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In today’s fast paced healthcare environment, hospitals must invest in emerging technologies to improve patient outcomes, maintain regulatory compliance and sustain financial viability. St. Luke’s Health Care System, like many other healthcare institutions has made focused efforts to enhance technology to improve clinical workflows, operational efficiencies and security compliance. This use case study examines the technology used to enhance wireless networking architecture, mobile communication, and HIPAA security compliance. Healthcare organizations are commonly faced with data communication challenges that can impact clinical workflow and patient care. Several healthcare organizations have found significant benefits with the implementation …show more content…
Healthcare organizations that have encountered penalties due to HIPAA security breaches include; a $1.7 million fine in 2013 to WellPoint, and $4.8 million fine in 2014 to New York Presbyterian Hospital and Columbia University for allowing ePHI to be accessible on Google (McCann). In 2013, a Becker Hospital Review from a well-respected healthcare periodical provided notable guidelines for HIPPA compliance as follows (Vaidya): 1. Development of privacy policies: Privacy and security policies and procedure must be adopted and enforced including actions items in the event of a breach. 2. Appointment of privacy and security officers: Privacy and security officers must serve as experts for all HIPAA regulations and policies. 3. Conducting regular risk assessments: Risk assessments must be used to identify vulnerabilities to help ensure the confidentiality and integrity of protected health information, and create remediation plans to minimize risk. 4. Adoption of email policies: Policies must be established regarding mobile devices and email communication. Encrypt email containing PHI when …show more content…
The networking architecture used to support communication is comprised of hardware, software, connectivity and communication protocols. In an effort to enhance networking communications, St. Luke’s Health Care System improved the reliability of the LAN (Local Area Network) by upgrading hardware and implementing advanced software. St. Luke’s would greatly benefit from the use of VLAN (Virtual Local Area Network) configurations to optimize networking communications. A VLAN is a function of a layer 2 networking switch that allows a single LAN to be separated into logical or segregated LANs. A typical VLAN configuration efficiencies by allowing specified physical network ports on a switch to directly communicate with network ports on the same switch. A VLAN has the ability to configure network traffic rules that restrict communication between network devices that support similar functions or departments. The configuration and isolation of network traffic optimizes bandwidth performance, as well as provide a layer of security that is critical in a healthcare setting. Further enhancements of the networking infrastructure can be done by expanding VLAN’s across floors or buildings using layer 3 switches to reduce congestion. Another approach to network optimization that may benefit St. Luke’s is to logically separate the network architecture into many VLANs according to their network
Sobel, R. (2007). The HIPAA Paradox. The Privacy Rule that’s Not. Hasting Center Report, 37(4), 40-50.
Generally, the development and adoption of Clinical Decision Support (CDS) systems is based on the necessity and essence of technical standards in enhancing healthcare. However, the various health IT tools must comply with some data interchange standards in order to enhance access to clinical records, lessen clinical errors and risks to patient safety, and promote innovation in “individual-based” care (Hammond, Jaffe & Kush, 2009, p.44). The need for compliance with standards is fueled by their role in enabling aggregation of informa...
In this case, a large health services organization (HSO) in Florida, that has a world-renowned AIDS treatment center had information breach of 4,000 HIV+ patient records, and the list was sent to newspapers, magazines, and the internet. Consequently, this issue was featured in every media vehicle in the world and as CEO, you are requested by the board of trustees to come up a better management information system (MIS) to resolve all information security issues or you will face termination. After hiring an undercover computer security consultant to help determine where the security leak came from, she quickly identifies numerous breaches in computer security and provides a report with the issues identified. The report furnished by the consultant revealed that facility had major problems with the MIS and the staff. In order to determine how to address the issues, the CEO must first answer the following questions: what law is being violated by the employees, why was this law enacted, what are the penalties for such violations, what are the penalties for sharing celebrity information, and should he be updating his resume and looking for another job (Buchbinder, 378).
Health Care workers are constantly faced with legal and ethical issues every day during the course of their work. It is important that the health care workers have a clear understanding of these legal and ethical issues that they will face (1). In the case study analysed key legal and ethical issues arise during the initial decision-making of the incident, when the second ambulance crew arrived, throughout the treatment and during the transfer of patient to the hospital. The ethical issues in this case can be described as what the paramedic believes is the right thing to do for the patient and the legal issues control what the law describes that the paramedic should do in this situation (2, 3). It is therefore important that paramedics also
Under HITECH Act, the monetary penalties for HIPAA violations were increased. Civil penalties vary based on the type of violation. The minimum civil penalty is $100 up to a maximum of $50,000 for one violation if the covered entity was unaware of the violation and would have not known even if with reasonable diligence. The penalty range rises to $, 1000 to 50, 000 if the violation was due reasonable cause and not to willful neglect. If the violation was due to willful neglect, but is corrected within 30 days the penalty is at least $10,000 and up to $50,000. If the violation is due to willful neglect and is not corrected within 30 days the penalty is at least $50,000 with an annual maximum of $1.5 million per year. The omnibus final rules indicate that for all categories of violations of an identical provision in a calendar year, the maximum penalty is 1.5 million per year (Balser Group, 2014, p. 41). I believe that the settlements were fair because the UCLA clearly violated a lot of the HIPAA Privacy and Security rule such as failure to implement security measures, failure to provide adequate training to the employees, and violating the privacy of the patients’ health records.
. 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 ...
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 Insurance Portability and Accountability Act, most commonly known by its initials HIPAA, was enacted by Congress then signed by President Bill Clinton on August 21, 1996. This act was put into place in order to regulate the privacy of patient health information, and as an effort to lower the cost of health care, shape the many pieces of our complicated healthcare system. This act also protects individuals from losing their health insurance if they lose their employment or choose to switch employers. . Before HIPAA there was no standard or consistency for the enforcement of the privacy for patients and the rules and regulations varied by state and organizations. HIPAA virtually affects everybody within the healthcare field including but not limited to patients, providers, payers and intermediaries. Although there are many parts of the HIPAA act, for the purposes of this paper we are going to focus on the two main sections and the four objectives of HIPAA, a which are to improve the portability (the capability of transferring from one employee to another) of health insurance, combat fraud, abuse, and waste in health insurance, to promote the expanded use of medical savings accounts, and to simplify the administration of health insurance.
Some of the things that HIPAA does for a patient are it gives patients more control over their health information. It sets boundaries on the use and release of health records. It establishes appropriate guidelines that health care providers and others must do to protect the privacy of the patients’ health information. It holds violators accountable, in court that can be imposed if they violate patients’ privacy rights by HIPAA. Overall HIPAA makes it to where the health information can’t b...
The Health and Human Services (HHS) settled a case with Blue Cross Blue Shield of Tennessee (BCBST) for $1.5 million for violating the Health Insurance Portability and Accountability Act (HIPAA) and security rules. There are security issues with BCBST in regard to confidentiality, integrity, availability, and privacy. There are also security requirement by HIPAA which could have prevent the security issue if it has been enforced. There are correction actions taken by BCBST which were efficient and some may have not been adequate. There are HIPAA security requirements and safeguards organization need to implement to mitigate the security risk in terms of administrative, technical, and physical safeguards.
Administrators may play a role in ensuring that these systems adhere to all the relevant laws and regulations, like The Health Insurance Portability and Accountability Act (HIPPA). However, there are circumstances under which confidentiality must be broken in order to prevent harm to a patient or outside party. You'll need a thorough understanding of these rules to help ensure compliance.
Physicians, administrators, staff, and patients who are affiliated within the healthcare organization should understand the importance of interoperability by coming together to ease ...
In this report, I will be addressing e-mail, Internet use, and privacy policies in my workplace; the current laws regulating employee e-mail and Internet privacy; the reasons to companies carry out e-mail and Internet use policies; the assumptions employees make about their privacy at work; and how these policies affect employee privacy at work.