend in health information technology is the changing needs of the IT team of healthcare organizations. What describes what the IT team of healthcare organizations of the future will look like? Healthcare organizations' IT teams are evolving to include more people with financial backgrounds. Healthcare IT teams will consist of more coding and programming professionals. Healthcare IT teams will consist of more people who are able to advocate for health policy change. Healthcare organizations' IT teams are evolving to include more people with clinical backgrounds, data scientists, and senior security professionals.

Driven by healthcare information technology growth and expansion, healthcare facilities will diversify their IT teams' make-up by including more people with clinical expertise like that provided by nurse informaticists.

The Four-Component Model describes the deliberative thought processes that occur from initial recognition of a situation with ethical content to implementation of a justifiable action. These processes consist of sensitivity, judgment, motivation, and action. Which statements describe the Four-Component Model processes? Ethical action occurs when a given decision, scenario or activity creates a conflict with a society's moral principles. Ethical judgment, or decision-making, is a deliberative process reflecting knowledge of ethical principles, theories, and codes. Ethical action happens when a person's values are compromised as a result of not taking what that person feels is the right course of action.

Ethical judgment, or decision-making, is a deliberative process reflecting knowledge of ethical principles, theories, and codes. Ethical judgment is a deliberative process reflecting knowledge of ethical principles, theories, and codes. It is also a reasoning about the possible actions in the situation and judging which action is most ethical.

Healthcare data integrity is crucial in the healthcare environment. Information technology (IT) must ensure that healthcare decisions are based on authentic and accurate data. True or FalseData scrubbing is a mechanism provided by the computer system to assist users by prompting them to complete a task, verify information, or prevent entry of inappropriate information. True False

F Data scrubbing is the process by which incorrect, incomplete, duplicate, or improperly formatted items are removed using special software designated for this purpose.

True or False In the four-component model of ethics, ethical judgment is the ability to recognize an ethical problem.

F Ethical judgment, or decision-making, is a deliberative process reflecting knowledge of ethical principles, theories, and codes.

True or False Trends that will influence the expansion of the informatics nurse's scope of practice include the following: changing practice roles in nursing increasing informatics competence requirements for all nurses rapidly evolving technology regulatory changes and quality standards that include healthcare consumers as partners in healthcare model evolving marketing trends

F Evolving marketing trends is not a factor that will affect the scope of practice of the informatics nurse.

Healthcare data is everywhere. The data information knowledge wisdom (DIKW) framework refers to the way data becomes a product that can be used to positively affect patient care. Ture or False In the DIKW framework, information is described as data that is processed and organized so that relations and interactions may be identified.

F Knowledge is information that is processed and organized so that relations and interactions are identified.

T or F: Healthcare professional databases represent a source of online information that is generally accessible to those with professional or academic affiliations, such as faculty, staff, and students. Google is an example of a professional database.

F: Google is a search engine, not a database for healthcare. Examples of professional databases for healthcare are CINAHL and Medline.

When introducing new health information technology, the use of the failure modes and effects analysis (FMEA) is a way to ensure a culture of safety. Provide the definition of the FMEA.

Failure modes and effects analysis (FMEA) involves a systematic method of proactively investigating a process to identify where and how it might fail, and to assess the relative impact of different failures in order to identify the parts of the process that are most in need of change.

Healthcare data integrity is crucial in the healthcare environment. Information technology (IT) must ensure that healthcare decisions are based on authentic and accurate data. True or FalseData scrubbing is a mechanism provided by the computer system to assist users by prompting them to complete a task, verify information, or prevent entry of inappropriate information. True False

Fales: Data scrubbing is the process by which incorrect, incomplete, duplicate, or improperly formatted items are removed using special software designated for this purpose.

Healthcare data is everywhere. The data information knowledge wisdom (DIKW) framework refers to the way data becomes a product that can be used to positively affect patient care. Ture or FalseIn the DIKW framework, information is described as data that is processed and organized so that relations and interactions may be identified. True False

False Knowledge is information that is processed and organized so that relations and interactions are identified.

True or False Health information technology data supports the development of research for the implementation of evidence-based improvements in nursing practice. Various models are available to facilitate this implementation. Is the following statement true or false: The Iowa Model of Evidence-Based Practice to Promote Quality Care is a model for the implementation of evidence-based practice that is divided into five phases: preparation, validation, comparative evaluation/decision-making, translation and application, and evaluation.

False. The Iowa Model of evidence-based practice to promote quality care is a model for the implementation of evidence-based practice stresses the importance of prioritizing triggers based on the need for change and the needs of the clinical agency.

True or False The Internet of Things (IoT) in healthcare refers to a subset of the internet that deals with medical information and literature for the advancement of health information technology.

False: The Internet of Things (IoT) in healthcare refers to the collection of internet-connected devices, including wearables, implants, skin sensors, home monitoring tools, and mHealth applications. The IoT has the potential to connect patients and their providers in a variety of ways and has the ability to maximize the power of big data analytics through ongoing innovation.

True or False Nurses can contribute to machine learning algorithms by (1) filling data gaps with nursing-relevant data that provide personalized context about the patient; (2) improving data dissemination techniques; and (3) evaluating potential value in practice.

False: Improving data preprocessing techniques, not data dissemination techniques, is essential for nurses to contribute to machine learning.

The HITECH Act was created not only to support the implementation of electronic health records and the development of health information technology, but also to support HIPAA rules and regulations related to security, privacy, and confidentiality of protected health information. What does "HITECH Act" stand for? Health Information Technology for Economic and Clinical Health Act Health Information Technology for Economic and Computerized Health Act Health Information Technology for Economic and Clinical Hospital Act Healthcare Information Technology for Equitable and Clinical Health Act

Health Information Technology for Economic and Clinical Health Act Health Information Technology for Economic and Clinical Health Act is the correct definition of the abbreviated "HITECH Act."

Health information systems HIS are costly to maintain because they....?

Health information systems are costly to maintain because they need to be constantly optimized and updated. The best way to maintain a health information system is to optimize quickly, within a few months after the original system has been implemented. Optimization is best done as soon as new functionality and updates are released.

What is the difference between health information systems and health information technologies?

Health information systems manage health information for specific areas of healthcare. Health information systems are categorized as clinical information systems or administrative information systems. Health information technology (HIT) is what is involved in the design, development, implementation, integration, creation, use, and maintenance of health information systems. HIT also refers to the area of healthcare that uses computer hardware, software, or infrastructure to record, retrieve, analyze, archive, secure, and share clinical administrative, and financial information. HIT is the backbone and foundational structure of many advancements in healthcare such as clinical decision support, computerized disease registries, computerized provider order entry, consumer health IT applications, electronic medical record systems (EMRs, EHRs, and PHRs), electronic prescribing, and telehealth.

Consider your professional practice and experience and think about a technology-based work-around you have used or witnessed. Answer the following questions: What risk does the work-around impose? As the nurse informaticist, how would you determine why the work-around exists? As the nurse informaticist, how will you bridge the gap between evidence-based practice procedure and actual clinical activities?

Ideal responses include: Determination of why the work-around exists requires objective and blame-free communication. Surveys requesting honest feedback with no fear of retribution are instrumental. The nurse informaticist is instrumental in encouraging a multidisciplinary approach to analysis, understanding, and dissemination of survey results. Design and implementation of focused action plans require collaboration and feedback. Progress maintenance and evaluation are critical phases of the journey.

As the healthcare landscape continues to evolve, several drivers have prompted the surge in the use of connected health modalities. Name three drivers that have pushed the development of technology in the connected health arena.

Ideal responses include: the need to improve access to healthcare, especially for patients geographically underserved areas. the need to reduce disparities in care by offering more opportunities for medical visits. the need to increase productivity by allowing providers to see more patients within a given period of time. the need to address national challenges such as physician shortages. the need to address global challenges limiting face- to- face meetings, such as pandemics.

During the testing phase of a new predictive model of care designed to identify clinical decline in patients, the informatics nurse notes that there are many failure points in the model's design that have not passed testing. The release date for this new functionality has been set and communication to the organization has been released. The nurse is troubled by this discovery. State two courses of actions that the informatics nurse should take.

Ideal responses would incorporate at least two of the following: Report the failures in testing to the immediate supervisor. Recommend defer the release of the new functionality until it passes testing completely. Confer with technical experts in the team to review the cause of the failure points. Continue with testing until it passes, and no further failure points are seen.

Health information technology data drives much of the research that produces evidence-based practice. However, it is not enough to simply have the data to implement evidence-based practice. What is an element of change that must be in place for the successful implementation of evidence-based practice?

In change management, it is important for the recipients of the change to recognize the need for change and be willing to accept it.

While working as a nurse at your designated patient unit, you were assigned to care for a recently admitted celebrity. A co-worker asked you to take her photograph next to the sleeping celebrity, promising that she would not show it to anyone else. You refused but later found her reading the celebrity's medical record. What should be your course of action?

Inform her that what she is doing is a violation of HIPAA because she is not involved in the patient's care. Report the incident to your supervisor and create an incident report.

What word best describes data applied? Information Knowledge Technology Wisdom

Information Data transform into information by assigning a meaning or context to a data.

Information and data privacy is the relationship between data collection, information technology, a patient's expectation of privacy, and the legal, ethical, and political issues connected to these relationships. Which three areas are examples of where information and data privacy issues may arise? Employment records Commercial product preference records Informed consent records

Informed consent records detail specific information such as tests, procedures, laboratory results, etc. and may compromise privacy if improperly handled.

The value of the HIE can only be experienced and appreciated if it is known to its users. There are several challenges to the use of the HIE. One major challenge to embedding HIE in care practice is a lack of awareness about HIE among clinicians. In nursing, what area of care would benefit the most by embedding HIE in nursing practice?

Inpatient assessments Coordination of care XXX Home health nursing School nursing The coordination of care can be enhanced through the use of HIEs by helping nurses understand the root cause of frequent visits, identifying duplicate orders for tests, and maintaining accurate medication lists.

health information exchange (HIE) infrastructure

Is a process for bi-directional sharing of patient health-related information among primary providers (nurse practitioners, physicians, and physician assistants), consulting specialists, hospitals, ambulatory centers, nursing homes, dentists, audiologists, optometrists, and occupa-tional-and school-health professionals.

Health information technology (HIT)

Is defined as the area of healthcare where the processing, storage, and exchange of health information in an electronic environment is made possible. Its significance in healthcare is best explained by one of the statements below.

Mobile health, also known as mHealth

Is the collection of emerging technologies that use mobile communications and network technologies for healthcare systems. mHealth is changing the landscape of healthcare because its focus on patient-centric needs is allowing the improvement of patient education, preventative care, and diagnosis and research-based treatment. Additionally, it is showing the capacity to lower healthcare costs and enable patients to manage long-term conditions.

What refers to a directed exchange in the HIE?

Is used by providers to easily and securely send patient information directly to another healthcare professional. A directed exchange is when providers send laboratory orders and results, patient referrals, or discharge summaries to another provider or healthcare entity.

Health information technology (HIT)

Is used to support systems that collect data needed for patient care, population health management, and for the sharing of this information within a secure system.

What does interoperability in healthcare mean?

It is the ability of different information systems and health information technologies to securely access, exchange, integrate, and cooperatively use data in a coordinated manner using a standardized format across several national and global boundaries.

Protected health information, or PHI, is named as such because HIPAA federal laws and practice policy protects it from being exposed or shared without the patient's permission. Which three options apply to PHI? Lab results Health information (without identifiers) Employee Records

Lab results qualify as PHI because they can give an indication of a patient's underlying condition.

The following data sources have been identified and described in the Health Data Sources learning resource in the previous unit: Medical records

Medical records offer information such as medical history, drug history, diagnostic and therapeutic procedures, lab tests, health problems, and any other information collected during the patient's encounter with their medical provider or healthcare organization. This data source is used to monitor outbreaks of specific diseases and conditions.

With the advent of big data, it is no longer enough to look at only one aspect of patient care. Why is it important to view patients in the context of all the variables that affect the individual?

More variables provide a more holistic view of patients' capacity to care for themselves. A holistic view of patients' health and support system to maintain health is evident once all the variables that affect them are discovered.

The use of electronic health records (EHRs) has been tremendously helpful in allowing organizations to collect and share patient information. However, differences in format still exist. Standardization of healthcare data is important so that organizations can gather, classify, and aggregate data to discover new information, trends, and ways to improve care. What is one example of a standardized data language that nurses are familiar with? HIMSS NANDA LOINC TIGER

NANDA was created by the North American Nursing Diagnosis Association to provide standardized terms for nursing diagnoses.

The use of electronic health records (EHRs) has been tremendously helpful in allowing organizations to collect and share patient information. However, differences in format still exist. Standardization of healthcare data is important so that organizations can gather, classify, and aggregate data to discover new information, trends, and ways to improve care. What is one example of a standardized data language that nurses are familiar with? HIMSS NANDA LOINC TIGER

NANDA was created by the North American Nursing Diagnosis Association to provide standardized terms for nursing diagnoses.

Health information data can be used for natural language processing (NLP). This technology allows nurses to speak naturally to patients while the NLP technology answers questions and documents on their behalf. What is a key improvement to nursing practice that NLP can offer? NLP streamlines the work of the nurses. NLP allows patients to also ask questions that will be answered. NLP may provide a feasible approach to extract data related to patient safety, quality measures, and nursing outcomes by capturing nursing concepts that are not documented through structured data entry. NLP saves time for nurses in documentation.

NLP may provide a feasible approach to extract data related to patient safety, quality measures, and nursing outcomes by capturing nursing concepts that are not documented through structured data entry. In the absence of standardized nursing terminology, NLP captures nursing concepts that are not documented through structured data entry.

When evaluating the strength of evidence in guidelines and recommendations derived from data and health information research, a common tool that is used is GRADE. The GRADE approach rates four areas as high, moderate, low, and very low. What are these four areas?

Number of participants, risk of bias of trials, heterogeneity, and methodological quality of the review. GRADE stands for grading of recommendations, assessment, development, and evaluations. It is an approach used for developing and presenting summaries of evidence of healthcare-related recommendations and guidelines.

How is the use of predictive analytics better than the use of standard alerts for nurses' decision-making?

Predictive analytics can provide a risk estimate of the patient for morbidity or mortality and acuity, providing a higher level of decision support for the nurse. Predictive analytics is based on recognized trends of patient's prior and current information, not just a static view of current information.

While working as part of the implementation team for an organization's electronic medical record (EMR), the informatics nurse notes that access to a patient's record is open to any user of the system, regardless of role. Which ethical implication should the nurse consider that could negatively affect the organization and its patients? Cybertheft Integrity of information Research approval Privacy, security, and confidentiality

Privacy, security, and confidentiality Access to a patient's record should be limited to the role of the user to prevent compromises to the privacy, security, and confidentiality of the patient's protected health information.

When reviewing healthcare data and information, it is important to recognize the two main types of data. What are these two main data types?

Quantitative and qualitative data. Quantitative data focuses on numbers and frequencies, with the goal of describing a situation or finding correlations and specific variable contributions to an outcome. Qualitative data is focused on describing meaning and experiences rather than drawing statistical inferences.

What are three HIE forms of health information exchange?

Query-based exchange, directed exchange, and consumer-mediated exchange. Query-based exchange is often used for unplanned events. Like a visit to the emergency department. It allows providers to find and request information on a patient from other providers. Directed exchange is used to support coordinated care and allows the ability to send and receive secure information electronically between care providers. Consumer-mediated exchange allows the ability for patients to review, manage, and control the use of their health information among providers.

When looking at improvement opportunities in the use of health information technology, radio-frequency identification (RFID) is one worth considering because it is overtaking the use of barcoding technology. Which statementWhat describes the main advantage RFID has over barcoding technology? RFID is easier to use than barcode technology. Barcode technology will soon become outdated technology. RFID technology can manage issues associated with barcode printing imperfections and barcode scanner resolution.

RFID works through radio frequency sensors and does not rely on the physical barcode labels that many times are rendered useless when improperly applied.

mHealth is the generation, accumulation, and exchange of medical information through mobile and wireless tools. What is an example of mHealth?

Remote patient monitoring....not Telehealth or HIE, is an example of?

As a nurse involved in the design of a medical record, you note that in the demographic section, no allowances are made for sexual preferences or gender other than male or female. Which fundamental ethical principle could this be an example of indifference to? Justice Integrity Autonomy Respect Fidelity

Respect Respect is a fundamental ethical principle that puts high value on the dignity and worth of all people, the rights of individuals to privacy, confidentiality, and self-determination.

It is important for a nurse to recognize the fundamental ethical principles that guide ethical behavior in the use of health informatics.

Responses may include any three of the following: beneficence non-maleficence fidelity responsibility integrity justice respect for people's rights and dignity autonomy paternalism

What are examples of mHealth technology?

Smartphone-connected devices, wearable sensors, lab-on-a-chip, and implantable and ingestible sensors

The following data sources have been identified and described in the Health Data Sources learning resource in the previous unit: Surveillance

Surveillance is a data source used when specifically monitoring trending rates or outbreaks of specific diseases or conditions. This data source collects information directly from participants and relies on the participants' interpretation of what they recall and not necessarily what transpired.

The following data sources have been identified and described in the Health Data Sources learning resource in the previous unit: Surveillance

Surveillance is a data source used when specifically monitoring trending rates or outbreaks of specific diseases or conditions. This data source collects information directly from participants and relies on the participants' interpretation of what they recall and not necessarily what transpired.

The following data sources have been identified and described in the Health Data Sources learning resource in the previous unit: Survey

Surveys collect health and social science information from a sample of people in a standardized way to better understand a larger population. This data source is used to provide information on fixed data elements at the state and national level.

Descriptive analytics provides description of historical data. True False

T Descriptive analytics is a statistical method that is used to search and summarize historical data in order to identify patterns or meaning.

True or False One of the provisions of the 21st Century CURES Act is the elimination of information blocking. Information blocking is defined as a practice by a health IT stakeholder that, except as required by law or specified by the Secretary of Health and Human Services (HHS) as a reasonable and necessary activity, is likely to interfere with access, exchange, or use of electronic health information from provider to provider or provider to patient.

T Information blocking is defined as anything that interferes with, prevents, or materially discourages access, exchange, or use of electronic health information (EHI).

True or False Nurses should have an overall understanding of the health policies, laws, and regulations behind health informatics and be able to advocate for change to improve the delivery of healthcare.

T Nurses can utilize healthcare information to optimize the use of health informatics and campaign for safe, effective, and efficient health information technology in the improvement of healthcare delivery.

True or False One of the guiding principles of the AHIMA Code of Ethics is to advocate, uphold, and defend the consumer's right to privacy and the doctrine of confidentiality in the use and disclosure of information. While this guiding principle is focused on the health information management professional, it also applies to the nursing profession.

T One of the guiding principles of the AHIMA Code of Ethics is to advocate, uphold, and defend the consumer's right to privacy and the doctrine of confidentiality in the use and disclosure of information. While this guiding principle is focused on the health information management professional, it also applies to the nursing profession.

True or False The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 was created to promote the adoption of health information technology, as well as to ensure compliance on the institutional level.

T The HITECH Act directs eligible healthcare providers and healthcare organizations to adopt electronic health records to improve the exchange of information and to improve privacy and security protections for healthcare data.

T or F: When data is electronically recorded, the process follows a programmed set of instructions built into the software, thereby cutting down substantially on collection error. To facilitate the data collection process, it is important that the data collection form is user-friendly and that the computer interface used for inputting the data is well-designed.

T....The ease of use of the data collection tool and the design of the computer interface for inputting data affect the completeness, consistency, and accuracy of the resulting data.

T or F: Nurses and physicians believe that CDSS adds knowledge to their provision of care but believe that CDSS advice must always be confirmed by the healthcare professional.

T: CDSS is technology that provides recommendations for care and must be balanced with professional judgment, not used in place of it.

T or F: With the abundance of research articles on health information technology data, the key to knowing what should be integrated into clinical practice is knowing how to determine the article's level or strength of evidence.

T: Levels of evidence refer to the strength of evidence or confidence placed in the findings related to the approach used. Confidence in findings is critical to the process of translating findings into practice.

True or False The term "big data center" refers to achieving the centralized processing, storage, transmission, exchange, and management of information within a physical space, in which computers, servers, and network and storage devices are generally considered the key equipment for the core of a data center.

T: The term "big data center" refers to achieving the centralized processing, storage, transmission, exchange, and management of information within a physical space, in which computers, servers, and network and storage devices are generally considered the key equipment for the core of a data center

True or False As health information technology continues to expand, nurse informaticists will be needed to not only educate clinicians on the use of big data, but also to articulate the value of proposed technology.

Ter

Its the ACE model.

The Academic Center for Evidence-Based Practice (ACE) developed the ACE star model to address translation and implementation aspects of the evidence-based practice process. The model applies evidence to clinical nursing by considering factors that determine the likeli-hood of adoption of practice. There are five steps in the ACE star model: (1) discovery of new knowledge; (2) rigorous review process of evidence followed by summary; (3) translation of evidence for clinical practice; (4) integration of intervention into practice; and (5) evaluation of the practice change (Schaffer et al., 2013).

Provision 2 of the ANA Code of Ethics states that the nurse's primary commitment is to the patient, whether an individual, family, group, or community. Which three statements describe how the informatics nurse (IN) adheres to this code? The IN participates in recruiting efforts to augment staff in the informatics team. The IN considers the probable outcomes of decisions about data collection as they relate to issues of protection of the privacy, security, and confidentiality of patient information. The IN designs systems and processes that are convenient and easy to use by peers.

The IN considers the probable outcomes of decisions about data collection as they relate to issues of protection of the privacy, security, and confidentiality of patient information. The IN must always safeguard the privacy, security, and confidentiality of patient information to protect the patient.

Heart of health information exchanges (HIE)

The exchange of patient information to facilitate and improve the efficiency and timeliness of patient care is at the heart of .....?

The five properties of big data are:...? Big data is produced as health information technology continues to grow. However, not all big data is useful in improving nursing practice. It is essential for nurses to recognize the five properties of big data to know if it is worth considering when looking at ways to improve nursing practice. List the five properties of big data.

The five properties of big data are: volume velocity variety value veracity

Artificial intelligence (AI) is a kind of health information-driven technology wherein

The goal of effective __ __ should be to aid in decision-making, not replace the nurses' decision-making capacity. Intelligent systems and technology use underlying trends or patterns to inform decision-making.

The scope of nursing informatics involves basic tenets that form a framework describing the thinking and actions of informatics nurses. Which statement accurately reflects this concept? The informatics nurse (NI) considers the impact of technological changes on patient safety, healthcare delivery, quality reporting, and the nursing process. The informatics nurse (NI) considers the impact of technology solutions and makes financial decisions related to their implementation. The informatics nurse (NI) considers the impact of advertising to attract aspiring computer-savvy nurses to the organization. The informatics nurse (NI) considers the impact of creating analytical processes and manipulating data to improve patient care.

The informatics nurse (NI) considers the impact of technological changes on patient safety, healthcare delivery, quality reporting, and the nursing process. The NI looks into the effects of technological solutions and how they affect the nursing process in the safe and quality delivery of patient care.

The use of technology can positively impact the quality of care through the exchange of vital patient information in a timely and efficient manner. However, the use of technology can also negatively impact patient care. Which three situations happen when the use of technology negatively impacts ethical nursing practice? The nurse receives selective warnings and alerts when using the electronic medical record (EMR). The nurse spends a long amount of time documenting on the computer because of complex documentation requirements in the electronic medical record (EMR). The nurse sees relevant flags that are visually prominent regarding the patient's condition.

The nurse spends a long amount of time documenting on the computer because of complex documentation requirements in the electronic medical record (EMR). The introduction of health information technology is not intended to be so complex that it minimizes the value of time spent with a patient.

The pharmacy information system is a _______________(administrative information system OR clinical information system) because it also manages order entry tracking of drug dispensing, alerting practitioners and pharmacists of prescription errors and potential interactions, patient education, and providing access to clinical information.

The pharmacy information system is a clinical information system because it also manages order entry tracking of drug dispensing, alerting practitioners and pharmacists of prescription errors and potential interactions, patient education, and providing access to clinical information.

health information exchanges (HIE) - How does it support informed decision-making for nurses and providers?

The timely sharing of patient information and at the point of care allows: the avoidance of readmissions the avoidance of medication errors the improvement of problem identification the improvement of diagnosis accuracy the reduction of duplicate testing.

Admission discharge transfer (ADT) system

This is an administrative system that tracks a patient's activities and location from hospital or clinic admission through any and all transfers within the facility and, finally, through discharge.

Gartner's hype cycle for data science and machine learning illustrates the pathway of a technology from innovation to mainstream productivity. When technology does not produce the outcomes expected, what is this phase of the path is known as?

Trough of Disillusionment

True or False It is a professional nurse's responsibility to be involved in the development of health policy in healthcare informatics. An example of change that a nurse could advocate for is supporting a movement from fee-for-service documentation to quality-based care documentation in the electronic medical record (EMR).

True Advocating for policy change to eliminate excessive documentation that only contributes to repetitive and redundant entries can streamline patient documentation and improve the quality of its content, thereby improving patient safety.

True or False When exploring opportunities to improve the safe delivery of patient care, nurses can make use of health information technology data through the systems engineering approach. This approach enables the partnership of technology manufacturers and vendors with organizations to identify risks to patient safety and promote safe health information technology integration.

True: It is important for technology experts and users of the technology to approach the evaluation and design of technology with safety in mind at all times.

The following data sources have been identified and described in the Health Data Sources learning resource in the previous unit: Vital records

Vital records provide information on fixed data elements at the state and national level.

A patient mentions to his nurse that with so much health information on the internet, he does not know what information is reliable and credible as opposed to what is not. Which professional advice would be best for this patient? RSS feeds are usually the most reliable forms of aggregated health information. When evaluating information quality, look for qualified, credible sources and specific details and dates that enable independent verification of information. Healthcare information on the internet is reliable and credible if its source has a large following. Ask friends in the medical field what websites they trust and use for healthcare information. correct

When evaluating information quality, look for qualified, credible sources and specific details and dates that enable independent verification of information. Verification of information is the most important way to determine whether information is reliable and credible. One way to verify information is by using the U.S. National Library of Medicine tutorials, which can help determine the validity of health information.

In the DIKW framework, what is the level at which AI-driven predictive analytics is used to support decision-making by nurses?

Wisdom. This is the level where the information the nurse is presented with is transformed into a clinical interpretation and judgment of care. Not Knowledge, Data or Information

interoperability

allows timely and seamless portability of information and optimizes the health of individuals and populations globally through this seamless exchange.

Health information systems

describes the systems in healthcare used to acquire, store, deliver, and analyze medical data

True or False Nursing informatics involves the synthesis of knowledge and wisdom into data and information.

f Nursing informatics involves the synthesis of data and information into knowledge and wisdom.

Health information exchanges (HIE)

greatly improve the ability to get a complete picture of a patient through access to many different sources of the patient's information

A nurse is aware that a specific cognitive computing model is used in her organization to guide the identification of clinical deterioration of patients. However, she does not feel comfortable following the protocol of care based on the model because she does not believe it is accurately reflecting her patient's condition. She calls the physician to discuss her patient and he tells her to follow the protocol of care as written. True or False This is an example of a situation producing moral distress because the nurse knows the right thing to do but finds it nearly impossible to do it. True False

t Moral distress results from the inability to act on what is known to be right because of constraining forces.

True or False The HITECH Act of 2009 provides the Department of Health and Human Services (HHS) with the authority to establish programs to improve health care quality, safety, and efficiency through the promotion of health IT, including electronic health records and private and secure electronic health information exchange.

t The HITECH Act was created to motivate the implementation of electronic health records (EHR) and to support health information technology development in the United States.

True or False Attention to a nurse's feelings can be important evidence that the nurse is facing an ethical dilemma. These feelings are triggered even when nurses do not have a personal interest in any given event. True False

t This is a demonstration of ethical sensitivity, described as the ability to recognize an ethical problem.