consensus-based decision making through a moderated online wiki. monthly conference calls of volunteers working on each initiative. surveys sent out to provider organizations working on EHR implementation. face-to-face work teams assembled to work on each initiative. during initial product development. during mature product design. after the product is released. after the product is used. Outcomes are driven mainly by Meaningful Use directives. Consideration of current managerial processes has no effect on patient outcomes. Patient safety is best achieved by minimizing changes to existing processes. Quality and safety are based on organization structure, management and clinical processes, and their linkages to patient outcomes. Clinical documentation Managing information Using business intelligence Aligning business and informatics IT department Quality department Health services researchers Housekeepers commission. omission. condition. remission. Health and Human Services Office of Civil Rights Health Information Security and Privacy Collaboration (HISPC) Department of Health and Human Services (DHHS) Electronic Frontier Foundation (EFF) Organizational structures for clinical processes Organizational structures responsible for clearly defining institutional priorities Organizational structures responsible for ensuring that informatics efforts are aligned with institutional priorities and optimally utilized Accompanying processes to operationalize the governance draft health IT policy. run for political office. participate in advocacy and educational efforts directed to policymakers. develop innovative technologies. structure. process. outcome. effectiveness. The Anti-Kickback Statute The Stimulus Act The HITECH Act HIPAA structure. process. outcome. effectiveness. It explains why using computer applications is the best way to support better patient outcomes. It supports implementation, performance improvement, and rigorous research methodologies. It ensures successful implementation of a clinical process change. It increases communication among clinical staff. SNOMED Logical Observations Identifiers Names and Codes (LOINC) Omaha System NANDA conduct the think aloud protocol. analyze users cognitive processes. observe workflow in a cardiology clinic. determine crucial errors with CPOE. Servers containing clinical data we
re stolen from a facility. A person hacks into a facilitys server and steals PHI electronically. A person installs a malicious code past a facilities firewall. A system administrator installed a new server without any security measures. Fundamentally, effective governance means that some stakeholders informatics needs will need to be de-prioritized. here is too much literature available on the topic, making it difficult to choose which approach to follow. So few activities within a healthcare organization involve informatics. No stakeholder wants to have a say in how informatics resources are leveraged. confidentiality of protected health information is safeguarded. accurate cost accounting occurs. data capture is being automated. clinical decision support is adopted. establishment and adoption of standards to support semantic interoperability. defined standard value sets, groupings, aligners, and attributes. organizations enabled to set individual standards for quality measurement and reporting. variation in the types of data used to populate the quality metrics. best practices need to be developed. quality care is increasing in targeted areas. nurses are expanding their capabilities. all Americans have access to high-quality care. The IT department is surveying your unit to determine the placement of new computer workstations. A researcher is conducting a study of how nurses interact with electronic documentation to organize care handoffs. The leadership in your institution is asking for your help to determine oncology patient flow across regional institutions. The administration has asked you to take responsibility for orientation of new hires and the retraining of selected current employees on use of the automated medication administration system because there have been a consistent number of user errors. talking to the CEO about her ideas. examining the support call lists and system change requests. working with only physicians, since they have been the most vocal about issues with the EHR. hiring a consultant. standardized classification of patient/client outcomes. set of nursing diagnoses. standardized classification of interventions. unified nursing language system into which nursing terminologies can be cross-mapped. consistency and standards. match between system and world. informative feedback. ergonomics. True False