Week 6: Information Tech. and Health/ Information Literacy

Question 1

________________administrations’ goal was universal EHR adoption in the United States by 2014.

Answer 1

Pres. G.W. Bush and Pres. Obama

Question 2

For electronic health record (EHR) systems to have the greatest impact on cost and quality, they must be able to ______________ across systems and settings in a standardized manner

Answer 2

exchange information

Question 3

Anyone
Anything
Any technology

Anything related to patients’ health EXCEPT the practice of medicine

Answer 3

Telehealth (Broad)

Question 4

Licensed person makes a diagnosis or performs a treatment (NP or MD) using technology

“Tele” varies by state (video is reimbursable, phone is not)

Answer 4

Telemedicine

Question 5

______the ability to read, write, and understand health related information

Answer 5

Health literacy

Question 6

________the use of information and technology to communicate, manage, knowledge, mitigate error and support decision making

Answer 6

Informatics

Question 7

____________ form of telehealth that assists in tracking client data and facilitates the immediate transfer of information to the health care provider

Answer 7

Electronic monitoring devices

Question 8

using telecommunications and video conferencing to provide health care outside the typical clinical setting

Answer 8

Telehealth

Question 9

Using telecommunications and viedo conferencing to practice medicine outside of the typical clinical setting

Answer 9

Telemedicine

Question 10

_________ the use of information and twchnology to communicate, manage knowledge, mitigate error, and support decision making

Answer 10

Informatics

Question 11

_________ the integration of technology and physical devices with nursing knowledge and nursing clinical decision-making skills

Answer 11

Nursing informatics -

Question 12

in _____ ANAN segresinated nursing informatics as its own specialty

Answer 12

1992

Question 13

Scanning barcodes → has assisted greatly in improving client’s ____ and ______documentation to the electronic health record

Answer 13

safety and accurate

Question 14

Electronic documentation guidelines:

Answer 14

Never use anyone else’s login info
Password should be strong, unique, and should be changed frequently
Log off when documentation is complete
Never leave a computer station without logging off first
Computer monitor/screen should be protected to avoid information being seen by others
If an electronic signature is used, ensure your name is correct and professional credentials are noted

Question 15

President G.W. Bush and President Obama administration’s goal → universal EHR adoption in the US by ________

Answer 15

2014

Question 16

_______→ a system that captures, processes, communicates, secures, and presents data about a pt

Answer 16

EHR

Question 17

Serves as a primary source of information for pt care and quality → it is a knowledge tool (helps make decisions)

Answer 17

EHR system

Question 18

\_\_\_\_\_\_\_\_\_\_ incentive program by Medicare and Medicaid to adopt EHR
Rollout over several years with goals and different stages 
Stage 1 (2011-2012) → quality, safety, and efficiency, engage pts and families in their health care, improved care coordination, improved population and public health, privacy and security protections for PHI 
Stage 2 (2014-) → continuous quality improvement 
Stage 3 (~2016) → decision support tools and quality metrics

Answer 18

“Meaningful Use”

Question 19

what is the stages of “meaningful use”

Answer 19

Stage 1 (2011-2012) → criteria primary addressed the capture of health quality, safety, and efficiency, engage pts and families in their health care, improved care coordination, improved population, and public health, privacy and security protections for PHI 
Stage 2 (2014-) → continuous quality improvement 
Stage 3 (~2016) → decision support tools and quality metrics

Question 20

what are the five “meaningful use” pillars?

Answer 20

Ensure privacy and security 
Improve population health
Improve safety and quality
Engage patients and families
Coordinate care

Question 21

Joint commission recommends that patient information be written at or below _____th grade level

Answer 21

5th grade level

Question 22

_________ → the client’s ability to obtain, read, and understand basic health information. On average, health information is presented at a high school or college reading level

Answer 22

Client health literacy

Question 23

_____________ the degree to which individuals have the ability to find, understand, and use information and services to inform health-related decisions and actions for themselves and others

Answer 23

Personal health literacy -

Question 24

HP 2030 goals for health literacy

How can we as nurses:

Answer 24

Make sure health care providers checked their pts understanding
Decrease poor communication with their providers
Increase provider’s inclusion of pts making care decisions
Help people understand and navigate their online medical record
Help English language learners receive clear information
Increase health literacy of population

Question 25

For providers (hospitals and physician practices) to qualify for EHR incentive payments, their EHR must be certified as a___________EHR by an independent agency

Answer 25

meaningful use

Question 26

Academy of Medicine recommends that EHR systems offer eight functionalities
but the most important is

Answer 26

Computerized provider order entry (CPOE) with or without decision support
Clinical decision support

Question 27

Clinician with ordering authority directly enters patient care orders into computer
is better bc

Answer 27

Eliminates lost orders and illegible handwriting

Prevents medical error

Question 28

the computerized provider order entry will require _________

Answer 28

key infomration (such as the drug being given and dose)

Assistance with medication monitoring (max doses/cumulative dose)

Question 29

Two specific functionalities are recommended as essential for improving the quality and safety of health care:

Answer 29

clinical decision support

Examples: automatic reminders about preventive practices, drug alerts for dosing and interactions, and electronic resources for data interpretation and clinical decision making

Question 30

EHR systems must ensure authorized caregivers (like nurses) have information in their preferred presentation form. For example……

Answer 30

Data organized by source, caregiver, encounter, problem, or date
Data can be presented in detail or summary form
Tables, graphs, narrative, and other forms of information presentation must be accommodated

Nurses can set their own dashboards, frequent uses tabs, adjust for own patient assignment what they see on screen. STORY ABOUT FEVER GRAPH aided ability to diagnose

Question 31

what are examples of informatics in nursing practice?

Answer 31

point of care technology
all links in the electronic health report
links to clinical pathways

Question 32

an example of meaningful use being used is

Answer 32

tracking near misses, who needs flu shots, all providers have excess to the patient’s information

Question 33

Computerized provider order entries are used to

Answer 33

prevent errors
the provider PUTS the order in
there is no verbal order!

Question 34

Due to _____ if a nurse goes into charts of other patients they will be flagged and can be penalities bc of a “need to know basic”

Answer 34

HIPPA

Question 35

Telehealth

Answer 35

Is anyone, anything, and any technology

can be group meetings

Question 36

Telemedicine

Answer 36

Is a licensed person makes a diagnosis or performs a treatment (NP, or MD) using technology

Question 37

Proffesor nurses normally used _________ databases

Answer 37

CINAHL

Question 38

What are the FIve specific criteria usedful in evualting a website?

Answer 38

Authority
Objecitvity
Accuracy
Currency
Usability

Question 39

What is authority

Answer 39

Authority regarding the topic: author, and author’s credentials
Affiliation of the website is important
.edu = educational institutions
.org = nonprofit organization
.com = commercial enterprise
.net = Internet service provider
.gov = governmental body
.mil = military

Question 40

Is the website an expert,,, look at the ________

Answer 40

authority

Question 41

Objectivity is

Answer 41

Are the facts clearly being stated?
Is the purpose of the website clear?
Is the information factual or opinion?
Is the information primary or secondary in origin?
Who is sponsoring the site?
are they just doing this to make money?

Question 42

What is Accuracy?

Answer 42

are they backing up with research, and is there peer reviewed studies

example: poor studies showing a link between austim and vaccines

Question 43

what is currency

Answer 43

dates,
has it been updated?
within 3 years?

Question 44

Usability is decided by asking

Answer 44

Is the site well designed, stable, and easy to use?
Content should be error-free and readable by the intended audience
Links work?
Security warnings triggered?—pop up warnings

Question 45

healthy people 2030 goal is to make people improve _________

Answer 45

health literacy