NURS 6051 Assignment: Policy/Regulation Fact Sheet

Assignment: Policy/Regulation Fact Sheet

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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: MACRA

The Medicare Access and CHIP (Children’s Health Insurance Program) Reauthorization Act (MACRA) is a federal policy which provides a new model that reimburses clinician who adequately demonstrate value as opposed to quantity in patient care(CDC, n.d.). The regulation supports informatics and technology integration as it allows providers to access a system-based payment model that rewards efficiency and high-value patient care (AANP, 2018). The main purpose of MACRA is to change payment models for Medicare to quality based and not quantity based.

The regulation establishes three critical changes on provider payments by Medicare. These include:

• Payment to participating providers based on effectiveness and quality of the patient care offered.
• Allows the combination of current reporting programs to a new model.
• It replaced the Sustainable Growth Rate Formula
• Through MACRA, Medicare cards protect patients’ financial and personal information and allow them to access from private facilities (McGonigle & Mastrian, 2017).
• The act also protects individuals’ federal health care benefits and service payments ensuring that there is no unauthorized access to such information.

Impact of MACRA on System Implementation

• The policy enhances management and care of information; especially personal health and financial information and data of patients accessing the system (HealthIT.gov., 2018b).
• The policy ensures that systems are optimized to enhance privacy, confidentiality, and security.

Impact on Clinical Care

• The policy impacts clinical care by focusing on value provision for patients and not volume for providers.

Patient and Provider Interactions

• The policy provider new avenues and resources for providers and patients to interact and ensure that they offer best care through patient input and involvement.
• The policy improves patient experience in health facilities as they engage more with providers.
• The policy offers outcome measures associated with patient reporting and functional abilities or status.

Workflow

• MACRA lowers clinician burden as it enhances efficiency.
• MACRA effectively simplifies the scoring process to improve workflow for providers and better interactions for patients.

Organizational Policies and Procedures in Place to align with MACRA Policy

• MACRA is a fundamental component of our organization’s efforts to enhance quality care based on the existing frameworks and policies like Merit-based Incentive Payment System (MIPS).
• The use of MIPS allows providers to earn payment based on their value addition or performance in the organization (AANP, 2018). Secondly, MACRA ensures that there is effective care coordination among the different providers. The policy ensures that activities within an organization offer meaningful use to both providers and patients.

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.

The Project: (1 page)

Create a one-page fact sheet that your healthcare organization could use to explain the health or nursing informatics policy/regulation you chose. Your fact sheet should include the following information:

Explain the policy or regulation you chose in general terms.
Consider the effect of the policy or regulation you chose on system implementation.
Consider the effect of the policy or regulation you chose 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 that you chose. Make your points clear.

Assignment: Policy/Regulation Fact Sheet

References:

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)

https://www.aanp.org/legislation-regulation/federal-legislation/macra-s-quality-payment-program

https://www.cms.gov/medicare/quality-initiatives-patient-assessment-

instruments/value-based-programs/macra-mips-and-apms/macra-mips-and-apms.html

https://www.healthit.gov/topic/laws-regulation-and-policy/health-it-legislation

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

macra

https://www.hhs.gov/regulations/index.html

Rubric:

Assignment: Policy/Regulation Fact Sheet

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.–Levels of Achievement:Excellent 77 (77%) – 85 (85%)
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.
Good 68 (68%) – 76 (76%)
A developed Fact Sheet is provided for the Assignment.

Assignment: Policy/Regulation Fact Sheet

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.
Fair 60 (60%) – 67 (67%)
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.
Poor 0 (0%) – 59 (59%)
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.

Permalink: https://customnursingwriting.com/assignment-polic…ation-fact-sheet/ ‎ to address the policy or regulation selected are vague and inaccurate, or are missing.

Includes: 1 or fewer resources.Feedback:

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.–Levels of Achievement:Excellent 5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
Good 4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.
Fair 3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.
Poor 0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.Feedback:

Written Expression and Formatting – English writing standards:

Correct grammar, mechanics, and proper punctuation–Levels of Achievement:Excellent 5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
Good 4 (4%) – 4 (4%)
Contains a few (1-2) grammar, spelling, and punctuation errors.
Fair 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) grammar, spelling, and punctuation errors.
Poor 0 (0%) – 3 (3%)
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.Feedback:

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.–Levels of Achievement:Excellent 5 (5%) – 5 (5%)
Uses correct APA format with no errors.
Good 4 (4%) – 4 (4%)
Contains a few (1-2) APA format errors.
Fair 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) APA format errors.
Poor 0 (0%) – 3 (3%)