6870 MIDTERM

  1. Name 4 things that describes the relationship of NQS and PPACA
    • ENSURE TRANSPARANCY
    • INCREASE EFFICIENCY
    • ENGAGE CONSUMERS
    • PROVIDE DATA TO EFFECTIVELY MANAGE CARE COST AND QUALITY
  2. Name the 2 sets of regulatory standards of HITECH
    • STANDARD 1: DEFINES MU OF EHR
    • STANDARD 2: SPECIFIES HOW EHRS ARE DEVELOPED AND CERTIFIED TO MEET MU CRITERIA
  3. RELATIONSHIP OF CENTERS OF MEDICARE/MEDICAID MU W/ HITECH
    IMPLEMENTED AN HER INCENTIVE PROGRAM TO ENCOURAGE PROVIDERS AND HOSPITALS TO ADOPT AND IMPLEMENT CERTIFIED TECHNOLOGY
  4. 5 DOMANS OF MEASUREMENT ACA
    • PATIENT/CAREGIVER EXPERIENCE
    • CARE COORDINATION
    • PATIENT SAFETY
    • PREVENTATIVE HEALTH
    • AT RISK POPULATION/FRAIL ELDERLY HEALTH
  5. 3 PHASES OF MU IDENTIFIED BY HITECH
    • PHASE 1: IMPLEMENT A CERTIFIED EHRS MEETING BASIC REQUIREMENTS
    • PHASE 2: CONSUMER ENGAGEMENT AND INCREASES THE CAPTURE AND EXCHANGE OF DATA
    • PHASE 3: CAPTURE AND EXCHANGE MORE STRUCTURED DATA, SUPPORT POPULATION HEALTH MANAGEMENT, MEASURE OUTCOMES, AND MAINTAIN PATIENT-CENTERED CARE
  6. SIMILARITIES AND DIFFERENCES BETWEEN MEDICARE AND MEDICAID MU CRITERIA
    • Medicaid: 63,750 (NPs fall here), 8.7 billion
    • Medicare: 44,000 (NOT NP), 17.2 billion
    • BOTH: hospitals
  7. CRITERIA FOR VENDORS UNDER HITECH, 2 components
    • 1: PROVIDING EHR DEVELOP PRODUCTS IN ACCORDANCE WITH THE CRITERIA THAT HAVE BEEN LAID OUT IN THE STATUTORY RULE-MAKING PROCESS AS “CERTIFIED” PRODUCTS
    • 2. REQUIRES THAT PROVIDERS EFFECTVELY USE THESE SYSTEMS IN A MEANINGFUL WAY MEASURED BY DETAILED METRICS THAT DETERMINES THAT THE PROVIDER MEETS MU CRITERIA
  8. ROLE OF PATIENT ENGAGEMENT WITH HITECH AND MU
    CONSUMER EMPHASIS AS A PARTNER IN THE HEALTH CARE DELIVERY PROCESS
  9. IOM expectations: 6 AREAS FOR IMPROVEMENT FOR HEALTH CARE SYSTEMS
    • EFFECTIVENESS
    • SAFETY
    • PT-CENTEREDNESS
    • TIMELINESS
    • EFFICIENCY
    • EQUITABILITY
  10. DOMAINS OF NURSING EDUCATION FOR HEALTHCARE INFORMATICS (NEHI) FRAMEWORK
    • POINT-OF-CARE TECHNOLOGY
    • DATA MANAGEMENT AND ANALYTICS
    • PATIENT-SAFETY/QUALITY AND POPULATION HEALTH
  11. USE OF NEHI FRAMEWORK TO ORGANIZE THE STUDY OF NURSING INFORMATICS (3 DOMAINS WHICH ADDRESS THE MAJOR ROLE OF APN WITHIN INFORMATION TECHNOLOGY ENVIRONMENT)
    • PATIENT SAFETY/QUALITY
    • DATA MANAGEMENT AND ANALYTICS
    • POINT OF CARE TECHNOLOGY
  12. PROVIDER ORGANIZATIONS TAKE ON RESPONSIBILITY OF PT POPULATIONS FOR WHICH THEY PROVIDE CARE AT A FIXED RATE PER PERSON
    ACCOUNTABLE CARE ORGANIZATIONS (ACO)
  13. FEDERAL ORGANIZATIONS RESPONSIBLE FOR OVERSEEING THE MEDICARE AND MEDICAID PROGRAMS
    CENTERS FOR MEDICARE/MEDICAID (CMS)
  14. REFLECTS APPLIED INFO MANAGEMENT TOOLS SUCH AS BUSINESS INTELLIGENCE TOOLS AND THE STATISTICAL SOFTWARE PROGRAMS TO TRANSFORM DATA AND INFO INTO IMPROVED HEALTHCARE DELIVERY
    ELECTRONIC HEALTH RECORD (EHR)
  15. THE USE OF COMPUTER TECHNOLOGY TO MANAGE HEALTH INFO
    HEALTH INFORMATION TECHNOLOGY (HIT)
  16. LEGISLATION PASSED AS PART OF THE AMERICAN RECOVERY AND REINVESTMENT ACT (ARRA) WHICH IDENTIFIES TWO SETS OF STANDARDS ESTABLISHED AS REGULATORY REQUIREMENTS TO HELP PROVIDERS MEET MU OF EHRS AND TO ASSURE EHRS ACORSS THE NATION MEET AN ADEQUATE STANDRAD FOR PERFORMANCE
    HEALTH INFORMATION TECHNOLOGY FOR ECONOMIC AND CLINICAL HEALTH (HITECH)
  17. PROCESS IMPLEMENTED IN A SERIES OF PHASES TO DEMONSTRATE UTILIZATION OF EHRS AND THE IMPACT ON HEALTH
    Meaningful use (MU)
  18. MODEL OF CARE DESIGNED TO ENHANCE ADVANCED PRACTICE CARE DELIVERY
    NURSING EDUCATION FOR HEALTHCARE INFORMATICS (NEHI)
  19. SPECIALTY THAT INTEGRATES NURSING SCIENCE WITH MULTIPLE INFO AND ANALYTICAL SCIENCES TO IDENTIFY, DEFINE, MANAGE, AND COMMUNICATE DATA, INFORMATION, KNOWLEDGE, AND WISDOM IN NURSING PRACTICE
    NURSING INFORMATICS (NI)
  20. DEMONSTRATION OF THE PATIENT AS BEING A PARTNER IN HEALTHCARE
    PATIENT ENGAGEMENT
  21. LEGISLATION THAT FOCUSES ON PROVIDING ALL AMERICANS WITH ACCESS TO QUALITY AND AFFORABLE HEALTH CARE
    PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA)
  22. ACHIEVEMENTS OF METRICS TO ENSURE CARE PROVIDED IS WITHIN IDENTIFIED STANDARDS OF CARE
    PATIENT QUALITY
  23. ACHIEVEMENT OF METRICS TO ENSURE CARE PROVIDED IS WITHIN IDENTIFIED SAFETY STANDARDS OF CARE; A DOMAIN OF THE NEHI FRAMEWORK
    PATIENT SAFETY
  24. REFLECTS THE USE OF TECHNOLOGY IN PATIENT CARE DELIVERY; A DOMAIN OF THE NEHI FRAMEWORK
    POINT-OF-CARE TECHNOLOGY
  25. REFLECTS QUALITY IMPROVEMENT TOOLS APPLIED TO INDIVIDUALS AND HEALTH INCENTIVES
    POPULATION HEALTH
  26. nurse educated beyond the bachelor’s degree level
    APRN
  27. health care professional who serve as clinical and counseling psychologists, mental health and substance abuse social workers, mental health counselors, substance abuse counselors, psychiatrists, and marriage and family therapists
    Behavioral health professional
  28. have prescriptive authority and provide care to women during pregnancy and birth, as well as primary care health services to women from adolescence beyond menopause
    Certified nurse midwife (CNM)
  29. nurses who order, conduct, and interpret diagnostic and laboratory tests; prescribe both pharm/non-pharmacologic agents; establish and coordinate interprofessional plans of care; and teach and counsel on health promotion and risk reduction of
    disease
    Certified nurse practitioner (CNP)
  30. prepared at the masters or doctoral level as expert clinicians in a specialized area of nursing practice
    Clinical nurse specialist (CNS)
  31. are the primary anesthesia providers in rural
    America and other medically underserved areas; practice in a variety of settings
    Certified registered nurse anesthetist (CRNA)
  32. use of the computer to order medical tests
    Computer-based provider order entry (CPOE):
  33. plans and conducts food service to assist in the promotion of health and control of disease
    Dietician
  34. documents that identify and direct inclusion of essential content within all nursing curricula
    Education standards
  35. professional who plans, directs, and coordinates medical and health services
    Health care administration professional
  36. professional who focuses on health information technology
    HIT professional:
  37. the identification, definition, management, and communication of data, information, knowledge, and wisdom.
    Informatics nurse specialist:
  38. behaviors that highlight interprofessional
    teamwork and reliance on technology solutions to enhance patient–clinician communications, planning, and decision making.
    Institute of medicine (IOM) core competencies:
  39. national education associations of
    schools of the health professions focused on creation of core competencies for interprofessional collaborative practice to guide curricula development at all health professions schools
    Interprofessional Education Collaborative (IPEC®):
  40. group of healthcare professionals responsible for the provision of
    patient care
    Interprofessional team
  41. process implemented in a series of phases to demonstrate utilization of EHRs and the impact on health
    Meaningful use (MU):
  42. reflects the U.S. goal for improving health care of the
    population and is reported to Congress each year
    National prevention strategy:
  43. aims and priorities to improve health care of the population
    National quality strategy:
  44. model of care designed to enhance advanced practice care delivery
    Nursing Education for Healthcare Informatics (NEHI)
  45. plans and conducts nutritional programs to assist in the promotion of health and
    control of disease
    nutritionist
  46. assesses, plans, organizes, and participates in rehabilitation programs
    that help build or restore vocational, homemaking, and daily living skills, as well as general
    independence, to persons with disabilities or developmental delays
    Occupational therapist:
  47. dispense drugs prescribed by physicians and other clinicians with prescriptive
    authority and have become important information resources for patients about medications and their use
    Pharmacist:
  48. assesses, plans, organizes, and participates in rehabilitative programs that
    improve mobility, relieve pain, increase strength, and improve or correct disabling conditions resulting from disease or injury
    Physical therapist:
  49. healthcare provider who works with a physician to provide patient care
    Physician assistant
  50. a project that generated quality and safety
    competencies and accompanying educational materials for pre-licensure nursing students and the faculty teaching such content
    Quality and Safety Education for Nurses (QSEN):
  51. identifies behaviors and actions permissible based upon education and licensure
    Scope of practice:
  52. standards designed to advance the science of simulation, share best
    practices, and provide evidence-based guidelines for implementation and training
    Simulation standards:
  53. actions and behaviors expected to be performed when functioning within a particular nursing role
    Standards of practice
  54. a grass roots collaborative
    effort that established specific recommendations for schools of nursing to prepare nursing
    students and practicing nurses to fully engage in digital health care
    Technology Informatics Guiding Education Reform (TIGER):
  55. Aim of NQS
    • better care
    • affordable care
    • healthy populations and communities
  56. what is the cornerstone of meaningful use
    patient engagement
  57. 3 components for reformation of healthcare delivery
    • technology for lowering cost
    • Assurance of patient safety and quality technology driven environment
    • Nursing's diverse role as HIT advances
  58. What can inadvertently cause patient harm in regards to patient safety and quality in technology-driven environment
    rapid deployment of technology in healthcare environment
  59. What should be used as a guide to implement safe HIT systems for better care
    Dept of Health and Human services book
  60. Since the enactment of ACA, who is expected to fill the gaps as providers due to the increased need for primary care providers
    ARNPs
  61. Interprofessional teamwork and Institute of Medicine (IOM) 4 core competencies
    • utilize informatics
    • Employ EBP
    • Provide Pt-centered care
    • Apply quality improvement
  62. 5 organizations that support Educational Standards for preparing nurses to function within the HIT environment
    • AACN
    • NLN
    • QSEN
    • TIGER
    • NEHI
  63. In regards to MU and HITECH what limits the impact of interprofessional teams
    Language that focuses on the physician reimbursement through the medicare/medicaid incentive structure
  64. Informatics Competencies for interprofessional teams describe:
    integration of knowledge, skills, abilities, and judgement
  65. What is the gold standard for preparing nurses to function within the HIT environment
    NEHI model
  66. Evidence for interdisciplinary teams supported by which 4 organizations
    • IPEC
    • WHO
    • IOM
    • MIT
  67. Name the stages of theory development
    • Observe phenomena
    • Explain phenomena
    • Model developed
    • Model is tested and refined
  68. Name two different levels of theories
    • Grand
    • Mid-Range
  69. Name 3 purposes of Mid Range theory level
    • treat propositions within the theory
    • Aid in the building of enlightment
    • used to narratively describe complex processes
  70. What does the ISTA model address
    Various types of social, technical, and contextual interactions with HIT that can result in unintended consequences
  71. What other informatics-based theories have nursing informatics used for sources of knowledge
    • information science
    • cognitive science
    • computer science
    • various information/knowledge attributes
    • technology interface characteristics
  72. What is quality improvement
    Blend of different theorists and approaches that include 6 core areas. Not a single definition.
  73. Name 6 core areas of Quality improvement
    • safety and patient centeredness of care
    • effectiveness
    • timeliness
    • efficiency
    • equitability of services
  74. What is to be the primary socio-technical lens of discussion for use within QI activities
    ANT
  75. What does ANT represent
    • Actors
    • Networks
    • Translations
  76. What is a black box network
    Feature of ANT that stabilizes allowing all actors within the network to function as one rather than separate entities
  77. what is the building block of science
    Epistemology
  78. Is quality improvement used as an approach or a tool
    either
  79. What is a Plan-Do-Study-Act model (PDSA)
    Model that is an approach to conceptualize quality improvement
  80. What can be used to operationalize quality improvement activities
    ANT
  81. What framework identifies three overriding dimensions of health care evaluation: structure, process, outcomes
    Donabedian's
  82. the nature of knowledge and what we can actually understand and “know”
    Epistemology:
  83. a body of knowledge including facts and theories generated by the use of controlled
    rigorous and precise methods within a delimited area of concern
    Science
  84. an attempt to describe, explain, or predict some phenomenon of interest; develops in
    stages
    theory
  85. refers to a system that contains both social and technical elements
    Socio-technical
  86. process where an actor performs an action within a large network of actors who form, align, and stimulate action through a process called translation
    Actor-Network Theory
  87. a process that is preplanned, executed, and evaluated in a logical,
    stepwise fashion
    Quality Improvement:
  88. the use of science to create a device to solve a problem
    Technology
  89. an approach to conceptualize quality improvement
    Plan-Do-Study-Act Model:
  90. framework to evaluate health care that includes
    structure, process, and outcome
    Donebedian Health Outcomes Model:
  91. What system appreciates the importance of humans and technology as well as acknowledge all things have the potential to interact and generate action
    Socio-technical systems
  92. Describe ANT and black box network
    • Actor: human or nonhuman entities that perform action
    • Network: group of actors
    • Translation: process of stimulating action
    • Black box network: stabilized action network
  93. what does ANT focus on
    how actors interact with each other and the environment
  94. What programs and plans were designed to achieve the goal of not just building an EHR, but actually implementing them?
    • ONC
    • HITECH
    • REC
    • HIE in the states
    • NwHIN Direct
    • supporting/creating Beacon communities
    • SHARP grants
    • Certification exams at colleges
  95. What two additional initiatives were created by PPACA to encourage EHR sharing between states
    NQS (priority areas for quality)and ACOs (payer reform)
  96. What supported the implementation of electronic health records and health care data
    sharing
    HITECH
  97. what was created to development standards within the health information technology
    Office of the National Coordinator for Health Information Technology (ONC)
  98. The HITECH Act included funding provisions for
    6 major initiatives
  99. What defined the EHR incentive program
    MU
  100. what programs designed to get small practices to adopt and meaningfully use
    REC
  101. Where is Health information exchanges built
    between each state
  102. providers or groups of providers agree to assume some



    level of risk with regard to the treatment of a large cohort of individuals
    Accountable Care Organizations
  103. provided grants to communities to help them connect the use of health
    information technology to improvements in community health outcomes as demonstrated by
    standardized quality measures
    Beacon Project
  104. created a national standard of functionalities that providers and
    hospitals could reference to ensure that their EHR was capable of supporting meaningful use
    EHR Certification Program
  105. a five-year program of increasing complexity to encourage providers
    and hospitals to adopt and meaningfully use electronic health records
    EHR Incentive Program
  106. identifies aims and priorities which are intended to serve as a
    framework for each of the different health-related agencies within the HHS
    National Quality Strategy
  107. a program to provide technical assistance to
    primary care providers in small and safety-net practices to facilitate selection, adoption, and use
    of electronic health records
    Regional Extension Center (REC) Program
  108. a program for States to build a nation-wide technological infrastructure
    that supports the secure exchange of clinical content between relevant care providers
    State HIE Program
  109. projects awarded to four
    university centers to spur technological innovation regarding the development of EHR
    technology
    Strategic Health IT Advanced Research Projects (SHARP)
  110. HITECH ACT included funding for what 6 major initiatives
    • EHR incentive program
    • EHR Certification program
    • State HIE program
    • Regional extension center (REC) program
    • Beacon Community program
    • Workplace development (community college curriculum & university based training)
    • Strategic Health IT Advanced Research Projects (SHARP)
  111. Who ran out of money for the  EHR implementation programs
    Office of national coordinator for health information technology (ONC)
  112. What was the framework for promoting EHR adoption
    EHR incentive program
  113. Creation of HIE for expanding HIT created what 3 designs
    • central data repository model
    • Federated model using local repositories
    • Hybrid model with elements of both types
  114. What year were changes made for EHRs to become certified must be capable of Nationwide Health Information Network Direct (NwHIN direct) or Direct
    2011
  115. 3 part aim of Beacon communities
    • improve population health
    • test innovative approaches
    • Build health IT infrastructure
  116. What program has guides that provide info about community challenges with HIT implementation and how to overcome obstacles
    Beacon
  117. 3 specific organizational milestones of Regional Expansion Center Programs
    • Enrollment with REC
    • Go live on an EHR
    • Provide achieved MU
  118. 4 critical areas of EHR funcitonality designed by SHARP grants for universities and research institutions
    • Sharp S: privacy and security
    • Sharp C: Physician cognition and decision-making
    • Sharp A: health application design
    • Sharp N: use of EHR data
  119. What grant was awarded to support medical devices
    MD SHARP
  120. Interlocking programs 3 most critical programs
    • EHR incentive
    • REC program
    • State HIE program
  121. what guides the development of health policy and implementation
    NQS
  122. process of integrating patient's goals and concerns with medical evidence to achieve high-quality medical decisions
    shared decision making
  123. 4 approaches to empower people
    –Provide with tools and information to make healthy choices

    –Promote positive social interactions and support healthy decision making

    –Engage and empower people and communities to plan and implement prevention policies and programs.

    –Improve education and employment opportunities
  124. Approaches to empower people in health care:
    –Confirm understanding of health promotion and disease prevention

    –Involve consumers in planning, developing, implementing, disseminating, and evaluating health and safety information

    –Use alternative communication methods and tools to support more traditional written and oral communication.

    –Refer to adult education and English-language instruction programs enhance understanding of health promotion and disease prevention messages
  125. Approaches to pt involvement
    –Interprofessional education/collaborative

    –Support patient activation
  126. Models to pt involvement
    –Family Health Model

    –Betty Neuman Model of health

    –Family systems theory (FST)

    –Patient- and family-centered care
  127. Create a learning health care system with the characteristics of: (4 things)
    • Science and Informatics
    • Patient clinician partnerships
    • Incentives
    • Culture
  128. what law involves computing power will double every 2 years
    Moore's
  129. What is a bit
    standard unit of measure in computers
  130. what is a bascia whole unit of info used to form the written codes assigned to retrievable computer data archives known as "the memory"
    Byte
  131. processing speeds, memory requirements, interface equipment, operating system requirements, and software to run the clinical software
    hardware
  132. system, application, programming tools
    software
Author
LaurenHH
ID
340718
Card Set
6870 MIDTERM
Description
This blows
Updated