D220 - 3

201. Whole complete data

data integrity

202. What is the focus of the 21st century cures act

Act that recognizes patients need more power in their healthcare & access to information is key to making that happen

203. What is a fishbone diagram & what benefit does it provide

A tool for analyzing the organizational processes & its effectiveness. Helps team members visually diagram a problem or conditions root causes, allowing them to truly diagnose the problem rather than focusing on symptoms

204. What is the dollar amount price range for a HIPPA fine per violation (lowest to highest amount)

$100-$50,000 plus per violation radio frequency identification/ a max of 1.5 million yearly

205. RFID

Tracks equipment, staff. In badges

206. What are 3 functional areas of practice for RN informatics

Administration, leadership & management

207. Defined the term clinical information system

Large computerized database management systems used to access the patient data that are needed to plan, implement, & evaluate care.

208. Define predictive modeling/analytics

Uses past & current data to forecast the likelihood that an event will occur.

209. Identify five rights associated radio frequency identification/ meaningful use

Right information, right person, Right intervention format, right channel & right time & workflow.

210. What is the Affordable Care Act of 2010

US legislation intended to improve healthcare quality through using information technology, ensuring affordable care, & increasing the \# of insured persons.

211. What data source is used to track specific diseases & conditions

Disease surveillance

212. Fundamental principles

Non maleficence & fidelity, which promote accuracy & integrity

213. How to protect patient data

Maintaining HIPPA protocols, encrypted Electronic Health Record (EHR) storage, training employees on a need-to-know basis

214. Name 3 attributes of quality information

Accuracy, completeness & timeliness

215. What is the US Initiative that establishes & monitors attainment of science-based population health goals & objectives radio frequency identification/ ten-year target dates

Healthy People

216. What are 2 common threat sources to information & information system security

Malware attacks & hackers

217. What legislation provides more rigorous enforcement of HIPPA & requires notification of breaches & allow patient access to their electronic records

HIPPA Breach notification Rule, US dept of health & human services (HHS) & Office for Civil rights (OCR) is responsible for enforcing HIPPA

218. How does Health Information Exchange impact cost of patient care

A means to reduce redundant tests, improve quality of care, & improve public confidence

219. HIPPA stands for

Health Insurance Portability & Accountability Act

220. What year did HIPPA form

1996

221. What year did Hitech Act form

2009

222. American Recover & Reinvestment Act (ARRA)

2009

223. What is purpose for benchmarking

Statistics

224. Patient discharge teaching most effective

Ask patient to teach back what he learned

225. In emergency doctor needs patients data from different state. Does doctor need patient permission to get it

No

226. Two nurses are in the cafeteria talking about lab reports & they commit HIPAA violations what is the action

Fines

227. Medication alert pops up & what system is alerting

Clinical Decision Support (CDS) System

228. The hospital announced its integration engine has stopped functioning. What does this mean for system interoperability throughout the organization

Manually chart the vital signs.

229. Monitor patient glucose level you need

nurse flow sheets

230. Alt enzymes liver

Tell about liver damage

231. What is barrier to use biometrics

Financial

232. Computerized Provider Order Entry (CPOE)

provider enters orders

233. Patient with influenza B. How do you know to start respiratory precautions

Lab

234. Community facility the doctor had been saying the mom was calling the office to get a copy of the records of Daughter, moms calls to find out info about medical record

Don't say anything

235. Nurse send message to doctor "Mr smith, bp 84/74. 54"

Not enough info for doctor to prescribe treatment

236. A hospital has a surgical department that uses a different Electronic Health Record (EHR) from the main EHR (Integrated). When a physician input an order in the surgical department, how would you ensure that it is in the main EHR

Chart in one & it will go into Electronic Health Record (EHR).

237. During which phase of the systems development life cycle should a system be activated to effectively be used by end users

Implementation.

238. Process that uses software to uncover relationships within large data sets via the use of artificial intelligence, statistical

Data mining

239. Statewide health information exchange responsible for implementing interoperability standards. What is the name of state level Health Information Exchange

Health Level 7.

240. What is the mission of the Health Level Seven (HL7) organization

To provide a comprehensive framework & related standards for the exchange, integration, sharing, & retrieval of electronic healthcare information.

241. What is also considered to be Clinical Decision Support (CDS) within the Electronic Health Record (EHR)

The condition/disease specific order set.

242. What can be installed to allow one operation to access another to enable the exchange of data

An application program interface.

243. Installed to allow on operation to access another

Interface

244. Workflow analysis

Also known as process analysis, involves identifying, prioritizing & ordering the tasks & info needed to achieve the intended result of a clinical or business process. Workflow analysis mitigates these rights & increases the changes for success in an IT implementation.

245. Homeless man

Haemophilus influenzae (bacterial flu) Haemophilus influenzae type b (Hib) Before the Hib vaccine, influenzae was the leading cause of bacterial meningitis in children. x-Ray of the chest needed

246. Homeless man IV drug user

Find in the EMR which information helps you put him in isolation.

247. TV & mercy in western word

Answer is mercy

248. Treatment of patient related to blood pressure measures

Medication administration

249. Fluctuation in glucose

Medication administration

250. Constipation

intake & output

251. Discharge planning

Starts on admission

252. Discharge papers

Ask the patient what works best for him

253. Discharge teaching paper patient with diabetes

Important what the time of day

254. Quality of care

Benchmark (can be used to evaluate patient & quality performance & compares services they can have)

255. Single event & doing root cause analysis

Fishbone

256. Stroke patient & analysis

Statistical, fishbone

257. ER trying to improve quality of care & decreased waste time. Nurse recognizes a problem & thinks of a solution

Planning phase when the nurse recognizes a problem & solution

258. Rapid dictation advantages of template based charting

They are available immediately

259. Merit-Based Incentive Payment System (MIPS) for Doctor

90,000 & 200 patients

260. LOINC

LAB

261. Health Level 7

Health Information Exchange enhance interoperability

262. To create an informatics culture

Assess current state to determine gaps

263. Which informatics solution assists in ensuring TASKS are accomplished

Electronic Checklist

264. Which entity is required by HIPPA to remove identifying info before sharing publicly

Billing company

265. Alert for medication from

Clinical Decision Support (CDS) System.

266. D/C teaching

5th grade level, starts on admission, time of day, increase font size

267. A rural hospital is planning to implement teleradiology in its busy emergency department. What is a security consideration in teleradiology implementations

Access to patient images

268. A high number of data-entry fields in the electronic health records can be overwhelming for staff & make it difficult to find where information should be documented. Which informatics solution could solve this problem

Cascading documentation

269. How can informatics be used to assess a person's health literacy

Informatics can evaluate current state & determine the resources needed to determine a patient's level of understanding

270. A provider receives a request from a third party for the details of a patient's encounter. When must the provider obtain consent from the patient before releasing this information

When it is provided to a life insurer for coverage purposes

271. A facility recently implemented a new electronic health record (EHR). End users are now suggesting changes to improve the HR & workflow processes. Which phase in the system development life cycle (SDLC) does this describe

Maintenance

272. Fishbone

Used for RCA (root cause analysis) fishbone a diagram of sequences is cause & effect. Single event (how to figure the root of the problem)

273. Scatter plot

value of two variables that are plotted along the X & Y

274. Pie

Percentages chart

275. Bar graph

nouns

276. Where to get information from

Medline

277. High priority task for informatics clinician when implementing a new technology for data collection

Identify & define goal of technology

278. Benefit of MHEALTH

Integrates with HER

279. Directed

Send & receive (escript to pharmacy)

280. Consumer

Patient controlled

281. ER new patient & Doctor needs data from different state?

282. Regression testing

Ensures app still functions as expected after an update or change in improvement

283. Life insurance wants records

don't release

284. Biometric benefit of using it

security

285. HIPAA

Name, birthdate, test results, lab results are protected

286. Nurse finds 100 errors in coding

AHIMA & report to nurse manager

287. Glucose stabilizing & Blood Pressure stabilizing

trending graph

288. Treatment of patient related to blood pressure

MAR

289. Treatment of constipation

physician orders (key words of PLAN & MANAGE are physician orders)

290. Post-op surgery patient discharge & complains of constipation

PRN Meds

291. Where to look to further evaluate & manage patient with significant BP

Intake & Output

292. Computerized Provider Order Entry (CPOE) for advocating quality of care

electronic prescriptions, physician orders & prescriptions

293. Data Mining

Improve patient outcome & quality (falls over last year) had the word NUMBER in the answer

294. Benchmark

Clean & accurate, quality of care, can be used to evaluate patient safety, quality performance, measure & compare services, improve performance, sets standards of excellence, identifies learning gaps (pt falls)

295. Covid graphing

scatterplot

296. Statistical analysis

stroke patient

297. Benefit of rapid dictation

front-end dictation can be edited & file immediately available upon completion. Eliminate human errors & more accurate documentation.

298. Planning

Nurse recognizes a PROBLEM & thinks of a SOLUTION (1stphase)

299. Analysis

New technology going to roll out & staff is deciding what can make it better

300. Maintenance

Debugging, fixes bugs