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?

A network of networks 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?

Being given the option to allow your information to be shared with other healthcare providers 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?

Emails have the potential to go to unintended recipients Signup and view all the answers

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

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

Which government organization oversees the meaningful use program?

CMS Signup and view all the answers

What term describes an unanticipated growth of a project?

'Scope creep' Signup and view all the answers

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

Media tab Signup and view all the answers

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

Stage 3 Signup and view all the answers

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

Utilizing the 5 rights of medication administration Signup and view all the answers

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

Ask for access to their documents Signup and view all the answers

Where do you document a patient’s allergy?

History & physical Signup and view all the answers

What government agency recommended BCMA?

FDA Signup and view all the answers

What are the ICD ICD10 international classification of diseases?

LOINC & SNOMED Signup and view all the answers

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

Authentication & encryption 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?

Turn off share files Signup and view all the answers

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

Check the armband for damage, change the band if necessary Signup and view all the answers

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

Chart in one system & it will automatically show up in both systems Signup and view all the answers

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

Order summary tab Signup and view all the answers

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

This one Signup and view all the answers

What facility first used the BCMA?

Veterans hospital of Topeka, Kansas. Signup and view all the answers

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

Ask for access to their documents Signup and view all the answers

What is the primary role of the nurse informaticist?

Analyzing & redesigning workflows Signup and view all the answers

What does meaningful use promote in the healthcare setting?

Increased interoperability Signup and view all the answers

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

To promote the achievement of quality, safety, & efficiency measures Signup and view all the answers

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

Workflow design Signup and view all the answers

Which model supports evidence-based practice (EBP)?

Problem, intervention, comparison, outcome, time (PICOT) Signup and view all the answers

What defines interoperability?

Exchanging information using computer systems or software Signup and view all the answers

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

Nursing, information technology, & analytical sciences Signup and view all the answers

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

Continuity of Care Document (CDD) 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?

Design Signup and view all the answers

Where is the continuity of care documented in an EHR?

HER Signup and view all the answers

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

Solid clinical trials Signup and view all the answers

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

HITCECH act 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?

Workflow Signup and view all the answers

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

Review old progress & old documents 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?

The screen symbols change on each screen depending on the activities done Signup and view all the answers

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

Interface Signup and view all the answers

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

Kardex Signup and view all the answers

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

HER Signup and view all the answers

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

To provide clinicians with suggested care information Signup and view all the answers

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

In the intake & output section Signup and view all the answers

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

The condition or disease-specific order sets Signup and view all the answers

What is role-based access an example of?

Accessing electronic protected health information (ePHI) Signup and view all the answers

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

Through alerts & reminders Signup and view all the answers

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

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

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

Randomly run EHR reports & list noncompliant nurses Signup and view all the answers

What is the primary role of the nurse informaticist?

To integrate nursing science with information science to manage and communicate data, information, knowledge, and wisdom in nursing practice 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?

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

What defines interoperability in a healthcare context?

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

What accurately describes the internet?

An unregulated network of networks Signup and view all the answers

What is the typical role of an informatics nurse?

Facilitates the development, implementation, & integration for laboratory information systems Signup and view all the answers

What is the responsibility of a superuser?

To support the system in a given unit & assist users with functionality & procedural issues Signup and view all the answers

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

It provides the effective exchange of information between providers Signup and view all the answers

What is the harmonization of terminologies?

It fosters interoperability in health information systems Signup and view all the answers

What defines interoperability?

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

What does meaningful use promote in the healthcare setting?

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

What government organization oversees the meaningful use program?

Centers for Medicare & Medicaid Services (CMS) Signup and view all the answers

What accurately describes the internet?

A global network that connects millions of computers worldwide Signup and view all the answers

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

'Right Patient' verification and medication reconciliation Signup and view all the answers

Where do you document a patient’s allergy?

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

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

Single Sign-On (SSO) 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?

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

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

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

What represents privacy & security risks for telehealth technology?

Pts using speakerphone in the telehealth apps Signup and view all the answers

What are 3 common reasons for HIPAA violation citations?

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

What is a physical safeguard of ePHI?

A lock on the USB port on computers Signup and view all the answers

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

The Joint Commission Signup and view all the answers

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

Patient allergy history Signup and view all the answers

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

A root cause analysis (RCA) 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?

Structured query language (SQL) database Signup and view all the answers

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

It alerts the nurse to drug-drug-interactions, It reduces errors of administration, It tracks medication expiration dates. 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?

Manually document the medication administration without using the barcode bracelet. Signup and view all the answers

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

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

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

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

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

To prevent alert fatigue Signup and view all the answers

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

Advancing care information Signup and view all the answers

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

Improving quality of care Signup and view all the answers

Which government organization oversees the meaningful use program?

The Centers for Medicare & Medicaid Services (CMS) 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?

Turn off file sharing Signup and view all the answers

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

Systems development life cycle (SDLC) 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?

Implementation Signup and view all the answers

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

Plan the project, define the scope, & conduct SWOT analysis Signup and view all the answers

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

Scope creep 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?

Migrate the data 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.