Transforming Nursing and Healthcare Through Technology Essay

Transforming Nursing and Healthcare Through Technology Essay

Transforming Nursing and Healthcare Through Technology

Briefly and generally explain the policy or regulation you selected.

Signed into law in 2015, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) creates the Quality Payment Program that serves five. First, it repeals the sustainable growth rate formula. Second, it changes the way that clinicians are rewarded by Medicare, with a focus on value over volume. Third, it presents the Merit-Based Incentive Payment System (MIPS) that streamlines multiple quality programs. Fourth, it gives bonus payments to providers who participate in eligible alternative payment models (APMs). Finally, it removers the requirement for Medicare cards to have Social Security Numbers (SSNs) (American Association of Nurse Practitioners, 2018; Centers for Medicare and Medicaid Services, 2022). Transforming Nursing and Healthcare Through Technology Essay

Address the impact of the policy or regulation you selected on system implementation.

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MACRA has impacted system implementation. It has reduced Medicare spending on provider services through the change from fee-for-service to quality-based reimbursement structure (American Association of Nurse Practitioners, 2018). The sustainable growth rate formula was repealed to eliminate mandatory payment cuts when spending exceeds what is budgeted (HealthIT.gov, 2018). With MACRA, a two-track performance-based payment system is implemented that encourages providers to participate in alternative payment models while incentivizing them (providers) to reduce hospital spending. This results in overall reduction in health care costs (Mastrian & McGonigle, 2021).

Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.

The change from fee-for-service to quality-based reimbursement helps in improving clinical care as providers focus on quality over quantity. The change has incentivized value and quality for eligible providers while progressing towards achieving patient-centered health care that delivers better care, smarter spending, and health people/communities. In addition, MIPS and APMs emphasize collaborative care with a focus on care coordination and patient engagement. This has helped to improve patient/provider interactions. Besides that, it has impacted workflows through requirement for data gathering and reporting as well as need for providers to meet the technology requirements (Mastrian & McGonigle, 2021).

Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected.

MACRA calls for payment reforms with a new reimbursement system that encourages shift towards alternative payment methodologies, and rewards providers for delivering high quality, cost-effective care. This requires the organization to have the technology in place to implement the change. First, having MIPS that combines value-based payment modifier, physician quality reporting system, and meaningful use. Second, APMs that gives added incentive payments to participating providers for providing low-cost and high quality care. Third, having the technology to facilitate data collection and reporting activities (Johnson, Davey & Greenhill, 2022). Transforming Nursing and Healthcare Through Technology Essay

References

American Association of Nurse Practitioners (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

Mastrian, K. G., & McGonigle, D. (2021). Informatics for Health Professionals (2nd ed.). Jones & Bartlett Learning, LLC.

Johnson, J. A., Davey, K. S., & Greenhill, R. G. (2022). Sultz and Young’s Health Care USA: Understanding Its Organization and Delivery (10th ed.). Jones & Bartlett Learning, LLC.

Centers for Medicare and Medicaid Services (2022, April 1). MACRA. https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/value-based-programs/macra-mips-and-apms/macra-mips-and-apms.html

HealthIT.gov (2022, July 26). Health IT legislation. https://www.healthit.gov/topic/laws-regulation-and-policy/health-it-legislatio

As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise. With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders. In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate. 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. 7th edition APA format reference rubric to make sure every aspect is addressed references must be from 2018-2022 needs to be 3 peer reviewed references and at least 2 references from the class the links a have been provided for you to choose from for the resources from class. 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 https://www.hhs.gov/regulations/index.html Transforming Nursing and Healthcare Through Technology Essay

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