Deck 13: Workflow and Beyond Meaningful Use

Question 1

What are the implications for nursing education as the EHR becomes the standard for caring for patients?

Answer 1

No Answer

Question 2

What are the ethical considerations related to interoperability and a shared EHR?

Answer 2

No Answer

Question 3

You are asked about a diagnosis with which you are unfamiliar. Where would you start looking for information? How would you determine the validity of the information?

Answer 3

No Answer

Question 4

Think about the documentation and knowledge management functions of your specialty. If you had the opportunity to create a wish list, what would you include in an EHR to support your work?

Question 5

The American Association for Justice (2013), suggests that to improve care delivery and to minimize error, the most important tools to employ are:

A) electronic records and information systems to provide point-of-care decision support and automation.
B) medication administration methodologies that provide care decision support and automation at the point of care.
C) bar coding for patient care activities to provide access to information and automation at the point of care.
D) computer systems that track activities at the point-of-care automation.

Question 6

Workflow is a term used to describe:

A) the action or execution of a singular task.
B) a progression of steps (tasks, events, interactions) that comprise a work process, involve two or more persons, and create or add value to the organization's activities.
C) the delegation of work to staff members.
D) All of these are correct.

Question 7

What is a non-value-added activity?

A) One that ultimately brings the process closer to completion or changes the product or service for the better
B) Steps in a process that are necessary for regulatory or compliance reasons but do not bring the process closer to completion or do not change the product or service for the better
C) An activity that enhances the process and moves it closer to completion or changes the product or service for the better
D) None of these is correct.

Question 8

Variation occurs when workers:

A) perform the same function in different ways.
B) initiate flaws in the way a process was originally designed.
C) lack knowledge about the process.
D) All of these are correct.

Question 9

Workflow analysis must be conducted as a stand-alone effort.

Question 10

Most workflow redesign efforts are focused on large changes resulting in widespread change that accompanies transformational activities.

Question 11

Examining the workflow surrounding the use of technology enables better use of the technology and more efficient work.

Question 12

Nurses must be involved in "meaningful" data collection and reporting.

Question 13

Meaningful use measures have pushed healthcare organizations to reexamine the use of clinical technologies within their organization and approach implementations in a new way.

Question 14

Some analysis and redesign efforts may occur weeks, months, or even years following the implementation of technology.

Question 15

We must minimize preventable errors, and one of the most important tools for this purpose is the use of electronic records and information systems to provide point-of-care decision support and automation.

Question 16

The term workflow is sometimes used interchangeably with process or process flows, particularly in the context of implementations.

Question 17

Workflows integrating technology provide the nurse with the data necessary to make informed decisions.

Question 18

Many healthcare organizations experience the effects of poorly implemented clinical technology solutions. These effects may be manifested in the form of redundant documentation, non-value-added steps, and additional time spent at the computer rather than in direct care delivery.

Question 19

Technology should not be implemented for the sake of automation unless it promises to deliver gains in patient outcomes and proper workflow.

Question 20

Workflow redesign is a critical aspect of technology implementation.

Question 21

Technology implemented without consideration of workflow can result in greater patient safety concerns than if no technology were implemented at all.

Question 22

Many of the quality reporting measures rely on the nurse's documentation.

Question 23

Observation and documentation of workflow to better understand what is happening in the current environment and how it can be altered is referred to as process or workflow analysis.

Question 24

With the new goal of paying for value and better care, the Medicare Access and Summary CHIP Reauthorization Act of 2015 (MACRA) reformed Medicare payment by making changes that created a quality payment program to replace the hodgepodge system of Medicare reporting programs.

Question 25

Most healthcare personnel are using electronic health records. Medicare Access and Summary CHIP Reauthorization Act of 2015 (MACRA) measures will push healthcare organizations to limit the use of clinical technologies within their organization and implement intervention analyses in a new way.

Question 26

A nurse is documenting in a new complex electronic health record system and duplicates patient data. This duplication often occurs due to which of the following?

A) Clinical technology solutions are implemented poorly.
B) Stakeholders are uninterested in clinical technology solutions.
C) Healthcare providers are not educated on clinical technology solutions.
D) There is not any management support from clinical technology solutions.

Question 27

An informatics nurse is tracking and assessing decision making through a clinical course of care, which will do what?

A) Improve patient care
B) Reduce medical errors
C) Enhance collaboration between providers
D) Contribute to research databases

Question 28

A health system is taking on a transformation initiative, which will be initiated by whom?

A) The health system's leadership
B) The healthcare professionals
C) The information technology department
D) The informatics nurses

Question 29

A new clinical technology has been implemented to improve care so that little waste is incurred. This is known as which of the following?

A) Efficient delivery of care
B) Effective delivery of care
C) Transformative delivery of care
D) Innovative delivery of care

Question 30

An informatics nurse is integrating a new clinical technology and understands that to optimize success in integration, which of the following must be considered?

A) End-user involvement
B) Collaboration with leadership
C) Coordination with computer programmers
D) Input from administration

Question 31

A problem has been identified and data on the performance of a process are collected at the beginning of the process. These data are known as which of the following?

A) Process metrics
B) Current state metrics
C) System metrics
D) Employee metrics

Question 32

A nurse replaces a new patient's wristband after the first was misplaced. This action by the nurse is which of the following?

A) A value-added action
B) A non-value-added action
C) Waste
D) Overproduction

Question 33

A patient asks a nurse about variation in patient care by different providers. What is the best response by the nurse?

A) "Variation occurs when clinicians perform the same function in different ways and is minimized with standardization."
B) "Variation occurs because healthcare providers have individual preferences. This does not affect patient care."
C) "There is little variation in patient care since technology has been incorporated into health care."
D) "Variation occurs only with very customized and complex care circumstances."

Question 34

When workflow changes begin to fail and workarounds develop, the new processes need to be evaluated further.

Question 35

Informatics nurses are significant resources in a project team, influencing adoption and change management.

Question 36

An informatics nurse is examining workflow of nursing staff for what purpose?

A) To improve work efficiency
B) To stabilize financial budgets
C) To increase patient-nurse interactions
D) To reduce nurse-to-patient ratios

Question 37

An informatics nurse develops a visual depiction of a workflow process, which is called a:

A) process map.
B) work process.
C) workflow analysis.
D) clinical transformation.

Question 38

A nurse is explaining clinical transformation to a group of nurses. Which statement is correct?

A) "Clinical transformation is a radical change approach that produces a more responsive organization."
B) "Clinical transformations must include an adoption of a clinical technology."
C) "Clinical transformations are led by nursing staff members."
D) "Clinical transformations involve small, impactful changes."

Question 39

A healthcare system is making widespread change in the clinical environment due to unstable financial circumstances. This change is known as which of the following?

A) Clinical transformation
B) Facility overhaul
C) System transformation
D) Work analysis

Question 40

An informatics nurse is developing an integration plan of a new electronic health record and anticipates a workflow redesign. Which of the following will the informatics develop first?

A) Change management plan
B) Workflow analysis
C) Clinical transformation
D) Workflow evaluation

Question 41

An informatics nurse uses which theory when integrating a new technology?

A) Change theory
B) Adaptation theory
C) Goal attainment theory
D) Collaboration theory

Question 42

A nursing executive would like to improve a nursing process and needs to collect metrics on which of the following?

A) The current performance of the process
B) The past performance of the process
C) Nursing research on nursing processes
D) Quality indicators on nursing care

Question 43

An informatics nurse is performing a workflow analysis, which is a necessity for which of the following?

A) Safe patient care
B) Nursing satisfaction
C) Patient satisfaction
D) Financial well-being

Question 44

The goal of workflow analysis is to maximize the use of technology and reduce non-value-added activities.

Question 45

Workflow is a term to describe the execution of a series of tasks in a prescribed sequence.