NSG 310 TOPIC 12 FINAL EXAMS ALL ANSWERS SPRING FALL-2022 LATEST SOLUTION 100% CORRECT GUARANTEED GRADE A+
13 views 0 purchase
Course
NSG 310 (NSG310)
Institution
Grand Canyon University
Topic 12: Health Care Information Systems and Management I
1. Describe documentation systems in various settings.
• EHR –has been used as a generic term for all electronic health care records in document systems that are portable (can follow client to other providers, specialists, other hospi...
topic 12 health care information systems and management i 1 describe documentation systems in various settings
2 identify standard components of the electronic med
Written for
Grand Canyon University
NSG 310 (NSG310)
All documents for this subject (26)
Seller
Follow
Allan100
Reviews received
Content preview
NSG 310 TOPIC 12 FINAL EXAMS ALL ANSWERS
SPRING FALL-2022 LATEST SOLUTION 100% CORRECT
GUARANTEED GRADE A+
Topic 12: Health Care Information Systems and Management I
1. Describe documentation systems in various settings.
• EHR –has been used as a generic term for all electronic health care records in document
systems that are portable (can follow client to other providers, specialists, other
hospitals, nursing homes, etc.
• EMR – legal record created in hospitals and ambulatory environments that is the source
of data for the HER at that facility
• HIT – Health information technology provides improved communication flow that is fast,
timely, and available to all stakeholders (docs, nurses, client/family, pharmacy, etc.)
• CPOE – Computerized provider order entry = systems put into place for safety
• CDSS – clinical decision support provided via data collected on client to help team with
clinical decisions
• Centers for Medicare and Medicaid Services (CMS) have set up Health Information
Technology standards in US
• PHR – Patient healthcare record: information that can be managed by the client
o Clients can create their own records from collection of visit information from a
variety of providers
o Clients can access their own records from healthcare provider web based
encrypted sites to view and print
o The systems set up from providers contain personal healthcare records that are
private just for consumers and not shared; however, client can take that
information and share it with another provider
o In some cases, clients can add to their providers information for the EHR kept by
that provider (i.e. scan in labs or other healthcare information from another
provider for primary provider records)
2. Identify standard components of the electronic medical record (EMR).
• Attributes identified by the Institute of Medicine (IOM) provide the basis for today’s
understanding of the EHR
o Secure, reliable access where and when needed
o Records and manages episodic & longitudinal information
o Primary information source during care
o Assists with planning and delivery of evidence-based care
• Captures data for:
o Quality improvement, utilization review, risk management, resource planning,
performance management
• EHR components
o Information needed for medical record and reimbursement purposes
o Longitudinal, masked information supports clinical research, public health
reporting, and population health initiatives
, o Supports clinical trials and evidence-based research
o Client safety & security of private health information
o Restructures healthcare delivery system to improve the quality of care
o Cost containment
3. Explain the role of the EMR as a legal document, including nursing responsibilities.
• Healthcare records are legal documents
• Criminal investigations
• Financial impact
• Keep it confidential – Privacy laws
o Residence information
o Ethnicity/Sex/Birthdate
o Possibly whole or part of SSN
o Diagnosis
• Cyber-crimes are on the rise
• Data contains personal client information
• Protect from unauthorized users
• Maintain secure password management
• Automatized sign on (scanners)
• Grant access only on need to know basis
• Maintain professionalism
• Misuse & Consequences
o Negative comments may constitute hostile environment
o Civil and criminal penalties
o Fines/jail time
o Personal liability
o Termination of employment
o Poor publicity for hospital
o Board of Nursing will investigate mismanagement of client records, unethical
conduct, and breaches in confidentiality
4. Determine how nurses integrate data management into daily nursing practice.
• Nursing role in healthcare with HIT
o Lead and assist in IT development
o Timely, accessible documentation
o Reduce medication errors
o Collaborate with physicians/other team members
o Assist in policy development
o Data mining/research for best practices
• EHR documentation
o Why do I document?
o Show client response to care
o Compile date from many clients to identify “best practice”
o Give evidence for reimbursement
o Provide proof of quality care
o Make a permanent record of care given
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Allan100. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.39. You're not tied to anything after your purchase.
