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This video covers 50 essential, exam-style informatics questions that explain the systems, standards, regulations, and workflow concepts you MUST understand to pass the D220 OA with confidence.

If you want clear explanations, real-world examples, and deep understanding—not just memorization—this video is your complete D220 study companion.

🔬 What You Will Learn in This Video
🔹 Nursing Documentation, EHR Workflow & Clinical Data

• Nursing flowsheets vs labs vs provider orders
• Cascading documentation & template-based charting
• Isolation status documentation
• Biomedical device integration (automatic data capture)
• Badge-tap documentation efficiency
• Interface programs and how systems exchange data


🔹 Interoperability, Data Standards & Information Exchange

• HL7 standards (data standardization)
• Master Patient Index (MPI) for cross-system identification
• Query-based exchange (ER use) vs Directed exchange (provider-to-provider)
• Consumer-mediated exchange (patient-controlled sharing)
• Psychotherapy notes exemption


🔹 Clinical Decision Support & Patient Safety

• Alert fatigue & how it develops
• CDSS warnings, importance training, and alert volume control
• FDA-required Barcode Medication Administration (BCMA)
• VA hospitals as BCMA pioneers
• Patient safety as the core goal of informatics


🔹 HIPAA, HITECH, ARRA & Cures Act

• HITECH Act: breach notifications & stricter HIPAA penalties
• ARRA: EHR adoption incentive payments
• HIPAA violation fine ranges ($100–$50,000 per violation)
• 21st Century Cures Act: empowering patient access
• Special rules for employee medical record releases


🔹 Meaningful Use, MIPS & Regulatory Programs

• Meaningful Use Stages (Stages 1–3)
• Stage 3: full electronic prescribing
• CMS oversight of MU requirements
• MIPS replacing MU for physicians with focus on quality


🔹 Data Analytics, Quality Improvement & Workflow Optimization

• Predictive modeling for forecasting clinical events
• Data mining to discover hidden patterns
• Fishbone diagrams for root-cause discovery
• Triangulation for data accuracy
• Benchmarking (comparing performance to competitors)
• Gap analysis for missing EHR features
• Workflow analysis to identify IT improvement areas


🔹 Security, Safeguards & Mobile Technology

• Technical safeguards: authentication + encryption
• Physical safeguards: USB port locks
• Administrative safeguards vs technical vs physical
• Mobile device security for ePHI access


🔹 Telehealth Privacy & Communication

• Avoiding speakerphone to protect privacy
• Best practices for remote consultations


🔹 Patient Engagement & Health Literacy

• Pain control and its impact on patient engagement
• Health literacy universal precautions (5th-grade reading level)
• Patient portal adoption challenges (poor internet access)


By the end of this video, you’ll understand the why behind each informatics concept—boosting your exam confidence and real-world informatics knowledge.

Perfect for:
WGU Students • Nursing & Health Informatics Learners • EHR/IT Staff • Quality & Safety Teams • Anyone preparing for D220 OA

00:00 Intro
00:38 1 - 5 questions
10:36 5 - 10 questions
23:23 10 - 15 questions
35:56 15 - 20 questions
48:46 20 - 25 questions
01:01:51 25 - 30 questions
01:27:43 35 - 40 questions
01:53:55 45 - 50 questions
02:09:57 Outro

⚠️ Disclaimer: OA Practice is an independent provider of free resources and exam prep. We are not affiliated with any university. All materials are created solely for student success.


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