Nursing Informatics Today And Future Perspectives For Healthcare
Nursing Informatics Today And Future Perspectives For Healthcare
Policy and Practice
Policy mandates and requirements that I experience have largely affected the issues I encounter as a practicing nurse informaticist. Larsen (2020) indicates that decisions may be created as part of procedures and policies which have been developed. From this we may unify therapeutic interventions, assess and improve our offerings, and promote improved communication and teamwork amongst our personnel. We consult with the staff while creating the policies and procedures, and we keep them current on a constant schedule. For instance, the Affordable Care Act of 2010 (ACA) has placed a demand that requires health professionals develop systems that put the patient at the center. Such a legislation has shifted the focus of the healthcare system I work in from specialty and acute care (Hogan et al., 2022) Nursing Informatics Today And Future Perspectives For Healthcare
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According to Lim and Bowen (2018) the American Recovery and Reinvestment Act (ARRA) became a legal document in 2009. The Health Information and Technology for Economic and Clinical Health Act (HITECH), which includes Meaningful Use, was included in ARRA (MU). Practitioners who were using their Electronic Health Records (EHR) to show substantial utilization of the system received financial prizes or incentives from MU. No rewards were given to health care professionals who did not use or deploy an EHR. The objective was to incentivize healthcare professionals to offer thorough, secure, and evidence-based treatment to respective clients and to enable them to easily and securely view their clients’ critical health data across a variety of healthcare venues and platforms. I have been able to impact policy work as a practicing nurse informaticist to guarantee quality services by influencing standard operating procedures. I now know that nurse practitioners impact healthcare by shaping policy. The way resources are distributed to assist the administration of healthcare has also been impacted by policies. Healthcare policy is crucially important because it acts as a comprehensive plan of action to direct desired goals and provides a basic framework for making decisions. The policy and procedure manual of a healthcare organization acts as a means for informing staff members of the goals of the company (Larsen, 2020).
Nursing practice
The role of a nursing informaticist is to ensure all the information concerning the workflows, implementation of processes, and provision of guidance concerning new technology are provided including giving the care delivery teams the best chances for optimal delivery of services. Some of the generated reports are affected by the implementation of evolving policies. To ensure excellent care, nurses have an obligation to influence the standards of the nursing practice or the profession. The nurse who influence policy are the care shapers of both today and tomorrow (Tiase & Carroll, 2022). All the issues that practicing nursing informaticists encounter might be effected either positively or negatively by the policies.
The policies on the resource allocation for example might help in the health care delivery if they are implemented in the right way. Prioritizing resource allocation will help to ensure that all the necessary resources are allocated to various dockets of the profession in order to ensure that the healthcare provided is the best. The policies implemented might affect the overall healthcare in the center by enhancing cooperation and understanding among the healthcare colleagues and the rest of the employees (Atique et al., 2020). When implementing some of these policies, engaging with the real users or employees would be better to ensure they remain updated. The reason for this explanation is that both procedures and policies are meant to standardize all the processes of the company, minimizing the occurrence of those incidents that are not intended to occur Nursing Informatics Today And Future Perspectives For Healthcare.
References
Atique, S., Bautista, J. R., Block, L. J., Lee, J. J. J., Lozada‐Perezmitre, E., Nibber, R., & Topaz, M. (2020). A nursing informatics response to COVID‐19: Perspectives from five regions of the world. Journal of Advanced Nursing, 76(10), 2462-2468.
Hogan, T. H., Maurer, N. R., Stevens, L., & Hefner, J. L. (2022). A framework of the institutional policies and practice environments of nurse practitioner primary care models: A cross-case analysis. Health Care Management Review, 10-1097.
Larsen, E. G. (2020). Personal politics? Healthcare policies, personal experiences and government attitudes. Journal of European Social Policy, 30(4), 467-479.
Lim, T., & Bowen, W. M. (2018). Determinants and evaluation of local energy‐efficiency initiatives from the American Recovery and Reinvestment Act. Review of Policy Research, 35(2), 238-257.
Tiase, V. L., & Carroll, W. M. (2022). Nursing Informatics Today and Future Perspectives for Healthcare. In Health Informatics (pp. 231-241). Productivity Press.
Module 5: Policy-Driven Nursing Informatics (Weeks 10–11)
With so many inputs and many plausible outputs, the field of informatics exists at the point where the data entered and extracted is expected to be meaningful. This concept of meaningful use has been enacted into official policy, mandated by the government to ensure that electronic health records are implemented with quality and safety for the purpose of improved and equal care for all citizens.
Ideally, meaningful use prompts healthcare providers to use technology in an effective way. Although this may take the form of a nurse or healthcare professional “checking the boxes,” such as following a recommendation for checking blood sugar, addressing smoking concerns, requesting diabetic foot exams, or other measures, it actually ensures that all nurses and healthcare professionals apply knowledge in the most effective way.
Policies developed at the national level can ensure the implementation of new practices at the state level more quickly, helping to achieve the broader goals of improving healthcare in your community or department. But policy also can be extremely local—your institution may interpret or implement a directive in an adapted or unintended way. These, in turn, can create ethical questions for the nurse informaticist.
Navigating these complex and overlapping areas of an interconnected, data-rich environment designed for effective use is an important skill in nursing practice for informaticists.
Required reading:
Informatics and Meaningful Use Program Transcript.pdf
Week 10: Policy and Practice
Technology for the sake of technology may not be useful and may cause such variance in implementation that more problems may arise. Likewise, a well-designed EHR system is useless if only one department uses it, or if users choose workarounds rather than compliance.
According to the Centers for Disease Control and Prevention (2017, January 18, para. 1), “Meaningful Use is defined by the use of certified EHR technology in a meaningful manner (for example electronic prescribing); ensuring that the certified EHR technology is connected in a manner that provides for the electronic exchange of health information to improve the quality of care; and that in using certified EHR technology the provider must submit to the Secretary of Health & Human Services (HHS) information on quality of care and other measures.”
This week, you focus on how meaningful use and compliance with policy affects your real-world practice Nursing Informatics Today And Future Perspectives For Healthcare.
Required reading:
McBride, S., & Tietze, M. (2019). Nursing informatics for the advanced practice nurse: Patient safety, quality, outcomes, and interprofessionalism (2nd ed.). New York, NY: Springer Publishing.
- Chapter 1, “Introduction to Health Information Technology in a Policy and Regulatory Environment” (pp. 2–17)
- Chapter 12, “National Standards for Health Information Technology” (pp. 272–295)
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Journal of the American Medical Informatics Association.pdf
Standard Nursing Terminologies.pdf
Department of Health and Human Services .pdf
Scoring Methodology.pdf
Discussion: Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and Meaningful Use
Meaningful use objectives state how EHR relates to the common goals of all healthcare providers: positive and safe patient outcomes at all points and levels of care. These objectives also align with topics in this course, such as the influence of informatics on public health, privacy, security, and other issues related to quality care. In this Discussion, you align these objectives and other policy effects with your own experience and the experience you may have as a nurse informaticist.
To Prepare
- Review the resources related to Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and meaningful use objectives.
- Review the Criteria for Attestation.
- Consider your current workplace or a former workplace and reflect on how EHR implementation slows your work, including staffing issues, medication barcoding, or any other issues that you might encounter.
- Identify policy mandates and requirements and reflect on how informatics and EHR implementation affect your ability to meet those policy mandates and requirements.
- Identify other mandates (e.g., quality, safety, requirement of reporting) and reflect on how they may affect issues you identified.
By Day 3 of Week 10
Post a response that analyzes how policy mandates and requirements you experience might affect the issues you encounter as a practicing nurse informaticist. Be specific and provide examples. Next, analyze how evolving policies that may be implemented might affect issues you encounter in nursing practice, and explain why Nursing Informatics Today And Future Perspectives For Healthcare.