Project management life cycle (PMLC) - C ORRECT ANSWER design/plan: scope and
charter documents, which guide how the system will be implemented and what
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can and cannot be done, metrics for evaluation , then evaluated including adding
metrics to monitor measures of success progress; resource availability, team
selection/consultants
implementation: WBS/Gantt chart, communication plan, risk assessment plan, change
management
monitoring and control
evaluation
lessons learned w/knowledge transfer
information science - C ORRECT ANSWER originally a subdiscipline of computer
science, supports the collection and management of informationand applies technology
to make information usable
Information system - C ORRECT ANSWER system comprised of the hardware and
software that make up an organization's infrastructure
The Beginning Nurse - C ORRECT ANSWER fundamental information management
and computer technology skills and use existing information systems and established
information management practices
Information literacy - C ORRECT ANSWER the ability to read and understand the
written word and numbers as well as the ability to recognize when information is needed
Technology Informatics Guiding Education Reform (TIGER) - C ORRECT ANSWER
(2004), called for improving nursing education competencies for the development of a
workforce capable of delivering patient care through health information technology
admission/discharge/transfer (ADT) system - C ORRECT ANSWER system integrated
with other administrative and clinical systems and tracks a patient's activities and
locations from hospital or clinic
Implementation team or committee - C ORRECT ANSWER interdisciplinary team
tasked with planning, testing, training, and other responsibilities when an EHRS has
been purchased
North American Nursing Diagnosis Association International (NANDA-I) - C ORRECT
ANSWER first standardized nursing terminology recognized by the ANA and used for
nursing diagnosis
Personal Health Record (PHR) - C ORRECT ANSWER a collection of patient data
controlled by the patient and accessible by patient and providers; allows users to
electronically collect, track, and share current and past information about their health or
someone in their care;
can stand alone or be tethered to a health plan or EHRS portal.
Interface - C ORRECT ANSWER computer program that tells two different systems
how to exchange data
Interoperability - C ORRECT ANSWER the ability of two entities, human or machine,
to exchange and predictably use data or information while retaining the original meaning
of that data
Integration - C ORRECT ANSWER the process by which different information systems
are able to exchange data in a fashion that is seamless to the end user
Standardized Terminology - C ORRECT ANSWER the implementation of SI within the
EHR is essential for healthcare organizations to meet the criteria of meaningful use
(MU)
Systemized Nomenclature of Medicine-Clinical Terms (SNOMED-CT) - C ORRECT
ANSWER globally recognized controlled healthcare vocabulary that provides a
common language for electronic health applications to exchange data
Knowledge of workflow - C ORRECT ANSWER primary reason nursing participation is
essential on the implementation team
Continuity of Care Record (CCR) - C ORRECT ANSWER 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 - C ORRECT ANSWER AKA escience; process that uses software to look
for hidden patterns and relationships in larger data sets; analyzing data to extract
information not offered by raw data alone
Physical threat - C ORRECT ANSWER Example: unauthorized access to a server
room
Health Insurance Portability and Accountability Act (HIPAA) - C ORRECT ANSWER
any breach of confidentiality within the healthcare environment is subject to the
penalties of this act
Automatic sign off - C ORRECT ANSWER security measure that protects the
healthcare provider if they leave the computer abruptly
Audit trails - C ORRECT ANSWER software used for detecting security violations,
performance problems, and flaws in applications by recording activity by users and
systems
Health Information Technology for Economic and Clinical Health (HITECH Act) - C
ORRECT ANSWER authorized incentive payments for early EHR adopters and led to
the development of meaningful use (MU) criteria (part of ARRA)
Blame-free environment - C ORRECT ANSWER encourages reporting of errors or
near misses and focuses on a systematic view of errors rather than individual causation
Culture of informatics - C ORRECT ANSWER a vision to develop policies, funding,
infrastructure, and education to instill knowledge and skills needed by all healthcare
executives, clinicians, and informaticists, and the tools to gather and analyze amassed
data
Decision-support software (DSS) or Clinical decision support software (CDSS) - C
ORRECT ANSWER facilitate the human (provider) decision making process and
saves healthcare dollars by aiding in diagnosis and providing access to practice
guidelines which decrase LOS and cost of treatment; alerts, clinical pathways, order
sets, dashboards, diagnostic support, and drug-drug interaction tools are examples
Alert fatigue - C ORRECT ANSWER too many insignificant CDSS warnings or
recommendations are presented and providers begin to dismiss them regardless of
importance
Core Requirements of Meaningful Use (MU) *all required since 2018 - C ORRECT
ANSWER demographic info
CPOE
CDS and ability to track compliance
real time drug-drug interaction and allergy checks
active med list
active med allergy list
record and retrieve VS ages 2-20
smoking status age 13 and up
mechanisms to protect EHR info
electronic exchange of info between entities/providers
supply patient w/copy of chart and/or d/c instructions per request
report clinical quality measures to CMS
up to date problem list/patient diagnoses
Telehealth - C ORRECT ANSWER use of telecommunications technologies and
computers to provide healthcare information and services to clients at another location [Show Less]