NR 599 : Final study guide, Spring 2020 complete guide - Chamberlain College of Nursing.

NR 599 : Final study guide, Spring 2020 - Chamberlain College of Nursing. NR 599 Final study guide ● Ethical decision making ● Bioethical standards ● Telehealth ● Medical Applications ○ Software developed for medical pur ...

NR 599 : Final study guide, Spring 2020 - Chamberlain College of Nursing. NR 599 Final study guide ● Ethical decision making ● Bioethical standards ● Telehealth ● Medical Applications ○ Software developed for medical purposes, including home medical monitoring system, medical databases for healthcare professionals, etc. ● Medical Devices ○ is any device intended to be used for medical purposes ● FDA Oversight for Medical Devices ● Privacy ● Confidentiality ● Cybersecurity ● Computer-aided translators ● HIPPA ● ICD-10 Coding ● Evaluation and Management Coding ● Reimbursement Coding ● Clinical Support Tools ● Workflow analysis WEEK FIVE READING/ KEY POINTS Key points from the lessons and modules ● Clinical Decision Support (CDS) ● CDS improving healthcare ● CDS challenging healthcare ● Workflow Design ● Changes in workflow, poor system design and usability issues, lack of understanding about these systems and their capabilities, user errors and system errors, and lack of defined protocols can all lead to process breakdowns and errors. McGonigle Chapter 13 ● EHR and information systems provide POC decision support to prevent medical errors to save lives and money ● Workflow must be considered before implementing technology or it can be more dangerous ● Barriers to implement technology: cost & length of time to incorporate it, frequent upgrades interrupting the workflow ● American Recovery and Reinvestment Act (ARRA)- used financial incentives to implement Meaningful Use (MU) rules and regulations ● Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) took over and created a quality payment program (QPP) to replace Medicare reporting programs ● Hospitals have small profit margins so they need to work smarter and not harder with the help of technology to keep the margins from getting smaller ● More research is needed in the area of financial implications of workflow inefficiencies and their impact on patient care ● Workflow redesign- one of the fundamental skills sets that make up the discipline of an informatics nurse ● Process owners: those that directly engage in the workflow to be analyzed and redesigned ● Six Sigma or Lean Departments: efficient and effective delivery of care ● Variation: when workers perform the same function in different ways- should be eliminated when possible ● Involve operational staff when possible to ensure the buy-in of staff ● To move from current state to future state gap analysis is necessary-- zeros in on the major areas most affected by the change ● Chapter 13 Workflow and Beyond Meaningful Use ■ . McBride, S., & Tietze, M. (2018). ● Chapter 6 Computers in Health Care ● Chapter 19 Clinical Decision Support System ■ Predictive: take available data and apply logic or algorithm to calculate the likelihood of an event (falls risk tool) ■ Prescriptive: lead the clinician on a defined pathway to address the identified issue (hundreds of data points to give a weighted sepsis score- trigger a sepsis guideline order set) WEEK SIX READING/ KEY POINTS ● McGonigle Chapter 18 Telenursing and remote access telehealth ● McBride Chapter 7 EHR and POC technology ○ Adoption WEEK SEVEN READING/ KEY POINTS ● McGonigle Chapter 5 Ethical Applications of Informatics ● McGonigle Chapter 8 Legislative Aspects of Nursing Informatics: HITECH and HIPAA ● McBride Chapter 14 Privacy and Security in a Ubiquitous Health Information Technology World ● McBride Chapter 27