ANCC Study Guide HITECH Act (Health Information Technology for Economic & Clinical Health) Promote meaningful use of health information technology o Privacy/security of PHI o Improve quality, ... safety, efficiency and reduce healthcare disparities o Improve care coordination, population health and public health o EHR (electronic health record) can engage patients and family 2009 – Transition from paper to electronic charting, incentives to convert by 2015 CDS – Clinical Decision Support Best practice alert – based on clinical guidelines Red Text – for abnormal results and VS Condition-specific order sets/protocols American Telemedicine Association Practice Guidelines Follow federal, state & local regulations & licensure requirements Providers shall ensure that the patient is physically located in a jurisdiction in which the provider is duly licensed and credentialed. Providers shall practice within the scope of their licensure and shall observe all applicable state and federal legal & regulatory requirements Helpful for patients in rural areas with decreased access to care State Practice Act NP’s legal right to practice is derived from state legislature Dictate level of prescriptive authority allowed Determines scope of practice, mandated education and requirements in each state State Board of Nursing Enforces state’s nurse practice act, statutory authority to regulate nursing practice Legal authority to License, monitor and discipline nurses Emergency Medical Treatment & Labor Act (EMTALA) Prevent inappropriate transfers and “patient dumping” for indigent patients Requires hospitals to assess & treat patients regardless of ability to pay and provides specific provision for when transfers are allowed. Consensus Model for Advanced Practice Registered Nurse (APRN) Allow NP to practice as the fullest extent of their training and certification National Counsel of the state BON in conjunction with numerous professional organizations Advocates for the APRN title, independent prescriptive authority & establishes certain minimum standards for NP’s ***NP’s are not required to have collaborating physician supervision under the consensus model 1 Relative Risk [Show More]
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