Quiz 1 Flashcards

1
Q

Data

A

Uninterpreted elements (name, weight, age)

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2
Q

Information

A

Collection of data that had been processed to produce meaning
Information attributes: quantifiable, verifiable, accessible, free from bias, comprehensive, clear, timely

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3
Q

Knowledge

A

Relationships bw data and information made, created when data and information identified

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4
Q

Wisdom

A

Using knowledge to solve human problems

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5
Q

Health informatics

A

Interdisciplinary profession, tied to using IT in healthcare, focused on assisting providers w tasks related to collecting data, processing information, and applying that info to processing
Examples of hetj informatics benefits; shared knowledge, patient participation, improved outcomes, cost savings,

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6
Q

Triple aim

A

Improving care
Improving healthcare of population
Reducing cost of healthcare

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7
Q

Nursing Informatics

A

Specialty integrating nursing science, computer science, & info science to manage & communicate data, information, & knowledge in nursing practice

Facilitates integration of data, information & knowledge to support patients, nurses & other providers in decision making roles & settings

This support is accomplished through use of info structures and information technology

Goal of nursing informatics - to improve the health of populations, communities, families and individuals by optimizing info management and communications. Use of technology in direct care, establishing effective administrative systems managing & delivering educational experiences & supporting research and life long learning

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8
Q

Nursing informatics

A

Helps integrate data, information & knowledge to support patient, nurses & providers.

Goal: to improve health of populations, communities, families by optimizing information management & communications. Use technology in direct care, establish administrative systems to manage & deliver educational experiences & support research and life long learning.

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9
Q

HIE health information exchange

A

Allows providers and patients to access and share patient medical info electronically

Benefits of HIE: avoid read mission, medication errors, improve diagnosis, decrease duplicate testing

Ex. Crisp - Chesapeake regional info systems for our patients

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10
Q

MPI master person index

A

Repository to uniquely identify each person, usually includes demographics data to search for & identify patients

Ex. In hospital we use MRN

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11
Q

Informatics competencies

A

Computer skills
Informatics knowledge
Informatics skills

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12
Q

Analytics

A

Managing & processing data

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13
Q

Interoperability

A

Ability of systems to exchange data and operate in coordinated manner

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14
Q

Hardware

A

Physical components on computer system

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15
Q

Software

A

Programs & operating information used by computer

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16
Q

Information needs & tools of nursing informatics

A

Sound clinical decision making
Evidence based practice
Standardized vocabularies
Clinical information systems

17
Q

5 core competencies of nursing informatics

A
Delivering pt centered care
Working as part of interdisciplinary team
Practice evidence based medicine
Focusing on quality improvement 
Using info technology
18
Q

Examples of health informatics benefits

A
Shared knowledge 
Patient participation
Personalized care
Increased coordination
Improved outcomes 
Savings
19
Q

Information attributes

A
Quantifiable
Verifiable
Accessible
Free from bias
Clear
Timely
Precise
Accurate
20
Q

ANA scope & standards model

A

Transformation of data to knowledge graph

Complexity on y axis, human intellect on x axis

Data turns into info turns into knowledge

21
Q

Nelson data to wisdom continuum

A

Data, info, knowledge, wisdom

Increasing interaction and relationships on y axis

22
Q

Federal health IT principles

A

Focus on value
Respect individual preferences
Build culture of electronic health info access & use
Create environ of continuous learning and improvement
Encourage innovation & competition
Be worthy steward of country’s money and trust

23
Q

Federal Health IT Goals

A

1-expand adoption of health IT
2-advance secure & interoperable health info
3-strengthen health care delivery
4-advance health & well being of individuals & communities
5- advance research, scientific knowledge & innovation

24
Q

American Recovery & Reinvestment Act

A

1st Part: Healthcare delivery systems
1. Patient centered medical home - primary care
Core features: personal physician, physician directed medical practice, whole person oriented, quality/safety, enhanced access, payment reform, care is integrated
2. Accountable care organization - integrated care system
Give high quality coordinated care, avoid relative treatments and drugs, outcome focused payment model

2nd Part- IT tools for Regorm Payment for quality
Data: capture, sharing, analytics

25
Q

3 domains of quality

A

Population, hospital, clinicians

26
Q

Major IT Challanges

A
Interoperability
Usability (clinicians turned into data entry clerks)
27
Q

Staggers & Nelson Life Cycle Model

A

Plan, develop, purchase, test, implant, maintain/evolve, analyze then back to plan or develop. It’s a cycle model.

28
Q

Meaningful Use (criteria in HITECT Act)

A

use technology to improve quality, safety and efficiency in patient care & reduce health disparities

3 stages
1- adoption of EHRs & exchange of pt info
2- care coordination & exchange of pt info
3- expand first 2 stages & improve health outcomes, population health

29
Q

Databases

A

Collection of info organized to provide efficient retrieval

Types:
Relational
Distributed
Cloud
Online
Big data
Document oriented

Most databases in EHR’s are relational

30
Q

Clinical data repository

A

Storage for patient data

Key aspects: accessible, reliable, secure

Characteristics: central vs distributed storage model
Central storage - single repository
Distributed storage - each data collection application stores own info then data can be shared in real time

Encounter based vs longitudinal record
Encounter based- data collected according to encounter & archived after discharge
Longitudinal based - ‘cradle to grave’ stores all encounters

31
Q

Hit health info technology

A

Federal efforts launched in 2009 w 4 national priorities

  1. Provide info tools
  2. Connect health info so it follows pt throughout care
  3. Support consumers w info to help them manage their care
  4. Advance public health, clinical trials & data activities
32
Q

Cloud computing

4 types of clouds

A

Private cloud - single organization w/ multiple consumers

Community cloud - exclusive use by a community from orgs w shared concerns

Public cloud - open use by public

Hybrid cloud - 2 or more cloud infrastructures bound together (private, community, public)

33
Q

Cloud computing

A

On demand network access to shared pool of computing resources available w minimal management effort or service provider interaction