Podcast
Questions and Answers
What is a technical safeguard for ePHI?
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?
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?
Which government agency recommended the use of barcode medication administration?
- FDA (correct)
- CMS
- NIH
- CDC
What accurately describes the internet?
What accurately describes the internet?
What is an example of an opt-in or opt-out choice regarding the disclosure of personal health information?
What is an example of an opt-in or opt-out choice regarding the disclosure of personal health information?
What is an important security consideration related to the use of email application to send and receive patient data?
What is an important security consideration related to the use of email application to send and receive patient data?
What are the maximum penalties for refraining from full participation in the MIPS in years 2017 through 2024?
What are the maximum penalties for refraining from full participation in the MIPS in years 2017 through 2024?
Which government organization oversees the meaningful use program?
Which government organization oversees the meaningful use program?
What term describes an unanticipated growth of a project?
What term describes an unanticipated growth of a project?
Where are POLST (advanced care directives) found on the computer?
Where are POLST (advanced care directives) found on the computer?
At which Meaningful Use stage can you generate and transmit prescriptions electronically?
At which Meaningful Use stage can you generate and transmit prescriptions electronically?
What needs to be done before administering a new IV drip order for an anti-arrhythmic drug?
What needs to be done before administering a new IV drip order for an anti-arrhythmic drug?
What is the first thing patients should do to access their health records?
What is the first thing patients should do to access their health records?
Where do you document a patient’s allergy?
Where do you document a patient’s allergy?
What government agency recommended BCMA?
What government agency recommended BCMA?
What are the ICD ICD10 international classification of diseases?
What are the ICD ICD10 international classification of diseases?
What should providers have on their personal mobile devices to protect it from sharing information when stolen?
What should providers have on their personal mobile devices to protect it from sharing information when stolen?
What should healthcare staff who use mobile devices to access ePHI do to protect devices before they are lost or stolen?
What should healthcare staff who use mobile devices to access ePHI do to protect devices before they are lost or stolen?
If your Pt’s barcode bracelet is not working & you needed to pass meds what would you do?
If your Pt’s barcode bracelet is not working & you needed to pass meds what would you do?
The Operating room uses a different system than what is integrated in the EMR. What do you do?
The Operating room uses a different system than what is integrated in the EMR. What do you do?
Provider wants you to change an order what tab would you look under?
Provider wants you to change an order what tab would you look under?
The stem should be negatively stated only when significant learning outcomes require it.
The stem should be negatively stated only when significant learning outcomes require it.
What facility first used the BCMA?
What facility first used the BCMA?
What is the first thing patients should do to access their health records?
What is the first thing patients should do to access their health records?
What is the primary role of the nurse informaticist?
What is the primary role of the nurse informaticist?
What does meaningful use promote in the healthcare setting?
What does meaningful use promote in the healthcare setting?
What is the goal of EHR incentive programs, such as meaningful use?
What is the goal of EHR incentive programs, such as meaningful use?
Which measure is crucial for a successful implementation of a new computerized provider order entry?
Which measure is crucial for a successful implementation of a new computerized provider order entry?
Which model supports evidence-based practice (EBP)?
Which model supports evidence-based practice (EBP)?
What defines interoperability?
What defines interoperability?
What is nursing informatics a combination of differentiating it from other nursing disciplines?
What is nursing informatics a combination of differentiating it from other nursing disciplines?
Which item enhances interoperability between organizations when exchanging patient data electronically?
Which item enhances interoperability between organizations when exchanging patient data electronically?
In which phase of the system life cycle would data be collected from the systems users regarding their analysis needs?
In which phase of the system life cycle would data be collected from the systems users regarding their analysis needs?
Where is the continuity of care documented in an EHR?
Where is the continuity of care documented in an EHR?
How should a nurse determine the validity of a new EBP (Evidence-Based Practice) protocol for treating asthma?
How should a nurse determine the validity of a new EBP (Evidence-Based Practice) protocol for treating asthma?
Which MIPS merit-based incentive payment system performance replaces Meaningful Use for physicians?
Which MIPS merit-based incentive payment system performance replaces Meaningful Use for physicians?
Where in the EHR is used to guide a nurse on the tasks that need to be completed during the shift?
Where in the EHR is used to guide a nurse on the tasks that need to be completed during the shift?
What should be one of the first steps taken when developing a new clinical workflow?
What should be one of the first steps taken when developing a new clinical workflow?
If a user contacts you because their legend changes on each screen they go into, what should you tell them?
If a user contacts you because their legend changes on each screen they go into, what should you tell them?
Which feature allows a user to navigate between authorized applications & resources within a single organization?
Which feature allows a user to navigate between authorized applications & resources within a single organization?
Where would a nurse look to verify if there are new orders to review after receiving a report?
Where would a nurse look to verify if there are new orders to review after receiving a report?
Where are POLST (advanced care directives) found on the computer in a healthcare setting?
Where are POLST (advanced care directives) found on the computer in a healthcare setting?
What is the primary purpose of a clinical decision support system (CDSS)?
What is the primary purpose of a clinical decision support system (CDSS)?
Where should a nurse find information about the fluid status of a patient when asked by a physician?
Where should a nurse find information about the fluid status of a patient when asked by a physician?
What is considered to be clinical decision support (CDS) within the EHR?
What is considered to be clinical decision support (CDS) within the EHR?
What is role-based access an example of?
What is role-based access an example of?
How is clinical decision support system (CDSS) represented in an EHR?
How is clinical decision support system (CDSS) represented in an EHR?
What does Health Information Exchange (HIE) improve within a healthcare organization?
What does Health Information Exchange (HIE) improve within a healthcare organization?
What should unit managers do to determine documentation completion by nurses?
What should unit managers do to determine documentation completion by nurses?
What is the primary role of the nurse informaticist?
What is the primary role of the nurse informaticist?
What is an example of an opt-in or opt-out choice regarding the disclosure of personal health information?
What is an example of an opt-in or opt-out choice regarding the disclosure of personal health information?
What defines interoperability in a healthcare context?
What defines interoperability in a healthcare context?
What accurately describes the internet?
What accurately describes the internet?
What is the typical role of an informatics nurse?
What is the typical role of an informatics nurse?
What is the responsibility of a superuser?
What is the responsibility of a superuser?
What is a reason to have standardized terminology within a healthcare setting?
What is a reason to have standardized terminology within a healthcare setting?
What is the harmonization of terminologies?
What is the harmonization of terminologies?
What defines interoperability?
What defines interoperability?
What does meaningful use promote in the healthcare setting?
What does meaningful use promote in the healthcare setting?
What government organization oversees the meaningful use program?
What government organization oversees the meaningful use program?
What accurately describes the internet?
What accurately describes the internet?
What needs to be done before administering a new IV drip order for an anti-arrhythmic drug?
What needs to be done before administering a new IV drip order for an anti-arrhythmic drug?
Where do you document a patient’s allergy?
Where do you document a patient’s allergy?
Which feature allows a user to navigate between authorized applications & resources within a single organization?
Which feature allows a user to navigate between authorized applications & resources within a single organization?
What is an example of an opt-in or opt-out choice regarding the disclosure of personal health information?
What is an example of an opt-in or opt-out choice regarding the disclosure of personal health information?
What is the first step patients should take to access their health records?
What is the first step patients should take to access their health records?
What represents privacy & security risks for telehealth technology?
What represents privacy & security risks for telehealth technology?
What are 3 common reasons for HIPAA violation citations?
What are 3 common reasons for HIPAA violation citations?
What is a physical safeguard of ePHI?
What is a physical safeguard of ePHI?
Besides the provider & the client, which group’s needs are important to consider?
Besides the provider & the client, which group’s needs are important to consider?
Which data element would a restraint committee find least useful in a report on restraint usage & documentation compliance?
Which data element would a restraint committee find least useful in a report on restraint usage & documentation compliance?
What is a structured method used to analyze serious adverse events?
What is a structured method used to analyze serious adverse events?
What form allows stored information in an EHR to be instantly searched, retrieved, combined, and reported in different ways?
What form allows stored information in an EHR to be instantly searched, retrieved, combined, and reported in different ways?
What are 3 purposes of using bar code medication administration (BCMA)?
What are 3 purposes of using bar code medication administration (BCMA)?
What should a nurse do if a Pt’s barcode bracelet is not working and they need to pass meds?
What should a nurse do if a Pt’s barcode bracelet is not working and they need to pass meds?
Where should a nurse look to verify if there are new orders to review after receiving a report?
Where should a nurse look to verify if there are new orders to review after receiving a report?
What best describes the role of decision support within the EHR?
What best describes the role of decision support within the EHR?
Why is it important to control the number of warnings in an EHR?
Why is it important to control the number of warnings in an EHR?
What merit-based incentive payment system (MIPS) performance category replaces meaningful use for physicians?
What merit-based incentive payment system (MIPS) performance category replaces meaningful use for physicians?
What do the goals of meaningful use & merit-based incentive programs have in common?
What do the goals of meaningful use & merit-based incentive programs have in common?
Which government organization oversees the meaningful use program?
Which government organization oversees the meaningful use program?
What should healthcare staff who use mobile devices to access ePHI do to protect devices before they are lost or stolen?
What should healthcare staff who use mobile devices to access ePHI do to protect devices before they are lost or stolen?
What is the name of the process that begins with conception & continues through implementation?
What is the name of the process that begins with conception & continues through implementation?
During which phase of the systems development life cycle should a system be activated to effectively be used by end users?
During which phase of the systems development life cycle should a system be activated to effectively be used by end users?
What three tasks in the design phase during the systems development life cycle (SDLC)?
What three tasks in the design phase during the systems development life cycle (SDLC)?
What is the term to describe unanticipated growth of a project?
What is the term to describe unanticipated growth of a project?
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?
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?
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.
