Nr 599 FINAL EXAM STUDY GUIDE 2022 update
r
Ethical decision making
When making choices about ethical issues based on the
standards of right vs wrong.
It requires a systematic framework for addressing the complex
and often controversial moral questions.
Bioethical standards
The study of healthcare ethics
Bioethics takes on relevant ethical problems seen by healthcare
providers in relation to care
Telehealth
wide range of health services that are delivered by
telecommunications ready tools, such as telephone,
videophone, and computer
is needed to help fill the nursing shortage allowing nursing to
see more patients quicker, as well as the aging population
Telecommunication technologies used to deliver health-related
services or to connect patients and healthcare providers to
maximize patients’ health status.
A relatively new term in the medical/nursing vocabulary,
referring to a wide range of health services that are delivered by
telecommunications-ready tools such as the telephone,
videophone, and computer.
Medical Applications
Software developed for medical purposes, including
home medical monitoring system, medical databases
for healthcare professionals, etc.
Medical Devices
is any device intended to be used for medical purposes
FDA Oversight for Medical Devices
Privacy
An important issue related to personal information
Restricted access of patient information or data
Confidentiality
To ensure that all personal information is protected by ensuring
that limited access is only given to those who are authorized to
view that information.
■ Protecting privacy of personal information or data
Cybersecurity
the state of being protected against the criminal or
unauthorized use of electronic data, or the measures taken to
achieve this.
With the expansion of technology. Facilities are taken more
precautions to prevent cyber attacks. With the move towards
advancing cybersecurity is important, technology continues to
grow.
,Nr 599 FINAL EXAM STUDY GUIDE 2022 update
r
Ensure all systems are adequately protected and patients
remain safe from harm
NI are frequently called on to evaluate the safety and
effectiveness of new devices and software.
Computer-aided translators
is a form of language translation in which a human
translator uses computer hardware to support and
facilitate the translation process.
HIPPA
was established in the U.S. in 1996 to protect an
individual's personal health care information.
Signed by Pres. Bill Clinton
Healthcare institutions are required to meet all
standards and comply with the appropriate security
measures in order to safeguard patient data.
Four parts to HIPAA's Administrative Simplification
■ Electronic transactions and code sets
standards requirements.
■ Privacy requirements.
■ Security requirements.
■ National identifier requirements.
ICD-10 Coding
An alphanumeric code used by doctors, health
insurance companies, and public health agencies
across the world to represent diagnoses.
The system offers accurate and up-to-date procedure
codes to improve health care cost and ensure fair
reimbursement policies
The current codes specifically help healthcare providers
to identify patients in need of immediate disease
management and to tailor effective disease
management programs.
■ Similarly ICD and CPT coding go together
● Is a medical code set that is used to report
medical, surgical, and diagnostic procedures
and services to entities such as physicians,
health insurance companies and
accreditation organizations.
Evaluation and Management Coding
Is a medical coding process in support of medical billing
Practicing health care providers in the United States must use
E/M coding to be reimbursed by Medicare, Medicaid programs,
or private insurance for patient encounters.
Reimbursement Coding
,Nr 599 FINAL EXAM STUDY GUIDE 2022 update
r
Is based on claims and documentation filed by
providers using medical diagnosis and procedure
codes.
Commercial payers must use standards defined by the
U.S. Department of Health and Human Services (HHS)
but are largely regulated state-by-state.
Clinical Support Tools
are designed to help sift through enormous amounts of
digital data to suggest next steps for treatments, alert
providers to available information they may not have
seen, or catch potential problems, such as dangerous
medication interactions
Such as CDS clinical decision support, a program
used by providers.
Or various applications use by healthcare professionals
to allow for communicate between provider to provider
and provider to patient
The tools are all used to benefit patient outcome
Workflow analysis
Not an optional part of clinical implementations, but rather a
necessity for safe patient care fostered by technology.
The ultimate goal of workflow analysis is not to “pave the cow
path,” but rather to create a future-state solution that
maximizes the use of technology and eliminates non–value-
added activities.
Although many tools and methods can be used to accomplish
workflow redesign, the best method is the one that
complements the organization and supports the work of
clinicians.
needs to be done as well as working in optimization (moving
conditions past their current state into a more effective
method of performing.
WEEK FIVE READING/ KEY POINTS
Key points from the lessons and modules
Clinical Decision Support (CDS)
Generate patient specific interventions,
assessments and recommendations
CDS tools existed prior to development of EHRs
The primary goal of implementing a CDS tool is to leverage
data and the scientific evidence to help guide appropriate
decision making
CDS improving healthcare
Reducing clinical variation and duplicative testing
, Nr 599 FINAL EXAM STUDY GUIDE 2022 update
r
Ensuring patient safety
r
Ethical decision making
When making choices about ethical issues based on the
standards of right vs wrong.
It requires a systematic framework for addressing the complex
and often controversial moral questions.
Bioethical standards
The study of healthcare ethics
Bioethics takes on relevant ethical problems seen by healthcare
providers in relation to care
Telehealth
wide range of health services that are delivered by
telecommunications ready tools, such as telephone,
videophone, and computer
is needed to help fill the nursing shortage allowing nursing to
see more patients quicker, as well as the aging population
Telecommunication technologies used to deliver health-related
services or to connect patients and healthcare providers to
maximize patients’ health status.
A relatively new term in the medical/nursing vocabulary,
referring to a wide range of health services that are delivered by
telecommunications-ready tools such as the telephone,
videophone, and computer.
Medical Applications
Software developed for medical purposes, including
home medical monitoring system, medical databases
for healthcare professionals, etc.
Medical Devices
is any device intended to be used for medical purposes
FDA Oversight for Medical Devices
Privacy
An important issue related to personal information
Restricted access of patient information or data
Confidentiality
To ensure that all personal information is protected by ensuring
that limited access is only given to those who are authorized to
view that information.
■ Protecting privacy of personal information or data
Cybersecurity
the state of being protected against the criminal or
unauthorized use of electronic data, or the measures taken to
achieve this.
With the expansion of technology. Facilities are taken more
precautions to prevent cyber attacks. With the move towards
advancing cybersecurity is important, technology continues to
grow.
,Nr 599 FINAL EXAM STUDY GUIDE 2022 update
r
Ensure all systems are adequately protected and patients
remain safe from harm
NI are frequently called on to evaluate the safety and
effectiveness of new devices and software.
Computer-aided translators
is a form of language translation in which a human
translator uses computer hardware to support and
facilitate the translation process.
HIPPA
was established in the U.S. in 1996 to protect an
individual's personal health care information.
Signed by Pres. Bill Clinton
Healthcare institutions are required to meet all
standards and comply with the appropriate security
measures in order to safeguard patient data.
Four parts to HIPAA's Administrative Simplification
■ Electronic transactions and code sets
standards requirements.
■ Privacy requirements.
■ Security requirements.
■ National identifier requirements.
ICD-10 Coding
An alphanumeric code used by doctors, health
insurance companies, and public health agencies
across the world to represent diagnoses.
The system offers accurate and up-to-date procedure
codes to improve health care cost and ensure fair
reimbursement policies
The current codes specifically help healthcare providers
to identify patients in need of immediate disease
management and to tailor effective disease
management programs.
■ Similarly ICD and CPT coding go together
● Is a medical code set that is used to report
medical, surgical, and diagnostic procedures
and services to entities such as physicians,
health insurance companies and
accreditation organizations.
Evaluation and Management Coding
Is a medical coding process in support of medical billing
Practicing health care providers in the United States must use
E/M coding to be reimbursed by Medicare, Medicaid programs,
or private insurance for patient encounters.
Reimbursement Coding
,Nr 599 FINAL EXAM STUDY GUIDE 2022 update
r
Is based on claims and documentation filed by
providers using medical diagnosis and procedure
codes.
Commercial payers must use standards defined by the
U.S. Department of Health and Human Services (HHS)
but are largely regulated state-by-state.
Clinical Support Tools
are designed to help sift through enormous amounts of
digital data to suggest next steps for treatments, alert
providers to available information they may not have
seen, or catch potential problems, such as dangerous
medication interactions
Such as CDS clinical decision support, a program
used by providers.
Or various applications use by healthcare professionals
to allow for communicate between provider to provider
and provider to patient
The tools are all used to benefit patient outcome
Workflow analysis
Not an optional part of clinical implementations, but rather a
necessity for safe patient care fostered by technology.
The ultimate goal of workflow analysis is not to “pave the cow
path,” but rather to create a future-state solution that
maximizes the use of technology and eliminates non–value-
added activities.
Although many tools and methods can be used to accomplish
workflow redesign, the best method is the one that
complements the organization and supports the work of
clinicians.
needs to be done as well as working in optimization (moving
conditions past their current state into a more effective
method of performing.
WEEK FIVE READING/ KEY POINTS
Key points from the lessons and modules
Clinical Decision Support (CDS)
Generate patient specific interventions,
assessments and recommendations
CDS tools existed prior to development of EHRs
The primary goal of implementing a CDS tool is to leverage
data and the scientific evidence to help guide appropriate
decision making
CDS improving healthcare
Reducing clinical variation and duplicative testing
, Nr 599 FINAL EXAM STUDY GUIDE 2022 update
r
Ensuring patient safety
