Technology and Informatics

In the context of health IT, the terms _______________________ ______________________ is used to define minimum U.S. government standards for electronic health records.

meaningful us

Regional Health Information Organization (RHIO)

oversees communication and exchange of information in a geographic area

Electronic Medical Record (EMR)

person's health record within a provider's health care facility

Technology

use of tools and processes to solve human problems

The nurse understands that which of the following best describes telehealth? a. Is using a telephone to communicate with patients b. Uses a special telemonitor to visualize the patient c. Delivers healthcare by remote means using computers, mobile devices, or telephones d. Is using a computer and email to discuss a patient's concerns.

c. Delivers healthcare by remote means using computers, mobile devices, or telephones Telehealth can be accomplished by using computers, mobile devices, or telephones to deliver healthcare. Option A and B is incorrect because this option does not include the computer or mobile devices. Option D is incorrect because email should not be used to discuss patient concerns unless the email in encrypted to protect the privacy of the individual.

To address a goal of improving the health of populations, a nurse is most likely to use informatics in which domain? a. Certified clinical information systems b. Clinical health care informatics c. Public health/population informatics d. Translocational bioinformatics

c. Public health/population informatics Public health/population informatics is the domain that relates information, computer science, and technology to public health science to improve the health of populations; this domain would provide data for a nurse working with communities. Certified clinical information systems (CISs) refers to the tools used for achieving quality outcomes, including electronic health records, clinical data repositories, decision support programs, and handheld devices, not to the data. Clinical health care informatics and the subset nursing informatics provide for the development of direct approaches to patients and their families that can be used by a staff nurse to promote quality patient care. Translational bioinformatics refers to the research science domain where biomedical and genomic data are combined; it is a new term that describes the domain where bioinformatics meets clinical medicine and generally applies to health care research rather than direct patient care.

Electronic Health Record (EHR)

central component of the health IT infrastructure

The nurse documenting the patient's progress in the care plan in the electronic health record before an interdisciplinary discharge conference is demonstrating competency in which Quality and Safety Education for Nurses (QSEN) category? a. Patient-centered care b. Quality improvement c. Evidence-based practice d. Informatics and technology

d. Informatics and technology The nurse is displaying competency in the QSEN area of informatics and technology. Using a computerized information system to document patient needs and progress and communicate vital information regarding the patient with health care team members provides evidence that nursing practice standards related to the nursing process have been maintained during the care of the patient.

The specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice is known as which specialty? a. Computer science b. Health informatics c. Health information technology d. Nursing informatics

d. Nursing informatics The specialty is nursing informatics. Computer science is a branch of engineering that studies computation and computer technology, hardware, software, and the theoretical foundations of information and computation techniques. Health informatics is a discipline in which health data are stored, analyzed, and disseminated through the application of information and communication technology. Health information technology is an application of information processing that deals with the storage, retrieval sharing, and use of health care data, information, and knowledge for communication and decision making.

computer science

Branch of engineering that focuses on computer technology

informatics

Information science and computer science

TRUE or FALSE Nurses of the future will not face similar informatics challenges as nurses today because nurses will have evolved.

False

informatician

Individual who works in the field of informatics

personal health record

Individual's self-maintained health record

TRUE or FALSE Ideas related to technology date back greater than 150 years ago.

True

TRUE or FALSE Translational Bioinformatics is a relatively new term that supports the NIH road map for medical research and aims to translate voluminous biomedical data into proactive, predictive, preventive and participatory health.

True

Health Informatics

Use of technology to manage health data

The three domains of health informatics, as defined by AMIA, include: a. Clinical Informatics, Translational Bioinformatics, and Public Health Informatics b. Clinical Research Informatics, Consumer Health Informatics and Nursing Informatics c. Clinical Health Informatics, Nursing Informatics, Public Health Informatics d. Translational Informatics, Research Informatics, Consumer Health Informatics

a. Clinical Informatics, Translational Bioinformatics, and Public Health Informatics

Which are consequences for a staff nurse related to the use of health informatics? a. Clinical decision support tools b. Confidentiality of health data c. Decreased cost of health care d. Personal health record

a. Clinical decision support tools The availability of clinical decision support tools at the point of care would be a consequence for a staff nurse. Confidentiality of health data affects patients; a nurse might be involved in ensuring the security and privacy of health information and exchange. A decreased cost of health care would affect a patient; a nurse's ability to reduce duplication of services will influence costs. Adopting a personal health record would be a consequence for a patient.

Which of the following concepts would a nurse consider to have the strongest links to technology and informatics? (Select all that apply.) a. Clinical judgment b. Ethics c. Leadership d. Professionalism e. Safety

a. Clinical judgement b. Ethics c. Leadership e. Safety Professionalism refers to the attributes and behaviors of a nurse as a representative of the nursing profession and as a health care professional. There are many interrelated concepts that bear some relationship to health information technology and health informatics, including data, information, knowledge, wisdom, trust, health, health care, meaningful use, bandwidth, and interoperability. Others found in this book include clinical judgment, leadership, communication, collaboration, safety, evidence, care coordination, health care quality, ethics, health policy, and health care law.

When discussing the purposes of nursing health care informatics with a nurse during orientation, a nurse educator would be concerned if the nurse orientee stated that which is a primary purpose of informatics? a. Develop a data management system. b. Improve disease tracking. c. Improve a health provider's work flow. d. Increase administrative efficiencies.

a. Develop a data management system. Data management is an exemplar of health informatics, but it would not be a primary purpose for a bedside nurse. The nurse educator would use this incorrect response to plan additional teaching about the primary purposes of health care informatics for the staff nurse. Purposes of information health technology include improving health provider work flow, improving health care quality, preventing medical errors, reducing health care costs, increasing administrative efficiencies, decreasing paper work, and improving disease tracking.

Standardization for information systems and terminology has been critical for communicating care. Standardization also links to (SELECT ALL THAT APPLY) a. Efficiency b. Cost Containment c. Codified Terminology d. Taxonomies and Nomenclature e. Poor patient outcomes f. Universal Staff Agreement

a. Efficiency b. Cost Containment c. Codified Terminology d. Taxonomies and Nomenclature

The Law that governs privacy and security in the U.S. is a. Health Insurance Portability and Accountability Act of 1996 b. Health Inference Portability and Adaptation Act of 1996 c. The Privacy Act of 2005 d. The Privacy and Security Act of 2011

a. Health Insurance Portability and Accountability Act of 1996

The nurse informaticist uses the computer to access information. How does the computer assist nurses to manage and communicate data? a. The computer analyzes the data b. The computer organizes and structures the data c. The computer structures data for decision making d. The computer stores, translates, links, and aggregates clinical data.

d. The computer stores, translates, links, and aggregates clinical data. The computer is able to store data and translate the data to create links. The computer can also aggregate the data thereby assisting in communication. A is incorrect because software is needed for data analysis. Options B and C are good options; however, option C includes a more comprehensive interpretation of the computer and the role the computer plays in communication and managing data.