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Name two new provisions of HIPAA created to help protect electronic health information
- Electronic submissions
- code sets
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name 3 areas of compliance of the security rule (HIPAA)
- adminstrative
- physical
- technical
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Updates to business associate agreement and additional changes to HIPAA legislation includes:
- creation of breach notification rule
- increased privacy protection for genetic info
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Name agencies created to protect electronic information
- Federal trade commission (FTC)
- FDA
- 42 CFR Part 2 (SAMSHA)
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What enforces 42 CFR Part 2 in protecting electronic information
Substance abuse and mental health services administration (SAMSHA)
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How does the FTC protect electronic information
through unfair and deceptive trade practices act
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How is electronic information created and transmitted
Code sets and PHI
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How is stage 2 of MU achieved in regards to PHI
- Providers are to provide 50% of all unique patients seen within a reporting period access within 4 days when the info is available AND
- 5% of patients must download or transmit info via the portal
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Name 4 things included in the patient portal
- Patient record/history from providers main EHR
- Educational/training documents
- Collaboration methods such as email during 24 hours a day to communicate with health care professionals
- Quality metrics such as outcome measures that demonstrate progress over time
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Name 4 issues/barriers to patient portals
- Not every patient wants to use it
- No internet access/computer
- Age
- Computer literacy
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What plans are in place to improve patients utilization of portals
- AHRQ guidelines for developers of materials and websites for low literacy populations
- Provider access to National Learning Consortium computer materials action list
- Provider/staff enthusiasm about portal
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what should the provider assess when considering the utilization of the patient portal
- computer literacy
- education
- satisfaction
- enrollment process
- internet access
- time frame fr adoption
- readability materials
- severity of patient illness
- knowledge of portal use trends
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What are health-related data created, recorded, or gathered by or from patients (or family members of other caregivers) to help address a health concern
Patient-Generated data
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Name 5 things included in Patient-Generated data
- Health history
- Treatment history
- Biometric data
- Symptoms
- Lifestyle choices
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Name some examples of PGHD
- Blood glucose monitoring or blood pressure readings using home health equipment
- Exercise or diet tracking using a mobile application
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Name 3 components of Telehealth
- Telemedicine
- Remote management/monitoring/coaching
- Mobile health
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Name 4 elements of care delivery in Telehealth
- Provide clinical support
- Overcome geographic barriers
- Use various types of ICT
- Improve health outcomes
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2 different applications of Telehealth
- Store and forward (asynchronous)
- Real-time (synchronous)
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What is an issue with Telehealth and how is it addressed
- Site of service (nurse state of residence or patient home)
- Nurse Licensure Compact act
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Name 3 things that need to have medical liability coverage in telehealth
- Equipment hardware
- Equipment-user-transmission interface
- Backup systems
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Do you need informed consent for telehealth?
YES!
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What type of telemedicine involves the exchange of prerecorded data between two or more individuals at different times
Store-and-forward (asychronous)
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A patient or referring health professional sends an email of description of a medical case to a expert who later sends back an opinion regarding diagnosis and optimal management is an example of which telemedicine application
Store and forward (asynchronous)
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What type of telemedicine application requires the involved individuals to be simultaneously present for immediate exchange of information
Real-time (synchronous)
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Video conferencing is an example of what type of telemedicine application
Real-time (synchronous)
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Name some examples of Point-of-care devices
- Weight scales
- glucometer
- blood pressure monitors
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What population is point-of-care devices in telemedicine most helpful for
- elderly
- chronically ill
- rural with trouble with access to health care
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What technology is the most promising way to engage patients in their health care
mHealth
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What is defined as generation, aggregation, and dissemination of health information viz mobile and wireless devices
mHealth
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Name agencies responsible with SAFEGUARDING personal health information for patients using mHealth
- Federal Communications Commission
- FDA
- Federal Trade Commission
- National Institute of Standards and Technology
- Office of Civil Rights (OCR)
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What framework is responsible for integrating clinical, financial, operational, and third-party data sources for reporting, analytics, and research
E-DRAP
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CORE OF E-DRAP
Data Transparency
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3 areas to consider with technology and E-DRAP
- Identify key data essential to launch HDO reporting and analytics journey
- Importance of sharing BI content within online libraries and end users
- Evaluate and select technology that vendors present to HDO
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3 components of E-DRAP
- Roadmap
- Continuous and iterative process cycles to assess readiness, design, document, and built BI reporting and analytics and release and train end users
- Support best practice to be employed throughout continuous iterative process
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What is a set of methodologies, processes, architecture, and (software tools and) technologies that transform raw data into meaningful and useful information used to enable more effective strategic, tactical, and operational insights and decision making
Business Intelligence
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