NURS 6051 Assignment: Policy/Regulation Fact Sheet

Assignment: Policy/Regulation Fact Sheet

Policy/ Regulation Fact Sheet: MACRA

Policy Regulation Fact Sheet

The 21st Century Act of 2016 was chosen as the policy for this project brief. In 2016, President Obama signed this legislation into law with the goal of boosting healthcare research on both preventing and curing significant health disorders. It also aimed to speed up the development of new medications and medical gadgets for use in treating rising health issues. As a means of strengthening the delivery of mental health care, the act also addressed the issue of opioid abuse. In addition, there was a push in the act for improved interoperability and adoption of electronic health records for improved service delivery (Jaffe, 2015).

The 2016 Act for the Twenty-First Century has some consequences for system implementation. It emphasizes the importance of implementing healthcare systems that enable improved health information sharing between and among healthcare providers. It also encourages the use of patient-centered health information technologies, such as mobile apps, in the delivery of health care services (Black, Hulkower & Ramanathan, 2018). It does, however, necessitate the use of terminology that consumers may easily grasp when implementing these patient-centered technology. Finally, it encourages the use of health information technology that enhance holistic treatment (Kinney, 2018).

Clinical care, patient/provider relationships, and workflow are all affected by the twenty-first century. It raises the requirement for integration in the delivery of mental health treatments. Patients should be treated as a full person, not as a disease. The reduction of language used in telehealth and telemedicine technology for care is expected to improve patient-provider relations. The improved interoperability of the systems is also expected to boost information sharing between them. The guideline also enhances workflow by minimizing the amount of time spent making decisions (Paradise, 2018).

The use of health information technologies in the provision of care is one of the organizational policies in place in my company to address the policy. There is also the usage of telehealth and telemedicine to improve patient health quality. Finally, there is the promotion of holism in health care. The focus of care is on the patient’s whole needs, not only those connected to the disease.

Also Read: NURS 6051 Literature Review The Use of Clinical Systems to Improve Outcomes and Efficiencies

References

Black, J. R., Hulkower, R. L., & Ramanathan, T. (2018). Health information blocking: responses under the 21st Century Cures Act. Public Health Reports, 133(5), 610-613.

Jaffe, S. (2015). 21st Century Cures Act progresses through US Congress. The Lancet, 385(9983), 2137-2138.

Kinney, E. D. (2018). 21st Century Cures Act and Medical Device Regulation Departure from Principles or Catching the Wave. American journal of law & medicine, 44(2-3), 269-290.

Paradise, J. (2018). 21st Century Citizen Pharma: The FDA & Patient-Focused Product Development. American Journal of Law & Medicine, 44(2-3), 309-327.

A federal law known as the Medicare Access and CHIP (Children’s Health Insurance Program) Reauthorization Act (MACRA) introduces a new approach for paying clinicians who successfully demonstrate value rather than quantity in patient treatment (CDC, n.d.). The rule encourages the integration of informatics and technology since it gives access to a system-based payment model that promotes effectiveness and high-quality patient care (AANP, 2018). The fundamental goal of MACRA is to switch Medicare’s payment structures from quantity-based to quality-based.

Three significant changes to how Medicare pays providers are established under the regulation. These consist of:

Based on the efficiency and caliber of the patient treatment provided, payment is made to participating providers.
permits the fusion of existing reporting programs with a new model.
The Sustainable Growth Rate Formula was replaced.
Medicare cards, which are made possible by MACRA, safeguard patients’ financial and personal data and permit access to private facilities (McGonigle & Mastrian, 2017).
The statute also ensures that no illegal access is made to a person’s federal health care benefits and service payments.

MACRA’s Effect on the Implementation of the System

The policy improves the administration and treatment of information, particularly patient access data and their personal financial and health information (HealthIT.gov., 2018b).
The policy makes ensuring that systems are optimized to improve security, privacy, and secrecy.

Ongoing Clinical Care

The policy has an impact on clinical care since it prioritizes patient value over provider volume.

Patient-Provider Relationships

The policy offers additional channels and tools for providers and patients to communicate and guarantee that they deliver the best care possible with the help of patient feedback and participation.
As patients interact more with clinicians thanks to the policy, patient experience in medical institutions increases.
The policy provides metrics for patient reporting, functional status, and outcome assessments.

Workflow

MACRA increases efficiency while reducing the workload on clinicians.
MACRA successfully streamlines the scoring procedure to enhance provider workflow and patient engagement.

Policies and procedures have been put in place within the organization to comply with MACRA policy.

A key part of our organization’s efforts to improve the quality of treatment based on current frameworks and regulations, such as the Merit-based Incentive Payment System, is MACRA (MIPS).
Using MIPS enables providers to receive payment based on their performance or value to the enterprise (AANP, 2018). Second, MACRA makes sure that the various providers effectively coordinate patient care. The policy makes sure that a company’s operations are useful to both patients and providers.

References

American Association of Nurse Practitioners. (AANP) (2018). MACRA/MIPS: The transition

from fee-for-service to quality-based reimbursement. https://www.aanp.org/legislation-regulation/federal-legislation/macra-s-quality-payment-program

Centers for Medicare and Medicaid Services (CDC) (n.d.). MACRA.

https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/value-based-programs/macra-mips-and-apms/macra-mips-and-apms.html

Laureate Education (Producer). (2018). Health Informatics & Population Health Analytics:

Privacy, Security, and Ethics [Video file]. Baltimore, MD: Author

HealthIT.gov. (2018b). Meaningful use and MACRA.

https://www.healthit.gov/topic/meaningful-use-and-macra/meaningful-use-and-macra

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge

            (4th ed.). Burlington, MA: Jones & Bartlett Learning.

As a professional nurse, you are expected to use your knowledge and skills to provide patient care. On occasion, you will be expected to share your knowledge.

With changing technology and regulations designed to keep up, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.

In this Assignment, you will research a recent nursing informatics-related healthcare policy and present the findings in the form of a fact sheet designed to inform and educate.

To Get Ready:

Examine the resources on healthcare policy and regulatory/legislative issues pertaining to health and nursing informatics.
Consider the nurse informaticist’s role in ensuring that a healthcare organization complies with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).
Select one health or nursing informatics policy or regulation (within the last 5 years) for further investigation.

Policy/Regulation Fact Sheet

Healthcare delivery evolves to adapt to social, patient care, and environmental changes. Nursing informatics dominates this evolution and provides an opportunity for healthcare providers to integrate nursing, information, and computer sciences into patient care (McGonigle & Mastrian, 2022). Due to the risks that information technologies pose and other challenges, regulations and policies are crucial to managing tech-driven health practices. The purpose of this fact sheet is to analyze a nursing informatics regulation.

Conclusion

Policies and regulations ensure that healthcare providers adhere to rules and guidelines concerning patient care. Promoting Interoperability Programs obliges healthcare systems to adopt systems that facilitate meaningful use. Adherence to this obligation improves patient-provider engagement, communication, and other outcomes.

References

Bates, D. W., & Samal, L. (2018). Interoperability: what is it, how can we make it work for clinicians, and how should we measure it in the future?. Health Services Research, 53(5), 3270-3277. https://doi.org/10.1111%2F1475-6773.12852

HealthIT.gov. (2019). Promoting interoperability. https://www.healthit.gov/topic/meaningful-use-and-macra/promoting-interoperability

Li, E., Clarke, J., Neves, A. L., Ashrafian, H., & Darzi, A. (2021). Electronic health records, interoperability and patient safety in health systems of high-income countries: A systematic review protocol. BMJ Open, 11(7), e044941. http://dx.doi.org/10.1136/bmjopen-2020-044941

McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.

Tapuria, A., Porat, T., Kalra, D., Dsouza, G., Xiaohui, S., & Curcin, V. (2021). Impact of patient access to their electronic health record: Systematic review. Informatics for Health and Social Care, 46(2), 194-206. https://doi.org/10.1080/17538157.2021.1879810

The Assignment: (1 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.

By Day 5 of Week 11

Submit your completed Policy/Regulation Fact Sheet.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

• Please save your Assignment using the naming convention “WK11Assgn+last name+first initial.(extension)” as the name.
• Click the Week 11 Assignment Rubric to review the Grading Criteria for the Assignment.
• Click the Week 11 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
• Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK11Assgn+last name+first initial.(extension)” and click Open.
• If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
• Click on the Submit button to complete your submission. NURS 6051 Assignment: Policy/Regulation Fact Sheet

Module 6: Policy and Regulation Supporting Informatics and Technology Integration
(Week 11)

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Laureate Education (Producer). (2018). Policy and Regulation [Video file]. Baltimore, MD: Author.

Learning Objectives
Students will:
Evaluate legislative policies and regulations for health and nursing informatics
Create fact sheets for health and nursing informatics
Analyze impact of legislative policies and regulations for clinical care, patient/provider interactions, and workflows
Evaluate healthcare organizational policies and procedures to address legislative policies and regulations
Due By
Assignment
Week 11, Days 1–2
Read/Watch/Listen to the Learning Resources.
Begin to compose your Assignment.
Week 11, Days 3-4
Continue to compose your Assignment.
Week 11, Day 5
Deadline to submit your Assignment.
Photo Credit: [Phil Roeder]/[Moment]/Getty Images

Learning Resources
Required Readings
McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

Chapter 8, “Legislative Aspects of Nursing Informatics: HITECH and HIPAA” (pp. 145–166)
American Association of Nurse Practitioners. (2018). MACRA/MIPS: The transition from fee-for-service to quality-based reimbursement. Retrieved from https://www.aanp.org/legislation-regulation/federal-legislation/macra-s-quality-payment-program
Centers for Medicare and Medicaid Services. (n.d.). MACRA. Retrieved January 18, 2019, from https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/value-based-programs/macra-mips-and-apms/macra-mips-and-apms.html
HealthIT.gov. (2018a). Health IT legislation. Retrieved from https://www.healthit.gov/topic/laws-regulation-and-policy/health-it-legislation
HealthIT.gov. (2018b). Meaningful use and MACRA. Retrieved from https://www.healthit.gov/topic/meaningful-use-and-macra/meaningful-use-and-macra
U.S. Department of Health and Human Services. (n.d.). Laws & regulations. Retrieved September 27, 2018, from https://www.hhs.gov/regulations/index.html
Required Media
Laureate Education (Producer). (2018). Health Informatics & Population Health Analytics: Privacy, Security, and Ethics [Video file]. Baltimore, MD: Author.

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