NR 599 Nursing
Informatics Final
Exam 2023
Ethical Decision Making - ans=-when making choices about ethical issues based on the
standards of right
... [Show More] vs wrong
-It requires a systematic framework for addressing the complex and often controversial moral
questions
Bioethical Standards - ans=-The study of healthcare ethics
Telehealth - ans=-Wide range of health services that are delivered by telecommunications
that are delivered by telecommunications
-Is needed to help fill the nursing shortage allowing nursing to see more patients quicker -
used to deliver health-related services or to connect patients and healthcare providers to
maximize patients health status
-a newer term referring to a wide range of health services delivered through
telecommunications
Medical Applications - ans=-Software developed for medical purposes, including home
medical monitoring system, medical databases, etc.
Medical Devices - ans=any device inteded to be used for medical purposes
Privacy - ans=-an important issue related to personal information
-restricted access of patient information or data
Confidentiality - ans=-to ensure all personal information is protected by ensuring that limited
access is only given to those who are authorized to view that information
Cybersecurity - ans=- the state of being protected against the criminal or unauthorized use of
electronic data
-growth of importance of cybersecurity as technology continues to grow
Computer aided translators - ans=-a form of language translation in which a human translator
uses computer hardware to support and facilitate the translation process
HIPPA - ans=-established in US in 1996 to protect individual health information -all
healthcare institutions are required to follow standards and comply with security
measures to safeguard information
4 Parts of HIPPA - ans=1. Electronic transactions and code sets standard requirements
2. Privacy requirements
3. Security requirements
4. National identifier requirements
ICD-10 Coding - ans=-an alphanumeric code used by doctors, health insurances companies,
and public health agencies to represent diagnosis
-this system offers accurate up to date procedure codes to improve the health care cost and
ensure fair reimbursement policies
ICD and CPT codes are similar in their goals and purposes
Evaluation and management coding - ans=-a medical coding process in support of medical
billing
-practicing providers must use E\M coding to be reimbursed by medicare, medicaid, or
private insurance
Reimbursement coding - ans=- based on claims and documentation filed by providers using
medical diagnosis and procedure codes
-Commercial payers must use standards defined by the US department of Health and Human
services, also regulated by the state level
Clinical Support Tools - ans=-designed to help sift through enormous amounts of digital data
to suggest next steps for treatments, alert providers to available information they may not
have seen, or catch potential problems, such as dangerous medication interactions
- i.e. Clinical decision support tools, other applications, or tools to benefit patient outcomes
Workflow analysis - ans=-a required part of clinical implementations for safe patient care
fostered by technology
-the goal is to create a future-state solution that maximizes the use of technology and
eliminates low-value activities
-working towards high-level optimization
FDA oversight - ans=The U.S. Food and Drug Administration (FDA), a division of
USDHHS, is responsible for regulating medical devices to ensure public safety. In 2015, the
FDA released a guidance document for manufacturers, developers, and FDA staff related to
mobile medical applications. At the current time, the most common types of these
applications, or apps, are not regulated by the FDA because they are not defined as medical
devices. An app is defined as a medical device and may be subject to regulation by the FDA
if "the intended use of a mobile app is for the diagnosis of a disease or other conditions, or
the cure, mitigation, treatment, or prevention of disease, or if it is intended to affect the
structure or function of the body of man" (FDA, 2015, p. 8). The guidance document also
provides a list of examples of apps that are not currently viewed as medical devices, such as
apps that help users organize personal medical data, track fitness, or self-manage a disease. If,
however, the mobile app is an accessory to a regulated medical device, then it is also
considered a medical device and is subject to FDA oversight. We need to be aware that as
these mobile apps become more sophisticated in the future, they may indeed be subject to
more stringent oversight by the FDA to ensure consumer safety.
Four parts to HIPAA's Administrative Simplification - ans=Electronic transactions and code
sets standards requirements.
Privacy requirements.
Security requirements.
National identifier requirements [Show Less]