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WGU-C790 EXAM 2023/2024 Complete Solution Package
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WGU-C790 EXAM ANSWERED 2023-2024 SOLVED AND GRADED A+
WGU-C790 EXAM Staggers & Nelson Life Cycle - order - Answer 1.Analysis/Planning 2. Development/Design 3. Implementation 4. Maintenance/Support ... [Show More] What describes the maintenance phase of the system development life cycle? - Answer The system is upgraded Describe what phase of the system life cycle is the scope of the proposed project identified. - Answer Planning What is the next step in the system life cycle after a new health information system has been purchased? - Answer Test the system In which ways can the use of clinical decision support systems affect health information technology and create a culture of safety within healthcare. - Answer It improves quality of care It improves patient satisfaction What is a major reason to install a clinical decision support system within healthcare information technology - Answer It reduces errors How does a clinical decision support system that uses ANSI and WEDI support a culture of safety - Answer By standardizing healthcare information ANSI: American National Standard Institute WEDI: Workgroup for Electronic Data Interchange Why do healthcare facilities favor purchased information systems over organization-developed information systems? - Answer System enhancements are provided What step in the project implementation of the electronic health record relies heavily upon the ability of the super users? - Answer Manage go-live activities and post go-live support Which stage of the planning phase provides the high-level direction needed to reach organizational goals? - Answer Strategic Planning What initiates the life cycle of an information system - Answer Identification of a vision or need Place the implementation steps of the electronic health record life cycle in order from first to last - Answer 1. Identify the problem/ need, obtain approval and proceed with the project 2. Discover and understand the details or the need of the project 3.Build, test and integrate system components 4.Complete system test and then deploy the solution As a crucial part of the whole information technology (IT) infrastructure (hardware, software, networks, operations, etc.) of the organization, this step in the project implementation must be aligned with the organization's mission and support the overall business goals. Which part of the project implementation plan would this be? - Answer Strategic planning What is the correct order of the phases of an adaptive system development life cycle with six core processes and multiple iterations? - Answer 1. Identify the problem and obtain approval 2. Plan and monitor project 3. Discover and understand details 4. Design system components 5. Build, test, and integrate system components 6. Complete system tests and deploy the solution Which system development life cycle approach does the waterfall model describe? - Answer A Sequential approach During which phase of the system development life cycle (SDLC) are new components and programs obtained and installed? - Answer Develop or purchase As the implementation phase of the system development life cycle (SDLC) is occuring, a member of the project management team wants to confirm that all bar code printers have been updates to work with the new system. What testing should be used? - Answer Hardwire testing The nursing team has been charged with selecting a new information system for managing patient census data. Which system should be chosen? - Answer Open system An institution is using the (SDLC) adaptive approach for developing its new information system. The institution will need to be flexible throughout development. Which SDLC approach should be used? - Answer Agile Development A physician's office wants to adopt an electronic medical record. The providers and staff are unsure which system will best suit the needs of the office. Which system development life cycle approach suits this practice? - Answer Adaptive A complex healthcare system is implementing a new electronic health record system with multiple sites. The sites include both inpatient and outpatient clinics. Which SDLC is appropriate for this institution? - Answer Layered Which interdisciplinary team role will a chief information officer undertake when implementing a health information system? - Answer Chair of the information steering committee Who focuses on the enterprise, surrounding environment, resources, quality issues, and business processes to support direct patient care delivery? - Answer Administrator Which groups are responsible for standards development during the implementation of a health information system? - Answer Physicians Pharmacist Registered Nurses A project manager working with the surgery department at a local hospital wants to increase revenue by 20% within three years capturing lost charges. The current supply charge process is evaluated and found to be dysfunctional. An automated dispensing system is identifies as a possible solution. It is projected this system will pay for itself in six months. Which step in the tactical planning process is taking place? - Answer Feasibility Study An electronic medical record project has been implemented. The executive team has approved the system and signed for payment to the vendor. The information technology manager has verified that items on the issues list have been resolved. In which phase is the project management team working? - Answer Closing the project An electronic health record project quality team is preparing to present a benefit-cost analysis comparing two systems for the project manager. Which phase of project management is described? - Answer Planning What is the name of the group of people who work together to coordinate the implementation of electronic health record (EHR) project? - Answer Steering Committee The information technology department of the local hospital has implemented the Academic Center for Evidence-Based Practice (ACE) Star Model of Knowledge Transformation to assist nursing staff to care for patients with methicillin-resistant Staphylococcus aureus more effectively. Which point of the ACE Star Model of Knowledge Transformation is least useful in clinical decision making when using evidence-based practice to problem solve? - Answer Discovery research A nursing informatics nurse is assisting with testing the upgraded messaging system that was added to the electronic health record. Which test should be used? - Answer Integrated testing The informatics nurse completes a strengths, weaknesses, opportunities, and threats (SWOT) analysis of the organization's electronic health record related to medication errors. The issue involves the spelling of certain medications. Which component of SWOT analysis is applicable given the risk to patients? - Answer Threats A nursing administrator wants to change practices in the electronic health record to reduce duplication of documentation. The nursing administrator decides to use the STEEP model as the foundation for the project. Which principle of this model should be used to guide the implementation of the change? - Answer Use flow sheets to replace narrative documentation A hospital is setting up a Patient Online Portal for patients to monitor health and request services. The portal is being set up because patients have heard from friends and family about how useful and easy the innovation is, or they have used it at other organizations and now expect it to be available everywhere. Which change process perspective is being demonstrated? - Answer Diffusion of innovation How will a nursing educator implement the most rigorous approach to evidence summary? - Answer By using systematic review What is defined as a recommendation intended to optimize patient care by utilizing basis of a systemic review of evidence and an assessment of the perceived benefits and harms to the patient? - Answer Clinical practice guidelines Which terminologies or classifications are used by multiple disciplines? - Answer 1. Systematized Nomenclature of Medicine (SNOMED) 2. Logical Observation Identifiers, Names, and Codes (LOINC) Which organization provides a database clearinghouse of 1,500 clinical practice guidelines with standardized medical terminology that optimizes patient outcomes? - Answer Agency for Healthcare Research and Quality (AHRQ) What is the relationship between human error and risky behaviors when it comes to patient safety? - Answer They are both types of behaviors that are connected to the "Just Culture" Why are medication errors the most frequent errors in nursing? - Answer The designed work processes in the medication administration cycle leave room for human error. Current Procedural Terminology Classification System - Answer Used for ordering, billing, and reimbursing medical procedures and diagnostic services Systematized Nomenclature of Medicine Clinical Terms - Answer Developed as a nomenclature for pathology; it has been extended to become a highly comprehensive terminology in various applications, including EHRs [Show Less]
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C790 Nursing Informatics (WGU) Project Management(Answered) 2023-2024
C790 WGU project management - Answer organizing and directing other people to achieve a planned result within a predetermined schedule and budget. ov... [Show More] ersight committee - Answer clients and key managers who review the progress and direct the project Level of formality or ceremony - Answer the rigor of holding formal meetings and producing detailed documentation Agile Project Management - Answer a way of balancing flexibility and chaos: how to be agile and flexible while maintaining control of the project schedule, budget, and deliverables. agile time frame-difficult to create/maintain project schedule cost estimates are difficult to make, especially with a project in which the requirements are expected to change throughout. project manager controls cost quality management: each iteration has a deliverable. testing spread throughout project, also process evaluations of each iteration system vision document (SVD) - Answer a document to help define the scope of a new system business benefits - Answer the benefits that accrue to the organization; usually measured in dollars (part of SVD) system capabilities - Answer the required capabilities of a new system; part of a System Vision Document (part of SVD) cost/benefit analysis - Answer process of comparing costs and benefits to see whether investing in a new system will be beneficial net present value (NPV) - Answer the present value of dollar benefits and dollar costs of a particular investment break-even point - Answer the point in time at which dollar benefits offset dollar costs payback period - Answer the time period during which the dollar benefits offset the dollar costs tangible benefit - Answer a benefit that can be measured or estimated in terms of dollars intangible benefit - Answer a benefit that accrues to an organization but that can't be measured quantitatively or estimated accurately project dashboard - Answer allows all types of project information to be posted and viewed by Web browsers project iteration schedule - Answer the list of iterations and use cases or user stories assigned to each iteration detailed work schedule - Answer the schedule that lists, organizes, and describes the dependencies of the detailed work tasks Work Breakdown Structure (WBS) - Answer the list or hierarchy of activities and tasks of a project; used to estimate the work to be done and to create a detailed work schedule Gantt chart - Answer a bar chart that portrays the schedule by the length of horizontal bars superimposed on a calendar critical path - Answer a sequence of tasks that can't be delayed without causing the entire project to be delayed retrospective - Answer a meeting held by the team at the end of an iteration to determine what was successful and what can be improved Core Process 1 - Answer the objective of which is to identify the business need and to get the project initiated. These activities include: ▪ Identifying the problem ▪ Extending the project approval factors ▪ Performing risk and feasibility analysis ▪ Reviewing with the client and obtaining approval Tall Man Lettering - Answer mixed case lettering ie NiFEDipine scope creep - Answer occurs when requirements are added after the initial project is defined and those added requirements are substantial enough to affect the project timeline. Best of Breed implementation of EHR - Answer involves reviewing several vendors for their "best" module or application, such as an admission, discharge, and transfer (ADT) system or emergency department module. Then multiple modules are purchased from different vendors to create a full suite of functions. [Show Less]
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C790 Nursing Informatics (WGU) Project Management Updated 2023-2024.
project management organizing and directing other people to achieve a planned result within a predetermined schedule and budget. ... [Show More] oversight committee clients and key managers who review the progress and direct the project Level of formality or ceremony the rigor of holding formal meetings and producing detailed documentation Agile Project Management a way of balancing flexibility and chaos: how to be agile and flexible while maintaining control of the project schedule, budget, and deliverables. agile time frame-difficult to create/maintain project schedule cost estimates are difficult to make, especially with a project in which the requirements are expected to change throughout. project manager controls cost quality management: each iteration has a deliverable. testing spread throughout project, also process evaluations of each iteration system vision document (SVD) a document to help define the scope of a new system business benefits the benefits that accrue to the organization; usually measured in dollars (part of SVD) system capabilities the required capabilities of a new system; part of a System Vision Document (part of SVD) cost/benefit analysis process of comparing costs and benefits to see whether investing in a new system will be beneficial net present value (NPV) the present value of dollar benefits and dollar costs of a particular investment break-even point the point in time at which dollar benefits offset dollar costs payback period the time period during which the dollar benefits offset the dollar costs tangible benefit a benefit that can be measured or estimated in terms of dollars 00:0201:18 intangible benefit a benefit that accrues to an organization but that can't be measured quantitatively or estimated accurately project dashboard allows all types of project information to be posted and viewed by Web browsers project iteration schedule the list of iterations and use cases or user stories assigned to each iteration detailed work schedule the schedule that lists, organizes, and describes the dependencies of the detailed work tasks Work Breakdown Structure (WBS) the list or hierarchy of activities and tasks of a project; used to estimate the work to be done and to create a detailed work schedule Gantt chart a bar chart that portrays the schedule by the length of horizontal bars superimposed on a calendar critical path a sequence of tasks that can't be delayed without causing the entire project to be delayed retrospective a meeting held by the team at the end of an iteration to determine what was successful and what can be improved Core Process 1 the objective of which is to identify the business need and to get the project initiated. These activities include: ▪ Identifying the problem ▪ Extending the project approval factors ▪ Performing risk and feasibility analysis ▪ Reviewing with the client and obtaining approval Tall Man Lettering mixed case lettering ie NiFEDipine scope creep occurs when requirements are added after the initial project is defined and those added requirements are substantial enough to affect the project timeline. Best of Breed implementation of EHR involves reviewing several vendors for their "best" module or application, such as an admission, discharge, and transfer (ADT) system or emergency department module. Then multiple modules are purchased from different vendors to create a full suite of functions. Integrated Health System an electronic health record system that includes a suite of modules to support care. It is typically easier to install and easier to support and usually has a similar-looking user interface across modules, which helps users to learn the EHR more quickly. Systems Life Cycle SLC Analyze: The existing environment and systems are evaluated. Major problems and deficiencies are identified using informal or formal methods. A needs assessment is developed. Gaps are noted and current capabilities and limitations are outlined. Initial user and system requirements are formulated. [Show Less]
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2023-2024 WGU C790 FOUNDATIONS IN NURSING INFORMATICS WITH A GUARANTEED 98- OR MORE!!
WGU C790 HIS implementation benefits to healthcare - Answer can improve cost control, increase the timeliness and accuracy of patient care and admini... [Show More] stration information, increase service capacity, reduce personnel costs and inventory levels, and improve the quality of patient care. Nurse informaticist role in health information system - Answer Looks for information, verifies ownership of information and connects other parties within the healthcare organization. Lewin's Change Model - Answer unfreezing, changing, refreezing (planning, action, results). Shannon & Weaver's mathematical model - Answer Encoder (Transmitter) -Encoder is the sender who uses machine, which converts message into signals or binary data. It might also directly refer to the machine. Channel -Channel is the medium used to send message. Decoder (Receiver) - Decoder is the machine used to convert signals or binary data into message or the receiver who translates the message from signals. Receiver (Destination) -Receiver is the person who gets the message or the place where the message must reach. The receiver provides feedback according to the message. Bloom's knowledge discovery from databases (DDD)/data mining steps - Answer Selection Preprocessing Transformation Data Mining Interpretation Transformation CIO role in HIS implementation - Answer oversees the operation of the information technology department and consults with other C-level personnel on technology-related needs and purchasing decisions. SLC Phases - Answer Solution Life Cycle * Discover, Analyze, & Recommend. * Design, Develop, & Integrate. * Test & Quality Assurance. * Deploy & Maintain. * Evaluate. * Archive & Retire. SDLC - Answer #1) Requirement Gathering and Analysis. #2) Design. #3) Implementation or Coding. #4) Testing. #5) Deployment. #6) Maintenance. Waterfall Model Phases - Answer Requirements analysis and definition System and software design Implementation and unit testing Integration and system testing Operation and maintenance NO OVERLAP Agile Model - Answer A development model that emphasizes continuous feedback and cross-functional teamwork. adaptive approach to the SDLC - Answer approach that assumes the project must be more flexible and adapt to changing needs as the project progresses Predictive approach to the SDLC - Answer an approach that assumes the project can be planned in advance and that the new information system can be developed according to the plan Project Management Phases - Answer Project management consists of a number of required activities that are grouped into four major stages of activity referred to as phases. They are: Definition Phase, Planning Phase, Execution Phase and Analysis Phase. Project Life Cycle - Answer initiation, planning, execution, closure Usability and user experience - Answer "effectiveness, efficiency and satisfaction with which specified users achieve specified goals in particular environments" Standardized Clinical Terminology - Answer required directly or indirectly to describe health conditions (e.g. symptoms, complaints, illness, diseases, disorders, etc.), and healthcare activities Decision Support Tools - Answer *Screen for illness and disease *Identify at risk pt's *Aid w/ disease management NIC - Answer Defines, and assists in choosing the appropriate nursing interventions for nurses, student nurses, administrators, and faculty NOC - Answer Standardizes the terminology and criteria for measurable or desirable outcomes as a result of nursing interventions. SNOMED - Answer Systemized Nomenclature of Medicine LOINC - Answer Terms and codes used for electronic exchange of lab results and clinical observations. AHRQ - Answer Agency for Healthcare Research and Quality PNDS - Answer Preoperative Nursing Data Set Common language for preoperative nurses DBMS - Answer a software suite designed to organize and search data. HL7 - Answer standards development organization accredited by the American National Standards Institute that addresses issues at the 7th, or application, level of healthcare system interconnections ANSI - Answer A private, non-profit organization that coordinates the development and use of voluntary consensus standards in the United States. WEDI - Answer supports standards with the goal of enhancing the quality of care, improving efficiency, and reducing costs of healthcare in the U.s. Working Group for electronic Data Interchange DIKW framework - Answer describes a hierarchical relationship between data, information, knowledge and wisdom Mind Mapping - Answer is a visual way to capture ideas and how they relate to one another. system thinking - Answer a way of monitoring the entire system by viewing multiple inputs being processed or transformed to produce outputs while continuously gathering feedback on each part Six Sigma - Answer A business process for improving quality, reducing costs, and increasing customer satisfaction HCIS - Answer health care information system interoperability - Answer the capability of two or more computer systems to share data and resources, even though they are made by different manufacturers technical interoperability - Answer is the ability to exchange the data from one point to another. Syntactic and functional interoperability are additional terms that refer to the movement of data that does not necessarily ensure the meaning of the data. semantic interoperability - Answer guarantees that the meaning of the exchanged data remains the same on both ends of the transaction process interoperability - Answer coordinates business processes at the organizational level; allowing the systems to work together. [Show Less]
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(SOLVED 2023-2024) C790 Nursing Informatics (WGU) System Development Life Cycle (SDLC)100-Correct
C790 WGU project - Answer is a planned undertaking, with a beginning and end that produces a well-defined result or product. information system de... [Show More] velopment project - Answer a planned undertaking that produces a new information system predictive approach to the SDLC - Answer assumes that the development project can be planned and organized and that the new information system can be developed according to the plan useful for building systems that are well understood and defined. company may want to convert its old networked client/server system to a newer Web-based system that includes a smartphone app. In this type of project, the staff already understands the requirements very well, and no new processes need to be added traditional (70s-90s) adaptive approach to the SDLC - Answer is used when the system's requirements and/or the users' needs aren't well understood. In this situation, the project can't be planned completely. Some system requirements may need to be determined after preliminary development work. (late 90s-today) project initiation (predictive) - Answer In predictive approaches, there is a group of activities that identifies the problem and secures approval to develop a new system Project planning (predictive) - Answer In predictive approaches, there is a group of activities that identifies the problem and secures approval to develop a new system map out the project's overall structure analysis (predictive) - Answer focuses on discovering and understanding the details of the problem or need. The intent here is to figure out exactly what the system must do to support the business processes design (predictive) - Answer focuses on configuring and structuring the new system components. These activities use the requirements that were defined earlier to develop the program structure and the algorithms for the new system implementation (predictive) - Answer includes programming and testing the system. deployment (predictive) - Answer involves installing and putting the system into operation. phases of the system development project (predictive) - Answer project initiation, project planning, analysis, design, implementation, and deployment support phase (predictive) - Answer includes the activities needed to upgrade and maintain the system after it has been deployed. The support phase is part of the overall SDLC, but it isn't normally considered part of the initial development project waterfall model (predictive) - Answer the phases of the project flow down, one after another. This model assumes that the phases can be carried out and completed sequentially. After a project drops over the waterfall into the next phase, there is no going back rigid planning, doesn't work very well interative approach (adaptive) - Answer Using iterations, the project is able to adapt to any changes as it proceeds. Also, parts of the system are available early on for user evaluation and feedback, which helps ensure that the application will meet the needs of the users. overlapping phases is adaptive because with each iteration's analysis, design, and implementation, modifications can be made to adapt to the changing requirements of the project incremental development - Answer related concept to interative SDLC based on an iterative life cycle basic idea is that the system is built in small increments may be developed within a single iteration or it may require two or three iterations. As each increment is completed, it is integrated with the whole "grown" in an organic fashion gets into user's hands faster walking skeleton - Answer based on interative approach provides a complete front-to-back implementation of the new system but with only the "bare bones" of functionality. gets into user's hands quickly system development methodology - Answer provides guidelines for every facet of the system development life cycle. model - Answer representation of an important aspect of the real world abstraction - Answer people abstract (separate out) an aspect that is of particular importance to them. tool - Answer software support that helps create models or other components required in the project. integrated development environments (IDEs) - Answer sets of tools that work together to provide a comprehensive development and programming environment for software developers visual modeling tools - Answer tools that help analysts create and verify graphical models and may also generate program code technique - Answer a collection of guidelines that specify a method for how to carry out a development activity or task Sometimes, a technique applies to an entire life cycle phase and helps you create several models and other documents. How do methodologies, models, tools, and techniques fit together? - Answer A methodology includes a collection of techniques that are used to complete activities within each phase or iteration of the system development life cycle. The activities include the completion of a variety of models as well as other documents and deliverables. Like any other professionals, system developers use software tools to help them complete their activities Agile development - Answer a guiding philosophy and set of guidelines for developing information systems in an unknown, rapidly changing environment compliments adaptive approaches Agile modeling - Answer a philosophy about how to build models, some of which are formal and detailed, others sketchy and minimal ""Manifesto for Agile Software Development" four values - Answer ▪ Value responding to change over following a plan ▪ Value individuals and interactions over processes and tools ▪ Value working software over comprehensive documentation ▪ Value customer collaboration over contract negotiation chaordic - Answer a term used to describe adaptive projects because they are chaotic yet ordered Agile Modeling (AM) - Answer a guiding philosophy in which only models that are necessary, with a valid need and at the right level of detail, are created The Unified Process (UP) - Answer is an object-oriented system development methodology defines a complete methodology that uses UML for system models and describes a new, adaptive system development life cycle. In the UP, the term development process is synonymous with development methodology. UP Phases - Answer inception, elaboration, construction, and transition Inception Phase (UP) - Answer develop an approximate vision of the system, make the business case, define the scope, and produce rough estimates for cost and schedule usually one iteration Elaboration Phase (UP) - Answer define the vision, identify and describe all requirements, finalize the scope, design and implement the core architecture and functions, resolve high risks, and produce realistic estimates for cost and schedule usually several iterations Construction Phase (UP) - Answer iteratively implement the remaining lower-risk, predictable, and easier elements and prepare for deployment several iterations Transition Phase (UP) - Answer complete the beta test and deployment so users have a working system and are ready to benefit as expected one or more final iterations UP discipline - Answer a set of functionally related activities that combine to enable the development process in a UP project disciplines include: business modeling, requirements, design, implementation, testing, deployment, configuration and change management, project management environment Extreme Programming (XP) - Answer an adaptive, Agile development methodology an attempt to take the best practices of software development and extend them "to the extreme. characteristics: Takes proven industry best practices and focuses on them intensely Combines those best practices (in their most intense forms) in a new way to produce a result that is greater than the sum of its parts XP Core Values - Answer communication- documentation, verbal discussion (open and frequent) simplicity- techniques to reinforce this principle and make it a standard way of developing systems feedback- Feedback on functionality and requirements should come from the users, feedback on designs and code should come from other developers, and feedback on satisfying a business need should come from the client courage- XP practices are designed to give developers the courage to "do it right." XP Practices (12) - Answer planning-focuses on making a rough plan quickly and then refining it as things become clearer. [Show Less]
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WGU C790 Nursing Informatics Unit 1-8 Combined Complete Solution Package (2023/2024)
WGU C790 EXAM goal of EBP - Answer is improvement of systems and microsystems within healthcare, with these improvements based on science STEEEP prin... [Show More] ciples - Answer The Institute of Medicine (IOM) expert panel issued recommendations for urgent action to redesign healthcare so that it is safe, timely, effective, efficient, equitable, and patient-centered (S) in STEEEP - Answer Safe-Avoid injuries to patients from the care that is intended to help them. (T) in STEEEP - Answer Timely-Reduce waits and sometimes harmful delays for both those who receive and those who give care. (E) in STEEEP - Answer Effective-Provide services based on scientific knowledge to all who could benefit, and refrain from providing services to those not likely to benefit. (E) in STEEEP - Answer Efficient-Avoid waste, including waste of equipment, supplies, ideas, and energy. (E) in STEEEP - Answer Equitable-Provide care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location, and socioeconomic status. (P) in STEEEP - Answer Patient-centered Provide care that is respectful of and responsive to individual patient preferences, needs, and values, and ensure that patient values guide all clinical decisions. ACE Star Model of Knowledge Transformation Advancing Research and Clinical Practice through Close Collaboration (ARCC) Model of Evidence-Based Practice in Nursing and Healthcare Johns Hopkins Nursing Evidence-Based Practice Model and Guidelines Iowa Model of Evidence-Based Practice Stetler Model of Research Utilization - Answer FOCUS: EBP, research use, and knowledge transformation processes DESCRIPTION: Direct a systematic approach to synthesizing knowledge and transforming research findings to improve patient outcomes and the quality of care Address both individual practitioners and healthcare organizations Focus on increasing the meaningfulness and utility of research findings in clinical decision making Promoting Action on Research Implementation in Health Services (PARiHS) Vratny and Shriver Model for Evidence-Based Practice Pettigrew and Whipp Model of Strategic Change Outcomes-Focused Knowledge Translation Determinants of Effective Implementation of Complex Innovations in Organizations Ottawa Model of Research Use - Answer FOCUS: Strategic and organizational change theory to promote uptake and adoption of new knowledge DESCRIPTION:Trace mechanisms by which individual, small group, and organizational contexts affect diffusion, uptake, and adoption of new knowledge and innovation Premise is that interventions, outcomes evaluations, and feedback are important methods to promote practice change Collaborative Model for Knowledge Translation between Research and Practice Settings Framework for Translating Evidence into Action Knowledge Transfer and Exchange Canadian Institutes of Health Research Knowledge Translation within the Research Cycle Model or Knowledge Action Model Interactive Systems Framework for Dissemination and Implementation - Answer FOCUS: Knowledge exchange and synthesis for application and inquiry DESCRIPTION: Structure ongoing interactions among practitioners, researchers, policy-makers, and consumers to facilitate the generation of clinically relevant knowledge and the application of knowledge in practice All parties are engaged in bidirectional collaboration across the translation continuum Knowledge Transformation - Answer (Ace Star Model) is defined as the conversion of research findings from discovery of primary research results, through a series of stages and forms, to increase the relevance, accessibility, and utility of evidence at the point of care to improve healthcare and health outcomes by way of evidence-based care. Ace Star Model - Answer These five points are discovery research, evidence summary, translation to guidelines, practice integration, and evaluation of process and outcome clinical practice guidelines (CPGs) - Answer The IOM defines clinical guidelines as "systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances. usability - Answer 1.Increased user productivity and efficiency 2.Decreased user errors and increased safety 3.Improved cognitive support human factors - Answer is "the scientific discipline concerned with the understanding of interactions among humans and other elements of a system, and the profession that applies theory, principles, data and methods to design in order to optimize human well-being and overall system performance." In healthcare, human factors might concern the design of a new operating room to better support teamwork and patient flow. ergonomics - Answer used interchangeably with human factors by the HFES in Europe but in the U.S. and other countries its focus is on human performance with physical characteristics of tools, systems, and machines i.e. power drill fitting in hand Human-computer interaction (HCI) - Answer is the study of how people design, implement, and evaluate interactive computer systems in the context of users' tasks and work usability - Answer is often used interchangeably with HCI when the product is a computer but usability also concerns products beyond computers. Usability is also more focused on interactions within a specific context or environment for a specific product. Formally, the ISO defines usability as the extent to which a product can be used by specific users in a specific context to achieve specific goals with effectiveness, efficiency, and satisfaction. allows users to achieve goals joint cognitive systems - Answer imply that information is shared or distributed among humans and technology. This framework is useful for examining teamwork in healthcare where team members work together on patient care Health Human-Computer Interaction (HHCI) Framework - Answer Humans or products can initiate interactions. The information is processed through either the product or the humans according to characteristics. The recipient then reacts to the information; for example, a healthcare provider could read and respond to email from a patient or a product might process interactions after the "enter" key is pressed. Iterative cycles continue as humans behave and products act according to defined characteristics. Goals and planning are implicit within the tasks displayed in the framework. discount usability methods - Answer reduce the number of required users in usability projects and to use early design prototypes. These methods offer economies of time, effort, and cost and can be completed at any point in the systems life cycle. Two common techniques are heuristic evaluation and think-aloud protocol. Heuristic evaluations - Answer compare products against accepted usability guidelines to reveal major and minor usability issues. think-aloud protocol - Answer also involves a small number of users and has them talk aloud while they interact with a product. Users voice what they are trying to do, indicate where interactions are confusing, and provide other thoughts about the product during interactions. This allows a detailed examination of the specified tasks, in particular to uncover major effectiveness issues. used in conjunction with other techniques task analysis - Answer generic term for a set of more than 100 techniques that range from a focus on cognitive tasks and processes (called cognitive task analysis) to observable user interactions with an application (e.g., a systematic mapping of team interactions during a patient code). Task analyses are systematic methods that are used to understand what users are doing or required to do with a product by focusing on tasks and behavioral actions of the users and products. These methods provide a process for learning about and documenting how ordinary users complete actions in a specific context. Methods of task analysis include the following: •Interviews •Observations •Shadowing users at their actual work sites •Observing users doing tasks •Conducting ethnographic studies or interviews focused ethnographies - Answer concentrate on individuals' points of view, their experiences and interactions in social settings, rather than on just the actions of those individuals During observations, detailed descriptions are generated with an emphasis on social relationships and their impact on work. Usability Questionnaires - Answer System Usability Scale (SUS)- industry standard, 10-scale Questionnaire for User Interaction Satisfaction (QUIS)-computer system or application assessed Purdue Usability Testing Questionnaire-100 open ended questions Software Usability Measurement Inventory (SUMI)- Exploratory Test - Answer conducted early in the systems life cycle after requirements are determined. These tests are conducted on very basic or preliminary designs or redesigns where few resources have been committed to programming the product. The objective of an exploratory test is to assess the effectiveness of emerging design concepts informal Assessment Test - Answer conducted early in or midway through the development of a product application. After the organization and general design are determined, this kind of test assesses lower-level operations of the application, stressing the efficiency goals of the product (versus effectiveness) and how well the task is presented to users. conducted whens system partially developed validation test - Answer completed later in the systems life cycle using a more mature product. This type of test assesses how this particular product compares to a predetermined standard, benchmark, or performance measure. Comparison Study - Answer can conduct comparison studies at any point in the systems life cycle but they are more commonly done to compare an existing design with a redesign or an early prototype with a more mature product. The major objective of this usability test is to determine which application, design, or product is more effective, efficient, and satisfying Steps for Conducting Usability Tests - Answer 1) define a clear purpose 2) assess constraints 3) Use an HCI framework to define pertinent components. 4) Match methods to the purpose, constraints, and framework assessment. human factors - Answer The complex interactions among multiple users, products, and environments with varying characteristics in health information technology is referred to project - Answer is a planned undertaking, with a beginning and end that produces a well-defined result or product. information system development project - Answer a planned undertaking that produces a new information system predictive approach to the SDLC - Answer assumes that the development project can be planned and organized and that the new information system can be developed according to the plan useful for building systems that are well understood and defined. company may want to convert its old networked client/server system to a newer Web-based system that includes a smartphone app. In this type of project, the staff already understands the requirements very well, and no new processes need to be added traditional (70s-90s) adaptive approach to the SDLC - Answer is used when the system's requirements and/or the users' needs aren't well understood. In this situation, the project can't be planned completely. Some system requirements may need to be determined after preliminary development work. (late 90s-today) project initiation (predictive) - Answer In predictive approaches, there is a group of activities that identifies the problem and secures approval to develop a new system Project planning (predictive) - Answer In predictive approaches, there is a group of activities that identifies the problem and secures approval to develop a new system map out the project's overall structure analysis (predictive) - Answer focuses on discovering and understanding the details of the problem or need. The intent here is to figure out exactly what the system must do to support the business processes design (predictive) - Answer focuses on configuring and structuring the new system components. These activities use the requirements that were defined earlier to develop the program structure and the algorithms for the new system implementation (predictive) - Answer includes programming and testing the system. deployment (predictive) - Answer involves installing and putting the system into operation. phases of the system development project (predictive) - Answer project initiation, project planning, analysis, design, implementation, and deployment support phase (predictive) - Answer includes the activities needed to upgrade and maintain the system after it has been deployed. The support phase is part of the overall SDLC, but it isn't normally considered part of the initial development project waterfall model (predictive) - Answer the phases of the project flow down, one after another. This model assumes that the phases can be carried out and completed sequentially. After a project drops over the waterfall into the next phase, there is no going back rigid planning, doesn't work very well interative approach (adaptive) - Answer Using iterations, the project is able to adapt to any changes as it proceeds. Also, parts of the system are available early on for user evaluation and feedback, which helps ensure that the application will meet the needs of the users. overlapping phases is adaptive because with each iteration's analysis, design, and implementation, modifications can be made to adapt to the changing requirements of the project incremental development - Answer related concept to interative SDLC based on an iterative life cycle basic idea is that the system is built in small increments may be developed within a single iteration or it may require two or three iterations. As each increment is completed, it is integrated with the whole "grown" in an organic fashion gets into user's hands faster walking skeleton - Answer based on interative approach provides a complete front-to-back implementation of the new system but with only the "bare bones" of functionality. gets into user's hands quickly [Show Less]
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WGU C810 Exam Questions and Answers (2023/2024)
1. Which organization requires cancer statistics to be reported from central registries to the national organization responsible for cancer statistics ANS ... [Show More] - Centers for disease control and prevention (CDC) 2. Which organization requires reporting of medical malpractice payments, federal licensure and certification actions, and adverse clinical privileges actions: National Practitioner Data Bank (NPDB) 3. Which organization administers voluntary accreditation programs and provides deemed status to certified hospitals and other healthcare organi- zations ANS THe Joint Commision 4. What is the Centers for Medicare and Medicaid Services (CMS) external audit program that works to reduce Medicare improper payments ANS RACs 5. Which assessment do the conditions of participation require all home health agencies to electronically report ANS OASIS 6. To which organization must a sentinel event be reported ANS The Joint Com- mission 7. Which health information exchange (HIE) architecture describes informa- tion that flows to more than one regional clinical data repository (CDR) and requested records sent from one regional authority ANS Federated 8. Which HIE model supports uniformity of data, quick responses times to queries and consistency in data accessibility: Centralized 9. A local skilled nursing facility (SNF), hospital, and public health agency all participate in an HIE. The data is pushed from their facilities in to one repository where they all have access to retrieve data when needed. Which HIE model is used in this scenario ANS Centralized 10. Which characteristic addresses the level of depth represented by data in a fact or dimension table in a data warehouse ANS Granularity 11. Which quality describes data that is unaffected when used across all applications and systems ANS Consistency 12. An HIM analyst is charged with reviewing abstracted information on opioid-related admissions from the hospital's disease index database. The analyst wants to make sure that the correct ICD-10 codes have been abstract- ed and pulled from the database. Which data quality characteristic does this situation involve ANS Accuracy 13. An HIM director is analyzing the results of a survey that was conducted to ask physicians and nurses about their satisfaction with the HIM depart- ment. The following table shows the satisfaction percentage scored for each question 98% How often do HIM staff answer your call within 3 rings? 79% How often are you able to receive the old paper records, on your current patients, in an acceptable timeframe? 100% How often are the reports provided by HIM staff correct and valid? 100% How often do the trainings that HIM staff provide relate to the most recent regulations? Which conclusion should the HIM Director make based on this data ANS The HIM staff needs additional training on the importance of accessibility of old paper records and needs help in brainstorming a better process. 14. An HIM director is auditing physician documentation and finds that 3% of the discharge summaries from the last 6 months were completed more than 30 days past patient discharge. Which data quality standard is an area of concern in this scenario ANS Timeli- ness 15. Once a year, members of the Disaster Planning Committee meet to con- duct mock drills that satisfy staff training requirements as outlined in the organization's disaster plan. What is the best practice for training staff on disaster protocol ANS Arrange for continuous training through in-service programs and conducting mock drills 16. In the event that a disaster affects a facility, how should damage to off-site records be prevented ANS Off-site storage should be located at a distance far enough away from the facility. 17. Which security feature should be enabled on backup tapes as a best practice to prevent a data breach ANS Encryption 18. During a storm, an EHR has crashed. Data systems are needed for the on going treatment of current patients. Which quality standard is jeopardized in this disaster and should be ad- dressed ANS Timeliness 19. During a storm, information system operation and data preservation are threatened, triggering a disaster protocol. Which disaster recovery planning process step should be taken in this situation ANS Execute continuity plan 20. A hurricane has occurred and a hospital's HIM clerk needs to relocate information systems to an alternate site. Which plan should the HIM clerk reference to ensure that correct procedures are followed ANS Disaster Recovery Plan 21. An acute care facility is concerned with identity theft and wants to update policies to detect identity theft in day-to-day operations, take steps to pre- vent the crime, and mitigate its damage. Which prevention program element should the facility update ANS Red Flags Rule 22. Given that the medical records of a newborn must be retained for seven years after the patient reaches the age of majority, long-term retention and rapid-access storage is key. Based on current technology, what is the most effective storage setting for the records and data ANS Electronic health record (EHR) 23. Which method of disposal would cause compliance issues for records that have met their required retention ANS Records that are trashed once reaching their retention 24. An internal medicine physician practicing at one of three hospitals in town wants to determine whether to expand the scope of the office practice to patients under 16 years old through recruiting a pediatrician. Which data source, in addition to the current number of active pediatricians in the community, is needed to decide to go forward ANS Census and vital statistics data 25. A hospital's chief executive officer (CEO) notices a spike in complaints about a certain unit and wants to know the average number of patients admitted to that unit in order to monitor staff need. Where should the CEO look for this data ANS Daily census report 26. Which data type is a cardiac catheterization examination note an example of ANS Unstructured data 27. A paragraph in a physician's order specifies information about a patient's discharge. Which type of data is described in this scenario ANS Unstructured 28. A zip code is entered and the state is automatically populated.: Structured data 29. Nurse chooses the patient's temperature from a drop-down box.: Struc- tured data 30. Nurse answers a question on an assessment screen in the EHR by clicking a radio button in front of a Yes or a No.: Structured data 31. Dietician types the patient's diet restrictions into a text box.: Unstructured data 32. Physician dictates the patient's Chief Complaint.: Unstructured data 33. Case Manager types out a description of what criteria a patient meets to remain as an inpatient.: Unstructured data 34. The HIM director and the chief information officer have been asked to update the healthcare system's data governance strategic plan. In particular, they are working on standardizing data governance language across the healthcare system and ensuring that they meet data regulations and man- dates. Which information governance principle is described in this scenario ANS Com- pliance 35. A hospital is informing the Infection Control Committee about the number of postoperative infections it had during a given time period. Which principle for information governance is used in this scenario ANS Trans- parency 36. A health information manager is responsible for properly destroying records after the retention period has passed. Which principle for information governance is described in this scenario ANS - Disposition 37. A communication plan is being developed to reduce mistrust and mis- communication in a healthcare setting. In addition to open communication, which other principle for information governance must be considered when developing this plan ANS Transparency 38. A data governance steering committee is formed and tasked with devel- oping the goals of the data governance program. [Show Less]
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(latest 2023-2024) WGU C790 Exam Already Graded A+
WGU C790 Exam The integration of health data, computer science, nursing science, and information science to communicate and manage information, dat... [Show More] a, knowledge, and wisdom within the nursing realm is known as - Answer Nursing informatics Nursing informatics is a discipline-specific informatics practice within the broader category of - Answer health informatics Which foundational science contributes systematic and logical approaches, processes, and procedures for understanding phenomena and solving problems to the study of informatics? - Answer Mathematics The specialty of health informatics was developed by innovative nurses, physicians, and others. This specialty finds solutions from using which three areas of science? - Answer computers, information, health sciences Which three activities helped define health informatics? - Answer Health information books and journals, professional organizations and their conferences. university-level education and certification programs The visual representation that illustrates what is occurring and how one understands the intervention to solve a problem is called a - Answer model What are two major theories that help us analyze and explain the occurrences or instances of certain phenomena with health informatics? - Answer systems theory, chaos theory The STEEEP recommendations and redesign principles reflected in health professional education programs to improve the quality of care and are best described as - Answer safe, timely, effective, efficient, equitable, patient-centered The ACE Star Model of Knowledge Transformation is a model of five points to integrate evidence-based practice into informatics solutions. Which activities represent the five points of the star? - Answer discovery research, evidence summary, translation to guidelines, practice integration, evaluation of process and outcome The complex interactions among multiple users, products, and environments with varying characteristics in health information technology is referred to as what? - Answer sociotechnical system Employing usability processes in health information technology helps to improve individual and organizational productivity and efficiency, therefore contributing to - Answer improved patient, clinician, and organizational outcomes Of four different usability tests, which has the objective of determining which application, design, or product is more effective, efficient, and/or satisfying and can be completed anytime in the systems life cycle? - Answer comparison test Of four different usability tests, which will interact with users to determine if 80% of the users can retrieve the correct lab results within 10 seconds of interacting with the system and if users can complete admission orders for a patient with no errors? - Answer validation test Comes in the form of numbers, words, and discrete facts about objective reality. Data can be verified - Answer Data Comes from providing context to data. It is data that has been endowed with meaning and purpose. - Answer Information Is the synthesis of multiple sources of information over time to create conceptual frameworks, theories, and axioms - Answer Knowledge Is a state of awareness, a paradigm or set of principals, it is the ultimate context and frame reference - Answer Wisdom Describes a hierarchical relationship between data, information, knowledge, and wisdom - Answer DIKW Framework Is a visual way to capture ideas and how they relate to one another - Answer Mind Mapping Applies to the role of informatics in that it is critical in supporting a clinician's access to information in the clinical setting - Answer Interoperability AHRQ - Answer Agency for Healthcare Research and Quality SDLC - Answer Systems Development Life Cycle QI - Answer Quality Improvement Thinking that is curious and wanting to know the next step - Answer System Thinking Is a disciplined, data-driven approach and methodology for eliminating defects (driving toward six standard deviations between the mean and the nearest specification limit) in any process from manufacturing to transactional and from product to service. - Answer Six Sigma You are an informatics nurse specialist at your 200-bed hospital and have been asked to use terminologies within your EHR for nursing care planning. What terminologies would you use? - Answer LOINC, SNOMED CT LOINC - Answer Logical observation identifiers names and codes SNOMED CT - Answer Systematized nomenclature of medicine clinical terms In order to meet the requirements for stage 1 of meaningful use, and EHR system must demonstrate the use of - Answer standardized terminologies and interoperability IT failure rate is estimated to be - Answer 50-70% Five steps of SDLC - Answer process planning and requirements definition, analysis, system design, implementation, post-implementation support In which phase of SDLC is the system customized, tested, and installed> - Answer Implementation HCIS - Answer Healthcare Information System EHR - Answer Electronic Health Record Looks for information, verifies ownership of information, and connects other parties within the healthcare organization - Answer Health informatics nurse professional Is the ability of two entities, whether those are human or machine, to exchange and predictably use data or information while retaining the original meaning of that data - Answer Interoperability Is the ability to exchange the data from one point to another - Answer Technical interoperability Terms that refer to the movement of data that does not necessarily ensure the meaning of the data - Answer Syntactic, functional interoperability Guarantees that the meaning of the exchanged data remains the same on both ends of the transaction. This is critical for clinical data. - Answer Semantic interoperability Coordinates business process at the organizational level; allowing the systems to work together - Answer Process interoperability Is the way that orders have traditionally been initiated for patients. Patient safety is enhanced as orders become legible. - Answer CPOE CPOE - Answer Computerized physician order entry Assessing needs of a department or organization using different methods such as surveys, interviews, and report gathering - Answer Needs assessment A measurement of where a condition, situation, or metric is currently and where it needs to be - Answer Gap analysis A report stating the conditions of the current state of affairs and where it ideally should be. - Answer Current, future state report BCMA - Answer bar code medication administration A comprehensive term that encompasses the notion of wholeness when data is collected, stored, and retrieved by the authorized user. - Answer Data integrity Is a mechanism provided by the computer system to assist users by promoting them to complete a task, verify information, or prevent entry of inappropriate information - Answer System check Is the process of controlling the collection, storage, retrieval, and use of data to optimize accuracy and utility while safeguarding integrity - Answer Data management PHR - Answer personal health record Is the process of determining what an organization wants to be in the future and planning how it will get there - Answer strategic planning Is the purpose or reason for the organization's existence and represents the fundamental and unique aspirations that differentiate the organization from others - Answer Mission Defines the type of activities and services of an organizational mission - Answer Scope A comprehensive plan that states how its mission, goals, and objectives will be achieved - Answer Strategy Any group or individual who can affect or is affected by the achievements or the organization's objectives - Answer Stakeholder Is a set of practices that, if executed well, will raise the likelihood that a project will succeed. - Answer Project management SDLC stages - Answer analysis, design, planning, implementation, operation Refer to the taxonomy when developing maps of the workflows and can use the terms to improve communication with their CDS vendor - Answer CDS implementers CDS - Answer clinical decision support Use the taxonomy to identify points in the workflow when CDS can be used and create a CDS tool to fit that context - Answer CDS designers Create tags based on the taxonomy to enable workflow-related organization and searches - Answer CDS repositories At the universal level, a unicode of a single taxonomy of nursing, with a single classification scheme will make data entry - Answer have lower costs for data retrieval, more useful, more meaningful When compared to the "Best of Breed" approach in selecting healthcare information system architecture, the integrated system - Answer Provides applications that are excellent for some areas and less optimal for other areas A strategy for success management of the implementation of a healthcare information system is to have baseline metrics. This project management activity aligns with which of the following project management implementation steps? - Answer Defining success factors Is a knowledge management tool that engages software to uncover interrelationships within large data sets - Answer Data mining EBP - Answer evidence based practices [Show Less]
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