WGU D220 Nursing Informatics Practice Test Aids

5 Main Issues associated with electronic health information – Interoperability standards Workflow re-design Data security Quality measurement User design Standards of Nursing Informatics Practice – 1. Assessment 2. Diagnosis, Problems, and Issues Identification 3. Outcomes Identification 4. Planning 5. Implementation 5a. Coordination of activities 5b. Health teaching and health promotion 5c. Consultation 6. Evaluation 7. Ethics 8. Education 9. Evidence Based Practice and Research 10. Quality of Practice 11. Communication 12. Leadership 13. Collaboration 14. Professional Practice Evaluation 15. Resource Utilization 16. Environmental Health The "Security Rule" – Found under HIPAA. Created to protect individuals electronic health information. 1. Administrative 2. Physical 3. Technical Primary benefits of an EHR – 1. Patient self management 2. Patient care delivery 3. Patient care management 4. Patient care support 5. Financial and other administrative processes Five steps of the nursing process – 1) Assessment/data collection 2) Diagnosis - Analysis/data collection 3) Outcome - planning 4) Implementation - intervention 5) Evaluation Total Quality Management (TQM) Principles – 1. Continuous Quality Improvement 2. Customer Focus 3. Teamwork Keyboard shortcut for Mac to redo - Command + Y Clinical Information System - A comprehensive and integrative system that manages the administrative, financial, and clinical aspects of a clinical facility, which helps to link financial and clinical outcomes When is HIPAA minimum necessary requirement not imposed? - Minimum necessary requirement is associated with covered entities making reasonable efforts to disclose, use, and request only the minimum PHI needed to meet the intended purpose of disclosure, use, or request. This standard will not be imposed in six circumstances. These are: disclosure to a health care provider to be used for treatment, disclosure to an individual whom the information is about, disclosure for an authorization, disclosure to a HHS investigation, disclosure required by law, and disclosure required for compliance with HIPAA. FOCUS-PDCA – Find Organize Clarify Understand Select Plan Do Check Act What would be considered when a document is removed from standard view with the electronic health record (EHR)? - Retraction Retraction would be considered when a document is removed from standard view with the electronic health record (EHR) and posted to another within the EDMS. This wouldn't be part of the designated record set. The steps of a root cause analysis are: - Collect all data surrounding event, thoroughly analyze data, identify probable causes, outline corrective actions A good training plan should include – Approach Evaluation strategy Training needs Resources Budget Costs Philosophy Schedule Gap Analysis - Gap analysis consists of listing the characteristics factors of the present situation, the listing of factors that will be needed to achieve future objectives, and highlighting the present gaps that will need to be filled. The use of gap analysis forces a company to look at where it is now and where they want to be in the future. Mobile devices and web based applications. - Any mobile devices used to access the system will need to be tested at the same time that the system is tested. Adding them at a later time could reveal issues, not seen before, and require additional time. Language - A system of communication using an arbitrary set of vocal sounds, written symbols, signs or gestures in conventional ways with conventional meanings. In the healthcare field, there is typically a language of medicine. Strategic Planning Steps - The analysis of the data. The scope and goals are identified. The implementation Scanning of the internal and external environments Identifying potential solutions Identifying ongoing evaluation and feedback Implementation Planned Evaluation - At least every 6 months. Leave Takers - A leave taker is a person that will leave the facility to avoid accepting the changes. In some cases, this may be considered good, but not if too many leave. Core Values for Performance Excellence - Agility Systems perspective Management by fact Voluntary leadership Patient-focused excellence Organizational and personal learning Focus on results and creating value Social responsibility and community health Managing for innovation Focus on the future Valuing staff and partners Project Management Software - Gantt, SmartWorks, Microsoft Project, QuickBase, Experience in Software 5 Steps of Planning and Conducting Usability Tests - Assessment of constraints Definition of purpose Matching methods to the purpose, constraints, and framework assessment. Use of an HCI framework to refine each component. Emphasis on components of interest. Nielsen-Shneiderman Heuristic - Focuses on pairing the technology and the way users think The technology uses several methods to make this connection. Some of these include appropriate information flow, typical options users need, and expected actions by the system. Match between system and world Foundations of Nursing Informatics - Concepts, Sciences, Metastructures Secondary Data Collection - Most of the time, secondary data is considered aggregate data. This is data that is about groups of patients, but doesn't identify the patients. Benefits of fully integrates electronic health record for patients - Evidence-based healthcare Ability to check the accuracy of their records Knowledge of who has access to their data One location for all healthcare data Individualized treatment anywhere the computer-based patient record is available. The principal metastructures of informatics - Rely upon a nurse's capacity to integrate a wide array of data, health information, and medical and semantic knowledge to make wise decisions in practice. Data, information, and knowledge represent more than just medical content. It represents a flow of learning, absorption, and application. The four tasks (identified by Snyder-Halpern, 2001) that are associated with human information processing - Data gathering Information use Generation of new knowledge Creative application of knowledge to clinical practice NANDA mission - To "facilitate the development, refinement, dissemination and use of standardized nursing diagnostic terminology" with the goal to "improve the health care of all people" Seamless Integration - A new application that will work smoothly with the system that is now in place. The seamless integration can be done without any problems and is added to the original system. HIPAA addresses which of the following? - Simplifying health care claims & Ensuring security of health care information HIM Protects the following - Genetic information Social information Adoption information Health information Medical information Personal information How can information be de-identified? - De-identified information has no restrictions on how it is used or disclosed. Information can become de-identified in two different forms. It can by formal determination by a qualified statistician or by removing specified identifiers of the individual. On the other hand, individually identifiable health information is protected. Roger's Diffusion of Innovation Theory - One type of change theory in nursing informatics is Roger's Diffusion of Innovation Theory. This change theory has 5 adopters categories based on innovativeness. They are: Innovators, early adopters, early majority, late majority, laggards. Informatics Nurse Specialist - If a nurse is using computer skills, data management skills, and critical thinking, which of the four levels of a practicing nurse would they more than likely be in? In addition, the RN in this level should have advanced education in information management and computer technology. The nurse would also focus on nursing information needs and apply and integrate the core informatics sciences. The Health Belief Model - The model that was developed to examine the reason the individual did not participate in the health-screening program In the 1950's, this model was developed from a social psychology perspective to be used as a predicator of preventive health behavior. The model includes: Individual perceptions Modifying factors Likelihood of action