MACRA Policy Fact Sheet

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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

Resources to Use

 

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 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.
  • Use the Safe Assign Drafts to check your match percentage before submitting your work.

MACRA Policy fact sheet

Title: Fact Sheet on Nursing Informatics Policy: Medicare Access and CHIP Reauthorization Act (MACRA)

Introduction: The Medicare Access and CHIP Reauthorization Act (MACRA) is a federal legislation enacted to shift healthcare reimbursement from volume-based fee-for-service models to quality-based payment programs. It aims to improve healthcare quality, reduce costs, and enhance patient outcomes through incentivizing value-based care delivery.

Impact on System Implementation: MACRA necessitates healthcare organizations to implement electronic health record (EHR) systems capable of capturing and reporting quality measures. It encourages interoperability and data exchange among systems to facilitate comprehensive patient care coordination. Implementation may require investments in technology infrastructure and staff training.

Impact on Clinical Care, Patient/Provider Interactions, and Workflow: MACRA promotes evidence-based practices and care coordination, fostering a collaborative approach among healthcare providers. It encourages the use of health information technology (HIT) to improve patient engagement, personalized care delivery, and population health management. Providers may need to adjust workflows to incorporate data documentation and quality reporting requirements, potentially impacting time spent with patients.

Organizational Policies and Procedures: Our healthcare organization has developed comprehensive policies and procedures to comply with MACRA requirements:

  1. EHR Optimization: Continuous optimization of EHR systems to ensure accurate data capture and reporting of quality measures.
  2. Quality Improvement Initiatives: Implementation of quality improvement projects targeting areas identified through MACRA metrics to enhance patient outcomes.
  3. Provider Training and Support: Ongoing training sessions and support resources to educate providers on MACRA regulations, EHR utilization, and quality reporting.
  4. Data Security and Privacy: Adherence to strict data security and privacy protocols to safeguard patient information exchanged within and outside the organization.
  5. Performance Monitoring: Regular monitoring and assessment of performance metrics to track progress, identify areas for improvement, and ensure compliance with MACRA guidelines.

Conclusion: MACRA represents a significant shift in healthcare reimbursement, emphasizing quality over quantity in care delivery. As a healthcare organization, we are committed to aligning with MACRA requirements to optimize patient care, improve outcomes, and thrive in a value-based healthcare landscape.

References: Centers for Medicare and Medicaid Services. (n.d.). MACRA. Retrieved from https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/value-based-programs/macra-mips-and-apms/macra-mips-and-apms.html

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