Big Daddy (5) Flashcards
Peripheral biometric device?
high BP
What advice should be taken to avoid a security breach of protected health information?
Open emails only from trusted sources, change passwords as stipulated by the organization, and do no leave ePHI visible in an unsecure area
What is an effective way to reduce the risk of access of electronic protected health information (ePHI) by unauthorized users?
Make sure all the users adhere to security & confidential policy set forth by the facility.
A provider at the hospital had his laptop stolen from his vehicle. What should be on his laptop to protect it from data breach?
Encryption or Two-factor authentication
What should healthcare staff who use mobile devices to access ePHI do to protect devices before they are lost or stolen?
Turn off share files.
The right to control access & disclosure or nondisclosure of information pertaining to oneself & to control the circumstances, timing, & extent to which information may be disclosed.
Privacy
Information may be kept secret to those with an only need to know? What is this?
Information privacy is the right to choose the conditions under which information is shared & to ensure the accuracy of collected information.
Informatics challenges to improving pt outcomes?
Privacy issues, cognitive disabilities & low literacy of the pt
*Process by which 2 different information systems can exchange data in a way that is seamless to the end-user. In other words, how well is that data is being exchanged.
Integration
What can be installed to allow one operation to access another to enable the exchange of data?
Integration
*Computer program that tells 2 different systems how to exchange data. For example, health exchange one hospital to another hospital
Interface (bridge)
When data is electronically recorded, the process follows a programmed set of instructions built into the software, thereby cutting down substantially on collection error. To facilitate the data collection process, it’s important that the data collection form is user-friendly and that the (blank) used for inputting the data is well-designed.
Computer Interface
What item describes a basic network code that determines the roles used to create & route packets of data between network devices?
Interface
Which feature will allow a user to navigate between authorized applications & resources within a single organization?
Interface
What can be installed to allow a device to connect to the EHR to enable the exchange of data?
An application program interface
*Allows humans & computers to cooperatively perform tasks & specific goals.
User Interface
The ability of 2 entities, human or machine, to exchange & predictably use data or information while retaining the original meaning of the data. A RN informaticist can increase interoperability by promoting standardized vocabulary & coding. This reduces errors, increases revenue, & increases communication. Interoperability allows timely & seamless portability of information & optimizes
the health of individuals & populations globally through this seamless exchange. * Using an interoperable system, you can expect a reduction in errors, increase in revenue, & increased communication
Interoperability is the ability to exchange information across systems. For example, an old legacy system interacting/interfacing with a new system so that data and information flow from one to the other.
Interoperability
Which statement defines interoperability?
The extent to which systems & devices can exchange data & interpret that shared data.
Coordinates systems enabling business processes at organizations & allowing systems to work together.
Process Interoperability
The ability to exchange the data from one point to another.
Technical Interoperability
the exchange of data in which the meaning remain the same on both ends. The data is being exchanged correctly.
Sementics interoperability
What is the harmonization of terminologies?
It fosters interoperability in health information systems
Identify 3 benefits and 3 detriments of EHRS. Discuss a potential interoperability issue as well as a potential solution?
Benefits: increased data integrity & quality, increased productivity, decreased redundant data collection. Detriments: cost, limitations in resources, access speeds, content lag or technical malfunctions. The main issue for healthcare providers was how to use health information exchange. A solution would be to provide training for all staff w/ an informatics innovator.
Health systems can be inoperable with other health systems. What are 2 barrier that prevent interoperability?
Data blocking and interface cost.
In conducting & providing a quality audit, it was noted the provider was free texting data instead of selecting the proper codes to capture & bill for their services. When educating this provider on properly selecting codes & decreasing free texting what is a rationale for why this is important?
Interoperability
Purpose or reason for an organization’s existence, representing the fundamental & unique aspirations that differentiate it from others.
Mission
Nonprofit, membership-based organization that works to improve healthcare through meaningful measurement.
National Quality Forum (NQF)
*A RN w/ advanced computer technology skills with expertise in system development life cycles. The RN needs to: play an active role in the adoption of standard technologies, be aware of legislation, educate users, assist users on troubleshooting, provide advice & recommendations, act as a liaison between nurses & technology, serve as a resource, manage data & information, develop tools & methods, & monitor data security, accuracy, & integrity by monitoring for patterns & exceptions. They can work in device manufactured, medical clinics, clinical system, hospital facilities.
Nurse Informatics Specialist
Uses nursing knowledge along w/ information & communication technology to promote the health of individuals, families, & entire populations.
Nursing Informatics
*Nursing Role in Informatics: ADIME
Assessment – analysis of what is needed
Developing – develop the care/project plan
Implementing – implement the plan
Monitoring – monitor the outcomes
Evaluating – lessons learned w/ knowledge transfer
What is the primary concern driving Nursing informatic initiative?
Patient safety
What is nursing informatics a combination of differentiating it from other nursing disciplines?
Nursing, information, & analytical sciences
A nursing clinical analyst is being interviewed by a nursing student who is requesting a detailed explanation of the role of a nursing informaticist. Which nursing informaticist goals would this clinical analyst offer in response?
The goals facilitate an environment where technology, information, & understanding directs nurses’ judgment
What is the typical role of the informatics nurse?
Plans, coordinates, & facilitates education for all computer applications & software for nursing or clinical user group.
An informatics nurse is developing a web-based application for patient care. Which statement accurately describes the internet?
A network or network
How would an informatics nurse best evaluate other nurses’ opinions on technology?
Survey
Nurse wants to optimize EH software with a goal of decreasing documentation time?
Surveys
What is a typical role of an informatics nurse?
Facilitates the development, implementation, & integration for laboratory information systems
What is the role of the informatics nurse working with EHR?
To improve patient safety
An informatics nurse is developing a web-based application for patient care. Which statement accurately describes the internet?
An unregulated network of networks
Role of an informatics nurse specialist is the knowledge & application of state & federal laws. Which role falls outside the scope of practice?
Enforce operational procedures
What should an informatics nurse do to support the entry of standardized data into an electronic health record (EHR)?
Use terminologies approved by the ANA
Which statement best describes NI?
“Computer science, decision science, information science, management science, cognitive science, & organizational theory.”
What are 3 functional areas of practice for RN informatics?
Administration, leadership & management
Which EHR challenge can a nurse informaticist help support & change?
Analyzing & redesigning workflows
Which task is representative of the role of the nurse informaticist?
Acting as a superuser
What is the responsibility of a superuser?
To support the system in a given unit & assist users with functionality & procedural issues
A new CPOE is being implemented in the hospital. The NI plays a role in all areas of this implementation. Which measure is crucial for a successful implantation?
Workflow design
*Health-related data created, recorded, or gathered by the pt/caregivers to help address health concerns. Without in-person enrollment, verifying that a pt is eligible to participate in a study can be difficult.
Pt-Generated Health Data (PGHD)
patients would need to own technology to regularly have their PGHD captured. Likewise, patients may have the technology but may not know how to manage it independently.
Challenges with PGHD;
