WGU Nursing Informatics
Mutlidisciplinary Team Terminologycorrect answer(SNOMED-CT) Systematized Nomenclature of Human
and Veterinary Medicine Clinical Terms- clinical terms covering nurisng, medicine, & allied health
Standardized Terminology Supportscorrect answerData Mining
PHR - Private Health Recordcorrect answerLifetime health record, supplied by ind., healthcare providers,
pharmacies, therapist, lab test, - Controlled by the consumer,
E-Signcorrect answerSame legal status as a hand written signature
MIPPA - Medicare Improvement for Patients & Providers Act providescorrect answerfinancial incentive
for e-prescribing to providers
HIPPA providescorrect answerlegal protection for personal health info, set standards for elect. data
interchange of claims data, named specific code sets for use in Medicare related transactions, & Privacy
ARRA providescorrect answerprovide funds for adoption of technology & provides the right for every
individual to receive and electronic copy of EHR
HITECH providescorrect answerstrengthened HIPPA security & privacy protection, & provides financial
incentive for the user of EHR
EMR -electronic medical record providescorrect answerLegal record often restricted to a Single episode
of care , building block of EHR,
EHR- Electronic Health Record iscorrect answerLongitudinal record that includes client data,
demographics, clinician notes, medications, diagnostics.
- Major driver for US Adoption are "Meaningful Use" financial incentives from HITECH part of ARRA
, Affordable Care Act providescorrect answerguarantee access to healthcare, encourage PCP,
Data iscorrect answercollection of #, characters, or facts (body weight- 128lb), little meaning alone
Information iscorrect answerCollection of data examined for patterns or structure that can be
interpreted. ex notes prior BP and informs doc
Knowledge iscorrect answerSynthesis of info from several sources to produce a single concept or idea, ex
read a journal about BP
Computer Technology iscorrect answercollection of data for analysis, which can be used to justify the
efficacy of particular interventions & improve quality of care
HIS HEalthcare Information System iscorrect answerAdministrative System + Clinical Information System,
Clinical Systems include: order entry, radiology, pharmacy, physician management system
Adm system : non clinical, demographics, scheduling, risk mgmt, decision support,
Administrative System includes these functionscorrect answerManaging nonclinical, client-related
information (demographics, codes for procedures, & Insurance
Hippa - Compliant Codes inlcudecorrect answer(ICD) International Classification of Disease, Common
Procedural Terms, (ABC) Alternative Billing Codes,
ANA recognizes these terminologiescorrect answer(CCC) Clinical Care Classification, (ICNP) International
Classification of Nursing Practice, NANDA, NIC, NOC, the Omaha System, (PNDS) Perioperative Nursing
Data Set
Teleconferencing iscorrect answeruse of computers, audio, & video equip. and high-grade dedicated
telephone line, cable/sat connections to provide interactive communication between 2+ ppl at 2+ sites
