Overview of Current Use - Health informatics
Which items demonstrate health-related data sharing at a community level? Select all that apply. Physician survey identifying statin prescriptions Twitter account for persons interested in cycling Facebook community for women's breast cancer Surveys identifying cardiovascular prevention services Evaluation tools for good dietary habits in low income areas
( wrong)Physician survey identifying statin prescriptions Physicians may collect data for many reasons but not for sharing with the public. (Wrong)Twitter account for persons interested in cycling Specific Twitter feeds are not generally shared at community levels. (right)Facebook community for women's breast cancer Social networks provide a venue for individuals to share thoughts, interests, and interventions. (right)Surveys identifying cardiovascular prevention services Surveys such as the BRFSS identify preventive services by geographical location. Aggregated data from the BRFSS are shared with the public by the CDC. (right)Evaluation tools for good dietary habits in low income areas Surveillance systems collect and aggregate data providing a basis for the development of tools for healthy behavior
How does a community health nurse impact population health using health informatics? Select all that apply. Working with the specific community to identify a health-related problem Determining a problem in the community and create/develop an intervention Contacting a local provider group to assist in identifying a community problem Developing and educational tools to help community members self-manage the issue Identifying stakeholders to determine methods of measuring the severity of the problem
(Correct)Working with the specific community to identify a health-related problemMaximum effectiveness is achieved by allowing the community/specific population define the problem and be active members of an intervention development. (wrong)Determining a problem in the community and create/develop an interventionUnilateral determination, without community/population buy-in, is contrary to the success and approach of population health. I (wrong)Contacting a local provider group to assist in identifying a community problemUsing a single source to determine a community/population problem, without community/population buy-in, is contrary to the success and approach of population health. (Correct)Developing and educational tools to help community members self-manage the issueMaximum effectiveness is achieved by allowing the community/specific population determine how to approach the problem so the intervention is specific and applicable to that population. (Correct)Identifying stakeholders to determine methods of measuring the severity of the problemMaximum effectiveness is achieved by including community/specific population members in developing the measures that are specific and applicable to that population.
How does social media impact patient engagement in health care decision-making? Select all that apply. Health care news Online discussion groups Patient/provider partnerships Mandating health care choices Educational tools for personal health promotion and disease prevention
(right)Health care news Social media is a source for a wealth of information on illness and disease that is tailored for many levels of understanding. (right)Online discussion groups Social media is a venue to discuss your needs with others who may have experienced similar symptoms, issues, or treatment (wrong)Patient/provider partnerships Social media is an individual approach to gaining health information, often used in cases where individuals look for information that may be too sensitive to discuss in person. (wrong)Mandating health care choices Social media includes discussions, education, and ideas-it does not mandate what an individual should do. (right)Educational tools for personal health promotion and disease prevention Social media provides various degrees of education such as specific blogs for persons with similar illnesses.
Which items demonstrate how community use of health informatics affects public health? Select all that apply. Local hospitals' identification of persons with colon cancer Local church support for group meetings about diabetes care Individual participation in national surveys to identify tobacco use trends Individual participation in physician-generated provider satisfaction Surveys identifying key elements of health and wellness that inform policy creation
(right)Local hospitals' identification of persons with colon cancer Surveillance systems and registries collect data on specific illnesses. (wrong)Local church support for group meetings about diabetes care Local church group meetings related to specific illnesses are beneficial to populations/communities but do not generally impact public health. (right)Individual participation in national surveys to identify tobacco use trends The BRFSS collects specific information related to tobacco use throughout the US (wrong)Individual participation in physician-generated provider satisfaction Individually generated surveys are important to determine patient satisfaction in a specific area but are not generally important to public health. (right)Surveys identifying key elements of health and wellness that inform policy creation Surveys, surveillance systems, and registries provide a basis for data-driven rationales that impact policy development.
Which elements best demonstrate a learning health system? Select all that apply. Use of telemedicine to facilitate care Use of system norms to determine patient care Use of an interdisciplinary approach to patient care Use of evidence-based approaches to care delivery Use of specific providers or departments to specialize care
(right)Use of telemedicine to facilitate care Learning health systems use a multimethod approach to health care; telemedicine is one prong. ( wrong)Use of system norms to determine patient care Evidence-based knowledge and approaches are fundamental to a learning health system versus system norms. (right)Use of an interdisciplinary approach to patient care Learning health systems place evidence-based knowledge in the hands of patients and providers. An interdisciplinary, collaborative approach, provides the insight for effective care. (right)Use of evidence-based approaches to care delivery Learning health systems require that practice be driven by evidence-based approaches. (wrong)Use of specific providers or departments to specialize care Learning health systems are collaborations of all disciplines and not reduced to specific providers or departments.
Which best describes the application of blogs to patient care or practices? Select all that apply. Always reliable Integrate patient and provider Accessed by individuals to share information Provide information to access specific health-related sites Connect and share health care information related to health care issues
(wrong)Always reliable What is found in blogs and social media may not always be reliable or accurate information regarding a health care issue. The information should be taken solely as one person's opinion. (wrong)Integrate patient and provider Blogs are for individual approaches to gaining health information, often used in cases where individuals look for information that may be too sensitive to discuss in person. (right)Accessed by individuals to share information Blogs allow individuals to share information about their experiences with specific illnesses. (right)Provide information to access specific health-related sites Blogs, such as those by specific health care organizations, provide additional links to pertinent information and education related to their primary focus. (right)Connect and share health care information related to health care issues Blogs are a growing format for individuals with similar interests to share their interests and knowledge in a particular area. Blogs can connect individuals with those who share interests in a certain area.
How does health informatics impact patient satisfaction? Can store individual data Provides better access to providers Assists in reducing the number of medical errors Provides rapid access to health and wellness related information
(wrong)Can store individual data Neither public health nor health informatics is responsible for storing individual data. (wrong)Provides better access to providers Access to providers is more often associated with population health or through local health departments. Public health is focused on the health of the entire country. (wrong)Assists in reducing the number of medical errors Public health does not focus on medical errors; these are targets of hospital-specific quality improvement that uses system EHRs. (right)Provides rapid access to health and wellness related information Public health, through the use of surveillance data, can provide health alerts and information to protect public health and wellness.
How does consumer health informatics affect practice/patient care? Select all that apply. Connects patients and providers Increases autonomy and decreases partnerships Assists individuals in self-management of chronic disease Provides a patient-centered approach to health informatics and health literacy Provides a health education interface to individuals with or without a health care provider
(wrong)Connects patients and providers The rationale for consumer health informatics is not to create patient/provider connections or partnerships but to allow an individual to maintain autonomy to identify and access information pertinent to their needs. (wrong)Increases autonomy and decreases partnerships The rationale for consumer health informatics is not to create patient/provider connections or partnerships but to allow an individual to maintain autonomy to identify and access information pertinent to their needs. (right)Assists individuals in self-management of chronic disease Consumer health informatics assist individuals in self-management using tools such as mobile applications that monitor and direct health needs. (right)Provides a patient-centered approach to health informatics and health literacy Consumer health informatics can individualize health information based on the level of understanding and need for individualized assistance, thus providing a patient-centered approach. (right)Provides a health education interface to individuals with or without a health care provider Many levels of consumer health informatics provide the ability of individuals to access accurate information regarding health issues.
What acute care nursing task uses health informatics to improve care quality? Contact a physician about a fall incident Assign telemetry monitoring to a nurse extender Ask permission to transfer patient to another unit due to risk Consider all providers notes and patient medications to determine a patient's fall risk
(wrong)Contact a physician about a fall incident. Contacting a physician about a patient fall is appropriate but does not use health informatics and may or may not improve care. (wrong)Assign telemetry monitoring to a nurse extenderAssigning telemetry to a nurse extender, if within their scope of practice, does not assure improved care quality. (wrong)Ask permission to transfer patient to another unit due to riskThe request to transfer a patient to another unit does not include an informatics approach to patient care quality. (Correct)Consider all providers notes and patient medications to determine a patient's fall risk. Interdisciplinary data aggregation provides a holistic view of the patient's risk. Using the EHR to gather data from all provider notes allows a nurse to determine the fall risk of a patient for care quality.
How does public health demonstrate impact on community health? Select all that apply. Identifying key stakeholders in the community Providing home health for persons affected by disease Using the YRBSS to determine substance use prevalence Using public alerts for disease outbreaks in the community Working with state and local health departments to determine health and wellness needs
(wrong)Identifying key stakeholders in the communityCommunity stakeholders relate to population health; public health deals with the health of the nation. (wrong)Providing home health for persons affected by diseaseProvision of home health care for individuals in not a component of public health. Correct Using the YRBSS to determine substance use prevalenceThe Youth Risk Behavioral Surveillance System [YRBSS] tracks 6 leading causes of death among adolescents and adults including substance use. Correct Using public alerts for disease outbreaks in the communityAn output of public health responsibilities is the use of public health alerts that affect the country and populations. Correct Working with state and local health departments to determine health and wellness needsState and local health departments are key stakeholders in public health.
How does meaningful use via hospital EHR improve patient satisfaction? Select all that apply. Increases access to patient portals Eliminates the need for discharge summaries Reduces medical errors through programmed alerts Provides specialized dashboards for rapid data access and analysis Provides accurate data to inform research leading to evidence-based practice
(wrong)Increases access to patient portals The focus of hospital-based EHRs is not to support patient portals; that responsibility is for physician-based EHRs. (wrong)Eliminates the need for discharge summaries Hospital-based EHRs have the ability to generate timely and complete discharge summaries for patient care after leaving the facility. (right)Reduces medical errors through programmed alerts EHRs can program provider alerts that identify the potential for error or a resulting error. (right)Provides specialized dashboards for rapid data access and analysis Discipline designed dashboards provide rapid and accurate access to patient information to increase the quality of care and patient satisfaction. (right)Provides accurate data to inform research leading to evidence-based practice A major attribute of the EHR is the collection of accurate data. The aggregation of these data can inform research that results in evidence to support or change practice.
How do health care portals increase patient satisfaction? Select all that apply. Provide e-prescribing Assist in health care decision making Increase patient/provider relationships Provide health alerts by geographic area Provide rapid access to health information
(wrong)Provide e-prescribing. e-Prescribing is a method of assistance through the EHR. Correct Assist in health care decision makingHealth care portals provide the patient with essential information related to their health and wellness to assist in making health care decisions. Correct Increase patient/provider relationshipsHealth care portals provide a patient-centered interface for patients and providers to interact empowering patients to become an active participant in health care decision-making. (wrong)Provide health alerts by geographic area. Health alerts are not generally related to health care portals. Correct Provide rapid access to health informationHealth care portals help patients monitor their medication usage, test results, and engage in discussions with health care providers for health care options.
Which elements best describe a learning health system? Providers develop a plan of care A multi-dimensional approach for discharge instructions A health system institutes a new EHR systems and schedules in-services for staff education A nurse determines, based on nursing notes, that a patient must ask for help when getting up
(wrong)Providers develop a plan of careIn a learning health system, all levels, including the patient and family, determine care. (Correct)A multi-dimensional approach for discharge instructions. Learning health systems use an interdisciplinary approach to merge all elements of health care with science and informatics. By applying a multi-dimensional approach for patient discharge the patient is provided with varying sources of assistance in their transition from hospital to home. (wrong)A health system institutes a new EHR systems and schedules in-services for staff educationA learning health system includes all voices when making large decisions. Instituting a new EHR system without all key stakeholders is not consistent with a learning health system. (wrong)A nurse determines, based on nursing notes, that a patient must ask for help when getting upWhile this could be a nursing assessment, it does not align with the concepts of a learning health system.
What describes health informatics methods for caring for a person with chronic upper airway disease to increase patient care satisfaction? Select all that apply. Providing the patient with written materials explaining their discharge Using the patient specific dashboard to understand the patient/family needs for home care Providing the patient/family links to the electronic health record dashboard for access to health information Providing the patient/family with internet links related to environmental effects on chronic upper respiratory disease Providing the patient/family with links to sites that can assist with additional information related to upper respiratory disease
(wrong)Providing the patient with written materials explaining their dischargeWritten materials are not an informatics approach. Correct Using the patient specific dashboard to understand the patient/family needs for home careA patient-specific dashboard rapidly identifies patient information that will assist in assisting the patient and their family manage upper respiratory disease. Incorrect Providing the patient/family links to the electronic health record dashboard for access to health informationThe electronic health record dashboard is an internal tool that those with appropriate credentials should not access. Patients can be provided with patient portal access to assist in the provision of their personal health care. Correct Providing the patient/family with internet links related to environmental effects on chronic upper respiratory diseaseProviding patients and their families with internet links related to environmental effects on chronic upper respiratory disease gives the patient and family valuable information that can related to disease management and possible exacerbation. Correct Providing the patient/family with links to sites that can assist with additional information related to upper respiratory diseaseProviding patients and their families with internet links related to environmental effects on upper respiratory disease gives the patient and family can provide education related to prevention of upper airway disease.
What describes a nursing and health informatics approach to care for a patient with dementia? The nurse provides links to apps that may assist the caregiver after discharge Internet provided information on dementia is provided to the patient's caregiver The nurse provides the patient's caregiver with provider directions at discharge The health care team discusses, with the patient and caregivers, an analysis of aggregated evidentiary data of dementia management and treatment
(wrong)The nurse provides links to apps that may assist the caregiver after discharge. Providing only smart applications may not account for patient/caregiver needs and abilities and provides a unilateral approach that does not include informatics. (wrong)Internet provided information on dementia is provided to the patient's caregiver. Providing only internet information may not account for patient/caregiver needs and provides a unilateral approach that does not include informatics. (wrong)The nurse provides the patient's caregiver with provider directions at discharge. Providing only the provider directions without supporting evidence, is a unilateral approach that does not include informatics. (Correct)The health care team discusses, with the patient and caregivers, an analysis of aggregated evidentiary data of dementia management and treatment. Evidence-based practice uses informatics to aggregate and analyze information to provide care that is based on science. The nurse, as a member of the health care team, may provide or orchestrate the provision of evidence-based care instructions.
How would a nurse identify evidence-based approaches to patient care? Select all that apply. Use anecdotal information to direct care planning Use personal nursing notes to determine a patient plan of care Use anecdotal information to identify a problem for investigation Use standard evaluation terms to collect data on a problem of interest Use the electronic health record to collect data on a target population
(wrong)Use anecdotal information to direct care planning Anecdotal information is not evidence-based. (wrong)Use personal nursing notes to determine a patient plan of care Individual or personalized notes are not consistently backed by evidence. (right)Use anecdotal information to identify a problem for investigation Evidence-based approaches begin with the determination of a problem that is further identified and studied. (right)Use standard evaluation terms to collect data on a problem of interest Standardized terms assist in the aggregation of data to determine the presence and magnitude of a problem. (right)Use the electronic health record to collect data on a target population The electronic health record contains a wealth of knowledge that can be used to determine population trends and the extent of the problem.
Which methods are consistent with a health informatics approach to acute care? 1. Creating a new list of patient care terms for documentation 2. Identifying specific patient test results to determine care plans 3. Identifying successful fall prevention methods using multiple method approach 4. Sharing medication error prevention methods with interdisciplinary team 5. Involving patients and caregivers in discussions of home care needs after discharge
1. (wrong)Creating a new list of patient care terms for documentation Reinventing the wheel is less productive than using exiting standardized terms that allow for data aggregation. 2. (wrong)Identifying specific patient test results to determine care plans Trends in test results provide a more holistic view of a patient's illness. 3. (right)Identifying successful fall prevention methods using multiple method approach Determinants of patient safety are best understood using a multiple methods approach. 4. (right)Sharing medication error prevention methods with interdisciplinary team Interdisciplinary data sharing is essential to assure a team approach and alert all team members to maximize patient care efforts. 5. (right)Involving patients and caregivers in discussions of home care needs after discharge Patient and caregiver involvement in care ensures their ability to comply with instructions by giving them ownership in the solution.
Which action describes health informatics associated guides for a 55-year-old to help diabetes self-management? Providing appropriate social network and internet links based on internet capabilities Providing the CDC's total list of blogs allowing the patient to select the most appropriate links Providing brochures explaining diabetes assuming the patient's demographic doesn't use the internet Providing names of information technology persons who can teach the patient how to use the internet
Correct Providing appropriate social network and internet links based on internet capabilitiesThe greatest effect for guidance is understanding the patients understanding and abilities. Providing the CDC's total list of blogs allowing the patient to select the most appropriate linksProviding the entire list of links to an individual without guidance related to those links associated with diabetes could be confusing and overwhelming causing the patient not to use the resource. Providing brochures explaining diabetes assuming the patient's demographic doesn't use the internetBrochures, while an appropriate source of information, are not an informatics approach to self-management. Providing names of information technology persons who can teach the patient how to use the internetUnderstanding the patients' needs and abilities should be identified; providing an IT individual to teach them use of the internet may not be helpful based on availability and interest in this type of approach.
Which action best describes how a nurse in a provider clinic can increase the satisfaction of an adolescent with asthma and their family? Providing the parents/family with written information specifically designed for asthma Providing the patient/family with interventions and education identified by health care providers as helpful Providing the parents/family with information on how to electronically access hospital electronic records Providing the parent with access to the patient portal with a link to a gaming tool that will help the patient self-management their asthma
Correct Providing the parents/family with written information specifically designed for asthmaProviding written information can act as an adjunct to a health informatics approach to disease prevention and health promotion but, alone, are not an informatics approach. Providing the patient/family with interventions and education identified by health care providers as helpfulProviding interventions and education should include patient/family input and not based solely on the providers identification. Providing the parents/family with information on how to electronically access hospital electronic recordsThe electronic health record dashboard is an internal tool that those with appropriate credentials should not access. Patients can be provided with patient portal access to assist in the provision of their personal health care. Providing the parent with access to the patient portal with a link to a gaming tool that will help the patient self-management their asthmaProviding individuals with helpful information and methods, such as gaming for children to assist in self-management of illness, is an essential part of using health informatics as a tool for disease prevention and health promotion.
Match population attributes with examples of community use of health informatics. Group of persons with diabetes Food availability Health food application Key stakeholders Risk assessment Outcomes Input
Group of persons with diabetes - Key stakeholders Food availability - Input Health food application - Outcomes
What describes how a consumer health informatics approach can be used for caregivers of persons with dementia? Select all that apply. Meeting individuals sharing similar interests Relying on all information as being accurate Connecting with blogs to provide information on dementia Joining social networks associated with others with interest in dementia Using internet resources to search for dementia-related information
Meeting individuals sharing similar interestsMeeting individuals, such as support groups, are appropriate methods for providing support-but they are not an informatics approach. Relying on all information as being accurateInternet resources are valuable methods of providing support for individuals but are not always accurate. Caution should be taken to assure individuals contact reputable sources and links. Correct Connecting with blogs to provide information on dementiaBlogs provide individuals, groups, and communities the ability to connect and share information with other users for real time discussions. They provide real-time discussions related to health care issues. Correct Joining social networks associated with others with interest in dementiaSocial networks can connect individuals with other individuals experiencing the same illness or caregivers seeking support or information. Correct Using internet resources to search for dementia-related informationVarious types of internet resources can connect individuals with educational information and methods of connecting with other for support.
How does the NHANES survey apply to community health informatics in children? Partners with federal registries to collect data on childhood illness Uses surveillance systems to determine geographical childhood diseases Determines through social networks, how children are affected by divorce Collects standardized data via interview and physical exam, to monitor geographical health of children
Partners with federal registries to collect data on childhood illnessThe National Health and Nutrition Examination Survey (NHANES) uses personal interviews and exams as evidence and not federal registries. Uses surveillance systems to determine geographical childhood diseasesThe National Health and Nutrition Examination Survey (NHANES) uses personal interviews and exams as evidence and not surveillance systems. Determines through social networks, how children are affected by divorceThe National Health and Nutrition Examination Survey (NHANES) uses personal interviews and exams as evidence and not social networks. Correct Collects standardized data via interview and physical exam, to monitor geographical health of childrenThe National Health and Nutrition Examination Survey (NHANES) assesses the health and nutritional status of adults and children in the US through interview and physical examinations.
Match the health informatics attribute with the area of support Supports health care delivery Supports administrative tasks Connects patients & providers mHealth & telehealth EHR patient portals Care costs & billing CPOE
Supports health care delivery - EHR patient portals Supports administrative tasks - Care costs & billing Connects patients & providers - mHealth & telehealth
Which describes the first step to familiarizing oneself with consumer health informatics? Using LinkedIn to find others interested in consumer health informatics Building a list of links to provide to patients for self-management of health and illness Accessing the National Center for Biotechnology Information (NCBI) to connect with links and social networks Contacting the CDC to determine what information or resources they have related to consumer health informatics
correct Using LinkedIn to find others interested in consumer health informatics. Using LinkedIn to locate others interested in consumer health informatics is a good idea, but not the first step in the process. Building a list of links to provide to patients for self-management of health and illnessBuilding a list of links prior to understanding what consumer health informatics is, would be premature. Accessing the National Center for Biotechnology Information (NCBI) to connect with links and social networksThe National Center for Biotechnology Information (NCBI) provides the background and understanding of the crux of consumer health informatics. Contacting the CDC to determine what information or resources they have related to consumer health informaticsThe National Center for Biotechnology Information (NCBI) is the source of information on consumer health informatics, and not the CDC.