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WGU D220 Informatics Exam Study Guide 2024

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Informatics - a specialty science that facilitates the transformation of data into information, knowledge, and, finally, wisdom Patient Data - name, age, weight, vital signs Information - Processed, organized, hospital acquired infections Knowledge - identify relationships, nurse-patient ratio vs. patient outcome 3 elements in EHR system - data, information, knowledge Information techonology - the process of searching, organizing, and managing data supported by the use of computers Translational Bioinformatics - deals with the storage, analysis, and interpretation of large volumes of data. Clinical research informatics - concentrates on discovery and management of new knowledge pertinent to health and disease from clinical trials and via secondary data use Clinical Informatics - concentration here is on the delivery of timely, safe, efficient, effective, evidence-based and patient-centered care Consumer Health Informatics - focus here is the consumer, or patient, view and the structures and processes that enable consumers to manager their own health. Public Health Informatics - Efforts here include surveillance, prevention, health promotion, and preparedness. information literacy - the ability to read and understand the written word and numbers as well as the ability to recognize when information is needed Computer literacy - the basic understanding and use of computers, software tools, spreadsheets, databases, presentation graphics, social media, and communication via email. Beginning nurse - expected to have fundamental information management and computer-technology skills and use existing information systems and established information-management practices. Experienced nurse - expected to have a specific area of expertise, be skilled in using information management and computer technology; strong analytics skills, suggest improvement to systems. evidence-based practice - entails using the current best evidence for patient care decisions in order to improve the consistency and quality of patient outcomes. ARRA (American Recovery and Reinvestment Act of 2009) - provided economic stimuli and incentives for the adoption of EHRs, in the alignment with the goal of each person will have a digital health record by 2014 HITECH (Health Information Technology for Economic and Clinical Health - recommended that hospitals and HCPs increase the meaningful use of health information technology. *improves population health outcomes TIGER (technology Informatics Guiding Education Reform) - Formed in 2004. -formed to advance nurse competencies r/t informatics -objective to develop a US nursing workforce capable of using EHR to improve the delivery of healthcare. Healthcare information system (HIS) - -comprises clinical information systems (CIS) and administrative information systems (AIS) Meaningful use - stage 1: data capturing sharing stage 2: advanced clinical processes stage 3: improved outcomes What is a benefit of meaningful use - improved patient outcomes What is the correct order of a system development life cycle phases? - designing, planning, testing, implementation, analysis. Who should a nurse informaticist exclude from participating in scheduled meetings to discuss change control? - subject matter experts Which strategy is useful when employing Lewin's change model, when considering a new health information system? - involve employees in the decision-making process of the new system. What are two of the five rights of clinical decision support? Choose (2) answers - - right person -right time in workflow What are the 5 rights of informatics? - 1) right information "to what" 2) right person "to who" 3) right intervention "how and where" 4) right channel 5) right time in workflow "when" What is an effective use of the barcode medication administration system? - combining it with a computerized provider order entry, a pharmacy system and an eMar system. Which information would be useful in planning quality care for the next shift? - - available critical care beds Which statement describes a successful electronic health record? - The customer's needs were met. Big data - considered data originating from very large data sets that help identify patterns and trends. Big data cannot be managed without the use of technology to analyze its output. What are the expected outcomes of interoperable systems? - Error reduction, revenue improvement, and increased communication. Which informatics competency supports the adoption of a medication administration system? - change management Which statement about data is accurate as it relates to quality improvement initiatives? - Data allows measurement of the quality of healthcare delivery to determine whether planned measures result in improvement. Which phase of implementation uses small groups of individuals to evaluate potential issues that may occur when making a new systems transition? - Pilot phase Which healthcare policy reform introduced in 2008 focuses on rewarding providers with incentives based on the quality of care they deliver as opposed to the volume of care? - Value-based model (VBM) What is the purpose of the Agency for Healthcare Research and Quality (AHRQ)? - It produces evidence that will make healthcare safer and improve quality, accessibility, and affordability. Information literacy - the knowledge and ability to locate, organize, use, communicate, and interpret print and electronic sources of information. What is important for a nurse informaticist to know about change control? - it helps prioritize limited resources and ensures system standards are upheld. Which source provides tutorials that can be used to help determine the validity of health information? - National Library of Medicine Four types of quality indicators: - -prevention quality indicators -inpatient quality indicators -patient safety indicators -pediatric quality indicators. Data integrity - a comprehensive term that encompasses the notion of wholeness when data is collected, stored, and retrieved by the user System check - a mechanism provided by the computer system to assist users by prompting them to complete a task, verify information, or prevent entry of inappropriate information Data management - the process of controlling the collection, storage, retrieval, and use of data to optimize accuracy and utility while safeguarding integrity

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