Final Exam - NR599 / NR 599 3 requirements for EM charge ANSWER: 1) hx of pt visit 2) physical exam 3) MDM medical decision making Accountability ANSWER: ability to answer for one's own actions Accountability Ethical use of social networking applications ANSWER: Later... Antivirus software ANSWER: scans and searches hard drives to prevent, detect, and remove known viruses, adware, and spyware Bioethical standards ANSWER: decision-making model centers on the healthcare professional's implicit agreement with the patient or client (1) autonomy, (2) freedom, (3) veracity, (4) privacy, (5) beneficence, and (6) fidelity. Biologic devices ANSWER: Later Biometric devices ANSWER: Devices that scan fingerprints, retinas, or even the sound of the user's voice to provide a foolproof replacement for both passwords and smart devices. Care Evidence - based practice in the application of technology devices ANSWER: Later... Casuistry ANSWER: (n.) the determination of right and wrong in questions of conduct or conscience by the application of general ethical principles; specious argument
Casuistry Point - of - Care ( POC ) technology ANSWER: technologies that allow real-time data retrieval, documentation, and decision support at the bedside or wherever direct care is provided Clinical Decision Support ( CDS ) ANSWER: 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 recipients that can include clinicians , patients , and others involved in care delivery . Clinical Decision Support Systems ANSWER: interactive software systems designed to help clinicians with decision making tasks such as determining a diagnosis or recommending a treatment for a patient Clinical Support Tools ANSWER: -Found in EHR software that when applied effectively, can enhance patient care quality and outcomes, improve efficiency, and help to ensure regulatory compliance. -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 for clinicians, patients, and others involved in care delivery. Coding ANSWER: The format in which information is stored in the various memory stores. Coding ANSWER: Transforming actions into a symbolic language Confidentiality ANSWER: the assurance that messages and information are available only to those who are authorized to view them Credibility ANSWER: the quality of being believable or trustworthy Cybersecurity ANSWER: Measures taken to protect a computer or computer system against unauthorized access or attack
Data mining ANSWER: the process of analyzing data to extract information not offered by the raw data alone E/M coding ANSWER: Evaluation and Management, for office visit in any field, national standard. 1) inpt vs otpt 2) new pt vs old pt 3) risk based coding Ethical ANSWER: (adj.) Having to do with morals, values, right and wrong; in accordance with standards of right conduct; requiring a prescription for purchase Ethical decision making ANSWER: Process that requires striking a balance between science and morality Evidence - based practice in the application of technology ANSWER: Later Examples of CDS tools ANSWER: -Computerized alerts and reminders for providers and patients -Drug - drug interaction alerts -Underdose alerts based on renal or liver function or age or drug levels -Actionable clinical guidelines -Condition - specific order sets -Focused patient data reports and summaries -Diagnostic support -Contextually reference information Firewall ANSWER: a part of a computer system or network that is designed to block unauthorized access while permitting outward communication. Goal of CDSS ANSWER: Leverage data and the scientific evidence to help guide appropriate decision making. Haptic devices ANSWER: are input/output technology for interacting with our sense of touch and feel
Human - Technology Interface ANSWER: The portion of the assistive technology system with which the user interacts ICD-10 ANSWER: A system to classify and code diagnoses, symptoms, and procedures MDM (medical decision making) ANSWER: The physician's thought process with these three elements: The number of potential diagnoses and management options that must be considered during an encounter. The amount and complexity of data to be reviewed as a result of the encounter. The risk of complications, morbidity and mortality associated with the encounter. Medical Applications ANSWER: research symptoms, establish a fitness or health program, track exercise activity, refill prescriptions, count calories, or monitor sleep patterns medical billing ANSWER: Process of submitting and following up on claims made to a payer in order to receive payment for medical services rendered by a healthcare provider. medical coding ANSWER: the act of assigning numbers to descriptions of a patient's diseases, injuries, and treatments according to established codes Medical coding CPT ANSWER: Procedural coding using 5 digits Medical devices ANSWER: Any equipment, instrument, implant, material, or apparatus used for the diagnosis, treatment, or monitoring of patients. mHealth ANSWER: The use of mobile phones, tablets, or other wireless devices to support efficiency in public health and clinical practice. Mobile Health ( mHealth ANSWER: Refers to healthcare professionals using smartphones or tablets to access health records stored in the cloud, and patients using digital devices to monitor their conditions and treatments.
Mobile technology ANSWER: the use of scientific knowledge or processes relating to phones or computers used while travelling from place to place, without being connected by wires National Prevention Strategy ANSWER: An effort to improve the nation's level of health and well-being through four strategic directions and seven targeted priorities. Patient - centered Information Systems ANSWER: Information management with specific functions designed to support patient participation in health care decision making and treatment activities. Privacy ANSWER: the right of people not to reveal information about themselves Ransomware ANSWER: Software that encrypts programs and data until a ransom is paid to remove it. Regulatory standards ANSWER: A comparison benchmark that is mandated by a governing agency. Noncompliance with regulatory standards may lead to citations and legal penalties. Relevance ANSWER: The quality of information that indicates the information makes a difference in a decision. Reliability ANSWER: the extent to which a test yields consistent results, as assessed by the consistency of scores on two halves of the test, on alternate forms of the test, or on retesting Risk mitigation ANSWER: a process whereby the organization takes concrete actions against risks, such as implementing controls and developing a disaster recovery plan Safety ANSWER: the condition of being protected from or unlikely to cause danger, risk, or injury.
Systems Benefits and challenges ANSWER: Later Telehealth ANSWER: Use of technology to deliver health-related services and information Workflow analysis ANSWER: Study of the way work (inputs, activities, and outputs) moves through an organization. Workflow design ANSWER: A critical aspect of the informatics role in workflow analysis. Reorganization of process and tasks surrounding the use of technology.