Essential Activities For Electronic Health Record Safety Essay

CMS final rule on assessment of safety of HER Systems

Briefly and generally explain the policy

• The Centers for Medicare and Medicaid Services final Rule mandates eligible healthcare organizations to provide an annual attestation that they have an assessment of the safety of their electronic health record systems utilizing the National Coordinator for Health Information Technology(ONC) Safety Assurance Factors for HER Resilience (SAFER) guides. The rule was released on released on August 13, 2021, (Sittig et al., 2022a).
• The SAFER guides were developed to assist organizations safely implement and utilize EHRs (Ash et al., 2022).
• SAFER guides self-assessment checklists that enhance the proactive identification of EHR technology-related effectiveness and safety and clinical processes (Sittig et al., 2022b). Essential Activities For Electronic Health Record Safety Essay

According to Ash et al. (2022), The 8 high-risk areas include:

• Organizational responsibilities
• System interfaces
• Clinical communication
• Contingency planning
• Reporting and follow-up of test results
• CPOE with clinical decision support
• Patient identification
• System configuration Essential Activities For Electronic Health Record Safety Essay
  

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Impact of the policy on system implementation

• Safety risks caused by EHRs are an inadvertent consequence of clinical system implementation. Safety of EHR refers to how well an EHR system is designed,  implemented, and utilized to avert the exposure of patients to risk (Ash et al., 2022). Essential Activities For Electronic Health Record Safety Essay
• EHR safety happens within a sociotechnical environment, including the social environment within which the technology is implemented and also the software and hardware needed for system implementation. Thus, risks for errors related to HER might be related to behaviors of users, technological features, or/ and organizational policies on the routine utilization, monitoring, and maintenance of EHR (Ash et al, 2022).

Impact of the policy on clinical care, patient/provider interactions, and workflow.

• EHR system implementation is intended to help clinicians make decisions based on evidence and streamline t workflow through efficiently coordinating patient care. As the end-users of EHRs, providers’ behaviors influence how well the EHR system is used (Johnson & Stead, 2022). Essential Activities For Electronic Health Record Safety Essay
• Proactive risk assessment enables organizations to monitor and improve the safety and usability of EHRs (Johnson & Stead, 2022)
• The policy change has stimulated health systems and EHR vendors to add features that decrease the cognitive load and ease the performance of clinical tasks by clinical teams (Johnson & Stead, 2022).

Highlight organizational policies and procedures in place to address the policy

• The organization has formed a multidisciplinary team to perform a self-assessment of the EHR system utilizing ONC SAFER guides. The 10-member team comprises administrative, health information technology, and clinical representatives.
• The team holds routine meetings to assess the safety of the HER system and identify areas for improvement
• The organization requires the HER vendor to complete a yearly assessment and provide attestation that its system is capable of meeting the SAFER recommendations. The vendor provides the organization with a copy of the annual SAFER assessment. Essential Activities For Electronic Health Record Safety Essay

References

Ash, J. S., Singh, H., Wright, A., Chase, D., & Sittig, D. F. (2020). Essential activities for electronic health record safety: A qualitative study. Health Informatics Journal, 26(4), 3140-3151.  https://doi.org/10.1177/1460458219833109

Johnson, K. B., & Stead, W. W. (2022). Making Electronic Health Records Both SAFER and SMARTER. JAMA, 328(6), 523-524. doi:10.1001/jama.2022.12243

Sittig, D. F., Sengstack, P., & Singh, H. (2022a). Guidelines for US Hospitals and Clinicians on Assessment of Electronic Health Record Safety Using SAFER Guides. JAMA, 327(8), 719-720. doi:10.1001/jama.2022.0085 Essential Activities For Electronic Health Record Safety Essay

Sittig, D. F., Lakhani, P., & Singh, H. (2022b). Applying requisite imagination to safeguard electronic health record transitions. Journal of the American Medical Informatics Association, 29(5), 1014-1018. doi: 10.1093/jamia/ocab291

Upadhyay, S., & Hu, H. (2022). A Qualitative Analysis of the Impact of Electronic Health Records (EHR) on Healthcare Quality and Safety: Clinicians’ Lived Experiences.  Health Services Insights, 15, https://doi.org/10.1177/11786329211070722

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. Essential Activities For Electronic Health Record Safety Essay

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. Essential Activities For Electronic Health Record Safety Essay

American Association of Nurse Practitioners. (2018). MACRA/MIPS: The transition from fee-for-service to quality-based reimbursement
Links to an external site.. Retrieved from https://www.aanp.org/legislation-regulation/federal-legislation/macra-s-quality-payment-program

Centers for Medicare and Medicaid Services. (n.d.). MACRA
Links to an external site.. 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
Links to an external site.. Retrieved from https://www.healthit.gov/topic/laws-regulation-and-policy/health-it-legislation
Links to an external site.

HealthIT.gov. (2018b). Meaningful use and MACRA
Links to an external site.. 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
Links to an external site.. Retrieved September 27, 2018, from https://www.hhs.gov/regulations/index. Essential Activities For Electronic Health Record Safety Essay