Mutlidisciplinary Team Terminology - (SNOMED-CT) Systematized Nomenclature of Human and Veterinary Medicine Clinical Terms- clinical terms covering nurisng, medicine, & allied health
Standardized Terminology Supports
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Mutlidisciplinary Team Terminology - (SNOMED-CT) Systematized Nomenclature of Human and Veterinary Medicine Clinical Terms- clinical terms covering nurisng, medicine, & allied health
Standardized Terminology Supports - Data Mining
PHR - Private Health Record - Lifetime health record, supplied by ind., healthcare providers, pharmacies, therapist, lab test, - Controlled by the consumer,
E-Sign - Same legal status as a hand written signature
MIPPA - Medicare Improvement for Patients & Providers Act provides - financial incentive for e-prescribing to providers
HIPPA provides - legal protection for personal health info, set standards for elect. data interchange of claims data, named specific code sets for use in Medicare related transactions, & Privacy
ARRA provides - provide funds for adoption of technology & provides the right for every individual to receive and electronic copy of EHR
HITECH provides - strengthened HIPPA security & privacy protection, & provides financial incentive for the user of EHR
EMR -electronic medical record provides - Legal record often restricted to a Single episode of care , building block of EHR,
EHR- Electronic Health Record is - Longitudinal record that includes client data, demographics, clinician notes, medications, diagnostics.
- Major driver for US Adoption are "Meaningful Use" financial incentives from HITECH part of ARRA
Affordable Care Act provides - guarantee access to healthcare, encourage PCP,
Data is - collection of #, characters, or facts (body weight- 128lb), little meaning alone
Information is - Collection of data examined for patterns or structure that can be interpreted. ex notes prior BP and informs doc
Knowledge is - Synthesis of info from several sources to produce a single concept or idea, ex read a journal about BP
Computer Technology is - collection of data for analysis, which can be used to justify the efficacy of particular interventions & improve quality of care
HIS HEalthcare Information System is - Administrative System + Clinical Information System,
Clinical Systems include: order entry, radiology, pharmacy, physician management system
Adm system : non clinical, demographics, scheduling, risk mgmt, decision support,
Administrative System includes these functions - Managing nonclinical, client-related information (demographics, codes for procedures, & Insurance
Hippa - Compliant Codes inlcude - (ICD) International Classification of Disease, Common Procedural Terms, (ABC) Alternative Billing Codes,
ANA recognizes these terminologies - (CCC) Clinical Care Classification, (ICNP) International Classification of Nursing Practice, NANDA, NIC, NOC, the Omaha System, (PNDS) Perioperative Nursing Data Set
Teleconferencing is - use of computers, audio, & video equip. and high-grade dedicated telephone line, cable/sat connections to provide interactive communication between 2+ ppl at 2+ sites
Elearning provides - electronic media to present instruction, it allows users to skip information they already know
Distance Education is - the use of print, audio, video, computer, or teleconference capability to connect faculty & students; Can take place in real time or on a delayed basis
Web Based Instruction is - the attributes & resources of the internet to deliver & support education
Telehealth is - use of telecommunication technologies & computers to provide healthcare info & services to clients at another location
- consumers are chronically ill, isolated, assisted living families
- decrease er visits, decrease LOS, decrease Admissions, increased productivity for clinical
Telenursing is - telecommunications & computer technology for the delivery of nursing care & services to clients at other sites
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