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Pt discharge, information planning- History & physical notes about the reason the pt is admitted anyways. Pts come in complaining of the same S/S- pt demographics. COPD pt planning care-- complete health history. High pt volume- Nursing flow sheets. HIPAA violation fine- $100-50,000. Provide...

Pt discharge, information planning- History & physical notes about the reason the pt is admitted anyways. Pts come in complaining of the same S/S- pt demographics. COPD pt planning care-- complete health history. High pt volume- Nursing flow sheets. HIPAA violation fine- $100-50,000. Provider receives a message with a low BP with a normal HR reading but that's all it said? The info cannot help Dr make a clinical decision. Critical step in HCI? Usability. Act that recognizes pts need more power in their healthcare, & access to information is key to making that happen?  21st Century Cures Act. Tapping badge? improves documentation time. Data entry fields? Cascading. Data accuracy? Triangulation. Pt engagement benefits-- costs decrease, lower readmission rate, improved pt recovery times, increase pt empowerment. Which pt are most able to engage in their care? whose pain is under control or good night rest. Nurse is giving Pt education over new medication? Ask pt to repeat info—teach backs. Hospital employee falls. Their manager calls & wants an update? Nurse should not provide info. HIS system for pt to manage their own stuff? the app. Action that demonstrates data mining to improve pt outcomes? HbA1c. Electronically capture pt VS without manually entering- Biomedical device integration. What to do when CDSS is ignored- Educate staff on the importance (Review each alert's determinant significance & make a decision to maintain or eliminate it recognize that an unnecessary alert is dangerous because it might make that much less likely that a clinician will pay attention to the next alert that is necessary. Explore the possibility of the machines talking to each other to establish congruence and interpreting specific pt input that is aligned with the need for the alert to fire). Spouse requests pts medical records-- refer family member to medical records. Comparing infection rates across state- bar graph or pie chart. Promoting adoption & implementation of telehealth programs—Advocacy. Best practices for HIPAA- require password. Employee falls & gets hurt at work-- Do not provide the info because HIPAA. Mom calls asking for child's info that was seen at the clinic-- Clinic unable to provide the medical records. A pt employer calls asking for information on pt that got hurt at work? Ask employer to submit a signed agreement to protect the pt info. Metrics related to stroke care & compare them across the country in a presentation? Benchmarking. Hiker information given to newspaper? Hospital violates hipaa because they did not follow their guidelines. Pt records moved from notes to checkboxes? They reduce clinical documentation time. Gap analysis? transition to a new HER.

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