Quiz 15.docx

Access Levels- User can only see information that they access to. (CNA cannot see everything an RN can) Administrative Safeguards of Electronic Health Information- Restricting access of all authorized users of the EHR according to their position within the healthcare system Admission-Transfer-Disch...

Access Levels- User can only see information that they access to. (CNA cannot see everything an RN can) Administrative Safeguards of Electronic Health Information- Restricting access of all authorized users of the EHR according to their position within the healthcare system Admission-Transfer-Discharge (ADT) System - Classified under the hospitals' administrative info system. It’s one foundational system that allows operational activities such as bed placement, transportation coordination, room readiness, & the general coordination of services focused on the pt's phase of movement. Tracks a pt's activities & location from admission to discharge. American Recover & Reinvestment Act (ARRA) – Authorized INCENTIVE PAYMENTS to specific types of hospitals & healthcare pros for adopting & using interoperable Health Information Technology & EHR’s. ARRA provides economic stimuli & incentives for the adoption of EHRs.  Analytical Science – Answers 2 basic questions: What do I have? How much of it do I have? Environment, pharmacy, safety & security, fraud detection, & healthcare diagnostics. Asynchronous Applications – Pt-centered & allows consumers to participate in their own care by using designated health technology to share health metrics & data w/ their healthcare provider via technology (remote pt-monitoring - the use of devices to capture pt data at one location & then transmit it electronically to healthcare pros at a different location, allowing the review of data for clinical decision-making, i.e. MobileHealth). **Audit Trails– Software that is used for detecting security violations, performance problems, & flaws. Records activity by users & system. **Goal is to improve data integrity. An audit trail must contain the name of the user, the application triggering the audit, the workstation, the specific document, a description of event being audited, & the date/time to determine integrity of data.  Authentication – Action that verifies the authority of users to receive specified data. Barcode Medication Administration - MANDATED BY FDA. **Benchmark– Continual process of measuring services & practices against the toughest competitors in the healthcare industry. Comparing the performance of an organization or clinician to others. Big Data – Very large data sets beyond human capability to analyze or manage without the aid of information technology. Considered data originating from very large data sets that help identify patterns & trends. Big data cannot be managed without the use of technology to analyze its output. 5 properties- Variety, velocity, volume, value, veracity. Change Management/ Change Control- INVOLVES EMPLOYEES IN THE DECISION-MAKING PROCESS. Helps prioritize limited resources & ensure systems standards are upheld. For example, medication administration. SHOULD EXCLUDE SUBJECT MATTER EXPERTS WHEN DISCUSSING CHANGE CONTROL. **Clinical Decision Support System (CDSS)- Supports healthcare practitioners in making pt-care decisions by integrating pt data w/ current clinical knowledge. Provides recommendations for care & must be balanced w/ professional judgment, not used in place of it.  **Clinical Information System– Software used to access client data, plan, implement, & evaluate care. May be specific to certain departments: lab, radiology, pharmacy, or pt populations. Provides pt centric decision-making functionality to help guide a RN w/ decision-making. Acquires pt data so that healthcare pros can review it & use information to deliver care.  Computer Literacy – Familiarity w/ the use of personal computers. The knowledge & ability to use computers & technology efficiently. Computer literacy allows pts to interact w/ the internet. Computerized Provider Order Entry (CPOE) – Prescriber’s decisions to enter orders & immediately share orders w/ appropriate health pros who execute orders & departments that need to dispense, schedule, or immediately deliver services to pts. CPOE can check for duplicate orders, alert departments to carry out orders, & provide the status of each order. **Confidentiality– Unspoken understanding that private information shared in a situation, in which a relationship has been established for the purpose of treatment or delivery of services will remain protected. Configurability – Extent that a given software product can be adapted or changed to meet a user’s preference. Connected Health – Model or platform by which technology assisted healthcare is delivered between at least 2 points, involving either synchronous or asynchronous exchange. **Consolidated-Clinical Document Architecture (C-CDA) – Allows interoperability of health information exchange between hospital systems. Consumer Health Informatics (CHI) – Use of electronic information & communication to improve medical outcomes & health-care decision making from the pt/consumer perspective. 3 barriers include: Privacy issues, cognitive disabilities, low health literacy. Five examples: Personal Health Records, Telehealth, Mobile Health, Games for Health, & Health 2.0. Telehealth is defined as healthcare at a distance using technology that connects the pt & the clinician in real time.  **Continuity of Care Record (CCD) – Snapshot of a pt’s health & healthcare to provider who does not have access to the person’s EHR. Cumulative Index to Nursing & Allied Health Literature (CINAHL) – Primary database used for nursing literature. Data – Collection of #s, characters, or facts that are gathered according to some perceived need for analysis. **Data Analysis – The processing of data that identify trends & patterns of relationships. Data Information Knowledge Wisdom (DIKW) Framework - Data is most discrete component of the DIKW framework. Mostly presented as discrete observations w/ little interpretation. Information is a continuum of progressively developing & clustered data. Relations & interactions are not yet evident in information alone. Knowledge is information that is processed & organized so relations & interactions are identified. Wisdom is appropriate use of knowledge to manage & solve human problems. Wisdom includes ethics or knowing why certain things/procedures should/should not be implemented in specific cases.  **Data Integrity – Ability to collect, store, retrieve correct, complete, & current data so that the data are available to authorized users when needed. Can be compromised by incorrect entry of information, data tampering, & system failure. Prevention by implementing security measures, audit trails, & having detailed policies & procedures. Data integrity is the state wherein data are uncorrupted, accurate, & valid.  **Data Mining – Technique that look for hidden patterns & relationships in large groups of data using software. Data Scrubbing - Data scrubbing is the process by which incorrect, incomplete, duplicate, or improperly formatted items are removed using special software designated for this purpose.  Data Warehouse – Provides a powerful method of managing & analyzing data.