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The current digital era brought about multiple changes in the Healthcare industry that have led to multiple advances in patient-care. As time progresses, Moore’s law takes effect, in which systems and procedures become outdated, due to the new developments and advances in technology that are coming about rapidly and changing legislative and regulations. The healthcare industry is facing ever-changing threats/challenges with Health Information Exchange (HIE) and must continually improve security measures in place to combat patient data-breach attempts or mismanagement of patient health information (PHI). Thus, healthcare providers must make every effort possible to stay current with changes occurring, by updating old technology and improving …show more content…
As HIE takes place across multiple facilities, the transmission of PHI has become a substantial change in the healthcare industry that improves patient quality of care. For example, HIE across multiple users, allows doctors, pharmacists, nurses, other health care providers and patients to suitably access and securely share vital medical information of a patient electronically, therefore, improving the speed, security, quality, and cost of patient care (Attallah, Gashgari, Al Muallem, Al Dogether, Al Moammary, Almeshari, and Househ, 2016). Health information exchange has both risk and benefits as it is shared across multiple facilities, such providers, pharmacies, and other health related facilities. Some of the …show more content…
During development of all operational policies and procedures; (1) providers should make sure to extend compliance to business associates (BAs) and any of the BAs subcontractors, along with all of the providers staff (2) establish limitations on the use and disclosure of all protected health information for marketing and fundraising purposes and prohibit the sale of PHI without appropriate authorization (AHIMA, 2017), (3) provide convenience to patients, allowing patients to access their PHI electronically, easier access to disclose information when needed, such as immunization verification for school purposes, and allowing patient’s to restrict disclosure of certain PHI to health
As the evolution of healthcare from paper documentation to electronic documentation and ordering, the security of patient information is becoming more difficult to maintain. Electronic healthcare records (EHR), telenursing, Computer Physician Order Entry (CPOE) are a major part of the future of medicine. Social media also plays a role in the security of patient formation. Compromising data in the information age is as easy as pressing a send button. New technology presents new challenges to maintaining patient privacy. The topic for this annotated bibliography is the Health Insurance Portability and Accountability Act (HIPAA). Nursing informatics role is imperative to assist in the creation and maintenance of the ease of the programs and maintain regulations compliant to HIPAA. As a nurse, most documentation and order entry is done electronically and is important to understand the core concepts of HIPAA regarding electronic healthcare records. Using keywords HIPAA and informatics, the author chose these resources from scholarly journals, peer reviewed articles, and print based articles and text books. These sources provide how and when to share patient information, guidelines and regulation d of HIPAA, and the implementation in relation to electronic future of nursing.
The Health Insurance Portability and Accountability Act of 1996, or HIPAA, is a law designed “to improve portability and continuity of health insurance coverage in the group and individual markets, to combat waste, fraud, and abuse in health insurance and health care delivery, to promote the use of medical savings accounts, to improve access to long-term care services and coverage, to simplify the administration of health insurance, and for other purposes.”1 HIPAA mandates that covered entities must employ technological means to ensure the privacy of sensitive information. This white paper intends to study the requirements put forth by HIPAA by examining what is technically necessary for them to be implemented, the technological feasibility of this, and what commercial, off-the-shelf systems are currently available to implement these requirements.
The health information networks factor into the enhancement of the patient-centered management system, in that they help with the implementation of the Electronic health record. The HITECH Act for example allocated “18 billion through the Medicare and Medicaid reimbursement systems as incentives for hospitals and physicians who are meaningful users of EHR systems”(About the HITECH, n.d.). This is a beneficial way to promote the use of electronic health records and have them become universally utilized across the nation. NHIN is also an excellent network that is more widespread and contains policies as well as standards that help with the safe trade of data. NHIN is the biggest network that all other health information networks hope to achieve. The NHIN is a contributor to the expansion of the EHR and it also further improves the patient-centered management system by having the policies they have. These policies assist with keeping the information in the system safe and also helping many different entities to become a part of its use. Some of the entities involved are the Center for Disease Control and prevention, Social Security Administration, Department of Defense and Kaiser Permanente among others. Both CHIN and RHINO implement the use of electronic health record, which makes it more widespread,
Department of Health and Human Services (DHHS) to safeguard patient privacy. It protects patients’ health information (PHI) and allows patients to have control over the distribution of their information. Due to the advancement in technology and shift from paper to electronic files, the development of both state and federal laws occurred to protect the electronic health care transactions, code sets, unique health identifiers and security (DHHS, 2016). In addition, due to e-PHI a Privacy Rule was published in December 2000, to protect health information under these entities: health plans, healthcare clearinghouses, and health care providers who conduct certain health care transactions electronically. This law implements various types of health facilities; including, hospitals, doctor offices, pharmacies, health plans, and other clinical care sites (Field, p. 199).
Protected health information or PHI is any identifying information that is related to a person such as a name or an address. According to HIPAA “the disclosure of PHI is prohibited, except when the patient has signed a release of information form that authorizes PHI to be released or disclosed to a specific party (Sheahan)”. With the release of information there are different rules that need to be fallowed in order to protect the patient’s privacy.
Protecting patient information is an important task for any health care provider. The Heath Insurance Portability and Accountability Act (HIPAA), also known as the Standards for Privacy of Individually Identifiable Health Information, was approved by the United States Congress in 1996. It was the first act to provide national regulations for the use of patient health information. This privacy rule outlines the boundaries for the use of personal health information, including specific guidelines to ensure HIPAA-compliance. In order to market under HIPAA, there are certain privacy rules in place to protect patients. According to HIPAA, marketing is defined as “a communication about a product or service that encourages recipients to purchase or use the product or service”2. This definition can include any type of marketing communication. Marketing also includes when a covered entity is paid by a third party for patient health information that they can use for their own purposes. It also covers cases of an associate communicating and encouraging patients to buy or use their product or service.
HIPPA (Health Insurance Portability and Accountability Act) was put in place by the Federal Government for several reasons; better portability of health insurance for employees, to prevent fraud and abuse within the healthcare delivery system, and simplification of administrative functions associated with healthcare delivery (McGonigle & Mastrian, 2012). Due to sensitive healthcare information being shared federal regulations were also put into place, resulting in the “Privacy Rule” and “Security Rule”. The Privacy Rule limits the use and disclosure of patient information. The Security Rule protects the patients’ healthcare information from improper use or disclosure, to maintain information integrity, and ensure its availability (McGonigle & Mastrian, 2012). Both regulations apply to protected health information (PHI) which is any form of health information that can be used to identify an individual patient. Practitioners who refer to HIPPA are not referring to the act itself but the “Privacy Rule” and “Security Rule” (McGonigle & Mastrian, 2012). It is extremely important to understand these concepts as a student in the clinical setting and how each hospital enforces these concepts. Before starting at any clinical site there is an extensive orientation about HIPPA regarding what is appropriate and not appropriate when it comes to patient information and the repercussions of violating HIPPA. In this paper I will discuss Akron General’s rules and policies regarding their EHR, PHI, EPHI, and social media.
The Health Insurance Portability & Accountability Act of 1996 ("HIPAA") is a federal program that requires that all medical records and other individually identifiable health information used or disclosed by us in any form, whether electronically, on paper, or orally, are kept properly confidential. This Act gives you, the patient, significant new rights to understand and control how your health information is used. "HIPAA" provides penalties for covered entities that misuse personal health information. As required by "HIPAA", we have prepared this explanation of how we are required to
Learning Experience Journal Entry – Director of Health Information Management and the Supervisor of Medical Records Coder
The confidentiality of patient visits and medical records are essential in providing the highest quality of health care. Under penalty of law, a patient's medical records or any other information regarding the patient may only be released with his or her authorization. Exceptions to this are certain cases specified by law for example, health care providers are required to report certain communicable diseases such as measles. Many organizations and laws have been developed to maintain patient's rights of confidentiality and access to their medical record. Guided by the principle that confidentiality is essential in developing strong trust between patients and healthcare providers, the American Health Information Management Association (AHIMA) members are committed to ensuring that patient records are disclosed and only available to medical personnel and others acquired by law. In July 1999, the Health Care Financing Administration (HCFA), introduced a new Patient's Rights Condition of Participation (CPO) that hospitals must meet to be approved for, or to continue participation in the Medicare and Medicaid programs. The Health Insurance and Accountability Act of 1996 (HIPAA) addresses the security and privacy of health data and also issues standards for electronic health care transactions. The vast accumulations of personal medical data gives rise to serious privacy concerns as a result of the potential for misuse.
The health industry has existed ever since doctors bartered for chickens to pay for their services. Computers on the other hand, in their modern form have only existed since the 1940s. So when did technology become a part of health care? The first electronic health record(EHR) programs were created in the 1960s around the same time the Kennedy administration started exploring the validity of such products (Neal, 2013). Between the 1960s and the current administration, there were little to no advancements in the area of EHR despite monumental advancements in software and hardware that are available. While some technology more directly related to care, such as digital radiology, have made strides medical record programs and practice management programs have gained little traction. Physicians have not had a reason or need for complicated, expensive health record suites. This all changed with the introduction of the Meaningful Use program introduced in 2011. Meaningful use is designed to encourage and eventually force the usage of EHR programs. In addition, it mandates basic requirements for EHR software manufactures that which have become fragmented in function and form. The result was in 2001 18 percent of offices used EHR as of 2013 78 percent are using EHR (Chun-Ju Hsiao, 2014). Now that you are caught up on some of the technology in health care let us discuss some major topics that have come up due to recent changes. First, what antiquated technologies is health care are still using, what new tech are they exploring, and then what security problems are we opening up and what is this all costing.
An HIE (health information exchange) allows medical professionals at multiple levels access and share medical information electronically, and within the confines of HIPAA privacy laws. HIE is meant to improve efficiency, speed, quality, and cost of patient care. It is thought by some in the industry that HIE is not able to address recurring challenges associated with rapid technological advancements. The initiative for HIE is being driven by meaningful use requirements, coordination needs for new payment approaches, and federal financial incentives. While HIE has been more than twenty years in the making, it has only recently gained the majority of its support.
The Security Rule of the HIPAA law affects technology the most in a Healthcare or Human Service organization. The Security Rule deals specifically with Electronic Protected Health Information (EPHI). The EPHI has three types of security safeguards that are mandatory to meet compliance with HIPAA regulations. Administrative, physical, and technical. There is constant concern of different kinds of devices and tools because of their vulnerability: laptops; personal computers of the home; library and public workstations; USB Flash Drives and email, to name a few. These items are easily accessible for those attempting to breach security. Workers of the healthcare area have complet...
Health information opponents has question the delivery and handling of patients electronic health records by health care organization and workers. The laws and regulations that set the framework protecting a user’s health information has become a major factor in how information is used and disclosed. The ability to share a patient document using Electronic Health Records (EHRs) is a critical component in the United States effort to show transparency and quality of healthcare records while protecting patient privacy. In 1996, under President Clinton administration, the US “Department of Health and Human Services (DHHS)” established national standards for the safeguard of certain health information. As a result, the Health Insurance Portability and Accountability Act of 1996 or (HIPAA) was established. HIPAA security standards required healthcare providers to ensure confidentiality and integrity of individual health information. This also included insurance administration and insurance portability. According to Health Information Portability and Accountability Act (HIPAA), an organization must guarantee the integrity, confidentiality, and security of sensitive patient data (Heckle & Lutters, 2011).
Health information management involves the practice of maintaining and taking care of health records in hospitals, health insurance companies and other health institutions, by the use of electronic means (McWay 176). Storage of medical information is carried out by health information management and HIT professionals using information systems that suit the needs of these institutions. This paper answers four major questions concerning health information systems.