Quiz 1

Question 1

Data

Answer 1

Uninterpreted elements (name, weight, age)

Question 2

Information

Answer 2

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

Question 3

Knowledge

Answer 3

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

Question 4

Wisdom

Answer 4

Using knowledge to solve human problems

Question 5

Health informatics

Answer 5

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,

Question 6

Triple aim

Answer 6

Improving care
Improving healthcare of population
Reducing cost of healthcare

Question 7

Nursing Informatics

Answer 7

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

Question 8

Nursing informatics

Answer 8

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.

Question 9

HIE health information exchange

Answer 9

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

Question 10

MPI master person index

Answer 10

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

Ex. In hospital we use MRN

Question 11

Informatics competencies

Answer 11

Computer skills
Informatics knowledge
Informatics skills

Question 12

Analytics

Answer 12

Managing & processing data

Question 13

Interoperability

Answer 13

Ability of systems to exchange data and operate in coordinated manner

Question 14

Hardware

Answer 14

Physical components on computer system

Question 15

Software

Answer 15

Programs & operating information used by computer

Question 16

Information needs & tools of nursing informatics

Answer 16

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

Question 17

5 core competencies of nursing informatics

Answer 17

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

Question 18

Examples of health informatics benefits

Answer 18

Shared knowledge 
Patient participation
Personalized care
Increased coordination
Improved outcomes 
Savings

Question 19

Information attributes

Answer 19

Quantifiable
Verifiable
Accessible
Free from bias
Clear
Timely
Precise
Accurate

Question 20

ANA scope & standards model

Answer 20

Transformation of data to knowledge graph

Complexity on y axis, human intellect on x axis

Data turns into info turns into knowledge

Question 21

Nelson data to wisdom continuum

Answer 21

Data, info, knowledge, wisdom

Increasing interaction and relationships on y axis

Question 22

Federal health IT principles

Answer 22

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

Question 23

Federal Health IT Goals

Answer 23

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

Question 24

American Recovery & Reinvestment Act

Answer 24

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

Question 25

3 domains of quality

Answer 25

Population, hospital, clinicians

Question 26

Major IT Challanges

Answer 26

``` Interoperability Usability (clinicians turned into data entry clerks) ```

Question 27

Staggers & Nelson Life Cycle Model

Answer 27

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

Question 28

Meaningful Use (criteria in HITECT Act)

Answer 28

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

Question 29

Databases

Answer 29

Collection of info organized to provide efficient retrieval ``` Types: Relational Distributed Cloud Online Big data Document oriented ``` Most databases in EHR's are relational

Question 30

Clinical data repository

Answer 30

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

Question 31

Hit health info technology

Answer 31

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

Question 32

Cloud computing 4 types of clouds

Answer 32

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)

Question 33

Cloud computing

Answer 33

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