TeleHealth & HIPAA
HIPAA Violations can result in what actions against the nurse:
Improper access to a patient’s chart could lead to job loss, legal action
Provide 2 examples of e-health resources
Fit-bit
My walk
Healthgrades
The Surgical Care Improvement Project's main goal is to:
decrease complications among surgical patients.
medicare/medicaid reimbursement dependent on meeting SCIP measures.
List 2 ergonomic considerations nurses should implement when utilizing a WOW (work place on wheels):
•Maintain good posture - pull vs. push
•Keep keyboard and mouse within easy reach
•Keep wrists straight, elbows at a slightly open angle
•Position monitor to see screen without tilting neck up or down or turning head
•Use light force when typing
•Customize font sizes, screen resolution for comfort
•Take frequent breaks
•Eye breaks
•Stretching, moving around
•Use proper lighting, reduce screen glare
True or False: A benefit of telehealth is the ability for healthcare provides to provide care for patients in a state they are not licensed in?
FALSE. This is a challenge of telehealth companies that provide care for patients throughout the country.
State-level tracking helps identify "doctor shoppers" for what type of medication?
Opiods
What act provides incentives for the use of EHR?
The Health Information Technology for Economic and Clinical Health (HITECH) Act, enacted as part of the American Recovery and Reinvestment Act of 2009, was signed into law on February 17, 2009, to promote the adoption and meaningful use of health information technology
Financial Incentives.
What model includes patient testing that is portable, transportable and/or handheld?
Point-of-Care Model
•Can be used to help manage patients with chronic disorders, especially those living in areas where access to specialists is limited or requires travel
Inappropriate when immediate interventions may be necessary - i.e. dyspnea, or chest pain
How can EHR's improve population and public health?
engaging patients and families in care!
What system allows the ability to plot and analyze lifestyle choices including nutrition and acute health problems.
GIS Geographic Info System
What is the primary goal of the clinical decision support system
to leverage data and the scientific evidence to help guide appropriate decision making
List 3 potential barriers of Tele Health:
•Insurance company may not cover cost
•Older adults may lack understanding of concept or be reluctant to use technology
•Lack of availability of broadband internet service throughout country
•Patients may not be aware of existence of telehealth services
Difficulty for providers obtaining license to practice across state lines in some areas
List 3 ways that nursing informatics teams can help improve the nurses job flow:
1. Promote real time charting
2. Provide clear direction for appropriate documentation necessary for billing & continuation care.
3. Promote communication between interdisciplinary team members, and even different organizations
4. Multiple people can access the same chart at the same time
5. Design, and data can be analyzed and improved when needs are identified.
What is TIGER?
Technology informatics guiding educational reform. Knowledge of informatics being mandatory for healthcare providers is supported
Provide 3 examples of Clinical Decision Support capabilities:
1. Fall risk indicated by MORSE Fall risk score - automatically places fall risk orders
2. Care coordination discharge needs suggestions
3. Alert of Vitals out of normal range
List 4 Rules for Nurses following HIPPA:
•Information about patient should not be discussed in public areas
•Paper documents should be shredded
•No sharing of passwords
•Never leave a computer screen showing protected health information unattended
•Never post patient information on public social networks
•Electronic medical records (EMRs)
•Similar to electronic chart in clinician’s office
•Focus on diagnosis and treatment
•Help track information over time
•Disadvantage: most designed to stay within a particular clinical setting
•Electronic health records (EHRs)
•Broader view of patient’s health
•Accessible by multiple clinicians from multiple disciplines
•More comprehensive management of patient’s healthcare
•Healthcare providers can communicate directly with pharmacy
•Reduce errors
•Lower costs
•Improve care
Name 2 Meaningful Use Criteria and provide an example of how technology can help with each goal.
•Office of the National Coordinator for Health Information Technology’s meaningful use objectives
•Improving care coordination
•Reducing health disparities
•Ensuring security and privacy of protected information
•Engaging patients and families in care
•Improving population and public health
Utilization review process includes:
eliminating inappropriate or unnecessary medical care.
the process of reviewing an episode of care. The review confirms that the insurance company will provide appropriate financial coverage for medical services. The UR process and the UR nurse facilitate minimizing costs