Mutlidisciplinary Team Terminology - ANS(SNOMED-CT) Systematized Nomenclature of Human
and Veterinary Medicine Clinical Terms- clinical terms covering nurisng, medicine, & allied
health
Standardized Terminology Supports - ANSData Mining
PHR - Private Health Record - ANSLifetime health record, supplied by ind., healthcare
providers, pharmacies, therapist, lab test, - Controlled by the consumer,
E-Sign - ANSSame legal status as a hand written signature
MIPPA - Medicare Improvement for Patients & Providers Act provides - ANSfinancial incentive
for e-prescribing to providers
HIPPA provides - ANSlegal 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 - ANSprovide funds for adoption of technology & provides the right for every
individual to receive and electronic copy of EHR
HITECH provides - ANSstrengthened HIPPA security & privacy protection, & provides financial
incentive for the user of EHR
EMR -electronic medical record provides - ANSLegal record often restricted to a Single episode
of care , building block of EHR,
EHR- Electronic Health Record is - ANSLongitudinal 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 - ANSguarantee access to healthcare, encourage PCP,
Data is - ANScollection of #, characters, or facts (body weight- 128lb), little meaning alone
Information is - ANSCollection of data examined for patterns or structure that can be interpreted.
ex notes prior BP and informs doc
, Knowledge is - ANSSynthesis of info from several sources to produce a single concept or idea,
ex read a journal about BP
Computer Technology is - ANScollection of data for analysis, which can be used to justify the
efficacy of particular interventions & improve quality of care
HIS HEalthcare Information System is - ANSAdministrative 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 - ANSManaging nonclinical, client-related
information (demographics, codes for procedures, & Insurance
Hippa - Compliant Codes inlcude - ANS(ICD) International Classification of Disease, Common
Procedural Terms, (ABC) Alternative Billing Codes,
ANA recognizes these terminologies - ANS(CCC) Clinical Care Classification, (ICNP)
International Classification of Nursing Practice, NANDA, NIC, NOC, the Omaha System,
(PNDS) Perioperative Nursing Data Set
Teleconferencing is - ANSuse 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 - ANSelectronic media to present instruction, it allows users to skip
information they already know
Distance Education is - ANSthe 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 - ANSthe attributes & resources of the internet to deliver & support
education
Telehealth is - ANSuse 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 - ANStelecommunications & computer technology for the delivery of nursing care
& services to clients at other sites