NR 599 midterm exam flashcards ()

  NR 599 midterm exam Terms in this set (110) Informatics science and art of turning data into information what concepts/sciences does informatics apply (3) computer science cognitive science information science What does computer science study the theory of underpinning information and computation and their implementation in computer systems Facets of computer science (4) hardware software communication solutions to related problems What does cognitive science study how the human mind works from an information processing perspective What does information science study retrieval and management of information and human-computer interaction What are the 2 levels of NI practice generalist informatics-nurse specialists NR 599 midterm exam Generalist in NI practice experience in the field and knowledgeable but notStudy educated at graduate level More sophisticated level of understanding and skills- graduate level training Informatics Nurse SpecialistInnovator Conducts informatics research and generates informatics theory Does every healthcare settingNo, but every setting requires at least a basic level have an informatics nurse or anof nursing-informatics competencies informatics nurse specialist? collecting data, turning it into information and what is knowledge work creating knowledge/wisdom Why is nursing informaticsbecause nurses are knowledge workers (taking data importantand turning it into information and knowledge) helps to: collect data see trends How can technology aid process information knowledge work create kowledge According to QSEN isYes informatics a key skill for optimal patient care NR 599 midterm exam How do standard ensure all professionals share the same Study understanding/meaning of a concept terminologies contribute to the development of knowledge clarifies communication facilitates research provides structure for support tools and EHRs In regards to the foundation ofknowledge acquisition knowledge model, what dodissemination standard terminologiesgeneration supportprocessing standard terminology structured/controlled what is knowledge accordingawareness that information can be used to make a to the textdecision the external process of testing,knowledge sensing and interacting is used to describe the internal process of thinkingknowledge or cognition is used to describe knowledge that is translatedwisdom into action is sometimes considered theknowledge highest form of common sense is ....... application of knowledge in awisdom practical way is ..... NR 599 midterm exam_________________ is a building block of knowledge information Study knowledge must be viable ---must be accessible, timely, and accurate what does that mean what are the 4 parts of theknowledge acquisition, dissemination, generation, foundation of knowledgeand processing model what is knowledge acquisition getting knowledge what is knowledgegiving or distributing knowledge dissemination what is knowledge processing analyzing, manipulating, or processing knowledge creation of new knowledge from old knowledge what is knowledge generation using experience or other input the model that humans arefoundation of knowledge model organic and constantly generate, acquire, process, and disseminate knowledge the study of storage ofcomputer science information through algorithm is ..... study of theoreticalcomputer science foundations of information and its application in computer systems NR 599 midterm examstudy of the mind and behavior as it pertains to information cognitive science Study processing study of the use andinformation science application of information in interactions with people / organizations integration of social science,information science library science, computer science, communication science, and cognitive science terminology approved bystandardized terminology general consent or an approving body nomenclatures, classificationsstandardized terminology systems, data sets, and code sets are all included in ...... system of rules for addingnomenclature terms used in art/science(such as nursing) a system of grouping like termsclassification into categories used to identify costs and outcomes -- not used in clinical documentation   NR 599 midterm examclassification used to create a catalog for discussion or info taxonomy Study retrieval utilization of classificationtaxonomy according to a predetermined system with the resulting catalog being used to provide a conceptual framework for dicussion/analysis/info retreival Collection of data organized indata set a specific manner international statistical classification of diseases and health related problems what is ICDdiagnosis codes (up to 6 characters) descriptions and classifications of known disease/injuries form of standardized terminology collection of morbidity/mortality stats automated clinical decision support What is ICD used for assignment of codes to medical dx and procedures associated with hospital utilization Current Procedural Terminology what is CPT billing codes   NR 599 midterm examWho maintains the ICD World health organization WHO Study who maintains CPT American medical association AMA CPT - american medical association, ICD world health organization Difference between ICD and CPT CPT more codes the interventions , ICD is more the diagnosis how many organizations are2 -- national like ANA, and international like ICN involved in changing standardized terminology In 2009, Congress amended HIPAA by passing the Health Information Technology for Economic and Clinical Health (HITECH) Act. This law updated What is HITECH? many of HIPAA's privacy and security requirements and was implemented through the HIPAA Omnibus Rule in 2013. development, adoption, and implementation of HIT What does Division A of the policies and standards and provides enhanced HITECH act address privacy and security protections for patient info medicare and medicaid HIT and provides the significant financial incentives to healthcare What does division B for the professional and hospitals that adopted HIT and HITECH act address engaged in meaningful use of EHRs as an incentive [rogram to assure EHRs are used Why was meaningful use according to standard to acheive quality, safety, and developed efficiency measures NR 599 midterm exam HITECH is part of: American Recovery and Reinvestment Act of 2009Study (ARRA) HITECH is title....division..... title XIII (13), division A of the ARRA offer financial incentive for meaningful use and What did the HITECH Act do? EHRs access to EHRs by all providersHITECH Act and providing every patient with an EHR are parts of the ........... any services or software that are sold for use as how does HITECH define part of health information used by healthcare health information technology professionals or patients HIT is key according to thebetter car NQS (National quality strategy)affordable care to achieve what 3healthy populations improvements what is certified EHREHR software that is approved by governing technologyagencies and meets specific standards linking healthcare providers, health plans, the what is electronic enterprisegovernment, and other interested parties integrationelectronically an EHR that supports clinical documentation and what is a qualified EHRdecisions and is capable of capturing, logging, and sharing that information NR 599 midterm exam what does a qualified EHR patients demographic and clinical health Study information including medical hx and a list of health contain problems what office was established byoffice of the national coordinator for health the HITECH actinformation technology (ONC) -an incentive program to encourage the adoption of EHR -doesn't cover the total cost of EHRs what is meaningful use -need to use EHR in a meaningful way (certain criteria had to be met) -fostered faster adoption rates of EHR EHR - the record, EHRS - the software that enables EHR versus EHRS use of the information CPOE (computerized practitioner order entry) EHRS includesCDS (clinical decision systems) practitioner documentation capability the degree to which individualshealth literacy have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions --- what is this   NR 599 midterm examthe use of digital technology to locate, navigate, manage, information literacy Study integrate, evaluate, create, and effectively communicate in a rapidly changing information environment in the pursuit of knowledge basic computer competency what are the TIGER information literacy competencies (3) information management determine needed information access information effectively what are the 5 competency analyze information to determine if search needs to standards for information be adjusted literacy for nursing *need to know all 5* use information for a purpose understands the issues with information use and ethically proceeds NR 599 midterm exam determine extent of info needed Study information literacy competency standards (6) access needed info effectively evaluate info and its source critically Incorporate selected info into knowledge base use info effectively to accomplish purpose understand economic, legal, and social issues surrounding the of info and access and use info ethically and legally the ability to find and evaluateinformation literacy the quality of information determining quality ofinformation literacy information and navigating databases began in 2006, technology informatics guiding what is TIGER and what are theeducation reform -- guide education reform to 3 competenciesinclude information literacy, computer literacy, clinical information management familiar with computer use, navigate links, use computer literacy includes (3) database to access information NR 599 midterm exam using clinical decision systems (CDS) to protect PHIStudy , clinical information management includes (4) use reports for decision making participate in developing technologies use technology to communicate Stage 1: Data capture and sharing Meaningful use stagesStage 2:Advance clinical processes Stage 3:Improved outcomes what is the human-technologythe interaction between humans and software or interfacetechnology provides clinicians, staff, patients or other individuals with knowledge and person-specific Clinical Decision Supportinformation, intelligently filtered or presented at appropriate times, to enhance health and health care. computer skills Informatics Competenciesinformatics knowledge informatics skills start computer/log on to application Beginner nurse informaticsaccess and send email competenciescollect and enter patient data into the information system NR 599 midterm exam identify risks and limitations of surfing the internetStudy to find EBP info experienced nurse informatics competencies gather data to draw/synthesize conclusions explain how to maintain integrity of info resources fluent in nursing informatics and nursing terminologies Informatics nurse specialistapplies aspects of human technology interface to competenciesscreen, device, and software teach nurses how to locate, access, retrieve and evaluate info analyze systems transform software programs to support data informatics innovator analysis and aggregation competencies lead rresearch effores to determine application needs provides basis pf knowledge for adv nursing practice scientific underpinning includes sciences such as biology, physiology, ethics, and nursing nursing science NI scientific underpinninginformation science computer science NR 599 midterm exam health information systems are important to clinicalStudy practice General principles of nursing informatics ensure confidentiality of protected patient information assure access control of HIT knowledge, skills, and understanding to harness the What does informatics provide tools at hand and use them well to enact medical professionals improvement why is standard terminologyto represent, communicate, exchange, reuse, and important to the devlopmentreport data/information/knowledge in a meaningful of EHRway are standard terminologiesconcepts to allow for growth over time based on concepts or terms and why Each concept has a uniquecode, alphanumeric characters identifier known as a ....... which is made of............. What does the code of atracking data (for EBP, decision support, reports, concpet supportetc.) database of an individuals healthcare data during EHR basic definition healthcare encounters major benefit to electronicability to engage pts in their care and provide health infovenues to access caregivers virtually NR 599 midterm exambasic functions of electronic record systems clinical documentation clinical messaging Study hardware software Health Information Technology integrated technologies/related licenses is comprised of.. intellectual properties upgrades/packaged solutions Health information technologybetter care is a key element to achieveaffordable care what 3 goalshealthy populations/communities case management info system communication systems core business systems (ADT systems, financial systems, acuity systems, and scheduling systems) typs of information systems Order entry systems Patient care support systems (clinical documentation, pharmacy info, lab info, radiology info) Which information system isClinical documentation system aka CIS clinincal patient-centeredinformation systems What do patient-centeredcollect, process, and distrubute patient-centered information systems dodata to aid in managing and providing care NR 599 midterm examWhy are Clinical documentation systems they contain the observations, interventions, andStudy outcomes about the patient noted by the care team concidered to be patientcentered together......create ainformation systems comprehensive record of the patients medical history and support organizational processes anytime a human uses technology some type of What is human-technologyhardware or software enables and supports that interfaceinteraction and that hardware/software defines the interface ID badge cards defibrillator use PCA pump Examples of humanvital sign machine technology interfaces electric thermometers videoconferencing etc complexity of interfaces can cause errors human-technology interface workarounds (i.e. removing armband from pt to problems easiuly access it) Multiple false alarms or insiginificant alarms alarm fatiguecauseing nursies to ignore or slowlyy respond to alarms   NR 599 midterm exam digital natives young people who have grown up using the Study internet and social networking typically born after 1982 digital immigrants late adopters of technology