WGU C798 Nursing Informatics Correct 100%

Knowledge is - ANSWER Synthesis of info from several sources to produce a single concept or idea, ex read a journal about BP Computer Technology is - ANSWER collection of data for analysis, which can be used to justify the efficacy of particular interventions & improve quality of care HIS HEalthcare Information System is - ANSWER 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, Administrative System includes these functions - ANSWER Managing nonclinical, client-related information (demographics, codes for procedures, & Insurance Hippa - Compliant Codes inlcude - ANSWER (ICD) International Classification of Disease, Common Procedural Terms, (ABC) Alternative Billing Codes, ANA recognizes these terminologies - ANSWER (CCC) Clinical Care Classification, (ICNP) International Classification of Nursing Practice, NANDA, NIC, NOC, the Omaha System, (PNDS) Perioperative Nursing Data Set Teleconferencing is - ANSWER use of computers, audio, & video equip. and high-grade dedicated telephone line, cable/sat connections to provide interactive communication between 2+ ppl at 2+ sites Elearning provides - ANSWER electronic media to present instruction, it allows users to skip information they already know Distance Education is - ANSWER the use of print, audio, video, computer, or teleconference capability to connect faculty & students; Can take place in real time or on a delayed basis Web Based Instruction is - ANSWER the attributes & resources of the internet to deliver & support education Telehealth is - ANSWER use of telecommunication technologies & computers to provide healthcare info & services to clients at another location - consumers are chronically ill, isolated, assisted living families - decrease er visits, decrease LOS, decrease Admissions, increased productivity for clinical Telenursing is - ANSWER telecommunications & computer technology for the delivery of nursing care & services to clients at other sites Issues with telehealth & telenursing are - ANSWER lack of reimbursement, infrastructure, plug-play standard, license & liability issues, & concerns r/t to client privacy & confidentiality EBP- Evidence Based Practice is - ANSWER the use of research & evidence to inform clinical practice, an approach to provide care that integrates nursing experience & intuition with valid and current clinical research to achieve the best patient outcomes EBP provides - ANSWER standardized best practices, reduce time that the nurse spends gathering & assessing data, provide care w/ clinical research EBP contributes - ANSWER increased job satisfaction, improved quality of care how a nurse uses data - ANSWER 1. accessing information 2. collecting data 3. Inputting Data 4. analyzing data quantitative research - ANSWER concerned with objectivity, tight control over situations, define relationships between variables, seek correlation between data, ex. tries to discover how an intervention has impacted subjects IN DEPTH, tangible relations between variables, qualitative research - ANSWER concerned w/ finding out more about the human experience, accomplished thru interviews & over a long period of time, ex. how an intervention could impact an entire population, content analysis, computers can code responses to questionnaires which then can be inputted in the informatics sys for analysis, types of patient information are - ANSWER 1. standard 2. general 3. targeted 4. personalized 5. tailored Standard patient information is - ANSWER describes procedures that all patients will encounter, ex temperature or weight General patient information is - ANSWER ask consumers to follow a PREVENTIVE course of treatment that applies to everyone ex yearly physical Targeted patient information is - ANSWER geared toward ppl who are a SUBSET of the general population ex men >40 prostate exam Personalized information is - ANSWER gives info about a SPECIFIC condition the consumer has been diagnosed with ex. DMII Tailored Information is - ANSWER information that focuses Specifically on Ind Based on Specific Conditions , it is typically gleaned from EHR or EMR Telemedicine - ANSWER improve pt outcomes by permitting pts to remain at home, allows pts to communicate w/ provider about blood glucose test or video conference w/ them directly to develop pt specific education opportunities, directed by doctors TIGER means - ANSWER Technology Informatics Guiding Education Reform ARRA means - ANSWER American Recovery & Reinvestment Act HITECH - ANSWER Health Information Technology for Economic & Clinical HEalth CPOE - ANSWER Computerized Physician order entry - needs downtime procedure or policy prior to implementation - DSS - ANSWER Decision Support Software Info Life Cycle is - ANSWER 1. Needs assessment 2. System selection 3. Implementation 4. Maintence Input devices - ANSWER enter info into the computer such as keyboard, touchscreen, mouse, microphone 2nd storage examples - ANSWER hard disk, usb, dvd out put devices - ANSWER use to see info such as computer screen, printer, projector, speakers Software - ANSWER interprets data by binary code, tells the computer what to do at a given moment, operating system - ANSWER tells how to move, share, and treat files. It also provides a user interface that enables the user to enter info, ex windows application - ANSWER to perform a certain function; designed to document pt & provider activity ex physician orders network - ANSWER connect mult computers in different locations LAN - ANSWER connect a few computers to the server, over large area ex docs place orders remotely at home IntrAnet and extranet - ANSWER IntrAnet- private networks that can not be accessed outside the organization Extranet- network outside the company that enables customers & suppliers access to the services System Check - ANSWER help guide thru data collection process, ex. patient allergies to prevent conflict EDI Electronic data interchange - ANSWER permits mult systems to acquire & share data Nursing Information System - ANSWER standardized nursing language (SNL), 2 main approaches, 1. Nurisng Process Approach & Critical Pathway- mult discp. teams thru out, physicians orders are present for the multdisc team to observe & follow, allows the the multdisc. team to update the plan of care when variances in the pts condition are noted 2. Protocol Approach- streamline doc of assessment, med info, discharge info, education Firewall - ANSWER between hardware & software interfacing types - ANSWER 1. point to point - enables to sys to communicate 2. Interface PACS - ANSWER allows digital manipulation Store & Forward - ANSWER Part of telehealth, ex xray from clinic sent to hospital clincal codes - ANSWER designate concepts to facilitate development of EBP clinical term - ANSWER enables the capture of data for patient care documentation Clinical Decision Support System - ANSWER designed to support health care providers in making decisions about the delivery & mgmt of patient care Consultant - ANSWER expert advice, opinions, & recommendations 4 concepts of nursing informatics - ANSWER 1. data 2. information 3. knowledge 4. wisdom Decision Support - ANSWER recommendations for interventions based on computerized care protocols. ex additional screening, medication interactions, drug dosages Informatics Innovator - ANSWER process of making enhancements or improvements, creative, Informatics Nurse - ANSWER RN w/ an interest or experiece working in an informatics field Novice - ANSWER beginner w/ no experience with the situations in which they are expected to perform a task - taught rules to guide actions 3 sciences of informatics - ANSWER 1. nursing science 2. information science 3. computer science Clinical Decision Support System Examples - ANSWER reminders, alerts, drug checking, guidelines, protocols, image recognition, allergy to drug CPU - ANSWER consist of computer chip that processes all the computers functions & uses "brain" Data integrity - ANSWER means that whenever the data are accessed by a user, the data are as complete as when entered or created Information Mgmt - ANSWER to ensure that the right info. is available to the people at the right time; information is managed properly, Knowledge Mgmt - ANSWER system that enables organizations to learn from their staff to improve performance, help accumulate & store the collective knowledge Experienced Nurse - ANSWER expected to more fully integrate informatics throughout the course of practice, not just for basic data entry & retrieval Informatics Nurse - ANSWER advance knowledge & profienciency in the use of IT as it applies to nursing practice Internet Security Measures - ANSWER 1. Firewall- prevent unwanted access to the sys & its information 2. Limit web page access 3. Server Security- information is stored should not be able to access other systems if attacked 4, Update Security Software Considerations for New Informatics System - ANSWER 1. Technical Specifications - How much downtime for maintenance 2. Response Time- time it takes the sys to process a request 3. Architecture-structure of the sys, open system to communicate together 4. Connectivity-able to interface with the sys in mult ways 5. Testing- tested in different place than it is being used, no sys maintenance can be done w/ little inconvience 6. Compatibility- w/ other systems, Interfacing 2 Types - ANSWER 1. Point to Point- enables 2 sys to communicate, expensive, has to have completely customized program 2. Interface Engine -interfacing across several different sys Smart Technology - ANSWER links, syncs, & compiles disparate bits of info from different sys into a coherent one stop, real time documentation, provides reminders, Stages of EMR adoption - ANSWER 0- organization has not installed all 3 key ancillary department sys (lab, pharm, & radiology) 1- all 3 key ancillary are installed 2- CDR-clinical data repository provides physician access for reviewing orders & results, Possibly HIE capable 3- Nursing/Clinical Documentation, eMAR, first level of clinical decision support is implemented 4-CPOE implemented 5- Closed loop med administration w/ Bar codes is implemented, 5 rights of medication adm 6. Full Physician Documentation , Full radiology PACS 7-No more paper charts, P4P - ANSWER Pay for Performance is an outgrowth of Affordable Health Care Act, reward providers when pts have good outcomes Single Risk Pool - ANSWER prevent insurers from using insurance pools with markets to get around market reforms & charge ppl w/ greater health problems higher premiums by increasing their premiums at higher rates Catastrophic - ANSWER lower premiums, protect against high out of pocket costs, and cover recommended preventative services Needs to be integrated - ANSWER ICD-9, G-Codes, ICD-10, CPT, HCSPC Does not need to be integrated - ANSWER C-3P0, RUGs Telehealth Options - ANSWER 1. Store & Forward- items are transferred to experts who read and interpret information and send back results 2. Real Time- interactive conferencing Nursing Informatics Definition - ANSWER integration of nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom into nursing practice Computer Literacy vs Information Literacy - ANSWER Computer Lit- a familiarity with the use of personal computers Information Lit- Ability to recognize when information is needed as as the skills to find, evaluate, and use information Computer System consist of - ANSWER hardware, software, data, procedures, and users Computer Hardware consist of - ANSWER input device, the CPU, secondary storage, and output device Network - ANSWER a combination of hardware and software that allows communication and electronic transfer of information between computers Example of Operating System - ANSWER Windows Xp Example of application System - ANSWER Microsoft Word Bit - ANSWER Smallest unit of data WWW - ANSWER an information service that provides access to Internet resources by content instead of file name Services of the internet include - ANSWER file transfer, email, instant messaging Web 2.0 - ANSWER online tool that permits collaboration and sharing online, such as facebook, twitter; Provides education- wikis, web logs, virtual worlds, facebook HIS - ANSWER group of systems used within a hospital that support and enhance client care CIS- - ANSWER used to access client data that are used to plan, implement, and evaluate care EMR - ANSWER electronic version of the client data found in the traditional medical record Basic Components of the EMR - ANSWER clinical messaging & email, data repository, and clinical documentation EHR information includes - ANSWER past medical history, demographics, immunizations, and medication history Bar Code Arm Bands provide - ANSWER patient health record, medications Registration System - ANSWER HIS is used to collect and store client identification and demographics data that are verified and updated at the time of ea