WGU D220 Informatics Exam Solved 100%

American Recovery and Reinvestment Act (ARRA) - ANSWER **Authorized INCENTIVE PAYMENTS to specific types of hospitals & healthcare professionals for adopting & using interoperable Health Information Technology and EHR's. The purposes of this act include the following: (1) To preserve/create jobs and promote economic recovery. (2) To assist those most impacted by the recession. (3) To provide investments needed to increase economic efficiency by spurring technological advances in science and health. (4) To invest in transportation, environmental protection, and other infrastructure that will provide long-term economic benefits. (5) To stabilize state and local government budgets, in order to minimize and avoid reductions in essential services and counterproductive state and local tax increases. AHQR (Agency for Healthcare Research and Quality) - ANSWER Produced evidence making healthcare safer, improve quality, accessibility and affordability Asynchoronous Applications - ANSWER No contact with patient for data collection. EX: Remote pt monitoring, Using health technologies to share health metrics and data w/ providers. STORE & FORWARD APPS (ex: photos) Administrative Information System - ANSWER can include registration and scheduling; tracking through admission, transfer and discharge; patient acuity and staff scheduling; financial or accounting systems; risk management; payroll and human resources; quality assurance; and contract management functions. Affordable Care Act - ANSWER law passed in 2010 to expand access to insurance, address cost reduction and affordability, improve the quality of healthcare, and introduce the Patient's Bill of Rights, increasing the number of insured persons. Alarm Fatique - ANSWER Becoming desensitized to patient care alarms and missing or delaying their response to the alarm. ANA (American Nurses Association) - ANSWER Professional organization for all RNs. Concerned with licensure, collective bargaining and education Analytics - ANSWER A term describing the extensive use of data, statistical and quantitative analysis, explanatory and predictive models, and fact-based management to drive decisions and actions. Audit trail - ANSWER a report that traces who has accessed electronic information, when information was accessed, and whether any information was changed Authentication - ANSWER A method for confirming users' identities Authorization - ANSWER The process of giving someone permission to do or have something Barcode Scanning Technology - ANSWER Scans drug and patients wristband to verify medication order, inventory control, + pt identification, correct med admin Big Data - ANSWER a collection of large, complex data sets, including structured and unstructured data, which cannot be analyzed without the use of information technology Bioinformatics - ANSWER application of mathematics and computer science to store, retrieve, and analyze biological data Biometrics - ANSWER the identification of a user based on a physical characteristic, such as a fingerprint, iris, face, voice, or handwriting Business Continuity Plan - ANSWER A plan for how an organization will recover and restore partially or completely interrupted critical function(s) within a predetermined time after a disaster or extended disruption Business Intelligence - ANSWER Information collected from multiple sources such as suppliers, customers, competitors, partners, and industries that analyzes patterns, trends, and relationships for strategic decision making Change Control Board (CCB) - ANSWER A committee that evaluates the worthiness of a proposed change and either approves or rejects the proposed change. Chief Nursing Officer (CNO) - ANSWER The senior manager (usually a registered nurse with advanced education and extensive experience) responsible for administering patient care services Clinical Care Classification (CCC) - ANSWER "Two interrelated taxonomies, the CCC of Nursing Diagnoses and Outcomes and the CCC of Nursing Interventions and Actions, that provide a standardized framework for documenting patient care in hospitals, home health agencies, ambulatory care clinics, and other healthcare settings" CPOE (Computerized Physician Order Entry) - ANSWER An order entry and decision support system that allows direct entry of orders and immediately shared w/ others Change Management - ANSWER The process, tools and techniques that help people implement changes to achieve a desired outcome. (Supports the adoption of a medication Administration System) Change Control - ANSWER Helps to prioritize limited resources and ensures system standards are upheld. Connected health - ANSWER a model of health care delivery using technology to provide services including information and education. Technology assisted healthcare is delivered between at least 2 points involving either asynchronous or synchronous exchange. Consumer Health Informatics - ANSWER Use of electronic info & communication to improve medical outcomes & healthcare decision making from pt perspective. Patient view and structures and process that enable consumer to manage their own care. Clinical Research Informatics - ANSWER Discovery and management of new knowledge pertinent to health and disease from clinical trials via secondary data use. C-CDA (Consolidated Clinical Document Architecture) - ANSWER Allows interoperability of health information exchange between to hospitals. 21st Century Cures Act - ANSWER designed to help accelerate medical product development and bring new innovations and advances to patients who need them faster and more efficiently. Provisions that will improve workflow & exchange of electronic info. ONC (responsible for implementing) seamless & secure access, exchange and use of electronic health info. 5 rights of clinical decision support - ANSWER Right information Right person Right intervention format Right channel Right time in workflow Clinical Informatics - ANSWER concentration on the delivery of timely, safe, effective , EB and pt centered care. C - ANSWER Clinical Decision Support System - ANSWER A special subcategory of clinical information systems that is designed to help healthcare providers make knowledge-based clinical decisions Ex: Alerts for abnormal VS, labs results, med contraindications, screenings, standing orders, reminders in EHR ect... Clinical Information Systems - ANSWER Ex: May be specific to certain departments. Lab, radiology, pharm(Both), or particular pt population. Functions may include order entry, results reporting, scheduling and documentation. Lg computerized database used to access the pt data that are needed to plan, implement and evaluate care. Clinical Nurse Specialist - ANSWER Expert clinician in a specialized area of practice who engages in research and helps direct practice change. clinical terminology - ANSWER standardized terms and their synonyms used to record pt data with sufficient detail to support clinical care, decision support, outcomes research, and quality improvement, flow sheets, vital signs, assessments and nursing notes. Computer Literacy - ANSWER The ability to use computers for basic tasks, such as developing documents, sending emails and searching the internet for information. Confidentiality - ANSWER Relationship has been established where private info shared but NOT disclosed w/out permission configurability - ANSWER Refers to the extent that a given software product can be adapted or changed to meet a user's preference Contextual Inquiry - ANSWER involves studying customers' use of a product at their place of work Focusing on users point of view. CCR (Continuity of Care Record) - ANSWER Snapshot/standardized summary of the most relevant and timely health information about pt and shared to a physician who does not have access to pts EHR. Continuous Quality Improvement (CQI) - ANSWER Continuous monitoring of performance and supports audit capability also known as QUALITY ASSURANCE SYSTEM Critical Care Information System - ANSWER Integrates captured physiological data w/ practitioner documentation and clinical data management functions, as well as access and communication w/ remote experts. Data - ANSWER Facts, figures, and other evidence gathered through observations. Database - ANSWER A collection of data organized in a manner that allows access, retrieval, and use of that data Data cleansing/scrubbing - ANSWER A process that weeds out and fixes or discards inconsistent, incorrect, or incomplete information Data Governance - ANSWER refers to the overall management of the availability, usability, integrity, and security of company data Data Integrity - ANSWER The correctness of data after processing, storage or transmission. Ability to store, retrieve, correct and complete data are available to authorized users Data Mining - ANSWER the application of statistical techniques to find patterns and relationships among data for classification and prediction using software. Data Analysis - ANSWER processing of data that identifies trends and patterns of relationships Data Warehousing - ANSWER Powerful method of managing and analyzing data DICOM (Digital Imaging and Communications in Medicine) - ANSWER Transmits digital imaging (DICOM & HL7 support standardization in health care data DIKW theory - ANSWER Data, Information, Knowledge, Wisdom (data is most discrete) Data=pt monitoring, labs, diagnostic systems (CT scans) Information=Clinical Info systems, & DSS (alerts/reminders) Knowledge=Lg databases (med articles) & Artificial Intelligence Data Modeling - ANSWER the process of determining the users' information needs and identifying relationships among the data to support processes for an info system (key step in design of EHR) DSS (decision support system) - ANSWER an interactive, flexible, computerized information system that enables managers to obtain and manipulate information as they are making decisions r/t patient care device integration - ANSWER Capturing data from patient monitors and anesthesia machines, and filing them directly to a patient's chart in EHR. Ex: entering VS, cardiac monitor download data into EHR Disease Registries - ANSWER collections of secondary data related to patients with a specific diagnosis, condition, or procedure. disruptive innovation - ANSWER a process by which a product or service takes root initially in simple applications at the bottom of a market and then relentlessly moves up market, eventually displacing established competitors Dissemination - ANSWER the act of spreading widely or scattering data including research knowledge. Doctorate of nursing practice (DNP) - ANSWER degree w/ emphasis on EBP, quality improvement and system leadership EHR system - ANSWER 3 elements: Data, Info, Knowledge. Decrease med errors, increase provider documentation. Function ex: Bar Code Admin. EMR (electronic medical record) - ANSWER a record of one episode of care, source data for EHR, Brings together diagnositc & Tx info in a specific healthcare setting. Ergonomics - ANSWER The study of workplace equipment design or how to arrange and design devices, machines, or workspace so that people and things interact safely and most efficiently. EHR - ANSWER Pt data stored in electronic form(collection of pt healthcare data) **Successful if pt needs met PHR (personal health record) - ANSWER Lifelong tool for managing health info, controlled by pt - data can be provided by MD or pharmacy. (conditions, allergies, meds, surgeries) Barriers: Poor or no internet, poorly designed apps, limited clinical integration Predictors: Awareness of PHR's, ease of access, personal motivation, increased levels of education and health literacy. emerging trends - ANSWER • Secondary data • Technology-based data management • Digital information acquisition and retrieval • International client base • Information management (patient safety & error reduction) EBP (evidence based practice) - ANSWER Using current best evidence for pt care decision in order to improve pt outcomes (found in standing orders) Ex: sepsis protocols & CDS Expert Systems - ANSWER Type of CDS/DDS but does NOT need human intervention (artificial intelligence) Ex: Personal Insulin Pump EMRAM (Electronic Medical Record Analytical Model) - ANSWER Measures clinical outcomes, pt engagement & clinical use of EMR technology to strengthen organizational performance & health outcomes across pt populations "Basically, evaluates Health Information System" feature creep - ANSWER occurs when developers add extra features that were not part of the initial requirements