Professional Practice Flashcards
Chief Information Officer
CIO heads the IS department
Responsible for hiring staff and budgeting for projects
Chief Privacy Officer
Federally mandated position at any facility that treats patients
Responsibel for all forms of patient information
Chief E-Health Officer
Promotes and enables the use of online interactive patient services
Compliance Officer
Keeps track of state and federal regulations and accreditiation requirements
Planning and Recovery Officer
Keeps disaster plans up-to-date and has knowledge of the requirements to fully recover systems
Interface Engineer
Capable of making sure that information integrity is maintained when data is exchanged bweteen different systems
TJC Standards
Access to databases outside the organization while maintaining PHI, allow expertise to be used throughout the organization, link physician offices, procedural controls for new projects, regular assessment of needs
ANA Framework for Nursing Informatics
Assessment, Diagnosis, Identification of Outcomes, Planning Implementation, System Planning
Informatics Nurse
One who works in the field because of experience or interest but has not received formal training
Informatics Nurse Specialist
Completed graduate studies in informatics and may also have certification
NIH Standars for ISCAR
Information storage, creation, analysis, and retrieval
Fair Distribution of Health Information Access
While people should have access to health information, considerations must include privacy, regulations regarding intellectual property, and equitable access to information
Syngery Model
Advocacy, agency, moral agency
Advocacy
Working for the best interests of the patient/stakeholders despite personal conflict
Agency
Openness and recognition of issues and a willingness to act
Moral Agency
Ability to recognize needs and take action
Negligent Conduct
Failure to provide reasonable to care or to protect/assist another
Gross Negligence
Willfully providing inadequate care while disregarding the saftey and security of another
Contributory Negligence
Injured parties contributing to the harm done
Comparitive Negligence
Attepts to determine what percentage of negligence is attributed to each individual involved
Liability
Increased concerns due to timestamping
Identity Theft
Health records often contain identifying information
Unauthorized Access
Providers sometimes share passwords
Privacy Violations
Accessing a record for personal gain
Security Breach
Increased risk when business associates have access to systems
HIPAA
Health Insurance Portability and Accountability Act mandates privacy rules
Privacy Rule
PHI includes any information included in the medical record, conversations between the physician and other health care provders, billing information and any other form of health information
Security Rule
Any electronic health information must be secure and protected against threats
Project Scope
Defines the goals of a project
Stages of Workgroup
Forming, storming, norming, performing
Organizational Model of Integration
One individual monitors project progress
Functional/Coordinated Model of Integration
Staff specialties are not integrated but draw data from the same pool
Functional/Integrated Model of Integration
Cross-training among specialties, case managers
Non-Tethered PHR
Stand-alone and not connected to a particular system or EHR
Smart card, flash drive, CD, DVD
Tethered PHR
Data are tied to a particular EHR, often web-based
Networked PHR
Data are derived from multiple sources in a network rather than one system
Health Information Exchange (HIE)
Allow electronic exchange of health information among different health care providers
Regional Health Improvement Plans (RHIP)
Developed to improve the delivery of healthcare
Telehealth
Prevention and promotions of healthier lifestyles in addition to the curative focus of telemedicine
Telenursing
The practice of nursing over distance using telecommunication technology
Leapfrog
Consortium of health care purchasers providing benefits
Focus on reducing costs by preventing medical errors thorugh CPOE, EBP, and intensivists
Agency for Healthcare Research and Quality
Promotes EBP through funding of 14 EBP-centers to develop guidelines
National Qualify Forum
Endorsed a set of safe practices that can be used to assess and develop the organization’s patient safety culture
Peer Training
New users of a system are trained by existing users
Pro - tailored to meet needs
Con - bad habits may be passed on
Self-Directed Text-Based Courses
Self-paced learning with provided materials (workbooks)
Pro - Own pace, can occur without system in place
Con - Personal motivation must be high and material highly structured
High-Fidelity Simulation
Use real or realistic equipment
Low-Fidelity Simulation
Use verbal, print, video, or audio instead of the system
Computer-Based Training (CBT)
Pro - self-paced, interactive, available, broken into modules
Con - labor-intensive to set up, lack of coaching
Over-the-Shoulder Instruction
Instructor moves around the classroom and helps people individually
Problem-Based Learning
Learner is presented with a problem and must search for a solution
