NR 599Final Exam Study Guide BEST EXAM SOLUTION LATEST UPDATE GRADED A+Chamberlain College, Exams of Nursing

Download NR 599Final Exam Study Guide BEST EXAM SOLUTION LATEST UPDATE GRADED A+Chamberlain College and more Exams Nursing in PDF only on Docsity! NR 599Final Exam Study Guide BEST EXAM SOLUTION LATEST UPDATE GRADED A+Chamberlain College of Nursing Nursing NR 599 Final Exam Study Guide Midterm • General principles of Nursing Informatics • Scientific synthesis of information in nursing • Concepts: computer, cognitive, information • Knowledge • Wisdom • Scientific Underpinning • The Foundation of Knowledge Model • Computer science • Cognitive science • Information science • Standard Terminology • Informatics Competencies • Information literacy • Health literacy • Meaningful Use • Patient-centered Information Systems • Clinical Decision Support Systems • Electronic Medical Records • Human-Technology Interface • Health Information Technology • Alarm fatigue • Digital natives • Information Literacy Competency Standards for Nursing • HITECH Act • TIGER-based Nursing Informatics Competencies Model Midterm Feedback • Workarounds are ways invented by users to bypass the system to accomplish a task; usually indicate a NR 599Final Exam Study Guide BEST EXAM SOLUTION LATEST UPDATE GRADED A+Chamberlain College of Nursing NR 599Final Exam Study Guide BEST EXAM SOLUTION LATEST UPDATE GRADED A+Chamberlain College of Nursing Nursing NR 599 Final Exam Study Guide poor fit of the system or technology to the workflow or user; devised methods to beat a system that does not function appropriately or is not suited to the task it was developed to assist with (McGonigle & Mastrian, 2018, p. 584). Workarounds negate expected practice protocols and are rarely necessary or appropriate means to ensure patient safety. • Longevity is defined as usability beyond the immediate clinical encounter (McGonigle & Mastrian, 2018, p. 570). o HITCH ACT- become meaningful users of EHR. o American Recovery and Reinvestment Act of 2009 • Communication systems improve productivity to promote interaction among healthcare providers and between providers and patients. Healthcare professionals overwhelmingly recognize the value of these systems to promote data and information processing. Examples of communication systems include call light systems, wireless telephones, pagers, email, and instant messaging, which have traditionally been forms of communication targeted at clinicians (McGonigle & Mastrian, 2018, p. 190). NR 599Final Exam Study Guide BEST EXAM SOLUTION LATEST UPDATE GRADED A+Chamberlain College of Nursing NR 599Final Exam Study Guide BEST EXAM SOLUTION LATEST UPDATE GRADED A+Chamberlain College of Nursing Nursing NR 599 Final Exam Study Guide • Reimbursement Coding • Clinical Support Tools • Workflow analysis Ethical decision making This refers to the process of making informed choices about ethical dilemmas based on a set of standards differentiating right from wrong. The decision making reflects an understanding of the principles and standards of ethical decision making, as well as philosophical approaches to ethical decision making. Requires a systematic framework for addressing the complex and often controversial moral questions. Guiding principles: • respect for autonomy • nonmaleficence- dutynottoinflictharmaswellastopreventandre moveharm • beneficence - thedutytodogood,aswellastheactivepromotio nofbenevolentacts. • justice- Fairness, treatment of everyone in the same way. involvesactionsinwhichlikecasesshouldbe treatedalike. Bioethical standards 1) autonomy-the right to choose for himself or herself. abilitytomakeachoicefreefromexternal constraints. 2) freedom- 3) veracity-right to truth. theobligationtotellthetruthandnottolieordec eiveothers. 4) privacy-the right of privacy avoids conflict and promotes harmony 5) beneficence-actions performed that contribute to the welfare of others 6) fidelity-right to what has been promised. NR 599Final Exam Study Guide BEST EXAM SOLUTION LATEST UPDATE GRADED A+Chamberlain College of Nursing NR 599Final Exam Study Guide BEST EXAM SOLUTION LATEST UPDATE GRADED A+Chamberlain College of Nursing Nursing NR 599 Final Exam Study Guide dutytobefaithfultoone'scommitments. • Benchmark: the process of comparing data to other reliable sources, internally and externally • Criterion • Rule • Norm • Principle Cardinal virtues: wisdom, courage, self-control and justice Telehealth- Telecommunication technologies used to deliver health-related services or to connect patients and healthcare providers to maximize patients’ health status. A relatively new term in our medical/nursing vocabulary, referring to a wide range of health services that are delivered by telecommunications-ready tools such as the telephone, videophone, and computer 3 broad methods of digital care delivery that are "away" from the patient-means "healing at a distance" • telemedicine (stationary scheduled remote diagnostics of health status) NR 599Final Exam Study Guide BEST EXAM SOLUTION LATEST UPDATE GRADED A+Chamberlain College of Nursing NR 599Final Exam Study Guide BEST EXAM SOLUTION LATEST UPDATE GRADED A+Chamberlain College of Nursing Nursing NR 599 Final Exam Study Guide • remote management/monitory/coaching (stationary home or facility-based, with scheduled and as- needed remote transmission of health status • Mobile health (mHealth) "community" groups/social media (wearable mobile patient-generated health data with scheduled and as needed remote transmission of health status Clinical uses a) transmitting clinical date for assessment, diagnoses, or disease b) promoting disease prevention and good health c) using telephone and videographic technologies to provide health advice in emergent cases d) using real time video i.e: exchanging health services or video conferencing Medical Applications Apps Providing Access to Electronic Copies Apps for General Patient Education Generic Aids or General Purpose Apps Apps as Educational Tools Apps Automating Office Operations Medical Devices Some mobile apps may meet the definition of a medical device but because they pose a lower risk to the public, the FDA intends to exercise enforcement discretion over these devices (meaning it will not enforce requirements under the FD&C Act). One example is a mobile app that makes a light emitting diode (LED) operate. If the manufacturer intends the system to illuminate objects generally (i.e., without a specific medical device intended use), the mobile app would not be considered a medical device. If, however, through marketing, labeling, and the circumstances surrounding the distribution, the mobile app is promoted by the manufacturer for use as a light source for providers to examine patients, then the intended use of the light source would be similar to a conventional device such as an ophthalmoscope. FDA Oversight for Medical Devices The Food and Drug Administration (FDA) (2013) recognizes the extensive variety of actual and potential functions of mobile apps, the rapid pace of innovation in mobile apps, and the potential benefits and risks to public health represented by these apps. The FDA intends to apply its regulatory authorities to select software applications intended for use on mobile platforms. Given the rapid expansion and broad applicability of mobile apps, the FDA is issuing this guidance document to clarify the subset of mobile apps to which the FDA intends to apply its authority. NR 599Final Exam Study Guide BEST EXAM SOLUTION LATEST UPDATE GRADED A+Chamberlain College of Nursing NR 599Final Exam Study Guide BEST EXAM SOLUTION LATEST UPDATE GRADED A+Chamberlain College of Nursing Nursing NR 599 Final Exam Study Guide • ICD-10 Coding (International Classification of Diseases) Currently, we are in the tenth revision of the system, and , therefore, the classification system is known as ICD- 10 . ICD-10 codes are shorthand for the patient's diagnoses, which are used to provide the payer information on the necessity of the visit or procedure performed. This means that every CPT code must have a diagnosis code that corresponds. Evaluation and Management Coding Before you can determine your E&M, code you must first identify the p lace of service, type of service , and the patient status. The place of service refers to where the service was rendered There are several categories to choose from, but the two most common are the inpatient and outpatient settings. This is pretty straightforward. The type of service refers to t he type of service provided . Some examples of types of services NR 599Final Exam Study Guide BEST EXAM SOLUTION LATEST UPDATE GRADED A+Chamberlain College of Nursing NR 599Final Exam Study Guide BEST EXAM SOLUTION LATEST UPDATE GRADED A+Chamberlain College of Nursing Nursing NR 599 Final Exam Study Guide include consultation, hospital admission, office visit, and so forth. Again, pretty straightforward. As a student in your practicum rotations, nearly all of your place s and types of service will be outpatient office visits. Finally, you need to identify the patient's status. Patient status refers to whether or not the patient is a new patient or an established patient of your practice. By definition, a new patient is one who has not received professional service from a provider from the same group practice within the past 3 years. Conversely, an established patient has received professional service from a provider of your office within the last 3 years. There are three key components that determine risk-based E&M codes. 1. History 2. Physical 3. Medical Decision Making (MDM) ivo a)risk b) data c) diagnosis Reimbursement Codin Reimbursement codes are assigned and contingent upon data inpur from clinical team members based on a summative review of the clinical record by trained coders. This is critically important intersection between the clinical and administrative teams. if the patient encounter, procedure, or diagnosis are incorrectly entered into a clinical management system, the billing and coding process will also be incorrect. Providers play an important role in ensuring the success of the business by clearly identifying the diagnosis and service codes are appropriate for each patient visit. It is imperative for APNs to have knowledge of the link between billing, coding, and the EHR. Diagnosis related groups (DRGs) or Major diagnostic categories (MDCs) systematically group these more specific codes into meaningful broader categories. DRG group is to facilitate payment through the prospective payment system, MDCs organize diagnoses that affect similar physiological systems. Primary purpose is for billing. Clinical Support Tool Clinical decision support (CDS) as a process designed to aid directly in clinical decision making, in which characteristics of individual patients are used to generate patient specific interventions, assessments, recommendations, or other forms of guidance that are then presented to a decision-making recipient or NR 599Final Exam Study Guide BEST EXAM SOLUTION LATEST UPDATE GRADED A+Chamberlain College of Nursing NR 599Final Exam Study Guide BEST EXAM SOLUTION LATEST UPDATE GRADED A+Chamberlain College of Nursing Nursing NR 599 Final Exam Study Guide recipients that can include clinicians, patients, and others involved in care delivery. CDS tools existed prior to development of EHRs. Historical examples include practice guidelines carried in clinicians' pockets, patient cards used by providers to track a patient's treatments, and tables of important medical knowledge. The primary goal of implementing a CDS tool is to leverage data and the scientific evidence to help guide appropriate decision making. CDS tools include but are not limited to: Workflow analysis Workflow is a term used to describe the action or execution of a series of tasks in a prescribed sequence. Another definition of workflow is a progression of steps (tasks, events, interactions) that constitute a work process, involve two or more persons, and create or add value to the organization's activities. In a sequential workflow, each step depends on the occurrence of the previous step; in a parallel workflow, two or more steps can occur concurrently. The term workflow is sometimes used interchangeably with process or process flows, NR 599Final Exam Study Guide BEST EXAM SOLUTION LATEST UPDATE GRADED A+Chamberlain College of Nursing NR 599Final Exam Study Guide BEST EXAM SOLUTION LATEST UPDATE GRADED A+Chamberlain College of Nursing Nursing NR 599 Final Exam Study Guide A feasibility study Requirements gathering Systems design Systems testing 8. What type of testing is performed on functionally grouped components to ensure that the subset works with the entire system? Integration System Unit User acceptance 9. In project management, the critical path is best described as a series of activities that: includes the path with the most slack or float. indicates the earliest possible time a project can be completed. is scheduled for the next current phase of the process. shows the shortest path through the network diagram. 10. What is the initial layer of protection to prevent unauthorized, external access to a facility's information network? Digital certificates Encryption Firewall Password authentication 11. What is the most common risk to patient privacy and confidentiality? An organization's employees Inadequate firewall protection Inadequate system design Viruses, worms, and Trojan horses 12. Which document articulates the primary factors that guide professional nursing judgment, regarding confidential patient information? Administrative Simplification Provisions Code of Ethics for Nurses with Interpretive Statements NR 599Final Exam Study Guide BEST EXAM SOLUTION LATEST UPDATE GRADED A+Chamberlain College of Nursing NR 599Final Exam Study Guide BEST EXAM SOLUTION LATEST UPDATE GRADED A+Chamberlain College of Nursing Nursing NR 599 Final Exam Study Guide Health Insurance Portability and Accountability Act Nursing Informatics: Scope and Standards of Practice 13. Integrating clinical practice guidelines with an electronic health record facilitates quality improvement measurement by: comparing guideline parameters to clinical outcomes. presenting results at the point of treatment decisions. providing reference information to measurement staff. representing patient acuity data. 14. An online course discussion board is a form of: NR 599Final Exam Study Guide BEST EXAM SOLUTION LATEST UPDATE GRADED A+Chamberlain College of Nursing NR 599Final Exam Study Guide BEST EXAM SOLUTION LATEST UPDATE GRADED A+Chamberlain College of Nursing Nursing NR 599 Final Exam Study Guide asynchronous learning. didactic learning. synchronous learning. traditional learning. 15. Using an office computer system to identify a patient whom the linked hospital information system identifies as having positive cultures for pneumonia, a primary care provider orders the patient's antibiotic. This scenario exemplifies: a health information exchange. a system to update patient records. a violation of privacy regulations. an electronic health record. 16. In Table A, the primary key field is PatientNumber. When the informatics nurse sees PatientNumber in Table B, the nurse recognizes that the field is functioning as what type of key? Foreign Home Patient Secondary 17. Because several disciplines support the foundation of informatics nursing, it is important for the informatics nurse to understand that: informatics nursing differs from other disciplines, as it focuses on supporting the process of obtaining data. informatics nursing uses the concepts, tools, and methods of various disciplines to facilitate nursing process. information technology and nursing technology are synonymous, as they have the same goal. the boundaries between the various disciplines are clearly defined. 18. A downtime of the electronic health record (EHR) system is planned for three months from today. The informatics nurse is formulating a communication plan for the clinical staff about the downtime. The nurse plans to: announce the upcoming downtime at system-wide meetings, and at department meetings of specific system hospitals affected by the downtime. bring copies of the communication plan to IT meetings, and discuss it with the IT directors and managers. present the information at the "super user" meetings, department and unit meetings, and at other specialty clinician meetings, in addition to having a message posted on the message-of-the-day screen in the EHR. print fliers with the downtime plan and post them in bathrooms and breakrooms, as well as on bulletin boards in various locations in the hospitals. NR 599Final Exam Study Guide BEST EXAM SOLUTION LATEST UPDATE GRADED A+Chamberlain College of Nursing