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Issues/Professionalism of Nursing (410) > Week 6: Information Tech. and Health/ Information Literacy > Flashcards

Week 6: Information Tech. and Health/ Information Literacy Flashcards

1
Q

________________administrations’ goal was universal EHR adoption in the United States by 2014.

A

Pres. G.W. Bush and Pres. Obama

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2
Q

For electronic health record (EHR) systems to have the greatest impact on cost and quality, they must be able to ______________ across systems and settings in a standardized manner

A

exchange information

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3
Q

Anyone
Anything
Any technology

Anything related to patients’ health EXCEPT the practice of medicine

A

Telehealth (Broad)

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4
Q

Licensed person makes a diagnosis or performs a treatment (NP or MD) using technology

“Tele” varies by state (video is reimbursable, phone is not)

A

Telemedicine

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5
Q

______the ability to read, write, and understand health related information

A

Health literacy

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6
Q

________the use of information and technology to communicate, manage, knowledge, mitigate error and support decision making

A

Informatics

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7
Q

____________ form of telehealth that assists in tracking client data and facilitates the immediate transfer of information to the health care provider

A

Electronic monitoring devices

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8
Q

using telecommunications and video conferencing to provide health care outside the typical clinical setting

A

Telehealth

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9
Q

Using telecommunications and viedo conferencing to practice medicine outside of the typical clinical setting

A

Telemedicine

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10
Q

_________ the use of information and twchnology to communicate, manage knowledge, mitigate error, and support decision making

A

Informatics

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11
Q

_________ the integration of technology and physical devices with nursing knowledge and nursing clinical decision-making skills

A

Nursing informatics -

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12
Q

in _____ ANAN segresinated nursing informatics as its own specialty

A

1992

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13
Q

Scanning barcodes → has assisted greatly in improving client’s ____ and ______documentation to the electronic health record

A

safety and accurate

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14
Q

Electronic documentation guidelines:

A

Never use anyone else’s login info
Password should be strong, unique, and should be changed frequently
Log off when documentation is complete
Never leave a computer station without logging off first
Computer monitor/screen should be protected to avoid information being seen by others
If an electronic signature is used, ensure your name is correct and professional credentials are noted

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15
Q

President G.W. Bush and President Obama administration’s goal → universal EHR adoption in the US by ________

A

2014

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16
Q

_______→ a system that captures, processes, communicates, secures, and presents data about a pt

A

EHR

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17
Q

Serves as a primary source of information for pt care and quality → it is a knowledge tool (helps make decisions)

A

EHR system

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18
Q 
\_\_\_\_\_\_\_\_\_\_ incentive program by Medicare and Medicaid to adopt EHR
Rollout over several years with goals and different stages 
Stage 1 (2011-2012) → quality, safety, and efficiency, engage pts and families in their health care, improved care coordination, improved population and public health, privacy and security protections for PHI 
Stage 2 (2014-) → continuous quality improvement 
Stage 3 (~2016) → decision support tools and quality metrics
A

“Meaningful Use”

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19
Q

what is the stages of “meaningful use”

A 
Stage 1 (2011-2012) → criteria primary addressed the capture of health quality, safety, and efficiency, engage pts and families in their health care, improved care coordination, improved population, and public health, privacy and security protections for PHI 
Stage 2 (2014-) → continuous quality improvement 
Stage 3 (~2016) → decision support tools and quality metrics
20
Q

what are the five “meaningful use” pillars?

A 
Ensure privacy and security 
Improve population health
Improve safety and quality
Engage patients and families
Coordinate care
21
Q

Joint commission recommends that patient information be written at or below _____th grade level

A

5th grade level

22
Q

_________ → the client’s ability to obtain, read, and understand basic health information. On average, health information is presented at a high school or college reading level

A

Client health literacy

23
Q

_____________ the degree to which individuals have the ability to find, understand, and use information and services to inform health-related decisions and actions for themselves and others

A

Personal health literacy -

24
Q

HP 2030 goals for health literacy

How can we as nurses:

A

Make sure health care providers checked their pts understanding
Decrease poor communication with their providers
Increase provider’s inclusion of pts making care decisions
Help people understand and navigate their online medical record
Help English language learners receive clear information
Increase health literacy of population

25
Q

For providers (hospitals and physician practices) to qualify for EHR incentive payments, their EHR must be certified as a___________EHR by an independent agency

A

meaningful use

26
Q

Academy of Medicine recommends that EHR systems offer eight functionalities
but the most important is

A

Computerized provider order entry (CPOE) with or without decision support
Clinical decision support

27
Q

Clinician with ordering authority directly enters patient care orders into computer
is better bc

A

Eliminates lost orders and illegible handwriting

Prevents medical error

28
Q

the computerized provider order entry will require _________

A

key infomration (such as the drug being given and dose)

Assistance with medication monitoring (max doses/cumulative dose)

29
Q

Two specific functionalities are recommended as essential for improving the quality and safety of health care:

A

clinical decision support

Examples: automatic reminders about preventive practices, drug alerts for dosing and interactions, and electronic resources for data interpretation and clinical decision making

30
Q

EHR systems must ensure authorized caregivers (like nurses) have information in their preferred presentation form. For example……

A

Data organized by source, caregiver, encounter, problem, or date
Data can be presented in detail or summary form
Tables, graphs, narrative, and other forms of information presentation must be accommodated

Nurses can set their own dashboards, frequent uses tabs, adjust for own patient assignment what they see on screen. STORY ABOUT FEVER GRAPH aided ability to diagnose

31
Q

what are examples of informatics in nursing practice?

A

point of care technology
all links in the electronic health report
links to clinical pathways

32
Q

an example of meaningful use being used is

A

tracking near misses, who needs flu shots, all providers have excess to the patient’s information

33
Q

Computerized provider order entries are used to

A

prevent errors
the provider PUTS the order in
there is no verbal order!

34
Q

Due to _____ if a nurse goes into charts of other patients they will be flagged and can be penalities bc of a “need to know basic”

A

HIPPA

35
Q

Telehealth

A

Is anyone, anything, and any technology

can be group meetings

36
Q

Telemedicine

A

Is a licensed person makes a diagnosis or performs a treatment (NP, or MD) using technology

37
Q

Proffesor nurses normally used _________ databases

A

CINAHL

38
Q

What are the FIve specific criteria usedful in evualting a website?

A 
Authority
Objecitvity
Accuracy
Currency
Usability
39
Q

What is authority

A 
Authority regarding the topic: author, and author’s credentials
Affiliation of the website is important
.edu = educational institutions
.org = nonprofit organization
.com = commercial enterprise
.net = Internet service provider
.gov = governmental body
.mil = military
40
Q

Is the website an expert,,, look at the ________

A

authority

41
Q

Objectivity is

A 
Are the facts clearly being stated?
Is the purpose of the website clear?
Is the information factual or opinion?
Is the information primary or secondary in origin?
Who is sponsoring the site?
are they just doing this to make money?
42
Q

What is Accuracy?

A

are they backing up with research, and is there peer reviewed studies

example: poor studies showing a link between austim and vaccines

43
Q

what is currency

A

dates,
has it been updated?
within 3 years?

44
Q

Usability is decided by asking

A

Is the site well designed, stable, and easy to use?
Content should be error-free and readable by the intended audience
Links work?
Security warnings triggered?—pop up warnings

45
Q

healthy people 2030 goal is to make people improve _________

A

health literacy

Issues/Professionalism of Nursing (410) (10 decks)

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