Random NI Facts Flashcards
What are the 5 steps in Root Cause Analysis (RCA)?
- Define the problem
- Collect Data
- identify possible causal factors
- Identify root causes
- Recommend and/or implement
What does the acronym FOCUS-PDCA stand for?
Find Organize Clarify Understand Select
Plan
Do
Check
Act
Name the functions of Patient Financial Services (PFS)
- Determines co-payment
- Determines potential deductible
- Check claims status
- Receive charges
- Generate claims
- Validate insurance coverage
- Manage prior authorizations
What are the basic elements of visual design?
- Texture
- Shape
- Typography
- Lines
- Color Palate
- Form
In process Improvement-What is FADE?
F-Focus: process that needs to be improved
A-Analyze: estimate baselines; identify root cause
D-Develop: action plans
E-Execute: Implement action plan on a pilot basis, then install and monitor
What are some of the EHR certification criteria?
Advance directives
Encryption
Electronic prescribing
Electronic copy of health information
Record demographics
Access control
Drug formulary
Active medication list
Generate patient lists
Medication reconciliation
Submission to immunization registries
Calculate & submit clinical quality measures &
clinical summaries
Exchange clinical information
Patient summary record
Emergency access,
Medication reconciliation,
Plotting and displaying growth charts.Who is Dorthea Orem and what is she known for?
Theorist that believed patients should be responsible and self-sufficient for their own care
Believed patients are individuals and believes that goal of nursing should be to have patients be self reliant
What kind of theory is DIKW?
Information Theory
What are the 3 aspects of quality improvement?
- Resources-people, information, technology, infrastructure,
- Activities
- Results
What are the main points of HIPAA and HITECH?
Privacy
Security rule (under HIPAA)
-to protect individual e-phi
-governs 3 groups
1-health plans
2-healthcare clearing house
3-healthcare providers that transmit its health information in electronic formWhat are the 8 components of Total Quality Management (TQM)
- Customer-focused care: ultimately determines quality improvement
What are some tools that are used in Project Management?
- Gantt chart-critical path
- Smartworks
- Microsoft project
- QuickBase
- Experience in Software
What is involved in strategy planning?
- Scanning of In????
- Data analysis
- Identify the need for change
- Definition of goals and scope
- Identification of potential solutions
- Creating of a course of action
- Implementation
- Evaluation
- Feedback
What are the primary components of needs assessment?
- Identify priorities
- Identify barriers
- Gap analysis
- Summarize results
What are the attributes of E-Health code of Ethics?
- Responsible partnering
- Accountability
- Privacy
- Candor
- Quality
- Professional in on-line healthcare
- Honesty
What are the 5 goals of usability?
- It is pleasant to use
- It is easy to use
- Decrease in errors
- Once the system is learned, it is easy to go back to
What does CIS stand for and sometimes referred to?
Clinical information system…a large system used to access patient data that can be used for:
planning
implementing, and
evaluating care of the patient
sometimes referred to as patient care information system.
Nursing informatics deals with?
- Nursing data
- Information
- Knowledge to facilitate the management
- Communication of the information
What are medical professionals doing during the assessment phase?
- Assessment is the 1st step in the nursing process
- Gathering information to produce a nursing diagnosis
- Includes psychological, physiological, sociocultural, economic, spiritual, and life-style factors about the patient
Core measures used by the Joint Commission support and improve the quality and safety of healthcare. What is the initiative called.
ORYX initiative.
What is a critical path in project management?
Tasks that allows for no slack and helps to determine the project’s finish date.
A good training plan should include?
- Approach
- Evaluation strategy
- Training needs
- Resources
- Budget
- Costs
- Philosophy
- Schedule
Pitfalls with dissemination
- Lack of details
- Uncertainty and contribution to nursing
- Inexperience
What is GAP analysis?
Also referred to as Needs Assessment
Needs Assessment includes things such as:
-identifying the requirements of dept as registration, accounting, and medical records among others
Consists of listing:
- the characteristics factors of the present situation, - the listing of factors that will be needed to achieve future objectives - highlighting the gaps that will need to be filled
Characteristic factors are:
- attributes - performance levels - competencies
A gap analysis forces a company to look at where it is now and where they want to be in the future
Process Improvement involves?
The application of actions which are taken in order to:
- identify - analyze - improve an existing processes in order to meet the requirements for: - financial goals - customer satisfaction - quality
What are the 4 steps in work-flow analysis?
- Developing the use case
- Framing the process
- Understanding the current process that is being used
- Designing the new process
What are the stages of the systems design life cycle?
Identifying the needed issues
designing the system
Using the system
Evolving the system
Language is a system of communication using?
- arbitrary set of vocal sounds
- written symbols
- signs or gestures in conventional ways with conventional meanings
In HC there is typically a language of medicine
Strategic planning steps include?
- The analysis of the data
- The scope and goals are identified
- The implementation
- Scanning of the internal and external environments
- Identifying potential solutions
- Identifying ongoing evaluation and feedback
What are the goals of the human-computer interaction (HCI) and usability?
- Effectiveness goal-usefulness & safety assessed
- Efficiency goal-productivity, cost, & learnability assessed
- Satisfaction goal-perceived effectiveness and perceived efficiency
After collecting all data for the evaluation, it will then need to be:
Reported…communicating to the team the results of the evaluation is the next step to possibly making changes
Core values for performance excellence include:
- Agility
- Systems perspective
- Management by fact
- Voluntary leadership
- patient-focused excellence
- Organizational and personal learning
- Focus on results and creating value
- Social responsibility and community health
- Managing for innovation
- Focus on the future
- Valuing staff and partners
The 5 steps of planning and conducting usability tests include?
- Assessment of constraints
- Definition of purpose
- Matching methods to the purpose, constraints, and framework assessment
- Use of an HCI (human-computer interaction) framework to refine each component
- Emphasis on components of interest
What areas are part of the functional testing stage of the SDLC?
- Interfaces-communication capabilities
- Databases tested for functionality with the system
- Printing documents
What are two uses of technology for the delivery of telehealth?
- Two-way communication
2. Store and forward
On what are the principle metastructures of informatics based?
A nurse’s ability to integrate data, information, and knowledge in order to make sound clinical decisions.
The principle of metastructures rely upon a nurse’s capacity to integrate a wide array of data, health information, and medical and semantic knowledge to make wise decision in practice.
Data, Information, and Knowledge represent more than just medical content…what else does it represent?
Flow of learning
Absorption
Application
What are major factors to consider when choosing the right mobile technology in healthcare?
Device size
Weight
Durability
Ease of Use
Who are the individuals that have the most responsibility for completing a project?
Stakeholders have the most responsibility. They have the most influence in the system designs and are typically the most impacted by the implementation of the design
Snyder-Halpern (2001) identifies 4 tasks that are associated with human information processing would include?
- Data gathering
- Information use
- Generation of new knowledge
- Creative application of knowledge to clinical practice
What is NANDA’s mission?
North American Nurses Diagnosis Association
Facilitate the development, refinement, dissemination, and use of standardized nursing diagnostic terminology.
Grown to international proportions since 2002 and use their scope of membership to establish solid terminological standers for nursing care.
They are able to spread information that improves care in regions that might otherwise lack necessary access to such materials.
HIPAA addresses?
- Simplifying healthcare claims
- Ensuring the security of healthcare information
- Provides standards for healthcare data transmission
The purpose of the law initially was to help improve the effectiveness and the efficiency of healthcare
What is the primary format for education?
Learning
Informatics in nursing promotes the use of the best methods in order to manage the information and aid in learning.
HIM (Health Information Management) helps to protect what?
- Genetic information
- Social information
- Adoption information
- Health information
- Medical information
- Personal information
What is the Health Belief Model (1950s)?
Developed in the 1950s from a social psychology perspective to be used as a predictor of preventive health behavior. The model includes:
- Individual perceptions
- Modifying factors
- Likelihood of action
Electronic Numerical Integrator and Computer (ENAC)
1945
Moore School of Engineering
FMEA (Failure Modes and Effects Analysis) concentrates on what?
- What could go wrong
- Why would the failure occur
- If there is a failure, what would the consequences be
- Steps that are in the process
Teams often use FMEA to evaluate the process they are developing in order to determine the possible failures and helps to prevent them from occurring
The National Center for Nursing Research set 6 goals in 1993 for nursing informatics research. Which of the following is not one of these goals?
New schedules for the nurse
- The development of a workstation that will provide the nurses with the information they need.
- The establishment of a standardized nursing language.
- The development of methods that can help build the databases for clinical information.
- Determining how the nurses actually give patient care by using the information, data, and knowledge and
- The development and testing of patient care
decision support systems were also included in the informatics research.
The most widely recognized nomenclature in healthcare would be considered which of the following?
EHR CPT DRT SNOMED
SNOMED
SNOMED would be considered Systematized Nomenclature of Medicine.
This would be the most widely recognized nomenclature in healthcare. It is developed and maintained by the College of American Pathologists.
Healthcare facilities have major clinical systems. Which of the following would be considered one of them?
Laboratory information system Dietary department Environmental department None of the above
Laboratory information system
The 3 major clinical systems would be considered:
Laboratory information system (LIS)
Radiology information system (RIS)
Pharmacy information system (PIS)
Other departments such as dietary and respiratory therapy are definitely important but are not considered one of the 3 major clinical systems.
With the EHR (electronic health records) legalities of records issues, which of the following does not need to be in place in order to ensure that the uses and disclosures that are made are according to the permitted or required federal and state laws?
Procedures Training of the workforce Budgeting Policies
Budgeting
Budgeting is not one of the things that would assist with the uses and disclosure issues.
Concerning the uses and disclosures, the policies, procedures, and workforce training are necessary
for the system to be legally effective.
The needs assessment should include all of the following except?
Accounting Implementation Registration Medical records
Implementation
The needs assessment should include: Registration Accounting Medical records Others
Which of the following is considered correct for the interdisciplinary field of study that will analyze and then describe how a small group of things work together to produce a result?
Information theory Systems theory Murphy’s theory None of the above
Systems theory
The systems theory came from the field of biology. The
thought was that if a system was open to interacting
with its surrounding environment, then it would
acquire new properties. Thus, evolution could occur.
Emphasizing components of interest is a step in the process of conducting usability tests. Which of the following is not one of the steps in the process?
Assessing constraints The definition of a clear purpose. Comparison The use of an HCI framework to refine each component.
Comparison
The match methods to the purpose, constraints, and framework assessment are the fifth of the steps. Once a method has been selected, then the pieces can be used to put it into action.
User security needs to be thoroughly addressed during the functional testing stage. Which area is not addressed at this point of the SDLC?
Multiple user accounts including logins.
Security permissions denying access to appropriate
users.
Sufficient access to approved areas of the system.
Virus and threat introduction.
Virus and threat introduction.
Security in the functional testing stage should include sufficient testing of multiple users and their logins.
Ease of access as well as denial of access to the necessary information is also in need of great testing in this phase.
Threats from outside entities, such as viruses and other cyber threats are not the security issues addressed at this time.
The human-computer interaction is the study of how humans design,
implement and evaluate the computer systems related to user task and work. Which of the following would not be a sample of human-computer interaction?
Social issues with computing. Efficiency The user is satisfied with a patient portal. The meanings of icons.
Efficiency
With human-computer interactions, the other three above would be correct.
Efficiency would be a topic under usability.
In addition to the above, other topics such as:
-the user’s perception of the effectiveness of the
design of the clinical documentation that is
integrated with the bar-coding of medications and
the design of devices such as a mouse would be
appropriate.
Bio-informatics would be considered which of the following?
When the staff selects the computer program that would be correct for the situation. The application of IT and computer to the management of the biological information. Both A and B None of the above
The application of IT and computer to the management of the biological information.
This deals with the development of algorithms and databases and is used to help facilitate research. Bio-informatics is considered the application of IT and computer to the management of the biological information.
Which option is not a cloud computing option for the SDLC?
Software as a service (SaaS). Platform as a service (PaaS). Infrastructure as a service (IaaS). DataBases as a service (DBaaS)
DataBases as a service (DBaaS).
Databases as a service or DBaaS, are not a category of cloud computing. Databases are however included in the infrastructure category. Software, platforms and infrastructure are the three categories at the disposal of SDLC.
User acceptance testing should include?
The selection of a team to do the tests cases. The executing of user acceptance test cases. The development of the test cases. All of the above
All of the above
These could include:
The selection of a team to do the tests cases.
The executing of user acceptance test cases.
The development of the test cases.
The test would need to be planned.
Which of the below software tools is not used during the testing phase of the SDLC?
Software to track and report issues during testing. Software to track future changes in requirements. Software to design automated testing scripts. Software to test performance by generating a simulated user load.
Software to track future changes in requirements.
There are many tools to aid in the testing of the system. These tools can simulate user load, track and report issues,
Changes in the future to the needs or requirements should be avoided, as this cannot always be compensated for at a later date. Changes could change the entire scope/dynamic of the SDLC.
he PMI (Project Management Institute) has identified 5 critical skills which a project manager should have. What are the 5?
These 5 would be considered: Communication Influence Problem-solving Leadership Negotiation
As a component of strategy planning, strategy analysis
would include which of the following?
Organizational assessments Environmental scan The strengths, weaknesses, threats, and opportunities of the organization. All of the above
All of the above
It would be a very important part of the planning process to know the organization’s strengths along with their weaknesses.
Any threats could also affect the results of the strategy.
An SDLC readiness assessment should be conducted:
During the planning phase. During the implementation phase. During the design phase. During the training phase.
During the design phase.
The readiness assessment is conducted before implementation, to assess the readiness of the organization for the implementation that will occur shortly. This should include hardware, environment, staff, etc.
The basic elements that would be included with visual design could include all of the following except?
Color palette Form Lines Implementing
Implementing
These basic elements could include: Color palette Form Lines Typography Shapes Texture Space
Usability is one of the major components of human-computer interaction. Which of the following would not be included as a usability topic?
User satisfaction Human factor Learning how to use a system Efficiency
Human factors
Human factor is not one of the usability topics. Other topics can include such things as the:
a. use of an application, b. error-free interactions, and c. the seamless fit of an information system to the task.
Which of the following Nielsen-Shneiderman Heuristic categories focuses on users understanding what the system is doing?
Consistency and standards. Visibility of system state. Match between system and world. Minimalist.
Visibility of system state.
This category also focuses on what users can do with the technology. This is via messages, information, and displays.
With regard to the life cycle of information systems, which of the following is the fourth and final phase?
Needs assessment. System selection. System implementation. Maintenance.
Maintenance.
Phase 1: Needs assessment
Phase 2: System selection
Phase 3: System implementation
Phase 4: Maintenance
