Module 1 chapter 1 Flashcards

1
Q

Health Information Technology (HIT) promoted as key element in the National quality strategy (NQS)

A
3 aims: 
better care, 
affordably care
Healthy populations and communities
Recently added fourth aim (include care of the provider within inter professional
 teams)
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2
Q

Patient Protection and Affordable Care Act (PPACA or ACA) passes in 2009

A

ACA providing access to all Americans health quality and affordable health care

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3
Q

The Health Information Technology for Economic and Clinical Health (HITECH) act passed in 2009

A

2 Sets of standards

First standard defined meaningful use (MU) of electronic health records (EHRs)

Second standard specified development and certification of EHRs to meet MU criteria

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4
Q

Meaningful use MU

A

Ensure EHR across nation meet adequate standards for performance

How EHR are to be developed and certified to meet MU criteria

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5
Q

ACA put in place Mechanisms to improve care and decrease cost

Accountable care organizations (ACOs)

A

Metrics to Measures organized into five domains to monitor performance

  1. patient/caregiver experience
  2. care coordination
  3. patient safety,
  4. preventive health,
  5. At risk population/frail elderly health pg 5)
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6
Q

HITECH Act
To establish HIT infrastructure, several programs were implemented
Three phases of meaningful use (MU), with each phase escalating in what the technology is designed to achieve

A

Phase 1: implementation of certified EHRs meeting basic requirements (example electronic information “electronic prescriptions”)

Phase 2: “patient-centeredness” and increased capacity to capture and exchange data

Phase 3 is now a component of Medicare Access and CHIP(children health insurance programs) Reauthorization Act (MACRA) programs

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7
Q

EHR Incentive Program

incentivized payments from CMS

A

Previously, providers and hospitals implementing EHRs meeting federal standards received payments from CMS

Requirements for incentives now aligned with Quality Payment Programs or Value-Based Incentive Programs
Payment adjustments for failing to reach meaningful use
Electronic clinical quality measures (eCQMs)

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8
Q

Healthcare Reform and HIT

A

In 2017, Quality Reporting Program came into effect
Patient engagement is essential to realize the full impact of technology for health
Collective impact initiatives for nongovernmental, private sector

Four main components for structured form of collaboration
Five conditions to produce true alignment and success
1. common agenda,
2. shared measurements system,
3. mutually reinforcing activities,
4. continues communication,
5. backbone support organizations)

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9
Q

Lowering Costs and Improving Safety

A

Recent studies report the impact of HIT on patient safety and quality outcomes

E.g., a study that assessed the output of grants from the Agency for Healthcare Research and Quality (AHRQ)
Concluded notable contributions on the impact of the information system usage in healthcare

E.g., a study focused on structured and/or coded EHRs and associated direct patient care benefits or value noted
Concluded that the evidence for the impact of EHR-based structured data is not well documented

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10
Q

Patient Safety and Quality in Technology-Driven Environments

A

“Bold on applications” to meet special needs

Potentially serious harm to patients when technology systems are deployed without proper strategies

Department of Health and Human Services’ guide for implementing safe HIT systems
Expanded in 2015 to develop a Health IT Safety Center road map

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11
Q

Nursing’s Diverse Role in HIT Advances

A

Informatic nurses and informatics nurse specialists provide important direction
Revised definition of nursing informatics in 2015 Nursing Informatics: Scope and Standards of Practice

Research needs for the nursing informatics community
Nursing involvement in the development of EHR products leads to improved and safer product

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12
Q

Nursing informatics

A

integrates nursing science with multiple information and analytical sciences to identified, define, manage and communicate data, information, knowledge and wisdom in nursing practice

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13
Q

Nursing Education for the Healthcare Informatics Model

A

Role of nurse expanding to include information technology
(Also true for doctor of nursing practice (DNP) role)

Conceptual framework for advanced practice registered nurse roles in the information technology environment

Nursing Education for the Healthcare Informatics (NEHI) Model
Three main content domains 
1. patient safety/quality
2. data management and analytics
3. point of care technology)
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14
Q

Nursing Education for the Healthcare Informatics (NEHI) Model

A
  1. Point-of-care technology : use of technology on safe care delivery
  2. Data management and analytics: transform data and information into improved health care delivery
  3. Patient safety/quality and population health: Quality improves tools applied to individuals and public health initiatives

Serves as an organizational structure for this book

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