Which nursing terminology approved by the American Nurses Association is described in the table quizlet?

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An MIS that focuses on the types of data needed to manage client care activities and health care organizations. As with any system, the goal is to provide people with the data they need to determine appropriate actions and control them.

Typically, will have subsystems in the areas of admissions, medical records, clinical laboratory, pharmacy, order entry, and finance. The personnel in these areas record the data needed to allow management of billing, quality assurance, scheduling, and inventory both within their own areas and across the institution. Increasingly, accrediting organizations mandate the use of an HIS and require that reports be submitted using computerized formats. Integrated systems allow nurses to communicate care plans across the health care continuum without needing to regather or repeat information.

Also known as telehealth, uses technology to transmit electronic data about clients to persons at distant locations.

Ex. Two-way audiovisual communication allows an international expert to examine and consult on a client's case from thousands of miles away. X-rays, scans, stored computer data, and almost anything imaginable can be "sent" using computers.

Ex. The ability for a few health care providers to provide primary health care to people living in remote areas using the kinds of monitors described previously plus telephone, fax, and other relatively simple equipment in the client's home.

Concerns regarding telemedicine relate to legal and ethical issues. Who has responsibility for the client when a teleconsult is used? Does the care provider need to be licensed in the state or province where the client's primary care is given?
The National Council of State Boards of Nursing has declared that the applicable regulations are those for where the client resides and not where the provider is located. This is also one of the reasons for the initiation of the mutual recognition compact that boards of nursing are promulgating to facilitate nurse licensure in several states.

How is the client's privacy protected? How is the client's privacy protected? For example, if a provider in state A was teleconsulting with providers in states B,C, and D, which state's privacy laws should take precedence over others? What if they conflict? HIPPA and several other projects are under way to answer these questions and to determine the most effective designs for telemedicine programs.

Personal Health Record

Different from an EHR is a personal health record (PHR), which is an electronic document that contains the client's medical, personal, and health information but is controlled by the client, rather than the health care provider. Can be stored on a computer database, in an electronic computer file, or on a portable "smart card" similar to a credit card.

A significant advantage of a PHR stored in a commonly accessible format (e.g., word processor document or portable document format [pdf]) is that clients can transport and give the information to any care provider they wish, whenever necessary. A challenge is to keep the information current, however.

Ideally, the PHR interfaces with the EHR, but this requires the use of a unique electronic identifier for each person, and these standards are not yet in place (Sewell & Thede, 2012).

The volume of data that nurses need to have available and the additional volume of data generated by nurses can and must be managed electronically. Nursing administrators require these data to develop strategic plans for the organization.
1. Human Resources- All employers must maintain a database on each employee.
2. Medical Records Management- Medical records must be maintained for many years in case the data are needed for client care or research.
3. Facilities Management- Many aspects of managing buildings and non-nursing services can be facilitated by computer (heating, air conditioning, ventilation, and alarm systems).
4. Budget and Finance- Advantages of computerized billing are that claims are transmitted much more quickly and have a greater likelihood of being complete and accurate compared to handwritten documents.
5. Quality Assurance and Utilization Review-Both internal and external stakeholders in health care organizations need to know that the services and activities of the organization have positive results. Once standards, pathways, key indicators, and other vital data have been identified and described, computers can facilitate the accumulation and analysis of data for individuals and groups of clients. Quality is considered a process and not an end point. Applying this perspective, computerized systems are ideal for taking snapshot view of the institution's quality indices at any time.
6. Accreditation- The Joint Commission has mandated that hospitals have online mechanisms to monitor quality indicators, so as to reduce the difficulty and time involved in the accreditation process. Health care agencies must maintain databases of policies and procedures, standards of care, and employee accomplishment of the joint Commission requirements such as continuing education and in-service trainings. the Joint Commission has also required a move to computer systems that assess outcomes rather than processes.

Which terminologies are recognized by the ANA quizlet?

Which terminologies are recognized by the ANA?

What nursing organization has recognized the terminologies that support nursing practice?

Which terminology contains nursing languages quizlet?