NURS 6401:Week 5: Policy Initiatives Impacting Informatics and Health Care Essay Assignment Paper

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NURS 6401:Week 5: Policy Initiatives Impacting Informatics and Health Care Essay Assignment Paper

NURS 6401: Informatics in Nursing and Healthcare | Week 5

Health care expenditures in the United States are the highest per capita in the world. With costs continuing to rise, health care providers and legislators are exploring measures to help increase efficiency while simultaneously lowering costs. Information technologies offer great potential for addressing these urgent issues. To encourage safe and meaningful implementations of informatics initiatives, health care policies such as the Health Information Technology for Economic and Clinical Health (HITECH) Act and its corresponding Meaningful Use mandates have been created.

This week you analyze how policies associated with informatics initiatives impact health care settings. In addition, you evaluate how mandates can help or hinder change in health care settings.

Learning Objectives

Students will:

• Analyze how policies associated with informatics initiatives impact health care settings
• Evaluate how mandates can help or hinder change in health care settings

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Saba, V. K., & McCormick, K. A. (2015). Essentials of nursing informatics (6th ed.). New York, NY: McGraw-Hill.

• Chapter 5, “Open Source and Free Software”This chapter introduces the role that open source and free software plays in informatics. The disruptive and beneficial effects of such software are also described. 
• Chapter 16, “Nursing Informatics and Healthcare Policy”Much debate has revolved around the health care policies of the Obama administration. This chapter highlights the impact these policies could have on health care and the nursing informatics discipline in particular. 
• Chapter 18, “Establishing Nursing Informatics in Public Policy”Chapter 18 emphasizes the responsibility that nurse informaticists have in voicing their needs and concerns to public health care policy drivers. The chapter also stresses why informatics leaders need equal parts education, advisement, competencies, and support. 
• Chapter 27, “Computerized Provider Order Entry”In this chapter, the authors explore the intricacies of electronic health record vendor applications. The chapter examines integration of electronic health records (EHRs) in the practice setting, the possible impacts EHRs can have on medical errors, and how nurses can support successful EHR adoption. 
• Chapter 43, “The TIGER Initiative”This chapter assesses the TIGER initiative and its impact in the clinical setting. The chapter details how TIGER aims to integrate evidence and technology informatics into daily use to make health care safer and more effective.

Bolla, Y. (2011). Meaningful use 101. Nursing Management, 42(8), 18–22.

Meaningful use has the potential to impact all facets of the health care setting. This article defines meaningful use in its most basic terms and describes its stages in detail.

Hersh, W., Jacko, J. A., Greenes, R., Tan, J., Janies, D., Embiand, P. J., & Payne, P. R. O. (2011). Health-care hit or miss? Nature (London), 470(7334), 327–329.

This article explains the HITECH Act and its origins and benefits. The article also details how the HITECH Act presents an opportunity to expedite the adoption of EHRs in the United States.

Discussion: HITECH and Meaningful Use—A Real-World Debate

Though electronic health records (EHRs) may provide an abundance of information at faster speeds than paper-based records ever could, the cost and challenges related to implementation have prevented many organizations from adopting EHRs. The Health Information Technology for Economic and Clinical Health (HITECH) Act aims to increase the adoption rate by providing financial incentives for health care organizations that demonstrate “meaningful use” of EHRs. In order to receive these funds, settings must meet a specific set of requirements identified by the HITECH legislation.

The adoption of an EHR can often be a frenzied process because of the incentives provided by the HITECH Act. In addition, the saturation of the technology market provides settings with an overwhelming amount of options from which to choose.

In this Discussion, you debate the effectiveness of the HITECH Act and Meaningful Use mandates.

To prepare:

• Consider the ways HITECH and Meaningful Use mandates have impacted a health care setting with which you are familiar.
• Conduct research in the Walden Library and through credible nursing organizations to assess how the nursing informatics community is addressing these mandates.
• Create a list that documents the pros and cons that mandates such as these have on health care settings. Reflect upon your list, and determine whether you believe these mandates are beneficial or harmful to health care organizations and nursing practice.

By Day 3

Post a brief scholarly commentary that describes your stance on issues related to HITECH and meaningful use. Include in your commentary your personal beliefs on the issue, your experiences in a health care organization, and/or the pros and cons surrounding these initiatives. Select at least one of the following to underscore your stance:

• Mandating change. Do the HITECH Act and Meaningful Use mandates help to drive and equalize change across all health care settings, or do they lead to rapid and sloppy implementations?
• The benefits or ramifications that stem from the use of incentives and disincentives.
• The influence of across-the-board mandates on patient safety, ethics, and quality of care.
• The allocation of funds specifically earmarked for HITECH and Meaningful Use. Is it worth it or wasted?

Read a selection of your colleagues’ responses.

By Day 6

Respond on or before Day 6 to at least two of your colleagues on two different days using one or more of the following approaches:

• Provide a counterpoint to a colleague who took a stance different from your own. In your counterpoint, include—as appropriate—your own experiences and/or references to this week’s Learning Resources.
• Ask a probing question, substantiated with additional background information, evidence, or research.
• Offer and support an alternative perspective, using readings from the classroom or from your own research in the Walden Library.
• Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

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