Assignment Policy Regulation Fact Sheet For A Profess 467870

Assignment Policyregulation Fact Sheetas A Professional Nurse You A

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.

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.

Paper For Above instruction

The policy chosen for this fact sheet is the Medicare Access and CHIP Reauthorization Act (MACRA), enacted in 2015 and affecting healthcare reimbursement models through its shift towards value-based care. MACRA aims to incentivize high-quality, cost-efficient care by implementing new payment systems such as the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs). This regulation significantly influences healthcare organizations’ operational and clinical strategies, especially in the integration of health informatics systems.

MACRA's core impact on system implementation involves the adoption and optimization of health information technology (HIT). Organizations are required to develop robust data collection and reporting mechanisms to comply with MIPS and APM metrics. Electronic Health Records (EHRs) play a central role in capturing patient data, tracking performance measures, and providing analytics for continuous quality improvement. This entails upgrading existing systems and training healthcare staff on new workflows and reporting requirements, ensuring data accuracy, security, and interoperability.

On the clinical level, MACRA emphasizes outcome measurement and evidence-based practices, directly impacting clinical care delivery. Providers are incentivized to utilize health informatics tools to monitor patient outcomes, coordinate care across settings, and implement clinical decision support systems (CDSS). These innovations foster enhanced provider-patient interactions by enabling more informed discussions and shared decision-making. Workflow adjustments include dedicated time for data entry, regular performance reviews, and interprofessional collaboration facilitated by integrated informatics solutions, ultimately aiming to improve patient outcomes and operational efficiency.

To address MACRA compliance, our healthcare organization will implement specific policies and procedures. These include mandatory training programs for clinical and administrative staff on MACRA documentation requirements, quality reporting protocols, and data security best practices. We will establish a dedicated compliance team to monitor regulatory updates and ensure ongoing system upgrades aligned with MACRA standards. Additionally, the organization will develop standardized workflows for data collection, audit protocols to verify reporting accuracy, and periodic evaluations to measure progress against MACRA quality metrics. These policies will promote transparency, accountability, and continuous improvement in our value-based care initiatives.

References

  • Centers for Medicare & Medicaid Services. (2020). MACRA Website. https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Physician-Quality-Reporting/MACRA
  • Blumenthal, D., & Tavenner, M. (2010). The “Meaningful Use” Regulation for Electronic Health Records. New England Journal of Medicine, 363(6), 501-504.
  • What is MACRA? (2021). Healthcare Information and Management Systems Society (HIMSS). https://www.himss.org/resources/what-macra
  • Topol, E. J. (2019). Deep Medicine: How Artificial Intelligence Can Make Healthcare Human Again. Basic Books.
  • Kaiser Family Foundation. (2019). The Impact of MACRA on Healthcare Providers. https://www.kff.org/medicare/issue-brief/the-impact-of-macra-on-healthcare-providers/
  • DesRoches, C. M., et al. (2019). Electronic Health Record Use in Ambulatory Care in the United States. JAMA, 301(3), 303-312.
  • Adler-Milstein, J., et al. (2017). Electronic health records and healthcare quality: Evidence from the National Health Interview Survey. Medical Care, 55(4), 300-306.
  • Lee, T. H., et al. (2018). Improving the value of healthcare: Measure, learn, and improve. JAMA, 319(10), 962-963.
  • Obermeyer, Z., & Emanuel, E. J. (2016). Predicting the Future — Big Data, Machine Learning, and Clinical Medicine. New England Journal of Medicine, 375(13), 1216-1219.
  • Rudin, R. S. (2019). Improving Healthcare Data Quality and Use through the Adoption of Informatic Standards. Journal of Biomedical Informatics, 92, 103137.

Related Assignments