Big Daddy (1)

Question 1

User can only see information that they have access to. (CNA cannot see everything an RN can)

Answer 1

Access Levels

Question 2

Restricting access of all authorized users of the EHR according to their position within the healthcare system

Answer 2

Administrative Safeguards of Electronic Health Information

Question 3

Classified under the hospitals’ administrative info system. It’s one foundational system that allows operational activities such as bed placement, transportation coordination, room readiness, & the general coordination of services focused on the pt’s phase of movement. Tracks pt’s activities & location from admission to discharge.

Answer 3

Admission-Transfer-Discharge (ADT) System

Question 4

system is a type of administrative health information systems that tracks a patient’s activities and location from hospital or clinic admission through any and all transfers within the facility and, finally, through discharge.

Answer 4

Admission discharge transfer (ADT)

Question 5

*Authorized incentive payments to specific types of hospitals & healthcare pros for adopting & using interoperable Health Information Technology & EHR’s. It provides economic stimuli & incentives for the adoption of EHRs.

Answer 5

American Recover & Reinvestment Act (ARRA) –

Question 6

*provides funds & incentives to increase EHRs by providers, improve policy decisions, & allocate services, funded workforce training, & new technology research. It strongly recommends increasing meaningful use of HIT to decrease overall healthcare cost & to improve population health.

Answer 6

Health Information Technology for Economic & Clinical Health Act (HITECH Act)

Question 7

established incentive payments for eligible pros (EPs), eligible hospitals, & critical access hospitals (CAHs) to promote the adoption & meaningful use of Certified Electronic Health Record. HITECH: provided economic stimuli & incentives for the adoption of EHR‘s. It also insured the collection of aggregate data that could be used to improve policy decisions relative to allocation of services & population health.

Answer 7

Differentiate the focus of the ARRA & the HITECH technology for economic & clinical health Acts? ARRA

Question 8

Authorized incentive payments to certain hospitals & health care pros for adopting & using HIT & EHRs. Helps to stimulate the economy.

Answer 8

What is the difference between ARRA & HITECH?

ARRA

Question 9

directs eligible healthcare providers and healthcare organizations to adopt electronic health records to improve the exchange of information and to improve privacy and security protections for healthcare data.

Answer 9

The HITECH Act

Question 10

provides the Department of Health and Human Services (HHS) with the authority to establish programs to improve health care quality, safety, and efficiency through the promotion of health IT, including electronic health records and private and secure electronic health information exchange.

Answer 10

The HITECH Act of 2009

Question 11

Which barrier to healthcare informatics use does the HITECH Act aim to reduce?

Answer 11

Financial

Question 12

Use of health information technology (HIT) legislated by ARRA of 2009 to collect specific data w/ the intent to improve care & populations health, engage pts, ensure privacy & security, w/ financial incentive from Medicare & Medicaid to providers. (Goals – engage pts, exchange data in an accurate/complete way, improve pt care in a cost-effective way, improve healthcare overall). Used by inpatient & outpatient settings. Enable providers to be financially compensated REQUIRES STANDARDIZED TERMINOLOGY (ALLOWS FOR UNIFORMITY & EASIER RETRIEVAL OF NURSING-RELATED DATA)

Answer 12

Meaningful Use (MU)

Question 13

What were 2 objectives of meaningful use as defined by the American reinvestment & recovery act (ARRA)?

Answer 13

Document patient collected data directly into the EHR & submit electronic data to health information exchanges (HIEs)

Question 14

**Meaningful Use (MU) Core Requirements -

Answer 14

Centers for Medicare & Medicaid Services (CMS)

Question 15

core criteria that defined basic functions of EHRs must demonstrate. Basic entry of clinical information, requiring standardized terminology across the board, use of several software applications, entry of clinical orders w/ safety measures. 3 required stages include: stage 1 – electronic capturing & sharing of data between hospitals/providers; stage 2 – requires pts to view, download, or transmit their health information online, capability for secure messaging between providers/pts, & reporting public health measures, advancing clinical processes; stage 3 – focuses on the enhanced use of EHRs to promote Health Information Exchange & Improve care, & improving pt outcomes (ex: electronic prescribing). Implemented in 2018.

Answer 15

Centers for Medicare & Medicaid Services (CMS) developed**

Question 16

Which government organization oversees the meaningful use program?

Answer 16

The centers for Medicare & Medicaid services (CMS)

Question 17

calls for improving safety and reducing unnecessary and inappropriate care, by teaching healthcare professionals how to better communicate with people who have low health literacy and by more effectively linking healthcare decisions to person-centered goals

Answer 17

One of the goals of the 2016 CMS Quality Strategy

Question 18

Which statement describes the application of meaningful use?

Answer 18

Provider needs to show the use of the EHRs technology.

Question 19

Which act in 2009 did Meaningful Use originate?

Answer 19

ARRA act in 2009

Question 20

What Meaningful use stage can you generate & transmit Rx electronically?

Answer 20

Stage 3

Question 21

What did meaningful use promote?

Answer 21

Increased interoperability

Question 22

Which statement describes the application of meaningful use?

Answer 22

Patient satisfaction is improved, which results in better patient satisfaction scores

Question 23

What describes the goal of EHR incentive programs, such as meaningful use?

Answer 23

To promote the achievement of quality, safety, & efficiency measures

Question 24

Identify five rights associated w/ meaningful use:

Answer 24

Right information,
right person,
right intervention format,
right channel
right time & workflow.

Question 25

Identify the importance of standardized terminologies for meaningful use?

Answer 25

Improves better communication among nurses & other healthcare providers. It also Improves pt care leading to pt satisfaction & treatment adherence.

Question 26

Use of health information technology legislative by ARRA of 2009 to collect specific data w/ the intent to improve pt care, engage pts in their own care, & to ensure privacy & security w/ financial incentives for Medicaid & Medicare to providers. If providers are all using the same standard of terminology this will in turn give pts a better understanding & they will engage more in their own care. This will help meet meaningful use requirements, thus providing financial rewards to providers.

Answer 26

Relationship between standardized terminologies, quality improvement, & financial rewards related to Meaningful Use?

Question 27

is designed to help accelerate medical product development and bring new innovations and advances to patients who need them faster and more efficiently. It also requires patient electronic health information be made available to patients without delay (with few exceptions), at no cost.

Answer 27

The 21st Century Cures Act

Question 28

*What is the focus of the 21st century cures act

Answer 28

Act that recognizes pts need more power in their healthcare & access to information is key to making that happen

Question 29

What act puts pts in charge of their healthcare records?

Answer 29

The 21st Century Cures Act

Question 30

is the elimination of information blocking. Information blocking is defined as a practice by a health IT stakeholder that, except as required by law or specified by the Secretary of Health and Human Services (HHS) as a reasonable and necessary activity, is likely to interfere with access, exchange, or use of electronic health information from provider to provider or provider to patient.

Answer 30

One of the provisions of the 21st Century Cures Act

Question 31

*stresses that a nurse’s obligation is to protect patients from harm. Protecting the patient’s right to privacy and confidentiality protects the patient from harm.

Answer 31

The American Nurses Association Code of Ethics Provision 3

Question 32

Ensures Medicare pts get the right care at the right time. Uses PQRS (physician quality reporting systems) & Medicare EHRs that will be measured on quality, resource use, clinical-practice environment, & meaningful use of EHRs technology. For physicians to qualify for MIPS, they must bill Medicare more than $90,000/year & see more than 200 Medicare pts annually.

Answer 32

Merit-Based Incentive Payment System (MIPS) Quality

Question 33

Which MIPS merit-based incentive payment system performance replaces MU for physicians?

Answer 33

HITECH act

Question 34

Which merit-based incentive payment system (MIPS) performance category replaces meaningful use for physicians?

Answer 34

Quality of care

Question 35

What do the goals of meaningful use & merit-based incentive programs have in common?

Answer 35

Improving quality of care

Question 36

*Key standards of information management: protect & aggregate data, uniform definitions/language, teach information management (training), & address disaster & preparedness.

Answer 36

Joint Commission – ACCREDITATION.

Question 37

An informatics nurse is on a task force planning committee to ensure data storage measures are safe & accessible. Besides the provider & the client, which group’s needs are important to consider?

Answer 37

The Joint Commission

Question 38

*What is the Affordable Care Act of 2010?

Answer 38

US legislation intended to improve healthcare quality through using information technology, ensuring affordable care, & increasing the number of insured persons.

Question 39

Guarantees access to healthcare for ALL Americans & incentives to change clinical practice to encourage better coordination & quality care.

Answer 39

Pt Protection & Affordable Care Act

Question 40

Legislative act that mandated research become accessible to facilitate better decisions based on evidence?

Answer 40

Affordable care act

Question 41

*Formed in 2004 to advance nurses’ competencies related to informatics. Primary objective to develop a US nursing workforce capable of using electronic health records to improve delivery of health care.

Answer 41

Technology Informatics Guiding Education Reform (TIGER Initiative)

Question 42

uses variety methods and instruments, to answers 2 basic questions: What do I have? How much of it do I have? Environment, pharmacy, safety & security, fraud detection, & healthcare diagnostics.

Answer 42

Analytical Science

Question 43

*Software that is used for detecting security violations, performance problems, & flaws. Records activity by users & system. **Goal is to improve/ ensure data integrity. An audit trail must contain the name of the user, the application triggering the audit, the workstation, the specific document, a description of event being audited, & the date/time to determine integrity of data.

Answer 43

Audit Trails

Question 44

Action that verifies the authority of users to receive specified data.

Answer 44

Authentication

Question 45

has improved the FDA’s ability to speed patient access to digital records and improve the safety of drugs, medical devices, and biological products

Answer 45

FDASIA

Question 46

*Continual process of measuring services & practices against the toughest competitors in the healthcare industry or comparing the performance of an organization or clinician to others.

Answer 46

Benchmark

Question 47

Metrics related to stroke care & compare them across the country in a presentation?

Answer 47

Benchmarking

Question 48

Very large data sets beyond human capability to analyze or manage without the aid of information technology. Considered data originating from very large data sets that help identify patterns & trends. Big data cannot be managed without the use of technology to analyze its output. 5 properties- Variety, velocity, volume, value, veracity. Velocity in big data refers to how fast it can be processed to generate knowledge.

Answer 48

Big Data

Question 49

refers to achieving the centralized processing, storage, transmission, exchange, and management of information within a physical space, in which computers, servers, and network and storage devices are generally considered the key equipment for the core of a data center.

Answer 49

Big Data Center

Question 50

Involves employees in the decision-making process. Helps prioritize limited resources & ensure systems standards are upheld. For example, medication administration. Should exclude subject matter experts when discussing change control. This should be internal people only; people who are doing and dealing with the problem directly.

Answer 50

Change Management/ Change Control