Assignment: Policy Regulation Fact Sheet Essay

Assignment: Policy Regulation Fact Sheet Essay

Assignment: Policy Regulation Fact Sheet Essay

Policy/ Regulation Fact Sheet: MACRA

The Medicare Access and CHIP (Children’s Health Insurance Program) Reauthorization Act (MACRA) is a federal policy which offers a new framework which reimburses providers who adequately illustrate value and not quantity in patient care (CDC, n.d.). The act supports informatics and technology integration as it enables providers to access a system-based payment approach that rewards efficiency and high-value patient care (AANP, 2018). The main focus of MACRA is to alter payment models for Medicare to quality based and not quantity.

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

• Payment to providers based on effectiveness and quality of the patient care.
• Allows the combination of current reporting programs to a new model.
• It replaces the Sustainable Growth Rate Formula
• Through MACRA, Medicare 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.
  

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Impact of MACRA on System Implementation

• The policy improves management and care of information; particularly personal health 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 enables providers to earn payment based on their value addition or performance in the organization (AANP, 2018).
• 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

HealthIT.gov. (2018b). Meaningful use and MACRA.

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

Laureate Education (Producer). (2018). Health Informatics & Population Health Analytics:

Privacy, Security, and Ethics [Video file]. Baltimore, MD: Author

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge

            (4th ed.). Burlington, MA: Jones & Bartlett Learning.

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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.
________________________________________
Assignment: 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.