Meaningful use objectives state how EHR relates to the common goals of all healthcare providers: positive and safe patient outcomes at all points and levels of care. These objectives also align with topics in this course, such as the influence of informatics on public health, privacy, security, and other issues related to quality care. In this Discussion, you align these objectives and other policy effects with your own experience and the experience you may have as a nurse informaticist.
TO PREPARE
Review the resources related to Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and meaningful use objectives.
Review the Criteria for Attestation.
Consider your current workplace or a former workplace and reflect on how EHR implementation slows your work, including staffing issues, medication barcoding, or any other issues that you might encounter.
Identify policy mandates and requirements and reflect on how informatics and EHR implementation affect your ability to meet those policy mandates and requirements.
Identify other mandates (e.g., quality, safety, requirement of reporting) and reflect on how they may affect issues you identified.
ASSIGNMENT
Analyze how policy mandates and requirements you experience might affect the issues you encounter as a practicing nurse informaticist. Be specific and provide examples. Next, analyze how evolving policies that may be implemented might affect issues you encounter in nursing practice, and explain why.
RESOURCES
Centers for Disease Control. (2017, January 18).Meaningful use
Links to an external site.. Retrieved from https://www.cdc.gov/ehrmeaningfuluse/introduction.html
Lye, C. T., Forman, H. P., Daniel, J. G., & Krumholz, H. M. (2018). The 21st Century Cures Act and electronic health records one year later: Will patients see the benefits?
Links to an external site. Journal of the American Medical Informatics Association, 25(9), 1218–1220.
Office of the National Coordinator for Health Information Technology. (2017, May 15). Standard nursing terminologies: A landscape analysis
Download Standard nursing terminologies: A landscape analysis. Washington, DC: Author. Retrieved from https://www.healthit.gov/sites/default/files/snt_final_05302017.pdf
Office of the National Coordinator for Health Information Technology. (2019, February 20). Meaningful use and MACRA.
Links to an external site. Retrieved from https://www.healthit.gov/topic/meaningful-use-and-macra/meaningful-use-and-macra
Federal Register: The Daily Journal of the United States Government. (2016, May 5). Medicaid and Children’s Health Insurance Program (CHIP) programs; Medicaid managed care, CHIP delivered in managed care, and revisions related to third party liability
Links to an external site.. Retrieved from https://www.federalregister.gov/documents/2016/05/06/2016-09581/medicaid-and-childrens-health-insurance-program-chip-programs-medicaid-managed-care-chip-delivered
eCQI Resource Center. (2019a, May 10). eCQMs
Links to an external site.. Retrieved from https://ecqi.healthit.gov/ecqms
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