Reauthorization act of 2015 (macra) and meaningful use

  To Prepare

  • Review the resources related to Medicare Access and      CHIP Reauthorization Act of 2015 (MACRA) and meaningful use objectives.
  • Review the Criteria for Attestation.
  • Consider your current workplace or a former workplace      and reflect on how EHR implementation slows your work, including staffing      issues, medication barcoding, or any other issues that you might      encounter.
  • Identify policy mandates and requirements and reflect      on how informatics and EHR implementation affect your ability to meet      those policy mandates and requirements. 
  • Identify other mandates (e.g., quality, safety,      requirement of reporting) and reflect on how they may affect issues you      identified.

By Day 3 of Week 10

Post a response that analyzes how policy mandates and requirements you experience might affect the issues you encounter as a practicing nurse informaticist. Be specific and provide examples. Next, analyze how evolving policies that may be implemented might affect issues you encounter in nursing practice, and explain why.

McBride, S., & Tietze, M. (2019). Nursing informatics for the advanced practice nurse: Patient safety, quality, outcomes, and interprofessionalism (2nd ed.). New York, NY: Springer Publishing.
Chapter 1, “Introduction to Health Information Technology in a Policy and Regulatory Environment” (pp. 2–17)
Chapter 12, “National Standards for Health Information Technology” (pp. 272–295)

Centers for Disease Control. (2017, January 18). Meaningful use. Retrieved from 

Lye, C. T., Forman, H. P., Daniel, J. G., & Krumholz, H. M. (2018). The 21st Century Cures Act and electronic health records one year later: Will patients see the benefits? Journal of the American Medical Informatics Association, 25(9), 1218–1220. 

Office of the National Coordinator for Health Information Technology. (2017, May 15). Standard nursing terminologies: A landscape analysis. Washington, DC: Author. Retrieved from

Office of the National Coordinator for Health Information Technology. (2019, February 20). Meaningful use and MACRA. Retrieved from

Federal Register: The Daily Journal of the United States Government. (2016, May 5). Medicaid and Children’s Health Insurance Program (CHIP) programs; Medicaid managed care, CHIP delivered in managed care, and revisions related to third party liability. Retrieved from

eCQI Resource Center. (2019a, May 10). eCQMs. Retrieved from

eCQI Resource Center. (2019b, May 10). Eligible hospital/critical access hospital eCQMs. Retrieved from

Leapfrog Hospital Safety Grade. (2019, April 25). Leapfrog hospital safety grade: Scoring methodology. Retrieved from

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