Healthcare Information Systems Quiz: Access Levels and Administrative Safeguards

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What is the process of verifying users' authority to access specific data?

Authentication

Which software enables prescribers to enter orders and share them with relevant health professionals for execution?

Computerized Provider Order Entry (CPOE)

What does Big Data refer to?

Large datasets beyond human capacity to manage

What is the unspoken understanding of protecting private information shared in the context of treatment or delivery of services?

Confidentiality

What are Clinical Decision Support Systems (CDSS) designed to do?

Support healthcare professionals in making informed decisions

What does the Consolidated-Clinical Document Architecture (C-CDA) allow for?

Interoperability in health information exchange between hospital systems

What is the knowledge and ability to use computers and technology efficiently known as?

Computer literacy

What is the technique used to discover hidden patterns and relationships in large datasets using software?

Data mining

What is the adaptability of a software product to meet user preferences referred to as?

Configurability

What do Audit trails do?

Detect security violations, performance problems, and flaws

What does Confidentiality involve?

Protecting private information shared in the context of treatment or delivery of services

What is the delivery of technology-assisted healthcare between at least two points known as?

Connected health

What does the Admission-Transfer-Discharge (ADT) System do?

Tracks a patient's activities and location from admission to discharge

What is the main purpose of the American Recover & Reinvestment Act (ARRA)?

To provide incentive payments for adopting and using Health Information Technology and EHRs

What is the role of Analytical Science in healthcare?

Answers basic questions related to environment, pharmacy, safety, and security

What is the purpose of Access Levels in healthcare?

To restrict access of all authorized users of the EHR according to their position within the healthcare system

What is the role of Administrative Safeguards of Electronic Health Information?

To restrict access of all authorized users of the EHR according to their position within the healthcare system

What type of payments did the American Recover & Reinvestment Act (ARRA) authorize for adopting and using Health Information Technology and EHRs?

Incentive payments

What category does the Admission-Transfer-Discharge (ADT) System fall under?

Hospitals' administrative information system

What is the fundamental purpose of Analytical Science in healthcare?

To analyze environment, pharmacy, safety, and security issues

What do Access Levels aim to do in relation to Electronic Health Information?

Restrict access of all authorized users according to their position within the healthcare system

What is the primary function of the Admission-Transfer-Discharge (ADT) System?

Coordinate operational activities such as bed placement and transportation coordination

What did the American Recover & Reinvestment Act (ARRA) provide for hospitals and healthcare professionals?

Authorized incentive payments for adopting and using Health Information Technology and EHRs

What is the primary purpose of the International Classification of Diseases-10th Revision (ICD-10)?

To provide a standard diagnostic classification for health management purposes

What is the key role of a RN informaticist in increasing interoperability?

Promoting standardized vocabulary and coding

What does the Joint Commission primarily focus on in terms of information management?

Uniform definitions/language and teaching information management

In the context of healthcare, what does privacy primarily relate to?

Controlling access and disclosure of personal information

What is the fundamental function of an interface in the context of information systems?

Facilitating seamless exchange of data between different systems

What is the deceptive method used to steal sensitive information known as?

Phishing

What is the process by which two different information systems can exchange data in a seamless manner known as?

Interoperability

What is the key focus of confidentiality in a healthcare setting?

Controlling access and disclosure of private information

What is the primary purpose of the Interoperability concept in healthcare?

Seamless exchange of information and optimizing global health outcomes

What is the main outcome of using an interoperable system in healthcare?

Reduced errors and increased revenue

What is the main focus of the Health Level 7 (HL7) standard?

Exchanging patient information across healthcare providers

Which role in informatics involves conducting research and generating informatics theory?

Informatics Innovator

What is the purpose of the Fishbone tool in healthcare?

Identifying root causes of problems in organizational processes

What does the Health Information Technology for Economic & Clinical Health Act (HITECH Act) primarily provide?

Funds and incentives to increase EHRs by providers

Which concept involves the capacity to understand health information and manage one's health effectively?

Health literacy

What is the main objective of the Health Insurance Portability & Accountability Act (HIPAA)?

Sets standard for protecting Personal Health Information

What does Evidenced Based Practice (EBP) aim to improve?

Consistency and quality of outcomes in patient care

What is the primary focus of Informatics in healthcare?

'Expert System' for clinical decision support

'Health Information Technology (HIT)' encompasses which types of systems and technology in healthcare?

'EHRs' and 'CDSS'

'Health Information Exchange (HIE)' aims to achieve which outcome in healthcare?

'Improve care quality, safety, and efficiency'

What is the primary purpose of a Clinical Decision Support System (CDSS)?

To trigger prompts/alerts based on patient data

In the context of healthcare, what differentiates an Electronic Health Record (EHR) from an Electronic Medical Record (EMR)?

EHR stores data of a patient's past medical history while EMR is used for real-time patient encounters

What is the role of an Electronic Medical Record (EMR) in a healthcare setting?

To bring together diagnostic and treatment information for an individual

What is the most significant function of an Electronic Health Record (EHR)?

Storing and maintaining electronic health information

What distinguishes a Decision Support System/Software (DDS) from an Electronic Health Record (EHR)?

DDS requires human user input while EHR works automatically

What is the main purpose of an Electronic Health Record (EHR) as compared to a Clinical Decision Support System (CDSS)?

EHR brings together diagnostic and treatment information for an individual while CDSS triggers prompts/alerts based on patient data

What is the essential function of a Decision Support Tool/Clinician Decision Support (CDS) in healthcare?

Triggering prompts/alerts based on patient data

What distinguishes an Electronic Medical Record (EMR) from a Decision Support Tool/Clinician Decision Support (CDS)?

EMR brings together diagnostic and treatment information for an individual while CDS triggers prompts/alerts based on patient data

What is the primary role of a Decision Support System/Software (DDS) in a healthcare setting?

To trigger prompts/alerts based on patient data

What distinguishes a Clinical Decision Support System (CDSS) from an Electronic Medical Record (EMR)?

CDSS focuses on compiling diagnostic and treatment info for an individual, while EMR analyzes patient data to suggest appropriate interventions

What is the main purpose of the Merit-Based Incentive Payment System (MIPS) in healthcare?

To ensure Medicare patients get the right care at the right time

What is the role of the Nurse Informatics Specialist in the adoption of standard technologies?

Providing advice and recommendations to nurses on technology use

What does the Pt-Generated Health Data (PGHD) refer to in healthcare?

Health-related data created, recorded, or gathered by the patient or caregivers

What is the primary focus of the Personal Health Record (PHR) in healthcare?

To provide a lifelong tool for managing health information

What is the purpose of Process Interoperability in healthcare?

To enable different systems to work together and coordinate business processes

What is the first task of a Project Implementation Team/Committee in healthcare?

Develop a timeline for project implementation

What is the main objective of the National Quality Forum (NQF) in healthcare?

To improve healthcare through meaningful measurement

What does Physical Security primarily aim to protect in healthcare?

Physical items, objects, or areas from unauthorized access and misuse

What is the primary role of Interdisciplinary Team in healthcare project implementation?

Plan, test, and train after purchasing electronic health records (EHRs)

What is the main purpose of the Health Information Exchange (HIE) in healthcare?

To facilitate the sharing of patient data between hospitals and providers

What is the key focus of the Mission statement within an organization's existence in healthcare?

To represent the fundamental and unique aspirations differentiating it from others

What is the primary purpose of Lewin's Change Model?

To lead others through planned change

What is the main focus of Logical Security?

Identification, authentication, authorization, & accountability

What does Meaningful Use (MU) legislation by ARRA aim to achieve?

Collecting specific data to improve care and population health

What is the primary function of Knowledge Work/Workflow?

To gather data to create information

What is the role of a Knowledge Worker in healthcare?

Creating, distributing, and applying knowledge

What is the essential function of Knowledge Management in healthcare?

Creating, distributing, and applying knowledge

What distinguishes Logical Security from other security measures in healthcare?

Non-tangible protocols for identification, authentication, authorization, & accountability

What does the abbreviation MU (Meaningful Use) refer to in the context of healthcare?

Use of health information technology legislated by ARRA of 2009

What is the primary goal of using health information technology legislated by ARRA of 2009?

Collecting specific data w/ the intent to improve care & populations health

What is the essential function of Knowledge of the workflow in a healthcare setting?

Gathering data to create information

What is the purpose of a scope document in the Project Management Lifecycle Cycle (PLMC)?

To identify potential gaps in the project workflow

In the context of planned change, what does Lewin's Change Theory identify as its three steps?

Unfreezing, changing, refreezing

What is the primary characteristic of a Big Bang Conversion in the implementation phase of PLMC?

All-at-once implementation

What does QSEN focus on in the context of informatics culture for nurses?

Quality and safety competencies

What is the main purpose of the Monitor & Control phase in PLMC?

To control and evaluate the project progress

What differentiates a Parallel Conversion from other implementation approaches in PLMC?

Operating both old and new systems simultaneously

What is the primary outcome of focusing on 'Lessons learned w/ knowledge transfer' in PLMC?

Improved project management skills

In PLMC, what does Rollout refer to in the implementation phase?

'Gradual/staggered' implementation

'GAP Analysis' in PLMC is primarily used for identifying:

'Needed changes in workflow'

What is Scope Creep in PLMC?

Unapproved change that can cause serious delays or project failure.

What is the main purpose of the 'Design/Plan' phase in PLMC?

Detailing how the project will be managed and what the project requirements are.

What is the primary goal of the Security Rule in the context of health information?

To protect the privacy while adopting new technologies to improve quality and efficiency of patient care

What is the main function of the SWOT Analysis as it relates to the Systems Development Life Cycle?

To identify gaps in the current system and potential opportunities

What is the specific focus of Technology Informatics Guiding Education Reform (TIGER Initiative)?

To advance nurses' competencies related to informatics

What does Telehealth primarily involve?

Delivery of information to healthcare providers and consumers

What is the role of Usability in computer interactions within a particular context?

To ensure specific issues of human performance are achieved during computer interactions

What is the main focus of Value-Based Reimbursement in healthcare?

To reduce the number of necessary or limited-valued tests and treatments

What is the primary objective of Vision in an organizational context?

To give direction for planning purposes

What does Wisdom involve when managing and solving problems?

Using knowledge and experience to manage and solve problems

Study Notes

  • Asynchronous applications in healthcare allow consumers to share health metrics and data with healthcare providers using technology, enabling remote patient monitoring and clinical decision-making.

  • Audit trails are software used to detect security violations, performance problems, and flaws, recording user and system activity to ensure data integrity.

  • Authentication is the process of verifying users' authority to access specific data, with barcode medication administration being mandated by the FDA.

  • Big data refers to large datasets beyond human capacity to manage, originating from various sources and helping identify patterns and trends with the aid of technology.

  • Change management involves employees in decision-making, prioritizing resources, and upholding system standards, excluding subject matter experts during change control discussions.

  • Clinical Decision Support Systems (CDSS) support healthcare professionals in making informed decisions by integrating patient data with clinical knowledge, requiring professional judgment.

  • Clinical Information Systems are software used to access patient data, plan care, and evaluate care, providing decision-making functionality for healthcare professionals.

  • Computer literacy is the knowledge and ability to use computers and technology efficiently, allowing patients to interact with the internet.

  • Computerized Provider Order Entry (CPOE) enables prescribers to enter orders and share them with relevant health professionals for execution, checking for duplicates and providing order status.

  • Confidentiality is the unspoken understanding of protecting private information shared in the context of treatment or delivery of services.

  • Configurability refers to the adaptability of a software product to meet user preferences.

  • Connected health is the delivery of technology-assisted healthcare between at least two points, enabling synchronous or asynchronous exchange.

  • The Consolidated-Clinical Document Architecture (C-CDA) allows for interoperability in health information exchange between hospital systems.

  • Consumer Health Informatics uses electronic information and communication to improve healthcare outcomes and decision-making from the consumer perspective, addressing privacy issues, cognitive disabilities, and low health literacy.

  • Data analysis processes identify trends and patterns in large groups of data using software.

  • The Data Information Knowledge Wisdom (DIKW) framework outlines the progression of data to wisdom, with data being the most discrete component and wisdom involving ethical decision-making.

  • Data integrity refers to the ability to collect, store, and retrieve accurate, complete, and current data for authorized users, protecting against data entry errors, tampering, and system failure.

  • Data mining is a technique used to discover hidden patterns and relationships in large datasets using software.

  • Electronic Medical Record Adoption Model (EMRAM) evaluates Health Information Systems to improve organizational performance and health outcomes.

  • Evidenced Based Practice (EBP) is the current best evidence for patient care, improving consistency and quality of outcomes.

  • Expert System is a type of Clinical Decision Support System that uses artificial intelligence and does not require human intervention.

  • Fishbone tool helps diagnose problems in organizational processes by identifying root causes.

  • Health Information Exchange (HIE) enables electronic sharing of patient information between healthcare providers, improving care quality, safety, and efficiency.

  • Health Information Technology (HIT) includes various systems and technology for recording, monitoring, and delivering patient care, as well as managerial and organizational functions.

  • Health Information Technology for Economic & Clinical Health Act (HITECH Act) provides funds and incentives to increase EHRs by providers and improve policy decisions.

  • Health Insurance Portability & Accountability Act (HIPAA) sets the standard for protecting Personal Health Information and enforces penalties for violations.

  • Health Level 7 (HL7) is a standard for exchanging data between information systems and specifies how the data is coded.

  • Health literacy is the capacity to understand health information and manage one's health effectively, with low health literacy impacted by culture, ethnicity, race, and social class.

  • Informatics is an interdisciplinary field that turns data into information, combining computer, information, management, cognitive sciences, and organizational theory.

  • Informatics Innovator is an expert in conducting research and generating informatics theory, while Informatics Specialist is an RN with advanced skills in health information management and computer technology.

  • Information Security is necessary to protect information as it has value, and Information Literacy is the ability to effectively locate, evaluate, and use needed information.

Test your knowledge of healthcare information systems with this quiz covering access levels, administrative safeguards for electronic health information, and the Admission-Transfer-Discharge (ADT) system. Learn about the importance of restricting access to authorized users based on their position within the healthcare system.

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