Access Levels- User can only see information that they have access to. (CNA cannot
see everything an RN can)
Administrative Safeguards of Electronic Health Information- Restricting access
of all authorized users of the EHR according to their position within the healthcare
system
Admission-Transfer-Discharge (ADT) System - Classified under the hospitals'
administrative info system. It’s one foundational system that allows operational
activities such as bed placement, transportation coordination, room readiness, & the
general coordination of services focused on the pt's phase of movement. Tracks pt's
activities & location from admission to discharge.
Admission discharge transfer (ADT) system is a type of administrative health
information systems that tracks a patient's activities and location from hospital or
clinic admission through any and all transfers within the facility and, finally, through
discharge.
American Recover & Reinvestment Act (ARRA) – Authorized incentive payments
to specific types of hospitals & healthcare pros for adopting & using interoperable
Health Information Technology & EHR’s. ARRA provides economic stimuli & incentives
for the adoption of EHRs.
**Health Information Technology for Economic & Clinical Health Act (HITECH
Act) – The HITECH Act provides funds & incentives to increase EHRs by providers,
improve policy decisions, & allocate services, funded workforce training, & new
technology research. HITECH strongly recommends increasing meaningful use of HIT
to decrease overall healthcare cost & to improve population health.
Differentiate the focus of the ARRA & the HITECH technology for economic &
clinical health Acts? ARRA: established incentive payments for eligible pros (EPs),
eligible hospitals, & critical access hospitals (CAHs) to promote the adoption &
meaningful use of Certified Electronic Health Record. HITECH: provided economic
stimuli & incentives for the adoption of EHR‘s. It also insured the collection of
aggregate data that could be used to improve policy decisions relative to allocation of
services & population health.
What is the difference between ARRA & HITECH? ARRA-Authorized incentive
payments to certain hospitals & health care pros for adopting & using HIT & EHRs.
Helps to stimulate the economy. HITECH-is a provision of ARRA that helped to ensure
, that healthcare organizations were not only adopting Electronic Health Records but
were using them following the recommendations of Meaningful use which includes
better quality, safety, & accuracy and by reducing inconsistencies in Health Care &
improving pt outcomes.
The HITECH Act directs eligible healthcare providers and healthcare organizations to
adopt electronic health records to improve the exchange of information and to
improve privacy and security protections for healthcare data.
The HITECH Act of 2009 provides the Department of Health and Human Services
(HHS) with the authority to establish programs to improve health care quality, safety,
and efficiency through the promotion of health IT, including electronic health records
and private and secure electronic health information exchange.
Which barrier to healthcare informatics use does the HITECH Act aim to
reduce? Financial
**Meaningful Use (MU) – Use of health information technology (HIT) legislated by
ARRA of 2009 to collect specific data w/ the intent to improve care & populations
health, engage pts, ensure privacy & security, w/ financial incentive from Medicare &
Medicaid to providers. (**Goals – engage pts, exchange data in an accurate/complete
way, improve pt care in a cost-effective way, improve healthcare overall**). **Used by
inpatient & outpatient settings. Enable providers to be financially compensated**
REQUIRES STANDARDIZED TERMINOLOGY (ALLOWS FOR UNIFORMITY & EASIER
RETRIEVAL OF NURSING-RELATED DATA)
What were 2 objectives of meaningful use as defined by the American
reinvestment & recovery act (ARRA)? Document patient collected data directly
into the EHR & submit electronic data to health information exchanges (HIEs)
**Meaningful Use (MU) Core Requirements - **Centers for Medicare &
Medicaid Services (CMS) developed** core criteria that defined basic functions of
EHRs must demonstrate. Basic entry of clinical information, requiring standardized
terminology across the board, use of several software applications, entry of clinical
orders w/ safety measures.
3 required stages include: stage 1 – electronic capturing & sharing of data
between hospitals/providers; stage 2 – requires pts to view, download, or transmit
, their health information online, capability for secure messaging between
providers/pts, & reporting public health measures, advancing clinical processes; stage
3 – focuses on the enhanced use of EHRs to promote Health Information Exchange &
Improve care, & improving pt outcomes (ex: electronic prescribing). Implemented in
2018.
Which government organization oversees the meaningful use program? The
centers for Medicare & Medicaid Services (CMS)
One of the goals of the 2016 CMS Quality Strategy calls for improving safety and
reducing unnecessary and inappropriate care, by teaching healthcare professionals
how to better communicate with people who have low health literacy and by more
effectively linking healthcare decisions to person-centered goals.
Which statement describes the application of meaningful use? Provider needs
to show the use of the EHRs technology.
Which act in 2009 did Meaningful Use originate? ARRA act in 2009
What Meaningful use stage can you generate & transmit Rx electronically?
Stage 3
What did meaningful use promote? Increased interoperability
Which statement describes the application of meaningful use? Patient
satisfaction is improved, which results in better patient satisfaction scores
What describes the goal of EHR incentive programs, such as meaningful
use? To promote the achievement of quality, safety, & efficiency measures
Identify five rights associated w/ meaningful use: Right information, right
person, right intervention format, right channel & right time & workflow.
Identify the importance of standardized terminologies for meaningful use?
Improves better communication among nurses & other healthcare providers. It also
Improves pt care leading to pt satisfaction & treatment adherence.
Relationship between standardized terminologies, quality improvement, &
financial rewards related to Meaningful Use? Use of health information
technology legislative by ARRA of 2009 to collect specific data w/ the intent to
improve pt care, engage pts in their own care, & to ensure privacy & security w/
financial incentives for Medicaid & Medicare to providers. If providers are all using the
same standard of terminology this will in turn give pts a better understanding & they
, will engage more in their own care. This will help meet meaningful use requirements,
thus providing financial rewards to providers.
The 21st Century Cures Act is designed to help accelerate medical product
development and bring new innovations and advances to patients who need them
faster and more efficiently. It also requires patient electronic health information be
made available to patients without delay (with few exceptions), at no cost.
What is the focus of the 21st century cures act? Act that recognizes pts need
more power in their healthcare & access to information is key to making that happen
What act puts pts in charge of their healthcare records? The 21st Century
Cures Act
One of the provisions of the 21st Century Cures Act is the elimination of information
blocking. Information blocking is defined as a practice by a health IT stakeholder that,
except as required by law or specified by the Secretary of Health and Human Services
(HHS) as a reasonable and necessary activity, is likely to interfere with access,
exchange, or use of electronic health information from provider to provider or
provider to patient.
The American Nurses Association Code of Ethics Provision 3 stresses that a
nurse’s obligation is to protect patients from harm. Protecting the patient’s right to
privacy and confidentiality protects the patient from harm.
** Merit-Based Incentive Payment System (MIPS) – QUALITY. Ensures Medicare
pts get the right care at the right time. Uses PQRS (physician quality reporting
systems) & Medicare EHRs that will be measured on quality, resource use, clinical-
practice environment, & meaningful use of EHRs technology. For physicians to qualify
for MIPS, they must bill Medicare more than $90,000/year & see more than 200
Medicare pts annually.
Which MIPS merit-based incentive payment system performance replaces MU for
physicians? HITECH act
Which merit-based incentive payment system (MIPS) performance category replaces
meaningful use for physicians? Quality of care
What do the goals of meaningful use & merit-based incentive programs have in
common? Improving quality of care
see everything an RN can)
Administrative Safeguards of Electronic Health Information- Restricting access
of all authorized users of the EHR according to their position within the healthcare
system
Admission-Transfer-Discharge (ADT) System - Classified under the hospitals'
administrative info system. It’s one foundational system that allows operational
activities such as bed placement, transportation coordination, room readiness, & the
general coordination of services focused on the pt's phase of movement. Tracks pt's
activities & location from admission to discharge.
Admission discharge transfer (ADT) system is a type of administrative health
information systems that tracks a patient's activities and location from hospital or
clinic admission through any and all transfers within the facility and, finally, through
discharge.
American Recover & Reinvestment Act (ARRA) – Authorized incentive payments
to specific types of hospitals & healthcare pros for adopting & using interoperable
Health Information Technology & EHR’s. ARRA provides economic stimuli & incentives
for the adoption of EHRs.
**Health Information Technology for Economic & Clinical Health Act (HITECH
Act) – The HITECH Act provides funds & incentives to increase EHRs by providers,
improve policy decisions, & allocate services, funded workforce training, & new
technology research. HITECH strongly recommends increasing meaningful use of HIT
to decrease overall healthcare cost & to improve population health.
Differentiate the focus of the ARRA & the HITECH technology for economic &
clinical health Acts? ARRA: established incentive payments for eligible pros (EPs),
eligible hospitals, & critical access hospitals (CAHs) to promote the adoption &
meaningful use of Certified Electronic Health Record. HITECH: provided economic
stimuli & incentives for the adoption of EHR‘s. It also insured the collection of
aggregate data that could be used to improve policy decisions relative to allocation of
services & population health.
What is the difference between ARRA & HITECH? ARRA-Authorized incentive
payments to certain hospitals & health care pros for adopting & using HIT & EHRs.
Helps to stimulate the economy. HITECH-is a provision of ARRA that helped to ensure
, that healthcare organizations were not only adopting Electronic Health Records but
were using them following the recommendations of Meaningful use which includes
better quality, safety, & accuracy and by reducing inconsistencies in Health Care &
improving pt outcomes.
The HITECH Act directs eligible healthcare providers and healthcare organizations to
adopt electronic health records to improve the exchange of information and to
improve privacy and security protections for healthcare data.
The HITECH Act of 2009 provides the Department of Health and Human Services
(HHS) with the authority to establish programs to improve health care quality, safety,
and efficiency through the promotion of health IT, including electronic health records
and private and secure electronic health information exchange.
Which barrier to healthcare informatics use does the HITECH Act aim to
reduce? Financial
**Meaningful Use (MU) – Use of health information technology (HIT) legislated by
ARRA of 2009 to collect specific data w/ the intent to improve care & populations
health, engage pts, ensure privacy & security, w/ financial incentive from Medicare &
Medicaid to providers. (**Goals – engage pts, exchange data in an accurate/complete
way, improve pt care in a cost-effective way, improve healthcare overall**). **Used by
inpatient & outpatient settings. Enable providers to be financially compensated**
REQUIRES STANDARDIZED TERMINOLOGY (ALLOWS FOR UNIFORMITY & EASIER
RETRIEVAL OF NURSING-RELATED DATA)
What were 2 objectives of meaningful use as defined by the American
reinvestment & recovery act (ARRA)? Document patient collected data directly
into the EHR & submit electronic data to health information exchanges (HIEs)
**Meaningful Use (MU) Core Requirements - **Centers for Medicare &
Medicaid Services (CMS) developed** core criteria that defined basic functions of
EHRs must demonstrate. Basic entry of clinical information, requiring standardized
terminology across the board, use of several software applications, entry of clinical
orders w/ safety measures.
3 required stages include: stage 1 – electronic capturing & sharing of data
between hospitals/providers; stage 2 – requires pts to view, download, or transmit
, their health information online, capability for secure messaging between
providers/pts, & reporting public health measures, advancing clinical processes; stage
3 – focuses on the enhanced use of EHRs to promote Health Information Exchange &
Improve care, & improving pt outcomes (ex: electronic prescribing). Implemented in
2018.
Which government organization oversees the meaningful use program? The
centers for Medicare & Medicaid Services (CMS)
One of the goals of the 2016 CMS Quality Strategy calls for improving safety and
reducing unnecessary and inappropriate care, by teaching healthcare professionals
how to better communicate with people who have low health literacy and by more
effectively linking healthcare decisions to person-centered goals.
Which statement describes the application of meaningful use? Provider needs
to show the use of the EHRs technology.
Which act in 2009 did Meaningful Use originate? ARRA act in 2009
What Meaningful use stage can you generate & transmit Rx electronically?
Stage 3
What did meaningful use promote? Increased interoperability
Which statement describes the application of meaningful use? Patient
satisfaction is improved, which results in better patient satisfaction scores
What describes the goal of EHR incentive programs, such as meaningful
use? To promote the achievement of quality, safety, & efficiency measures
Identify five rights associated w/ meaningful use: Right information, right
person, right intervention format, right channel & right time & workflow.
Identify the importance of standardized terminologies for meaningful use?
Improves better communication among nurses & other healthcare providers. It also
Improves pt care leading to pt satisfaction & treatment adherence.
Relationship between standardized terminologies, quality improvement, &
financial rewards related to Meaningful Use? Use of health information
technology legislative by ARRA of 2009 to collect specific data w/ the intent to
improve pt care, engage pts in their own care, & to ensure privacy & security w/
financial incentives for Medicaid & Medicare to providers. If providers are all using the
same standard of terminology this will in turn give pts a better understanding & they
, will engage more in their own care. This will help meet meaningful use requirements,
thus providing financial rewards to providers.
The 21st Century Cures Act is designed to help accelerate medical product
development and bring new innovations and advances to patients who need them
faster and more efficiently. It also requires patient electronic health information be
made available to patients without delay (with few exceptions), at no cost.
What is the focus of the 21st century cures act? Act that recognizes pts need
more power in their healthcare & access to information is key to making that happen
What act puts pts in charge of their healthcare records? The 21st Century
Cures Act
One of the provisions of the 21st Century Cures Act is the elimination of information
blocking. Information blocking is defined as a practice by a health IT stakeholder that,
except as required by law or specified by the Secretary of Health and Human Services
(HHS) as a reasonable and necessary activity, is likely to interfere with access,
exchange, or use of electronic health information from provider to provider or
provider to patient.
The American Nurses Association Code of Ethics Provision 3 stresses that a
nurse’s obligation is to protect patients from harm. Protecting the patient’s right to
privacy and confidentiality protects the patient from harm.
** Merit-Based Incentive Payment System (MIPS) – QUALITY. Ensures Medicare
pts get the right care at the right time. Uses PQRS (physician quality reporting
systems) & Medicare EHRs that will be measured on quality, resource use, clinical-
practice environment, & meaningful use of EHRs technology. For physicians to qualify
for MIPS, they must bill Medicare more than $90,000/year & see more than 200
Medicare pts annually.
Which MIPS merit-based incentive payment system performance replaces MU for
physicians? HITECH act
Which merit-based incentive payment system (MIPS) performance category replaces
meaningful use for physicians? Quality of care
What do the goals of meaningful use & merit-based incentive programs have in
common? Improving quality of care
