Unit 1a Objective 3

This is in many cases a legal document that can prove or disprove the actions of the care provider being justified in delivery of safe, quality care. Poor documentation or omission can lead to further mistreatment by other providers if this is not accurate

The health record

ONC rules specify the...,...........and other criteria for EHR systems to be certified

standards; implementation specifications

The responsibility for developing an overall policy infrastructure that supports health IT and HIEs primarily lies with the

Office of National Coordinator for Health IT (ONC)

What are the key elements of communication in today's health care environment?

Patient safety/care quality, the electronic health record and advocacy

Learning to manage............is crucial to managing technological change

People

Informatics is not limited to hardware and software. It also includes..........and............

People and organizational skills

This involves the sociological side of informatics implementations and includes issues such as productivity, teamwork, group dynamics, etc

Peopleware

We can evaluate biosurveillance, outbreak response and electronic laboratory reporting with application of principles and practices of............

Public Health Informatics

This is the application of information, computer science, and technology to public health science to improve the health of populations

Public Health informatics

What does QSEN stand for?

Quality and Safety Education for Nurses

Building the public's trust in health IT requires comprehensive.................and..........protections that establish clear rules on how patient data can be accessed, used and disclosed

Security; privacy

The Institute of Medicine has said that the leading cause of ...............and errors in care delivery has been communication

Sentinel events

This describes the knowledge and use of tools, machines, materials and processes to help solve human problems

Technology

This is the knowledge and use of tools, machines, materials and processes to help solve human problems

Technology

Health informatics involves the use of.............and..............systems to support the health care industry

Technology; information

Standardized.............within an EHR is critical for communicating care to the interprofessional team and exchanging health information

Terminology

Appropriateness is achieved when

The communication has been adapted to the people and situation involved

What are the three informatics domains according to the American Medical Informatics Association?

1. Clinical informatics 2. Public Health informatics 3. Translational Bioinformatics

The increased use of technology is driving its integration into health care. What are the three technological revolutions noted by the Pew Research Center in the last 15 years?

1. Greater access to broadband, which has increased internet access 2. Mobile connectivity and concept of anywhere/anytime access 3. The presence of social media and social networks in daily life

This is a subset of clinical health care informatics that integrates nursing science with multiple information and analytical sciences to identify, manage, define and communicate data, information, knowledge and wisdom in nursing practice

Nursing Informatics

In Nursing, the ..............has defined the scope and standards for an informatics nurse and informatics nurse specialist

ANA

Nurses can become certified in nursing informatics through the

ANCC

This is another fundamental communication skill for a nurse. It can provide information to a provider, or with the advent of the EHR, other facilities and health care personnel can use the information provided by the nurse in this manner.

Accurate and Timely documentation

This is the act of speaking for others to assist them meet to meet needs. It can apply in self-situations to speak out on behalf of the nursing profession, on behalf of a patient, family members .

Advocacy

According to this association, Health informatics is defined as referring to applied research and practice of informatics across the clinical and public health domains

American Medical Informatics Association

EHRs must use consistent terminology as recognized by the:

American Nurses Association (ANA)

The ANCC stands for

American Nurses Credentialing Center

Not only EHRs must be used meaningfully, but what else must be considered in terms of continued reform to provide high quality, safe and effective care to clients?

Examine the use of communication tools and patient portals to foster communication between patients and clinicians and transform health professional education

The ONC works with the............to assist in establishing policies related to Medicare and Medicaid payment for "meaningful use" of EHRs

Centers for Medicare and Medicaid Services (CMS)

Informaticians are

Informatics specialists that collaborate with health care professionals and IT specialists to enhance and support patient-centered quality health care

This is an interprofessional science primarily concerned with the analysis, collection, classification, manipulation, storage, retrieval, and dissemination of information

Information Science

What does CIS consist of?

Information technology applied at the point of care

What is the purpose and use of SBAR in clinical setting?

It is a structured communication tool to effectively pass information between nurses, providers and respecting status of the nurse's role in the care team

This is a type of clinical informatics that seeks to transform health care and enhance human health through a creative and innovative use of informatics. It is accomplished through a well-educated and properly trained workforce, public policy, enhanced performance of health care processes and relevant research agenda.

Clinical Health Care Informatics

This is the application of information and communication technologies to the delivery of health care services. It has two subdomains

Clinical Informatics

This is a subset of clinical informatics that is meant to advance the biomedical/health sciences through the humane and ethical use of informatics. Relates to the use of information and technology in health care

Clinical Research Informatics

What are the two subdomains of clinical informatics?

Clinical health care informatics and Clinical Research Informatics

These offer the best set of tools for achieving quality outcomes and are at the heart of health care IT and informatics

Clinical information systems

This is a process of interaction between people in which symbols are used to create, exchange, and interpret messages about ideas, emotions and mind states

Communication

This is a branch of engineering that studies computation and computer technology, hardware, and software as well as theoretical foundations of information and computation techniques

Computer science

This is a subset of clinical health care informatics that is a form of health information technology geared toward delivery of care based on the consumer's perspective

Consumer health informatics

Tools provided by health IT and health informatics are used by groups including:

Consumers, patients and their families, caregivers, health care professionals, administrators and any personnel supporting delivery of health care

Technology is the product of............and is sustained by.............

Creative human action; human action

The professional role requires that nurses develop and practice a variety of communication skills that will ensure successful role function as well as the............

Delivery of quality patient care

This is a tool that serves as the central component of the health IT infrastructure. It is an individual's official, digital health record and is shared among multiple facilities and agencies

EHR (Electronic Health Record)

Examples of Clinical Information systems include

EHR, clinical data repositories, decision support programs, handheld and mobile devices for collecting and viewing reference materials

This is an individual's health record within a provider's facility

EMR (Electronic Medical Record)

Communication competence in nursing means that the communication is:

Effective and Appropriate

In order to achieve health care reform, regarding technology use, the health care system must make:

Effective use of information technologies to automate clinical information and make it readily accessible to patients and all members of the care team

Effectiveness is achieved when

Goals of the communication are met

This is a major social activity established for the purpose of helping people with their health concerns

Health Care

This is the application of information processing involving computer hardware, computer software, communications and networking technologies that enables the storage, retrieval, sharing and use of health care data, information, knowledge and wisdom for communication and decision making.

Health IT

This provides the umbrella framework to describe the comprehensive management of health information and it's secure exchange between consumers, providers, government and quality entities and insurers

Health IT

In today's world, you can't have......without............

Health Informatics; Health IT

These are infrastructure health technologies that support the sharing of health data across health care institutions

Health Information Exchanges (HIE)

This is considered the essential antecedent for health informatics

Health Information Technology

What does HIPAA stand for

Health Insurance Portability and Accountability Act

This is a discipline in which health data are stored, analyzed and disseminated through the application of information and communication technology

Health informatics

The CMS gives rules that specify

How physicians, hospitals and other eligible professionals must demonstrate meaningful use to receive payment incentives

What does ISBARR stand for?

Identify self, SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION and READ BACK ORDERS

This is a person who works in the field of informatics, sometimes called an informaticist

Informatician

An.........workforce with the right skillset is critical to the advancement of health IT and informatics

Informatics

This is a broad term derived from the French word "informatique"-it is the science that encompasses information science and computer science to study the process, management and retrieval of information.

Informatics

Why must evidence based practice guidelines and alerts be incorporated to help nurses conduct their assessments, diagnose and determine the nursing interventions to achieve optimal patient outcomes?

To facilitate provision of care

This is the development of storage, analytic and interpretive methods to optimize the transformation of increasingly voluminous biomedical and genomic data into proactive, predictive, preventive and participatory health

Translational Bioinformatics

True or False: All nurses need informatics knowledge and skills to practice in a technology-intensive health care environment

True

True or False: HIPAA rules have been modified to reflect newer Health IT

True

True or False: Health IT and Health informatics intersect with the science of health to provide powerful tools and processes for advancing health practices and serve as an infrastructure to support and promote a continuously learning health care system.

True

True or False: Health IT is a precursor or antecedent to health informatics

True

True or False: Nurses are involved in informatics in terms of their own professional roles and responsibilities and with their interprofessional roles and responsibilities with other health care professionals within a heath care institution.

True

True or False: The universal requirement for quality patient care, efficiency, and cost containment makes it imperative to express data, information and knowledge in a meaningful way that can be shared across disciplines and care settings

True

True or False: There is no consolidated list of competencies in informatics available

True

True or False: Using appropriate technologies has been recommended as a solution to reduce errors and ensure patient safety

True

True or False: an increasing number of digital tools are being used as a part of Health IT by patients and their families, caregivers and consumers

True

What is an IOM recommendation to support effective communication

Use of ISBARR