C 468 OA with best solution

Informatics The science and art of turning data into information. Nursing Informatics * -The use of information and technology to support all aspects of nursing practice -Including direct delivery of care, administration, education, and research. 00:02 01:08 Information Literacy -The ability to recognize when info is needed as well as the skills to find, evaluate and use effectively. Information -Data that has been interpreted Information Science -Focus on how to gather, process and transform info into knowledge. -Includes 5 Sciences; Communication, Computer, Social, Library and Cognitive Using the EHR to document care of a patient with a fractured femur is an example of using the EHR in which way? Information System How can using simulation technology with your patients improve overall outcomes? Allowing hands on practice and immediate feedback of the skill being learned. Knowledge Worker -Continuous learner -Uses technology to support and inform nursing practice -Generate knowledge as a product * Experienced Nurse -Fully intergrade informatics throughout the course of her practice, not just for basic data entry and retrieval. -Knows how to pull trends out of data. Beginner Nurses -Uses information systems to manage patients. Nursing Informatics -National Certification Exam Clinical Practice Guidelines -Can allow for the creation of nursing policies (example of clinical decision support) 00:03 01:08 Upgrade to remove ads Only $35.99/year Information Technologies -CPOE -Barcode Medication Administration -Clinical Decision Support Computerized Physician Order Entry (CPOE) -The process by which the physician or provider enters orders electronically into the EHR Radio Frequency Identifier (RFID) -Type of technology that is used to identify and track supplies and medications -Also can track medical equipment and patients Examples of How Informatics can Affect Nursing Practice -Clinical pathways -Computer generated care plans Foundation of Knowledge Model -Knowledge is used to meet the needs of the healthcare delivery system -3 Elements (acquisition, process and dissemination) Data -Patients HT, WT, Code status and DOB Emerging Trends in Healthcare -Patient safety -Error reduction -Additional regulatory requirements The Mission -Purpose or reason for an organizations existence Strategic Planning -Comprehensive long range plan for guiding the activities and operations of an organization Reasons why the Selection Committee Board Members need to understand software and electronic processes -Impact business goals -Affect success or failure -Determine budget allocations Strategic Planning is Driven By -Organization mission and values -Long term goals * -Service offered National Trends related to Nursing Informatics -CPOE -Barcode Medication Administration -Clinical decision support tools Needs Assessment Phase -Organization performs a gap analysis determining the "needs and wants" System Selection Phase -Organization seeks out a vendor company that offers them a system that best fits their needs -RFI (request for info), RFP (request for proposal), RFQ (request for quote) System Implementation Phase -Go live planning -Training of end users -Execute system changes Maintenance Phase -Problem solving, debugging -Back up files -Installing system upgrades Project Scope -The size and detail of a collaborative effort Why is the nurses active participation in electronic information important? -To ensure the info is current and accessible to the healthcare team Responsibility of the Project Implement Team -Execution of system changes -Active involvement in user participation -Knowledge of current workflows A common request contained in a Request for Info) RFI documentation includes -Company history Computerized Physician Order Entry (CPOE) -Process by which the physician or provider enters orders electronically into the EHR Example of Essential Component of EHR -Evidence based decision support Component of EHR -Assessment findings -Demographics -Vital Signs Function of EHR -Barcode Medication Administration Benefits of EHR -Reduce medication errors -Improved provider documentation What is the primary goal of EHR functionality in contrast to that of the health information system? -To promote patient safety Health Informatics System -Group of systems used within a hospital that support and enhance healthcare Administrative Info Systems -Registration -Financial -Scheduling Clinical Info Systems -Lab -Pharmacy -EHR Local Area Network (LAN) -Type of connection needed to access EHR when an internet connection is lost How does the EHR helps patients receive quality care when going from one facility to another? -Provides continuity of care -Review previous care and provide appropriate treatment Order Entry System -Ensures accuracy of physicians orders Perioperative Nursing Data Set (PNDS) -Nursing terminology contains a nursing diagnosis, interventions and outcomes specific to the perioperative experience Standardized Terminologies -Accessibility, ubiquity, longevity and reusability HL7 (Health Level 7) -Standard of interoperability and clinical data exchange Clinical Decision Support -Looks at your patient specific data and compares it or analyzes it and provides further recommendations -Pop up reminders 3 Principles that make up an organization culture of safety -Commitment of resources -Cross collaboration -Blame free environment Cross Monitoring Process of monitoring the actions of other team members for the purpose of sharing the workload and reducing or avoiding errors Information Security The protection of information from accidental or intentional misuse by persons inside or outside an organization 2 Governing Authorities to protect Information -HIPPA -ANA code of ethics HIPPA Privacy Act -Patients have ownership rights to their records -Patients can amend own records if information is incorrect LOGICAL examples of protecting info -Firewall -Biometrics -Authentication -Automatic sign off PHYSICAL examples of protecting info -Surveillance camera -Restricted areas -Shred important documents Telehealth Use of technology to deliver health-related services and information, including telemedicine Store-and-Forward Technology -A form of transferring data or an image from one location to another -Pathology/ Radiology Socio Economic Factors that are helping support the need for telehealth -Access to care -Continuity of care -Patient to Dr. ratio Increase in chronic disease conditions ... Telehealth -extensive documentation -licensed in every state - Clinical Applications of Tele -Transmitting chest x ray read -Mobile device to monitor -Live video Non Clinical Application of Tele -Not being used for patient services