[ANSWERED 2023] Create a 1 page fact sheet that your healthcare organization could hypothetically use to explain

To Prepare:

• Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.
• Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).
• Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

The Assignment: (1 page not including the title and reference page)

Create a 1 page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:

• Briefly and generally explain the policy or regulation you selected.
• Address the impact of the policy or regulation you selected on system implementation.
• Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.
• Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.
• Use APA format and include a title page, in-text citations, and reference page.
• Use the Safe Assign Drafts to check your match percentage before submitting your work.

Grading Rubric

Points Range:77 (77.00%) – 85 (85.00%)

A fully developed and detailed Fact Sheet is provided for the Assignment.The responses accurately and thoroughly explain in detail the policy and regulation selected.The responses accurately and thoroughly explain in detail the impact of the policy or regulation selected on system implementation.The responses accurately and thoroughly explain in detail the impact of the policy or regulation selected on clinical care, patient/provider interactions, and workflow.

Specific and accurate responses thoroughly highlight in detail the organizational policies and procedures that are/will be in place at a healthcare organization to address the policy or regulation selected.

Includes: 3 or more peer-reviewed sources and 2 or more course resources.

Points Range:68 (68.00%) – 76 (76.00%)

A developed Fact Sheet is provided for the Assignment.The responses explain the policy or regulation selected.The responses explain the impact of the policy or regulation selected on system implementation.The responses explain the impact of the policy or regulation selected on clinical care, patient/provider interactions, and workflow.

Accurate responses highlight the organizational policies and procedures that are/will be in place at a healthcare organization to address the policy or regulation selected.

Includes: 2 peer-reviewed sources and 2 course resources.

Points Range:60 (60.00%) – 67 (67.00%)

A vague or inaccurate Fact Sheet is provided for the Assignment.The responses explaining the policy or regulation selected are vague or inaccurate.

The responses explaining the impact of the policy or regulation selected on system implementation are vague or inaccurate.

The responses explaining the impact of the policy or regulation selected on clinical care, patient/provider interactions, and workflow are vague or inaccurate.

The responses highlighting the organizational policies and procedures that are/will be in place at a healthcare organization to address the policy or regulation selected are vague or inaccurate.

Includes: 1 peer-reviewed source and 1 course resource.

Points Range:0 (0.00%) – 59 (59.00%)

A vague and inaccurate Fact Sheet is provided for the Assignment, or is missing.

The responses explaining the policy or regulation selected are vague and inaccurate, or are missing.

The responses explaining the impact of the policy or regulation selected on system implementation are vague and inaccurate, or are missing.

The responses explaining the impact of the policy or regulation selected on clinical care, patient/provider interactions, and workflow are vague and inaccurate, or are missing.

The responses highlighting the organizational policies and procedures that are/will be in place at a healthcare organization to address the policy or regulation selected are vague and inaccurate, or are missing.Includes: 1 or fewer resources.

Written Expression and Formatting – Paragraph Development and Organization:Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.

Points Range:5 (5.00%) – 5 (5.00%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

Points Range:4 (4.00%) – 4 (4.00%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

Points Range:3.5 (3.50%) – 3.5 (3.50%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.

Points Range:0 (0.00%) – 3 (3.00%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.

Written Expression and Formatting – English writing standards:Correct grammar, mechanics, and proper punctuation

Points Range:5 (5.00%) – 5 (5.00%)

Uses correct grammar, spelling, and punctuation with no errors.

Points Range:4 (4.00%) – 4 (4.00%)

Contains a few (1-2) grammar, spelling, and punctuation errors.

Points Range:3.5 (3.50%) – 3.5 (3.50%)

Contains several (3-4) grammar, spelling, and punctuation errors.

Points Range:0 (0.00%) – 3 (3.00%)

Contains many (? 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.

Points Range:5 (5.00%) – 5 (5.00%)

Uses correct APA format with no errors.

Points Range:4 (4.00%) – 4 (4.00%)

Contains a few (1-2) APA format errors.

Points Range:3.5 (3.50%) – 3.5 (3.50%)

Contains several (3-4) APA format errors.

Points Range:0 (0.00%) – 3 (3.00%)

Contains many (? 5) APA format errors.

Expert Answer and Explanation

Fact Sheet

References

Gabay M. (2017). 21st Century Cures Act. Hospital pharmacy, 52(4), 264–265. https://doi.org/10.1310/hpj5204-264

Goble, J. A. (2018). The potential effect of the 21st Century Cures Act on drug development. Journal of managed care & specialty pharmacy, 24(7), 677-681. https://doi.org/10.18553/jmcp.2018.24.7.677

Majumder, M. A., Guerrini, C. J., Bollinger, J. M., Cook-Deegan, R., & McGuire, A. L. (2017). Sharing data under the 21st Century Cures Act. Genetics in Medicine, 19(12), 1289-1294. https://doi.org/10.1038/gim.2017.59

Ronquillo, J. G., & Zuckerman, D. M. (2017). Software‐related recalls of health information technology and other medical devices: Implications for FDA regulation of digital health. The Milbank Quarterly, 95(3), 535-553.

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FAQs

Understanding MACRA: The Medicare Access and Chip Reauthorization Act

The Medicare Access and Chip Reauthorization Act (MACRA) is a significant piece of legislation in the healthcare sector, aimed at improving the quality of care and controlling costs. Enacted in 2015, MACRA marked a crucial shift in the way healthcare providers are reimbursed under the Medicare program. In this article, we will explore the key components of MACRA, its objectives, and why it is important for the healthcare system.

What is MACRA?

The Medicare Access and Chip Reauthorization Act, often abbreviated as MACRA, is a federal law that replaced the Sustainable Growth Rate (SGR) formula for reimbursing healthcare providers who participate in the Medicare program. It was signed into law on April 16, 2015, with bipartisan support, making it a landmark legislation in healthcare policy.

What Are the 4 Components of MACRA?

MACRA comprises four primary components, each of which plays a critical role in the implementation of the new payment model:

1. Quality Payment Program (QPP): The QPP is the central framework of MACRA, designed to shift healthcare reimbursement from a fee-for-service model to a value-based care model. It consists of two tracks: the Merit-Based Incentive Payment System (MIPS) and the Advanced Alternative Payment Models (APMs).
2. Merit-Based Incentive Payment System (MIPS): MIPS consolidates and streamlines several existing Medicare reporting programs. It evaluates healthcare providers based on four performance categories: Quality, Cost, Improvement Activities, and Promoting Interoperability. MIPS scores directly affect the reimbursement rates for eligible clinicians.
3. Advanced Alternative Payment Models (APMs): APMs are innovative payment models that incentivize providers to deliver high-quality care efficiently. Providers who participate in APMs can potentially earn higher financial incentives and avoid MIPS reporting requirements.
4. Data and Information: MACRA promotes transparency and accessibility of healthcare data. This enables both healthcare providers and patients to make informed decisions about their care and promotes a culture of continuous improvement in healthcare delivery.

What is the Purpose of MACRA?

The primary purpose of MACRA is to drive the transformation of healthcare delivery from a fee-for-service model to a value-based model. It aims to achieve the following objectives:

1. Improve the Quality of Care: MACRA encourages healthcare providers to focus on delivering high-quality care, as they are now held accountable for their performance on quality metrics.
2. Control Healthcare Costs: By tying reimbursement to the value and outcomes of care rather than the volume of services provided, MACRA seeks to control the rising costs of healthcare.
3. Promote Interoperability: The legislation pushes for the adoption of health information technology and the exchange of electronic health records (EHRs) to improve the coordination and efficiency of care.
4. Simplify Reporting: MACRA aims to simplify the reporting process for healthcare providers by consolidating various reporting programs into a single framework, MIPS.
5. Encourage Innovation: The introduction of APMs under MACRA encourages providers to explore new models of care delivery that promote innovation and cost efficiency.

MACRA Fact Sheet

To provide a quick overview, here’s a MACRA fact sheet:

• MACRA stands for the Medicare Access and Chip Reauthorization Act, enacted in 2015.
• It has four primary components: the Quality Payment Program, Merit-Based Incentive Payment System (MIPS), Advanced Alternative Payment Models (APMs), and data and information initiatives.
• MACRA’s objectives include improving the quality of care, controlling healthcare costs, promoting interoperability, simplifying reporting, and encouraging innovation in healthcare delivery.

Why Is MACRA Important?

MACRA is crucial for the healthcare system for several reasons:

1. Quality Improvement: It incentivizes healthcare providers to prioritize the quality of care over the quantity of services, leading to better patient outcomes.
2. Cost Control: By linking reimbursement to value-based care, MACRA helps control healthcare costs, benefiting both patients and the Medicare program.
3. Data Transparency: MACRA promotes the use of health data, making it easier for providers to make informed decisions and for patients to understand their care options.
4. Innovation: MACRA encourages healthcare providers to adopt innovative practices that can enhance care delivery and reduce costs.

Conclusion

The Medicare Access and Chip Reauthorization Act (MACRA) is a pivotal legislation that is transforming the healthcare reimbursement landscape in the United States. By promoting value-based care, increasing data transparency, and encouraging innovation, MACRA aims to improve the quality of care and control healthcare costs, ultimately benefiting both providers and patients. Understanding the four key components and objectives of MACRA is essential for all stakeholders in the healthcare system as it shapes the future of healthcare delivery and reimbursement.

Nursing Informatics

Nursing informatics is a specialized field that merges the nursing profession with information technology to optimize patient care, streamline healthcare processes, and improve the quality and safety of healthcare delivery. In this article, we will explore the key components of nursing informatics, how the American Nurses Association (ANA) defines it, and its significant role in enhancing healthcare.

What is Nursing Informatics?

Nursing informatics is the integration of nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice. It encompasses a wide range of activities that involve the collection, management, and use of healthcare data to support clinical decision-making, quality improvement, and patient safety.

What Are the 3 Components of Nursing Informatics?

1. Data: Data in nursing informatics refers to raw facts or figures, such as vital signs, lab results, or patient demographics. Collecting and recording accurate data is a fundamental component, as it forms the foundation for all subsequent informatics processes.
2. Information: Information is data that has been processed, organized, and analyzed to be meaningful and useful for clinical decision-making. Nursing informatics involves transforming data into actionable information that can guide healthcare providers in delivering safe and effective care.
3. Knowledge: Knowledge in nursing informatics represents the insights and expertise derived from information. This component empowers nurses to make informed decisions, improve patient outcomes, and promote evidence-based practice.

How Does the ANA Describe Nursing Informatics?

The American Nurses Association (ANA) defines nursing informatics as “a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice.”

The ANA emphasizes that nursing informatics plays a pivotal role in enhancing patient care, facilitating clinical decision-making, and promoting efficient healthcare processes. It underscores the importance of integrating informatics competencies into nursing education and practice to ensure that nurses are equipped with the necessary skills to excel in today’s data-driven healthcare environment.

How Does Nursing Informatics Improve the Quality of Healthcare?

Nursing informatics contributes significantly to the enhancement of healthcare quality in various ways:

1. Clinical Decision Support: Nursing informatics systems provide clinicians with real-time access to critical patient data, evidence-based guidelines, and decision support tools. This aids in making accurate and timely clinical decisions, reducing errors, and improving patient safety.
2. Streamlined Workflows: Informatics solutions help optimize healthcare processes, leading to increased efficiency, reduced administrative burdens, and more time for direct patient care.
3. Data-Driven Care: Informatics tools enable the collection and analysis of large datasets, allowing healthcare providers to identify trends, track outcomes, and adapt care plans to improve patient outcomes.
4. Improved Communication: Nursing informatics systems facilitate seamless communication and data sharing among care team members, enhancing care coordination and reducing communication errors.
5. Enhanced Patient Engagement: Patients can access their health records, test results, and educational resources through informatics platforms, empowering them to actively participate in their care.

Nursing Informatics Policy Examples

Several healthcare policies and initiatives highlight the importance of nursing informatics, including:

1. The Health Information Technology for Economic and Clinical Health (HITECH) Act: This legislation promotes the adoption of electronic health records (EHRs) and other health information technologies, encouraging the integration of nursing informatics into healthcare practice.
2. Meaningful Use (now known as Promoting Interoperability): This program sets standards for the meaningful use of EHRs, emphasizing the role of nursing informatics in ensuring EHRs improve patient care, safety, and efficiency.
3. HIPAA Privacy and Security Rules: These regulations ensure the protection of patient health information, including data managed by nursing informatics systems, safeguarding patient privacy.

Conclusion

Nursing informatics is a critical and evolving field that has a profound impact on healthcare quality, patient safety, and efficiency. By collecting, managing, and using data to support nursing practice, informatics empowers healthcare providers with the information and knowledge needed to make informed decisions and improve patient outcomes. As technology continues to advance, the role of nursing informatics will only become more integral to the healthcare landscape.

Types of nursing informatics

Nursing informatics encompasses a wide range of applications and roles within the field of healthcare. Below are some common types of nursing informatics:

1. Electronic Health Records (EHRs):
   • EHR systems are digital versions of patients’ medical records, which provide nurses with quick access to patient data, medical histories, test results, and treatment plans. They also support documentation and communication among healthcare providers.
2. Clinical Decision Support Systems (CDSS):
   • CDSS tools assist nurses and other healthcare professionals in making informed clinical decisions. These systems use patient data to offer recommendations, reminders, and alerts, promoting evidence-based practice and patient safety.
3. Telehealth and Telemedicine:
   • Telehealth and telemedicine platforms enable nurses to provide care remotely, communicating with patients through video consultations, monitoring vital signs, and offering medical advice and education via digital channels.
4. Nursing Documentation Systems:
   • These systems focus on accurate and efficient documentation of nursing assessments, interventions, and outcomes. They help nurses maintain comprehensive and organized patient records.
5. Medication Administration Systems:
   • Medication administration systems automate the process of prescribing, dispensing, and administering medications. They reduce the risk of medication errors and enhance medication management.
6. Health Information Exchange (HIE):
   • HIE systems enable the secure exchange of patient health information among different healthcare organizations and systems, ensuring that relevant data is available to nurses and other providers when needed.
7. Nurse Communication and Collaboration Tools:
   • Various digital communication tools, such as secure messaging and nurse-specific collaboration platforms, enhance communication and collaboration among nurses and the broader care team.
8. Nursing Informatics Education and Training:
   • Nursing informatics professionals develop and deliver training programs and educational content to help nurses and healthcare staff understand and use informatics tools effectively.
9. Clinical Informatics Specialist:
   • Clinical informatics specialists work at the intersection of healthcare and technology, bridging the gap between clinicians and IT professionals to ensure that informatics systems meet clinical needs and standards.
10. Health Informatics Consultant:
    • Health informatics consultants provide expertise to healthcare organizations to optimize their informatics strategies and systems, assisting with project management, implementation, and system upgrades.
11. Nursing Informatics Research:
    • Researchers in this field conduct studies and investigations to advance the knowledge and best practices in nursing informatics, improving patient care, workflow, and outcomes.
12. Nursing Informatics Leadership:
    • Nursing informatics leaders hold positions in healthcare organizations, influencing informatics policy, strategy, and governance to ensure that nursing informatics initiatives align with the organization’s goals and objectives.
13. Informatics Quality Assurance and Compliance:
    • These roles involve ensuring that informatics systems and practices comply with healthcare regulations, standards, and best practices, ultimately contributing to patient safety and quality of care.