Quiz 18.docx

**Project Management Lifestyle Cycle (PLMC)  1) Design/Plan – Scope document: Official document that details how the project will be managed & what the project requirements are. Scope Creep – Unapproved change, which can cause serious delays or project failure. As the scope & charter are dev...

**Project Management Lifestyle Cycle (PLMC)  1) Design/Plan – Scope document: Official document that details how the project will be managed & what the project requirements are. Scope Creep – Unapproved change, which can cause serious delays or project failure. As the scope & charter are developed, a GAP analysis is completed & used to identify needed changes in workflow. GAP Analysis – A list of features & functions desired, but not immediately available in the new system as identified. 2) Implementation – Training the staff/end-users in this phase. W/ change, different behaviors can develop (ex: resignation, resistance, feelings of loss, etc.) Lewin’s Change Theory – One of several foundational theories for leading others through planned change. Identifies 3 steps: Unfreezing, changing, refreezing. INVOLVES EMPLOYEES IN THE DECISION-MAKING PROCESS  Big Bang Conversion – “All-at-once” implementation  Rollout – Gradual/staggered implementation  Pilot – Small groups of individuals to evaluate potential issues  Parallel Conversion – Operates both the old & new systems for a limited time. 3) Monitor & Control  4) Evaluation  5) Lessons learned w/ knowledge transfer QSEN - Identified quality & safety competencies for nurses that fit well w/ an informatics culture (pt centered care, teamwork, EBP, quality improvement, safety, informatics).  Scope Creep – Unexpected & uncontrolled growth of user expectations as a project progress.   **Security Rule - National security standards health information in electronic form. Goal: protect the privacy while adopting new technologies to improve quality & efficiency of pt care. On a need-to-know basis.  Semantic Interoperability – The exchange of data in which the meaning remains the same on both ends of the transaction. **SNOMED Clinical Terms – Globally recognized, controlled healthcare vocabulary that provides a common language for EHRs. Enables a consistent way of capturing, sharing, & aggregating health data across all specialties & sites of care. Supports interoperable data collection & exchange. Standardized Terminologies - Structured, controlled languages developed according to terminology guidelines & approved by an authoritative body.  Store-&-Forward Applications - Asynchronous. Transmit recorded health info through a secure communications ne2rk to a provider (photos).  **SWOT Analysis - Occurs during PLANNING of SDLC. It is a strategic type of planning & helps to identify gaps in the current system & potential opportunities. This system evaluates strengths, weaknesses, opportunities, & threats of a given situation.  Synchronous Applications - Connected health applications that facilitate real-time, video & voice interaction & bidirectional communication between pts & healthcare providers (videoconferencing).  **Systems Development Life Cycle (SDLC)  Steps are design, plan, implement, analyze, evaluate. 1) Needs assessment: Determine the needs/wants in an information system 2) Selection System Phase: Organization seeks out a company that provides a system that best fits needs w/ 3 documents (1. Information Document: initial contact w/ vendor to get essential info about company’s history; 2. Proposal document: organization priorities or rates their needs/wants & send outline to vendors to see if request can be met; 3. Quote document: pricing, finance, contract terms) 3) System Implementation Phase: Go live PLANNING, w/ training & building. 4) ** Maintenance Phase: Problem solving, debugging, files backed up & updates are installed routinely, to ensure the program is working as intended. Technical Interoperability – The ability to exchange the data from one point to another. Technology Informatics Guiding Education Reform (TIGER Initiative) - Formed in 2004 to advance nurses' competencies related to informatics. Primary objective to develop a US nursing workforce capable of using electronic health records to improve delivery of health care.  **Telehealth - Delivery of information to healthcare providers & consumers & the delivery of services to clients at remote sites through use of telecommunication & computer technology. Does not always involved clinical services. (Telehealth encompasses telemedicine but is a broader term that emphasizes the provision of information to healthcare providers & consumers). **Telemedicine - Medical information exchanged from one site to another via electronic communications to improve a pt’s health status. *Legal & Ethical issues from telehealth/telemedicine: lack of reimbursement, privacy & confidentiality concerns, licensure, & liability issues.  **Telenursing – Being a RN while using technology. Usability – Specific issues of human performance in achieving specific goals during computer interactions w/in particular context. Poor usability can lead to errors, jeopardize pt safety, & impact acceptance & use of technology. **User Interface – Allows humans & computers to cooperatively perform tasks & specific goals. **Value-Based Reimbursement - Diagnostic tests & treatment options based on the value of those tests & treatments to pt & organizational outcomes. The hope was to reduce the # of necessary or limited-valued test & treatments. The value-based model rewards providers & organizations for quality-driven care based on ability to meet set quality measures & indicators.  Vision – Future-oriented, high-level view of what an organization would like to become. Gives direction for planning purposes. Wisdom – Using knowledge & experience to manage & solve problems.