Healthcare IT and Nursing Informatics Quiz
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Questions and Answers

What is a technical safeguard for ePHI?

  • Firewall protection (correct)
  • Authentication
  • Audit controls
  • Access control

    • Which tool should informatics and ER nurses use for process analysis of a patient admission form?

  • Fishbone diagram
  • SWOT analysis (correct)
  • Pareto chart
  • Histogram

    • Which government agency recommended the use of barcode medication administration?

  • FDA (correct)
  • CMS
  • NIH
  • CDC

    • What accurately describes the internet?

    <p>A network of networks</p> Signup and view all the answers

    What is an example of an opt-in or opt-out choice regarding the disclosure of personal health information?

    <p>Being given the option to allow your information to be shared with other healthcare providers</p> Signup and view all the answers

    What is an important security consideration related to the use of email application to send and receive patient data?

    <p>Emails have the potential to go to unintended recipients</p> Signup and view all the answers

    What are the maximum penalties for refraining from full participation in the MIPS in years 2017 through 2024?

    <p>MIPS penalty for failing to comply: 9-12%</p> Signup and view all the answers

    Which government organization oversees the meaningful use program?

    <p>CMS</p> Signup and view all the answers

    What term describes an unanticipated growth of a project?

    <p>'Scope creep'</p> Signup and view all the answers

    Where are POLST (advanced care directives) found on the computer?

    <p>Media tab</p> Signup and view all the answers

    At which Meaningful Use stage can you generate and transmit prescriptions electronically?

    <p>Stage 3</p> Signup and view all the answers

    What needs to be done before administering a new IV drip order for an anti-arrhythmic drug?

    <p>Utilizing the 5 rights of medication administration</p> Signup and view all the answers

    What is the first thing patients should do to access their health records?

    <p>Ask for access to their documents</p> Signup and view all the answers

    Where do you document a patient’s allergy?

    <p>History &amp; physical</p> Signup and view all the answers

    What government agency recommended BCMA?

    <p>FDA</p> Signup and view all the answers

    What are the ICD ICD10 international classification of diseases?

    <p>LOINC &amp; SNOMED</p> Signup and view all the answers

    What should providers have on their personal mobile devices to protect it from sharing information when stolen?

    <p>Authentication &amp; encryption</p> Signup and view all the answers

    What should healthcare staff who use mobile devices to access ePHI do to protect devices before they are lost or stolen?

    <p>Turn off share files</p> Signup and view all the answers

    If your Pt’s barcode bracelet is not working & you needed to pass meds what would you do?

    <p>Check the armband for damage, change the band if necessary</p> Signup and view all the answers

    The Operating room uses a different system than what is integrated in the EMR. What do you do?

    <p>Chart in one system &amp; it will automatically show up in both systems</p> Signup and view all the answers

    Provider wants you to change an order what tab would you look under?

    <p>Order summary tab</p> Signup and view all the answers

    The stem should be negatively stated only when significant learning outcomes require it.

    <p>This one</p> Signup and view all the answers

    What facility first used the BCMA?

    <p>Veterans hospital of Topeka, Kansas.</p> Signup and view all the answers

    What is the first thing patients should do to access their health records?

    <p>Ask for access to their documents</p> Signup and view all the answers

    What is the primary role of the nurse informaticist?

    <p>Analyzing &amp; redesigning workflows</p> Signup and view all the answers

    What does meaningful use promote in the healthcare setting?

    <p>Increased interoperability</p> Signup and view all the answers

    What is the goal of EHR incentive programs, such as meaningful use?

    <p>To promote the achievement of quality, safety, &amp; efficiency measures</p> Signup and view all the answers

    Which measure is crucial for a successful implementation of a new computerized provider order entry?

    <p>Workflow design</p> Signup and view all the answers

    Which model supports evidence-based practice (EBP)?

    <p>Problem, intervention, comparison, outcome, time (PICOT)</p> Signup and view all the answers

    What defines interoperability?

    <p>Exchanging information using computer systems or software</p> Signup and view all the answers

    What is nursing informatics a combination of differentiating it from other nursing disciplines?

    <p>Nursing, information technology, &amp; analytical sciences</p> Signup and view all the answers

    Which item enhances interoperability between organizations when exchanging patient data electronically?

    <p>Continuity of Care Document (CDD)</p> Signup and view all the answers

    In which phase of the system life cycle would data be collected from the systems users regarding their analysis needs?

    <p>Design</p> Signup and view all the answers

    Where is the continuity of care documented in an EHR?

    <p>HER</p> Signup and view all the answers

    How should a nurse determine the validity of a new EBP (Evidence-Based Practice) protocol for treating asthma?

    <p>Solid clinical trials</p> Signup and view all the answers

    Which MIPS merit-based incentive payment system performance replaces Meaningful Use for physicians?

    <p>HITCECH act</p> Signup and view all the answers

    Where in the EHR is used to guide a nurse on the tasks that need to be completed during the shift?

    <p>Workflow</p> Signup and view all the answers

    What should be one of the first steps taken when developing a new clinical workflow?

    <p>Review old progress &amp; old documents</p> Signup and view all the answers

    If a user contacts you because their legend changes on each screen they go into, what should you tell them?

    <p>The screen symbols change on each screen depending on the activities done</p> Signup and view all the answers

    Which feature allows a user to navigate between authorized applications & resources within a single organization?

    <p>Interface</p> Signup and view all the answers

    Where would a nurse look to verify if there are new orders to review after receiving a report?

    <p>Kardex</p> Signup and view all the answers

    Where are POLST (advanced care directives) found on the computer in a healthcare setting?

    <p>HER</p> Signup and view all the answers

    What is the primary purpose of a clinical decision support system (CDSS)?

    <p>To provide clinicians with suggested care information</p> Signup and view all the answers

    Where should a nurse find information about the fluid status of a patient when asked by a physician?

    <p>In the intake &amp; output section</p> Signup and view all the answers

    What is considered to be clinical decision support (CDS) within the EHR?

    <p>The condition or disease-specific order sets</p> Signup and view all the answers

    What is role-based access an example of?

    <p>Accessing electronic protected health information (ePHI)</p> Signup and view all the answers

    How is clinical decision support system (CDSS) represented in an EHR?

    <p>Through alerts &amp; reminders</p> Signup and view all the answers

    What does Health Information Exchange (HIE) improve within a healthcare organization?

    <p>It allows patient information to be accessible despite where the patient is receiving care</p> Signup and view all the answers

    What should unit managers do to determine documentation completion by nurses?

    <p>Randomly run EHR reports &amp; list noncompliant nurses</p> Signup and view all the answers

    What is the primary role of the nurse informaticist?

    <p>To integrate nursing science with information science to manage and communicate data, information, knowledge, and wisdom in nursing practice</p> Signup and view all the answers

    What is an example of an opt-in or opt-out choice regarding the disclosure of personal health information?

    <p>Selecting preferences for sharing health data in an electronic health record (EHR)</p> Signup and view all the answers

    What defines interoperability in a healthcare context?

    <p>The ability of different information systems and software applications to communicate, exchange data, and use the information that has been exchanged</p> Signup and view all the answers

    What accurately describes the internet?

    <p>An unregulated network of networks</p> Signup and view all the answers

    What is the typical role of an informatics nurse?

    <p>Facilitates the development, implementation, &amp; integration for laboratory information systems</p> Signup and view all the answers

    What is the responsibility of a superuser?

    <p>To support the system in a given unit &amp; assist users with functionality &amp; procedural issues</p> Signup and view all the answers

    What is a reason to have standardized terminology within a healthcare setting?

    <p>It provides the effective exchange of information between providers</p> Signup and view all the answers

    What is the harmonization of terminologies?

    <p>It fosters interoperability in health information systems</p> Signup and view all the answers

    What defines interoperability?

    <p>The ability of different information systems and software applications to communicate, exchange data, and use the information that has been exchanged</p> Signup and view all the answers

    What does meaningful use promote in the healthcare setting?

    <p>The use of electronic health records to improve patient care</p> Signup and view all the answers

    What government organization oversees the meaningful use program?

    <p>Centers for Medicare &amp; Medicaid Services (CMS)</p> Signup and view all the answers

    What accurately describes the internet?

    <p>A global network that connects millions of computers worldwide</p> Signup and view all the answers

    What needs to be done before administering a new IV drip order for an anti-arrhythmic drug?

    <p>'Right Patient' verification and medication reconciliation</p> Signup and view all the answers

    Where do you document a patient’s allergy?

    <p>In the patient's electronic health record (EHR)</p> Signup and view all the answers

    Which feature allows a user to navigate between authorized applications & resources within a single organization?

    <p>Single Sign-On (SSO)</p> Signup and view all the answers

    What is an example of an opt-in or opt-out choice regarding the disclosure of personal health information?

    <p>Patient's decision to participate in a research study</p> Signup and view all the answers

    What is the first step patients should take to access their health records?

    <p>Use the patient portal email from the healthcare organization to create an account</p> Signup and view all the answers

    What represents privacy & security risks for telehealth technology?

    <p>Pts using speakerphone in the telehealth apps</p> Signup and view all the answers

    What are 3 common reasons for HIPAA violation citations?

    <p>Lost or stolen unencrypted devices, Social media postings, Unauthorized access to ePHI</p> Signup and view all the answers

    What is a physical safeguard of ePHI?

    <p>A lock on the USB port on computers</p> Signup and view all the answers

    Besides the provider & the client, which group’s needs are important to consider?

    <p>The Joint Commission</p> Signup and view all the answers

    Which data element would a restraint committee find least useful in a report on restraint usage & documentation compliance?

    <p>Patient allergy history</p> Signup and view all the answers

    What is a structured method used to analyze serious adverse events?

    <p>A root cause analysis (RCA)</p> Signup and view all the answers

    What form allows stored information in an EHR to be instantly searched, retrieved, combined, and reported in different ways?

    <p>Structured query language (SQL) database</p> Signup and view all the answers

    What are 3 purposes of using bar code medication administration (BCMA)?

    <p>It alerts the nurse to drug-drug-interactions, It reduces errors of administration, It tracks medication expiration dates.</p> Signup and view all the answers

    What should a nurse do if a Pt’s barcode bracelet is not working and they need to pass meds?

    <p>Manually document the medication administration without using the barcode bracelet.</p> Signup and view all the answers

    Where should a nurse look to verify if there are new orders to review after receiving a report?

    <p>In the 'Orders' section of the Electronic Health Record (EHR).</p> Signup and view all the answers

    What best describes the role of decision support within the EHR?

    <p>It is designed to assist with timely clinical decision making</p> Signup and view all the answers

    Why is it important to control the number of warnings in an EHR?

    <p>To prevent alert fatigue</p> Signup and view all the answers

    What merit-based incentive payment system (MIPS) performance category replaces meaningful use for physicians?

    <p>Advancing care information</p> Signup and view all the answers

    What do the goals of meaningful use & merit-based incentive programs have in common?

    <p>Improving quality of care</p> Signup and view all the answers

    Which government organization oversees the meaningful use program?

    <p>The Centers for Medicare &amp; Medicaid Services (CMS)</p> Signup and view all the answers

    What should healthcare staff who use mobile devices to access ePHI do to protect devices before they are lost or stolen?

    <p>Turn off file sharing</p> Signup and view all the answers

    What is the name of the process that begins with conception & continues through implementation?

    <p>Systems development life cycle (SDLC)</p> Signup and view all the answers

    During which phase of the systems development life cycle should a system be activated to effectively be used by end users?

    <p>Implementation</p> Signup and view all the answers

    What three tasks in the design phase during the systems development life cycle (SDLC)?

    <p>Plan the project, define the scope, &amp; conduct SWOT analysis</p> Signup and view all the answers

    What is the term to describe unanticipated growth of a project?

    <p>Scope creep</p> Signup and view all the answers

    A healthcare facility is changing to a new health information system. Information from the old system needs to be input into the new system. What will the IT department do to complete this task?

    <p>Migrate the data</p> Signup and view all the answers

    Study Notes

    Technical Safeguards and ePHI

    • Technical safeguards for electronic Protected Health Information (ePHI) include encryption, secure user authentication, and access controls.
    • The use of electronic health records (EHR) must comply with HIPAA privacy and security rules to protect sensitive information.

    Tools for Process Analysis

    • Informatics and Emergency Room (ER) nurses should use workflow analysis tools to review patient admission forms.

    Government Recommendations

    • The Agency for Healthcare Research and Quality (AHRQ) recommended barcode medication administration (BCMA) to enhance medication safety.

    Understanding the Internet

    • The internet is a vast global network that facilitates information exchange between computers, allowing access to data and communication worldwide.

    Personal Health Information Choices

    • An opt-in choice could involve patients agreeing to share their health data for research, while an opt-out choice allows them to refuse participation in data-sharing initiatives.

    Email Security Considerations

    • Sending and receiving patient data via email requires encryption to prevent unauthorized access and ensure confidentiality.

    MIPS Penalties

    • Maximum penalties for non-participation in the Merit-based Incentive Payment System (MIPS) from 2017 to 2024 can reach up to 9% of Medicare fees.

    Oversight of Meaningful Use

    • The Center for Medicare and Medicaid Services (CMS) oversees the Meaningful Use program, aiming to improve healthcare quality through EHR use.

    Project Growth Terminology

    • Unanticipated project growth is referred to as "scope creep," indicating that the project's requirements have expanded beyond the original plan.

    POLST Directives

    • Physician Orders for Life-Sustaining Treatment (POLST) are accessible within electronic health records under advance care planning or advance directives sections.

    Electronic Prescription Transmission

    • E-prescribing capabilities can be generated and transmitted electronically at Meaningful Use Stage 2.

    IV Administration Protocol

    • Before administering a new IV drip for anti-arrhythmic drugs, verification of the order and patient assessment are crucial steps.

    Accessing Health Records

    • Patients should begin by requesting access to their health records through their healthcare provider's patient portal or office.

    Documenting Allergies

    • Patient allergies should be documented in the allergy section of the electronic health record (EHR) for consistent tracking and safety.

    Clinical Systems and Operations

    • The first facility to implement BCMA was the Veterans Administration (VA) hospital system, improving medication administration safety.

    Nurse Informaticist Role

    • The primary responsibility of a nurse informaticist is to bridge healthcare and technology, optimizing clinical information systems for better patient outcomes.

    Impact of Meaningful Use

    • Meaningful use promotes improved data exchange and enhances patient care quality through the effective use of EHRs.

    Implementation Measures

    • Effective computerized provider order entry (CPOE) requires clinician buy-in and proper training to ensure smooth adoption and usage.

    Evidence-Based Practice (EBP) Models

    • The Iowa Model and the Stetler Model are commonly used for implementing evidence-based practice in clinical settings.

    Interoperability Definitions

    • Interoperability enables different health information systems to exchange and interpret shared information seamlessly.

    Documentation in EHR

    • Continuity of care is documented typically in the transitions of care section or discharge summary within the EHR.

    Clinical Decision Support Systems (CDSS)

    • CDSS provides clinicians with evidence-based knowledge, improving decision-making regarding patient care.

    Role-Based Access Control

    • Role-based access is an example of managing user permissions to ensure that staff can access only necessary information for their role.

    Healthcare Terminology Standardization

    • Standardized terminology across platforms enhances communication and data sharing accuracy within healthcare settings.

    Data Transfer During System Transition

    • Data migration from an old health information system to a new one involves extracting, cleansing, and importing relevant information.

    Device Security Protocols

    • Healthcare staff should implement strong passcodes and encryption on mobile devices before accessing ePHI to mitigate risks of data breaches.

    Clinical Workflow Development

    • Developing a new clinical workflow begins with thorough analysis and stakeholder engagement to ensure practicality and efficiency.

    Nurse Task Management

    • A nurse can review new orders in the EHR system under the orders tab, post-report handoff.

    Workflow Efficiency

    • Minimizing the number of alerts and warnings within an EHR is key to preventing alarm fatigue and ensuring essential notifications are prioritized.

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    Description

    Test your knowledge of healthcare IT and nursing informatics with this quiz. Questions cover technical safeguards for ePHI, process analysis tools, government recommendations for medication administration, and web-based application development.

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