Post a description of how HITECH legislation has positively or negatively impacted your organization.

/0 Comments/in /by

In order for organizations to receive the incentives offered through the HITECH legislation, they must be able to demonstrate that they are using the technology in meaningful ways. The following criteria for meaningful use must be evident to qualify for EHR incentives (U.S. Department of Health & Human Services, 2012). The technology must:

Improve quality, safety, and efficiency, and reduce health disparities
Engage patients and families
Improve care coordination
Improve population and public health
Ensure adequate privacy and security protections for personal health information
For this Discussion you consider the impact of the meaningful use criteria of the HITECH legislation on the adoption of health information technology.

To prepare:

Review the Learning Resources on the HITECH legislation and its primary goals.
Reflect on the positive and negative impact this legislation has had on your organization or one with which you are familiar.
Consider the incentives to encourage the use of EHRs. Focus on the definition of meaningful use and how it is measured.
Reflect on how the incentives and meaningful use impact the quality of patient care.
Find an article in the Walden Library dealing with one of the criteria to qualify for meaningful use and how it has been successfully met.
Post a description of how HITECH legislation has positively or negatively impacted your organization. Address how its related incentives influence the adoption of health information technology in health care and impact the quality of patient care. Provide a summary of the article you identified and explain how it demonstrates the ability of health information technology to meet the requirements of meaningful use.

1 &1/2 pages with 3 references from the below resources, APA.

Required Readings

McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.

Chapter 9, “Legislative Aspects of Nursing Informatics: HITECH and HIPAA”This chapter explores two pieces of legislation that dramatically impact nursing informatics: the Health Information Technology for Economic and Clinical Health Act of 2009 and the Health Insurance Portability and Accountability Act of 1996.
Arlotto, P. (2010). 7 strategies for improving HITECH readiness. hfm(Healthcare Financial Management), 64(11), 90–96.

Retrieved from the Walden Library databases.

This article reviews seven strategies to help prepare for the implementation of the Health Information Technology for Economic and Clinical Health Act (HITECH). The central point of the article focuses on demonstrating meaningful use of electronic health records.

Begum, R., Smith Ryan, M., Winther, C. H., Wang, J. J., Bardach, N. S., Parsons, A. H., & … Adams Dudley, R. (2013). Small Practices’ Experience With EHR, Quality Measurement, and Incentives. American Journal Of Managed Care, 19eSP12–8.

This article presents a study of clinician’s attitudes toward the use of financial incentives for the implementation of electronic health records in small practices.

Brown, B. (2010). The final rules for meaningful use of EHRs. Journal of Health Care Compliance, 12(5), 49–50.

Retrieved from the Walden Library databases.

In this article, the author poses four questions pertaining to the EHR system in the United States. In particular, the article examines Medicare and Medicaid incentive payments and the ways the meaningful use of certified EHRs will be verified.

Classen, D. C., & Bates, D. W. (2011). Finding the meaning in meaningful use. New England Journal of Medicine, 365(9), 855–858.

Retrieved from the Walden Library databases.

This article details the challenges of meeting the meaningful use standards in order to receive the benefits legislated under the HITECH Act. The authors specify the requisites for achieving benefits with EHRs, the relationship between meaningful use and commercial EHRs, and the tools needed to evaluate EHRs after implementation.

Kempfert, A. E., & Reed, B. D. (2011). Health care reform in the United States: HITECH Act and HIPAA privacy, security, and enforcement Issues. FDCC Quarterly, 61(3), 240–273.

Retrieved from the Walden Library databases.

The authors of this article examine HITECH, in addition to the impact of the privacy rules under the Health Insurance Portability and Accountability Act (HIPAA). The article details the potential negative repercussions of failing to comply with HIPAA and HITECH.

Murphy, J. (2010b). Nursing informatics. The journey to meaningful use of electronic health records. Nursing Economic$, 28(4), 283–286.

Retrieved from the Walden Library databases.

This article reviews HITECH and the background leading up to its passage. The author also details the financial incentives intended to assist health care providers in purchasing and implementing HIT and EHR systems.

Optional Resources

U.S. Department of Health & Human Services. (2011). Health IT home. Retrieved from http://www.healthit.gov/

U.S. Department of Health & Human Services. (2012). Regulations and guidance. Retrieved from http://www.healthit.gov/policy-researchers-implementers/health-it-rules-regulations

Compare and contrast narrative documentation with SOAP/SOAPIE/SOAPIER- style documentation.

/0 Comments/in /by

The community health RN is caring for a family with a child who has significant developmental delays. The child is 9-years-old and exhibits the development of a 6-month old infant. She can move her extremities spontaneously, hold her head up and cry out occasionally. She has a gastrostomy tube for her medications and she receives continuous tube feeding via pump. She was discharged 2 days ago after a 5-day hospitalization for failure to thrive. During the hospital stay, the child’s tube feeding formula was adjusted to meet her growing needs. The community health RN is monitoring the child after discharge, following up on the child’s weight and the parent’s knowledge of the new feeding formula type, amount, and schedule. Today the child weighs 64 pounds. The child’s current weight represents a 2 pound weight gain since hospital admission.

The RN has chosen the NANDA-I nursing diagnosis of Ineffective health management r/t insufficient knowledge of expected growth and calorie requirements AEB parent states, “I thought the same tube feeding would be enough calories for a long time, I don’t know how to tell if the feeding should be adjusted.”

Initial Discussion Post:

Compare and contrast narrative documentation with SOAP/SOAPIE/SOAPIER- style documentation.
Create a documentation entry to describe the community health nurse’s first visit based on this scenario using SOAP/ SOAPIE/SOAPIER-style documentation. Students may embellish the scenario with additional patient information or parent’s response to teaching if desired.

Discuss why you think the decision reached was ethically and morally sound or why you disagree with the decision.

/0 Comments/in /by

Need an APA paper. No Plagiarism. All Questions Answered. Terri Schiavo article attached.

Submit a paper commenting on the Terri Schiavo case answering the following:
a. Discuss why you think the decision reached was ethically and morally sound or why you disagree with the decision.b. What 2015 American Nurses Association (ANA) Code of Ethics principles should a nurse in a similar situation evaluate for guidance?c. Would the case you picked be decided differently today, why or why not?e. Who speaks for the incapacitated patient in the absence of an advance directive in Florida? (Hint: the answer is in the Advance Directives statute, Part IV)

2. Criteria:

Student discusses the case and adequately addresses questions #1a through e.: 8pts

Professional Writing: A. Correct grammar, spelling , and professional terms B. Correct APA formatting for paper: 2 pts