Informatics Quiz 3

Benefits of Personal Health record

- Enhanced collaborative care - Better management of one's disease treatment - More personalized; higher quality of care with improved communication

The Flesch Reading Ease

calculates a value from a formula using the average sentence length and the average number of syllables per word. The recommended score is between 60 and 70; higher scores correlate with easier readability.

Cyberchondria

describes people who become distressed and frightened after repeated and excessive web searches for health information. However, cyberchondria is an anxiety disorder and does not typify most consumer searches for health information.

Granularity

detail that is captured by term or phase; the greater the granularity, the greater the detail or specificity of the term or phrase. Different levels of granularity are needed for different purposes. At the clinical level, very granular data are usually needed. Billing and secondary data uses often require less granular data.

Semantic Interoperability

highest level of interoperability and takes this one step further. In semantic interoperability, not only is the information transmitted so that is understandable, but at this level, the interpretation and action on messages exchanged by two computers occur without human intervention. The effectiveness of semantic interoperability depends on the interaction between algorithms (rules), the data used in the message, and the terminology used to designate those data. Semantic operability allowed authorized users to receive information from different EHRs to plan and provide safe and effective care. The functionality enable exchange of data from a laboratory system with the pharmacy system . It also enables exchange of data from one healthcare prover with another.

Personal Health Record (PHR):

- allows users to maintain/manage their own health information and communicate the information with authorize providers. If the PHR conforms to interoperability standards, it can contain data from the HER, but still controlled by the individual. PHRs tethered (can communicate) with EHRs are private, secure, confidential, and protected by the Health Insurance Portability and Accountability Act (HIPAA). Stand alone PHRs and not HIPAA protected.

Electronic Medical Record (EMR)

- digital healthcare record created by healthcare providers or agencies, such as a hospital. EMRs that meet national standards for interoperability will be able to share health information with the EHR

Electronic Health Record (EHR):

- interoperable healthcare record that can contain data from the EMRs of all healthcare providers, including care facilities, clinicians, laboratories, and pharmacies were involved with the patient's care. The HER provides real time information and includes evidence-based decision support tools. Interoperable means that the data can be shared electronically.

Interface Terminology:

- translate the clinician's common phrases into data that the computer can use. There are seven interface terminologies. You may be most familiar with three: the NANDA-1, Nursing Intervention Classification System and Nursing Outcomes Classification.

Barriers of the Personal Health Record

-Provider reluctance and responsibility -Need for unique patient identifier -Data privacy and security -Lack of data standardization and presentation -Required change in patient thinking to that of healthcare consumer with responsibility for active participation -Financing/cost

Health numeracy:

ability of a consumer to interpret and act on all numerical information, such as graphical and probabilistic information needed to make effective health decisions.

Mapping

in simple terms, refers to matching a concept in one standardized terminology with a concept in one standardized terminology with a concept in another standardized terminology. For example, the NANDA nursing diagnosis, "ineffective airway clearance". Could be mapped with the CCC nursing diagnosis, "airway clearance impairment."

Structural Interoperability

intermediate level in which the structure or format of the exchange data is defined by message formats. The purpose of structural interoperability is to coordinate work processes. It refers to the uniform format or structure of the exchanged messages. It is necessary to preserve the meaning and purpose of the information. With structural interoperability, data exchange between information systems allow for interpretation at the data field level.

Health Literacy

is not simply the ability to read but "to obtain, process, and understand basic health information and services need to make appropriate decisions.

Oral Communication

it is easy for clients to misunderstand medical jargon. To help with this and other oral communication issues, healthcare professionals can turn to many excellent resources.

Foundational Interoperability

lowest and most basic level of interoperability and refers to the ability of one system to transmit data and another to receive the data without the ability of the receiving system to interpret the data. Foundational interoperable systems are able to send and receive usable data from different systems.

Patient Portal

provide patient access to their EHR data. Common portal communication functions include the ability to make routine appointments, request prescription refills, or receive alerts.

Confidentiality

refers to authorized care providers maintaining all personal health information as secret, except to other care providers who need access to that information and to others that the patient has consented to allow access.

Readability

there are several methods to test written information for readability including Microsoft Word and websites.

Evaluating usability of a website

when health websites were evaluated by both usability experts and older adults, they agreed on many problem areas such as difficulty finding drop-down menus, too much information on the screen, too small of a font size, lack of instructions for playing video, and navigation problems.