NURS 8210 Assignment Meaningful Use Paper
Sample Answer for NURS 8210 Assignment Meaningful Use Paper Included After Question
Why are many health care organizations hesitant to adopt electronic health records (EHR) when they have the potential to improve quality, increase access, and reduce costs? Some organizations are concerned with the ethical and legal issues that may arise in daily operations. In 2010, legislators noticed health care’s reluctant transition into full EHR integration, and began to provide financial incentives to those organizations that not only adopt EHRs, but also use them meaningfully to improve quality of patient care. As an advanced practice nurse, it is important to be aware of the challenges, policies, and incentives associated with integrating EHR systems. It is also critical that you understand the concept of “meaningful use” and how it plays out in today’s health care organizations.
To prepare:
In this Application Assignment, you analyze meaningful use criteria to determine the authentic legal, financial, and ethical issues that may surround it.
- Reflect on the information presented in the Learning Resources, focusing on meaningful use legislation and the “Ethics in Nursing Informatics” section of your course text.
- Investigate the legal, financial, and ethical issues surrounding meaningful use.
- Ask yourself: What are the goals of meaningful use?
By Day 7 of Week 6
Write a 4- to 5-page essay in which you:
- Summarize the legal, financial, and ethical issues that may arise as a result of meaningful use legislation.
- Explain how these issues might present barriers to successful implementation within an organization.
- Discuss ways that health care organizations can make the most of their electronic health record investments in light of meaningful use.
- Explain how EHR-related meaningful use legislation is being implemented in your organization.
NURS 8210 Assignment Meaningful Use Paper
NURS 8210 Assignment Meaningful Use Paper Grading Criteria
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A Sample Answer For the Assignment: NURS 8210 Assignment Meaningful Use Paper
Title: NURS 8210 Assignment Meaningful Use Paper
Develop the Integrated Testing Plan
The need for quality healthcare delivery processes calls for effective approaches in managing patients’ information. Today, healthcare institutions are involved in the use of different techniques to facilitate the management of data and ensure dynamic research processes. Electronic health records are a technological approach applied in most healthcare institutions to facilitate the capture, storage, and general management of data and patient information. The effect application of the EHR system is always associated with the incentive programs involved in the management of databases. For the security of patient information, the management of data and general information is necessary for ensuring success in the operational processes. Databases should always remain secure and free from interference from cyber attackers. Through the use of EHR systems and databases, healthcare providers have been able to maintain the data’s safety and enhance sharing of information during healthcare delivery processes (Kwon & Johnson, 2018). Sharing of information kept in the databases should only be made possible for the healthcare professionals to prevent or stop unauthorized access from malicious individuals. As a result, there is a need for healthcare providers to incorporate effective and secure interoperability. There are different stages of the EHR system or meaningful use in regards to the implementation of technology in the healthcare processes. The purpose of this assignment is to describe the three major stages of meaningful use and their measures.
Meaningful Use
The EHR system is always designed to depend on the data management approaches used by an organization. In other words, the system’s design depends on the types of data to be collected and the level of security required (Shickel et al., 2017). The EHR system is supposed to provide an automated system for ensuring efficiency and easy access to patients’ data. When fully developed and integrated into healthcare, the EHR system can enhance quality management, decision-making support, as well as healthcare outcome reporting. For most healthcare organizations, a fully functional EHR system relies on the ideas behind the implementation process (Zaccagnini, 2019). One of the main pillars of meaningful us is the protection of patient’s information. All the activities undertaken under the EHR system aim at ensuring improved quality, efficiency, and safety of patient’s information or data. The use of the EHR system has also enhanced research and the application of evidence-based practices. Through these systems, healthcare professionals have been able to get data and determine the trends of various diseases.
Meaningful use has created easy and effective ways of sharing information between healthcare providers. Today, most healthcare organizations have adopted the use of interoperability that connects various departments and healthcare providers. The benefits of meaningful use are far-reaching; it provides a complete and accurate information system where caregivers can access the information they need at their fingertips; the system also facilitates the diagnosis of different healthcare problems and provides the best possible care (Gold et al., 2017). Finally, meaningful use has significantly improved the coordination of care as well as patient engagement. With the meaningful use, there has been the reduction of medication errors and facilitation of the processes that leads to a high level of efficiency and speed in the diagnosis and the general healthcare delivery processes. The EHR system facilitates coordination among the healthcare workers; as a result, there has been increased efficiency in the healthcare processes.
Stages Involved in the Implementation of Meaningful Use
Stage 1
The implementation of meaningful use should always involve analysis of healthcare information systems, the types of data collected by any given healthcare organization, and interoperability. Stage one is considered to be one of the most critical parts of the EHR system development process. It mainly involves the organization of data and information for ensuring the safety and usability of the data. Through the organization of information, healthcare providers have been able to find it easier to carry out the implementation of subsequent steps of the EHR system. One of the main objectives of the EHR system/meaningful use is the coordination of care through integrating the EHR system with databases; this has always been achieved at stage one through clinical data tracking (Ramaprasad et al., 2020). The process incorporates utilization of data to determine the trends in healthcare quality. The analysis of stage one entirely depends on the security of information as well as success in sharing information.
Challenges and Barriers Faced by Facilities in Implementation of Stage 1
Stage one is an essential stage when implementing meaningful use although it is associated with several challenges of barriers. Temporary loss of productivity in the healthcare delivery processes is one of the problems or challenges found in stage one (Kaye, 2017). The implementation of the new systems in the operational processes usually interrupts the normal operational processes. Besides, healthcare professionals may take longer to adapt to the new environment. Stage one in the implementation process ought to incorporate continuous training processes to develop skills and competency in the use of this new technology. Also, there is the need to prepare healthcare professionals mentally and emotionally to successfully adopt the change process.
Stage 2
In stage two, there is always further integration of e-prescriptions in line with the outcomes of healthcare processes. Stage two mainly involve practices aimed at enhancing sharing of information; for instance, there is always implementation of interoperability to ensure patient’s information can be accessed by different healthcare professionals and healthcare providers. The success of stage two is measured in terms of the information shared through the interconnected networks. Full use of the EHR systems always depend on the success of stage two (Nair & Dreyfus, 2018). The success of stage two in the implementation processes also depends on stage one.
Challenges and Barriers Faced by Facilities in Implementation of Stage 2
The consideration of e-prescription in stage two often makes it very difficult to enhance sharing of information among healthcare providers. Stage two is also associated with the breach of data privacy. Through the integration of e-prescription, the system often becomes vulnerable to attacks due to delays or uninstalled security systems. To overcome these barriers, there is always the need to involve professionals who can apply technical approaches in maintaining the security of the system (Nair & Dreyfus, 2018). The incorporation of e-prescription is associated with high costs as well as the intense training that is required. Most healthcare organization ought to use huge amount of their revenues to ensure success in stage two.
Stage 3
All the activities or processes in stage one and two are actualized in stage three. Besides, this stage involves analyzing and integrating different factors developed in stages one and two. Successful implementation of stage three will ensure that the system operates at maximum efficiency.
Challenges and Barriers Faced by Facilities in Implementation of Stage 3
Stage three mainly involves the integration or incorporation of the processes undertaken in stage one and stage two. Therefore, the problems encountered in these two previous stages may interfere with the implementation processes in stage three. Lack of the essential resources in stage three may also interfere with the successful implementation process. The success of the EHR system or meaningful use can be realized when all the requirements in the three stages are met despite the challenges. Besides, all the stakeholders ought to be considered in the entire process of implementation. They need to be trained on the application of the new systems and how to improve healthcare services with it.
NURS 8210 Assignment Meaningful Use Paper Conclusion
Adherence to the three stages in the implementation of meaningful use may lead to successful outcomes in the healthcare delivery processes and data management. The EHR mainly consists of a range of data that includes medical history, demographics, immunization status, and personal statistics. In the current digital age, every healthcare facility needs to implement the use of the HER system with the aim of facilitating effective care delivery. With the increasing number of patients in the hospitals, the functions and significance of the EHR system remain vital; however, there are several factors that affect the implementation of the technology. Finally, meaningful use has created easy and effective ways of sharing information between healthcare providers. Today, most healthcare organizations have adopted the use of interoperability that connects various departments and healthcare providers.
NURS 8210 Assignment Meaningful Use Paper References
Gold, R., Cottrell, E., Bunce, A., Middendorf, M., Hollombe, C., Cowburn, S., … & Melgar, G. (2017). Developing electronic health record (EHR) strategies related to health center patients’ social determinants of health. The Journal of the American Board of Family Medicine, 30(4), 428-447. https://www.jabfm.org/content/30/4/428.short
Kaye, S. P. (2017). Nurses’ attitudes toward meaningful use technologies: an integrative review. CIN: Computers, Informatics, Nursing, 35(5), 237-247. https://journals.lww.com/cinjournal/fulltext/2017/05000/nurses__attitudes_toward_meaningful_use.4.aspx
Kwon, J., & Johnson, M. E. (2018). Meaningful Healthcare Security: Does “Meaningful-Use” Attestation Improve Information Security Performance?. MIS Quarterly, 42(4), 1043-1067. https://dl.acm.org/doi/abs/10.25300/MISQ/2018/13580
Nair, A., & Dreyfus, D. (2018). Technology alignment in the presence of regulatory changes: The case of meaningful use of information technology in healthcare. International journal of medical informatics, 110, 42-51. https://www.sciencedirect.com/science/article/abs/pii/S1386505617304264
Ramaprasad, A., Syn, T., & Thirumalai, M. (2020). An ontological map for meaningful use of healthcare information systems (Muhis). In HEALTHINF 2014: Proceedings of the International Conference on Health Informatics, Marta Bienkiewicz, Christine Verdier, Guy Plantier, Tanja Schultz, Ana Fred and Hugo Gamboa, eds., SCITEPRESS. https://papers.ssrn.com/sol3/papers.cfm?abstract_id=2408850
Shickel, B., Tighe, P. J., Bihorac, A., & Rashidi, P. (2017). Deep EHR: a survey of recent advances in deep learning techniques for electronic health record (EHR) analysis. IEEE journal of biomedical and health informatics, 22(5), 1589-1604. https://ieeexplore.ieee.org/abstract/document/8086133/
Zaccagnini, M. A. R. Y. (2019). Doctor Of Nursing Practice Essentials: A new model for advanced practice nursing. S.l.: Jones & Bartlett Learning.
A Sample Answer 2 For the Assignment: NURS 8210 Assignment Meaningful Use Paper
Title: NURS 8210 Assignment Meaningful Use Paper
Meaningful Use Legislation
The rationale for introduction of health information technology (HIT) in the health care system is to enhance health care process by promoting safe, affordable, efficient, and quality care delivery. Consequently, the need for meaningful use (MU) of electronic health records (EHRs) has been established to help in fostering improvements in the efficiency of health care provision. Therefore, it is necessary for clinicians and hospitals to adopt MU of certified EHRs to achieve the desired outcomes. In particular, the meaningful use of EHRs tends to enhance quality, efficiency, and safety. Besides, EHRs reduces health disparities, involve patients and their family in their health care provision, ensure privacy and confidentiality of patient health information, and promotion of care coordination (Slight et al., 2015).
Meaningful use is defined as the utilization of certified EHR technology in a manner that fosters electronic exchange of health information to enhance the health care quality and effectiveness. Overall, the objective of meaningful use is to promote cooperation between clinical and public healthcare, enhance patient-centered care, and sustain consistent development of vigorous consistent data exchanges. Essentially, MU mostly entails a process of recording the actions of a physician and what is essential in ensuring that the patient receives a holistic treatment rather than merely treating the presenting health concerns (Kruse, Bolton, & Freriks, 2015). Nonetheless, despite the vital role played by the EHRs in the healthcare system, the meaningful use of EHRs are significantly impacted by various factors such as legal, financial, and ethical issues leading to uncertainty in the effective utilization of EHRs systems in reforming the health care system. Therefore, this paper seeks to summarize different issue related to the meaningful use of legislation and determine how they may be impediment to the implementation of the meaningful use legislation.
Legal Issues
Indeed, there are many legal issues involved in the meaningful use of EHRs. The first issue constitutes paying little attention to regulate the changeover from the utilization of manual paper-based records to the utilization of the EHRs. Notably, there is a pressure to establish health information exchanges at the national, state, and local levels. As a result, the physicians are expected to have a substantial access to computers, including accessing more than one organizational paper-based chart. However, despite the positive intentions of such initiatives in tackling the challenges of clinical information that is either defective or deficient, it is unfortunate that no law exists to guide the health care providers in understanding their scope and degree of liability in examining information on EHRs targeted to the whole community and containing information from various sources (Ben-Assuli, 2015). Worse yet, the utilization of computer systems which is widespread in EHRs foster the storage of massive amount of data, which often results in generation of colossal information. However, the availability of immense information can be disastrous to physicians because it may lead to the potential risk of failing to notice vital findings containing crucial information from the pool of documentation captured in the computer system. In case of occurrence of such incidence, health care providers often face dire consequences including institution of legal actions against them for negligence. Besides, the health care settings where such incidences occur also face liability under the legal notion of “respondent superior” (Ben-Assuli, 2015). This liability often arises in circumstances where the name of health care providers does not appear in the lawsuit or being directly impacted by the utilization of EHRs. Moreover, the process of EMR implementation is undoubtedly challenging and physicians involved in the implementation process are exposed to the risk of medical malpractice claims. Notably, the chances of committing error are higher during transitioning period or implementation period when the health care organization moves from the use of the manual paper-based system that health providers are used fond of to a new system.
The other legal issue involved in the meaningful use legislation is possibility of increase in the legal accountability and responsibility of health care providers. Essentially, the EHR audit system can be effective in helping the management of health care organization to effortlessly recognize health care providers who have failed to examine a particular information or fundamental information (Slight et al., 2015). Besides, the meaningful use facilitates easy trailing of health care providers who fail to account for strange incidences that they have assessed. Mostly, EMRs fosters such responsibility and accountability through their ability to enhance the accessibility of documentation or information that can assist in establishing or support a malpractice claim. On the other hand, the eradication of CDS alerts also constitutes another legal concern that may be emanating from the meaningful use of EHRs. Presently, the legal connotations regarding the ouster of CDS alerts are interpreted as being vague in the same manner as the repercussions for failure of health care providers to comply with those CDS alerts. Fundamentally, intricate legal consequences always emanate from the meaningful use legislation, particularly in regard to concerns about EHRs usability, quality, and reliability.
Financial Matters that may Arise
The adoption and execution of the EHR or HIEs requires an overall authority that will oversee the matter. As such, this raises the question of who will be held responsible in case of anything since the finances generated from such project are generally supplied to the payers and not the financiers or funders of the same (Ben-Assuli, 2015). The determination of an extended maintenance of the electronic health record is similarly difficult since the process is expensive and complex.
Ethical Issues that May Arise
The use of electronic health records in a meaningful way leads to the emergence of several ethical points concerning the ownership of the information alongside the protection of the same as conducted by the health care provider. The presence of the possibility of a breach of privacy has led to apprehension amongst the patient population as concerns the security of their PHI or unauthorized access to EHR. Improper use of HER has the capacity to dent the ethical standards of a health care facility when it comes to such things as selling patient database copies linked to medical device marker by vendors, the researchers or even the pharmaceutical firms (Mittelstadt, & Floridi, 2016). Ethical issues exist in this scenario since DE-identified data could be manipulates using data sources that are eternal to the system in a public manner. Moreover, the ease with breach of information through the computer occurs raises the possibility of ethical issue as relates to meaningful use of laws. Ab quintessential example is unauthorized login in to a system when a use has forgotten to log out.
The contention as to whether the beneficence principle should receive universal recognition raises another ethical issue as relates to authorization. Moreover, the principles of autonomy is similarly in jeopardy particularly when patient information or data is shared with third parties. These two scenarios raise ethical questions as regards to receiving the requisite authorization from the patients as regards to how their data may be utilized.
Barriers to Successful Implementation within a Facility
Several ways exist regarding the manner in which some of the issues discussed above may hamper successful implementation of the EHR system in a health care facility. The training and installation of the EHR system is capital intensive and this may affect its acquisition by a health care facility (Richardson, 2016). Further, the risk of exposure of patient data may prevent both a health care facility as well as patients from fully embracing the usage of the EHR. Consequently, the adoption of the paper system may become favorable to these people in spite of their limitations.
Making the Most of EHR
Making the system flexible in terms of adding new functionalities to it is a fundamental way of ensuring that EHR systems have the capacity to facilitate certain workflow necessities. Further, the adoption of real-time features as regards medication dictation will prevent health care facilities from making medication errors. The above feature has to have direct note incorporation or voice recognition functionality to have the above effect. In addition, increasing the security features by encrypting the system using functional firewalls may prevent cybersecurity attacks or internal breaches (Ng-Mak & Ruetsch, 2019). Further, the management also has to play an integral role in this process through the formulation of the requirements for the system and also limiting the initial choices, which prevents a facility from misusing money. The above is preceded by proper comprehension of the workflow associated with a department or an office by the management.
Implementation of Meaningful Use Legislation in Our Organization
The adoption of technology as far as patient identification happens in our organization forms the basis of the implementation of the meaningful use legislation in our organization. To that effect, electronic identification bands for the patients have been adopted by our health care facility, which prevents mistakes related to wrongful identification hence treatment. Moreover, our health care organization has facilitated the sharing and capturing of the data at fundamental levels and also ensuring that data exchange occurs in a seamless and accurate manner between the correct agencies.
Conclusion
Electronic health records offer health care organizations financial incentives and also increase patient satisfaction through improved quality. However, certain limitations particular related to cybersecurity breaches, increased financial burden and privacy issues amongst the patient population affect the system. In general, policymakers and experts believe that the potential to enhance the quality of patient care via embracing the EHR systems exists as long as they are used in a meaningful way.
References
Ben-Assuli, O. (2015). Electronic health records, adoption, quality of care, legal and privacy issues and their implementation in emergency departments. Health policy, 119(3), 287-297.
Kruse, C. S., Bolton, K., & Freriks, G. (2015). The effect of patient portals on quality outcomes and its implications to meaningful use: a systematic review. Journal of medical Internet research, 17(2), e44.
Mittelstadt, B. D., & Floridi, L. (2016). The ethics of big data: current and foreseeable issues in biomedical contexts. Science and engineering ethics, 22(2), 303-341.
Ng-Mak, D., & Ruetsch, C. (2019). Association between meaningful use of electronic health records and patient health outcomes in schizophrenia: a retrospective database analysis. The American journal of managed care, 25(9 Suppl), S159-S165.
Richardson, T. A. (2016). Meeting Meaningful-Use Requirements With Electronic Medical Records in a Community Health Clinic.
Slight, S. P., Berner, E. S., Galanter, W., Huff, S., Lambert, B. L., Lannon, C., … & Payne, T. H. (2015). Meaningful use of electronic health records: experiences from the field and future opportunities. JMIR medical informatics, 3(3), e30.
| NURS8210 Grading Rubric | |||
| Week 6 Application 2: Meaningful Use Paper | Points Possible | Points Earned | |
| You summarized the legal, financial, and ethical issues that may arise because of meaningful use legislation.
|
4 | ||
| You explained how these issues might present barriers to successful implementation within an organization.
|
4 | ||
| You discussed ways that health care organizations can make the most of their electronic health record investments in light of meaningful use.
|
4 | ||
| You explained how EHR-related meaningful use legislation is being implemented in your organization.
|
3 | ||
| Spelling, grammar and APA | |||
| Note: Points may be deducted for grammar, spelling, and/or APA errors. | |||
| Points | 15 | ||
| Comments: | |||
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