Effects on Medicare Payment Policy and Spending Essay
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) 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. Effects on Medicare Payment Policy and Spending Essay.
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Briefly and generally explain the policy or regulation you selected.
Nursing Informatics is required to monitor and regulate interactions in healthcare facilities and outpatient environments utilizing policies intended to incorporate successful information systems. One of the current effective policies on nursing information technology in the United States is the Medicare Access and CHIP Reauthorization Act (MACRA) (Casalino, 2017). This US law was developed and implemented as a public program in 2015 to make improvements to the payment system for physicians operating on Medicare patients.
Address the impact of the policy or regulation you selected on system implementation.
The policy plays an important role in the implementation of computer structures in healthcare facilities. As part of the bipartisan reforms, the Medicare Access and CHIP Reauthorization Act became signed into law in April 2015 and the Quality Service Plan for the Management and Regulation of Payment Systems was created. For example, MACRA is streamlining many quality initiatives under the current MIPS (Sweeney, 2017). This is also accountable for repealing the framework for the Sustainable Growth Rate.
Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.
The Medicare Access and CHIP Reauthorization Act is explicitly intended to offer financial and minimal technological assistance by cooperative arrangements to strengthen, create, upgrade or even extend the mechanisms included in the Quality Reimbursement System of Health Information Technology. Both players in the healthcare system experienced the effect of this strategy through clinical treatment, relationships with patients and staff, and workflow (Hussey, Liu, & White, 2017). Effects on Medicare Payment Policy and Spending Essay. That was done by reducing the pressure on physicians, increasing medical satisfaction and enhancing interest of treatment (Lin, MaCurdy, & Bhattacharya, 2017) . This guarantees that the money invested in the Medicare account is secure to safeguard patient insurance and financial records and to improve the quality of coverage.
Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected.
Most of those corporate practices and processes required to meet the standards and regulations of the Medicare Coverage and CHIP Reauthorization Act provide efficient nursing knowledge at all healthcare rates and successful reimbursement, as well as the protection and privacy of patient records (Unroe, Hollmann, Goldstein & Malone, 2017). That is how the Act is structured to satisfy payment criteria.
References
Casalino, L. P. (2017). The Medicare Access and CHIP Reauthorization Act and the corporate transformation of American medicine. Health Affairs, 36(5), 865-869.
Hussey, P. S., Liu, J. L., & White, C. (2017). The Medicare access and CHIP reauthorization act: Effects on Medicare payment policy and spending. Health Affairs, 36(4), 697-705.
Lin, E., MaCurdy, T., & Bhattacharya, J. (2017). The Medicare access and CHIP reauthorization act: Implications for nephrology. Journal of the American Society of Nephrology, 28(9), 2590-2596.
Sweeney, J. (Feb, 2017). Healthcare Informatics. Online Journal of Nursing Informatics (OJNI), 21(1).
Unroe, K. T., Hollmann, P. A., Goldstein, A. C., & Malone, M. L. (2017). Medicare Access and CHIP Reauthorization Act: What do geriatrics healthcare professionals need to know about the quality payment program?. Journal of the American Geriatrics Society, 65(4), 674-679. Effects on Medicare Payment Policy and Spending Essay .