NUR331 Assessment Case Study 2 • Situation: • Tarni is

WEEK 2 JOURNAL Every week the learner will analyze and reflect upon the last week’s content and course reading, and class discussion. The learner will then compose a journal entry essay of this reflection. This composition should be thoughtful and concise. 1. The reflections should be more than simply restating the content covered. If you only do this then you will not earn full points. Instead, think about how do you think this information will be helpful to you, what did you appreciate learning, what the content boring(describe why) or simply something you do not agree with(and that is OK). 2. If you disagree or something bothers or excites you about the content, share that as part of your reflection. The textbook: Sultz, H. A., & Young, K. M. (2018). Health Care USA: Understanding Its Organization and Delivery (9th ed.). Jones & Bartlett Learning. Chapter 2 Benchmark Developments in U.S. Health Care MAJOR THEMES CHAPTER 2: • Legislative, organizational, and professional developments changed the U.S. health care system from one-to-one services to a huge, complex, corporation- dominated industry. • Twentieth-century accomplishments: Prevention of infectious diseases, psychotropic drugs, imaging and cardiovascular technologies; advancing technology encouraged medical specialization. • ACA’s four aims: Consumer protection; higher quality, lower costs; access to affordable care; holding insurance companies accountable. ACA’s mandates and results will continue to be challenged – Experimentation with new delivery models with health services research results – Evolving health care provider and insurance marketplaces – Changing political landscape will determine final results of ACA implementation Chapter 3 Health Information Technology MAJOR THEMES CHAPTER 3: • Applying information technology to health care systems dates to 1960s with Kennedy’s Presidential Commission Report from “Sciences Advisory Committee.” • Fifty years of government and private program experience yielded mixed results on HIT benefits to health care costs and quality HITECH Act and ARRA of 2009: Medicare and Medicaid provided $20.8 billion to incentivize physician, hospital, other providers to adopt EHR; supported other programs to provide technical support and staff training to facilitate EHR adoptions. • HIT’s ultimate goal: combine human intuitive strengths with computer data retention capacity to create an intuitive, tireless data processing capability. Current EHR technology does not allow most systems to interface; U.S. HIT is disparate siloes; cannot exchange patient records in an efficient and secure manner. • HIT implementation challenges: interfaces among technology, organization policies, procedures, and organizational cultures. • “Meaningful use” qualifications require meeting staged criteria over three phases; major financial incentives to meet date targets. Health information exchanges (HIEs) and regional health information organizations (RHIOs) create systems, processes, and technologies that enable exchange of basic patient data among participating organizations/institutions. • EHR adoption among physicians, hospitals, and pharmacies showed steady progress since passage of the HITECH Act in 2009. • “Meaningful use” progress lagging in 2016— program to be subsumed under MACRA.

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