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NURS 6051 promotion of safety, quality, and efficiency

NURS 6051 promotion of safety, quality, and efficiency

NURS 6051 promotion of safety, quality, and efficiency

Technology use in healthcare has gained momentum in the modern world due to the promotion of safety, quality, and efficiency. Health organizations have the responsibility of abiding by the policies that have been developed to promote effective use of health informatics. Therefore, this paper examines the implications of the 21st Century Act on healthcare.

Christian values are essential to embody in all aspects of life. While GCU utilizes these values as a foundational component for educational standards, these should also be standard for how students are influenced in their academic performance as well. Academic dishonesty, which is the opposite of academic integrity, plagues all academic levels. There are several reasons why I think students are tempted into dishonesty including pressure for success, lack of understanding about what constitutes plagiarism, and not fully understanding the entire process of academia. Integrity is the intrinsic belief to do the right thing even when no one is watching and is an essential value of the Christian doctrine. When students believe and practice integrity, they will be able to apply this outside of the classroom and to other aspects of life. If students are engaging in academic dishonesty, this may be suggestive of a lack of integrity outside of the classroom as well. Lack of integrity is one example of the brokenness seen in society today. It shows a desire for success regardless of the means to get there or if there was any actual self-growth in the achievement of success. Having an educational infrastructure based on Christian values will not only foster academic success but will support students to apply these values beyond the classroom and become a part of their daily lives.

The Selected Policy

The selected healthcare policy that has an effect on the healthcare and nursing informatics is the 21st Century Act or the Cures Act. President Obama signed into use the 21st Century Act in December 13 2016. The act was adopted with the aim of accelerating the development of medical products alongside introducing innovations and medical advances to improve the quality and efficiency of care given to the patients. The act was also adopted to improve the experiences of the patients with the healthcare system by incorporating their perspectives into healthcare processes that include the development of devices, biological products, drugs, and the decision-making processes in the FDA (Gabay, 2017). The 21st Century Act also has some implications on the use of informatics in health. Accordingly, the act requires medical professionals to work together in the discovery of innovative solutions in health. It requires medical professionals such as EHR vendors, physician leaders, pharmacists, and information technology employees to work together towards improving the performance of healthcare systems and patient outcomes. Healthcare organizations are also expected to adopt systems that increase exchange of information to ensure that patients and healthcare providers can easily access the health-related data that they need for them to come up with informed decisions.

The US’s healthcare system is expected to achieve these outcomes related to the use of electronic health records because of a number of reasons. Firstly, the act made provisions for support to the Food and Drug Administration agency to ensure that the processes of data sharing between health organizations and providers are enhanced. The law seeks to eliminate barriers to inter-professional and organizational transfer of information by championing the use of efficient technologies for health (Lye et al., 2018). The second way in which the act seeks to achieve the goals is through leveraging on the existing resources in health organizations such as skilled providers to enhance the adoption of laws and practices that enhance information exchange in health (Medicine et al., 2016).

Policy/Regulation Fact Sheet

The promotion of safety, quality, and efficiency through the use of technology in healthcare has gained traction in the modern world. It is the responsibility of health organizations to adhere to the policies established to encourage the successful use of health informatics. As a result, the focus of this article is on how the 21st Century Act would affect healthcare.

The Selected Policy

The 21st Century Act, also known as the Cures Act, is a healthcare policy that has an impact on healthcare and nursing informatics. On December 13, 2016, President Obama signed the 21st Century Act into law. The act was passed with the intention of hastening the development of medical products as well as introducing innovations and medical advances to improve the quality and efficiency of patient care. The act was also passed in order to improve patients’ experiences with the healthcare system by incorporating their perspectives into healthcare processes such as the development of devices, biological products, drugs, and FDA decision-making processes (Gabay, 2017). The 21st Century Act also has some implications for health informatics. As a result, the act requires medical professionals to collaborate in the discovery of innovative health solutions. It necessitates collaboration among medical professionals such as EHR vendors, physician leaders, pharmacists, and information technology employees in order to improve the performance of healthcare systems and patient outcomes. Healthcare organizations are also expected to implement systems that improve information exchange so that patients and healthcare providers can easily access the health-related data they require to make informed decisions.

For a variety of reasons, the US healthcare system is expected to achieve these outcomes related to the use of electronic health records. To begin, the act included provisions for the Food and Drug Administration agency to receive assistance in improving data sharing processes between health organizations and providers. The law promotes the use of efficient health-care technologies in order to remove barriers to inter-professional and organizational information transfer (Lye et al., 2018). The act’s second goal is to achieve the goals by leveraging existing resources in health organizations, such as skilled providers, to increase the adoption of laws and practices that improve health information exchange (Medicine et al., 2016).

Impact of the Policy on System Implementation

The Twenty-First Century Act has several implications for system implementation. One of the consequences is that health organizations are increasingly required to implement interventions that promote interoperability in the use of electronic health records. As previously stated, the 21st Century Act requires health organizations to collaborate in order to share health data with patients and providers in order to make informed decisions. The requirement for information sharing implies that health organizations must investigate mechanisms that can be used to promote data integrity during the sharing process. Health organizations must also encourage the use of evidence-based innovative practices that improve the use of technologies like telehealth and social media to monitor, prevent, and treat illnesses (Goble, 2018). The second effect of the 21st Century Act on system implementation is that it has accelerated the use of electronic health records in clinical settings. The increased adoption of electronic health records in healthcare is due to the provision of system requirements and capabilities that health organizations must meet. There is also the fact that the act mandated the allocation of $4.8 billion through the NIH to support the adoption of electronic health records and the sharing of health data to inform medical decisions, research, and innovations through 2026. (Magnuson & Dixon, 2020). These interventions will improve the state’s system implementation of electronic health records, thereby improving quality, efficiency, and safety in healthcare.

The Policy’s Impact on Clinical Care, Patient/Provider Interactions, and Workflow

The Twenty-First Century Act also has an impact on clinical care, patient/provider interactions, and workflow. One of the consequences for clinical care is the protection of patient rights when using clinical data. The policy’s implementation strengthens privacy protection in human subjects research. This provision implies the meaningful use of health data to promote health. The act also emphasized the importance of protecting sensitive and identifiable information when sharing health data for use in healthcare. The 21st Century Act requires health organizations to achieve interoperability in the use of electronic health records through data integrity in data use (Lye et al., 2018). Data integrity is achieved by safeguarding sensitive and identifiable patient information.

The act’s other effect on patient/provider information is increased patient participation in the care process. Patients have the right to receive the necessary healthcare and use it to make informed decisions about their health. Healthcare providers must also demonstrate professionalism, accountability, and responsibility when using protected patient data. Healthcare providers must strengthen the implementation of policies and regulations that protect data integrity and the effective use of health data in making informed patient-care decisions. The implementation of the 21st Century Act has implications for workflow in health care organizations. As previously stated, the act promotes information sharing among health organizations and medical providers in order to make informed decisions. The free exchange of information reduces errors in decision-making and the use of best evidence in condition management. Similarly, sharing information for research purposes will improve the rigor, validity, reliability, and reproducibility of clinical study results. It will enable healthcare providers to provide care based on the best available evidence (Magnuson & Dixon, 2020). As a result, the implementation of the 21st Century Act will result in improved efficiency, quality, and safety of care.

Workplace Organizational Policies and Procedures

My employer has implemented a number of policies and procedures to ensure compliance with the provisions of the 21st Century Act. One of them is to improve the use of electronic health records in the delivery of care. Electronic health records have been used for a variety of purposes, including data storage, analysis, retrieval, and security. In addition, the organization has created standards and policies concerning the use and sharing of electronic health records. It has created guidelines for healthcare providers to follow in order to make effective use of patient data. To ensure the meaningful and safe use of patient data, policies on the consequences of ineffective data use have also been developed. Finally, the organization funds research projects that aim to improve the use of technology in healthcare. Evidence-based practice and projects are encouraged for use in ensuring that patients receive high-quality,NURS 6051 promotion of safety, quality, and efficiency safe, and efficient care.

Conclusion

In conclusion, the 21st Century Act has important implications for nursing informatics. The act includes provisions aimed at increasing electronic health record system implementation. The act also encourages health organizations to implement measures aimed at improving workflow, patient/provider interaction, and clinical care. As a result, health organizations should embrace policies that aim to support the effective implementation of 21st-century health practices.

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References

Gabay, M. (2017). 21st Century Cures Act. Hospital Pharmacy, 52(4), 264–265. https://doi.org/10.1310/hpj5204-264

Goble, J. A. (2018). The Potential Effect of the 21st Century Cures Act on Drug Development. Journal of Managed Care & Specialty Pharmacy, 24(7), 677–681. https://doi.org/10.18553/jmcp.2018.24.7.677

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? Journal of the American Medical Informatics Association, 25(9), 1218–1220. https://doi.org/10.1093/jamia/ocy065

Magnuson, J. A., & Dixon, B. E. (2020). Public Health Informatics and Information Systems. Springer Nature.

Medicine, N. A. of S., Engineering, and, Medicine, I. of, Services, B. on H. C., & Care, C. on D. E. in H. (2016). Improving Diagnosis in Health Care. National Academies Press.

Policy/Regulation Fact Sheet

Healthcare delivery evolves to adapt to social, patient care, and environmental changes. Nursing informatics dominates this evolution and provides an opportunity for healthcare providers to integrate nursing, information, and computer sciences into patient care (McGonigle & Mastrian, 2022). Due to the risks that information technologies pose and other challenges, regulations and policies are crucial to managing tech-driven health practices. The purpose of this fact sheet is to analyze a nursing informatics regulation.

Regulation Overview The Centers for Medicare & Medicaid Services (CMS) encourage technology adoption and manage its use through regulations. One such regulation is Promoting Interoperability Programs for hospitals. As a 2018’s update of Medicare and Medicaid EHR incentive programs, the regulation’s primary mandate is to promote meaningful use of electronic health records by promoting interoperability (HealthIT.gov, 2019). Through interoperable systems, hospitals and Critical Access Hospitals (CAHs) can provide high-quality and high-value care.
Impact on System Implementation Healthcare organizations implement different systems to support efficiency and transform how care is offered. The interoperability requirement under Promoting Interoperability Programs obliges healthcare organizations to connect systems and devices in a way that supports effortless communication and care coordination. The guiding principle of interoperability is easy information sharing between healthcare professionals (Bates & Samal, 2018).
Impact on Clinical Care, Patient/Provider Interactions, and Workflow Interoperability is a core component of meaningful use. Promoting meaningful use has numerous benefits, such as high provider engagement, patient access to health information, and quick care delivery (Tapuria et al., 2021). Meaningful use also minimizes workflow issues since the systems are secure and require minimal end user effort. Interoperable systems reduce the risks of medical errors hence better clinical care outcomes (Li et al., 2021). Patient-provider communication and collaboration are high when patients access their information in EHRs.
Policies and Procedures to address Promoting Interoperability Programs All systems should be secure and free from access to unauthorized users. Systems’ designs, interfaces, and other essentials should facilitate seamless and effortless communication and data exchange between providers in the same or different departments. Regular training on security, privacy, and data exchange essentials should be conducted regularly to ensure healthcare providers can adhere to the basic principles of the meaningful use.

Conclusion

Policies and regulations ensure that healthcare providers adhere to rules and guidelines concerning patient care. Promoting Interoperability Programs obliges healthcare systems to adopt systems that facilitate meaningful use. Adherence to this obligation improves patient-provider engagement, communication, and other outcomes.

References

Bates, D. W., & Samal, L. (2018). Interoperability: what is it, how can we make it work for clinicians, and how should we measure it in the future?. Health Services Research53(5), 3270-3277. https://doi.org/10.1111%2F1475-6773.12852

HealthIT.gov. (2019). Promoting interoperability. https://www.healthit.gov/topic/meaningful-use-and-macra/promoting-interoperability

Li, E., Clarke, J., Neves, A. L., Ashrafian, H., & Darzi, A. (2021). Electronic health records, interoperability and patient safety in health systems of high-income countries: A systematic review protocol. BMJ Open11(7), e044941. http://dx.doi.org/10.1136/bmjopen-2020-044941

McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.

Tapuria, A., Porat, T., Kalra, D., Dsouza, G., Xiaohui, S., & Curcin, V. (2021). Impact of patient access to their electronic health record: Systematic review. Informatics for Health and Social Care46(2), 194-206. https://doi.org/10.1080/17538157.2021.1879810

NURS 6051 Policy/Regulation Fact Sheet

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.
  • Use the Safe Assign Drafts to check your match percentage before submitting your work.

By Day 5 of Week 11

Submit your completed Policy/Regulation Fact Sheet.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK11Assgn+last name+first initial.(extension)” as the name.
  • Click the Week 11 Assignment Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 11 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK11Assgn+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submit button to complete your submission.

Grading Criteria

To access your rubric:

Week 11 Assignment Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 11 Assignment draft and review the originality report.

Submit Your Assignment by Day 5 of Week 11

To participate in this Assignment:

Week 11 Assignment

Congratulations! After you have finished all of the assignments for this Module, you have completed the course. Please submit your Course Evaluation by Day 7.

Module 6: Policy and Regulation Supporting Informatics and Technology Integration (Week 11)

Laureate Education (Producer). (2018). Policy and Regulation [Video file]. Baltimore, MD: Author.

Learning Objectives

Students will:

  • Evaluate legislative policies and regulations for health and nursing informatics
  • Create fact sheets for health and nursing informatics
  • Analyze impact of legislative policies and regulations for clinical care, patient/provider interactions, and workflows
  • Evaluate healthcare organizational policies and procedures to address legislative policies and regulations
Due By Assignment
Week 11, Days 1–2 Read/Watch/Listen to the Learning Resources.
Begin to compose your Assignment.
Week 11, Days 3-4 Continue to compose your Assignment.
Week 11, Day 5 Deadline to submit your Assignment.

Learning Resources

Required Readings

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)

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

U.S. Department of Health and Human Services. (n.d.). Laws & Regulations. Retrieved September 27, 2018, from https://www.hhs.gov/regulations/index.html

Required Media

Laureate Education (Producer). (2018). Health Informatics & Population Health Analytics: Privacy, Security, and Ethics [Video file]. Baltimore, MD: Author.

The organization I work with has put in place a number of policies and procedures to ensure that it adheres with the provisions of the 21st Century Act. One of them is enhancing the use of electronic health records in the provision of care. Electronic health records have been utilized for functions such as data storage, analysis, retrieval, and protection. The organization has also developed standards and policies that relate to the use and sharing of electronic health records. It has developed guidelines that healthcare providers have to follow for the effective use of patient data. The policies on the consequences of ineffective use of data have also been developed to ensure the meaningful and safe use of patient data. Lastly, the organization supports researches that seek to innovate the use of technology in health. Evidence-based practice and projects are encouraged for use in ensuring the provision of high quality, safe, and efficient care to the patients.

Conclusion

In summary, the 21st Century Act has significant implications to nursing informatics. The act has provisions that aim at increasing system implementation of electronic health records. The act also strengthens the adoption of measures that aim at improving workflow, patient/provider interaction, and clinical care in health organizations. Therefore, health organizations should embrace policies that aim at supporting the effective implementation of the 21st Century in health.

References

Gabay, M. (2017). 21st Century Cures Act. Hospital Pharmacy, 52(4), 264–265. https://doi.org/10.1310/hpj5204-264

Goble, J. A. (2018). The Potential Effect of the 21st Century Cures Act on Drug Development. Journal of Managed Care & Specialty Pharmacy, 24(7), 677–681. https://doi.org/10.18553/jmcp.2018.24.7.677

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? Journal of the American Medical Informatics Association, 25(9), 1218–1220. https://doi.org/10.1093/jamia/ocy065

Magnuson, J. A., & Dixon, B. E. (2020). Public Health Informatics and Information Systems. Springer Nature.

Medicine, N. A. of S., Engineering, and, Medicine, I. of, Services, B. on H. C., & Care, C. on D. E. in H. (2016). Improving Diagnosis in Health Care. National Academies Press.

Name: NURS_5051_Module06_Week11_Assignment_Rubric

Excellent Good Fair Poor
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.

Points Range: 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.

Points Range: 68 (68%) – 76 (76%)

A developed Fact Sheet is provided for the Assignment.

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.

Points Range: 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.

Points Range: 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.

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 and inaccurate, or are missing.

Includes: 1 or fewer resources.

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.

Points Range: 5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
Points Range: 4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.
Points Range: 0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.
Written Expression and Formatting – English writing standards:

Correct grammar, mechanics, and proper punctuation

Points Range: 5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
Points Range: 4 (4%) – 4 (4%)
Contains a few (1-2) grammar, spelling, and punctuation errors.
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) grammar, spelling, and punctuation errors.
Points Range: 0 (0%) – 3 (3%)
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
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.
Points Range: 5 (5%) – 5 (5%)
Uses correct APA format with no errors.
Points Range: 4 (4%) – 4 (4%)
Contains a few (1-2) APA format errors.
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) APA format errors.
Points Range: 0 (0%) – 3 (3%)
Contains many (≥ 5) APA format errors.
Total Points: 100