Recovery and Reinvestment Act
- The Health and Insurance Portability and Accountability Act (HIPAA)
Universal language system - ANSWER - helps to compare and analyze information to im-
prove client care e.g. standardization
Uniform Taxonimies - ANSWER - Facilitate communication: e.g.
Nursing Diagnosis,
NANDA,
Nursing Interventions (NIC),
Nursing outcomes (NOC),
Omaha Systems
Nursing informatics - ANSWER
Goals of Informatics - ANSWER Combine, manage nursing, computer science to effec-
tively communicate data & knowledge
Improve health care delivery, efficiency
Facilitate integration of data, information, and knowledge to aid in decision making
The Digital Health Care Community - ANSWER - informatics provides health care with an
opportunity to create a digital culture of interconnectedness that serves many clients and
team members.
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,- This allows for a proactive response to wellness promotion, disease prevention, treatment
of illness, and advancement of knowledge.
Computerized Data - Risk Manager Perspective - ANSWER - risk managers collect and ap-
ply vast amounts of data to improve client safety.
- for example: a risk manager reviewing a spread sheet reporting data related to clients' falls
over the past six months. This data is put together to evaluate evidence-based practice inter-
ventions regarding the use of a new electronic alert system.
Computerized Data - Nurse Perspective - ANSWER Presents opportunity to send infor-
mation to companies
Transmits information to health care team members
Furnishes unbiased data
For example, a risk manager is reviewing a computerized spread sheet reporting client fall
over the past 6 months.
computerized data furnishes unbiased data to analyze the economic impact of health care
decisions, which allows facilities and clients to make informed choices regarding safe, effec-
tive, and economical health care.
HIPAA (Health Insurance Portability and Accountability Act) - ANSWER Went into effect in
April 2013
sets the national standards for protecting the clients health information
has severe punitive consequences if client confidentiality is violated.
Examples of proper handling of electronic information in nursing practice include - AN-
SWER - automatic sign offs when leaving a computer screen, - alarms on mobile devices
to prevent theft
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, - hierarchal passwords,
- unique passwords never shared with others,
- shredding of documents, and
- placement of fax machines and computers in secure area.
Committing Severe Violations of HIPAA - ANSWER - revealing client information in an
open area and to a person without verifying they are a person who is allowed to know their
medical information.
- discussing patient info with team members that are not included in the patients care.
American Recovery and Reinvestment Act (ARRA) - ANSWER effective in 2009, its pur-
pose was to stimulate the struggling economy.
Part A includes The Health Information Technology for Economic and Clinical Health Act , or
HITECH. This addresses the development, adoption, and implementation of health infor-
mation technology policies and standards, and provides privacy and security protection for
client information.
Part B gives significant financial incentives to health professionals and facilities that adopt
and engage in the use of electronic health record technology.
The act also established the Office of the National Coordinator for Health Information Tech-
nology.
It coordinates the development of the infrastructure necessary to support the digital age of
health care,
Advantages of Integrating Nursing Informatics - ANSWER Assess, document without leav-
ing a client's side
Locate, compare, analyze local, national, global data through one access point
Improve quality of health care delivery
Strengthen relationship between nurses, clients
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