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NUR 621 Identify two to three indications that meaningful use has improved care coordination

NUR 621 Identify two to three indications that meaningful use has improved care coordination

NUR 621 Identify two to three indications that meaningful use has improved care coordination

Meaningful use has improved care coordination by creating an electronic version of sharing medical records amongst involved providers in a multitude of healthcare systems. According to Joneidy & Burke, meaningful use is the use of digital medical and health records that are used to improve quality, safety and efficiency of patient health information and a continuum for delivery of care. (2018). Electronic Health Records (EHRs) provide real time, current information that is quick to retrieve and available to all interdisciplinary teams in the healthcare delivery for the patient. Meaningful use was initially instituted to work with EHRs as an incentive-based program through Medicare. (Health IT, 2021). Hospitals have to demonstrate meaningful use each year in order to prevent Medicare payment adjustments and thereby loss of revenue for the hospital.

Meaningful use has improved care coordination between healthcare settings and can have a profound impact on patient care and the delivery of efficient high-quality care. There were five objectives according to Health IT, these being improving quality, safety efficiency and reduce health disparities (2021). The other priorities were to increase patient engagement, improve care coordination, expand population/public health and provide privacy and protection of personal health information. EHR and meaningful use has also realigned work flow, made charting concise and simplified as it is under one system for all providers to work through (CMS, 2021). This is especially important for those that are in a variety of health care clinics and interdisciplinary services. The patients EHR provides information that can potentially reduce medication errors, duplication of tests and procedures while providing patient safety in a high-quality healthcare delivery system (Penner, 2017).

Centers for Medicare and Medicaid Services. (2021). Electronic health records. https://www.cms.gov/Medicare/E-Health/EHealthRecords

Health IT. (2021). What is meaningful use. HealthIT.gov. https://www.healthit.gov/faq/what-meaningful-use

Joneidy, S, Burke, M. (2018). Towards a Deeper Understanding of Meaningful Use in Electronic Health Records. Health Records. Health Info Library. https://doi.org/10.1111/hir.12233

Penner, S. J. (2017). Economics and financial management for nurses and nurse leaders (3rd ed.). New York, NY: Springer Publishing. ISBN-13: 9780826160010

 

KNOWLEDGE CHECK

Discuss why care coordination is critical in today’s world. What are impacts of lack of care coordination?

REPLY

Care coordination is critical in today’s world because it improves health outcomes. Connecting patients to the health service that they need is key in delivery of care and treatment. Providing patients with the proper care can prevent further injury or exacerbation of current medical condition. “Care coordination involves deliberately organizing patient care activities and sharing information among all of the participants concerned with a patients care to achieve safer and more effective care.” (Agency for Healthcare Research and Quality, 2022) The main goal of care coordination is to meet patient’s needs and preferences in the delivery of high-quality, high-value health care.

Care Coordination. (2022). Agency for Healthcare Research and Quality. http://ahrq.gov

 

REPLY

Click here to ORDER an A++ paper from our MASTERS and DOCTORATE WRITERS: NUR 621 Identify two to three indications that meaningful use has improved care coordination

Meaningful use is the Medicare and Medicaid Electronic Health Record (EHR) incentive program. Three primary goals of the meaningful use program are standardizing the electronic capture of information, improving quality at the point of care, and using clinical decision support and patient self-management tools to improve the quality, safety, and efficiency of treatments (American Hospital Association, 2022). According to the Centers for Medicare and Medicaid Services (2010), meaningful use is using certified EHR technology to improve the following:

  1. Quality, safety, efficiency, and reducing health disparities.
  2. Engage patients and families in their health care.
  3. Care coordination.
  4. Population and public health.
  5. Maintaining privacy and security.

REPLY

Thank you for your post, I enjoyed how you set apart all the steps of how an EHR can improve patient care. Sometimes EHR has negative connotations to caregivers who are frustrated with the technology. This happens many times in my facility, I hear “I miss paper and I miss the old ways” many feel the EHR takes away time from patient care. While if a clinician is not fluent in an EHR or the EHR has a complicated workflow this can be true. The EHR did have a slow start when first implemented and thus the meaningful use incentive program came into place due to the fact CMS envisioned the positivity of how the ERH would improve patient care. The Meaningful use program was set into place to promote the careful and meaningful use of the EHR to use the technology for improving quality, safety and efficiency as you stated. Meaningful use of the EHR is also to decrease social disparities, improve access to patient data in real time, this in itself helps create consistent can safely care (Joneidy & Burke, 2018). Nurse and providers are creatures of habit and will resist change, the real challenge is improving the EHR to illicit increased patient facing care as well as improving quality as you indicated.

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In healthcare, there has been a shift towards valuing the quality of care being delivered through the use of quality improvement, incentives, and quality measures. The meaningful use incentive program was created by the federal government in order to help providers deliver more effective and better care. The goal was to increase the adoption of EHRs in order to help providers be successful at delivering this care (Hersey et. al., 2019). It was found that even though EHRs were supposed to make things easier for providers and staff many were frustrated. It was found that tailoring the EHR to each individual practice helped with increasing the use (Hersey et. al., 2019). If the EHR is tailored towards individuals practices they are going to find more benefits to using the EHR. This would be the first indication that meaningful use has improved care coordination by having an increase in the use of the EHR. Another indication that meaninful use has improved would be the engagement of staff within its implementation and use. This includes using more standing orders for nurses to offload providers and increase the quality of care they deliver (Hersey et. al., 2019). Other indications include the use of quality measures to better patient outcomes. This includes decreasing readmission rates, infection rates, and chronic diseases.

Hersey, C. L., M.P.H., Tant, E., M.Sc, Berzin, O. K. G., M.P.H., Trisolini, M. G., PhD., & West, S. L., PhD. (2019). Moving from Quality Measurement to Quality Improvement: Applying Meaningful Use Lessons to the Quality Payment Program. Perspectives in Health Information Management, , 1-12. https://lopes.idm.oclc.org/login?url=

https://www.proquest.com/scholarly-journals/moving-quality-measurement-improvement-applying/docview/2332353145/se-2

 

Some of the priorities when meaningful use was developed were increasing implementation of EHRs and the ability to share and store health information (Correll, 2020). This was done through the Medicare incentive program. The method seemed to work because over 95% of hospitals possess an EHR (Parasrampuria & Henry, 2019). With all of the demands for quality, there is no way to successfully run a healthcare facility without utilizing an EHR. The purpose of coordinated care is to make sure that patients are getting the right care by decreasing duplication and errors and making sure providers have comprehensive information for decision making (OIG, 2019). Some indications that meaningful use has improved care coordination are a decreased number of errors, duplicate tests, and labs; relevant patient clinical information access at point of care; increased communication between patients and providers; and a significant number of patients utilizing EHRs. Decreasing duplications and errors indicates that providers are accessing the information they need to make appropriate care decisions.

The ability to access comprehensive information at the point of care demonstrates increased coordination. Electronic communication between patients and providers also indicates that care is being better coordinated between the patient and provider. Patients utilizing their own EHR is also an indication that care is better coordinated between the patient and the provider. Knowledge sharing between patients and providers leads to better care and quicker access to information. Measures that may indicate better coordination of care are fewer duplicate tests and labs, number of providers accessing clinical information rather than paper requests, and number of patients accessing the EHR.

Sincerely- Mindy McMurrin

Resources:

Correll, R. (2020). An overview of meaningful use stage 1. https://www.verywellhealth.com/what-was-meaningful-use-stage-1-4777368

Office of Inspector General (OIG). (2019). Using health IT for care coordination: insights from six Medicare accountable care organizations. Department of Health and Human Services. https://www.oig.hhs.gov/oei/reports/oei-01-16-00180.pdf

 

Parasrampuria, S. & Henry, J. (2019). Hospital’s use of electronic health records data, 2015-2017. Office of the National Coordinator for Health Information Technology. https://www.healthit.gov/sites/default/files/page/2019-04/AHAEHRUseDataBrief.pdf