NR 599: Nursing Informatics:
McGonigle & Mastrian: Ch. 13
with complete verified
solutions
Alternative Payment Model (APM)
The Reauthorization Act of 2015 (MACRA) reformed Medicare payments by
making changes that created a quality payment program (QPP) to replace
the hodgepodge system of Medicare reporting requirements.
The MACRA and QPP has 2 paths- merit-based payment systems (MIPS) or
alternative payment models (APMs) that will be in effect through 2021 and
beyond
The APMs are not just incentives, but fundamental changes in how we pay
for health care in the U.S.
It is these models, particularly those dealing with total cost of care, that
have the potential in fundamentally alter the value we receive from health
care
American Recovery and Reinvestment Act (ARRA)
An economic stimulus package enacted in 2/2009 that was intended to
create jobs and promote investment and consumer spending during the
recession.
This act is also referred to as the Stimulus or Recovery Act.
There was a push for widespread adoption of HIT and Title XIII of ARRA
was given a subtitle: Health Information Technology for Economic and
Clinical Health (HITECH) act.
Through this act, health care organizations can qualify for financial
incentives based on the level of MUs achieved, the HITECH Act specifically
incentivizes health organizations and providers to become MU users.
Bar-code medication administration (BCMA)
, A system using bar code technology affixed to the medication, the patient
ID bracelet, and the nurse ID badge to support the five rights of
medication administration.
Clinical transformation
The complete alteration of the clinical environment; widespread change
accompanies transformational activities and clinical transformation
implies that the manner in which work is carried out and the outcomes
achieved are completely different than the prior state, which is not always
true in the case of simply implementing technology.
Technology can be used to launch or in conjunction with a clinical
transformation initiative; however, the implementation of technology
alone is not justifiably transformational ability; therefore, this term should
be used cautiously to describe redesign efforts.
Computerized provider order entry (CPOE)
Systems that automate the way that orders have been traditionally been
initiated for patients.
Clinicians place orders within these systems instead of using traditional
handwritten transcription onto paper.
These systems provide major safeguards by ensuring that physician
orders are legible and complete, thereby providing a level of patient,
safety that was historically missing with paper-based orders
They provide decision support and automated alert functionality that was
previously unavailable with paper-based orders.
Electronic Health Record (EHR)
A computer-based data warehouses or repositories of information
regarding the health status of a client, which are replacing the former
paper-based medical records, they are the systematic documentation of a
client's health status and health care in a secured digital format, meaning
that they can be processed, stored, transmitted, and accessed by
authorized interdisciplinary professionals for the purpose of supporting
efficient, high-quality care across
Events
Occurrences that might be significant to other objects in a system or to
external agents, for example, creating a laboratory request is an example
of a healthcare event in a laboratory application.
An event is defined and could be a triggering event for the task or
workflow; a task or workflow can have several triggering events.
McGonigle & Mastrian: Ch. 13
with complete verified
solutions
Alternative Payment Model (APM)
The Reauthorization Act of 2015 (MACRA) reformed Medicare payments by
making changes that created a quality payment program (QPP) to replace
the hodgepodge system of Medicare reporting requirements.
The MACRA and QPP has 2 paths- merit-based payment systems (MIPS) or
alternative payment models (APMs) that will be in effect through 2021 and
beyond
The APMs are not just incentives, but fundamental changes in how we pay
for health care in the U.S.
It is these models, particularly those dealing with total cost of care, that
have the potential in fundamentally alter the value we receive from health
care
American Recovery and Reinvestment Act (ARRA)
An economic stimulus package enacted in 2/2009 that was intended to
create jobs and promote investment and consumer spending during the
recession.
This act is also referred to as the Stimulus or Recovery Act.
There was a push for widespread adoption of HIT and Title XIII of ARRA
was given a subtitle: Health Information Technology for Economic and
Clinical Health (HITECH) act.
Through this act, health care organizations can qualify for financial
incentives based on the level of MUs achieved, the HITECH Act specifically
incentivizes health organizations and providers to become MU users.
Bar-code medication administration (BCMA)
, A system using bar code technology affixed to the medication, the patient
ID bracelet, and the nurse ID badge to support the five rights of
medication administration.
Clinical transformation
The complete alteration of the clinical environment; widespread change
accompanies transformational activities and clinical transformation
implies that the manner in which work is carried out and the outcomes
achieved are completely different than the prior state, which is not always
true in the case of simply implementing technology.
Technology can be used to launch or in conjunction with a clinical
transformation initiative; however, the implementation of technology
alone is not justifiably transformational ability; therefore, this term should
be used cautiously to describe redesign efforts.
Computerized provider order entry (CPOE)
Systems that automate the way that orders have been traditionally been
initiated for patients.
Clinicians place orders within these systems instead of using traditional
handwritten transcription onto paper.
These systems provide major safeguards by ensuring that physician
orders are legible and complete, thereby providing a level of patient,
safety that was historically missing with paper-based orders
They provide decision support and automated alert functionality that was
previously unavailable with paper-based orders.
Electronic Health Record (EHR)
A computer-based data warehouses or repositories of information
regarding the health status of a client, which are replacing the former
paper-based medical records, they are the systematic documentation of a
client's health status and health care in a secured digital format, meaning
that they can be processed, stored, transmitted, and accessed by
authorized interdisciplinary professionals for the purpose of supporting
efficient, high-quality care across
Events
Occurrences that might be significant to other objects in a system or to
external agents, for example, creating a laboratory request is an example
of a healthcare event in a laboratory application.
An event is defined and could be a triggering event for the task or
workflow; a task or workflow can have several triggering events.
