Quiz 13.docx

Cost effective documentation? Records procedure & pt response directly into the work computer. Situation where nurse carries out an HIE? NP reviews pt records/read dx test results from remote facility. A blood pressure cuff or peripheral device linked to the computer or health system is what ki...

Cost effective documentation? Records procedure & pt response directly into the work computer. Situation where nurse carries out an HIE? NP reviews pt records/read dx test results from remote facility. A blood pressure cuff or peripheral device linked to the computer or health system is what kind of technology? Biomedical device integration. Assessing pt health literacy? Informatics have a variety of options for documentation of pt understanding. Informatics can evaluate current state & determine resources needed to determine pt level of understanding. Health literacy universal precaution-AHRQ? 5th grade reading level is the best. Barriers to using health informatics to improve health literacy? Informatics utilizes technology as a foundation, but technology isn't always available to people with lower health literacy. Training docs in the PACS into the EHR. Which will require the nurse to create training documents? Accessing & reviewing X-rays. What is one example of data that is tracked for the purpose of improved quality? Pt falls. Data visualization of oncology pt length of stays? Line graph. Refers to the collection of policies, standards, processes, & controls applied to an organization's data? Data governance. Universal precautions approach to health literacy? Treating all pts as if they are at risk of not understanding health information Speaking to pts in language appropriate terminology.  Informatics challenges to improving pt outcomes? Privacy issues, cognitive disabilities, & low literacy of the pt. What term refers to the intelligent application of data manipulation which empowers nurses to work more efficiently w/ enhanced communication, & informed decision support? Artificial intelligence. Four components of CDSS? trigger, input data, intervention information, action step. Whole complete data? data integrity. What is the focus of the 21st century cures act? Act that recognizes pts need more power in their healthcare & access to information is key to making that happen. What is a fishbone diagram & what benefit does it provide? A tool for analyzing the organizational processes & its effectiveness. Helps team members visually diagram a problem or conditions root causes, allowing them to truly diagnose the problem rather than focusing on symptoms. What is the dollar amount price range for a HIPPA fine per violation (lowest to highest amount). $100-$50,000 plus per violation w/ a max of 1.5 million yearly. Input pt data into journal? HIPAA stuff. Act that says pts need more power in their healthcare & access to info is key to making that happen? 21st century cures act. RFID? Tracks equipment, staff. In badges. What are 3 functional areas of practice for RN informatics? Administration, leadership & management. Name 2 visual cues w/ CDSS. Why are visual cues important? Order sets, reminders, checklist, data driven triggers. These are important in preventing medication errors & to promote pt safety.  Differentiate between data & information? Data: The most discrete components of the DIKW framework. These are the smallest factors describing the pt, disease state, health environment, & so forth. Information: Can be described as data plus meaning. Information is a continuum of progressively developing & clustered data. Defined the term clinical information system? Large computerized database management systems used to access the pt data that are needed to plan, implement, & evaluate care. Define predictive modeling/analytics? Uses past & current data to forecast the likelihood that an event will occur.  Identify five rights associated w/ meaningful use: Right information, right person, Right intervention format, right channel & right time & workflow. Distinguish difference between telemedicine & telehealth? Telemedicine: telecommunication technologies & computers to provide medical information & services to clients at another site. Telehealth: provision of information to healthcare providers & consumers & delivery of services to clients at remote sites using telecommunication & computer technology. Differentiate the focus of the ARRA & the hitech technology for economic & clinical health Acts? ARRA: established incentive payments for eligible pros (EPs), eligible hospitals, & critical access hospitals (CAHs) to promote the adoption & meaningful use of Certified Electronic Health Record. HITECH: provided economic stimuli & incentives for the adoption of EHR‘s. It also insured the collection of aggregate data that could be used to improve policy decisions relative to allocation of services & population health. Describe the progression of data using the DIKW framework: The DIKW guides the development of the scope & standards of practice in nursing informatics. It is how data is used to produce the wisdom to be applied in nursing.