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WGU Information Management - C468 question and answer 2022/2023 correctly solved
Information literacy Defined as the ability to recognize when information is needed as well as the skills to find, evaluate and use needed information eff... [Show More] ectively Information Term used to describe data that has been interpreted Information science Focus on how to gather, process and transform information into knowledge. It also incorporates features from 5 other sciences -communication science -computer science -social science -library science -cognitive science Information systems Using the EHR to document care of a patient with a fractured femur is an example of using the EHR in which way Simulation Technology Improving patient outcomes. Allowing them hands-on practice and immediate feedback of the skill being learned Knowledge worker Nurses in this type of role -are continuous learners -use technology to support and inform nursing practice -generate knowledge as a product Expert/Experienced Nurse Expected to fully integrate informatics throughout the course of his/her practice, not just for basic data entry and retrieval. They also know how to pull trends out of data Nursing informatics Nursing informatics as a specialty does have its own National certification exam Clinical practice guidelines Clinical practice guidelines can allow for the creation of nursing policies. True rooted in evidenced based research Information technologies, not systems but functions within a system CPOE, bar code medication administration, and clinical decision support are all examples of what Computerized Physician Order Entry (CPOE) The name used to describe the process by which the physician or provider enters orders electronically into the EHR RFID A radio frequency identifier (RFID) is a type of (information) technology that is used to identify and track supplies and medications within a healthcare environment Informatics affecting Nursing Practice Clinical pathways and computer generated care plans are examples of how informatics can affect nursing practice True, examples of clinical decision support Nursing informatics The use of technology and information to help support all aspects of nursing practice The foundation of knowledge model The basis for which knowledge is used to meet the needs of the healthcare delivery system It is derived from its 3 key elements of knowledge acquisition, knowledge processing and knowledge dissemination Data (not information until it has been analyzed) A patients height, weight, code status, and date of birth are all examples of what Less consumer accountability Not an emerging trend in healthcare Mission The purpose or reason for an organizations existence Strategic planning, long-range The development of a comprehensive long range plan for guiding the activities and operations of an organization They will need to be trained on the system Why is it not important that selection committee board members understand software and electronic processes Strategic Planning Strategic planning is not driven by short term goals as Strategic Planning is a LONG TERM GOAL Blogging Not a national trend related to nursing informatics Needs assessment During which phase of the information life cycle should the "musts" and "wants" be determined Information Life Cycle Phases 1. Needs assessment phase 2. System selection phase 3. System implementation phase 4. Maintenance phase Project scope Term that defines the size and details of a collaborative effort Nurses active participation in Electronic Information Importance To ensure the information is current and accessible to the healthcare team Project Implementation Team Responsibilities Execution of system changes, active involvement in user participation, knowledge of current workflows Company history A common request contained in a request for information (RFI) document includes what System Implementation Role Go-live planning, applying system changes as needed, end-user training Continuous Term that best describes the life cycle of an information system EHR Essential Components Evidence-based decision support, assessment findings, vital signs, demographic data EHR Function Bar-code medication administration EHR Benefits Reduces medication errors, improves provider documentation Patient Support Example Providing education material EHR Primary Benefit One primary benefit of the EHR is a decreased wait time for diagnostic testing...FALSE EHR Main Goal Primary goal of EHR functionality in contrast to that of a health information system is promoting patient safety HIS Health Information System Broad term used to describe administrative and clinical systems to streamline work flow processes efficiency Barrier to patient centered care Is waiting until the end of the shift to chart patient assessments a barrier to patient centered care...Yes, chart in real time. Computer position can be a barrier if it is placed between the provider and the patient...pay attention to your patient. Standardization of Data and Different data needs of each clinic What potential challenge can occur when implementing an EHR in a medical center with various outpatient clinics Local Area Network (LAN) access What is the type of connection is needed to access the EHR when an internet connection is lost EHR Information Includes Immunization history, CT scan results, date of birth [Show Less]
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WGU C468 PRE-TEST question and answers rated New A+ 2022/2023
Match the situation with the appropriate and effective telecommunication strategy. Answers options may be used more than once or not at all. 1 -An el... [Show More] derly homebound patient is concerned about the palpitations she is feeling. 2 -A nurse is struggling to work full-time in a hospital setting time while completing her Masters. 3 -A cardiologist with a rural office practice has no one to cover his patients when he is away. 4 -A family member is unsure what to do for a home hospice patient who is restless and agitated during the night. 1=Real-time remote monitoring 2=Online classroom 3=Teleconsultants 4=Real-time remote monitoring Which example is a telehealth non-clinical application? -Distant patient education via computer What is a prominent socioeconomic factor driving telehealth medicine? -An increase in chronic disease conditions What is an important legal consideration in the use of telehealth nursing? -The nurse is licensed in each state in which the remote clients are located. What are two common characteristics of telehealth? Choose 2 answers -The use of video streaming technology -Transmission of biological data from a remote location Which of the following uses database applications to sift through large amounts of data and looks for previously hidden trends? -Data Mining A nurse is reviewing a patient's pneumonia vaccination status in the electronic medical record. The nurse determines the patient needs this vaccine before discharge to meet the requirements of a current clinical pathway. Why would the nurse use information systems in this manner? -To promote desired clinical outcomes A nursing informatics specialist at a small, rural hospital implemented a clinical information system utilizing an electronic health record (EHR). She obtained input from nurses regarding selection of the specific EHR. She noted that some of the nurses had negative attitudes towards a change to the EHR, but she encouraged them to try the system and note its benefits. She implemented the system after all nurses were trained about the EHR. There were numerous complaints about the EHR, which the Nursing Informatics Specialist decided to ignore since the personnel were new to the system. Which barrier to implementing technology is present in the scenario? -Lack of continued support A computer program was implemented at a hospital that required nurses to wait until the patient arrived in the emergency room and was registered into the program before orders for critical time-sensitive treatment could be written. How could this program become a barrier to the nurses attempting to deliver patient-centered care? -The time spent waiting for the program to register the patient could delay critical care being delivered in a timely manner. How is information related to data? -Information is data that have been interpreted How does information literacy support the use of evidence-based-practice (EBP) in nursing? Choose 2 answers -The nurse can discern research findings that can be applied to practice -Nurses must frequently consult resources including peers and general internet searches A nurse documents care of a patient with a decubitus ulcer in the electronic health record. Which term describes the electronic health record in this situation? -Information system Which statement describes nurses as knowledge workers? -Nurses generate knowledge as a product. Match the level of nurse practice with appropriate skill criteria. Answer options may be used more than once or not at all. 1-Uses information systems to manage patients 2-Pulls trends out of data 3-Generates informatics theory 4-Focuses on nursing's information needs 1=Beginning nurse 2=Experienced nurse 3=Informatics innovator 4=Informatics nurse specialist Label the descriptions as belonging to the role of either the informatics nurse or the informatics nurse specialist. Answer options may be used more than once or not at all. 1-The RN who works in the area of informatics 2-Has an interest or experience, but no formal training in informatics 3-Plays an active role in research and theory development 4-Has advanced graduate training in nursing informatics 5-Ensures that information is disseminated at appropriate times for appropriate uses 1=Informatics nurse 2=Informatics nurse 3=Informatics nurse specialist 4=Informatics nurse specialist 5=Informatics nurse Which national trend is related to nursing informatics? -Barcode scanning for medication administration Which standardized nursing terminology is composed of nursing diagnoses, nursing actions, and nursing outcomes? -ICNP (International Classification for Nursing Practice) Which of the following requires standardized nursing terminology to meet its criteria? -Meaningful Use What is a challenge to the adoption of eHealth strategies? -Creating economic incentives and policies that providers view as essential to accomplishing their financial and professional goals What is the importance of a nurse's active participation in electronic patient information? -To ensure patient information will be current and accessible to the healthcare team A nurse is working on a medical surgical unit and is concerned over a patient's worsening heart failure. The nurse calls the provider to discuss the assessments. How does the electronic medical record facilitate a collaborative discussion in this situation? Choose 2 answers -The provider can visualize the chest x-ray remotely. -The provider has access to the data being discussed. State of the Field - What are three types of clinical information systems? Choose 3 answers 1. Laboratory system 2. Order entry system 3. Monitoring system What are common features of the various health information systems? Choose 3 answers -Creates a comprehensive record of the patient's medical history -Is unique in the way they function and provide information to clinicians -Collects, processes and distributes patient centered data to manage and provide care Match each term with its healthcare information system. Answer options may be used more than once or not at all. 1. Admission, discharge, and transfer system 2. Radiology information system 3. Financial system 4. Clinical documentation system 5. Scheduling system 1=Administrative Information Systems 2=Clinical Information Systems 3=Administrative Information Systems 4=Clinical Information Systems 5=Administrative Information Systems Which health information system is used to collect and store client identification and demographic data that are verified and updated at the time of each visit? -Registration system Administration in an acute care clinic is considering adopting a health information system. A team is formed with members of clinical areas, software vendors, and an executive team of stakeholders. Which collaborative tasks are important for this team to accomplish with regard to selecting the health information system? Choose 3 answers -Determine who will be accountable for the project -Determine how resources will be allocated to support the system -Assess potential for process improvement while using the system An admission nurse is awaiting notification of whether a patient being monitored by telehealth will be admitted to the hospital. The physician has already documented the admission orders in the digital medical record. Due to miscommunication, the admitting nurse did not access the digital medical record. There was a significant delay in the patient's admission, which led to decreased patient satisfaction with the admission process. How can the use of the digital health record improve this process? Choose 2 answers -It prevents the delay of tests and services. -It allows for easy access to patient information. What are the essential components of an electronic health record? Choose 3 answers -Vital signs -Lab results -Demographics Which function is performed within an electronic health record system? -Bar scanning medications and patients What can a nurse, working in a hospital, use to access a patient's electronic health record and prescription drugs from a medication administration system? -Bar coded identification cards Which mechanism is used to streamline caregivers' workflow that needs to include past medical history, patient demographics, immunizations, and medication history? -Electronic health record What are some benefits of using an electronic health record (EHR) system in an ambulatory care clinic? Choose 4 answers -Decrease medication errors -Increase clinic reimbursement -Improve provider documentation -Increase delivery of guideline based care A local medical clinic is attempting to develop an electronic health record (EHR) system.Which challenges should the organization anticipate? Choose 2 answers -Identifying data needs for differing nursing practice specialties -Implementing standardization of documentation across physician offices A nurse is administering a new medication to a patient who has never taken this medication in the past. The patient is already taking seven different medications at this time. Which nursing intervention should the nurse do before administering this medication? -Review the drug-to-drug, drug-allergy check in electronic health record Classify the mechanisms as either physical or logical security measures for protecting electronic information. Answer options may be used more than once or not at all. 1. Authentication 2. Placing computers, servers, and routers in restricted 3. Installing a firewall 4. Automatic sign-off 5. Setting up surveillance 1= Logical 2=Physical 3=Logical 4=Logical 5=Physical Which statement represents one of the principle provisions of the Health Information Portability and Accountability Act (HIPAA) related to information security? -Nurses should notify a supervisor immediately when observing a breach of patient confidentiality. What is a principle provision of the Health Information Technology for Economic and Clinical Health (HITECH) Act? -To improve healthcare quality by enhancing coordination of services among providers You are a nurse manager at a hospital. The informatics department at the hospital has established a no flash drive policy. In addition, all patient files must be saved on the secure O: drive. What would be an appropriate way to describe these changes to your staff? Choose 2 answers -The hospital is implementing a security program to prevent patient data for being compromised. -The hospital is eliminating the need for flash drives to prevent the loss of sensitive data. You are the informatics nurse at a hospital. You are running a random report evaluating users on your new electronic health record (EHR). You notice that the charge nurse from the emergency department just underwent a radical mastectomy and is recovering on the surgical floor. You then notice that four nurses from the ER have accessed this record. What should you do? Choose 3 answers -Talk to each nurse and explain the legal and ethical ramifications of accessing the EHR. -Explain to the patient their information has be breached. -Provide training to nurses in the emergency department about protected patient information. In regards to a secure network, what gives employees confidence that the information they are reading is true? -Integrity What represents the greatest potential threat to data security? -Removable storage device What are common personal data access security threats in healthcare? Choose 2 answers -Unencrypted data -Weak passwords A nurse learns that a colleague has accessed electronically stored health information of a patient that the colleague is not involved in treating. What should the nurse do? -Report the colleague to their employer Which procedures are essential to creating and maintaining a culture of safety during the medication administration cycle? Choose 2 answers -Performing double verification among nurses when administering high alert medications -Barcode scanning the patient and the medication to ensure positive patient ID Which informatics tools are commonly used for collecting and analyzing patient data? Choose 2 answers -PDAs -Bedside computers Which type of technology offers support during the medication administration cycle? -Viewing of the digital health record during a home health visit A a student is behind on morning medication administration. The instructor is pressuring the student to pass quickly without any errors. One of the clients assigned to the student's care asks for pain medication. Which nursing intervention is questionable? -Computer scan the meds and come back later to administer them Which statements by the nurse demonstrate understanding of the reason for a clinical information system? Choose 2 answers -The information retrieved can be used for research. -It improves compliance with nursing documentation. A nurse uses an internet blog to give a patient shift report to a nurse coming on to the next shift. Why is this nursing action a problem? Choose 2 answers -Giving a nursing report via a blog does not meet HIPAA requirements -Healthcare information discussed on the blog violates a patient's privacy A nurse manager views patient data collected over the last three months of hospital admissions. Trends show that nosocomial infections have increased on the geriatric unit. Which actions can patient data facilitate quality improvement in the future? Choose 2 answers -Using the data to implement evidence-based practice procedures. -Using the data to monitor infection trends. What are the features of a clinical decision support tool? Choose 3 answers -Provides practice guidelines -Delivers online information retrieval -Issues computerized alerts and reminders What is a function of a clinical decision support tool? -Providing clinicians with knowledge and person-specific information How can clinical decision support tools lead to safer patient care? Choose 2 answers -They give timely information to nurses and other healthcare providers. -They reduce waste of nurse's time looking through the medical record. A nurse receives a computerized alert of a critical lab value on her patient. This computerized alert informs the nurse that an action needs to be taken and provides suggestions for clinical intervention. Which technology did the nurse employ to achieve an enhanced safe practice environment? -Use of a clinical decision support tool During a crisis, a nurse manager is looking for the written, hospital-wide procedural policy. The nurse is unable to locate it. What can the nurse manager use to solve this issue? -Decision support tools How does meaningful use of electronic health records (EHR) relate to quality patient care? Choose 2 answers -Computerization of prescriber order entry (CPOE) -Maintenance of active patient medication lists What is one way that technology acts as a change agent in the nursing process? -It reduces the time spent on documentation. A patient is in the ICU after a motorcycle accident. The patient sustained multiple contusions and fractures. Various digital monitoring devices are being used to track the patient's vital signs, pulse oximetry, and cardiac rhythm. How can the appropriate use of these technologies impact this patient's outcome? Choose 2 answers -Decreased recovery time -Timely treatment of potential complications A nurse manager identifies several advanced practice nurses at an ICU workstation responding to multiple patient alarms. She notices that the acuity of one patient drastically increases the demand for staff resources. How can workflow analysis impact practice in this situation? -It provides observation and documentation of what is happening [Show Less]
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WGU C468 OA question and answers 2022/2023
Informatics The science and art of turning data into information. Nursing Informatics * -The use of information and technology to support all aspe... [Show More] cts of nursing practice -Including direct delivery of care, administration, education, and research. Information Literacy -The ability to recognize when info is needed as well as the skills to find, evaluate and use effectively. Information -Data that has been interpreted Information Science -Focus on how to gather, process and transform info into knowledge. -Includes 5 Sciences; Communication, Computer, Social, Library and Cognitive Using the EHR to document care of a patient with a fractured femur is an example of using the EHR in which way? Information System How can using simulation technology with your patients improve overall outcomes? Allowing hands on practice and immediate feedback of the skill being learned. Knowledge Worker -Continuous learner -Uses technology to support and inform nursing practice -Generate knowledge as a product * Experienced Nurse -Fully intergrade informatics throughout the course of her practice, not just for basic data entry and retrieval. -Knows how to pull trends out of data. Beginner Nurses -Uses information systems to manage patients. Nursing Informatics -National Certification Exam Clinical Practice Guidelines -Can allow for the creation of nursing policies (example of clinical decision support) Information Technologies -CPOE -Barcode Medication Administration -Clinical Decision Support Computerized Physician Order Entry (CPOE) -The process by which the physician or provider enters orders electronically into the EHR Radio Frequency Identifier (RFID) -Type of technology that is used to identify and track supplies and medications -Also can track medical equipment and patients Examples of How Informatics can Affect Nursing Practice -Clinical pathways -Computer generated care plans Foundation of Knowledge Model -Knowledge is used to meet the needs of the healthcare delivery system -3 Elements (acquisition, process and dissemination) Data -Patients HT, WT, Code status and DOB Emerging Trends in Healthcare -Patient safety -Error reduction -Additional regulatory requirements The Mission -Purpose or reason for an organizations existence Strategic Planning -Comprehensive long range plan for guiding the activities and operations of an organization Reasons why the Selection Committee Board Members need to understand software and electronic processes -Impact business goals -Affect success or failure -Determine budget allocations Strategic Planning is Driven By -Organization mission and values -Long term goals * -Service offered National Trends related to Nursing Informatics -CPOE -Barcode Medication Administration -Clinical decision support tools Needs Assessment Phase -Organization performs a gap analysis determining the "needs and wants" System Selection Phase -Organization seeks out a vendor company that offers them a system that best fits their needs -RFI (request for info), RFP (request for proposal), RFQ (request for quote) System Implementation Phase -Go live planning -Training of end users -Execute system changes Maintenance Phase -Problem solving, debugging -Back up files -Installing system upgrades Project Scope -The size and detail of a collaborative effort Why is the nurses active participation in electronic information important? -To ensure the info is current and accessible to the healthcare team Responsibility of the Project Implement Team -Execution of system changes -Active involvement in user participation -Knowledge of current workflows A common request contained in a Request for Info) RFI documentation includes -Company history Computerized Physician Order Entry (CPOE) -Process by which the physician or provider enters orders electronically into the EHR Example of Essential Component of EHR -Evidence based decision support Component of EHR -Assessment findings -Demographics -Vital Signs Function of EHR -Barcode Medication Administration Benefits of EHR -Reduce medication errors -Improved provider documentation What is the primary goal of EHR functionality in contrast to that of the health information system? -To promote patient safety Health Informatics System -Group of systems used within a hospital that support and enhance healthcare Administrative Info Systems -Registration -Financial -Scheduling Clinical Info Systems -Lab -Pharmacy -EHR Local Area Network (LAN) -Type of connection needed to access EHR when an internet connection is lost How does the EHR helps patients receive quality care when going from one facility to another? -Provides continuity of care -Review previous care and provide appropriate treatment Order Entry System -Ensures accuracy of physicians orders Perioperative Nursing Data Set (PNDS) -Nursing terminology contains a nursing diagnosis, interventions and outcomes specific to the perioperative experience Standardized Terminologies -Accessibility, ubiquity, longevity and reusability HL7 (Health Level 7) -Standard of interoperability and clinical data exchange Clinical Decision Support -Looks at your patient specific data and compares it or analyzes it and provides further recommendations -Pop up reminders 3 Principles that make up an organization culture of safety -Commitment of resources -Cross collaboration -Blame free environment Cross Monitoring Process of monitoring the actions of other team members for the purpose of sharing the workload and reducing or avoiding errors Information Security The protection of information from accidental or intentional misuse by persons inside or outside an organization 2 Governing Authorities to protect Information -HIPPA -ANA code of ethics HIPPA Privacy Act -Patients have ownership rights to their records -Patients can amend own records if information is incorrect LOGICAL examples of protecting info -Firewall -Biometrics -Authentication -Automatic sign off PHYSICAL examples of protecting info -Surveillance camera -Restricted areas -Shred important documents Telehealth Use of technology to deliver health-related services and information, including telemedicine Store-and-Forward Technology -A form of transferring data or an image from one location to another -Pathology/ Radiology Socio Economic Factors that are helping support the need for telehealth -Access to care -Continuity of care -Patient to Dr. ratio [Show Less]
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WGU C468 question and answers 100% correct
Which of the following uses database applications to sift through large amounts of data and looks for previously hidden trends? Data Mining the pra... [Show More] ctice of examining large databases in order to generate new information Data Mining A Nurse is reviewing a patient's pneumonia vaccination status in the electronic medical record. The nurse determines the patient needs this vaccine before discharge to meet the requirements of a current clinical pathway. Why would the nurse use information systems in this manner? To promote desired clinical outcomes A nursing informatics specialist at a small, rural hospital implemented a clinical information system utilizing an electronic health record (EHR). She obtained input from nurses regarding selection of the specific EHR. She noted that some of the nurses had negative attitudes towards a change to the EHR, but she encouraged them to try the system and note its benefits. She implemented the system after all nurses were trained about the EHR. There were numerous complaints about the EHR, which the Nursing Informatics Specialist decided to ignore since the personnel were new to the system. Which barrier to implementing technology is present in the scenario? Lack of continued support How is information related to data? Information is data that has been interpreted How does information literacy support the use of evidence-based-practice (EBP) in nursing? - The nurse can discern research findings that can be applied to practice - Nurses must frequently consult resources including peers and general internet searches A nurse documents care of a patient with a decubitus ulcer in the electronic health record. Which term describes the electronic health record in this situation? Information system Which statement describes nurses as knowledge workers? Nurses generate knowledge as a product Beginning nurse A. Uses information systems to manage patients B. Pulls trends out of data C. Generates informatics theory D. Focuses on nursing's information needs A. Uses information systems to manage patients Experienced nurse A. Uses information systems to manage patients B. Pulls trends out of data C. Generates informatics theory D. Focuses on nursing's information needs B. Pulls trends out of data Informatics innovator A. Uses information systems to manage patients B. Pulls trends out of data C. Generates informatics theory D. Focuses on nursing's information needs C. Generates informatics theory Informatics nurse specialist A. Uses information systems to manage patients B. Pulls trends out of data C. Generates informatics theory D. Focuses on nursing's information needs D. Focuses on nursing's information needs Informatics nurse OR Informatics nurse specialist? The RN who works in the area of informatics Informatics nurse Informatics nurse OR Informatics nurse specialist? Has an interest or experience, but no formal training in informatics Informatics nurse Informatics nurse OR Informatics nurse specialist? Plays an active role in research and theory development Informatics nurse specialist Informatics nurse OR Informatics nurse specialist? Has advanced graduate training in nursing informatics Informatics nurse specialist Informatics nurse OR Informatics nurse specialist? Ensures that information is disseminated at appropriate times for appropriate uses Informatics nurse What is the importance of a nurse's active participation in electronic patient information? To ensure patient information will be current and accessible to the healthcare team A nurse is working on a medical surgical unit and is concerned over a patient's worsening heart failure. The nurse calls the provider to discuss the assessments. How does the electronic medical record facilitate a collaborative discussion in this situation? - The provider can visualize the chest x-ray remotely - The provider has access to the data being discussed What are three types of clinical information systems? - Laboratory system - Order entry system - Monitoring system What are common features of the various health information systems? - Creates a comprehensive record of the patient's medical history - Is unique in the way they function and provide information to clinicians - Collects, processes and distributes patient centered data to manage and provide care Clinical information system OR Administrative information system? Admission, discharge, and transfer system Administrative information system Clinical information system OR Administrative information system? Radiology information system Clinical information systems Clinical information system OR Administrative information system? Financial system Administrative information systems Clinical information system OR Administrative information system? Clinical documentation system Clinical information systems Clinical information system OR Administrative information system? Scheduling system Administrative information system Which health information system is used to collect and store client identification and demographic data that are verified and updated at the time of each visit? Registration system Administration in an acute care clinic is considering adopting a health information system. A team is formed with members of clinical areas, software vendors, and an executive team of stakeholders. Which collaborative tasks are important for this team to accomplish with regard to selecting the health information system? - Determine who will be accountable for the project - Determine how resources will be allocated to support the system - assess potential for process improvement while using the system An admission nurse is awaiting notification of whether a patient being monitored by telehealth will be admitted to the hospital. The physician has already documented the admission orders in the digital medical record. Due to miscommunication, the admitting nurse did not access the digital medical record. There was a significant delay in the patient's admission, which led to decreased patient satisfaction with the admission process. How can the use of the digital health record improve this process? - It prevents the delay of tests and services - It allows for easy access to patient information What are the essential components of an electronic health record? - Vital signs - Lab results - Demographics which function is performed within an electronic health record system? Bar scanning medications and patients What can a nurse, working in a hospital, use to access a patient's electronic health record and prescription drugs from a medication administration system? Bar coded identification cards Which mechanism is used to streamline caregivers' workflow that needs to include past medical history, patient demographics, immunizations, and medical history? Electronic health record What are some benefits of using an electronic health record (EHR) system in an ambulatory care clinic? - Decrease medications errors - Increase clinic reimbursement - Improve provider documentation - Increase delivery of guideline based care A local medical clinic is attempting to develop an electronic health record (EHR) system. Which challenges should the organization anticipate? - Identifying data needs for differing nursing practice specialties - Implementation standardization of documentation across physician offices A nurse is administering a new medication to a patient who has never taken this medication in the past. The patient is already taking seven different medications at this time. Which nursing intervention should the nurse do before administering this medication? Review the drug-to-drug-allergy check in the electronic health record Physical or logical security measure for protecting electronic information? Authentication Logical Physical or logical security measure for protecting electronic information? Placing computers, servers, and routers in restricted areas Physical Physical or logical security measure for protecting electronic information? Installing a firewall Logical Physical or logical security measure for protecting electronic information? Automatic sign-off Logical Physical or logical security measure for protecting electronic information? Setting up surveillance Physical Which statement represents one of the principle provisions of the Health Information Portability and Accountability Act (HIPPA) related to information security? Nurses should notify a supervisor immediately when observing a breach of patient confidentiality What is a principle provision of the Health Information Technology for Economic and Clinical Health (HITECH) Act? To improve healthcare quality by enhancing coordination of services among providers You are a nurse manager at a hospital. The informatics department at the hospital has established a no flash drive policy. In addition, all patient files must be saved on the secure O: drive. What would be an appropriate way to describe these changes to your staff? - The hospital is implementing a security program to prevent patient data from being compromised - The hospital is eliminating the need for flash drives to prevent the loss of sensitive data You are the informatics nurse at a hospital. You are running a random report evaluating users on your new electronic health record (EHR). You notice that the charge nurse from the emergency department just underwent a radical mastectomy and is recovering on the surgical floor. You then notice that four nurses from the ER have accessed this record. What should you do? - Talk to each nurse and explain the legal and ethical ramifications of accessing the EHR - Explain to the patient their information has been breached - Provide training to nurses in the emergency department about protected patient information In regards to a secure network, what gives employees confidence that the information they are reading is true? Integrity What represents the greatest potential threat to data security? Removable storage devices What are common personal data access security threats in healthcare? - Unencrypted data - Weak passwords A nurse learns that a colleague has accessed electronically stored health information of a patient that the colleague is not involved in treating. What should the nurse do? Report the colleague to their employer Which informatics tools are commonly used for collecting and analyzing patient data? - PDAs -Bedside computers Which type of technology offers support during the medication administration cycle? Viewing of the digital health record during a home health visit Which statements by the nurse demonstrate understanding of the reason for a clinical information system? - The information retrieved can be used for research - It improves compliance with nursing documentation What is a function of a clinical support tool? Providing clinicians with knowledge and person-specific information How does meaningful use of electronic health records relate to quality patient care? - Computerization of prescriber order entry (CPOE) - Maintenance of active patient medication lists [Show Less]
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WGU C468 questions and answers (2022/2023) correctly solved
what is information literacy? The ability to recognize when info is needed as well as the skills to find, evaluate, and use the needed info effectively. ... [Show More] How does info literacy support EBP in nursing? Nurses can use research and apply/consult resources/peers/internet 00:03 01:22 what is nursing informatics? A specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice. what is information? Data that has been interpreted how is info related to data? info is data interpreted what is information science? focus on how to gather, process, and transform info into knowledge. Incorporates: communication science, computer science, social science, library science, and cognitive science How is using the EHR to document care of a patient with a femur fracture an example of using the EHR in which way? Information system. Decubitus ulcer can be documented in the EHR because of information system what is information management? Elemental process within informatics where one can file, store, and manipulate data what is knowledge vs wisdom? wisdom is knowledge that is applied in an appropriate manner What are common features of health info systems? Comprehensive medical history, unique way they function and provide info to clinicians, collect/process/distribute data to manage and provide care what ROM is used by a computer when its turned on? BIOS input/output system what is cognitive informatics? Study of the connection between the brains and minds way of collecting and processing info 00:03 01:22 What is connectionism? Component of cognitive science that uses computer modeling thru artificial neural networks to try and explain human intellectual abilities what is ethics? process of various ways of understanding and examining moral life what is morals? social convention of right and wrong human conduct; forms a general stable agreement what is principlism? theoretical framework that emerged as a foundation for ethical decision making what is usability? ease of learning a computer application and other issues of human performance what is the metaparadigm? key concepts of Person, Nursing, Environment, Health what is decision support system? rule based system that uses a knowledge base and set of rules to make action recommendations how can using simulation technology with your patients improve overall outcomes? by allowing hands on practice and immediate feedback of the skill being learned what are knowledge workers? nurses in this type of role are continuous learners, use technology to support and inform nursing practice, and generate knowledge as a product what is a nurse's primary resource? Information What should an experienced nurse know how to do? Pull trends out of data What is data mining? Data application and sifts thru large amounts of data and looks for previously hidden trends what are clinical practice guidelines? Examples of clinical decision support tool. Allow for creation nursing policies. A nurse sees a flu vaccine due before discharge to meet a clinical pathway. What is this an example of? Promotion of desired outcomes Which barrier in implementing technology is nursing informatics specialist ignoring personnel? Lack of continued support What is INCP? Standardized nursing terminology of nursing diagnoses, actions, and outcomes What are examples of information technologies? CPOE, barcode medication administration, clinical decision support what is the name of the processes used by providers to enter orders into an electronic system? CPOE True or false: a radio frequency identifier (RFID) is a type of technology that is used to identify and track supplies and medication within a healthcare environment? May it also be used to track medical equipment and patient location? True. Yes. True or false: Clinical pathways and computer generated care plans are examples of how information can affect nursing practice? True What are nursing informatics? use of technology and information to help support all aspects of nursing practice. Example of nursing informatics? Barcode scanning of medications what are the 3 key elements of knowledge? acquisition, knowledge processing, knowledge dissemination what is the foundation of knowledge model? basis of which knowledge is used to meet the needs of the healthcare delivery system What are examples of data? Height, weight, code status, date of birth what is not an emerging trend in healthcare? Less consumer accountability What is a mission? purpose of an organization's existence what is strategic planning? Development of comprehensive long-range plan for guiding the activities and operations of an organization what is not a reason why it is important that selection committee board members understand software and electronic processes? They will need to become trained on the system. They aren't the end users who need to be trained in the system. They just have a general understanding of the system. Strategic planning is driven by all of the following except: short term goals, organization's mission and values, services offered, or long term goals? Short term goals what is not a national trend related to nursing informatics? Blogging as a means to give report During what phase of the information system life cycle should be the "musts" and "wants" be determined? Needs assessment what is the needs assessment phase of information system lifestyle? gap analysis, determine needs and wants in an information system what is system selection phase of information system lifestyle? organization seeks out vendor company that provides a system that best fits the needs. has 3 documents it uses. what are the 3 documents of system election phase? request for information document, request for proposal document, request for quote document what is the system implementation phase of the information system lifestyle? Go live planning. Training of staff. Analyst builds screens and templates for organization and its policies. Go live. what is the maintenance phase of the information system lifestyle? problem solving and debugging. Files backed up routinely and install system upgrades. what is project scope? term defines the size and details of collaborative effort what is the nurses active participation in electronic patient information important? to ensure information is current and accessible to healthcare team what is not responsibility of the project implementation team? Present system design to management what is not a phase of information system lifestyle? system evaluation what is a comment request contained in a request for information document include? company history which of the following does not play a role in system implementation? Investigating current deficits & needs of organization, go live planning, applying system changes as needed, or end use training Investigating current defi [Show Less]
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C468 WGU Information Management questions and answers rated A+
International Classification of Disease (ICD-9/ICD-10) System for classification of surgical, diagnostic, and therapeutic procedures. Electronic Si... [Show More] gnatures in Global and National Commerce Act (ESIGN) Legislation that gives electronic signatures the same legal status as hand-written signatures. Electronic health record (EHR) Digital version of patient data found in traditional paper records. Increasingly used to refer to a longitudinal record ideally of all healthcare encounters. Data mining Technique that looks for hidden patterns and relationships in large groups of data using software. Data exchange standards Set of agreed-on rules that permit the uniform capture and exchange of data between information systems from different vendors and between different healthcare providers. Database administrator (DBA) Person responsible for overseeing all activities related to maintaining a database and optimizing its use. Current Procedural Terminology (CPT) Classification system that lists medical services and procedures performed by physicians and is used for physician billing and payer reimbursement. Continuity of care document (CCD) Record comprised of contributions from many types of caregivers, with each providing a summary of care provided for the purpose of improved continuity of care when clients move between various points of care. Computerized physician (or provider/prescriber) order entry (CPOE) Process by which the physician or provider directly enters orders for patient care into a hospital information system. Computer-based training (CBT) Educational format using the computer that is widely used to train persons to use specific computer applications. Computer-based patient record (CPR) Automated patient record designed to enhance and support patient care through availability of complete and accurate data as well as bodies of knowledge and other aids to care providers. Community Health Information Network (CHIN) Organization that electronically links providers; payers; and purchasers of care for the exchange of financial, clinical, and administrative information via a wide area network in a particular geographic area. Precursor to RHIOs. Commission on Accreditation of Rehabilitation Facilities (CARF) Healthcare accrediting body with a focus on the improvement of rehabilitative services to people with disabilities and others in need of rehabilitation. Clinical information systems (CIS) Large computerized database management systems used to access the patient data that are needed to plan, implement, and evaluate care. May also be known as patient care information systems. Clinical Care Classification System (CCC) Nursing classification designed to document the six steps of the nursing process across the care continuum. Consists of two interconnected terminologies—the CCC of Nursing Diagnosis and Outcomes and the CCC of Nursing Interventions. Chief privacy officer (CPO) Individual responsible for the protection of personal health information of patients as required by federal law. Chief information officer (CIO) Person responsible for strategic planning, policy development, budgeting, information security, recruitment and retention of information services staff, and overall management of the enterprise's information systems. computer-related positions. Barcode medication administration (BCMA) Process or system used to ensure that the correct patient receives the correct medication in the correct dosage via the correct route and at the correct time. Patients and drugs both have barcode identification codes. American Recovery and Reinvestment Act of 2009 (ARRA) Legislation that included provisions for health information technology and funding for the Office of the National Coordinator of Health Information Technology (ONCHIT). Logical Observation Identifiers, Names, and Codes (LOINC) Terminology that includes laboratory and clinical observations. Medicare Improvements for Patients and Providers Act (MIPPA) Legislation that called for financial incentives for e-prescribing. NANDA International (NANDA-I) Terminology recognized by the American Nurses Association. Represents Nursing Diagnoses as data elements within SNOMED CT. National Health Information Network (NHIN) Office of the National Coordinator (ONC) for Health Information Technology (HIT) initiative to provide the standards, services, and policies that enable secure health information exchange (HIE) over the Internet. Nursing Interventions Classification (NIC) Standardized classification of interventions that describes the activities that nurses perform. Nursing Minimum Data Set (NMDS) Collection of data comprised of nursing diagnoses; interventions; and outcomes that allows comparison of data across different healthcare settings in order to project trends and stimulate research. Nursing Outcomes Classification (NOC) Classification system that describes patient outcomes sensitive to nursing interventions. Omaha system American Nurses Association recognized research-based taxonomy that provides a framework for integrating and sharing clinical data. Widely used in settings such as home care, hospice, public health, school health, and prisons. PeriOperative Nursing Data Set (PNDS) Standardized perioperative nursing vocabulary provides nurses with a clear, precise, and universal language for clinical problems and surgical treatments. Request for Information (RFI) A document sent to vendors that explains the institution's plans for purchasing and installing an information system with the goal of determining which vendors can meet the organization's basic requirements. Request for Proposal (RFP) Document sent to vendors detailing the requirements of a potential information system with the purpose of soliciting proposals from vendors that describe their capabilities to meet these requirements. Request for Quote (RFQ) Statement of need that focuses upon pricing, service levels, and contract terms. Resource Utilization Groups (RUGs) Per diem system of billing for skilled nursing facility patients. Superuser Staff person who has become proficient in the use of the system and mentors others. TIGER Initiative Plan to promote informatics competencies among nurses in order to transform healthcare. Meaningful use Use of health information technology (HIT) legislated by the American Recovery and Reinvestment Act of 2009 to collect specific data with the intent to improve care, engage patients, improve population health, and ensure privacy and security. International Classification of Nursing Practice (ICNP) A system that serves to unify various approved nursing languages and classification systems to ensure the acceptance of common meanings across different settings. HITECH (Health Information Technology for Economic and Clinical Health Act) Portion of ARRA that amended HIPAA Security and Privacy Rules and provided funds and incentives to increase the use of electronic health records by physicians and hospitals who meet eligibility criteria for Meaningful Use. Information literacy Ability to recognize when information is needed as well as the skills to find, evaluate, and use needed information effectively. Knowledge management Structured process for the generation, storage, distribution, and application of both tacit knowledge (personal experience) and explicit knowledge (evidence). Administrative information systems Systems that support patient care by managing financial and demographic information and providing reporting capabilities. Informatics Nurse Specialist (INS) A nurse who has educational preparation to conduct informatics research and generate informatics theory. Informatics Nurse A nurse with advanced preparation in information management. Hospital information system (HIS)/Healthcare information system (HIS) Group of information systems used within a hospital or enterprise that support and enhance patient care. The HIS consists of two major types of information systems: clinical and administrative./Computer hardware and software dedicated to the collection, storage, processing, retrieval, and communication of patient care information in a healthcare organization. Health Level 7 (HL7) Standard for the exchange of clinical data between information systems by means of an extensive set of rules that apply to all data sent. Healthcare Information Exchange (HIE) Electronic sharing of patient information such as demographic data, allergies, presenting complaint, diagnostic test values, and other relevant data between providers such as primary physicians, specialists, hospitals, and ambulatory care settings according to nationally recognized standards. Electronic medical record (EMR) Legal record created in hospitals and ambulatory settings of a single encounter or visit that is the source of data for the electronic health record. Electronic patient record (EPR) Electronic client record, but not necessarily a lifetime record, that focuses on relevant information for the current episode of care. Digital Image Communication in Medicine (DICOM) Standard that promotes the communication, storage, and integration of digital images with hospital information systems. [Show Less]
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C468 Knowledge checks 2 WGU 2022/2023 question and answers
System security involves protection against deliberate attacks, errors, omissions, disasters and viruses Which of the following is a mechanism that... [Show More] logs the user off a system after a specified period of inactivity on the terminal or computer? automatic sign off The sharing of private information in a situation in which a relationship has been established for the purpose of treatment with the understanding this information will remain protected is Confidentiality ____ is a combo of hardware and software that forms a barrier between systems or different parts of a single system to protect those systems from unauthorized access Firewall The ability to use a health enterprise's information system from outside locations such as a physician's office is known as ___________. Remote access What are forces behind the Health Information Exchange Federal legislation and demands for safer more efficient healthcare How do Health Information Exchanges (HIEs) impact healthcare delivery? HIEs increase the efficiency and potentially the quality of the healthcare delivery system Information & Data privacy includes the right to choose the condition and extent to which information is shared The Health Information Technology for Economic & Clinical Health Act (HITECH) is Included a privacy rule establishing national standards for protecting health information. The SWOT analysis is conducted in which phase of the information system Strengths Weakness Opportunities Threats Strategic planning stage Training documents are developed and user training occurs in which phase of the project Implementation phase Maintenance of an information system includes all of the following problem solving/debugging updating security protections performing file back up procedures Who determines the project implementation strategy? The implementation committee The first task of the project implementation team is to ________. develop a timeline An advantage to using superusers for system training is that super users have a specialized knowledge of both the system and clinical areas. What is the most important factor in maintaining the proper use of an information system ? Education Training class content should address the following area(s): basic computer literacy , workflow, policies and human factors. Personal Health Record (PHR) use for management of chronic conditions is felt to hold great promises for which reason. PHRs may help health systems achieve greater efficiency through facilitating prescription refills , communication, and improved coordination of chronic conditions as well as quality of care . Client engagement is considered critical to achieving health care reform. Fully functional PHRs support which of the following principles that engage clients in their own care? client control , individualized care based on client's needs and values and shared knowledge with easy flow of information Benefits associated with PHRs include the following improved client satisfaction, outcomes and communication, with fewer telephone calls and outpatient visits. What is the basic premise of value based reimbursement payment is based on the value of tests and treatments to patient and organizational outcomes Which of the following statements most accurately reflect what the informatics nurse specialist (INS) needs to know when working with end users to purchase or design an information system relative to reimbursement of services Can the current system or the system under consideration support reimbursement requirements ? Compliance deadlines ? Automatic capture of charges? Which of the following actions on the part of the informatics nurse best exemplifies strengthening the Meaningful Use of EHR systems ? Review of information systems screens to ensure that Meaningful Use (MU) fields cannot be bypassed and educating end users of the need to collect data needed for Meaningful Use even thought they may not view it as relevant to the clients presenting systems. A benefit to the Electronical Medical Record (EMR) is improved access to information What type of system supports the nurse by automatically notifying the dietary department to hold a client's breakfast, the pharmacy to send appropriate medications , and the radiology department to schedule a barium enema Order entry system ______ systems use artificial intelligence to model a decision that experts in the field would make Experts In what way can clinical decision support systems save healthcare dollars? They aid in diagnosis and provide access to practice guidelines which subsequently decrease the length of hospital stays and cost for treatments. Which of the following best describes the accreditation process of healthcare? It provides assurance to the public that the facility meets nationally accepted standards. The mission of which of the following accrediting bodies focuses on the improvement of the quality of care delivered to the public, the development standards of quality in conjunction with health professionals , and encourages organizations to meet or exceed these standards through the accreditation process The joint commission Which of the following reflect Joint Commission Key standards for information management standards address measure to protect data, uniform definitions, the ability to aggregate data, standards address measures to incorporate information management principles into training standards address disaster preparedness, and recovery planning What role if any does information technology have in Magnet Journey ? Information systems support the process by providing aggerate data related to quality improvement. Telehealth differs from telemedicine in that telehealth encompasses telemedicine, but is a broader term that emphasizes the provision of information to health care providers and consumers Which of the following can be used as a tool to facilitate the delivery of synchronous connected health video-conferencing Which of the following are legal and ethical issues related to telehealth and telemedicine Lack of reimbursement, privacy and confidentially concerns licensure and liability issues. All of the following are benefits associated with with Remote Patient Monitoring (RPM) enhanced communication with providers identification of knowledge gaps early detection of symptoms. The Informatics Nurse reviews how Medicare and Medicaid offer financial incentives to healthcare providers to promote adoption and Meaningful Use of interoperable health information systems and a qualified healthcare record. Which statement should be used to describe the goal of meaningful use? Exchange clinical structured data in a manner that is accurate and complete to improve patient care in a cost efficient way. Which of the following might be considered to be advantages for consumers associated with the delivery of healthcare services via telehealth? Increased access to underserved populations , decreased travel times and cost , and access to services for consumers who are "on the road". ______ is the use of telecommunications and computer technology for the delivery of nursing care. Telenursing A certified nursing assistant (CNA) at a local nursing home logs on to the facility clinical information system and can only se information about assigned clines except for financial data. Which type of security is applied to this system? Access levels The informatics nurse is reviewing the Health Insurance Portability & Accountability Act (HIPAA) security rule and determines all of the following personal health information are protected by the act Social security number address nam [Show Less]
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Information Management WGU C468 #1 question and answers 2022/2023 correct
Nursing informatics specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, know... [Show More] ledge, and wisdom in nursing practice. Informatics Nurse Specialist (INS) is a nurse who has received educational preparation to conduct informatics research and generate informatics theory and who has a broad vision of what can be attained using information technology. How does computer literacy differ from information literacy? Computer literacy refers to a familiarity with the use of personal computers, while information literacy is the ability to recognize when information is needed as well as the skills to find, evaluate, and use needed information effectively. distance learning The delivery of content and stimulation of learning primarily through the use of telecommunication technologies and often used for corporate training. Virtual reality It is a widely used form of multimedia that fully envelops learners in an environment providing the next best option to performing the skill on a real person but without any risks to the learner or the client. Computer resistance by nurses is often the result of: Computer anxiety, limited computer skills, and poor communication on the part of administration to consult nurses during the change process. advantage for using a nursing information system? Advantages are: -Better access to information. -Reduction of medication errors. -Better Communication. Order entry system can do all of the following -Alert all departments to carry out physician orders -Provide the current status of each order -Check duplicate orders ***Except Integrate results of data collected at the bedside Clinical information systems (CIS) are used to access client data that are used to plan, implement, and evaluate care. Statement best describes meaningful use? This is an initiative geared to spur the adoption and use of electronic health records for the purpose of gathering and reporting data that can be used to improve population health. Statements best reflects acceptance of the International Classification for Nursing Practice (ICNP) as a standard for nursing terminology? Present nursing classification systems map it to a very high degree Electronic Medical Record (EMR) An electronic version of the client data found in the traditional paper medical record. One criterion for eligibility for meaningful use requires the adoption and use of EHRs that have been certified. Statements best describes the certification process? Certification provides the assurance that the EHR system has the technical capacity, functionality, and security to meet the meaningful use criteria. Closely approximates the currents version of the personal health record (PHR) Secure application through which an individual may access, manage and share health information he or she has entered or was supplied by providers, pharmacies, and labs Predictors of Personal Health Records (PHRs) use include which of the following? Awareness of PHRs, ease of access, personal motivation, higher levels of education and health literacy. Potential barriers to Personal Health Record (PHR) use that must be considered include the following? No or poor internet access, poorly designed applications, limited clinical integration Statements most accurately describes evidence based practice (EBP) ? Evidence based practice requires that decisions about healthcare be based on the best available, current, valid, and relevant evidence providing quality essential to transform healthcare. CINAHL (Cumulative Index to Nursing and Allied Health Literature) The primary database used for searching nursing literature. Represents the most effective strategy for fostering evidence-based practice among staff nurses? Provide a series of educational programs on how to search databases, critique research articles and incorporate research findings into interventions. What is SNOMED-CT and what relevance, if any, does it have to the adoption and meaningful use of EHRs? SNOMED-CT refers to Systematized Nomenclature of Human and Veterinary Medicine Clinical Terms, a globally recognized vocabulary that provides a common language for EHRs, that supports interoperable data collection. What is the role of the Informatics Nurse Specialist (INS) in the adoption and use of standard terminologies? The INS needs to play an active role on a local, national, and international level in the adoption and use of standard terminologies. Standardized healthcare terminology is important to nursing for this reason? Standardized terminology provides the ability to share accurate, up to date information among different providers and settings while ensuring uniform meaning and supporting the development of nursing knowledge. The American Recovery and Reinvestment Act and Health Information Technology for Economic and Clinical Health Act were important to U.S. HIT policy for which reason? The Department of Health and Human Services was authorized to establish programs to improve healthcare quality, safely, and efficiency through HIT inclusive of the call for health information exchange (HIE). The TIGER initiative states that transformation of the healthcare delivery system through the development of a national health information infrastructure requires nursing leaders who understand and promote good use of HIT. Statement that represents a way that might help to create this type of leadership? The integration and expansion of nursing informatics competencies throughout nursing programs, and nurse leadership programs in particular. Based upon your reading, what do you see as the future areas for health information technology policy development? Large datasets resulting from Meaningful Use and other incentives will provide increased bodies of evidence to support HIT policy decisions that weigh national as well as global implications. Best typifies the role of the Informatics Nurse Specialist (INS) in relationship to legislation? The INS needs to be aware of the implications of legislation for HIT design and use and to appropriately educate users. The Health Insurance Portability and Accountability Act (HIPAA) is best known for: created legal protection for PHI The American Recovery and Reinvestment Act of 2009 (ARRA) provided funds for health information technology (HIT) Strategic Planning The development of a comprehensive long-range plan for guiding the activities and operations of an organization. Examples of goals of information systems strategic planning -To enhance the organizations image -To support business and clinical decisions -To make effective use of emerging technologies **Except -to limit the need for other technologies Benchmarking is the continual process of measuring services and practices against the toughest competitors in the healthcare industry. Usability is important to informatics nurse specialists for which of the following reasons? Poor usability can lead to errors, jeopardize patient safety, and impact acceptance and use of technology. In addition to ease of use and potential for unintended error, usability also considers which of the following? efficiency, user satisfaction, and training issues Well-designed systems can lead to which outcomes? Improved information availability, displays, and interpretation Integration is the process by which different information systems are able to exchange data in a fashion that is seamless to the end user. Interface a computer program that tells two different systems how to exchange data Health Level 7 (HL7) A standard for the exchange of clinical data between information systems by means of an extensive set of rules that apply to all data sent. Data Analysis is the processing of data collected during the course of a study to identify trends and patterns of relationships. What is the role of nursing in the adoption and use of standard terminologies? Nursing needs to adopt standard terminologies as a means to collect data that has a uniform meaning across settings as a way to increase the body of nursing knowledge. The Patient Protection and Affordable Care Act: Guarantees access to healthcare for all Americans and incentives to change clinical practice to foster better coordination and quality of care. System Security involves protection against deliberate attacks, errors, omissions, disasters and viruses automatic sign-off Mechanism that logs a user off the system after a specified period of inactivity on his terminal or computer. Confidentiality The sharing of private information in a situation in which a relationship has been established for the purpose of treatment, or delivery of services, with the understanding that this information will remain protected. Firewall is a combination of hardware and software that forms a barrier between systems, or different parts of a single system to protect those systems from unauthorized access. Remote Access The ability to use a health enterprise's information system from outside locations such as a physicians office is known as remote access. What are the driving forces behind the Health Information Exchange (HIE) movement? Federal legislation, and demand for safer, more efficient healthcare. How do Health Information Exchanges (HIE) impact healthcare delivery? HIEs increase the efficiency and potentially the quality of the healthcare delivery system. What is the relationship between Health Information Exchanges (HIEs) and the EHR? HIEs help to provide the framework needed to provide widespread data exchange and subsequently support the EHR. The Health Information Technology for Economic and Clinical Health Act (HITECH) is best known for? The funds and incentives it provided to increase the use of EHRs by physicians. Changes in federal privacy and security provisions with major impacts for medical practices, hospitals, health plans, and their business associates include? the requirement to notify individuals whose PHI has been breached within 60 days of the breach. Implementation phase The project timeline is established in this phase of the information system life cycle. Implementation A system is installed during the "implementation" phase. Maintenance of an Information system includes all of the following: -performing backups -debugging -problem solving **except -training The implementation committee Who determines the project implementation strategy. Develop a timeline The first task of the project implementation team. An advantage to using super users for system training is that ______. Super users have a specialized knowledge of both the system and clinical areas. education The most important factor in maintaining the proper use of an Information system. Training class content should address the following areas: basic computer literacy, workflow, policies and human factors Personal Health Record (PHR) use for management of chronic conditions is felt to hold great promise for which reason? PHR may help health systems achieve greater efficiency through facilitating prescription refills, communication, and improved coordination of chronic conditions as well as quality of care. Client engagement is considered to be critical to achieving healthcare reform. Fully functional PHRs support which of the following principles that engage clients in their own care? Client control, individualized care based upon client needs and values, and shared knowledge with easy flow of information Alleged benefits associated with PHRs include the following: Improved client satisfaction, outcomes and communication with fewer telephone calls and outpatient visits What is the basic premise underlying pay-for-performance? Evidence-based care alone is sufficient to qualify for financial rewards. Statements most accurately reflects what the Informatics Nurse Specialist (INS) needs to know when working with end users to purchase or design an information system relative to reimbursement of services? Can the current system, or the system under consideration, support reimbursement requirements? Compliance deadlines? Automatic capture of charges? Following actions on the part of the Informatics nurse best exemplifies strengthening the Meaningful use of EHR systems? Review information system screens to ensure that Meaningful Use fields cannot be bypassed and educating end users on the need to collect data needed for Meaningful Use even though they may not view it as relevant to the client's presenting symptoms. Benefit of the electronic medical record A reduction in errors and quality of communication Order entry system Type of system supports the nurse by automatically notifying the dietary department to hold a clients breakfast, the pharmacy to send the appropriate medications, and the radiology department to schedule the test for barium enema. Expert system use artificial intelligence to model a decision that experts in the field would make. In what way can Clinical decisions support systems save healthcare dollars? They aid in diagnosis and provide access to practice guidelines which subsequently decrease the length of hospital stays and costs for treatment. At which point during the strategic planning process should the data be collected? when scanning the external and internal environments Statements best summarizes the accreditation process in healthcare? It provides assurance to the public that the facility or program meets nationally accepted standards. Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Accrediting bodies focuses on the improvement of the quality of care delivered to the public, the development standards of quality in conjunction with health professionals, and encourages organizations to meet or exceed these standards through the accreditation process. Which of the following reflect Joint Commission some of the key points for information management standards for healthcare organizations? Both of the above The Joint Commission continues to add standards that impact the design and use of information systems. The following represent example of some of these requirements: Uniform data sets throughout a healthcare delivery system and medication reconciliation updates upon admission, transfer, and discharge. What role, if any, does Information technology have in Magnet journey? Information systems support the process by providing aggregate data related to quality improvement. Telehealth differs from telemedicine in that ______. Telehealth encompasses telemedicine, but is a broader term that emphasizes the provision of information to health care providers and consumers. Tele or videoconferencing Used as a tool to facilitate the delivery of telehealth services. Issues associated with the practice of telehealth and telenursing? Lack of reimbursement, privacy and confidentiality concerns, licensure and liability issues. [Show Less]
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C468 - 2 - Leadership and Information Technology (2022/2023) question and answers 100% correct
What is not an emerging trend in healthcare? Less consumer accountability- we want our pt to be more accountable This is the purpose or reason for ... [Show More] an organization's existence Mission This is the development of a comprehensive long-range plan for guiding the activities and operations of an organization Strategic Planning What is not a reason why it's important that selection committee board members understand software and electronic processes? They will need to become trained on the system. They just need to a general understanding. Strategic planning is driven by all of the following except? (organizations mission and values, services offered or long-term goals) Short term goals What is not a national trend related to nursing informatics? Blogging as a means to give report During which phase of the information system life cycle should the "musts" and "wants" be determined? Needs assessment 4 phases Information system Lifestyle: Needs assessment phase Gap analysis, determine needs and wants in an information system. 4 phases Information system Lifestyle: System selection phase Organization seeks out vendor company that provides a system that best fits the needs. Has 3 documents that are used. System selection phase has 3 documents that are used. 1. Request for information document — Initial contact that the organization has with the vendor. Get essential information about the company like history. How many other organizations have used them 2. Request for Proposal document — Organization prioritizes or rates their needs and wants. Sends the outline to the vendor and asks if they can meet this need. 3. Request for Quote document — Pricing, finances. Contract terms. 4 phases Information system Lifestyle: System implementation phase Go live planning. Training staff. Analyst starts building screens and templates according to organization and its policies. Makes any changes specific to that organization. Go live. 4 phases Information system Lifestyle: Maintenance phase Problem solving, any debugging. Files backed up routinely and install any system upgrades. Make sure it's working as intended. This term defines the size and details of a collaborative effort Project Scope Why is the nurse's active participation in electronic patient information important? To ensure the information is current and accessible to the healthcare team. Which of the following is not a responsibility of the project implementation team? Present system design to the management. Which is not a phase of the information system life cycle? System evaluation A common request contained in a request for information document includes? Company history [Show Less]
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WGU C468 question and answers 2022/2023 correctly solved
Interface Computer program that tells two different systems how to exchange data Interoperability The ability of two entities, human or machine, t... [Show More] o exchange and predictably use data or information while retaining the original meaning of that data Integration The process by which different information systems are able to exchange data in a fashion that is seamless to the end user Standardized terminology The implementation of this within the EHR is essential for healthcare organizations to meet the criteria of meaningful use? Systematized Nomenclature of Medicine- Clinical Terms (SNOMED-CT) A globally recognized, controlled healthcare vocabulary that provides a common language for electronic health applications to exchange data Continuity of Care Record (CCR) A record that provides a snapshot of a person's current healthcare to a provider who does not have direct access to the EHR; intended to improve continuity and reduce errors Data Mining A process that uses software to look for hidden patterns and relationships in large data sets Audit Trails Software used for detecting security violations, performance problems, and flaws in applications by recording activity by users and systems HITECH Act (Health Information Technology for Economic and Clinical Health The Act that authorized incentive payments for early EHR adopters and led to the development of Meaningful Use criteria Culture of Informatics Defined as a vision to develop policies, funding, infrastructure, and education to instill knowledge and skills needed by all healthcare executives, clinicians, and informatics T's, and the tools to gather and analyze amassed data Decision-support software (DSS) or Clinical Decision Support Software (CDSS) Alerts, clinical pathways, order sets, dashboards, diagnostic support and drug-drug interaction tools are all examples of these Telehealth The use of telecommunication technologies and computers to provide healthcare information and services to clients at another location Synchronous Connected Health Applications Videoconferencing,Telestroke, Telepsychiatry, and Robotics belong in this category of services Non-Clinical Telehealth Examples of this type of Telehealth include research/data mining, Grand Rounds, remote education, and expert consultation Store and Forward Technology Asynchronous Telehealth application that can record and send photos, x-rays, and ECGs to a provider for evaluation Privacy & Informed consent Licensure Reimbursement Malpractice liability Online prescribing Credentialing Internet bandwidth Issues that must be considered prior to adoption of Telehealth services by providers Information System A combination of hardware and software that processes information within a healthcare organization The Technology Informatics Guiding Education Reform Initiative (TIGER) The initiative that called for improving nursing education competencies for the development of a workforce capable of delivering patient care through health information technology [Show Less]
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