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
...
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
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