Term
| The four phases of an information system life cycle (in order) are _______. |
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Definition
| needs assessment, system selection, implementation, and maintenance |
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Term
| The letter or brief document that is the initial contact sent to vendors that explains the institution's plans for purchasing and installing an information system is the _____________. |
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Definition
| Request for Information (RFI) |
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Term
| After the initial contact with vendors and evaluation of responses, the next step in the system selection process is to prepare the formal document that describes the requirements of a potential information system. This document is called the _____________. |
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Definition
| Request for Proposal (RFP) |
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Term
| The phase of the life cycle that is often initiated when a deficit in the current method of manual or automated information handling is recognized as the _________. |
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Definition
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Term
| The phase of the life cycle that includes the purchase of a new information system is the ________. |
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Definition
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Term
| The selection and implementation of an information system occurs through a well-defined process called the __________. |
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Definition
| Life cycle of an information system |
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Term
| Which of the following is a company that designs, develops, sells, and supports systems? |
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Definition
| Information systems vendor |
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Term
| Which is NOT a quality of an effective consultant? |
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Definition
| Ability to manage results |
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Term
| What is the purpose of a needs assessment? |
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Definition
| To analyze the needs of the organization. |
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Term
| What is the starting point when performing a needs assessment? |
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Definition
| Gaining a thorough understanding of how information is currently collected and processed. |
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Term
| The timeline is established in what phase of the life cycle? |
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Definition
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Term
| A copy of the software where programming changes are initially made during implementation is the _____. |
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Definition
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Term
| __________ is software that mimics the actual information system using fictitious clients to ensure that features work as desired. |
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Definition
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|
Term
| A system is installed during the __________ phase. |
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Definition
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Term
| Who usually provides round-the clock support of an information system by phone? |
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Definition
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|
Term
| What is the key element for successful system implementation? |
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Definition
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Term
| The following hardware considerations must be addressed during the implementation phase: ______. |
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Definition
| task of workstation device, hardware location, printer options, and network requirements |
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Term
| The first task of an implementation committee is to ________. |
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Definition
|
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Term
| Who determines the implementation strategy? |
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Definition
| The implementation committee |
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Term
| Maintenance of an information system includes all of the following except __________. |
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Definition
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Term
| A level of personnel who perform similar functions is |
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Definition
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Term
| Training class content should address the following area(s) _____. |
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Definition
| Training class should address both computer-related policies and human factors and basic computer literacy and workflow. |
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Term
| An area or areas of need to be addressed during the development and implementation of a training plan is/are |
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Definition
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Term
| An advantage to using super users for system training is that __________. |
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Definition
Super users may be available on all shifts.
Super users do not leave after the initial training is complete.
Super users have a specialized knowledge of both the system and clinical areas. |
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Term
| What is the most important factor in maintaining the proper use of an information system? |
|
Definition
|
|
Term
| No training should occur on client units or with live client information except for _________. |
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Definition
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Term
| Some training issues include determining responsibility for costs, staffing, trainer selection and chain of command, realism in training, confidentiality, how to handle system updates, what to do with the employee who fails to develop computer skills, and how to best meet the __________. |
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Definition
| Training needs of students |
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Term
| Text communications produced by the computer to warn the user that information is missing or improperly constructed are ____________. |
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Definition
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Term
| A(n)__________ is a collection of simulated client data assemble and stored for instructional purposes in a database separate from live client data. |
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Definition
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|
Term
| Which of the following is an issue related to training? |
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Definition
Regulatory changes
Failing students
System updates |
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Term
| ______ is a state of mind, a specific place, freedom from intrusion, or control over the exposure of self or of personal information. |
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Definition
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Term
| The sharing of private information in a situation in which a relationship has been established for the purpose of treatment, or delivery of services, with the tacit understanding that this information will remain protected is ________. |
|
Definition
|
|
Term
| Individuals who have an average, or above average, knowledge of computer technology and who dislike rules and restrictions are called ______. |
|
Definition
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|
Term
| The destruction of computer equipment or records or the disruption of normal system operation is known as ______. |
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Definition
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|
Term
| ____________ are eliberately written programs that use a host computer to spread and reproduce themselves without the knowledge of the person(s) operating the computer. |
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Definition
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Term
| Which of the following is a mechanism that logs a user off the system after a specified period of inactivity on their terminal or computer? |
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Definition
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|
Term
| The ability to use a health enterprise's information system from outside locations such as a physician's office is known as ___________. |
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Definition
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|
Term
| Using appropriate password selection techniques, which of the following would make the best password for a nurse? |
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Definition
| Use a combination of upper- and lowercase letters, numbers, and symbols |
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Term
| __________ is a combination of hardware and software that forms a barrier between systems, or different parts of a single system to protect those systems from unauthorized access. |
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Definition
|
|
Term
| System security invovles protection against _________. |
|
Definition
Deliberate attacks
Errors and omissions
Disasters and viruses |
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Term
| An electronic version of the client data found in the traditional paper medical record is the __________. |
|
Definition
| Electronic Medical Record (EMR) |
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|
Term
| An automated patient record designed to enhance and support patient care through the availability of complete and accurate data as well as bodies of knowledge and other aids to care providers is the _____. |
|
Definition
| Computer-Based Patient Record (CPR). |
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|
Term
| The components that provide the mechanism by which patient records are created, used, stored, and retrieved is the _______. |
|
Definition
| Computer-Based Patient Record System (CPRS). |
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Term
| Which of the following is not one of the twelve major characteristics of the CPR as identified by the Institute of Medicine? |
|
Definition
| Eliminates direct entry of client data by physicians |
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Term
| Which of the following is a basic component of the Electronic Medical Record (EMR) |
|
Definition
Clinical messaging and email
Data repository
Clinical documentation |
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|
Term
| Examples of structured data are _______. |
|
Definition
| Laboratory results from an automated laboratory information system |
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|
Term
| The difference between the electronic medical record (EMR) and the computerized patient record (CPR) is _______. |
|
Definition
The EMR is a component of the CPR.
The difference between the electronic medical record (EMR) and the computerized patient record (CPR) is the EMR is a component of the CPR |
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|
Term
| Which of the following statements best reflects acceptance of the International Classification for Nursing Practice (ICNP®) as a standard for nursing terminology? |
|
Definition
| Present nursing classification systems map it to a very high degree. |
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|
Term
| Which of the following statements about the Personal Health Record are true? |
|
Definition
It provides more comprehensive health information than is presently found in physician records.
It is a lifelong tool for managing relevant health information.
It allows individuals to more effectively manage their own health |
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|
Term
| Problems associated with the Personal Health Record include: |
|
Definition
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|
Term
| Although not passed into law, which of the following (also known as the Medical Records Confidentiality Act) was a significant piece of legislation because it attempted to establish the role of health care providers in the protection of client information; fix conditions for the inspection, copying, and disclosure of protected information; and institute legal protection for health related information? |
|
Definition
|
|
Term
| The accrediting body that focuses on the improvement of rehabilitative services to people with disabilities and others in need of rehabilitation is the _________. |
|
Definition
| Commission on Accreditation of Rehabilitation Facilities (CARF) |
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|
Term
| Which of the following provides protection of federally managed records, such as those of Medicare and Medicaid, and mandates that federal agencies develop, implement and disclose their plans for maintaining the security of stored data? |
|
Definition
|
|
Term
| The ___________ impacts all aspects of health information management including privacy and security of patient records, coding and reimbursement. |
|
Definition
| Health Insurance Portability and Accountability Act (HIPAA) |
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|
Term
| Which of the following is not an objective for HIPAA? |
|
Definition
| To increase the paper work associated with processing health care transaction |
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|
Term
| The mission of which of the following accrediting bodies focuses on the improvement of the quality of care delivered to the public, the develop standards of quality in conjunction with health professionals, and encourage organizations to meet or exceed these standards through the accreditation process? |
|
Definition
| Joint Commission for Accreditation of Healthcare Organizations (JCAHO) |
|
|
Term
| Information systems and the design of automated documentation must incorporate safeguards for ________. |
|
Definition
| Information systems and the design of automated documentation must incorporate safeguards for both information privacy and quality of care. |
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|
Term
| Which of the following is renowned for focusing upon the quality and safety in the delivery of healthcare. |
|
Definition
| The Agency for Healthcare Research and Quality (AHRQ) |
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|
Term
| Which of the following is the most notable piece of legislation to address health record privacy and confidentiality? |
|
Definition
| The Health Insurance Portability and Accountability Act (HIPPA) |
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|
Term
| All electronic insurance claims submitted by healthcare providers must meet standards set forth by ______. |
|
Definition
| The Health Insurance Portability and Accountability Act (HIPPA) |
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|
Term
| Telehealth differs from telemedicine in that _____. |
|
Definition
| Telehealth encompasses telemedicine, but is a broader term that emphasizes the provision of information to health care providers and consumers. |
|
|
Term
| ______ is the use of telecommunications and computer technology for the delivery of nursing care. |
|
Definition
|
|
Term
| ___________ is used to carry out telehealth applications and implies that people at different locations have audio, and possibly video, contact. |
|
Definition
|
|
Term
| A synchronous, or real-time, encounter that uses a specially equipped personal computer with telephone line hook-up to allow people to meet face-to-face and/or view papers and images simultaneously is called ______________. |
|
Definition
| Desktop Videoconferencing (DTV) |
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|
Term
| Which of the following is an example of a low-tech telehealth application? |
|
Definition
| A home glucose-monitoring program that uses a touch-tone phone to report glucose results. |
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|
Term
| Which of the following can be used as a tool to facilitate the delivery of telehealth services? |
|
Definition
Teleconferencing
Videoconferencing |
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|
Term
| Which of the following are issues associated with the practice of telehealth and telenursing? |
|
Definition
Lack of reimbursement
Patient privacy and confidentiality
Licensure and liability |
|
|
Term
| Which of the following might be considered to be advantages associated with the delivery of healthcare services via telehealth? |
|
Definition
Increased access to populations who otherwise would have to travel great distances for care.
Decreased time and costs associated with travel.
The ability for consumers who are "on the road" to receive services from their regular providers. |
|
|
Term
| What factors should be considered when establishing a telehealth link? |
|
Definition
Infrastructure
Cost
Equipment |
|
|
Term
| Which of the following strategies help to ensure successful teleconferences? |
|
Definition
Start on time
Scheduling sessions in advance
Providing an agenda |
|
|
Term
| Four Phases of Information Systems Life Cycle |
|
Definition
Needs Assessment
System Selection
Implementation
Maintenance |
|
|
Term
|
Definition
begins with recognition that current system not meeting needs of clinicians and/or IT
Form steering committee
Develop common vision
Create rough-cut timeline and assign responsibilities
Analyze current system
Determine requirements: user needs, and technical needs
Assign weights to each criterion to reflect relative importance
Phase concludes with a decision to proceed or not |
|
|
Term
|
Definition
obtain as much info as practical about potential software solutions and providers
Input from users, unbiased IT experts, trade groups such as HIMSS and AHIMA, conferences, and reliable sources on web
RFI
Analyze RFI helps eliminate non-contenders
RFP/RFQ
site visits
concludes with contract negotiations and supplier selection |
|
|
Term
| RFI (Request For Information) |
|
Definition
sent to prospective vendors/suppliers
company history
number of installed sites
hardware and software architecture and technologies
integration with other clinical and admin systems
user support
future software development plans |
|
|
Term
| RFP/RFQ(Request for Proposal/Quotation) |
|
Definition
invitation to suppliers to submit a bid
sent to short list of qualified vendors
detailed system specs and priorities
pricing |
|
|
Term
|
Definition
appoint project manager
representatives from IT, affected units, and SW vendor
characteristics: good communicator, efficient time management, results-oriented, open to new challenges, team player |
|
|
Term
|
Definition
develop detail project schedule and communicate to all
determine what needs to be done, by whom, by when and in what sequence |
|
|
Term
|
Definition
actually should be done in system selection phase
networking: data throughput, transfer rates, wired, wireless, servers, storage etc
workstations and mobile devices |
|
|
Term
|
Definition
simulate system use with fictitious patient data
ensure system works as designed
discover problems before they arise in the environment |
|
|
Term
|
Definition
24-7 user support
no backsliding: looking for excuses to go back before the installation
extra staff on hand to ensure no issues with patient care |
|
|
Term
|
Definition
deploy full SW capabilities in one unit only
debug, then rollout to all units |
|
|
Term
|
Definition
start with limited SW capabilities for all units
add SW functionality incrementally |
|
|
Term
|
Definition
run new and old systems simultaneously
cut over to new system when ready |
|
|
Term
|
Definition
| Implement full feature set across all units |
|
|
Term
| Performance Measurement (Implementation Phase) |
|
Definition
cost
schedule
meeting user needs |
|
|
Term
| Dealing with the unexpected (Implementation Phase) |
|
Definition
changes in scope
contingency funds
'crashing' the schedule: behind, add resources to keep up |
|
|
Term
| How to Fail at IT Project Management |
|
Definition
Don't include stakeholders in planning the project
Don't have backup plans
When problems occur, shoot the messenger
Never admit the project is failing
Over-manage the people
Ignore one or more goals of scope, quality, cost, and schedule |
|
|
Term
|
Definition
User Feedback
Requests for System Changes: failures, bug fixes, functional enhancements and new capabilities
Approval system to accept, reject, or defer change requests: problem severity, benefits of proposed enhancements, resources required to implement |
|
|
Term
| Information systems Training |
|
Definition
Definition 19
a structured approach to providing users with the knowledge needed to use an information system in a clinical setting
set specific goals for improving capabilities, knowledge, skills, competencies and task performance
crucial to the ultimate success of system
often badly under-budgeted |
|
|
Term
| Elements of a Successful IS Training Plan |
|
Definition
training tailored to each group of users
conducted in a location removed from the work area
free of work-related interruptions
each person has their own computer for hands-on experience
instruction occurs near to the go live date
appropriate selection of training methods and instructors |
|
|
Term
|
Definition
classroom style
engage and create active participants
group activities
enhance attention and learning
costly
limit on # of ppl |
|
|
Term
| Technology-based Training |
|
Definition
computer-based application or we-based interface
self-aced
flexible schedule
nobody to ask Qs |
|
|
Term
|
Definition
appropriate for short sessions
subject to interruptions
may or may not be able to reach all the ppl who need training |
|
|
Term
| blended approach training |
|
Definition
maximizes retention
covers multiple learning styles |
|
|
Term
|
Definition
know technology but may not know work processes
may not be skilled at training |
|
|
Term
| HR Training Department Trainers |
|
Definition
| have training expertise but usually not knowledgeable of work processes or IT |
|
|
Term
|
Definition
understand workflow and information system
have regular job responsibilities that limit time availability |
|
|
Term
|
Definition
know technology but no unit work processes
usually skilled trainers |
|
|
Term
| supervisory staff as trainers |
|
Definition
| may not have training expertise, workflow knowledge, or information systems background |
|
|
Term
|
Definition
protect information systems from unauthorized access, use, disclosure, disruption, modification, or destruction while keeping info readily available to those who need it
Everyone's Responsibility |
|
|
Term
|
Definition
| right of a pt to control what info is collected and how it's used |
|
|
Term
|
Definition
| responsibility of providers to disclose info only on a need to know basis |
|
|
Term
|
Definition
| authorization (signed by pt) to share info based on an understanding of how it will be used |
|
|
Term
| Consequences f Poor Information Security |
|
Definition
HIPAA and CMS compliance
Joint Commission accreditation
Loss of consumer confidence
Financial and legal liability
Lost productivity |
|
|
Term
| Sources of Information Security Threats |
|
Definition
Malware: viruses, spyware, key loggers, tojans, worms etc
Phishing and Spoofing: bank account info, and email from a friend
System penetration
Unauthorized Users
Sabotage
Poor password Management |
|
|
Term
|
Definition
| restricted access to computers, servers etc |
|
|
Term
| Antivirus and spyware detection SW |
|
Definition
identify then block, quarantine, or delete malicious SW apps
ideally intercept problems before they infect
keep virus and spyware definitions up to date with automatic daily downloads |
|
|
Term
|
Definition
used to verify that someone is who they claim to be
smart cards and passkeys
biometric devices (fingerprint reader, retina scan) |
|
|
Term
|
Definition
each user assigned a unique username and password
minimum 8, preferably 12 characters
combination upper/lower case letters, numbers, and special characters
different passwords for each SW app
change them frequently
ironically, some of these practices lead to less security |
|
|
Term
|
Definition
security measures to prevent unauthorized access in and out of a network
combination of SW and HW
evaluate data access requests based on origin, destination, and data type
deny requests that don't meet allowable limits |
|
|
Term
|
Definition
restricted access policies by unit, job level etc
employee hiring and termination
non-employee access privileges
help desk precautions |
|
|
Term
|
Definition
legal record of pt healthcare information in digital form
one or more encounters within a single organization
structured and unstructured data
exams, diagnoses, treatments, care plans, vitals, interventions, progress notes, test results, outcomes etc... |
|
|
Term
| Electronic Health Record (EHR) |
|
Definition
longitudinal record of pt health information generated by one or more encounters in any healthcare delivery setting
consolidation of EMRs from all sources
necessary for NHIN (National Health Information Network) |
|
|
Term
| Personal Health Record (PHR) |
|
Definition
Initiated and maintained by an individual
allergies, meds, illnesses, hospitalizations, surgeries, vaccinations, lab test results, family history etc... |
|
|
Term
| Electronic Pt Record (EPR) |
|
Definition
| overarching term encompassing EHRs and EMRs |
|
|
Term
| Computerized Pt Record (CPR) |
|
Definition
generic term used by IOM
usage declining |
|
|
Term
| Status of EHR and NHIN in USA |
|
Definition
No country has fully-functional EHR, US lags behind
President Bush's Executive Order called for NHIN by 2014, Obama extended it to 2015
Holding back progress?: technical standards for document storage and data transfer, clinical vocabulary standardization, cost/benefit inequities among parties involved, perceived security and confidentiality concerns |
|
|
Term
| Information Systems and HIPAA |
|
Definition
ensure security and privacy of health information
prevent fraud and abuse
Others: improve efficiency of healthcare delivery
simplify exchange of data between healthcare entities
reduce paperwork associated with processing healthcare transactions |
|
|
Term
| Protected Health Information (PHI) |
|
Definition
Any information about status, provision, or payment for healthcare that can be linked to an individual: demographic data, past, present or future physical or mental health problems, provision of healthcare, past, present or future payment
Allowable Uses: investigations by health oversight agencies, law enforcement and judicial proceedings, coroners and funeral directors, organ/tissue donation and transplants, qualified research, national security, worker's compensation investigation |
|
|
Term
| Information Systems and Accreditation |
|
Definition
on-site audits to verify compliance
Factors: information security, user trainng, timely data transmission, systems integration and interoperability, outcome reporting ofr improved care, research, financial and legal records, and decision support, record retention, disaster and recovery planning |
|
|
Term
| Information Systems and Reimbursement |
|
Definition
Documentation, documentation, documentation
Failure to demonstrate need for a service will result in denial of payment
Information systems can use prompts and required fields to compel entry of necessary information |
|
|
Term
|
Definition
use of telecommunication technologies to exchange healthcare information and/or deliver services to patients
Range of applications:
Simple- telephone help line at the hospital
Complex- remote roboics (tele-surgery)
Clinical and Non-clinical use:
monitor compliance, diagnostic evals, educaiton, build a community, transmit data and/or images |
|
|
Term
| Modes of Telehealth Communication |
|
Definition
voice, data, video, still images
landline phone, cellular, wired and wireless internet, point-to-point
telephone, computer, handheld device, monitoring equipment |
|
|
Term
|
Definition
increased the geographic reach of healthcare providers
fewer facility visits for chronically ill patients
easier access to expert advice
lower cost |
|
|
Term
| Obstacles to Telehealth Implementation |
|
Definition
lack of acceptance by healthcare providers and patients
licensing and regulatory issues, especially across state lines
reimbursement for services
cost of equipment, network connectivity, and training |
|
|
Term
|
Definition
range of technologies from devices that monitor vital signs to surveillance cameras
used primarily for patients with chronic diseases
issues with proper usage of equipment and compliance |
|
|
Term
|
Definition
performing surgery from a remote location
integrates robotics, telecommunication, information systems |
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