Nursing Informatics-Related Healthcare Policy ;MACRA

Nursing Informatics-Related Healthcare Policy ;MACRA

Nursing Informatics-Related Healthcare Policy Known as MACRA: A Fact Sheet

1. What is MACRA?

MACRA is the Medicare Access and CHIP Reauthorization Act and is a legislative policy with the objective of making it easier to guarantee quality assurance in healthcare. It is a legislative policy that came into force in the year 2015 that also streamlines provider reimbursement, changes for the better the Sustainable Growth Rate Formula, and removes the necessity to have one’s social security number included in the medical records meant for payers (CMS, 2019; Sullivan, 2018; Wynne, 2017; AAFP, 2016; NRHI, n.d.). Nursing Informatics-Related Healthcare Policy ;MACRA

2. The Impact of MACRA on System Implementation

• The policy is a nationwide law that requires a radical change in the way healthcare informatics operates in the United States.
• MACRA is a sophisticated federal policy that claims a substantial degree of investment in both material and human resources for it to be successful.
• The policy requires that healthcare workers who will be involved in its implementation be trained to make them acquire informatics competencies needed to successfully implement the MACRA rule (CMS, 2019; Sullivan, 2018; AAFP, 2016).Nursing Informatics-Related Healthcare Policy ;MACRA

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3. The Impact of MACRA on Workflow, Clinical Care, & Patient-Provider Interactions

• The MACRA will enable providers of healthcare to receive better pay-for-performance reimbursement.
• MACRA makes it possible to realize the output of quality healthcare at affordable cost in the form of pay-for-value instead of pay-for-volume. This is possible through the support of the overall federal healthcare policy of the Patient Protection and Affordable Care Act or ACA 2010.
• It is therefore MACRA that obliges providers through various policy incentives to offer quality value-based care instead of the previous volume-based care system. This is what is also contained in the ACA 2010 (CMS, 2019; Sullivan, 2018; AAFP, 2016).

4. Organizational Procedures & Policies to Address the MACRA

• Recruitment of a nurse informaticist to act as a trainer and facilitator to the rest of the staff.
• Putting together an organizational team or committee that will be responsible for complying with the MACRA rule.

Having the Quality Improvement Committee in the organization take up the implementation of the MACRA policy as a quality initiative.

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.Nursing Informatics-Related Healthcare Policy ;MACRA
• Consider the role of the nurse informatics 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.

Nursing Informatics-Related Healthcare Policy ;MACRA

 

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