WGU C468 OA, informatics PRACTICE assesment, (Graded A)

Informatics - ANSWER The science and art of turning data into information. Nursing Informatics * - ANSWER -The use of information and technology to support all aspects of nursing practice -Including direct delivery o ...

Informatics - ANSWER The science and art of turning data into information. Nursing Informatics * - ANSWER -The use of information and technology to support all aspects of nursing practice -Including direct delivery of care, administration, education, and research. Information Literacy - ANSWER -The ability to recognize when info is needed as well as the skills to find, evaluate and use effectively. Explain the effect of socioeconomic factors on the use of telehealth. - ANSWER Access to care, to remove geographical barriers... serving rural areas as well. Continuity of care—patient lives far away and needs follow up or are disabled and can't make... could send them home with a mobile monitoring device. Or could video conference. Ratio of patients as there are available providers—teleconsultants can help. Increase in chronic disease condition. non clinical - ANSWER telehealth nurse is doing research with online database. Administrative team is holding meeting with live video conference... not using for patient purposes. Clinical - ANSWER Transmitting a chest x-ray to be read, mobile device to monitor patient, live video conferencing to check in with patient or caregiver to make sure dressing change is correct or administering medication. Information - ANSWER -Data that has been interpreted Information Science - ANSWER -Focus on how to gather, process and transform info into knowledge. -Includes 5 Sciences; Communication, Computer, Social, Library and Cognitive Using the EHR to document care of a patient with a fractured femur is an example of using the EHR in which way? - ANSWER Information System How can using simulation technology with your patients improve overall outcomes? - ANSWER Allowing hands on practice and immediate feedback of the skill being learned. Knowledge Worker - ANSWER -Continuous learner -Uses technology to support and inform nursing practice -Generate knowledge as a product * Experienced Nurse - ANSWER -Fully intergrade informatics throughout the course of her practice, not just for basic data entry and retrieval. -Knows how to pull trends out of data. Beginner Nurses - ANSWER -Uses information systems to manage patients. Nursing Informatics - ANSWER -National Certification Exam Clinical Practice Guidelines - ANSWER -Can allow for the creation of nursing policies (example of clinical decision support) Information Technologies - ANSWER -CPOE -Barcode Medication Administration -Clinical Decision Support Computerized Physician Order Entry (CPOE) - ANSWER -The process by which the physician or provider enters orders electronically into the EHR Radio Frequency Identifier (RFID) - ANSWER -Type of technology that is used to identify and track supplies and medications -Also can track medical equipment and patients Physically protecting patient information: - ANSWER Surveillance cameras, use of restricted area, and shredding paper material. The two governing bodies that obligate nurses to protect patient information are - ANSWER HIPAA and the Nursing Code of Ethics by the ANA. Examples of How Informatics can Affect Nursing Practice - ANSWER -Clinical pathways -Computer generated care plans Foundation of Knowledge Model - ANSWER -Knowledge is used to meet the needs of the healthcare delivery system -3 Elements (acquisition, process and dissemination) Data - ANSWER -Patients HT, WT, Code status and DOB Emerging Trends in Healthcare - ANSWER -Patient safety -Error reduction -Additional regulatory requirements The Mission - ANSWER -Purpose or reason for an organizations existence Strategic Planning - ANSWER -Comprehensive long range plan for guiding the activities and operations of an organization Reasons why the Selection Committee Board Members need to understand software and electronic processes - ANSWER -Impact business goals -Affect success or failure -Determine budget allocations Strategic Planning is Driven By - ANSWER -Organization mission and values -Long term goals * -Service offered National Trends related to Nursing Informatics - ANSWER -CPOE -Barcode Medication Administration -Clinical decision support tools Needs Assessment Phase - ANSWER -Organization performs a gap analysis determining the "needs and wants" System Selection Phase - ANSWER -Organization seeks out a vendor company that offers them a system that best fits their needs -RFI (request for info), RFP (request for proposal), RFQ (request for quote) System Implementation Phase - ANSWER -Go live planning -Training of end users -Execute system changes Maintenance Phase - ANSWER -Problem solving, debugging -Back up files -Installing system upgrades Project Scope - ANSWER -The size and detail of a collaborative effort Why is the nurses active participation in electronic information important? - ANSWER -To ensure the info is current and accessible to the healthcare team Responsibility of the Project Implement Team - ANSWER -Execution of system changes -Active involvement in user participation -Knowledge of current workflows A common request contained in a Request for Info) RFI documentation includes - ANSWER -Company history Computerized Physician Order Entry (CPOE) - ANSWER -Process by which the physician or provider enters orders electronically into the EHR Example of Essential Component of EHR - ANSWER -Evidence based decision support Component of EHR - ANSWER -Assessment findings -Demographics -Vital Signs Function of EHR - ANSWER -Barcode Medication Administration Benefits of EHR - ANSWER -Reduce medication errors -Improved provider documentation What is the primary goal of EHR functionality in contrast to that of the health information system? - ANSWER -To promote patient safety Health Informatics System - ANSWER -Group of systems used within a hospital that support and enhance healthcare Administrative Info Systems - ANSWER -Registration -Financial -Scheduling Clinical Info Systems - ANSWER -Lab -Pharmacy -EHR Local Area Network (LAN) - ANSWER -Type of connection needed to access EHR when an internet connection is lost How does the EHR helps patients receive quality care when going from one facility to another? - ANSWER -Provides continuity of care -Review previous care and provide appropriate treatment Order Entry System - ANSWER -Ensures accuracy of physicians orders Perioperative Nursing Data Set (PNDS) - ANSWER -Nursing terminology contains a nursing diagnosis, interventions and outcomes specific to the perioperative experience Standardized Terminologies - ANSWER -Accessibility, ubiquity, longevity and reusability HL7 (Health Level 7) - ANSWER -Standard of interoperability and clinical data exchange Clinical Decision Support - ANSWER -Looks at your patient specific data and compares it or analyzes it and provides further recommendations -Pop up reminders 3 Principles that make up an organization culture of safety - ANSWER -Commitment of resources -Cross collaboration -Blame free environment Cross Monitoring - ANSWER Process of monitoring the actions of other team members for the purpose of sharing the workload and reducing or avoiding errors Information Security - ANSWER The protection of information from accidental or intentional misuse by persons inside or outside an organization 2 Governing Authorities to protect Information - ANSWER -HIPPA -ANA code of ethics HIPPA Privacy Act - ANSWER -Patients have ownership rights to their records -Patients can amend own records if information is incorrect LOGICAL examples of protecting info - ANSWER -Firewall -Biometrics -Authentication -Automatic sign off PHYSICAL examples of protecting info - ANSWER -Surveillance camera -Restricted areas -Shred important documents Telehealth - ANSWER Use of technology to deliver health-related services and information, including telemedicine Store-and-Forward Technology - ANSWER -A form of transferring data or an image from one location to another -Pathology/ Radiology Socio Economic Factors that are helping support the need for telehealth - ANSWER -Access to care -Continuity of care -Patient to Dr. ratio Increase in chronic disease conditions - ANSWER Telehealth - ANSWER -extensive documentation -licensed in every state - Clinical Applications of Tele - ANSWER -Transmitting chest x ray read -Mobile device to monitor -Live video Non Clinical Application of Tele - ANSWER -Not being used for patient services How is information related to data? - ANSWER Information is data that have been interpreted How does information literacy support the use of evidence-based-practice (EBP) in nursing? - ANSWER The nurse can discern research findings that can be applied to practice Nurses must frequently consult resources including peers and general internet searches A nurse documents care of a patient with a decubitus ulcer in the electronic health record. Which term describes the electronic health record in this situation? - ANSWER Information system Which statement describes nurses as knowledge workers? - ANSWER Nurses generate knowledge as a product. Match the level of nurse practice with appropriate skill criteria. Answer options may be used more than once or not at all. - ANSWER Beginning nurse - Uses information systems to manage patients Experienced nurse - pulls trends out of data Informatics innovator - Generates informatics theory Informatics nurse specialist - Focuses on nursing's information needs Label the descriptions as belonging to the role of either the informatics nurse or the informatics nurse specialist. - ANSWER The RN who works in the area of informatics - informatics nurse Has an interest or experience, but no formal training in informatics - informatics nurse Plays an active role in research and theory development = informatics nurse specialist Has advanced graduate training in nursing informatics = informatics nurse specialist Ensures that information is disseminated at appropriate times for appropriate uses - informatics nurse Which of the following uses database applications to sift through large amounts of data and looks for previously hidden trends? - ANSWER Data Mining A nurse is reviewing a patient's pneumonia vaccination status in the electronic medical record. The nurse determines the patient needs this vaccine before discharge to meet the requirements of a current clinical pathway. Why would the nurse use information systems in this manner? - ANSWER To promote desired clinical outcomes A nursing informatics specialist at a small, rural hospital implemented a clinical information system utilizing an electronic health record (EHR). She obtained input from nurses regarding selection of the specific EHR. She noted that some of the nurses had negative attitudes towards a change to the EHR, but she encouraged them to try the system and note its benefits. She implemented the system after all nurses were trained about the EHR. There were numerous complaints about the EHR, which the Nursing Informatics Specialist decided to ignore since the personnel were new to the system. Which barrier to implementing technology is present in the scenario? - ANSWER Lack of continued support A computer program was implemented at a hospital that required nurses to wait until the patient arrived in the emergency room and was registered into the program before orders for critical time-sensitive treatment could be written. How could this program become a barrier to the nurses attempting to deliver patient-centered care? - ANSWER The time spent waiting for the program to register the patient could delay critical care being delivered in a timely manner. Which national trend is related to nursing informatics? - ANSWER Barcode scanning for medication administration Which standardized nursing terminology is composed of nursing diagnoses, nursing actions, and nursing outcomes? - ANSWER ICNP international classification for nuring practice Which of the following requires standardized nursing terminology to meet its criteria? - ANSWER Meaningful Use What is a challenge to the adoption of eHealth strategies? - ANSWER Creating economic incentives and policies that providers view as essential to accomplishing their financial and professional goals What is the importance of a nurse's active participation in electronic patient information? - ANSWER To ensure patient information will be current and accessible to the healthcare team A nurse is working on a medical surgical unit and is concerned over a patient's worsening heart failure. The nurse calls the provider to discuss the assessments. How does the electronic medical record facilitate a collaborative discussion in this situation? Choose 2 answers - ANSWER The provider can visualize the chest x-ray remotely. The provider has access to the data being discussed. What are three types of clinical information systems? Choose 3 answers - ANSWER Laboratory system Order entry system Monitoring system What are common features of the various health information systems? - ANSWER Creates a comprehensive record of the patient's medical history Is unique in the way they function and provide information to clinicians Collects, processes and distributes patient centered data to manage and provide care Match each term with its healthcare information system. - ANSWER Admission, discharge, and transfer system- Administrative Information Systems Radiology information system Clinical Information Systems Financial system Administrative Information Systems Clinical documentation system Clinical Information Systems Scheduling system Administrative Information Systems Which health information system is used to collect and store client identification and demographic data that are verified and updated at the time of each visit? - ANSWER Registration system Administration in an acute care clinic is considering adopting a health information system. A team is formed with members of clinical areas, software vendors, and an executive team of stakeholders. Which collaborative tasks are important for this team to accomplish with regard to selecting the health information system? - ANSWER Determine who will be accountable for the project Determine how resources will be allocated to support the system Assess potential for process improvement while using the system An admission nurse is awaiting notification of whether a patient being monitored by telehealth will be admitted to the hospital. The physician has already documented the admission orders in the digital medical record. Due to miscommunication, the admitting nurse did not access the digital medical record. There was a significant delay in the patient's admission, which led to decreased patient satisfaction with the admission process. How can the use of the digital health record improve this process? - ANSWER It prevents the delay of tests and services. It allows for easy access to patient information. What are the essential components of an electronic health record? - ANSWER vitals labs demographics Which function is performed within an electronic health record system? - ANSWER Bar scanning medications and patients What can a nurse, working in a hospital, use to access a patient's electronic health record and prescription drugs from a medication administration system? - ANSWER Bar coded identification cards Which mechanism is used to streamline caregivers' workflow that needs to include past medical history, patient demographics, immunizations, and medication history? - ANSWER Electronic health record What are some benefits of using an electronic health record (EHR) system in an ambulatory care clinic? - ANSWER Decrease medication errors Increase clinic reimbursement Improve provider documentation Increase delivery of guideline based care