Big Daddy (6) Flashcards
When using Patient generated health data (PGHD) in research, some challenges that researchers encounter include managing the consent process and obtaining high quality data from the care delivery process. What is another challenge?
Determining participant eligibility
Lifelong tool for managing health information. ie conditions, allergies, medications, past surgeries, & other relevant information. (Barriers- poor or no internet, poorly designed applications, limited clinical integration). PHR is maintained by patients.
Personal Health Record (PHR)
first task is to develop a timeline. Comprised of representatives from the ser departments. Project team needs to be actively involved as an end-user. Implementation committee determines the project implementation strategy. Interdisciplinary will plan, test, train, etc. after the EHR is purchased.
Project Implementation Team / Committee
*Scope document: official document that details how the project will be managed & what the project requirements are.
Project Management Lifestyle Cycle (PLMC)
Design/Plan
*Unapproved change, which can cause serious delays or project failure. As the scope & charter are developed, a GAP analysis is completed & used to identify needed changes in workflow.
Project Management Lifestyle Cycle (PLMC)
Scope Creep
*A list of features & functions desired, but not immediately available in the new system as identified.
Project Management Lifestyle Cycle (PLMC)
GAP Analysis
*Training the staff/end-users in this phase. With change, different behaviors can develop (ex: resignation, resistance, feelings of loss, etc.)
Project Management Lifestyle Cycle (PLMC)
Implementation
*One of several foundational theories for leading others through planned change. Identifies 3 steps: Unfreezing, changing, refreezing. Involves employee in the decision making process is vital.
Project Management Lifestyle Cycle (PLMC)
Lewin’s Change Theory
*“All-at-once” implementation.
Project Management Lifestyle Cycle (PLMC)
Big Bang Conversion
*Gradual/staggered implementation
Project Management Lifestyle Cycle (PLMC)
Rollout
*Small groups of individuals to evaluate potential issues
Project Management Lifestyle Cycle (PLMC)
Pilot
*Operates both the old & new systems for a limited time.
Project Management Lifestyle Cycle (PLMC)
Parallel Conversion
*Project Management Lifestyle Cycle (PLMC)
1)Design/Plan
Scope Creep
GAP Analysis
2) Implementation
Lewin’s Change Theory
Big Bang Conversion
Rollout
Pilot
Parallel Conversion
3) Monitor & Control
4) Evaluation
5) Lessons learned w/ knowledge transfer
Gap analysis?
transition to a new EHR
Unexpected & uncontrolled growth of user expectations as a project progress.
Scope Creep
In a healthcare setting, there is resistance towards using a new EHR. The staff insists the prior system was much faster than navigating this new EHR. Which method should be used to motivate staff to adopt this EHR?
Involve staff in the implementation process
What is the term to describe an unanticipated growth of a project?
Scope creep, The final approved scope document provides the guidelines for the project. If items and tasks fall outside of what has been documented and officially approved, it is referred to as scope creep—unapproved change, which can cause serious delays or even project failure.
The initiating phase involves analyzing the project goals & needs. What is the term to describe unanticipated growth of a project?
Scope creep
Identified quality & safety competencies for nurses that fit well w/ an informatics culture (pt centered care, teamwork, EBP, quality improvement, safety, informatics).
QSEN (Quality, Safety, Education for Nurses)
Structured, controlled languages developed according to terminology guidelines & approved by an authoritative body.
Standardized Terminologies
is a statistical method that is used to search and summarize historical data in order to identify patterns or meaning.
Descriptive analytics
What is the name of the process that begins with conception & continues through implementation?
SDLC (Systems development life cycle)
Which stage of the SDLC would data be collected from the systems users regarding their analysis?
Needs
Which phase of the system life cycle involves using needs assessment to identify the exportation of the system?
Needs/Design
During which phase of the systems development life cycle should a system be activated to effectively be used by end users?
Implementation
What 3 tasks in the design phase during the systems development life cycle (SDLC)?
Plan the project, define the scope & conduct the SWOT analysis
*Determine the needs/wants in an information system
Systems Development Life Cycle (SDLC)
Needs assessment:
*Systems Development Life Cycle (SDLC)
Steps are design, plan, implement, analyze, evaluate.
1) Needs assessment:
2) Selection System Phase:
3) System Implementation Phase:
4) *Maintenance Phase:
*Organization seeks out a company that provides a system that best fits needs w/ 3 documents
-1. Information Document: initial contact w/ vendor to get essential info about company’s history;
-2. Proposal document: organization priorities or rates their needs/wants & send outline to vendors to see if request can be met;
-3. Quote document: pricing, finance, contract terms)
Systems Development Life Cycle (SDLC)
Selection System Phase
*Go live planning w/ training & building.
Systems Development Life Cycle (SDLC)
System Implementation Phase
*Problem solving, debugging, files backed up & updates are installed routinely, to ensure the program is working as intended.
Systems Development Life Cycle (SDLC)
Maintenance Phase:
*Occurs during planning of SDLC. It is a strategic type of planning & helps to identify gaps in the current system & potential opportunities. This system evaluates strengths, weaknesses,
opportunities & threats of a given situation.
SWOT Analysis
*An informatics nurse & an emergency nurse are conducting an analysis of a patient admission from the ER? Which tool should these nurses use for a process analysis?
SWOT template
*Delivery of information to healthcare providers & consumers & the delivery of services to clients at remote sites through the use of telecommunication & computer technology. Does not always involved clinical services. (Telehealth encompasses telemedicine but is a broader term that emphasizes the provision of information to healthcare providers & consumers). Telehealth is the general term used to describe healthcare services delivered utilizing electronic media and is often used to encompass a broader definition of remote healthcare that does not always involve clinical services (American Telemedicine Asso-ciation, 2016).
Telehealth
What represents privacy & security risks for telehealth technology?
Pts have the option to use speakerphone in the telehealth apps
Which item is a form of consumer health informatics that enables virtual consultation and collaboration with patients and other clinicians regardless of geographic location?
Telehealth - defined as healthcare at a distance using technology that connects the pt & the clinician in real time.
*Medical information exchanged from one site to another via electronic communications to improve a pt’s health status. *Legal & Ethical issues from telehealth/telemedicine: lack of reimbursement, privacy & confidentiality concerns, licensure, & liability issues. These communications include: videoconferencing, transmission of still images, ehealth including patient portals, remote monitoring, and continuing medical education (American Tele-medicine Association, 2016).
Telemedicine
Promoting adoption & implementation of telehealth programs
advocacy
Distinguish difference between telehealth and telemedicine?
telehealth
Telehealth: provision of information to healthcare providers & consumers & delivery of services to clients at remote sites using telecommunication & computer technology.
*Diagnostic tests & treatment options based on the value of those tests & treatments to pt & organizational outcomes. The hope was to reduce the number of necessary or limited-valued test & treatments. The value-based model rewards providers & organizations for quality-driven care based on ability to meet set quality measures & indicators.
Value-Based Reimbursement -
Distinguish difference between telehealth and telemedicine?
telemedicine
Telemedicine: telecommunication technologies & computers to provide medical information & services to clients at another site.
*Being a RN while using technology.
Telenursing
Specific issues of human performance in achieving specific goals during computer interactions within particular context. Poor usability can lead to errors, jeopardize pt safety & impact acceptance & use of technology.
Usability
Which healthcare policy reform introduced in 2008 focuses on rewarding providers with incentives based on the quality of care they deliver as opposed to the volume of care?
Value-based model (VBM)
Future-oriented, high-level view of what an organization would like to become. Gives direction for planning purposes.
Vision
