System security involves protection against
deliberate attacks, errors, omissions, disasters and viruses
Which of the following is a mechanism
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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
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