Multiple Roles Supported by Health Information Systems (HIS) - AHIC Review Course 6

Flashcards cover key concepts from the lecture slides on how HIS supports multiple roles, scope of practice (professional and legal), interprofessional practice, state regulation, top-of-license performance, and design considerations for HIS. The set includes definitions, regulatory context, and practical design questions.

What is the main purpose of HIS in supporting multiple roles on the healthcare team?

To support users across multiple professional roles with authorizations and workflows aligned to each role's scope of practice, enabling top-of-license performance.

What are the two types of scope of practice described in the notes?

Professional scope of practice and legal scope of practice.

What regulates health professions at the state level in the United States?

State-specific practice acts legislation.

Name three APRN roles mentioned in the notes.

Certified Nurse Practitioners (NPs), Certified Registered Nurse Anesthetists (CRNAs), Clinical Nurse Specialists (CNS), and Certified Nurse Midwives (CNMs).

Approximately how many Advanced Practice Nurses (APRNs) are in the United States?

Just under 700,000.

How many physicians and surgeons are there in the United States according to the notes?

Approximately 750,000.

How does the American Nurses Association (ANA) define nursing in the scope and standards referenced?

Nursing is the protection, promotion, and optimization of health and abilities; prevention of illness and injury; facilitation of healing; alleviation of suffering through the diagnosis and treatment of human response; and advocacy in care of individuals, families, groups, communities, and populations.

What is interprofessional practice according to the World Health Organization (2010)?

Multiple health workers from different professional backgrounds provide comprehensive health services by working with patients, families, carers, and communities to deliver high-quality care across settings.

What factor drives user authorization and workflows in HIS?

The scope of practice of each health profession.

How many states/territories grant Full Practice authority to nurse practitioners, according to the notes?

27 states and US territories (Full Practice); 19 Reduced Practice; 11 Restricted Practice.

What does Open Notes refer to in the context of EHRs?

Patient access to their EHR data through online portals or mobile apps, which can enhance patient engagement.

Give an example of a new digital health solution that requires careful scope of practice and workflow consideration.

Remote patient monitoring and post-discharge follow-up (e.g., 30-day monitoring) and hospital-at-home models involving team-based care.

What is meant by practicing at the ‘top of license’?

Performing tasks that are at the highest level permitted by one's license and training, maximizing safe, effective patient care.

How does HIS configuration relate to the nursing process?

HIS must support the nursing process through appropriate permissions (read/write/modify), templates, flowsheets, and the lifecycle of system development.

Which organizations are noted as credentialing bodies influencing HIS role configuration beyond nursing?

The American Nurses Credentialing Center (ANCC) with over 183 specialty certifications and the American Board of Medical Specialties (ABMS) with 24 medical specialties and over 130 sub-specialties.

What challenges arise from overlapping scopes of practice across states?

Variation affects order entry, results reporting, clinical documentation, signatures/co-signatures, consent, billing, and referrals, complicating HIS design and cross-state care.