WGU Nursing Informatics Study Guide
1. Mutlidisciplinary Team Terminology: (SNOMED-CT)
Systematized Nomen- clature of Human and Veterinary Medicine
Clinical Terms- clinical terms covering nurisng, medicine, & allied
health
2. Standardized Terminology Supports: Data Mining
3. PHR - Private Health Record: Lifetime health record, supplied
by ind., health- care providers, pharmacies, therapist, lab test, -
Controlled by the consumer,
4. E-Sign: Same legal status as a hand written signature
5. MIPPA - Medicare Improvement for Patients & Providers
Act provides: fi- nancial incentive for e-prescribing to providers
6. HIPPA provides: legal 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
7. ARRA provides: provide funds for adoption of technology &
provides the right for every individual to receive and electronic
copy of EHR
1/8
,8. HITECH provides: strengthened HIPPA security & privacy
protection, & pro- vides financial incentive for the user of EHR
9. EMR -electronic medical record provides: Legal record often
restricted to a
Single episode of care , building block of EHR,
10. EHR- Electronic Health Record is: Longitudinal 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
11. Affordable Care Act provides: guarantee access to
healthcare, encourage
PCP,
12. Data is: collection of #, characters, or facts (body weight-
128lb), little meaning alone
13. Information is: Collection of data examined for patterns or
structure that can be interpreted. ex notes prior BP and informs
doc
14. Knowledge is: Synthesis of info from several sources to
produce a single concept or idea, ex read a journal about BP
2/8
, 15. Computer Technology is: collection of data for analysis,
which can be used to justify the efficacy of particular interventions
& improve quality of care
16. HIS HEalthcare Information System is: Administrative
System + Clinical
Information System,
Clinical Systems include: order entry, radiology, pharmacy,
physician management system
Adm system : non clinical, demographics, scheduling, risk mgmt,
decision support,
17. Administrative System includes these functions:
Managing nonclinical, client-related information (demographics,
codes for procedures, & Insurance
18. Hippa - Compliant Codes inlcude: (ICD) International
Classification of Dis- ease, Common Procedural Terms, (ABC)
Alternative Billing Codes,
19. ANA recognizes these terminologies: (CCC) Clinical Care
Classification, (ICNP) International Classification of Nursing
Practice, NANDA, NIC, NOC, the Omaha System, (PNDS)
Perioperative Nursing Data Set
3/8
1. Mutlidisciplinary Team Terminology: (SNOMED-CT)
Systematized Nomen- clature of Human and Veterinary Medicine
Clinical Terms- clinical terms covering nurisng, medicine, & allied
health
2. Standardized Terminology Supports: Data Mining
3. PHR - Private Health Record: Lifetime health record, supplied
by ind., health- care providers, pharmacies, therapist, lab test, -
Controlled by the consumer,
4. E-Sign: Same legal status as a hand written signature
5. MIPPA - Medicare Improvement for Patients & Providers
Act provides: fi- nancial incentive for e-prescribing to providers
6. HIPPA provides: legal 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
7. ARRA provides: provide funds for adoption of technology &
provides the right for every individual to receive and electronic
copy of EHR
1/8
,8. HITECH provides: strengthened HIPPA security & privacy
protection, & pro- vides financial incentive for the user of EHR
9. EMR -electronic medical record provides: Legal record often
restricted to a
Single episode of care , building block of EHR,
10. EHR- Electronic Health Record is: Longitudinal 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
11. Affordable Care Act provides: guarantee access to
healthcare, encourage
PCP,
12. Data is: collection of #, characters, or facts (body weight-
128lb), little meaning alone
13. Information is: Collection of data examined for patterns or
structure that can be interpreted. ex notes prior BP and informs
doc
14. Knowledge is: Synthesis of info from several sources to
produce a single concept or idea, ex read a journal about BP
2/8
, 15. Computer Technology is: collection of data for analysis,
which can be used to justify the efficacy of particular interventions
& improve quality of care
16. HIS HEalthcare Information System is: Administrative
System + Clinical
Information System,
Clinical Systems include: order entry, radiology, pharmacy,
physician management system
Adm system : non clinical, demographics, scheduling, risk mgmt,
decision support,
17. Administrative System includes these functions:
Managing nonclinical, client-related information (demographics,
codes for procedures, & Insurance
18. Hippa - Compliant Codes inlcude: (ICD) International
Classification of Dis- ease, Common Procedural Terms, (ABC)
Alternative Billing Codes,
19. ANA recognizes these terminologies: (CCC) Clinical Care
Classification, (ICNP) International Classification of Nursing
Practice, NANDA, NIC, NOC, the Omaha System, (PNDS)
Perioperative Nursing Data Set
3/8
