5a Health Information Use, Misuse, and Players Flashcards

1
Q

What are some sources of information?

A
Information from charts
Information from research
Experiential knowledge 
Clinical knowledge
Theoretical knowledge
Knowledge of hospital policy and procedures
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2
Q

What kind of information is important to care providers?

A

Patient care eg. charts
Shift reports
Skills information, practice guidelines

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3
Q

What kind of information is important to managers?

A

Flow
Budget
- financial reports
Attendance/Staffing

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4
Q

What kind of information is important to policy makers?

A

Population information (census/surveys, population needs)

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5
Q

What kind of information is important to patients?

A

Diagnosis

Information re: management of signs and symptoms, treatment

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6
Q

What are the advantages of the electronic health record?

A

Complete information improves diagnosis and treatment.
Improved accuracy when collected and stored in aggregate.
Efficiency - 30% of nursing time managing documentation.
Improved access for research and surveillance -> easier to access data via electronic record.
Improved security -> patient confidentiality; tighter controls with electronic charting.

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7
Q

What is an EHR (Electronig health record)?

A

An EHR refers to the systems that make up the secure and

private lifetime record of a person’s health and health care history.

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8
Q

What kind of information is stored on electronic health records?

A

These systems store and share such information as lab results, medication profiles, key clinical reports (eg. hospital discharge summaries), diagnostic images (eg. X-rays), and immunization history. The information is available electronically to authorized health care providers.

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9
Q

What are the benefits of health records in adherence to screening and follow-up of electronic?

A

Improved adherence to preventive measures. The literature suggests that electronically generated
reminders for screening and follow-up increases adherence by 10% to 15%.

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10
Q

How much money would be spent annually over 10 years on implementing an electronic health record?

A

$1 billion per year x 10 years to implement.

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11
Q

How much money is estimated to be saved annually by using an electronic health record?

A

$6 billion annually with a fully developed EHR

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12
Q

When was Canada Health Infoway created?

A

Created in 2001

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13
Q

How much has the federal government spent on Canada Health Infoway to date?

A

$1.6 billion in federal funding to date.

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14
Q

What is the mission of Canada Health Infoway?

A
To foster and accelerate the 
development and adoption of 
electronic health information 
systems with compatible standards 
and communications technologies 
on a pan-Canadian basis with
tangible benefits to Canadians.
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15
Q

What is the goal of Canada Health Infoway?

A

By 2010, every province and territory and the populations they serve will benefit from new health information systems that will help modernize their healthcare system. Further, 50% of Canadians will have their electronic health record readily available to their authorized professionals who provide their healthcare services.

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16
Q

What is privacy?

A

Right of individuals to determine who, how, and to what extent they share information about themselves.

17
Q

Who sets up privacy rights?

A

FIPPA (Freedom of Information and Protection of Privacy Act)

18
Q

What is confidentiality?

A

The obligations of one person to preserve the secrecy of another’s personal information

19
Q

What is security?

A

The procedures and systems used to restrict access and maintain the integrity of information

20
Q

What major things does legislation regarding privacy address? (What are the rules?)

A

Legislation tells us what we can, cannot, and may do - not what we SHOULD do.
Most legislation still speaks to paper world.
Privacy has to be supported by framework.

21
Q

What are the CSA 10 Fair Information Principles?

A
  1. Accountability
  2. Identifying Purposes
  3. Consent
  4. Limiting Collection
  5. Limiting Use, Disclosure & Retention
  6. Accuracy
  7. Safeguards
  8. Openness
  9. Individual Access
  10. Challenging Compliance
22
Q

What is Accountability (as one of the 10 CSA Fair Information Principles)?

A

An organization is responsible for personal information under its control.

23
Q

What is Identifying Purposes (as one of the 10 CSA Fair Information Principles)?

A

An organization must identify the purpose(s) for collecting information.

24
Q

What is Consent (as one of the 10 CSA Fair Information Principles)??

A

Consent is required for the collection, use and disclosure of personal information, except where inappropriate.

25
Q

What is Limiting Collection (as one of the 10 CSA Fair Information Principles)?

A

Limit collection to the information necessary to meet the identified purpose(s).

26
Q

What is Limiting Use, Disclosure & Retention (as one of the 10 CSA Fair Information Principles)?

A

No use or disclosure for purposes other than the identified purpose(s), except with consent.

27
Q

What is Accuracy (as one of the 10 CSA Fair Information Principles)?

A

Personal information shall be accurate, complete and up-to-date.

28
Q

What is Safeguards (as one of the 10 CSA Fair Information Principles)?

A

Protect personal information with safeguards appropriate to the sensitivity of the information.

29
Q

What is Openness (as one of the 10 CSA Fair Information Principles)?

A

Policies and Practices shall be readily available to the public.

30
Q

What is Individual Access (as one of the 10 CSA Fair Information Principles)?

A

Upon requires, individuals shall have access to their personal information.

31
Q

What is Challenging Compliance (as one of the 10 CSA Fair Information Principles)?

A

An individual shall be able to challenge an organization’s compliance with the fair information principles.

32
Q

Which structures and players are involved in the collection and use (as well as policies) of health information?

A

Canadian Institute of Health Information (CIHI)
Vital Statistics
Canadian Organization for the Advancement of Computers in Health (COACH)
Office of the Information and Privacy Commissioner of BC (OIPCBC)
Freedom of Information and Privacy Association (FIPA)