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Important communications in healthcare
Important communications in healthcare
Essays about communications in health care
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The days of paper patient health care records are fast becoming a historic dinosaur. There are over 160 million Americans utilizing the internet for Health information and two-thirds are those are physicians and other health care workers who rely on a SSL or VPN to transmit patient health information (DeTora & Linkon, 2009). In addition, the new age of technological savvy patients want access to their health information, desire real time communication with their providers (i.e. patient portals) by providing virtual communication from scheduling appointments, refill prescriptions, and on-line bill payments. However, HealthCare Professionals must address the issue on how to provide secure access. There are two ways to ensure Health information …show more content…
is secure when utilizing the internet. The first and most important rule is to ensure the individual access the data is the correct person. Therefore, everyone who access health information should have a secure log in assigned to them with access only to the data required to perform his/her job.
The next item is to utilize a secured socket layer (SSL) to increase security by encoding data at the sent point and decrypting it at the receiving end plus adding a layer of corporate firewalls (Lee, 2003). The next method utilizes a Virtual Private Network or VPN to transport packets but utilizes its own software to encrypt and decrypt at the sending and receiving transmission platforms (Gartee, 2011). Therefore a VPN limits the data packets to those individuals who have been identified to access the information and the system is maintain within the information department of the facility. In addition, a VPN verifies the identity of the person signing on by ensuring those only with access should be able to view the data. Another benefit of a VPN is that it is not limited to WebPages and may be utilized to secure data being transmitted in other application software (Lee, 2002). The Health Insurance Portability and Accountability ACT of 1996 (HIPAA) and the Health Information Technology for Economic and Clinical Health (HITECH mandates the appropriate administrative, technical and physical safeguards be utilized to protect …show more content…
electronic health information (Sabnis & Charles, 2012). Several safeguards are federally mandated to protect PHI such as: User and Entity Authentication, Unique identifiers, access control, audit control, integrity, transmission security, encryption, SSL and/or TLS, digital signatures, training and privacy policies (Sabnis & Charles, 2012). The increased access and availability of HIM is to ensure compliance and security. Some ways to avoid a breach is to review behavioral analysis, reputation and establish a context and relationship with users, devices, applications and workflows to determine anomalies (Sabnis & Charles, 2012). Therefore regular audits on data access, secure pass codes, and limit access. Also, the facility can use a point-to-point access to limit their risk of a breach (Gartee, 2011). In the event of a breach of PHI the facility should follow the guidelines on breach notification established by HIPAA. Work cited DeTora, G., & Linkon, N.
(2009). The New Age of Healthcare Communications. Marketing Health Services, 29(3), 23-27. Lee, D. S. (2002). Wireless Internet Security. Information Systems Security. 11(3).
34. Greene, T. (2003). Healthcare group picks on SSL for remote access. Network World, 20(1), 17. Sylvia, L. 2003. “New promise for inter organizational collaboration: as a network platform, VPNs can help initiate and sustain information-sharing networks.” Health Management Technology 24(10), 42. Gartee, R. (2011) Health Information Management and Information Technology. Retrieved from Bethel University Online textbook, 19 November 2014. Sabnis, S., & Charles, D. (2012). Opportunities and Challenges: Security in eHealth. Bell Labs Technical Journal, 17(3), 105-111. Doi:10.1002/bltj.21561
The knowledge about the HIPAA Privacy and Security rules; its coverage and benefits; its development and updates will help an individual to understand the law to effectively manage and protect his or her own personal health record. The advent of computer technology and the HIPAA terms that were associated with information system will be discussed. Some of the experiences with HIPAA will shared to give a better picture and understanding of the law.
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.
Introduction 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. HIPAA Overview On July 21, 1996, Bill Clinton signed HIPAA into law.
For years now, the healthcare system in the United States have managed patient’s health records through paper charting, this has since changed for the better with the introduction of an electronic medical record (EMR) system. This type of system has helped healthcare providers, hospitals and other ambulatory institutions extract data from a patient’s chart to help expedite clinical diagnosis and providing necessary care. Although this form of technology shows great promise, studies have shown that this system is just a foundation to the next evolution of health technology. The transformation of EMR to electronic heath record system (EHR) is the ultimate goal of the federal government.
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...
The Health Information Technology for Economic and Clinical Health Act (HITECH) was put into place as part of the American Recovery and Reinvestment Act of 2009, and was signed and made a part of law in February 2009. It sponsors the adoption and meaningful use of health information technology. (www.healthcareitnews.com). There was $22 billion and of this $19.2 billion was supposed to be used as a method to increase the use or the Electronic Health Records by the doctors and healthcare facilities. (www.hitechanswers.net).
With today's use of electronic medical records software, information discussed in confidence with your doctor(s) will be recorded into electronic data files. The obvious concern is the potential for your records to be seen by hundreds of strangers who work in health care, the insurance industry, and a host of businesses associated with medical organizations. Fortunately, this catastrophic scenario will likely be avoided. Congress addressed growing public concern about privacy and security of personal health data, and in 1996 passed “The Health Insurance Portability and Accountability Act” (HIPAA). HIPAA sets the national standard for electronic transfers of health data.
“An electronic health record (EHR) is a digital version of a patient’s paper chart. EHRs are real-time, patient-centered records that make information available instantly and securely to authorized users.” (healthit.gov) The EHR mandate was created “to share information with other health care providers and organizations – such as laboratories, specialists, medical imaging facilities, pharmacies, emergency facilities, and school and workplace clinics – so they contain information from all clinicians involved in a patient’s care.” ("Providers & Professionals | HealthIT.gov", n.d., p. 1) The process has proved to be quite challenging for providers. As an incentive, the government began issuing payments to those providers who “meaningfully use certified electronic health record (EHR) technology.” (hhs.gov) There are three stages that providers must progress through in order to receive theses financial incentives. Stage one is the initial stage and is met with the creation and implementation of the HER in the business. Stage two “increases health information exchange between providers.” ("United States Department of Health and Human Services | HHS.gov", n.d., p. 1) Stage three will be the continuation and expansion of the “meaningful use objectives.” ("United States Department of Health and Human Services | HHS.gov", n.d., p. 1) The hospital, where I work, initiated the HER mandate many years ago. In this paper, I will discuss the progression and the challenges that my hospital encountered while implementing the EHR mandate.
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) affects every aspect of health care from patient privacy to insurance coverage. The federal act was first passed in 1996, yet the first major rule did not go into effect until 2003, protecting patient privacy. HIPAA ultimately came into effect due to the issues regarding patient privacy, security and coverage. Another major concern for both health care workers and the public was the exchange of patient information from one facility to another. Until the relatively recent decision to enforce HIPAA, a patient’s medical record was primarily recorded and maintained on paper and stored in locked cabinets or drawers. Not only was this method inefficient, but patients were also starting to become increasingly concerned over the privacy of these documents.
In its simplest form, the basic concept of a patient portal is that it is a website, that has some form of security embedded into the process, which allows identified users (patients) access to some level of their health information via the Internet. This access is controlled by authentication methods and the information is personal health data that is being hosted and/or managed by the organization (via a database). The amount or level of information that the user has accessed due is strictly set by the organization and access control through software applications that assure authentication, authorization and accountability. In a 2013 article, Gary Hamilton discuss the advantages of patient portals and state that they, “present many workflow efficiencies for providers, offer empowering tools for patient engagement and facilitate meaningful and relevant information excha...
Win, K. T., Susile, W., & Mu, Y. (2006). Personal Health Record System and Their Security Protection. Journal of Medical Systems , 30 (4), pp. 309-315.
The next problem related to telemedicine relates to security and private breaches. In order for telemedicine to work properly it requires that sensitive patient information be transferred from location to location that may be quite a dista...
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.
Over the last several years, electronic medical records are becoming more prominent in health care facilities, replacing traditional written records. As many electronics are becoming more prevalent with the invention of numerous smartphones and tablet devices, it seems that making medical records available electronically would be appropriate for the evolving times. Even though they have been in use to some extent for many years, the “Health Information Technology for Economic and Clinical Health section of the American Recovery and Reinvestment Act has brought paperless documentation into the spotlight” (Eisenberg, 2010, p. 8). The systems of electronic medical records mainly consist of clinical note taking, prescription and medication documentation,