Introduction:
The healthcare ecosystem is influenced by external forces in the form of government regulations, accreditation standards, and federal legislation. These regulations and legislation are components of federal government programs and bring with them directives that may impact the economics of healthcare.
As greater numbers of healthcare organizations implement information systems across the United States, a seamless exchange of health information may provide consumers with a higher quality of care, improvement in patient access, and more efficient control of the cost of healthcare services. The healthcare ecosystem is one of continuous change, and health informatics is supporting many of the changes.
Task:
A. Analyze one federal government payer program for healthcare services making an impact on today’s healthcare ecosystem.
Example: any 1 of the below..
– MEDICARE
– SCHIP (State Children’s Health Insurance Program)
– PACE (Program of All-inclusive Care for the Elderly)
– TRICARE (Military Health System)
– Indian Health Service
1. Evaluate how your chosen initiative is impacted by licensure, certification, or accreditation standards.
2. Explain how your chosen initiative influences each of the following:
a. Clinical quality
b. Reimbursement for healthcare services
c. Patient access to care
B. Evaluate how health informatics plays a part in your chosen initiative by discussing the following:
1. The role of the health informatics professional
2. How your chosen initiative has an impact on the health informatics workforce.
C. When you use sources, include all in-text citations and references in APA format.
Note: When bulleted points are present in the task prompt, the level of detail or support called for in the rubric refers to those bulleted points.
Note: For definitions of terms commonly used in the rubric, see the Rubric Terms web link included in the Evaluation Procedures section.
Note: When using sources to support ideas and elements in a paper or project, the submission MUST include APA formatted in-text citations with a corresponding reference list for any direct quotes or paraphrasing. It is not necessary to list sources that were consulted if they have not been quoted or paraphrased in the text of the paper or project.
Note: No more than a combined total of 30% of a submission can be directly quoted or closely paraphrased from sources, even if cited correctly.