As the director of health information at my hospital, it is my duty to ensure that all of the hospital’s data and security is up to par. Because I hold such an important job, there are many components that go along with it. As a result, I often call on the assistant of the many committees that work in and around the hospital. In today’s agenda, we are discussing different ways we can improve the hospital’s policies, procedures and its system of operation. With their input and additional research we could put our heads together to come up with an effective action plan that we can use for the hospital.
Health information exchange is known as a forceful and growing setting. HIE is important for successful healthcare reform, allowing interoperability
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It could be an official thing that is recognized to administer that exchange, once a patient data leaves the control of the original individual holding it (including the patient), this can cause policy problems develop. It is therefore it is important to guarantee the privacy and security of protected health information, monitor access to the data, monitor use of the data, address malpractice issues for clinicians, and assess economic impacts. The development of health information exchange (HIE) has required data sharing across the borders of opposite institutions, hoping to reduce hope unused health care resources. (i.e., reducing test duplication and fostering better medication reconciliation, better and timelier care, and improved care coordination among fragmented provider systems). Such sharing of data has been problematic because of a lack of trust among these otherwise competing institutions. This policy page addresses how these challenges are being overcome and what new policies are being embraced (Health Information …show more content…
These Acts are intended to improve clinical quality and the patient experience, and make health care more reasonable. As a outcome of these changes, several developments are developing, with movement toward outcome-based payments, higher labor productivity, decreased demand for hospital-based care and better, more proficient consumer markets. The four major developments that are motivating these benefits for consumers and employers are outcome-based payments, higher productivity, lower demand for hospitals and better functioning markets. Outcome-based payments consist of moving from paper-based to digital, we are able to change what patients buy, how payors pay, and how doctors are paid for care. Outcome-based payments increase the importance of care coordination, so in order to share data providers will need increased technological abilities, care teams will need to be form, and implement projecting demonstrating to figure out which patients are at higher risk. Higher labor productivity consists of expanding coverage in a period where prices cannot constantly rise faster than GDP, labor productivity will need to be address and improved by health care providers. Health care providers who develop more creative ways to distribute care should improve limitations, gain market share and expand the affordability of their businesses.
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.
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.
Learning Experience Journal Entry – Director of Health Information Management and the Supervisor of Medical Records Coder
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.
Each time a patient visits a doctor, is admitted to a hospital, goes to a pharmacist, or sends a claim to a health plan, a record is made of the confidential health information. The use of this information is protected and pieced together by state laws, which leave gaps in the protection of patient's privacy and confidentiality. Together all of the programs mentioned are developing strategies to better protect patient records. AHIMA members foresee daily conflicts and challenges dealing with patient confidentiality and access to their records. The resolution of these issues combined will one day result in a comprehensive national standard that will enhance individual privacy, foster research and protect the public health.
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.
The debate is still going on today about what can and cannot be done legitimately with patients health information. There are worries about who should be able to access the patient’s information and for what reasons do they have to be accessing the patient’s health information. While on the other side there is an increasing need for performance assessments, efficient health guard, and a proficient administration for more and better information. Health care services are now starting to realize that they have a lot of work to do to be in compliance with the current health laws on the state and federal level guidelines when it comes to dealing with protecting patient data.
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.
290). Throughout numerous healthcare organizations, e-Health techniques are regarded as vital to the delivery of quality, patient-centred health care. The e -technology can improve patient-physician relationships, to guide aimed questions for greater understanding of health conditions and better management of the health disorders. As per The Centers for Medicare & Medicaid Services e-Health initiatives will help the health care industry deliver higher quality care and reduce costs. Among the limitations and shortcomings of E-health are the chances of impersonality, e-Health applications might not be user-friendly and commonly available. Patients also need to develop confidence in E-health. Concerns about privacy and security of information have slowed the development of this initiative (McGonigle & Garver Mastrian, 2015, p. 290). It is critical to assure the security of health-related medical records. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is the main Federal laws that protects patient’s health information. The Law requires the organizations that manage health information to have policies and safeguards to protect health information saved on paper or
In today’s healthcare system, there are many characteristics and forces that make up the complex structure. Health care delivery is a complex system that involves many people that navigate it with hopes of a better outcome to the residents of the United States. Many factors affect the system starting from global influences, social values and culture. Further factors include economic conditions, physical environment, technology development, economic conditions, political climate and population characteristics. Furthermore the main characteristics of the Unites States healthcare system includes: no agency governs the whole system, access to healthcare is restricted based on the coverage and third party agencies exist. Unfortunately many people are in power of the healthcare system involving multiple payers. Physicians are pressured to order unnecessary tests to avoid potential legal risks. Quality of care is a major component; therefore it creates a demand for new technology. A more close investigation will review two main characteristics and two external forces that currently affect the healthcare delivery system. Furthermore, what will be the impact of one of the characteristics and one of the external forces in review with the new affordable care act 2010? The review will demonstrate the implications to the healthcare delivery system and the impact on the affordable care act 2010.
There are new challenges every year in the health care field. Research on the future of the U.S. Healthcare System is of paramount importance to the entire health care industry as well as the citizens of the U.S. To begin with, the research will discuss how challenges for future healthcare services can be enhanced by reducing the costs of medication. By creating a better quality of health care, Information technology advancements, including future funding, lower rising costs, the Medicare and Medicaid programs. The research will also discuss the challenges of market share for different ages of people populating and maintaining a skilled workplace. It will further discuss the tentative solutions to these challenges.
The passing of the Affordable Care Act (2010) is overhauling the healthcare delivery system, with an emphasis on creating a value-based healthcare system that will increase the public 's access to high quality and cost effective health care. The Affordable Care Act (2010) developed new initiatives that provide incentives and penalties for healthcare organizations, based on the organization’s ability to meet specific quality and safety indicators (ANA, 2015).
With the new and advanced technologies, health care system save on costs and increase life expectancies through researches and new interventions and treatments. As far as the new approaches for payments, it is important to keep economy growth to grow faster than health care expenditure and the payments toward providers to be manageable. New reimbursement methods enable hospitals to continue to provide care for the growing and aging population, especially those whose care aren’t compensated due to lack of coverage. New technologies such as new drugs, equipment, techniques and services enable providers to diagnose, prevent, and provide care in new ways that aren’t as costly and desirable. For example, new drugs and vaccinations could prevent future diseases and hospital admissions.
Introduction The goal of an operational security management policy is to set clear guidelines on how the information assets of an organization should be operated. The policy should define the roles and responsibility that every individual of the organization plays in ensuring the policy is followed, and the ramifications for when it is not. The healthcare industry may have contextual characteristics that are not found in other types of industries. The information assets must be operated in such a way that reduces the liability of the organization in the event of a data breach.