Healthcare Quality and Information Technology in Healthcare Exam Questions with Definitive Solutions, Exams of Nursing

Download Healthcare Quality and Information Technology in Healthcare Exam Questions with Definitive Solutions and more Exams Nursing in PDF only on Docsity! Healthcare quality + Information Technology in Healthcare Healthcare quality + Information Technology in Healthcare Exam Questions (50 terms) with Definitive Solutions 2024. HIT - Answer: health information technology: IT - Answer: information technology: EHRs - Answer: electronic health records: patients' medical history -identified need for info technology infrastructure -patient safety with standards for collecting patient information. Population health - Answer: •use data to identify health disparities and health needs Healthcare quality + Information Technology in Healthcare •More partnerships with public health, health care providers/systems, health departments, academia, etc. to improve health IOM report 2001 - Answer: IOM's report "Crossing the Quality Chasm: A New Health System for the 21st Century" established EHRs -identified need for info technology infrastructure HITECH - Answer: Health Information Technology for Economic and Clinical Health (HITECH) Act: (part of American Recovery & Restoration Act) -Federal funding to help increase use of info technology in the USA (Up to 90% of cost to purchase and install/implement) -Tightened up HIPAA guidelines and penalties EMR - Answer: electronic medical record: •Patient health information collected and used by an organization EHR - Answer: electronic health record: Patient health info that is collected and shared across multiple organizations What are the pros of EHR? - Answer: 1. Integrates clinical data with administrative resources 2. More easily and quickly assess outcomes- individual patients AND aggregate data for outcomes 3. Automated communication that could streamline LOS and improve patient discharge Healthcare quality + Information Technology in Healthcare •companies that administer or manage prescription drug benefits for employers and health insurance carriers. •Integrates medical data with pharmacy data to help support decisions for most cost-effective and clinically appropriate Rx benefits of CDSSs and impact on triple aim? - Answer: HIEs - Answer: Health Information Exchanges: Software platform to collect, store, and share data -Can be used by multiple health care providers -Requires common computer language for interoperability or comparison/sharing of data RHIOs - Answer: Regional Health Information Organizations: groups of healthcare organizations in a region who share health data using a common HIE Blockchain Technology - Answer: •System for recording and storing data and transactions (use of data) •Extensive security - No transactions occur without the knowledge of the participants. •Can be used with HIEs and RHIOs. Telehealth - Answer: the use of IT to deliver education, research, and clinical care Healthcare quality + Information Technology in Healthcare Patient Portals - Answer: email/messaging or e-visits between patients & providers Telemedicine - Answer: •use of IT to reach rural care providers for collaboration and consultation OR to talk directly to the patient/consumer •Sharing of images/test results, etc. •Remote monitoring of patients Example of Telemedicine - Answer: Remote consultation by patients with physicians or other health professionals via telephone, closed-circuit television, or the Internet. Management of IT Systems - Answer: 1. Chief technology officer (CTO) 2. chief information office (CIO) 3. Council for Affordable Quality Health Care (CAQH) 4. Committee on Operating Rules for Information Exchange (CORE) CTO - Answer: Chief technology officer: -Data analysts, IT security.... -Integrates IT throughout the healthcare organization and ensures guidelines/policies are being used (does same as CIO) CIO - Answer: chief information office: -Data analysts, IT security.... Healthcare quality + Information Technology in Healthcare -Integrates IT throughout the healthcare organization and ensures guidelines/policies are being used (does same as CTO) CAQH - Answer: Council for Affordable Quality Health Care: -nonprofit organization of alliances of health plans and trade associations -Working on efficiency initiatives to exchange patient information. CORE - Answer: Committee on Operating Rules for Information Exchange: •standards and operating rules to streamline IT processing, e.g. real time access to patient data •Ensures more efficient data exchange and compliance with HIPAA (Health Insurance Portability and Accountability Act) •this group's standards are now required as part of the Affordable Care Act EDWs - Answer: Enterprise data warehouses: developed to provide information that helps organizations in strategic decision-making •Data warehousing requires integration of many computer systems across an organization. •CMS uses big data to analyze claims to track trends, possible fraud/abuse RFID - Answer: Radio Frequency Identification: •Computer chips transmit data to receivers. •Each chip is uniquely identified by a signal indicating where it is located. Healthcare quality + Information Technology in Healthcare -Organizational characteristics: e.g. Performance expectations, training, supervision & review Donabedian's Model of Quality of Care - Process - Answer: Step 2 Activities conducted by health care professionals and support staff (5) •Treatment •Rehabilitation •Prevention •Patient and family education Donabedian's Model of Quality of Care - Outcomes - Answer: Step 3 Changes attributed to healthcare (5) •Health status •Knowledge acquired by patients and/or families re: future health •Health-related behaviors, habits, routines re: future health •Patient/family experience with care Donabedian's Model of Quality of Care- steps - Answer: 1. Structure 2. Process 3. Outcomes Quality Improvement / Performance Improvement - Answer: 1.Improve methods to assure quality and minimize or eliminate errors & risks 2.Looks at systems - "HOW" things are done 3.Top down & bottom up approach Healthcare quality + Information Technology in Healthcare 4.Follows CQI/TQM principles PDSA - Answer: Plan, Do, Study, Act: •Plan - define the goal, study facts, what factors need to be improved...i.e., -Complaints and other ways to ID issues -Critical processes -Internal & external customers •Do - small scale changes, e.g. pilot •Study - evaluate results of change •Act - implement changes or new/revised plan CQI/TQM principles - Answer: •Increase efficiency & productivity •Eliminate waste: capital, material, opportunities, time, talent Fishbone or Cause & Effect - Answer: evaluate all possible causes that could have contributed to the anissue at hand, Ex: problem is patient fell. evaluate... 1. Machine 2. Materials 3. Methods 4. Manpower 5. patient factors helps team members visually diagram a problem or condition's root causes, allowing them to truly diagnose the problem rather than focusing on symptoms Healthcare quality + Information Technology in Healthcare Process flow charting - Answer: -to describe a process visually to find ways of improving the current process (find repetitive operations, identify bottlenecks, describe directions, and distances of flows, reduce waste) -Create a visual diagram to describe the work performed to help find problem areas/ identify areas that need improvement Standardized Quality Assessments/Tools - Answer: 1. PROMiS 2. WHODAS 3. EQ-5D 4. CDC, HRQOL*** 5. Various other tools re: HRQoL or health-related quality of life *PROMiS - Patient Reported Outcomes Measures ** WHODAS - WHO Disability Assessment Schedule ***HRQOL (quality of life) 1. Six Sigma? 2. Lean Six Sigma? - Answer: 1. focuses on standardizing processes 2. focus on standardizing Defects (7) •Over production •Waiting •Not Utilizing talent •Transportation •Inventory •Motion