NURS 6051 Assignment: Policy/Regulation Fact Sheet

NURS 6053 Policy/Regulation Fact Sheet

• Trusted Exchange Framework and Common Agreement (TEFCA)
• First proposed in Jan 2018 & published on January 19, 2022,
• TEFCA is a regulation that seeks to increase and improve interoperability.
• Enhance the ability of providers and patients to securely access and use data from various sources (ONC, 2019).
• It has created uniform policies and technical requirements to regulate data sharing and ensure all participants can access real-time health information.
• It has two parts: a Trusted Exchange Framework and a Common Agreement.

Impact of TEFCA on System Implementation

• TEFCA enables all networks to share securely and access data.
• It ensures a fundamental data set is available for systems under the Common Agreement.
• It provides a common set of privacy and security requirements for health information networks and informaticians to protect patient data (Braunstein, 2022).

Impact of TEFCA on Clinical Care, Patient-Provider Interactions, and Workflow

• TEFCA will allow the exchange of electronic health information securely and in a way that fosters patient safety and data integrity.
• Patients and their caregivers will have access to their electronic health information (Mandel et al., 2022).
• It will allow providers, payers, and public health agencies to exchange health information countrywide (Vijayaraghavan et al., 2022).
• TEFCA will help lower the cost of healthcare and improve population health.

Policies & Procedures Needed to Address TEFCA

• Policies and operations will be needed to allow participants in the TEFCA to share and exchange patient health information.
• Organizations must adhere to industry and federally-recognized standards, policies, best practices, and procedures (Braunstein, 2022).
• Organizations must develop policies guiding how they will exchange electronic health information.
• Policies to promote transparency will be needed to guide conducting all health information exchange openly and transparently.

References

Office of the National Coordinator for Health IT (ONC). (2019). Trusted exchange framework and common agreement.

Braunstein, M. L. (2022). Health information exchange. In Health Informatics on FHIR: How HL7’s API is Transforming Healthcare (pp. 117-161). Cham: Springer International Publishing.

Mandel, J. C., Pollak, J. P., & Mandl, K. D. (2022). The Patient Role in a Federal National-Scale Health Information Exchange. Journal of medical Internet research, 24(11), e41750. https://doi.org/10.2196/41750

Vijayaraghavan, M., Genes, N., Darrow, B. J., & Rucker, D. W. (2022). The 21st Century Cures Act and emergency medicine–part 2: facilitating interoperability. Annals of Emergency Medicine, 79(1), 13–17. https://doi.org/10.1016/j.annemergmed.2021.08.002

NURS 6051 Assignment: Policy/Regulation Fact Sheet

Today, technology forms a major part of healthcare operation. Most healthcare institutions are embracing technology to enhance operational processes. As a result, the incorporation of the field of nursing informatics to enable healthcare facilities to acquire experienced healthcare workers with advanced knowledge in the computer system. There has been the formulation of nursing informatics related policies to guide healthcare professionals in facilitating the application of technology in the treatment processes (McGonigle & Mastrian, 2017). The HITECH Act (Health Information Technology for Economic and Clinical Health) is one of the formulated guidelines to guide healthcare nursing informatics (Benis, 2018). The policy was also formulated to promote health IT, including safety, quality and security, as well as to secure information exchange; with the increased activities of the hackers, the policy attempted to provide strategies on how to manage patient data and information to enhance privacy safely.

HITECH Act/policy has great impacts on system implementation. During the development of the systems, there is always the need to consider security measures and potential weaknesses and errors (Saheb & Saheb, 2019). Therefore, the above policy provides guidelines on the approaches that can be used to enhance system implementation to facilitate adherence to security measures (Rouse, 2019). Health or nursing informatics should always be incorporated at every stage of system development to ensure that HITECH Act/policy measures are followed. HITECH Act/policy influences, ensuring that all the required stages in the system development are followed to enhance the production of a reliable and secure system for healthcare use.

HITECH Act/policy ensures improvement in the clinical care, patient/provider interactions and workflow with the incorporation of new systems. Some of the organizations that will address the policy regulation include patient protection policies and privacy of information.

References

Benis, A. (2018). Healthcare Informatics Project-Based Learning: An Example of a Technology Management Graduation Project Focusing on Veterinary Medicine. Studies in health technology and informatics, 255, 267-271.

Rouse, M. (2019). HITECH Act (Health Information Technology for Economic and Clinical Health Act). Retrieved October, 27, 2014.

Saheb, T., & Saheb, M. (2019). Analyzing and visualizing knowledge structures of health informatics from 1974 to 2018: a bibliometric and social network analysis. Healthcare informatics research, 25(2), 61-72.

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

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.

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The Assignment: (1 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.

Fact Sheet: Understanding the 2021 Telehealth Expansion Policy in Dallas Healthcare

Introduction

In response to the evolving needs of healthcare and advancements in technology, policy, and regulatory bodies are continually adjusting regulations. A notable change in 2021 is the Telehealth Expansion Policy, which has significant implications for healthcare organizations in Dallas, Texas, including our institution, Dallas Health Elite (DHE).

The 2021 Telehealth Expansion Policy

The 2021 Telehealth Expansion Policy seeks to broaden the scope of telehealth services provided by healthcare professionals to patients. The goal is to enhance patient care by leveraging digital technology, especially in light of the challenges posed by the COVID-19 pandemic (Dixit et al., 2022).

Impact on System Implementation

Infrastructure Upgrade: To accommodate the surge in telehealth services, there is a need for healthcare organizations to upgrade their IT infrastructure, ensuring reliable and secure patient-provider interactions (Ong et al., 2021).

Training and Onboarding: Staff must be trained to navigate and utilize new telehealth platforms effectively. This would require resources for continuous professional development and system familiarization (Alrahbi et al., 2022).

Impact on Clinical Care, Patient/Provider Interactions, and Workflow

Increased Access: Telehealth services can help eliminate geographical barriers, providing more patients with access to specialized care (Jonathan et al, 2023).

Streamlined Workflow: Virtual consultations can enhance the healthcare workflow, reducing waiting times and improving appointment efficiency (Pogorzelska-Maziarz et al., 2021).

Enhanced Patient-Provider Interactions: Telehealth offers flexibility, allowing patients to engage in consultations in a comfortable environment, which can foster better communication and understanding (Mattisson et al., 2023).

Dallas Health Elite’s (DHE) Response

DHE is committed to providing the best patient care and is in full compliance with the 2021 Telehealth Expansion Policy. Our strategies include:

1. Partnering with leading telehealth solution providers to ensure a seamless virtual experience for our patients.
2. Establishing a dedicated telehealth department responsible for training our medical staff and addressing any related concerns.
3. Setting clear guidelines and protocols for virtual consultations to maintain the high quality of care and professionalism our patients expect.
4. Offering 24/7 IT support to address any technical glitches or concerns that arise during telehealth sessions.

Conclusion

The 2021 Telehealth Expansion Policy is a testament to the dynamic nature of healthcare and the need to be adaptive. Dallas Health Elite remains at the forefront of these changes, ensuring our patients receive top-notch care, whether in-person or virtual.

References

Alrahbi, D. A., Khan, M., Gupta, S., Modgil, S., & Chiappetta Jabbour, C. J. (2022). Challenges for developing health-care knowledge in the digital age. Journal of Knowledge Management, 26(4), 824–853. https://doi.org/10.1108/JKM-03-2020-0224

Dixit, N., Van Sebille, Y., Crawford, G. B., Ginex, P. K., Ortega, P. F., & Chan, R. J. (2022). Disparities in telehealth use: How should the supportive care community respond? Supportive Care in Cancer, 30(2), 1007–1010. https://doi.org/10.1007/s00520-021-06629-4

Jonathan Kissi, Caleb Annobil, Nathan Kumasenu Mensah, Joseph Owusu-Marfo, Ernest Osei, & Zenobia Wooduwa Asmah. (2023). Telehealth services for global emergencies: implications for COVID-19: a scoping review based on current evidence. BMC Health Services Research, 23(1), 1–11. https://doi.org/10.1186/s12913-023-09584-4

Mattisson, M., Börjeson, S., Årestedt, K., & Lindberg, M. (2023). Role of interaction for caller satisfaction in telenursing—A cross‐sectional survey study. Journal of Clinical Nursing (John Wiley & Sons, Inc.), 32(15/16), 4752–4761. https://doi.org/10.1111/jocn.16524

Ong, T., Wilczewski, H., Paige, S. R., Soni, H., Welch, B. M., & Bunnell, B. E. (2021). Extended reality for enhanced telehealth during and beyond COVID-19: Viewpoint. JMIR Serious Games, 9(3), 1–17. https://doi.org/10.2196/26520

Pogorzelska-Maziarz, M., Rising, K., Gentsch, A., Traczuk, A., Hsiao, T., Amadio, G., Haddad, T., & Gerolamo, A. (2021). Home healthcare patient, caregiver and provider perspectives on use of unscheduled acute care and the usability and acceptability of on-demand telehealth solutions. Geriatric Nursing, 42(5), 1029–1034. https://doi.org/10.1016/j.gerinurse.2021.06.009

By Day 5 of Week 11

Submit your completed Policy/Regulation Fact Sheet.

Also Read:

NURS 6051 Discussion: The Inclusion of Nurses in the Systems Development Life Cycle

NURS 6051 Portfolio Assignment: The Role of the Nurse Informaticist in Systems Development and Implementation

NURS 6051 Week 1 Assignment Knowledge Continuum

Submission and Grading Information

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

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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.
Photo Credit: [Phil Roeder]/[Moment]/Getty Images

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.

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Related Posts:

NURS 6051 Week 9 Discussion Hitech Legislation

NURS 6051 Week 8 Assignment Workflow Process

• Trusted Exchange Framework and Common Agreement (TEFCA)
• First proposed in Jan 2018 & published on January 19, 2022,
• TEFCA is a regulation that seeks to increase and improve interoperability.
• Enhance the ability of providers and patients to securely access and use data from various sources (ONC, 2019).
• It has created uniform policies and technical requirements to regulate data sharing and ensure all participants can access real-time health information.
• It has two parts: a Trusted Exchange Framework and a Common Agreement.

Impact of TEFCA on System Implementation

• TEFCA enables all networks to share securely and access data.
• It ensures a fundamental data set is available for systems under the Common Agreement.
• It provides a common set of privacy and security requirements for health information networks and informaticians to protect patient data (Braunstein, 2022).

Impact of TEFCA on Clinical Care, Patient-Provider Interactions, and Workflow

• TEFCA will allow the exchange of electronic health information securely and in a way that fosters patient safety and data integrity.
• Patients and their caregivers will have access to their electronic health information (Mandel et al., 2022).
• It will allow providers, payers, and public health agencies to exchange health information countrywide (Vijayaraghavan et al., 2022).
• TEFCA will help lower the cost of healthcare and improve population health.

Policies & Procedures Needed to Address TEFCA

• Policies and operations will be needed to allow participants in the TEFCA to share and exchange patient health information.
• Organizations must adhere to industry and federally-recognized standards, policies, best practices, and procedures (Braunstein, 2022).
• Organizations must develop policies guiding how they will exchange electronic health information.
• Policies to promote transparency will be needed to guide conducting all health information exchange openly and transparently.

References

Office of the National Coordinator for Health IT (ONC). (2019). Trusted exchange framework and common agreement.

Braunstein, M. L. (2022). Health information exchange. In Health Informatics on FHIR: How HL7’s API is Transforming Healthcare (pp. 117-161). Cham: Springer International Publishing.

Mandel, J. C., Pollak, J. P., & Mandl, K. D. (2022). The Patient Role in a Federal National-Scale Health Information Exchange. Journal of medical Internet research, 24(11), e41750. https://doi.org/10.2196/41750

Vijayaraghavan, M., Genes, N., Darrow, B. J., & Rucker, D. W. (2022). The 21st Century Cures Act and emergency medicine–part 2: facilitating interoperability. Annals of Emergency Medicine, 79(1), 13–17. https://doi.org/10.1016/j.annemergmed.2021.08.002

Rubric Detail

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Name: NURS_5051_Module06_Week11_Assignment_Rubric
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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.

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.

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.

60 (60%) – 67 (67%)

A vague or inaccurate Fact Sheet is provided for the Assignment.

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 21^st Century Act on healthcare.

The Selected Policy

The selected healthcare policy that has an effect on the healthcare and nursing informatics is the 21^st Century Act or the Cures Act. President Obama signed into use the 21^st 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 21^st 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).

Impact of the Policy on System Implementation

The 21^st Century Act has a number of implications on the system implementation. One of the impacts is the increased need for health organizations to adopt interventions that promote interoperability in the use of electronic health records. As noted above, the 21^st Century Act requires health organizations to work together in sharing health data with patients and providers for informed decision-making. The need for information sharing implies that health organizations have to explore mechanisms that can be utilized to ensure the promotion of data integrity during the sharing process. Health organizations also have to support the implementation of evidence-based innovative practices that enhance the use of technologies such as telehealth and social media to monitor, prevent, and treat illnesses (Goble, 2018).

The second implication of the 21^st Century Act on system implementation is the fact that it has accelerated the adoption of electronic health records for clinical use. The enhanced adoption of electronic health records in health is attributable to the provision of system requirements and capabilities that health organizations must achieve. There is also the fact that the act stipulated assigning of $4.8 billion through the NIH to be used up to 2026 to support the adoption of electronic health records and sharing of health data to inform medical decisions, research, and innovations (Magnuson & Dixon, 2020). Through these interventions, the system implementation of electronic health records will be enhanced in the state, hence, quality, efficiency, and safety in healthcare.

Impact of the Policy on Clinical Care, Patient/Provider Interactions, and Workflow

The 21^st Century Act also has a number of effects on clinical care, patient/provider interactions, and workflow. One of the impacts on clinical care is the protection of patient rights in the use of clinical data. The adoption of the policy strengthens the protection of privacy in researches using human subjects. The implication of this provision is the meaningful use of health data to promote health. The act also strengthened the need for the protection of sensitive and identifiable information in sharing health data for use in healthcare. According to the 21^st Century Act, health organizations have to achieve interoperability of the use of electronic health records by data integrity in data use (Lye et al., 2018). Data integrity is achieved through the protection of sensitive and identifiable patient information.

The other impact of the act on patient/provider information is enhanced patient participation in the care process. Patients have the right to access their needed healthcare and use it for making informed decision on issues related to their health. Healthcare providers also have the role of demonstrating professionalism, accountability, and responsibility in the use of the protected patient data. Healthcare providers have to strengthen the implementation of policies and regulations that safe guard data integrity and the effective use of health data in making informed decisions related to patient care. The adoption of the 21^st Century Act also has implications of workflow in health organizations.

As shown above, the act champions the sharing of information among health organizations and medical providers for informed decision-making. The free sharing of the information minimizes errors in decisions made and the adoption of best evidences in the management of conditions. Similarly, the sharing of information for use in research will result in enhanced rigor, validity, reliability, and reproducibility of the results obtained in clinical studies. Through it, healthcare providers will be able to offer care that utilizes the best available evidence (Magnuson & Dixon, 2020). Consequently, outcomes such as enhanced efficiency, quality, and safety of care will be achieved with the implementation of the 21^st Century Act.

Organizational Policies and Procedures in My Workplace

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 21^st 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 21^st 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 21^st 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.

Nursing Informatics Policy

It is essential to know federal and state laws that often govern patient medical records. There are several laws created to protect health information. This law grants patients the right to privacy, hence sharing information with healthcare professionals. The boards of institutional review are often governed by federal and state laws that require informed written data and consent privacy and data. Besides, these laws usually vary based on unique requirements regarding alcohol and drug treatment, mental illness, and individual disease states (Tellez, 2012). Common laws include the Medicare Access and Children’s Health Insurance Program Reauthorization Act of 2015 (MACRA). MACRA was created to ensure that physicians are fairly paid, and healthcare is improved. MACRA was passed in August 2016, signalizing distancing from Sustainable Growth Rate (SGR) Formula. Besides, it was used to determine physicians’ reimbursement and towards a model based on efficiency, quality, effectiveness, and value of the medical care provided.

Implementation of MACRA will significantly affect not only health professionals but also healthcare institutions. `According to Bell (2018, May), this law is based on two primary components, that is, merit-based Incentive Payment System (MIPS) and motivation compensation for Alternative Payment Models (APMs). These two components enable healthcare professionals to access payment updates such as funding to benefactors for technical aid. Besides, newly individuals eligible for Medicare will be unable to purchase Medigap Plan F or Plan C due to MACRA. One of the MACRA’s primary goals was cutting down unnecessary doctor’s visits, reducing overall Medicare spending (Cummins, et al., 2021). Besides, the law states that Medigap policies are no longer acceptable to provide Part B deductible coverage. Therefore, this policy is significant since it will ensure that physicians are fairly paid and have improved healthcare.

References

Bell, K. (2018, May). Public policy and health informatics. In Seminars in oncology nursing (Vol. 34, No. 2, pp. 184-187). WB Saunders.

Cummins, M., Kennedy, R., McBride, S., & Carrington, J. (2021). Policy Priorities in Nursing Informatics: The American Academy of Nursing Informatics and Technology Expert Panel in 2020. CIN: Computers, Informatics, Nursing, 39(3), 120-122.

Tellez, M. (2012). Nursing informatics education past, present, and future. CIN: Computers, Informatics, Nursing, 30(5), 229-233.

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.

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.
5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.
3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.
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
5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
4 (4%) – 4 (4%)
Contains a few (1-2) grammar, spelling, and punctuation errors.
3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) grammar, spelling, and punctuation errors.
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.
5 (5%) – 5 (5%)
Uses correct APA format with no errors.
4 (4%) – 4 (4%)
Contains a few (1-2) APA format errors.
3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) APA format errors.
0 (0%) – 3 (3%)
Contains many (≥ 5) APA format errors.
Total Points: 100
Name: NURS_5051_Module06_Week11_Assignment_Rubric

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.

Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.

One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.

I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.

In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.

Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).

Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).

Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.

I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.

As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an underastanding of the content or critical analysis of the content.

It is best to paraphrase content and cite your source.

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Lopes Write Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.

Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?

Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course.

Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed

• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• Student paper example
• Citing Sources
• The Writing Center is a great resource

      I agree that healthcare organizations make changes to workflow based on the cost to the company rather than the benefit to the employees and patients. The SDLC assessment proves that involving nurses in planning, analysis, and design, and implementing optimization systems is a valuable process (Wang et al., 2019, p. 419). Ignoring the role of nursing staff carries the risk of an unreasonable waste of available funds for the hospital. For example, at my facility upper management had remote telemetry upgraded in the EPIC system to include patients on a medical-surgical unit with no requirement for an registered nurse (RN) to be ACLS certified. They assigned one RN to the central room, in another location away from the unit to validate all the medical-surgical nurse telemetry strips. No floor nurse or champion was a part of the SDLC process before this was implemented. There have been two costly sentinel events; one medical-surgical nurse had a patient with telemetry orders after arriving from ER and never placed them on the monitor and notified the central monitor room nurse.

The patient was found expired after being off telemetry with physician orders for 6 hours and a second nurse on a different patient never knew to contact the physician after 16 beats of V-tach. The patient coded and expired after going through consistent phase of tonic-clonic seizures. The central monitor registered nurse (CMRN) was only responsible for validating the telemetry strips and then management added the rapid response nurse (RRN) to the list preceding the sentinel events. When technology impacts nursing practice, and nurses do not understand the vision of the project, workflow issues will arise (McKay & Vanaskie, 2018). This situation is very unsafe and many medical-surgical nurse’s who take these assignments do not understand basic electrical rhythms and interventions for certain arrhythmias. Problems like this will continue to be a problem when a nurse’s voice is not a part of the SDLC process.

The contributions that nurses make to the health and well-being of citizens will be highly regarded and equaled, if not surpassed, in every situation in which they work as practitioners. In addition, nurses offer their experience to individuals in order to assist them in properly managing their health and wellness life plans, as well as in navigating their way to the right information and resources. The necessity of involving all of the key stakeholders from the very beginning of the Systems development life cycle (SDLC) all the way through to its conclusion has been convincingly proven. In particular, the advocated for the concept that each nurse’s practice contributes the required contributions to the advancement of new nursing knowledge. (McGonigle & Mastrian, 2017).

The first thing that has to be done is to get a better understanding of the issues or requirements. It is then followed by comprehending the solution or how to address those needs, devising a plan, putting the plan into action, evaluating the execution, and, lastly, maintenance, review, and disposal of the information. However, involving nurses who work at the point of care as end users in all phases of the introduction of a new technology makes it easier to make the transition to using the new technology and promotes nurses’ buy-in of the system.

There are few potential outcomes that may occur if nurses are not involved. To begin, there is a failure to initially engage the nurses since their attention is not captured. The next issue is a lack of faith in the process of change as well as the knowledge and expertise of the implementers. (Weckman & Janzen, 2009).

McGonigle and Mastrian (2017) state “Nurses are in an excellent position to provide crucial feedback regarding these changes, both during the trial periods and after the official implementation of the new technology.”. However, it would be detrimental (and maybe destined to failure) for any project that affects nurses not to involved them in any part of the process.

Last year, the hospital attempted to launch a three-month quality improvement project with the nursing staff. Staffing levels were severely low, putting patient safety in jeopardy, and nurses did not think the project to be appropriate. In addition, I was expected to devote time each day to filling out information forms, which prevented me from focusing on patient care. Nobody continued completing the paperwork after the first month had passed. All because nursing staff did not feel engaged or compromised with the project.

Finally, I have never been involved in the selection and implementation of any new technology solutions in my organization. When my hospital opted to replace Allscripts system with EPIC system, nurses had no input, nor opinion about acquiring the new system. However, sometimes we can advocate about getting new technology needed for our floor like when we requested a vein finder, computerized EKG and an advanced bladder scanner.