Nursing Informatics Latest (Actual) Exam -
Solved Graded A
AACN - ANSWER-American Association of Colleges of Nursing.
organization that provides a voice for baccalaureate and higher degree nsg ed
programs in US.
provide curriculum elements and a framework for baccalaureate and higher degree
nsg programs.
established informatics as curriculum element for baccalaureate, master's, and
doctoral programs.
Baccalaureate: expected to provide skills needed to manage info and apply to pt
care technology.
MSN: expected to use pt care technologies to deliver and enhance care, use
communication technologies to integrate and coordinate care, analyze data to
improve pt outcomes, manage info for evidence based care and pt ed, use and
facilitate electronic health records (EHRs) to improve pt care.
Advanced practice grad should be able to answer questions that arise in practice,
use new knowledge to analyze the outcomes of interventions and initiate change,
use technology inclusive of information systems for the purpose of storage and
retrieval of data, and query databases for the purpose of using available research in
practice.
DNP graduates should be active participants in the design, selection, and use of IT
for the purpose of supporting patient care and healthcare systems
AACN-American Association of Colleges of Nursing - ANSWER-organization that
provides a voice for baccalaureate and higher-degree nursing education programs
in the United States, providing curriculum elements and a framework for
baccalaureate and higher-degree nursing programs.
established informatics as a curriculum element for baccalaureate, master's level,
and doctoral programs, albeit expectations differ by level of education.
Baccalaureate programs are expected to provide the skills needed to manage
information and apply patient care technology.
MSN graduates are expected to:
• Use patient care technologies to deliver and enhance care
• Use communication technologies to integrate and coordinate care
• Analyze data to improve patient outcomes
• Manage information for evidence-based care and patient education
• Use and facilitate electronic health records (EHRs) to improve patient care.
adaption - ANSWER-when a form or structure is modified to fit a changed
environment.
Administrative information systems - ANSWER-support client care by managing
financial and demographic information and providing reporting capabilities.
includes client mgt, financial, payroll, and HR, and quality assurance systems
adoption - ANSWER-is to take over an idea or practice as if it were one's own.
,Adoption happens at different rates for different people.
Background, exposure, experience, and generation have a significant impact on
how willingly or quickly people adopt new ideas, practices, or workflow.
A key element of a successful piece of smart technology is it is simple and intuitive
to use for all.
Advantages of an Information System - ANSWER-• Better access to information
• Enhanced quality of documentation through prompts
• Improved quality of client care
• Increased productivity
• Improved communications
• Reduced errors of omission
• Reduced hospital costs
• Increased employee satisfaction
• Compliance with agency regulations
• Common clinical database
• Improved client perception of care
• Enhanced ability to track records
• Enhanced ability to recruit/retain staff
• Improved hospital image
• Improved mandatory reporting capability
An IOM report (2006) noted problems with the healthcare delivery system,
including incentives for a high volume of services rather than quality services and
better outcomes. - ANSWER-same report calls for better coordination of care
among providers and across episodes of illness and identifies design principles for
payment for performance and its implementation.
An earlier report provides a set of starter measures.
The IOM notes that public reporting of outcomes would motivate improved provider
behavior and provide consumers with information that they could use to make
treatment decisions.
analyze decision support tools and system safeguards meant to enhance a safe
practice environment - ANSWER-...
analyze how patient data can be used to facilitate quality improvement - ANSWER-
...
analyze importance of interoperability in terms of knowledge sharing and
collaboration - ANSWER-Interoperability=The ability of two entities, human or
machine, to exchange and predictably use data or information while retaining the
original meaning of that data.
The need to exchange health data continues to grow in response to the demands
placed by managed care, consumers seeking improved levels of healthcare,
Meaningful Use requirements, and the mandate for comparative effectiveness
research. To derive the utmost benefit from data, it must have a consistent or
standard meaning across institution, enterprise, and alliance boundaries, facilitating
the exchange of client data.
,One major step in the integration process is the development of a uniform definition
of terms, or language. This is essential for the easy location and manipulation of
data. Uniform languages are essential to ensure semantic interoperability within
EHRs.
The Systematized Nomenclature of Medicine-Clinical Terms (SNOMED-CT) is
globally recognized as a common language for electronic health applications.
Health Level 7 (HL7)=A major standard for the exchange of clinical data for
integration is Health Level 7 (HL7). HL7 refers to both an organization and its
standards for the exchange of clinical data. The mission statement of Health Level 7
International states that its purpose is to provide standards for interoperability
"that improve care delivery, optimize workflow, reduce ambiguity and enhance
knowledge transfer among all of our stakeholders" .
HL7 provides a structure that defines data and elements and specifies how the data
are coded.
It is integration that allows data from many disparate information systems to be
accessed from one point by the user, but it is interoperability that allows for the
meaningful exchange of information that retains its meaning as it crosses from one
system to another, ultimately providing a complete record for
analyze issues surrounding use of decision support tools - ANSWER-...
analyze nurse's role in protecting electronically stored information - ANSWER-...
analyze potential barriers to patient-centered care created by the use of various
technologies - ANSWER-expensive.
using base platforms that have been in place since 1980's.
adaptation to adoption.
compliance with regulatory and reimbursement issues, Meaningful Use.
development of electronic infrastructure and cost.
lack of common vocabulary, privacy, security, and confidentiality issues, resistance
among caregivers, failure to adequately consider organizational change, determine
realistic timeline, lack of IT staff to create and support necessary infrastructure,
legal issues surrounding discovery of medical information.
need a testing and certification program to test and certify EHR technology.
analyze r/t ship b/t technologies and patient outcomes - ANSWER-...
analyze role of workflow analysis in advancing practice - ANSWER-...
analyze the impact of informatics technology on patient safety - ANSWER-...
Analyze the impacts of telehealth on the delivery of healthcare. - ANSWER-
Technology is a pervasive part of everyday life. It is an integral part of home
appliances and found throughout the healthcare delivery system. It is frequently
invisible to the user but does require a bevy of behind-the-scenes people to ensure
both its ongoing and optimal use. Technology will continue to develop and evolve in
ways that are difficult for us to imagine today. Devices will become smaller and
, easier to use. This process will extend the capabilities of providers and create new
disciplines. One area that is expected to have a large impact in the near future is
nanotechnology. Nanotechnology is the science and technology of engineering
devices at the molecular level.
Nanotechnology is already used in cosmetics and sunscreens and other industries.
Work is under way to create electrical circuits that would allow the development of
smaller computers, design new monitoring technologies, and develop smart drug
delivery systems. At this time the effects of nanotechnology on human health are
not known and will need to be monitored over time.
analyze the influence of technology on interdisciplinary collaboration - ANSWER-...
analyze the legal and ethical issues related to breaches of security and
confidentiality - ANSWER-Healthcare entities, as well as their business associates,
must notify individuals whose health information is breached within 60 days of that
breach.
The entity also needs to notify the DHHS and local news media if more than 500
individuals are affected by a breach of information security.
If data are encrypted, notification of a breach is not required. However, an entity
has to validate whether data encryption works and meets federal standards.
Patients can now restrict some disclosures of personal health information (PHI) in
certain circumstances.
These restrictions are limited in scope.
If a medical practice uses EHRs, the practice has to respond to patient requests for
an accounting of all PHI disclosures up to 3 years.
The Patient Protection and Affordable Care Act (Affordable Care Act), signed into
law in March 2010, brings major changes to the U.S. health system.
It guarantees access to healthcare for all Americans, creates new incentives to
change clinical practice to foster better coordination and quality of care, gives
practitioners more information so they can improve their clinical practice, gives
patients more information to help them become more value conscious, and changes
the healthcare payment system to reward value.
Analyze the potential benefits of telehealth for a specific population. - ANSWER-•
Consult with colleagues
• Conduct interviews
• Assess and monitor clients
• View diagnostic images
• Review slides and laboratory reports
• Extend scarce healthcare resources
• Decrease the number of hospital visits for patients with chronic conditions
• Decrease healthcare costs
• Tackle isolation and loneliness
• Provide health education
• Improve case management services
• Improve the equity of access to services
• Improve the quality of client care
Solved Graded A
AACN - ANSWER-American Association of Colleges of Nursing.
organization that provides a voice for baccalaureate and higher degree nsg ed
programs in US.
provide curriculum elements and a framework for baccalaureate and higher degree
nsg programs.
established informatics as curriculum element for baccalaureate, master's, and
doctoral programs.
Baccalaureate: expected to provide skills needed to manage info and apply to pt
care technology.
MSN: expected to use pt care technologies to deliver and enhance care, use
communication technologies to integrate and coordinate care, analyze data to
improve pt outcomes, manage info for evidence based care and pt ed, use and
facilitate electronic health records (EHRs) to improve pt care.
Advanced practice grad should be able to answer questions that arise in practice,
use new knowledge to analyze the outcomes of interventions and initiate change,
use technology inclusive of information systems for the purpose of storage and
retrieval of data, and query databases for the purpose of using available research in
practice.
DNP graduates should be active participants in the design, selection, and use of IT
for the purpose of supporting patient care and healthcare systems
AACN-American Association of Colleges of Nursing - ANSWER-organization that
provides a voice for baccalaureate and higher-degree nursing education programs
in the United States, providing curriculum elements and a framework for
baccalaureate and higher-degree nursing programs.
established informatics as a curriculum element for baccalaureate, master's level,
and doctoral programs, albeit expectations differ by level of education.
Baccalaureate programs are expected to provide the skills needed to manage
information and apply patient care technology.
MSN graduates are expected to:
• Use patient care technologies to deliver and enhance care
• Use communication technologies to integrate and coordinate care
• Analyze data to improve patient outcomes
• Manage information for evidence-based care and patient education
• Use and facilitate electronic health records (EHRs) to improve patient care.
adaption - ANSWER-when a form or structure is modified to fit a changed
environment.
Administrative information systems - ANSWER-support client care by managing
financial and demographic information and providing reporting capabilities.
includes client mgt, financial, payroll, and HR, and quality assurance systems
adoption - ANSWER-is to take over an idea or practice as if it were one's own.
,Adoption happens at different rates for different people.
Background, exposure, experience, and generation have a significant impact on
how willingly or quickly people adopt new ideas, practices, or workflow.
A key element of a successful piece of smart technology is it is simple and intuitive
to use for all.
Advantages of an Information System - ANSWER-• Better access to information
• Enhanced quality of documentation through prompts
• Improved quality of client care
• Increased productivity
• Improved communications
• Reduced errors of omission
• Reduced hospital costs
• Increased employee satisfaction
• Compliance with agency regulations
• Common clinical database
• Improved client perception of care
• Enhanced ability to track records
• Enhanced ability to recruit/retain staff
• Improved hospital image
• Improved mandatory reporting capability
An IOM report (2006) noted problems with the healthcare delivery system,
including incentives for a high volume of services rather than quality services and
better outcomes. - ANSWER-same report calls for better coordination of care
among providers and across episodes of illness and identifies design principles for
payment for performance and its implementation.
An earlier report provides a set of starter measures.
The IOM notes that public reporting of outcomes would motivate improved provider
behavior and provide consumers with information that they could use to make
treatment decisions.
analyze decision support tools and system safeguards meant to enhance a safe
practice environment - ANSWER-...
analyze how patient data can be used to facilitate quality improvement - ANSWER-
...
analyze importance of interoperability in terms of knowledge sharing and
collaboration - ANSWER-Interoperability=The ability of two entities, human or
machine, to exchange and predictably use data or information while retaining the
original meaning of that data.
The need to exchange health data continues to grow in response to the demands
placed by managed care, consumers seeking improved levels of healthcare,
Meaningful Use requirements, and the mandate for comparative effectiveness
research. To derive the utmost benefit from data, it must have a consistent or
standard meaning across institution, enterprise, and alliance boundaries, facilitating
the exchange of client data.
,One major step in the integration process is the development of a uniform definition
of terms, or language. This is essential for the easy location and manipulation of
data. Uniform languages are essential to ensure semantic interoperability within
EHRs.
The Systematized Nomenclature of Medicine-Clinical Terms (SNOMED-CT) is
globally recognized as a common language for electronic health applications.
Health Level 7 (HL7)=A major standard for the exchange of clinical data for
integration is Health Level 7 (HL7). HL7 refers to both an organization and its
standards for the exchange of clinical data. The mission statement of Health Level 7
International states that its purpose is to provide standards for interoperability
"that improve care delivery, optimize workflow, reduce ambiguity and enhance
knowledge transfer among all of our stakeholders" .
HL7 provides a structure that defines data and elements and specifies how the data
are coded.
It is integration that allows data from many disparate information systems to be
accessed from one point by the user, but it is interoperability that allows for the
meaningful exchange of information that retains its meaning as it crosses from one
system to another, ultimately providing a complete record for
analyze issues surrounding use of decision support tools - ANSWER-...
analyze nurse's role in protecting electronically stored information - ANSWER-...
analyze potential barriers to patient-centered care created by the use of various
technologies - ANSWER-expensive.
using base platforms that have been in place since 1980's.
adaptation to adoption.
compliance with regulatory and reimbursement issues, Meaningful Use.
development of electronic infrastructure and cost.
lack of common vocabulary, privacy, security, and confidentiality issues, resistance
among caregivers, failure to adequately consider organizational change, determine
realistic timeline, lack of IT staff to create and support necessary infrastructure,
legal issues surrounding discovery of medical information.
need a testing and certification program to test and certify EHR technology.
analyze r/t ship b/t technologies and patient outcomes - ANSWER-...
analyze role of workflow analysis in advancing practice - ANSWER-...
analyze the impact of informatics technology on patient safety - ANSWER-...
Analyze the impacts of telehealth on the delivery of healthcare. - ANSWER-
Technology is a pervasive part of everyday life. It is an integral part of home
appliances and found throughout the healthcare delivery system. It is frequently
invisible to the user but does require a bevy of behind-the-scenes people to ensure
both its ongoing and optimal use. Technology will continue to develop and evolve in
ways that are difficult for us to imagine today. Devices will become smaller and
, easier to use. This process will extend the capabilities of providers and create new
disciplines. One area that is expected to have a large impact in the near future is
nanotechnology. Nanotechnology is the science and technology of engineering
devices at the molecular level.
Nanotechnology is already used in cosmetics and sunscreens and other industries.
Work is under way to create electrical circuits that would allow the development of
smaller computers, design new monitoring technologies, and develop smart drug
delivery systems. At this time the effects of nanotechnology on human health are
not known and will need to be monitored over time.
analyze the influence of technology on interdisciplinary collaboration - ANSWER-...
analyze the legal and ethical issues related to breaches of security and
confidentiality - ANSWER-Healthcare entities, as well as their business associates,
must notify individuals whose health information is breached within 60 days of that
breach.
The entity also needs to notify the DHHS and local news media if more than 500
individuals are affected by a breach of information security.
If data are encrypted, notification of a breach is not required. However, an entity
has to validate whether data encryption works and meets federal standards.
Patients can now restrict some disclosures of personal health information (PHI) in
certain circumstances.
These restrictions are limited in scope.
If a medical practice uses EHRs, the practice has to respond to patient requests for
an accounting of all PHI disclosures up to 3 years.
The Patient Protection and Affordable Care Act (Affordable Care Act), signed into
law in March 2010, brings major changes to the U.S. health system.
It guarantees access to healthcare for all Americans, creates new incentives to
change clinical practice to foster better coordination and quality of care, gives
practitioners more information so they can improve their clinical practice, gives
patients more information to help them become more value conscious, and changes
the healthcare payment system to reward value.
Analyze the potential benefits of telehealth for a specific population. - ANSWER-•
Consult with colleagues
• Conduct interviews
• Assess and monitor clients
• View diagnostic images
• Review slides and laboratory reports
• Extend scarce healthcare resources
• Decrease the number of hospital visits for patients with chronic conditions
• Decrease healthcare costs
• Tackle isolation and loneliness
• Provide health education
• Improve case management services
• Improve the equity of access to services
• Improve the quality of client care
