21st Century Cures Act 2016 - Answers Enacted to accelerate the use, design, and development
of new technologies needed to support care delivery (medical device and digital health
application development). Also some aspect of mental health reform by quickening drug
approval.
In 2020, the Cures Act set the stage for health data interoperability and improved patient access
to their own health data by introducing new rules that advances interoperability by using
application programming interfaces (APIs), remove information blocking acts, and advance
consumers access to their own patient health data.
HITECH Act of 2009 - Answers Health Info Technology for Economic & Clinical Health Act
passed as part of the American Recovery and Reinvestment Act (ARRA) stimulated the rapid
adoption of EHRs in the US.
Set forth the "meaningful use" program (renamed to Promoting Interoperability in 2018) to
provide incentives to move over to electronic health records.
Added provisions to HIPAA with the updated requirements being known as the Omnibus HIPAA
rule. These provisions significant expanded individual rights and increased protection and
control over health information while also increasing penalties for violation. The act also
requires the Dept of HHS to perform audits, increase penalties for noncompliance, and outlines
breach notification requirements.
TIGER - Answers Technology Informatics Guiding Education Reform began in 2006 to establish
that all practicing nurses should be equipped with the skills necessary to practice in the
technology-driven world of healthcare.
Moved to include other areas outside one nursing in 2014 and focuses today on education
reform.
Competency domains include direct patient care, administration, engineering/IS, informatics, &
research/biomedical
, Competency quadrants include administrative, clinical, communication, health data, operational,
and patient
Internet of Things (IoT) - Answers Refers to a network of physical devices, like appliances,
vehicles, and everyday objects, embedded with sensors and software that allows them to
collect and exchange data with each other over the internet, essentially enabling "things" to
communicate and interact without direct human intervention; creating a connected ecosystem
where devices can monitor and control various aspects of their environment
NIST - Answers National Institute of Standards and Technology provides guidance on
cybersecurity frameworks for health care
CPT - Answers Current Procedural Terminology - medical, surgical, and diagnostic services
rendered for insurance claims
CDC- PHIN/VADs - Answers Center for Disease Control Public Health Information
Network/Vocabulary Access and Distribution System: Patient characteristics like gender and
date of birth
HCPCs - Answers Healthcare Common Procedure Coding System: Non-Nursing, medical,
surgical, and diagnostic services rendered for insurance claims. Codes used for outpatient
services and supplies
ICD-10-CM - Answers International Classification of Diseases, 10th Revision - a system
comprised of medical classifications for clinical codes
ICD-10-PCs - Answers International Classification of Diseases, 10th Revision - a system
comprised of medical classifications for procedural codes
ISO-639 - Answers International Organization for Standardization Standard - Language codes
LOINC - Answers logical observation identifiers names and codes. Standard for identifying
laboratory results for exchange. Used as mapping mechanism.
RXNORM - Answers A clinical drug nomenclature developed by the Food and Drug
Administration, the Department of Veterans Affairs, and HL7 to provide standard names for
clinical drugs and administered dose forms
SNOMED CT - Answers Systematized Nomenclature of Medicine Clinical Terminology. Used for
diagnoses, interventions, and outcomes
Cloud-based or cloud computing - Answers cloud computing means storing and accessing data
and programs over the internet instead of on the computers hard drive
Data mart - Answers a subject-oriented subset of data warehouse using a structured access
pattern to retrieve client facing data