Quiz 3 Flashcards
telehealth can be delievered by:
A. Telephone
b. Videophone
c. Computer
all of the above
t/f: Telemedicine is more broad compared to telehealth
false
All of the following are benefits of telehealth except
a. Convient & Cost Effective
b. Requirement of additional requirement or software
c. Decrease white coat syndrome
d. Improves healthcare access for rural americans
b. Requirement of additional requirement or software
What is a challenge telehealth faces?
a. Risk for overuse
b. Patient data Security
c. Internet Access
d. All of the above
d. all of the above
t/f: One goal of telehealth is to decrease the communications between healthcareprofessionals and patients
false
The following are examples of telehealth monitoring EXCEPT
a. Glucometer
b. Electrocardiograms
c. Pulaski
d. Electronic Fetal Monitors
c. pulaski
What does HRO stand for?
High Reliability Organizations
What are HROs?
Organizations in complex domains without bad accidents
Which organization facilitate HROs and its models
JCAHO
How many principles of HROs are there?
5
what is reliability?
Repeatability of findings
t/f: All healthcare organizations are highly reliable
false
Why do we look to HROs for insight?
For error and harm reduction
t/f: HROs can only be executed within healthcare
false
Medical Errors are the ___ leading cause of death in the US
third
Which HRO principle refers to contacting staff with the greatest knowledge or expertise of a given situation?
deference to expertise
t/f: Only leadership can be involved in the improvement of HROs
false
Which HRO concept is this? Leaders need to be trained and prepared to know how to respond when system failures happen.
Commitment to resilience
What do HROs within high-risk situations continually do?
reinvent themselves
t/f: HRO implementation and improvement is a quick process
false
t/f: As CNLs, we can contribute to the efficacy of HROs
true
5 traits of HROs
preoccupation with failure reluctance to simplify interpretations deference to expertise sensitivity to operations commitment to resilience
mission and vision of HROs (3)
- A goal within leadership to cause zero harm
- A safe culture where all staff feel safe to speak up as a way of improving the organization
- A strong and empowered workforce that takes concepts from RPI to address improvement opportunities that create lasting change
applications in healthcare - recommendations for achieving HRO status
Ongoing process Build the Foundation Commitment to Safe, Efficient Care Rigor in Process Improvement Maintain Consistency High Performance/Minimal Error
real world applications of HROs
Air traffic control
Wildfire Fighting
Nuclear Power Plants
NASA
at risk for catastrophic events
preforms at levels nearly error-free
3 challenges of HROs
HROs are preoccupied with failures
Focused on risk analysis, resulting in failure to identify simple, low risk problems
Management encourages reporting of flaws, resulting in lack of celebration for achievements
3 components of telehealth and HIPAA
- Only authorized users should have access to ePHI.
- A system of secure communication should be implemented to protect the integrity of ePHI.
- A system of monitoring communications containing ePHI should be implemented to prevent accidental or malicious breaches
secure communication
To be compliant with HIPAAʼs Security Rule, all telehealth communication should take place via encrypted channels that the provider can verify are private and HIPAA-compliant
3 examples of telehealth
Nurse phone lines
Remote pharmacist services
Teletherapy
4 benefits of telehealth to patients
Convenience and cost effective
More direct physical intervention
Decreases chance of white coat syndrome
Improve access for rural Americans
4 ways teleheath benefits healthcare system
Appropriate triaging
Asset in emergency situations
Mitigate risks with physician shortages
Improve access for providers that are located in rural america
5 challenges of telehealth
Only done in state of license Patient data security Quality of assessments Risk for overuse Internet access and technology literacy
4 telelhealth transmission formats
Store and forward
Real time
Remote monitoring
M health
2 goals of telehealth tools
Increase communications between healthcare professionals and patients
Increase professionals knowledge of patients status in a timely manner
Ryan Haight act
Requires at least one in person eval for controlled substances
Paused during covid
4 ps of telehealth
Planning
Preparing
Providing
Performance evaluation
