NR 599 Nursing Informatics for Advanced Practice QUESTION AND CORRECT ANSWER

NR 599 Nursing Informatics for Advanced Practice QUESTION AND CORRECT ANSWER Nursing Essential Role in Healthcare Reform - CORRECT ANSWER-Collective impact Model of care delivery 1. technology for lowering cost and improve safety 2. assurance of patient safety and quality in tech-driven environment 3. nursing's diverse role as HIT advances. Institute of Medicine (IOM) - CORRECT ANSWER-6 areas for improvement for healthcare systems 1. effectiveness 2. safety 3. patient centeredness 4. timeliness 5. efficiency 6.. equitability Meaningful Use (MU) - CORRECT ANSWER-Standards to ensure that EHRs across the nation meet an adequate standard for performance and that this standard increases in complexity overtime to meet the expanded needs of the nation. Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) - CORRECT ANSWER-MU Phase 3 emphasizes using HIEs within and across states and regions. MACRA focuses on patient-centered care and engaging the individual in managing their health. NEHI Framework-based segments - CORRECT ANSWER-1. Data management and Analytics 2. Patient safety/quality and population health 3. patient safety/quality and population Health 4. new and emerging technologies National Quality Strategy - CORRECT ANSWER-1. Better Care 2. Affordable Care 3. Healthy populations and communities Patient Protection and Affordable Care Act (ACA) - CORRECT ANSWER-Monitor performance 1. Patient experience 2. Care Coordination 3. Patient Safety 4. Preventive health 5. At-risk population/frail elderly health Healthcare Reform and HIT collective impact model of care - CORRECT ANSWER-1. technology for lowering cost and improved safety 2. assurance of patient safety and quality in technology-drive environment 3. Nursing's diverse role as HIT advances. institute of medicine core competencies and Interprofessional teamwork. - CORRECT ANSWER-1. utilize informatics 2. employ Evidence-based practice 3. Provide Patient-Centered Care 4. Apply Quality Improvement Office of the National Coordinator for Health Information Technology (ONC) - CORRECT ANSWER-six initiatives 1. The EHR incentive Program- 5 year program of increasing complexity to encourage MU 2. EHR certification program-National standard of functionalities to support MU 3. The state HIE program- build a nationwide technologies/infrastructure supporting exchange of information between providers. 4.Regional Extension Center Program (REC): IT support "HELP" 5. Beacon Community Program: Beacon grants for already in use EHR facilities to extend more complex systems for standardized quality measures. 6. Strategic Heath IT advanced Research projects- Universities of technological innovations in four areas of research: Security; Usability; EHR architecture; integration quality-improvement purposes Health information Technology for Economic and Clinical Health (HITECH) initiatives - CORRECT ANSWER-1. Health Information Exchanges, Metaphor: The Road. 2. EHR incentive program, Metaphor: Financing to buy a car. 3. REC Programs, Metaphor: Driving Instructions. 4. Beacon Programs, Metaphor: Learning how to navigate. 5. Community College- and University -based training Programs, Metaphor: Automobile Mechanics, Road Maintenance. 6. SHARP Grants, Metaphor: Designing a new engine, aerodynamic research. Beacon Programs Communities three-part aim - CORRECT ANSWER-1. Improve Population Health 2. Test Innovative Approaches 3. HIT infrastructure and capacity to exchange clinical information Medicare Access and CHIP Reauthorization Act (MACRA) Initiatives - CORRECT ANSWER-1. Merit-Based Incentive Payment System (MIPS) 2. Advanced Alternative Payment Models (APMs)