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D220 Informatics

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D220 Informatics American Recovery and Reinvestment Act (ARRA) Ans- **Authorized INCENTIVE PAYMENTS to specific types of hospitals & healthcare professionals for adopting & using interoperable Health Information Technology and EHR's. The purposes of this act include the following: (1) To preserve/create jobs and promote economic recovery. (2) To assist those most impacted by the recession. (3) To provide investments needed to increase economic efficiency by spurring technological advances in science and health. (4) To invest in transportation, environmental protection, and other infrastructure that will provide long-term economic benefits. (5) To stabilize state and local government budgets, in order to minimize and avoid reductions in essential services and counterproductive state and local tax increases. AHQR (Agency for Healthcare Research and Quality) Ans- Produced evidence making healthcare safer, improve quality, accessibility and affordability Asynchoronous Applications Ans- No contact with patient for data collection. EX: Remote pt monitoring, Using health technologies to share health metrics and data w/ providers. STORE & FORWARD APPS (ex: photos) Administrative Information System Ans- can include registration and scheduling; tracking through admission, transfer and discharge; patient acuity and staff scheduling; financial or accounting systems; risk management; payroll and human resources; quality assurance; and contract management functions. Affordable Care Act Ans- law passed in 2010 to expand access to insurance, address cost reduction and affordability, improve the quality of healthcare, and introduce the Patient's Bill of Rights, increasing the number of insured persons. Alarm Fatique Ans- Becoming desensitized to patient care alarms and missing or delaying their response to the alarm. ANA (American Nurses Association) Ans- Professional organization for all RNs. Concerned with licensure, collective bargaining and education Analytics Ans- A term describing the extensive use of data, statistical and quantitative analysis, explanatory and predictive models, and fact-based management to drive decisions and actions. Audit trail Ans- a report that traces who has accessed electronic information, when information was accessed, and whether any information was changed Authentication Ans- A method for confirming users' identities Authorization Ans- The process of giving someone permission to do or have something Barcode Scanning Technology Ans- Scans drug and patients wristband to verify medication order, inventory control, + pt identification, correct med admin Big Data Ans- a collection of large, complex data sets, including structured and unstructured data, which cannot be analyzed without the use of information technology Bioinformatics Ans- application of mathematics and computer science to store, retrieve, and analyze biological data Biometrics Ans- the identification of a user based on a physical characteristic, such as a fingerprint, iris, face, voice, or handwriting Business Continuity Plan Ans- A plan for how an organization will recover and restore partially or completely interrupted critical function(s) within a predetermined time after a disaster or extended disruption Business Intelligence Ans- Information collected from multiple sources such as suppliers, customers, competitors, partners, and industries that analyzes patterns, trends, and relationships for strategic decision making Change Control Board (CCB) Ans- A committee that evaluates the worthiness of a proposed change and either approves or rejects the proposed change. Chief Nursing Officer (CNO) Ans- The senior manager (usually a registered nurse with advanced education and extensive experience) responsible for administering patient care services Clinical Care Classification (CCC) Ans- "Two interrelated taxonomies, the CCC of Nursing Diagnoses and Outcomes and the CCC of Nursing Interventions and Actions, that provide a standardized framework for documenting patient care in hospitals, home health agencies, ambulatory care clinics, and other healthcare settings" CPOE (Computerized Physician Order Entry) Ans- An order entry and decision support system that allows direct entry of orders and immediately shared w/ others Change Management Ans- The process, tools and techniques that help people implement changes to achieve a desired outcome. (Supports the adoption of a medication Administration System) Change Control Ans- Helps to prioritize limited resources and ensures system standards are upheld. Connected health Ans- a model of health care delivery using technology to provide services including information and education. Technology assisted healthcare is delivered between at least 2 points involving either asynchronous or synchronous exchange. Consumer Health Informatics Ans- Use of electronic info & communication to improve medical outcomes & healthcare decision making from pt perspective. Patient view and structures and process that enable consumer to manage their own care. Clinical Research Informatics Ans- Discovery and management of new knowledge pertinent to health and disease from clinical trials via secondary data use. C-CDA (Consolidated Clinical Document Architecture) Ans- Allows interoperability of health information exchange between to hospitals. 21st Century Cures Act Ans- designed to help accelerate medical product development and bring new innovations and advances to patients who need them faster and more efficiently. Provisions that will improve workflow & exchange of electronic info. ONC (responsible for implementing) seamless & secure access, exchange and use of electronic health info. 5 rights of clinical decision support Ans- Right information Right person Right intervention format Right channel Right time in workflow Clinical Informatics Ans- concentration on the delivery of timely, safe, effective , EB and pt centered care. C AnsClinical Decision Support System Ans- A special subcategory of clinical information systems that is designed to help healthcare providers make knowledge-based clinical decisions Ex: Alerts for abnormal VS, labs results, med contraindications, screenings, standing orders, reminders in EHR ect... Clinical Information Systems Ans- Ex: May be specific to certain departments. Lab, radiology, pharm(Both), or particular pt population. Functions may include order entry, results reporting, scheduling and documentation. Lg computerized database used to access the pt data that are needed to plan, implement and evaluate care. Clinical Nurse Specialist Ans- Expert clinician in a specialized area of practice who engages in research and helps direct practice change. clinical terminology Ans- standardized terms and their synonyms used to record pt data with sufficient detail to support clinical care, decision support, outcomes research, and quality improvement, flow sheets, vital signs, assessments and nursing notes. Computer Literacy Ans- The ability to use computers for basic tasks, such as developing documents, sending emails and searching the internet for information. Confidentiality Ans- Relationship has been established where private info shared but NOT disclosed w/out permission configurability Ans- Refers to the extent that a given software product can be adapted or changed to meet a user's preference Contextual Inquiry Ans- involves studying customers' use of a product at their place of work Focusing on users point of view. CCR (Continuity of Care Record) Ans- Snapshot/standardized summary of the most relevant and timely health information about pt and shared to a physician who does not have access to pts EHR. Continuous Quality Improvement (CQI) Ans- Continuous monitoring of performance and supports audit capability also known as QUALITY ASSURANCE SYSTEM Critical Care Information System Ans- Integrates captured physiological data w/ practitioner documentation and clinical data management functions, as well as access and communication w/ remote experts. Data Ans- Facts, figures, and other evidence gathered through observations. Database Ans- A collection of data organized in a manner that allows access, retrieval, and use of that data Data cleansing/scrubbing Ans- A process that weeds out and fixes or discards inconsistent, incorrect, or incomplete information Data Governance Ans- refers to the overall management of the availability, usability, integrity, and security of company data Data Integrity Ans- The correctness of data after processing, storage or transmission. Ability to store, retrieve, correct and complete data are available to authorized users Data Mining Ans- the application of statistical techniques to find patterns and relationships among data for classification and prediction using software. Data Analysis Ans- processing of data that identifies trends and patterns of relationships Data Warehousing Ans- Powerful method of managing and analyzing data DICOM (Digital Imaging and Communications in Medicine) Ans- Transmits digital imaging (DICOM & HL7 support standardization in health care data DIKW theory Ans- Data, Information, Knowledge, Wisdom (data is most discrete) Data=pt monitoring, labs, diagnostic systems (CT scans) Information=Clinical Info systems, & DSS (alerts/reminders) Knowledge=Lg databases (med articles) & Artificial Intelligence Data Modeling Ans- the process of determining the users' information needs and identifying relationships among the data to support processes for an info system (key step in design of EHR) DSS (decision support system) Ans- an interactive, flexible, computerized information system that enables managers to obtain and manipulate information as they are making decisions r/t patient care device integration Ans- Capturing data from patient monitors and anesthesia machines, and filing them directly to a patient's chart in EHR. Ex: entering VS, cardiac monitor download data into EHR Disease Registries Ans- collections of secondary data related to patients with a specific diagnosis, condition, or procedure. disruptive innovation Ans- a process by which a product or service takes root initially in simple applications at the bottom of a market and then relentlessly moves up market, eventually displacing established competitors Dissemination Ans- the act of spreading widely or scattering data including research knowledge. Doctorate of nursing practice (DNP) Ans- degree w/ emphasis on EBP, quality improvement and system leadership EHR system Ans- 3 elements: Data, Info, Knowledge. Decrease med errors, increase provider documentation. Function ex: Bar Code Admin. EMR (electronic medical record) Ans- a record of one episode of care, source data for EHR, Brings together diagnositc & Tx info in a specific healthcare setting. Ergonomics Ans- The study of workplace equipment design or how to arrange and design devices, machines, or workspace so that people and things interact safely and most efficiently. EHR Ans- Pt data stored in electronic form(collection of pt healthcare data) **Successful if pt needs met PHR (personal health record) Ans- Lifelong tool for managing health info, controlled by pt - data can be provided by MD or pharmacy. (conditions, allergies, meds, surgeries) Barriers: Poor or no internet, poorly designed apps, limited clinical integration Predictors: Awareness of PHR's, ease of access, personal motivation, increased levels of education and health literacy. emerging trends Ans- • Secondary data • Technology-based data management • Digital information acquisition and retrieval • International client base • Information management (patient safety & error reduction) EBP (evidence based practice) Ans- Using current best evidence for pt care decision in order to improve pt outcomes (found in standing orders) Ex: sepsis protocols & CDS Expert Systems Ans- Type of CDS/DDS but does NOT need human intervention (artificial intelligence) Ex: Personal Insulin Pump EMRAM (Electronic Medical Record Analytical Model) Ans- Measures clinical outcomes, pt engagement & clinical use of EMR technology to strengthen organizational performance & health outcomes across pt populations "Basically, evaluates Health Information System" feature creep Ans- occurs when developers add extra features that were not part of the initial requirements Finacial system Ans- uses pt demographic data and insurance info to charge for services & reimbursment Functional Testing Ans- Final process in Project Management Phase 2 (planning) that ensures the innovation works as designed. Fish boning Ans- Cause/effect diagram, can help in brainstorming to identify possible causes of a prob. Firewalls Ans- hardware, software, or both designed to prevent unauthorized persons from accessing electronic information, while allowing authorized communication. Gantt Chart Ans- A time and activity bar chart that is used for planning, managing, and controlling major programs that have a distinct beginning and end.(used for a glance at management) Gap Analysis Ans- a type of analysis that compares the differences between the consumer's expectations about and experiences with a service based on dimensions of service quality (Planning) Go Live Ans- the official time and date that the facility begins using the new system (Implementation Phase) HIE (Health Information Exchange) Ans- Electronic sharing of pt info (demographic data, allergies, diagnostic tests, and other revelant data between providers, specialists, hospitals, and insurance companies. HIS Health Information System Ans- Broad term used to describe administrative and clinical systems to streamline work flow processes efficiency. Hardware/software dedicated to the collection, storage, processing, retrieval and communication of patient care info. healthcare terminology standards Ans- designed to enable and support widespread interoperability among healthcare software applications for the purpose of sharing information HIPAA (Health Insurance Portability and Accountability Act) Ans- Kennedy Kassebaum Bill, Federal legislation to protect client records & mandate that all electronic transactions included only HIPAA compliant codes. Sets nation standards of PHI, legal protection of PHI. (signing in devices requires encryption) HIT - Health Information Technology Ans- Technology that is used to record, store, and manage patient healthcare information. Ex: CDS, CPOE, EMR, EHR, PHR, Telehealth, E-scribe National & Global implications Health literacy definition Ans- a person's capacity to learn about and understand basic health information and services, and to use these resources to promote one's health and wellness HIS (Hospital Information System) Ans- What is the name of the computer system that tracks admission and discharge information, diagnostic and treatment services, pharmaceutical and equipment information, and billing information? Advantages: Better communication, decreased errors & better access to info. HITECH (Health Information Technology for Economic and Clinical Health Act) Ans- 2009 ARRA includes HITECH - promote adoption and meaningful use to HIT. Goal: Improve quality care, Pt safety, Decrease costs by using meaningful use *Improves Population Health Outcome* HL7 (Health Level 7) Ans- Acronym used to refer a standard of interoperability and exchange of clinical data (HL7 & DICOM-Standardization) HIMSS Healthcare Information & Management Systems Society Ans- formal group of healthcare organizations that seek to improve delivery of healthcare by advancing technology & data management. *work almost exclusively w/ data *They protect & handle pt data of all kinds (diagnosis, symptoms, test results, med hx, procedures) *They ensure info is accurate, accessible, secure and of high quality *Cause-based, Nonprofit, Global organization focused on better health through info & tech. Health Informatics Management Ans- focus on info technology needed to store and retrieve pt data accurately, securely and management of the people & processes. HIE forms Ans- Direct - send/recieve secure info electronically between providers ex: immunization data, quality measures sent to Medicaide/Medicare Query - find & request info, often used for unplanned care (ER, pregnancy) Consumer mediated - pts to aggregate and control the use of health info among providers (correcting info, tracking their health, providing providers w/ info) Informatics Ans- the science and art of turning data into informatio

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D220 Informatics
American Recovery and Reinvestment Act (ARRA) Ans- **Authorized INCENTIVE PAYMENTS to specific
types of hospitals & healthcare professionals for adopting & using interoperable Health Information
Technology and EHR's.

The purposes of this act include the following: (1) To preserve/create jobs and promote economic
recovery. (2) To assist those most impacted by the recession. (3) To provide investments needed to
increase economic efficiency by spurring technological advances in science and health. (4) To invest in
transportation, environmental protection, and other infrastructure that will provide long-term economic
benefits. (5) To stabilize state and local government budgets, in order to minimize and avoid reductions
in essential services and counterproductive state and local tax increases.



AHQR (Agency for Healthcare Research and Quality) Ans- Produced evidence making healthcare safer,
improve quality, accessibility and affordability



Asynchoronous Applications Ans- No contact with patient for data collection. EX: Remote pt monitoring,
Using health technologies to share health metrics and data w/ providers. STORE & FORWARD APPS (ex:
photos)



Administrative Information System Ans- can include registration and scheduling; tracking through
admission, transfer and discharge; patient acuity and staff scheduling; financial or accounting systems;
risk management; payroll and human resources; quality assurance; and contract management functions.



Affordable Care Act Ans- law passed in 2010 to expand access to insurance, address cost reduction and
affordability, improve the quality of healthcare, and introduce the Patient's Bill of Rights, increasing the
number of insured persons.



Alarm Fatique Ans- Becoming desensitized to patient care alarms and missing or delaying their response
to the alarm.



ANA (American Nurses Association) Ans- Professional organization for all RNs. Concerned with licensure,
collective bargaining and education



Analytics Ans- A term describing the extensive use of data, statistical and quantitative analysis,
explanatory and predictive models, and fact-based management to drive decisions and actions.

,Audit trail Ans- a report that traces who has accessed electronic information, when information was
accessed, and whether any information was changed



Authentication Ans- A method for confirming users' identities



Authorization Ans- The process of giving someone permission to do or have something



Barcode Scanning Technology Ans- Scans drug and patients wristband to verify medication order,
inventory control, + pt identification, correct med admin



Big Data Ans- a collection of large, complex data sets, including structured and unstructured data, which
cannot be analyzed without the use of information technology



Bioinformatics Ans- application of mathematics and computer science to store, retrieve, and analyze
biological data



Biometrics Ans- the identification of a user based on a physical characteristic, such as a fingerprint, iris,
face, voice, or handwriting



Business Continuity Plan Ans- A plan for how an organization will recover and restore partially or
completely interrupted critical function(s) within a predetermined time after a disaster or extended
disruption



Business Intelligence Ans- Information collected from multiple sources such as suppliers, customers,
competitors, partners, and industries that analyzes patterns, trends, and relationships for strategic
decision making



Change Control Board (CCB) Ans- A committee that evaluates the worthiness of a proposed change and
either approves or rejects the proposed change.



Chief Nursing Officer (CNO) Ans- The senior manager (usually a registered nurse with advanced
education and extensive experience) responsible for administering patient care services

,Clinical Care Classification (CCC) Ans- "Two interrelated taxonomies, the CCC of Nursing Diagnoses and
Outcomes and the CCC of Nursing Interventions and Actions, that provide a standardized framework for
documenting patient care in hospitals, home health agencies, ambulatory care clinics, and other
healthcare settings"



CPOE (Computerized Physician Order Entry) Ans- An order entry and decision support system that allows
direct entry of orders and immediately shared w/ others



Change Management Ans- The process, tools and techniques that help people implement changes to
achieve a desired outcome. (Supports the adoption of a medication Administration System)



Change Control Ans- Helps to prioritize limited resources and ensures system standards are upheld.



Connected health Ans- a model of health care delivery using technology to provide services including
information and education.



Technology assisted healthcare is delivered between at least 2 points involving either asynchronous or
synchronous exchange.



Consumer Health Informatics Ans- Use of electronic info & communication to improve medical
outcomes & healthcare decision making from pt perspective.

Patient view and structures and process that enable consumer to manage their own care.



Clinical Research Informatics Ans- Discovery and management of new knowledge pertinent to health
and disease from clinical trials via secondary data use.



C-CDA (Consolidated Clinical Document Architecture) Ans- Allows interoperability of health information
exchange between to hospitals.



21st Century Cures Act Ans- designed to help accelerate medical product development and bring new
innovations and advances to patients who need them faster and more efficiently.

, Provisions that will improve workflow & exchange of electronic info. ONC (responsible for
implementing) seamless & secure access, exchange and use of electronic health info.



5 rights of clinical decision support Ans- Right information

Right person

Right intervention format

Right channel

Right time in workflow



Clinical Informatics Ans- concentration on the delivery of timely, safe, effective , EB and pt centered
care.



C Ans-



Clinical Decision Support System Ans- A special subcategory of clinical information systems that is
designed to help healthcare providers make knowledge-based clinical decisions

Ex: Alerts for abnormal VS, labs results, med contraindications, screenings, standing orders, reminders in
EHR ect...



Clinical Information Systems Ans- Ex: May be specific to certain departments. Lab, radiology,
pharm(Both), or particular pt population.

Functions may include order entry, results reporting, scheduling and documentation.

Lg computerized database used to access the pt data that are needed to plan, implement and evaluate
care.



Clinical Nurse Specialist Ans- Expert clinician in a specialized area of practice who engages in research
and helps direct practice change.



clinical terminology Ans- standardized terms and their synonyms used to record pt data with sufficient
detail to support clinical care, decision support, outcomes research, and quality improvement, flow
sheets, vital signs, assessments and nursing notes.

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