Download D220 Informatics questions and verified answers|ready to pass 2025/2026 and more Exams Information Technology in PDF only on Docsity!
D220 Informatics questions and verified
answers|ready to pass 2025/
(ONCHIT) Office of the National Coordination for Health Information Technology - answ✔✔Federal government driving healthcare Info standards. 2 Federal Advisory Committees: HITPC - framework for nationwide infrastructure & HIT standards for communities HITSC - develop standards, certifications and implementations strategies. (RACI) checklist - answ✔✔known as responsible, accountable, consulted, and informed When a group is assigned different levels of responsibilities where each member has a different task, it is important to track who is doing what; for example, who is responsible and who might just be consulted or just kept informed about the task. 21st Century Cures Act - answ✔✔designed to help accelerate medical product development and bring new innovations and advances to patients who need them faster and more efficiently. Provisions that will improve workflow & exchange of electronic info. ONC (responsible for implementing) seamless & secure access, exchange and use of
electronic health info. 3 textual knowledge representations for concepts in medicine and nursing - answ✔✔Systematized Nomenclature of Medicine (SNOMED), Current Procedural Terminologies (CPT), and Nursing Interventions Classification (NIC) 5 rights of clinical decision support - answ✔✔Right information Right person Right intervention format Right channel Right time in workflow 5 rights of Informatics - answ✔✔Right - Information Person Intervention Channel Time in workflow A Gantt chart is - answ✔✔another way to track different tasks and provide a quick visual representation of due dates, including duration times and start and end dates as well as tasks, subtasks, and who is responsible for making sure the task is completedA scatter or correlation chart - answ✔✔provides a quick, visual way of looking at how one
Airborne precautions examples (how are they diagnosed) - answ✔✔chickenpox (varicella) - PCR/fluid from lesions Herpes zoster/shingles - fluid from lesions/labs for antibodies TB- CXR/Mantoux skin test/labs Alarm Fatique - answ✔✔Becoming desensitized to patient care alarms and missing or delaying their response to the alarm. American Recovery and Reinvestment Act (ARRA) - answ✔✔**Authorized INCENTIVE PAYMENTS to specific types of hospitals & healthcare professionals for adopting & using interoperable Health Information Technology and EHR's. The purposes of this act include the following: (1) To preserve/create jobs and promote economic recovery. (2) To assist those most impacted by the recession. (3) To provide investments needed to increase economic efficiency by spurring technological advances in science and health. (4) To invest in transportation, environmental protection, and other infrastructure that will provide long-term economic benefits. (5) To stabilize state and local government budgets, in order to minimize and avoid reductions in essential services and counterproductive state and local tax increases.
ANA (American Nurses Association) - answ✔✔Professional organization for all RNs. Concerned with licensure, collective bargaining and educationAnalytics
- answ✔✔A term describing the extensive use of data, statistical and quantitative analysis, explanatory and predictive models, and fact-based management to drive decisions and actions. Asynchoronous Applications - answ✔✔No contact with patient for data collection. EX: Remote pt monitoring, Using health technologies to share health metrics and data w/ providers. STORE & FORWARD APPS (ex: photos) Audit trail - answ✔✔a report that traces who has accessed electronic information, when information was accessed, and whether any information was changed Authentication - answ✔✔A method for confirming users' identities Authorization - answ✔✔The process of giving someone permission to do or have something Authorized Uses - answ✔✔A covered entity must obtain the individual's written authorization for any use or disclosure of protected health information that is not for treatment, payment or health care operations or otherwise permitted or required by the Privacy Rule.44 A covered entity may not condition treatment, payment, enrollment, or benefits eligibility on an individual granting an authorization, except in limited
unstructured data, which cannot be analyzed without the use of information technology Bioinformatics - answ✔✔application of mathematics and computer science to store, retrieve, and analyze biological dataBiometrics - answ✔✔the identification of a user based on a physical characteristic, such as a fingerprint, iris, face, voice, or handwriting Business Continuity Plan - answ✔✔A plan for how an organization will recover and restore partially or completely interrupted critical function(s) within a predetermined time after a disaster or extended disruption Business Intelligence - answ✔✔Information collected from multiple sources such as suppliers, customers, competitors, partners, and industries that analyzes patterns, trends, and relationships for strategic decision making C - answ✔✔ C-CDA (Consolidated Clinical Document Architecture) - answ✔✔Allows interoperability of health information exchange between to hospitals. cause-and-effect diagram/fishbone diagram - answ✔✔is used to identify and trace problems and then track the cause back to the root. *also called root-cause analysis. *The first step in the process is to state what the problem is, then ask "why" any number
of times until the source or cause has been identified. Examples of items on the arrows or causes might be people, technology, a process, or different environments. CCR (Continuity of Care Record) - answ✔✔Snapshot/standardized summary of the most relevant and timely health information about pt and shared to a physician who does not have access to pts EHR. CDSS examples: - answ✔✔paper decision support tools, order sets, parameters for patient care, patient data, and patient monitors, Nursing literature CDSS providing patient specific decision support - answ✔✔Elements such as depression scoring, patient goals, and body mass index provide information that could enhance patient specific decision support. Change Control - answ✔✔Helps to prioritize limited resources and ensures system standards are upheld. Change Control Board (CCB) - answ✔✔A committee that evaluates the worthiness of a proposed change and either approves or rejects the proposed change. Change Management - answ✔✔The process, tools and techniques that help people implement changes to achieve a desired outcome. (Supports the adoption of a
that provide a standardized framework for documenting patient care in hospitals, home health agencies, ambulatory care clinics, and other healthcare settings" Clinical Decision Support System - answ✔✔A special subcategory of clinical information systems that is designed to help healthcare providers make knowledge- based clinical decisions Ex: Alerts for abnormal VS, labs results, med contraindications, screenings, standing orders, reminders in EHR ect... Clinical Informatics - answ✔✔concentration on the delivery of timely, safe, effective , EB and pt centered care. Clinical Information Systems - answ✔✔Ex: May be specific to certain departments. Lab, radiology, pharm(Both), or particular pt population. Functions may include order entry, results reporting, scheduling and documentation. Lg computerized database used to access the pt data that are needed to plan, implement and evaluate care. Clinical Nurse Specialist - answ✔✔Expert clinician in a specialized area of practice who engages in research and helps direct practice change. Clinical Research Informatics - answ✔✔Discovery and management of new knowledge
pertinent to health and disease from clinical trials via secondary data use.clinical terminology - answ✔✔standardized terms and their synonyms used to record pt data with sufficient detail to support clinical care, decision support, outcomes research, and quality improvement, flow sheets, vital signs, assessments and nursing notes. Computer Literacy - answ✔✔The ability to use computers for basic tasks, such as developing documents, sending emails and searching the internet for information. CONCERN CDS - answ✔✔identifies nursing documentation patterns that are for patient deterioration and generates a predictive early warning score. The CONCERN CDS consists of two main components:
- the decision engine, which uses AI models to analyze the content and patterns of nursing EHR data (such as flow sheet entries and nursing notes)
- front-end interfaces that display the predicted CONCERN levels (green, yellow, red), with red indicating that a patient is at the highest risk for deterioration. A web application provides tracking of the CONCERN level over time and facilitates transparency of the AI models by displaying what factors contributed most to the current calculation.
Focusing on users point of view.Continuous Quality Improvement (CQI)
- answ✔✔Continuous monitoring of performance and supports audit capability also known as QUALITY ASSURANCE SYSTEM CPOE (Computerized Physician Order Entry) - answ✔✔An order entry and decision support system that allows direct entry of orders and immediately shared w/ others Criminal Penalties - answ✔✔Criminal Penalties. A person who knowingly obtains or discloses individually identifiable health information in violation of the Privacy Rule may face a criminal penalty of:
- up to $50,000 and up to one-year imprisonment. *$100,000 and up to five years imprisonment if the wrongful conduct involves false pretenses, *and to $250,000 and up to 10 years imprisonment if the wrongful conduct involves the intent to sell, transfer, or use identifiable health information for commercial advantage, personal gain or malicious harm. The Department of Justice is responsible for criminal prosecutions Critical Care Information System - answ✔✔Integrates captured physiological data w/ practitioner documentation and clinical data management functions, as well as access and communication w/ remote experts.
Current functionality of EHR includes: - answ✔✔• Point of care (POC) access by practitioners.
- Support for multiple users to view data on same patient at the same time.
- Results review (laboratory, pathology, imaging, notes, etc.) . • Quality metrics.
- Dashboards.
- Documentation.
- Electronic communication.
- Order management.
- Patient monitoring in real time.
- Patient summary displays.
- Patient support.
- Medication administration record.
- Population health.
- Bar code medication administration.
- External reference resources.
- Billing Data - answ✔✔Facts, figures, and other evidence gathered through observations.Data Analysis - answ✔✔processing of data that identifies trends and patterns of relationships
information neither identifies nor provides a reasonable basis to identify an individual. There are two ways to de-identify information; either: (1) a formal determination by a qualified statistician; or (2) the removal of specified identifiers of the individual and of the individual's relatives, household members, and employers is required, and is adequate only if the covered entity has no actual knowledge that the remaining information could be used to identify the individual. device integration - answ✔✔Capturing data from patient monitors and anesthesia machines, and filing them directly to a patient's chart in EHR. Ex: entering VS, cardiac monitor download data into EHR DICOM (Digital Imaging and Communications in Medicine) - answ✔✔Transmits digital imaging (DICOM & HL7 support standardization in health care data DIKW theory - answ✔✔Data, Information, Knowledge, Wisdom (data is most discrete) Data=pt monitoring, labs, diagnostic systems (CT scans) Information=Clinical Info systems, & DSS (alerts/reminders)Knowledge=Lg databases (med articles) & Artificial Intelligence
Disclosure - Limited Data Set - answ✔✔Limited Data Set. A limited data set is protected health information from which certain specified direct identifiers of individuals and their relatives, household members, and employers have been removed.43 A limited data set may be used and disclosed for research, health care operations, and public health purposes, provided the recipient enters into a data use agreement promising specified safeguards for the protected health information within the limited data set. Disclosure - Victims of Abuse, Neglect or Domestic Violence - answ✔✔Victims of Abuse, Neglect or Domestic Violence. In certain circumstances, covered entities may disclose protected health information to appropriate government authorities regarding victims of abuse, neglect, or domestic violence Disclosure - Workers Compensation - answ✔✔Workers' Compensation. Covered entities may disclose protected health information as authorized by, and to comply with, workers' compensation laws and other similar programs providing benefits for workrelated injuries or illnesses. Disclosure of Psychotherapy Notes - answ✔✔A covered entity must obtain an individual's authorization to use or disclose psychotherapy notes with the following exceptions48:
(3) individuals who may have contracted or been exposed to a communicable disease when notification is authorized by law; and (4) employers, regarding employees, when requested by employers, for information concerning a work-related illness or injury or workplace related medical surveillance, because such information is needed by the employer to comply with the Occupational Safety and Health Administration (OHSA), the Mine Safety and Health Administration (MHSA), or similar state lawdisclosures of psychotherapy notes - answ✔✔Most uses and disclosures of psychotherapy notes for treatment, payment, and health care operations purposes require an authorization as described below.23 Obtaining "consent" (written permission from individuals to use and disclose their protected health information for treatment, payment, and health care operations) is optional under the Privacy Rule for all covered entities.24 The content of a consent form, and the process for obtaining consent, are at the discretion of the covered entity electing to seek consent. Disease Registries - answ✔✔collections of secondary data related to patients with a specific diagnosis, condition, or procedure. disruptive innovation - answ✔✔a process by which a product or service takes root initially in
simple applications at the bottom of a market and then relentlessly moves up market, eventually displacing established competitors Dissemination - answ✔✔the act of spreading widely or scattering data including research knowledge. Doctorate of nursing practice (DNP) - answ✔✔degree w/ emphasis on EBP, quality improvement and system leadership DRA (Deficit Reduction Act of 2005) - answ✔✔"Do Not Pay" CMS oversee's the Hosp Acquired Conditions present on Admit (HAC-POA) Program Ex: stage III & IV pressure ulcer, Falls, Trauma, Cath assoc infection, surgical site infections, DVT's, Vasc. Cath Assoc Infections. Droplet precautions examples (how are they diagnosed) - answ✔✔scarlet fever - rapid strep pneumonia - CXR pertussis/whooping cough - swab influenza - swab (Private room and mask) DSS (decision support system) - answ✔✔an interactive, flexible, computerized information system that enables managers to obtain and manipulate information as they are making decisions r/t patient care
