WGU C798 Nursing Informatics Solved 100%

Mutlidisciplinary Team Terminology - ANSWER (SNOMED-CT) Systematized Nomenclature of Human and Veterinary Medicine Clinical Terms- clinical terms covering nurisng, medicine, & allied health Standardized Terminology Supports - ANSWER Data Mining PHR - Private Health Record - ANSWER Lifetime health record, supplied by ind., healthcare providers, pharmacies, therapist, lab test, - Controlled by the consumer, E-Sign - ANSWER Same legal status as a hand written signature MIPPA - Medicare Improvement for Patients & Providers Act provides - ANSWER financial incentive for e-prescribing to providers HIPPA provides - ANSWER 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 ARRA provides - ANSWER provide funds for adoption of technology & provides the right for every individual to receive and electronic copy of EHR HITECH provides - ANSWER strengthened HIPPA security & privacy protection, & provides financial incentive for the user of EHR EMR -electronic medical record provides - ANSWER Legal record often restricted to a Single episode of care , building block of EHR, EHR- Electronic Health Record is - ANSWER 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 Affordable Care Act provides - ANSWER guarantee access to healthcare, encourage PCP, Data is - ANSWER collection of #, characters, or facts (body weight- 128lb), little meaning alone Information is - ANSWER Collection of data examined for patterns or structure that can be interpreted. ex notes prior BP and informs doc 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