Week 6: Information Tech. and Health/ Information Literacy Flashcards
________________administrations’ goal was universal EHR adoption in the United States by 2014.
Pres. G.W. Bush and Pres. Obama
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
exchange information
Anyone
Anything
Any technology
Anything related to patients’ health EXCEPT the practice of medicine
Telehealth (Broad)
Licensed person makes a diagnosis or performs a treatment (NP or MD) using technology
“Tele” varies by state (video is reimbursable, phone is not)
Telemedicine
______the ability to read, write, and understand health related information
Health literacy
________the use of information and technology to communicate, manage, knowledge, mitigate error and support decision making
Informatics
____________ form of telehealth that assists in tracking client data and facilitates the immediate transfer of information to the health care provider
Electronic monitoring devices
using telecommunications and video conferencing to provide health care outside the typical clinical setting
Telehealth
Using telecommunications and viedo conferencing to practice medicine outside of the typical clinical setting
Telemedicine
_________ the use of information and twchnology to communicate, manage knowledge, mitigate error, and support decision making
Informatics
_________ the integration of technology and physical devices with nursing knowledge and nursing clinical decision-making skills
Nursing informatics -
in _____ ANAN segresinated nursing informatics as its own specialty
1992
Scanning barcodes → has assisted greatly in improving client’s ____ and ______documentation to the electronic health record
safety and accurate
Electronic documentation guidelines:
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
President G.W. Bush and President Obama administration’s goal → universal EHR adoption in the US by ________
2014
_______→ a system that captures, processes, communicates, secures, and presents data about a pt
EHR
Serves as a primary source of information for pt care and quality → it is a knowledge tool (helps make decisions)
EHR system
\_\_\_\_\_\_\_\_\_\_ 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
“Meaningful Use”
what is the stages of “meaningful use”
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
what are the five “meaningful use” pillars?
Ensure privacy and security Improve population health Improve safety and quality Engage patients and families Coordinate care
Joint commission recommends that patient information be written at or below _____th grade level
5th grade level
_________ → 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
Client health literacy
_____________ 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
Personal health literacy -
HP 2030 goals for health literacy
How can we as nurses:
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
For providers (hospitals and physician practices) to qualify for EHR incentive payments, their EHR must be certified as a___________EHR by an independent agency
meaningful use
Academy of Medicine recommends that EHR systems offer eight functionalities
but the most important is
Computerized provider order entry (CPOE) with or without decision support
Clinical decision support
Clinician with ordering authority directly enters patient care orders into computer
is better bc
Eliminates lost orders and illegible handwriting
Prevents medical error
the computerized provider order entry will require _________
key infomration (such as the drug being given and dose)
Assistance with medication monitoring (max doses/cumulative dose)
Two specific functionalities are recommended as essential for improving the quality and safety of health care:
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
EHR systems must ensure authorized caregivers (like nurses) have information in their preferred presentation form. For example……
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
what are examples of informatics in nursing practice?
point of care technology
all links in the electronic health report
links to clinical pathways
an example of meaningful use being used is
tracking near misses, who needs flu shots, all providers have excess to the patient’s information
Computerized provider order entries are used to
prevent errors
the provider PUTS the order in
there is no verbal order!
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”
HIPPA
Telehealth
Is anyone, anything, and any technology
can be group meetings
Telemedicine
Is a licensed person makes a diagnosis or performs a treatment (NP, or MD) using technology
Proffesor nurses normally used _________ databases
CINAHL
What are the FIve specific criteria usedful in evualting a website?
Authority Objecitvity Accuracy Currency Usability
What is authority
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
Is the website an expert,,, look at the ________
authority
Objectivity is
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?
What is Accuracy?
are they backing up with research, and is there peer reviewed studies
example: poor studies showing a link between austim and vaccines
what is currency
dates,
has it been updated?
within 3 years?
Usability is decided by asking
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
healthy people 2030 goal is to make people improve _________
health literacy
