Quiz 17.docx

Knowledge Management – Generation, storage, distribution, & application of both tacit knowledge (personal experience) & explicit knowledge (evidence). Knowledge Work/Workflow – The work of gathering data to create information. Knowledge of the workflow is essential of the implementation team...

Knowledge Management – Generation, storage, distribution, & application of both tacit knowledge (personal experience) & explicit knowledge (evidence). Knowledge Work/Workflow – The work of gathering data to create information. Knowledge of the workflow is essential of the implementation team. Knowledge Worker – Individual w/ a high degree of expertise, education, or experience who creates, distributes, & applies knowledge. Lewin’s Change Model – One of several foundational theories for leading others through planned change; identifies 3 steps: unfreezing, changing, & refreezing. Logical Security – Non-tangible protocols used for identification, authentication, authorization, & accountability (ex: automatic sign-off after a period of inactivity). **Meaningful Use (MU) – Use of health information technology (HIT) legislated by ARRA of 2009 to collect specific data w/ the intent to improve care & populations health, engage pts, & ensure privacy & security, w/ financial incentive from Medicare & Medicaid to providers. (**Goals – engage pts, exchange data in an accurate/complete way, improve pt care in a cost-effective way, improve healthcare overall**). **Used by inpatient & outpatient settings. Enable providers to be financially compensated** REQUIRES STANDARDIZED TERMINOLOGY (ALLOWS FOR UNIFORMITY & EASIER RETRIEVAL OF NURSING-RELATED DATA **Meaningful Use (MU) Core Requirements - **Centers for Medicare & Medicaid Services (CMS) developed** core criteria that defined basic functions of EHRs must demonstrate. Basic entry of clinical information, requiring standardized terminology across the board, use of several software applications, entry of clinical orders w/ safety measures. (3 required stages include: stage 1 – electronic capturing & sharing of data between hospitals/providers; stage 2 – requires pts to view, download, or transmit their health information online, capability for secure messaging between providers/pts, & reporting public health measures, advancing clinical processes; stage 3 – focuses on the enhanced use of EHRs to promote Health Information Exchange & Improve care, & improving pt outcomes (ex: electronic prescribing)). Implemented in 2018. Medical Informatics – Application of informatics to all the healthcare disciplines as well as to the practice of medicine. **Merit-Based Incentive Payment System (MIPS) – QUALITY. Ensures Medicare pts get the right care at the right time. Uses PQRS (physician quality reporting systems) & Medicare EHRs that will be measured on quality, resource use, clinical-practice environment, & meaningful use of EHRs technology. For physicians to qualify for MIPS, they must bill Medicare more than $90,000/year & see more than 200 Medicare pts annually. Mission – Purpose or reason for an organization’s existence, representing the fundamental & unique aspirations that differentiate it from others. National Quality Forum (NQF) – Nonprofit, membership-based organization that works to improve healthcare through meaningful measurement. **Nurse Informatics Specialist – A RN w/ advanced computer technology skills w/ expertise in system development life cycles. The RN needs to: play an active role in the adoption of standard technologies, be aware of legislation, educate users, assist users on troubleshooting, provide advice & recommendations, act as a liaison between nurses & technology, serve as a resource, manage data & information, develop tools & methods, & monitor data security, accuracy, & integrity by monitoring for patterns & exceptions. Nursing Informatics – Uses nursing knowledge along w/ information & communication technology to promote the health of individuals, families, & entire populations. **Nursing Role in Informatics: Assessment – analysis of what is needed  Developing – develop the care/project plan  Implementing – implement the plan Monitoring – monitor the outcomes Evaluating – lessons learned w/ knowledge transfer  **Pt-Generated Health Data (PGHD) – Health-related data created, recorded, or gathered by the pt/caregivers to help address health concerns. Without in-person enrollment, verifying that a pt is eligible to participate in a study can be difficult.  Pt Protection & Affordable Care Act – Guarantees access to healthcare for ALL Americans & incentives to change clinical practice to encourage better coordination & quality care. Personal Health Record (PHR) – Lifelong tool for managing health information. ie conditions, allergies, medications, past surgeries, & other relevant information. (Barriers- poor or no internet, poorly designed applications, limited clinical integration). Physical Security – The protection of physical items, objects, or areas from unauthorized access & misuse. Measures- placement of computers, file servers, routers, switches, & computers in restricted areas. Other examples include physical locks on devices. Process Interoperability – Coordinates systems enabling business processes at organizations & allowing systems to work together. Project Implementation Team / Committee – FIRST TASK IS TO DEVELOP A TIMELINE – Comprised of representatives from the ser departments. Project team needs to be actively involved as an end-user. Implementation committee determines the project implementation strategy. Interdisciplinary will plan, test, train, etc. after the EHR is purchased.