Health Informatics Comprehensive Exam Review | Complete Solutions (Verified)

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Health Informatics Comprehensive Exam Review | Complete Solutions (Verified) The definition of healthcare informatics is defined by several organizations. Which of these statements would best define... healthcare informatics in the understanding of clinicians such as nurses and other professional caregivers? An interdisciplinary professional specialty and scientific discipline that integrates the health sciences, computer science, and information science as well as other analytic sciences with the goal of managing and communicating data, information, knowledge, and wisdom in providing care for individuals, families, groups, and communities. Data and information within the EHR systems provide opportunities to generate knowledge. Healthcare providers must have an understanding of health informatics. Which of the following statements best describes their role in knowledge generation? The clinician supports the use of standardized languages to document patient care to allow others such as patients and other clinicians to search the terms to understand the assessments, diagnoses, treatment procedures, therapy, or intervention. Information systems and applications for delivery of healthcare are addressing needs associated with health informatics. Three essentials to explore with each of these systems and applications would include: purpose, functions, and internal and external structures. Two studies have reported that if fully using electronic health records (EHRs) within American hospitals, the volume of preventable fatal hospital-based events each year could be reduced by 78,800 to 132,000. What were the critical considerations to achieve such a significant improvement to patient safety? Clinicians can document treatment completely within the HER Health informaticians fully involved in the design, selection, and implementation Healthcare providers who maximize their use of EHRs to care for patients When managing the interrelationships among the stakeholders to further develop EHR systems, health information technology (HIT) professionals need to facilitate life-cycle change. Select the foundational health informatics knowledge HIT professionals need to consider? Healthcare providers advocate for their involvement in selecting systems that directly and indirectly impact patient care. Research design involves a balance of internal validity (the validity of the causal inference that the treatment is the "true" cause of the outcome) and external validity (the validity that the causal inference can be generalized to other subjects, forms of the treatment, measures of the outcome, practitioners, and settings). The weaknesses of practice-based evidence observational designs include: internal validity. causality between treatment and outcomes. The STEEEP recommendations and redesign principles reflected in health professional education programs to improve the quality of care are best described as: safe, timely, effective, efficient, equitable, and patient-centered. An emerging approach to knowledge building includes measuring the effectiveness of EBP guidelines. This approach requires steps to obtain clinical data through the application of PBE research design techniques. These techniques include: using collected electronic data with cohort samples of patients with identified characteristics to detect subtle patterns within comprehensive standardized data about practice interventions and treatments. The role of evidence-based practice (EBP) in developing informatics-based solutions for managing patient care includes solutions that generate support for clinical decisions through: designing EBP documentation screens, order sets, Infobuttons, and clinical reminders. The ACE Star Model of Knowledge Transformation is a model of five points to integrate evidence-based practice into informatics solutions. Which activities represent the five points of the star? Discovery research, evidence summary, translation to guidelines, practice integration, and evaluation of process and outcome The use of opinion leaders and real-time feedback about patient outcomes are examples of which type of intervention? Offer mechanisms to diffuse and adopt new knowledge and include innovation Choose the best two responses to describe evaluation research. Methods selected and few targeted outcomes Research with statistical evaluation of models Which characteristics of informatics interventions are measured during program evaluation? Effectiveness in decision support or identifying patients Reach of targeted people Identify the three levels of theory relevant to program evaluation. Program theory Implementation models Scientific theory The Centers for Disease Control and Prevention provides a six-step framework for program evaluation of a locally developed project. Select steps for program evaluation. Engage stakeholders to contribute to goals and metrics. Assess usefulness, feasibility, ethics, and accuracy. Justify conclusions by comparing to standards and expert review. Differences between formative and summative evaluation include: assessments. When health practitioners attest to their Meaningful Use of a certified EHR, their practice is demonstrating which Stage 2 requirements? Adopt EHR functionality to support continuous quality improvement, patient safety, and sharing structured data/information within the health information exchange networks Stakeholders such as patients perceive that the most important issue impacting EHR adoption is: trusting providers to protect the privacy of their personal information. Which EHR application provides a color-coded list display of details for scheduled, unscheduled, pending, past due, and completed types of medications and fluids? Electronic Medication Administration Record (eMAR) The clinician specific benefit from use of an EHR is: simultaneous access to patient records. The essential components and attributes of an EHR include: automate, track, and document decision support processes and rationale. communication and connectivity processes. active and inactive problem lists link to order entry and results management. longitudinal record link with dentistry and optometry records. In what ways are practice management systems (PMSs) different than integrated healthcare systems? Scale of provider services Healthcare Common Procedure Coding System (HCPCS) General ledger, payroll, patient accounting, claims processing, claims denial management, contracts management, and fixed asset management are basic applications for which system(s)? Financial information systems Application-level and enterprise-level business intelligence can be differentiated by: use of an independent software solution or a component software solution of an EHR. A quality supply chain system supports the operation and management of clinical systems by integrating which three components with the clinical systems? Supply item master file, charge description master file, and the transaction history file Which system includes personnel administration, staffing and scheduling, training and career development, compensation, benefits, and pension administration and performance evaluation and employee health and safety? Human resources information system Telemedicine practice guidelines for healthcare professionals' practice is identified by the: American Telemedicine Association. Three clinical practice considerations for telehealth-delivered care for health professionals are: competency of physicians and nurses. confidentiality and privacy. equal to face-to-face care. Which type of telehealth uses interactive telecommunications technology and/or patient monitoring technologies to connect a provider and patient for direct care? Synchronous telehealth The four operational and organizational factors that enhance or hinder telehealth are: bandwidth, education, leadership, and technology. Telehealth tools to enable self-care in consumer informatics include: pill identifiers and drug interaction checkers. symptom checkers, fitness trackers, and personal health records. The primary goal of home health agency providers in using technology to work with accountable care organizations is to: facilitate communication and collaboration. Standardized datasets used in electronic health records (EHRs) and information systems in home care practice sites include: Outcome and Assessment Information Set (OASIS). Which components are associated with community-based healthcare? Interprofessional collaboration Patients who are knowledgeable about their own healthcare Work with patients and their families over time Schools, occupational health, public health, parish nursing, and nurse-managed health centers are examples of: home healthcare. The primary benefits of point-of-care standardized terminologies in home health clinical information systems are: real-time and one-time external monitoring and documentation. quantitative data for outcomes reporting and disclosing patient outcomes disparities. prerequisite for decision support to improve performance. maintain accurate lists of problems and medications, and reuse of information. The barriers to the wide adoption of clinical decision support include: culture of quality improvement. In the national road map led by Osheroff and colleagues, clinical decision support was described as: interventions to provide knowledge and person-specific information, intelligently filtered or presented at appropriate times, to clinicians, staff, patients, or other individuals to enhance health and healthcare. Best practices for clinical decision support design that improves practitioner performance and patient outcomes consist of which four function categories? Triggers, input data, interventions, and action steps Patient care workflow and relevant patient information or summaries of prominent aspects of a patient's record are: major types of clinical decision support. The Agency for Healthcare Research and Quality suggested which strategies for disseminating advanced clinical decision support on a national level? CDS developed once and used by many Benefits of the health information exchange infrastructure for public health include the ability to: communicate with selected provider and patient populations through secure messaging to receive lab reports and sending alerts on potential outbreaks. Social, political, and other factors influence the implementation of public informatics solutions. Which of the following has been the largest challenge to enhancing future public health infrastructure? Lack of resources Three core public health functions and workflows supported by information technology include: assessment, policy development, and assurance. Cloud computing is critical to the future of public health informatics because it: shares databases for transforming and managing data. locates a suite of application services to a remote site to share resources with a variety of users. configures and standardizes any customization efforts for all to use. Which key public health application for infectious and chronic diseases makes comparing information within public health systems challenging because of varying policies among states, cities, and counties? Public health reporting What is a critical regulatory issue associated with the use of social media in healthcare education and services? Support net neutrality Healthcare systems can best use social media in healthcare by: linking patients within a network, developing collaborative content, and disseminating content. communicating vital information during crises or disasters. sharing bookmarks with others and promoting facility activities. Social media policies addressing information disclosure, professional integrity, and appropriate use should be developed by a team comprising: physicians, nurses, IT, legal, and community representatives. What is the greatest challenge associated with the use of social media in healthcare? Privacy and confidentiality Which best describe the benefits for healthcare from using social media tools? Improve provider to provider, patient to provider, provider to patient communication Finding others with similar conditions and treatments Study content on sites, collect data for research Current research regarding the effectiveness of personal health records as an approach to improving healthcare has shown that: the use of secure messaging in the PHR by individuals with diabetes was associated with better glycemic control. increased use of secure messaging by individuals with diabetes was associated with increased outpatient visits. personal health record use was associated with reduced telephone calls to the clinic and a reduced number of outpatient visits per year. What led to the development and adoption of electronic personal health records? Use of personal computers, internet, and EHRs What affects the adoption and function of current personal health records? Desire for functions such as prescription refill, messaging, results, and plan that PHRs offer Which type of personal health record does not link to healthcare providers and does not let users e-mail their doctor, request medication refills, or schedule appointments but does offer maximum control over content? Untethered PHR What guides development of the ideal personal health record (PHR)? Comprehensive longitudinal record and data ownership, control, and privacy Identify which domain of mHealth applications this example supports. A program provides pregnant women with stage-appropriate information through text messages about pregnancy, birth, and care of an infant. Domain for client education and behavior change The three biggest mHealth challenges associated with implementation include: patients misinterpret their own data, make poor health decisions, and data privacy and legal risks. Driving forces that are behind the mHealth movement include: access, cost savings, better functionality, research, connected globally, and public engagement. Implications for mHealth research encourage the use of guides that have been endorsed by major donor organizations and outline best practices for technology-enabled programs. Identify the strategies that best support mHealth research. (Select all that apply) Reuse and improve existing tools and platforms rather than build new ones Sustainability in mHealth projects Mitigate overlap and waste of implementing mHealth projects Which of these statements best describes the unique features of mHealth when compared to health IT applications? Mobile configuration, wireless, consumer-grade hardware, short messaging service Which phase of the systems development life cycle involves reviewing and updating the inventory of information systems, functionality, forms, regulations, interviews, and process flow maps? Analyze Which statement best describes the characteristics of the request for proposal (RFP)? Describes vendor experience, vendor staff strength, market and industry understanding, differential advantages such as usability or available functionality, and cost Which phase of the systems development life cycle involves project management and organizing a team? Plan How is an institution's vision and strategic plan used as a guide in selecting a new or upgraded healthcare information system? Organization and IT department strategic planning is iterative in nature and requires discerning future goals, directions, and multiple variables. After the request for information (RFI) and the request for proposal (RFP), the vendor and the organization complete steps for evaluation. What is the vendor step? Provide presentations and demonstrations aimed at showing how the system can meet or exceed the requirements. When you document lessons learned and create ongoing support models for operations and maintenance, the project management procedures signify this process group? Closure processes The project manager role uses a variety of skills to take on the responsibility to manage a project from initiation to closure. Which of the following responsibilities is not the role of project manager? Evaluate changes in the scope of the project and support stakeholders who add to the project. Contemporary organizations need formal structured change control processes that: reduce variability across processes and provide standardization across projects. A process of initiation or preplanning, formal planning, creation and implementation of a plan, and measurement of progress and performance from start to finish. Project management Components of formal management that align directly with the knowledge of project management process groups, activities, and steps and that are essential to successful delivery include: scope management, time management, project integration, communication, and procurement steps. The process of negotiating an agreement for software involves multiple drafts with compromises and adding essentials into the agreement. Vendors provide the standard form for agreement and iterations of drafts proceed multiple times. What are critical steps for the negotiating team to avoid delays and include the HCO requirements in the agreement? Require editable drafts of the agreement where changes can be tracked and documents compared. Contract negotiations involve understanding the implications of contract provisions commonly included in an agreement (contract) for software purchased by a healthcare organization (HCO). This agreement protects healthcare organizations when including obligations, warranties, and assurance that the software and its functionality, performance, and compatibiliity achieve intent. What protects the vendor's intellectual property within the software? License When the negotiation process is completed, who is responsible for signing the agreement? Chief executive officer (CEO), chief financial officer (CFO), chief information officer (CIO) Shared control of the agreement document is necessary in preparing response drafts that are redlined to show changes to the prior draft. Due diligence is part of the process of negotiating an agreement for software, which means the negotiating team has responsibility for the following: ask who has recently discontinued use of the vendor's software and why. check with other users and visit user sites. Several individuals should be involved in the negotiation process for the healthcare organization. This person understands the intellectual property rights and contracts and has experience with software license agreements and would play a role on the negotiation team. Attorney When compared to the "Best of Breed" approach in selecting healthcare information system architecture, the integrated system: provides applications that are excellent for some areas and less optimal for other areas. The highly advanced decision support feature integrated within an electronic information system would support which activity? Message from logic rule based on patient variables: diagnosis, patient location, documentation A strategy for successful management of the implementation of a healthcare information system is to have baseline metrics. This project management activity aligns with which of the following project management implementation steps? Defining success factors Using Tall Man Lettering in similar drugs' labels helps solve which iatrogenesis error? Look-alike names Several reasons are provided for implementing or upgrading an electronic information system. Which initiative encourages more timely updates of treatment plans based on best practices? Agency for Healthcare Research and Quality's Translating Research into Practice A business continuity plan for your organization would include: expected time to recovery based on the requirement for service and available resources. which systems can be excluded from initial recovery. exercises to test the plan. Communication strategies for planned and unplanned downtime in your organization should provide clinicians and support staff enough information, but not too much. A good strategy is a template message explaining: what is down, when it began, how long, why, what changed, who is impacted, what to expect, and what procedures to follow. Information technology and clinical staff members have roles in system downtime planning. What two roles are specific to the IT staff in addressing system downtime planning? Test the new functionality and discover any dependencies. Establish methods to communicate to senior leadership, staff, and the community. A downtime risk assessment will be developed based on: [Show More]

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