100%(5)5 out of 5 people found this document helpful
This preview shows page 1 - 4 out of 9 pages.
1RUNNING HEAD: MEANINGFUL USEMeaningful Uses for Nurses: Implications and RecommendationsChloe CarsonChamberlain College of NursingNR 512: Fundamentals of Nursing InformaticsJanuary 2016
2IntroductionThe use of Electronic Health Record (EHR) was established within the United States for over a decade ago. Martelle et al. (2015) states, “The objectives of EHR adoption include improvements in continuity of care, evidence-based practice, and reduction of errors, and have been promoted through the Centers for Medicare and Medicaid Services (CMS) Medicaid and Medicare EHR Incentive Program, also known as meaningful use (MU). This paper will define the term “Meaningful Use”, provide an overview of the program, analyze it, and recommend additional criteria for program usage. Overview of Meaningful UseIn 2009, several acts of legislation were enacted after the global economic recession of 2007-2008. The American Recovery and Reinvestment Act (ARRA) of 2009 was a stimulus package to mostly create jobs, but also incorporated accountability and transparency of government spending. With this new regulation on government spending, reform to healthcare and Health Information Technology (HIT) was enforced. Two of the three major changes to health-care practices were financial incentives for Medicaid and Medicare adoption by providers and hospitals and reform of health information privacy practices (Burke, 2010, p. 141). These incentives were given if the providers and/or hospitals were “meaningful users” of Electronic Health Records (EHR) of patients.The term “Meaningful Use” is defined by Gabraith (2013) as:The Department of Health and Human Services, through the Centers for Medicare and Medicaid Services, defines meaningful use as “using certified electronic health record (EHR) technology to: improve quality, safety, efficiency, and reduce health disparities;
3engage patients and families; improve care coordination, and population and public health; and maintain privacy and security of patient health information.Although this is a broad definition, the main goal of the program is improve patient outcomes ultimately. The program consists of three stages that hospitals or providers must achieve in order to be eligible for the funds that Health Information Technology for Economic and Clinical Health (HITECH) Act grants. In order to become eligible for the incentives, the Centers for Medicare and Medicaid Services (CMS) judge the use of EHR’s based off of the coreobjectives for the stage. Shea et al. (2014) provides examples of some of the core objectives as, “documenting vital signs and problems, ordering lab tests and medications, and providing visit summaries and educational materials to patients.