WGU Information Management - C468 Flashcards Quizlet PDF

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Summary

to prepare OA for information managemnt and application technology...

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WGU Information Management - C468 Flashcards | Quizlet

WGU Informa on Management - C468

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Terms in this set (117) Defined as the ability to recognize when Information literacy

information is needed as well as the skills to find, evaluate and use needed information effectively

Information

Term used to describe data that has been interpreted

Focus on how to gather, process and transform information into knowledge. It also incorporates features from 5 other sciences Information science

-communication science -computer science -social science -library science -cognitive science

Using the EHR to document care of a patient with a Information systems

fractured femur is an example of using the EHR in which way

h

Simulation Technology

Allowing them hands-on practice and immediate

Improving patient outcomes.

feedback of the skill being learned 6

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WGU Information Management - C468 Flashcards | Quizlet

WGU Information Management - C468 Knowledge worker

Study

-use technology to support and inform nursing practice -generate knowledge as a product

Expected to fully integrate informatics throughout Expert/Experienced Nurse

the course of his/her practice, not just for basic data entry and retrieval. They also know how to pull trends out of data

Nursing informatics

Nursing informatics as a specialty does have its own National certification exam

Clinical practice guidelines can allow for the Clinical practice guidelines

creation of nursing policies. True rooted in evidenced based research

Information technologies, not

CPOE, bar code medication administration, and

systems but functions within a

clinical decision support are all examples of what

system

Computerized Physician Order Entry (CPOE)

The name used to describe the process by which the physician or provider enters orders electronically into the EHR

A radio frequency identifier (RFID) is a type of RFID

(information) technology that is used to identify and track supplies and medications within a healthcare environment

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WGU Information Management - C468 Practice

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nursing practice True, examples of clinical decision support

The use of technology and information to help Nursing informatics

support all aspects of nursing practice

The basis for which knowledge is used to meet the needs of the healthcare delivery system The foundation of knowledge model

It is derived from its 3 key elements of knowledge acquisition, knowledge processing and knowledge dissemination

Data (not information until it

A patients height, weight, code status, and date of

has been analyzed)

birth are all examples of what

Less consumer accountability

Mission

Not an emerging trend in healthcare

The purpose or reason for an organizations existence

The development of a comprehensive long range Strategic planning, long-range

plan for guiding the activities and operations of an organization

They will need to be trained on the system

Strategic Planning

h

Why is it not important that selection committee board members understand software and electronic processes

Strategic planning is not driven by short term goals as Strategic Planning is a LONG TERM GOAL 6

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WGU Information Management - C468 Flashcards | Quizlet

WGU Information Management - C468

Needs assessment

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During which phase of the information life cycle should the "musts" and "wants" be determined

1. Needs assessment phase Information Life Cycle Phases

2. System selection phase 3. System implementation phase 4. Maintenance phase

Project scope

Term that defines the size and details of a collaborative effort

Nurses active participation in

To ensure the information is current and accessible

Electronic Information

to the healthcare team

Importance

Project Implementation Team

Execution of system changes, active involvement in

Responsibilities

user participation, knowledge of current workflows

Company history

System Implementation Role

Continuous

EHR Essential Components

EHR Function h

A common request contained in a request for information (RFI) document includes what

Go-live planning, applying system changes as needed, end-user training

Term that best describes the life cycle of an information system

Evidence-based decision support, assessment findings, vital signs, demographic data

Bar-code medication administration 6

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WGU Information Management - C468 Flashcards | Quizlet

WGU Information Management - C468

Patient Support Example

EHR Primary Benefit

Study

Providing education material

One primary benefit of the EHR is a decreased wait time for diagnostic testing...FALSE

Primary goal of EHR functionality in contrast to that EHR Main Goal

of a health information system is promoting patient safety

Broad term used to describe administrative and HIS Health Information System

clinical systems to streamline work flow processes efficiency

Is waiting until the end of the shift to chart patient assessments a barrier to patient centered care...Yes, Barrier to patient centered

chart in real time.

care

Computer position can be a barrier if it is placed between the provider and the patient...pay attention to your patient.

Standardization of Data and

What potential challenge can occur when

Different data needs of each

implementing an EHR in a medical center with

clinic

various outpatient clinics

Local Area Network (LAN)

What is the type of connection is needed to access

access

the EHR when an internet connection is lost

EHR Information Includes

h

Immunization history, CT scan results, date of birth

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The EHR is a longitudinal electronic patient record EHR

of all health care encounters...carries with the patient (longitudinal)

Medication Administration

Barcode ID badge, fingerprint

System (Pyxis) Access

Order entry system

Type of health information system that ensures the accuracy of physician orders

ADT System (Admission,

A registration system is also commonly refereed to

discharge, transfer)

as

Health information systems

A group of systems used within the hospital to support and enhance healthcare

It is important to secure staff nurses active participation when implementing a health HIS Implementation Nursing

information system b/c the nurses knowledge of current patient care workflow may improve implementation decisions

Standardized Terminologies

They improve communication within the

important to nursing

interdisciplinary team

HIS Examples

h

Laboratory system, pharmacy system, registration system

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the perioperative experience

Standardized Terminologies in

Accessibility, ubiquity, longevity, reusability

Nursing Informatics Development is Driven by what Principles

Collaboration when selecting a

Collaboration leads to knowledge sharing

Health Care System

Administrative Information

Scheduling system, financial system, admission,

System Examples

discharge and transfer (ADT) system

Clinical Information Systems Examples of Effectiveness

HL7 (Health Level 7)

The information retrieved can be used to foster research, improves nursing documentation compliance, It can improve clinician workflow

Acronym used to refer a standard of interoperability and exchange of clinical data

Manage the expenses and revenue of providing Financial Systems are designed

healthcare, report and track fiscal outcomes as they

to do what

relate to organizational goals, help to determine the organizations strategic direction

EHR implementation

Identifying the different data needs for each

challenges in a medical center

specialty practice

with various specialties

h

Clinical Decision Support Tool

Takes specific patient data, analyzes it and provides

Characteristics

recommendations (next action)

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1. Commitment of resources Culture of Safety Principles

2. Cross collaboration 3. Blame free environment

Security Threats to

1. Unauthorized personal accessing equipment

data/information

2. Use of removable storage devices

Governing Authorities

1. HIPPA

protecting Information

2. ANA code of ethics

1. Patients have ownership rights to their records HIPPA Privacy Act

2. Patients can amend own records if information is incorrect

Physical - surveillance cameras, restricted areas, Physical/Logical Means of Protecting Information

hard copy records being shredded Logical - firewall protection, biometrics, authentication, automatic sign off on computers

Telehealth (Store and Forward Technology)

Means of transferring data or images from one location to another, most often used for pathology reports and radiology images

Access to care (removing geographical barriers), Telehealth Driving Factors

continuity of care, mobile devices, follow up calls, more patients than providers, increase in chronic diseases

h

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state they practice Telehealth

Clinical - imaging that needs to be read, mobile Telehealth (Clinical vs NonClinical Applications)

device to monitor patient, live video conferencing Non-clinical - online database search, administrative team using video conferencing

Nursing Informatics Concepts

Data, Information, Knowledge, Wisdom

Technical Specifications - Downtime for Maintenance Response Time - Time it takes system to process Informatics System Considerations

request Architecture - Structure of system, open comm. each other Connectivity - Interface the system in multiple ways Testing - In different place than being used Compatibility - With other systems

Collection of data for analysis used to justify the Computer Technology

efficiency of particular interventions & improve quality care

Computer Hardware

ANA Terminologies

h

Input device, CPU, Secondary Storage, Output Device

NANDA, NIC, NOC, CCC, ICNP, PNDA, Omaha System

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electronic copy of EHR

EMR Basic Components

CIS

Clinical Term

Computer System

CPOE

CPU

Clinical messaging, email, data repository, clinical docum

Access to client data to Plan, Implement, Evaluate Care

Enables the capture of data for patient care docum

Hardware, Software, Data, Procedures, Users

Needs downtime procedure or policy prior to implement

BRAIN, computer chip processes all computer functions and uses

NO integration

C-3PO and RUG's

EBP Attributes

Increased job satisfaction, improved quality of care

The use of research and evidence to inform clinical practice, an approach to provide care that EBP

integrates nursing experience and intuition with valid and current clinical research to achieve the best PT outcomes

EDI Electronic Data

Permits multiple systems to acquire and share data

Interchange

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care w/ clinical research

EMR

EMR Provides

HIPPA Compliant Codes

Electronic version of the client data found in the traditional medical record

Legal record often restricted to a single visit of care, building block of EHR

ICD, ABC, Common Procedural Terms

Legal protections for personal health info, set HIPPA Provides

standards for electronic data interchange of claims data, named specific code sets for use in Medicare related transactions and priv

HITECH (Health Information

Strengthened HIPPA security and privacy

Technology for Economic and

protection, provides financial incentive for user of

Clinical Health)

EHR

Nurse uses Data

Informatics Innovator

Informatics Nurse

h

Accessing Information, Collecting Data, Inputting Data, Analyzing Data

Process of making enhancements or improvements..creative

Advance knowledge and proficiency in the use of IT as it applies to nursing practice.

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WGU Information Management - C468 Interfacing Types

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program 2. Interface Engine - Interfacing across several different systems.

1. Firewall - Prevents unwanted access to the system and it's information Internet Security Measures

2. Limit web page access 3. Server Security - Information stored is not accessible to other systems if they are attacked 4. Update security software

Intranet - Private networks that cannot be accessed outside the organization Intranet/Extranet

Extranet - Network outside the organization that enables customers and suppliers access to the services.

MIPPA (Medicare Improvement

Financial Incentive for e-prescribing physicians

for Patients and Providers Act)

Lack of reimbursement, infrastructure, plug-play Telehealth Issues

standard, license and liability issues, concerns r/t privacy confident.

The synthesis of information from several sources to Knowledge

produce a single concept or idea Ex. journal about BP

LAN

h

Connect a few computers to the server over a large area ex. doc's placing orders from home.

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Combination of hardware and software that allows Network

communication & electronic transfer between computers Connects Multiple computers in different locations

Beginner w/ no experience with situations in which Novice

they are expected to perform a task...taught rules to guide actions

Integration of nursing science, computer science, Nursing Informatics

and information science to manage and communicate data, information, knowledge, and wisdom into nursing practice.

Standardized nursing language (SNL) 2 approaches 1. Nursing Process Approach & Critical Pathway Multi Disciplinary teams throughout. Physician orders are present for the team to observe and Nursing Information System

follow, allows the team to update the POC when variances in the PT condition are noted. 2. Protocol Approach - Streamline documentation of assessment, med info, discharge info and education

Concerned with finding out more about the human experience, accomplished through interviews and over a long period of time. EX How interventions Qualitative Research

could impact an entire population, content analysis, computers can code responses to questionnaires which can them be inputted in the informatics system for analysis.

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WGU Information Management - C468 Quantitative Research

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seek correlation between data. EX Tries to discover how an intervention has impacted subjects IN DEPTH, tangible relations between variables.

0-Organization 1. All 3 key ancillary departments (lab, pharm, radiology) installed 2. CDR - Clinical Data Repository provides physician access for reviewing orders and results. Possibly HIE Capable. EMR Adoption Stages

3. Nursing/Clinical Documentation - EMAR, first level of clinical decision support is implemented. 4. CPOE implementation 5. Closed loop med administration w/ bar codes is implemented, 5 rights of med. administration 6. Full physician documentation, full radiology and PACS 7. No more paper charts

Standard (temp, weight), General, Targeted, Patient Information

Personalized (specific info on condition pt has been dx with ex DII), Tailored (Gleaned from EMR EHR focuses specifically on conditions IND Based)

Improve pt outcomes by permitting pts to remain at home, allows pts to communicate w/ Telemedicine

provider about blood glucose test or video conference w/ them directly to develop pt specific education opportunities, directed by doctors

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WGU Information Management - C468 Flashcards | Quizlet

WGU Information Management - C468 Telehealth Options

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information and send back results 2. Real Time- interactive conferencing

...