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Informatics > Quiz 2 > Flashcards

Quiz 2 Flashcards

1
Q

purpose of SDLC

A

way to deliver efficient and effective information systems that fit with
the strategic business plan of an organization

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2
Q

where can SDLC occur

A

occur within an organization, be outsourced, or be a blending of the
two

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3
Q

waterfall model

A

output from each previous phase flows into or becomes the initial input for
the next phase

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4
Q

HL7

A

an accredited standards-developing not-for profit organization that is committed to developing standard terminologies for information technology that support interoperability of healthcare information management systems.

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5
Q

what is the SDLC composed of

A

a number of clearly and defined work phases

Work phases are used by engineers and developers to plan, design, test and build and deliver info systems

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6
Q

steps of developing a system

A
  1. understand problem or business needs
  2. Then understand solution or how to address needs
  3. Develop a plan
  4. Implement plan
  5. Evaluate implementation
  6. Maintenance, review and destruction
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7
Q

six phases of waterfall model

A 
Feasibility →
Analysis → 
Design → 
Implement →
Test →
Maintain
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8
Q

Rapid prototyping/ rapid application development (RAD)

A

Provides a fast way to add functionality through prototyping and user testing

Rapid requirements- gathering phase using workshops and focus groups to build a prototype application using real data →
Prototype is beta tested with users and feedback is used to perfect or add functionality and capabilities to the system

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9
Q

Object oriented systems development (OOSD)

A

Object oriented modeling makes an effort to represent real world objects by modeling real world entities or things (like hospital, patient, account) into abstract computer software objects
Overcomes traditional approach to create a digital twin - what would it look like once built
User is greatly involved

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10
Q

Dynamic system development method (DSDM): preproject

A

buy in or commitment is established and funding is secured

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11
Q

Dynamic system development method (DSDM): project life cycle - steps

A
  1. Feasibility
  2. Business studies
  3. Functional model iteration: Deliverables are a functional model and prototype ready
  4. Design and build iteration
  5. Implementation
    Deliverables = the system, documentation and trained users
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12
Q

Dynamic system development method (DSDM): post project

A

Verify system is functioning properly

Maintenance schedule should begin

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13
Q

benefits of Computer aided software engineering tools

A
  • Automate several required tasks in a systems development effort and encourage adherence to SDLC → high degree of rigor
  • Help reduce cost and development time and increase quality
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14
Q

Open source software (OSS)

A

any programmer can implement, modify, apply, reconstruct and restructure rich libraries of source code from proven well tested products

*ONC & HL 7 push this

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15
Q

interoperability

A

ability to share information across organizations (i.e. patient data)
Important under HITECH Act

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16
Q

workflow

A

term used to describe action or execution of a series of tasks in a prescribed sequence
Progression of steps that constitute a work process, involve 2 or more persons and create or add value to the organization’s activities

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17
Q

what does SMART stand for

A

Substitutable Medical Applications, Reusable Technologies

18
Q

T/F: SMART on FHIR is a health technology standard that enables secure and reliable medical data sharing.

A

True

19
Q

Which hospitals implemented SMART on FHIR in their EHRs?

A

Intermountain Health
Boston Children’s Hospital
Partners Healthcare

20
Q

main purpose of HL7

A

Exchange information between medical information systems

21
Q

T/F: SMART and FHIR are organizations, while HL7 is a standard.

A

False

22
Q

suitable selections for FHIR

A

a. Cloud communications
b. EHR-based data sharing
c. Server communication in large institutional healthcare providers

23
Q

guidelines for transformative initiatives

A

Create a case for transformation.
 Establish a vision for the end point.
 Employ experts.
 Consider the optimal experience.
 Do not replicate the current state.
 Focus on those initiatives that offer the greatest value to the organization.
 Recognize that small gains have no real impact on transformation.

24
Q

optimization

A

is the process of moving conditions past their current state and
into more efficient and effective method of performing tasks.

25
Q

waste

A

classified as unnecessary activities or an excess of products to perform tasks.

26
Q

what do you need to move from current state to future state

A

gap analysis

27
Q

gap analysis

A

Gap analysis zeros in on the major areas most affected by the change, namely,
technology.
Gap analysis discussion should generate ideas from the group how about best to utilize the technology to transform practice

28
Q

what happens if you don’t involve the end user

A

change is resisted and

efforts are subject to failure.

29
Q

what do you do if you can’t internally benchmark

A

a suitable course of action is to benchmark against an external source such as a similar business practice within a different industry

30
Q

when are process metrics collected

A

at the initial stage of project or problem

identification

31
Q

what are current state metrics benchmarked against

A

benchmarked against internal indicators

32
Q

levels of HL7

A 
primary standards
foundational standards
clinical and admin domains
EHR profiles
implementation guidelines
guidelines and references
education and awareness
33
Q

what does FHIR stand for

A

FAST HEALTHCARE INTEROPERABILITY RESOURCES

34
Q

what is FHIR?

A

HL7 initiative that seeks to use modern web standards and technologies to simplify and expedite real-world interoperability solutions

35
Q

2 examples of FHIR applications

A

sharing documents among members of a clinical team

support about a clinical decision

36
Q

what is SMART?

A

It’s a technology platform for healthcare applications that directly supports interoperability (healthcare data being sent & received from system to system in real time

37
Q

meaningful use

A

refers to rules and regulations established by the ARRA, HHS
The HITECH Act also provided significant monetary incentives for providers who engage in meaningful use of health information technology.

38
Q

stage 1 of meaningful use

A

focus on data capture and sharing (2010-2011):
HHS wanted to see they were utilizing features of EHR
80% of patients should have entry in EHR
Capture the right data
Pt. access
Standardized language
HL7 = non profit
Penalties if you don’t achieve MU 1

39
Q

stage 2 of meaningful use

A

advanced clinical processes (2014)
Generating patient lists by specific conditions
Using EHRs to provide and follow up preventative care
Online access
Visit summaries w/i 24 hours
Education resources from EHR for patient and for clinicians

40
Q

stage 3 of meaningful use

A

improve outcomes (2017)

Introduce patient self mgmt tools
Achieve through objectives and measures
Electronic PHI
Purposeful prescriptions electronically
Interoperability!
41
Q

key factors of any change management strategy

A

communication, planning, and support

Informatics (3 decks)

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