Nursing informatics
specialty that integrates nursing science, computer science, and information science to manage and communicate data, information,
... [Show More] knowledge, 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]