Copyright 2024 Pearson Education, Inc.

1 Copyright © 2024 Pearson Education, Inc.Handbook of Informatics, 7e (Hebda) Chapter 1 An Overview of Informatics in Healthcare 1)Healthcare today should address the Quintuple Aim. What of the following best demonstrates how healthcare information technology might be used to help address disparities in care?

• Collect data elements that could be used to identify vulnerable individuals
• Use collected data to identify vulnerable individuals
• Incorporate GPS locators into predictions
• A and B

Answer: D

Explanation: A) Many demographic and other relevant data elements are/or could easily be collect that could be used to identify vulnerable individuals.

• Collected data can be used and leveraged to identify vulnerable individuals.
• Location may be an indicator of risk but zip code alone does not indicate vulnerability. Other

factors that include familial predisposition, occupational risks, economic level, personal health habits, living conditions, and community support all factor into determination of vulnerability.

• Both A and B together comprise the best response.

Page Ref: 1-2

Cognitive Level: Applying

QSEN Grad. Competencies: A3, B1

AACN Essen. Competencies: 8.1g,h; 8.2i; 8.3g

2) Which of the following best reflects benefits realized from the use of health information technology?

• Improved safety, improved efficiencies, decreased clinician documentation times
• Improved safety, improved efficiencies, improved charge capture, improved communication
• Improved safety, improved efficiencies, improved protection of personal health information
• Improved safety, improved efficiencies, significant reduction in costs for care, improved

protection of patient information

Answer: B

Explanation: A) HIT can result in improved safety through measures such as positive patient identification and may improve efficiencies but clinician documentation burden is an issue seen with poorly designed and poorly used systems.

• HIT can result in improved safety through positive patient identification, alerts, and similar

measures. HIT may improve some efficiencies such as improved charge capture and shortened revenue cycle and theoretically improves communication.

• HIT can result in improved safety and improved efficiencies in some respects but despite

safeguards to protect patient health information it also increases vulnerabilities in some respects.

• Despite its promise to significantly reduce costs for care costs associated with the purchase

and maintenance of HIT, among other U.S. issues have not resulted in significant reduction in costs for care.

Page Ref: 1-2

Cognitive Level: Applying

QSEN Grad. Competencies: A1,4; C1,5

AACN Essen. Competencies: 8.1j,k; 8.2 I; 8.3i; 8.4g

Handbook of Informatics for Nurses & Healthcare Professionals 7e Toni Hebda, Melody Rose, Kathleen Hunter, Patricia Czar (Test Bank All Chapters, 100% Original Verified, A

• Grade) 1 / 4

2 Copyright © 2024 Pearson Education, Inc.3) In which ways can health information technology support the learning health system?

• Incorporation of evidence-based practice and big data findings to provide care interventions

that are proven to be effective

• Real-time analysis of data
• Integration of devices and the data that they collect to inform care decisions
• All of the above

Answer: D

Explanation: A) Big data findings supplement EBP often providing information and knowledge in a more timely fashion.

• Real-time analysis of data can be particularly useful when healthcare delivery systems and

providers are facing challenges that are new to them as was seen with the emergence of a body of knowledge relative to the impact of COVID and most successful treatment modalities.

• Data streams from all relevant sources provide a more complete picture.
• A combination of research and big data findings from a myriad of sources that is analyzed in

real time provides a quick turnaround to support, and further improve, care delivered.

Page Ref: 3-4

Cognitive Level: Applying

QSEN Grad. Competencies: A5; B8, 9, 11; C1, 2

AACN Essen. Competencies: 8.1g; 8.2f; 8.3j; 8.4f

4) Which of the following are considered necessary components to create a learning or informatics culture? Select all that apply.

• Standardized languages and terminologies
• Data in digital format
• Interoperability and data sharing
• Prerequisite information knowledge and skills

Answer: A, B, C, D

Explanation: A) Standardized languages and terminologies ensure that concepts maintain a uniform meaning across settings and the ability to generalize results.

• Data in digital format is conducive to electronic capture, storage, analysis, transmission, and

re-use.

• In order to have value data must be shareable which is best attained when systems are

interoperable.

• Computer, information, and (for the consumer), health literacy are foundational skills in the

learning health system where data, information, and knowledge are constantly generated as a result of care processes as well as the integration of research findings to support best practices for patient care.

Page Ref: 9-13

Cognitive Level: Knowledge

QSEN Grad. Competencies: A5; B2, 11; C1, 4

AACN Essen. Competencies: 8.1g; 8.2i; 8.4g

• / 4

3 Copyright © 2024 Pearson Education, Inc.5) When asked to explain what the SAFER Guides are and their relevance for HIT what should the informatics nurse first know?

• SAFER Guides are a resource provided by the Centers for Medicare and Medicaid to guide

reimbursement.

• SAFER Guides are a resource provided by the Consortium of Vendors for selection of HIT.
• SAFER Guides are a resource provided by the ONCHIT to ensure best practices for HIT

implementation and use.

• SAFER Guides are the result of a report by the Commonwealth Fund to improve U.S. health

outcomes.

Answer: C

Explanation: A) SAFER Guides have nothing to do with reimbursement although the Centers for Medicare and Medicaid added them to ensure an ongoing focus on improving interoperability and patient access to health information.

• SAFER Guides complement tools and research developed by the Agency for Healthcare

Research and Quality and the ONCHIT, not from vendors.

• The SAFER acronym stands for Safety Assurance Factors for EHR Resilience and are

therefore intended to guide implementation practices and use for HIT, and EHRs in particular.

• SAFER Guides having nothing to do with the Commonwealth Fund reports.

Page Ref: 6

Cognitive Level: Applying

QSEN Grad. Competencies: B1, 12

AACN Essen. Competencies: 8.1g,h; 8.4f,k

6) A large healthcare organization is planning to implement a new electronic health record. What should be considered when selecting this system?

• Whether training is required
• Nursing staff documentation requirements are the top priority
• The organization needs to meet multiple competing demands
• Integration with laboratory and pharmacy would be nice

Answer: C

Explanation: A) No evidence supports limiting training on the system.

• Every department in a large healthcare organization has an essential role in patient care.
• The healthcare organization today is a complex system faced with multiple, competing

demands.

• Every department in a large healthcare organization has an essential role in patient care.

Page Ref: 1-2

Cognitive Level: Applying

QSEN Grad. Competencies: GA1, GA3

AACN Essen. Competencies: 8.1k. 8.3e, 8.3g

• / 4

4 Copyright © 2024 Pearson Education, Inc.7) The leadership team of a multisystem healthcare organization is replacing the current electronic medical record with one that would integrate information throughout the entire system. The advantages of this proposed approach would include which of the following? Select all that apply.

• Decreased support costs
• Reduce staff turnover
• Improved communication
• Improved safety and quality of care
• Ensure care is provided in an effective, efficient manner

Answer: A, C, D, E

Explanation: A) Technology is a pervasive part of every aspect of society, including healthcare delivery. Health information technology (HIT) provides the tools to decrease costs.

• Technology is a pervasive part of every aspect of society, including healthcare delivery.

Health information technology (HIT) is not identified as a mechanism to reduce staff turnover.

• Technology is a pervasive part of every aspect of society, including healthcare delivery.

Health information technology (HIT) provides the tools to improve communication.

• Technology is a pervasive part of every aspect of society, including healthcare delivery.

Health information technology (HIT) enables the delivery of safe, quality care.

• Technology is a pervasive part of every aspect of society, including healthcare delivery.

Health information technology (HIT) ensures care is provided in an effective, efficient manner.Sharing data enables learning.

Page Ref: 1-8

Cognitive Level: Knowledge

QSEN Grad. Competencies: A1-4; B1, 5, 8, 12; c1, 2

AACN Essen. Competencies: 8.2i; 8.3g

• / 4