Legal And Ethical Issues In Nursing Informatics Research Paper

Length: 5 pages Sources: 3 Subject: Healthcare Type: Research Paper Paper: #37561764 Related Topics: Hitech Act, Advanced Directive, Health Informatics, Meaningful Use
Excerpt from Research Paper :

¶ … Healthcare incentive program

Nursing Informatics/Meaningful use

Meaningful Use Program

Overview of Meaningful Use program

Meaningful use is basically an enticement program available for healthcare providers and hospitals for attaining the aims as per the Centers for Medicare and Medicaid Services (CMS). The healthcare providers and hospitals should ensure that they are making use of certified EHR technology visibly represented in methods. From 2015 and onwards, healthcare providers and hospitals will be penalized for nonconformity with these regulations (Halimi, Brandes, & Bassi, 2012). Meaningful Use (MU) incentive program was started back in 2011. CMS started coordinating the monetary incentives to the participants of the program, fulfilling the requirements as per MU. The criteria were developed by a panel of experts known as National Quality Forum. The development of the criteria was to incorporate, promote and support EHR systems which enhanced patient's care whilst keeping privacy and security of EHR systems intact. The basic aim is to integrate the overall adoption of new healthcare technology by the entire healthcare industry and healthcare providers for the patient's and consumer's benefits. For receiving the EHR incentive payment, the healthcare providers needs to validate their usage of EHR's by fulfilling the criteria of MU and its objectives (Thurston, 2014).

How Electronic Health Records (EHRs) are important to healthcare system?

Electronic health records (HER's) needs to be incorporated for redesigning the healthcare system. Due to EHR's, care services are improved as well as it supports evidence-based practice. EHR system can furnish data for investigating patient populations, deal with chronic disease and guarantee preventive care applications which paper documentation wasn't able to achieve. The technology is destined to become the basis of clinical practice in future. EHR is a clinical tool which is quite low priced, competitive and lifesaving all in one (Thurston, 2014).

Electronic health record (EHR's) facilitates high quality and low priced healthcare by backing up the doctors and enhancing the healthcare results. The price of implementing this is around $20 million to $100 million, which depends on the size of the hospital, which in turns indicates that just 2% of the hospitals have incorporated this facility. The financial incentive is dispatched from federal Health Information Technology for Economic and Clinical Health (HITECH) Act (Halimi, Brandes, & Bassi, 2012).

In the words of Gale, Hartley and Croll (2014), HITECH19 has stated the three fundamental requirements for being an EHR user:

Using certified HER technology in a constructive way, which includes electronic prescribing as well finalized by the secretary

Using certified EHR technology which is connected in a way that facilitates exchange of information for enhancing the healthcare's value for instance boosting coordination.

Information should be submitted on clinical quality basis which are again finalized by the secretary employing certified EHR technology.

Goals of Meaningful Use Program

The HITECH Act's goals in formulating MU are to:

Boost the efficacy, safety and value of healthcare whilst cutting down discrepancies

Uphold EHR's security and discretion

Enhance the care coordination

Involve families and patients in care

Progress of Meaningful Use

The program is working along fine. In a span of just five years, EHR's has been adopted at an increased pace. From April 2014, 73% of the professionals (383,072 from527,200) as well as 91% (4,561 from 5,011) have taken part in the voluntary program and collected a whopping amount of $23.7 billion in Medicare EHR incentive program in case valid cases of adoption, implementation and up gradation of EHR system or meeting the MU criteria (Jones, Murphy, Novak, & Sarnowski, 2014).

Meaningful Use Criteria

The hospitals and eligible professionals (EP's) have to demonstrate the usage of certified electronic health records (EHRs) in order to receive the incentive imbursement given for Medicare EHR Incentive Program under Centers for Medicare & Medicaid Services (CMS). Hospitals and eligible professionals which are eligible for this incentive program don't need to demonstrate their usage of EHR during the initial year, but should adopt, apply and modernize to an EHR for collecting the incentive imbursement from their respective States (healthit, n.d.).

Summary of Meaningful Use Criteria and Objectives:

For being eligible for the MU criteria, the hospitals and EP's should accept the certified EHR technology and ensure that certain objectives are being met. The hospitals and eligible professionals must facilitate certified HER in their systems for collecting the incentive reimbursement via Medicare HER Incentive Program under CMS (healthit, n.d.).

In case of stage-1, MU criteria consist of:

Collecting health data electronically in a proper format

Making use of that information for...

...

In case of their duties, NP's are known to affect the price and quality of health care. Hence, they can drive the usage of advanced healthcare facilities for quality, security and efficacy of healthcare services (Jones, Murphy, Novak, & Sarnowski, 2014).

Most of the fundamental objectives of MU ensure that EHR facilitates effective healthcare for instance, demographics, vital signs, allergies and list of medications. Apart from that, various fundamental objectives consist of making use of advanced capabilities to understand the real importance of EHR's in healthcare industry and its value for the entire society. With the help of such systems, the doctors are able to take better informed healthcare decisions and commit fewer mistakes. Most of the objectives of MU allow the nurses to enter data in a well-organized manner, noting down the information in a notepad isn't feasible to meet the primary goals. For instance, keeping a list of active medication, keeping a list of allergy, saving vital signs, weight, height, smoking habits and advanced directives. Saving this key health data is vital as it can be sent to other end users and helps in successful healthcare via evidence-based care. Apart from that, documentation which was saved prior can be shown again on next visit, ensuring a patient history instead of dealing once again all over again (Halimi, Brandes, & Bassi, 2012).

According to Recovery Act of 2009, some financial incentives were assimilated for healthcare providers as well as Nurse practitioners for implementing the usage of EHR's after HITECH Act was put in effect. The program guarantees incentive payments in both cases of Medicare and Medicaid program (Jones, Murphy, Novak, & Sarnowski, 2014).

Implications for patients and healthcare

The healthcare industry will be completely revolutionized totally by meaningful use by transforming the method of documenting medical data. As the criteria have been ordained by CMS, the participants will have to ensure thorough and detailed documentation and charting of patient care. The healthcare professionals need to be patient during this period and ensure that they reveal patient information accurately. Meaningful use will change the way healthcare is given by healthcare professionals which consists of:

Providers will have a better view of what's missing. The interface of EHR's is designed as such that it facilitates availability of information about screening tools, tests and cures on the spot. It can also outline lapses in medical treatment and inform the physician in order to take medically informed decisions

More hands-on patients. With the help of patient portals and online features, patients can view their own lab results, records and list of medication. Hence, the patients will become more knowledgeable about their own care.

More collaboration between providers. The end goal of EHR is to outline a clear and real time condition of patient's health which will be available to hospitals, health providers and clinics in USA. With this information on fingertips, the physicians can take better medical decisions on the basis of patient's history (Simmons, 2013).

Implications for National Health Policy

In case of stage 1 of Meaningful Use menu suggests that healthcare providers send information to public health agencies and immunization registries. In case of stage 2 continues the same process in order to reshape the healthcare policy decisions, instigate best practices and enable overall national health. More healthcare providers are warming up to EHR Incentive Program as the present meaningful users have advanced implementation in place, the anticipation is the healthcare industry to accept meaningful use in due time. The patients will observe better results and health data will be recorded along with its results (Tagalicod, 2013).

Additional Core Criteria:

The menu objective criteria aren't taken in consideration as of yet, but they are quite advantageous for the nurses, observing population health, nursing, shaping national health policies and improving the patient outcomes. They consist of:

Embedding clinical lab test results in an EHR in the form of structured data

Create…

Sources Used in Documents:

References:

CMS (2013).Eligible Professional Meaningful Use Table of Contents Core and Menu Set Objectives. Retrieved from https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/downloads/EP-MU-TOC.pdf

Gale, J.A., Hartley, D., & Croll, Z. (2014).Meaningful use of electronic health records by rural health clinics. Retrieved from http://muskie.usm.maine.edu/Publications/rural/WP52-Meaningful-Use-EHR-RHC.pdf

Halimi, M., Brandes, A. & Bassi, S.(2012). What does "meaningful use" mean for perioperative nurses? Retrieved from http://www.nursingcenter.com/_PDF_.aspx?an=01271211-201207000-00002

HealthIT (n.d.).How to Attain Meaningful Use. Retrieved from http://www.healthit.gov/providers-professionals/how-attain-meaningful-use
Simmons (2013).Trending Topic -- Meaningful Use. Retrieved from http://onlinenursing.simmons.edu/trending-topic-meaningful-use/
Siemens (2012).Nursing in the New Decade Series 2012. Retrieved from http://usa.healthcare.siemens.com/infrastructure-it/healthcare-it/nursing-in-the-new-decade-series-2012/nursing-meaningful-use/
Tagalicod, R. (2013). The Real World Impact of Meaningful Use. Retrieved from http://www.cms.gov/eHealth/ListServ_RealWorldImpact_MeaningfulUse.html


Cite this Document:

"Legal And Ethical Issues In Nursing Informatics" (2014, November 30) Retrieved August 14, 2022, from
https://www.paperdue.com/essay/legal-and-ethical-issues-in-nursing-informatics-2152922

"Legal And Ethical Issues In Nursing Informatics" 30 November 2014. Web.14 August. 2022. <
https://www.paperdue.com/essay/legal-and-ethical-issues-in-nursing-informatics-2152922>

"Legal And Ethical Issues In Nursing Informatics", 30 November 2014, Accessed.14 August. 2022,
https://www.paperdue.com/essay/legal-and-ethical-issues-in-nursing-informatics-2152922

Related Documents
Nursing Informatics Imagine Learning Within One's Organization
Words: 1735 Length: 5 Pages Topic: Healthcare Paper #: 88497385

Nursing Informatics Imagine learning within one's organization that medical records are becoming electronic and additional training is needed. Will one react in a positive or negative manner? How long does it take to implement technology? What current statistics are available in this matter? Nursing-informatics is a growing field of study that deals with ethics, effects of implementation, shaping medical performance, nurse patient communication as well as the advantages and disadvantages in

Nursing Informatics
Words: 1446 Length: 4 Pages Topic: Business - Management Paper #: 35830447

Nursing Informatics: Computerized Management Systems Could Increase Quality of Care A computerized management system refers to the use of hardware and soft ware in the managing process within an organization. Computerized management systems in a community-based health institution can be used in management of the organization and treatment of the patients. The management can use the computerized systems to manage the financials of the patients. Improved financial management will enable the

Ethical Issues Surrounding the Adoption of Electronic
Words: 1295 Length: 5 Pages Topic: Healthcare Paper #: 55644945

Ethical Issues Surrounding the Adoption of Electronic Health Records (EHR) by Health Care Organizations and Meaningful Use The objective of this work in writing is to examine why health care organizations are hesitant to adopt electronic health records (HER) in light of the potential of HER to improve quality, increase access, and reduce costs. This issue will be examined from a legal, financial, and ethical standpoint and in relation to

Nursing Ethics in the Late 20th and
Words: 580 Length: 2 Pages Topic: Health - Nursing Paper #: 27487087

Nursing Ethics In the late 20th and early 21st centuries, medical technology has advanced enough to provide certain measures to keep the body "alive," but not necessarily the brain or the cognitive functions that make up quality of life (O'Keefe-McCarthy, 2009). Despite the fact that death is a cyclical part of life, humans still have a very difficult time dealing with issues surrounding terminal illness: hospice, do not resuscitate, costs for

Ethical Perspectives Ethical Decision Making Is a
Words: 1160 Length: 4 Pages Topic: Healthcare Paper #: 32112747

Ethical Perspectives Ethical decision making is a method that is utilized by most of the health care professionals all over the world. The principles of beneficence and autonomy are very crucial when it comes to carefully guiding the decision making process. A nurse needs to understand that the importance of these principles and thus use these principles for the patient's benefit. Chally and Loriz (1998) and Kolouroutis and Thorstenson (1999) have

Ethical Legal Dilemma in Advanced Practice Nursing Case Study
Words: 2822 Length: 9 Pages Topic: Healthcare Paper #: 9474142

Ethical-Legal Dillema in Advanced Nursing Practice Ethical-Legal Dilemma involving a Patient in Emergency Department (ED) The case study discussed in this paper presents ethical-legal principles in nursing which protects patient's privacy, confidentiality and security. Nurses have a professional obligation to protect the privacy of patients. Nursing Law and confidentiality define privacy as the right of patients to have their personal, identifiable medical information kept discrete and only accessible to the physician of