D220 INFORMATICS QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
American Recovery and Reinvestment Act (ARRA) - ANSWER **Authorized INCENTIVE PAYMENTS to
specific types of hospitals & healthcare professionals for adopting & using interoperable Health
Information Technology and EHR's.
The purposes of this act include the following: (1) To preserve/create jobs and promote economic
recovery. (2) To assist those most impacted by the recession. (3) To provide investments needed to
increase economic efficiency by spurring technological advances in science and health. (4) To invest in
transportation, environmental protection, and other infrastructure that will provide long-term economic
benefits. (5) To stabilize state and local government budgets, in order to minimize and avoid reductions
in essential services and counterproductive state and local tax increases.
AHQR (Agency for Healthcare Research and Quality) - ANSWER Produced evidence making healthcare
safer, improve quality, accessibility and affordability
Asynchoronous Applications - ANSWER No contact with patient for data collection. EX: Remote pt
monitoring, Using health technologies to share health metrics and data w/ providers. STORE &
FORWARD APPS (ex: photos)
Administrative Information System - ANSWER can include registration and scheduling; tracking through
admission, transfer and discharge; patient acuity and staff scheduling; financial or accounting systems;
risk management; payroll and human resources; quality assurance; and contract management functions.
Affordable Care Act - ANSWER law passed in 2010 to expand access to insurance, address cost reduction
and affordability, improve the quality of healthcare, and introduce the Patient's Bill of Rights, increasing
the number of insured persons.
Alarm Fatique - ANSWER Becoming desensitized to patient care alarms and missing or delaying their
response to the alarm.
ANA (American Nurses Association) - ANSWER Professional organization for all RNs. Concerned with
licensure, collective bargaining and education
,Analytics - ANSWER A term describing the extensive use of data, statistical and quantitative analysis,
explanatory and predictive models, and fact-based management to drive decisions and actions.
Audit trail - ANSWER a report that traces who has accessed electronic information, when information
was accessed, and whether any information was changed
Authentication - ANSWER A method for confirming users' identities
Authorization - ANSWER The process of giving someone permission to do or have something
Barcode Scanning Technology - ANSWER Scans drug and patients wristband to verify medication order,
inventory control, + pt identification, correct med admin
Big Data - ANSWER a collection of large, complex data sets, including structured and unstructured data,
which cannot be analyzed without the use of information technology
Bioinformatics - ANSWER application of mathematics and computer science to store, retrieve, and
analyze biological data
Biometrics - ANSWER the identification of a user based on a physical characteristic, such as a fingerprint,
iris, face, voice, or handwriting
Business Continuity Plan - ANSWER A plan for how an organization will recover and restore partially or
completely interrupted critical function(s) within a predetermined time after a disaster or extended
disruption
Business Intelligence - ANSWER Information collected from multiple sources such as suppliers,
customers, competitors, partners, and industries that analyzes patterns, trends, and relationships for
strategic decision making
Change Control Board (CCB) - ANSWER A committee that evaluates the worthiness of a proposed change
and either approves or rejects the proposed change.
,Chief Nursing Officer (CNO) - ANSWER The senior manager (usually a registered nurse with advanced
education and extensive experience) responsible for administering patient care services
Clinical Care Classification (CCC) - ANSWER "Two interrelated taxonomies, the CCC of Nursing Diagnoses
and Outcomes and the CCC of Nursing Interventions and Actions, that provide a standardized framework
for documenting patient care in hospitals, home health agencies, ambulatory care clinics, and other
healthcare settings"
CPOE (Computerized Physician Order Entry) - ANSWER An order entry and decision support system that
allows direct entry of orders and immediately shared w/ others
Change Management - ANSWER The process, tools and techniques that help people implement changes
to achieve a desired outcome. (Supports the adoption of a medication Administration System)
Change Control - ANSWER Helps to prioritize limited resources and ensures system standards are upheld.
Connected health - ANSWER a model of health care delivery using technology to provide services
including information and education.
Technology assisted healthcare is delivered between at least 2 points involving either asynchronous or
synchronous exchange.
Consumer Health Informatics - ANSWER Use of electronic info & communication to improve medical
outcomes & healthcare decision making from pt perspective.
Patient view and structures and process that enable consumer to manage their own care.
Clinical Research Informatics - ANSWER Discovery and management of new knowledge pertinent to
health and disease from clinical trials via secondary data use.
C-CDA (Consolidated Clinical Document Architecture) - ANSWER Allows interoperability of health
information exchange between to hospitals.
, 21st Century Cures Act - ANSWER designed to help accelerate medical product development and bring
new innovations and advances to patients who need them faster and more efficiently.
Provisions that will improve workflow & exchange of electronic info. ONC (responsible for implementing)
seamless & secure access, exchange and use of electronic health info.
5 rights of clinical decision support - ANSWER Right information
Right person
Right intervention format
Right channel
Right time in workflow
Clinical Informatics - ANSWER concentration on the delivery of timely, safe, effective , EB and pt centered
care.
C - ANSWER
Clinical Decision Support System - ANSWER A special subcategory of clinical information systems that is
designed to help healthcare providers make knowledge-based clinical decisions
Ex: Alerts for abnormal VS, labs results, med contraindications, screenings, standing orders, reminders in
EHR ect...
Clinical Information Systems - ANSWER Ex: May be specific to certain departments. Lab, radiology,
pharm(Both), or particular pt population.
Functions may include order entry, results reporting, scheduling and documentation.
Lg computerized database used to access the pt data that are needed to plan, implement and evaluate
care.
Clinical Nurse Specialist - ANSWER Expert clinician in a specialized area of practice who engages in
research and helps direct practice change.