Summary WGU Nursing Informatics

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 c