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Policies to protect patient confidentiality
Patient privacy and confidentiality laws
Implementing ehr in health care
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Recommended: Policies to protect patient confidentiality
ProEMR is an all-in-one solution that can meet all of UMUC Family Clinic’s current needs and has room to accommodate future needs. This program was developed by MD Synergy and can be used to meet all meaningful use requirements to be eligible for Medicaid. Several of the software/hardware requirements needed to implement this system are already in place, computers to run the program, internet, and local network. The only additional software the clinic needs is the ProEMR system itself. Table of Considerations Area High/ Medium/ Low Rating or Not Applicable (N/A) Description of the Area Explanation for Rating /How you will address it (minimum 2 sentences for each) (minimum 2 sentences for each, linked to specific EHR technology solution proposed) I. IT - Operational Safeguards …show more content…
Identity Management & Authorization High Identity Management & Authorization is the ability to insure the person accessing the system is one, who they say they are, and two, authorized to access that program. In addition, this means terminating user account that are no longer authorized to access the system. As part of ProEMR’s Patient Portal feature, patients will be given a unique login and password that allows them to see their, and only their, medical information. In addition, hospital staff will also have will have unique logins that keep track of who made what change. This is rated “high” because it has to do with protecting patient information. 2. Training Programs High Training programs in the areas of security and privacy are required yearly by HIPAA. These trainings focus on the protecting of PHI from accidental exposer and increasing patient safety. ProEMR has training classes that will train staff how to implement and use the program. When staff is trained on this program it will include training on keeping information in this system secure and prevent breaches. This is rated “high” because it has to do with protecting patient
Computerized Physician Order Entry (CPOE), is also known as Computerized Provider Order Management (CPOM). CPOE is a process of automated or electronic entry record of health care physician on different types of instructions on how to treat patients, especially patients that are hospitalized under a physician’s care. CPOE is one of the most remarkable system that is being used in the healthcare system to effectively reduce the amount of medication errors. The University of Health Care System might be in the process of rolling out the CPOE portion out of the EMR project, however, they did not do a thorough investigation on what CPOE is and whether or not it would have a positive impact on the EMR project. They should have not taken the step to start the project without already knowing the basics of CPOE. They might have had thought that since it is a computerized system everything would turn out okay and there would not be any problems. However, they fall short to recognize that the user’s knowledge and experience with using the CPOE system would have a significant influence on the effectiveness and productivity of the actual system.
Recommend which system is the best choice to meet meaningful use requirements in this particular setting. Both Cerner and CPSI have helped hospitals meet CMS Stage 1 and Stage 2 requirements. However, Cerner provides a modular concept that larger hospitals are using more than complete inpatient systems to achieve MU (Zieger, 2013). In 2014, EHR vendors said eight hospitals had attested to MU Stage 2, and Cerner was used twice as much as CPSI (Gregg, 2014). Concerning Computerized Physician Order Entry (CPOE), CPSI System had the broadest reach in community hospitals; nevertheless, the software was missing functionality and usability (KLSA Enterprises, 2010, p. 6). Therefore, CPSI’s CPOE was significantly below the market-average due to low physician satisfaction (KLAS Enterprises, 2010, p. 6). KLAS Enterprises (2010, p. 2) reported Cerner clients were happier the more they adopted CPOE.
According to the report provided by the consultant, the employees at this facility were not taking precautions in safeguarding the patient’s health information. Therefore, the employees at this facility were in violation of the Health Insurance Portability and Accountability Act (HIPPA). It is important for employees to understand the form of technology being used and the precautions they must take to safeguard patient information.
. HIPAA privacy rules are complicated and extensive, and set forth guidelines to be followed by health care providers and other covered entities such as insurance carriers and by consumers. HIPAA is very specific in its requirements regarding the release of information, but is not as specific when it comes to the manner in which training and policies are developed and delivered within the health care industry. This paper will discuss how HIPAA affects a patient's access to their medical records, how and under what circumstances personal health information can be released to other entities for purposes not related to health care, the requirements regarding written privacy policies for covered entities, the training requirements for medical office employees and the consequences for not following the policy.
Krager, D., & Krager, C. H. (2008). HIPAA for Health Care Professionals. Clifton Park, NY: Delmar.
While the HIPAA regulations call for the medical industry to reexamine how it protects patient information, the standards put in place by HIPAA do not provide ...
This technology assist the nurse in confirming patients identify by confirming the patients’ dose, time and form of medication (Helmons, Wargel, & Daniels, 2009). Having an EHR also comes with a program that allows the medical staff to scan medications so medication errors can be prevented. According to Helmons, Wargel, and Daniels (2009) they conducted an observational study in two medical –surgical units one in the medical intensive care (ICU) and one in the surgical ICU. The researchers watched 386 nurses within the two hospitals use bar code scanning before they administrated patients’ medications. The results of the research found a 58 % decrease in medication errors between the two hospitals because of the EHR containing a bar code assisted medication administration
To be considered meaningful users of the EMR, the qualified applicant must use clinical content that is consistent and standardized across systems and healthcare settings, use decision support tools such as alerts and reminders, have the ability to collect and store raw data from documentation that can be used for reporting purposes, collect and report data to the state. Reporting of data will help to improve public health and awareness and provide sharing of information between systems (Tripathi,
One organization that creates and provides standards for healthcare and the implementation of healthcare software is American Society for Testing and Materiel (ASTM). In 2004, ASTM released a standard that would change the interoperability of healthcare software forever. This standard is known as the ASTM E2369, the Continuity of Care Record (CCR) standard. The was first release of CCR was ASTM E2369-4 and was a word document that allowed interoperability between primary care physicians for the exchange of patient summary information (Sween, 2012). The CCR provides “snapshots” of a patient’s administrative, demographic, and clinical information (E31.25, 2012). The information in this snapshot focus on mainly the diagnosis an...
Healthcare professionals associated with medical billing and coding know the progress the technology has made so far. In the last few decades, medical billing and coding has switched from being a paper-based system to a computerized format. Under HIPAA laws, medical practitioners had to develop new software in order to send out electronic bills. With the advent of electronic medical records (EMR), with one touch of a button, doctors, Nurse Practitioners and PAs can gain access to all the care a patient has ever received from every healthcare facility the patients visited previously and can figure out possible illnesses. This enables statistical documentation of the population as a whole as well. EMR can also make the healthcare system more transparent and allow integration with reimbursement data. As the healthcare system changes, this will prevent unnecessary costs and make it easier to get the reimbursements needed to treat a patient.
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...
As a current student at Akron General Medical Center we are allowed access to their EHR, McKesson. However, before logging into their system or even stepping foot on the floor the importance of patient information and keeping it c...
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 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).
The new healthcare technology that is spreading nationwide it the EHR programs that are being implemented and updated in healthcare organizations. Government policies are in place for societies protection and privacy, it also helps to create a place where healthcare information can be utilized to its fullest potential. ONC authors’ regulations that set the standards and certification criteria EHRs must meet to assure health care professionals and hospitals that the systems they adopt are capable of performing certain functions (HealtIt, 2015).