Case Study : Job Redesign For Expanded Him Functions

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There were concerns related to risks of hackers, malware attacks, password changes which can be disruptive to the clinical workflow and can lead to inefficiency. Human errors, inadequate knowledge and ability to use PHR (health literacy). Are the patients aware of the HIPAA regulations? Some patients of a particular age group refrain from using PHR. Interoperability which is the core purpose of electronic health records is also one of the primary concerns. The use of unauthorized USB drives can lead to the malware attack which may interoperability. The other questions that needs to be answered is despite encryption, firewalls which have been initiated to maintain security, there are still concerns about data security

Electronic health records were a technological advancement in the healthcare industry in which paper patient record’s became digital. The transition from paper to digital charting allowed easier, quicker access to patient information for those who were authorized to do so. EHRs are secure and protected with username and password access only. It contains information such as patient medical history, procedures, diagnoses, medications, labs, tests, and treatments. Healthcare professionals and organizations who are authorized to access a patient’s electronic health record can do so at ease via a secure network or online database (HealthIT, 2013).

As the emergence of electronic health records (EHRs), the subject of transforming the delivery method of healthcare is prominent in the United States. The use of EHRs is a major key in the way physicians practice in healthcare organizations through communication and management of patient information. Henricks (2011) points out that EHRs are a part of an objective aimed at improving all aspects of health care and reducing health disparities, making the healthcare of patients and families appealing to them, refining the direction of healthcare, along with population and public health improvement, continuation of privacy maintenance and the security of health information, and finally reducing costs. In the perspective of health information technology

Technology has come a long way over the years and continues to advance rapidly. The health care system is greatly affected by the advancements in technology. An example of this would be the use of electronic health records (EHR). In this paper I will be describing the electronic health record system. How my facility has initiated the EHR with following the six steps and describe meaningful use and how my facility is working towards this. Lastly I will discuss how to maintain patient confidentiality with use of EHR, and what my facility is doing to prevent HIPPA violations.

An Electronic Health Record is a computerized form of a patient’s medical chart. These records allow information to be readily available to authorized providers during a patient’s encounter with the healthcare system. These systems do not only contain medical histories, current medications and insurance information, they also track patients’ diagnoses, treatment plans, immunization dates, allergies, radiology images and lab tests/results (source). The fundamental aspect of EHRs is that they are able to share a patient’s information quickly across service lines and even between different healthcare organizations. Information is at the fingertips of lab techs, primary care physicians, pharmacies, clinics, etc. The

A lot of things have evolved when it comes to patient records in the medical field. In medical facilities the patient records use to be in paper form. There would be multiple pages of patient information, doctor notes, physical findings as well as diagnoses. These were all kept in a filing cabinet where mostly anyone could obtain the files and have the patient’s information. If the patient was at a different facility these records would then have to be mailed over which is not the most secure way to transfer a patients personal health records. It was then evolved that records should now be made electronically. This is so that security and transmission of a patients record can be more reliable.

Although electronic health record (EHR) systems many healthcare organizations, are turning to the electronic health record (EHR), there are are potential and actual disadvantages of the system. Disadvantages of the EHR includes financial issues, changes in workflow, temporary loss of productivity associated with EHR system, privacy and security concerns, as well as several unplanned consequences (Menachemi & Collum, 2011).

Is an implementation for the meaningful use and the health information technology that address the privacy and the security complications? The connection to this is the electrical with the personal health chronicles is to protect the patient’s privacy rights. health program of health information and the political regulation and HIPAA procedures. By guideline, the Division of Health and Human Services extended the HIPAA confidentiality regulation to self-determining independents of protected individuals who fit inside the meaning of "occupational acquaintances". PHI is any data apprehended through a protected unit which apprehensions health status, establishment of health care, or expense for health attention that can be connected to an individual.

Systemic literature review, Security and Privacy in electronic health records, selected 49 articles, but they approved only 26 that were using standards related to the privacy and security of EHR. The protection and security of personal information is critical in the health sector and there are three fundamental security goals, Confidentiality, integrity and availability (CIA). According to the ISO EN13606 standard, confidentiality refers to the ‘‘process that ensures that information is accessible only to those authorized to have access to it’’. (Fernandez - Aleman, 2013)Integrity refers to the duty to ensure that information is accurate and is not modified in an unauthorized fashion. The integrity of health information must therefore be protected to ensure patient safety, and one important component of this protection is that of ensuring that the information’s entire life cycle is fully auditable. Availability refers to the ‘‘property of being accessible and useable upon demand by an authorized entity’’. (Fernandez - Aleman, 2013)

Thank you for another excellent discussion and example of patient security and health care technology. I also reviewed your relevant reference choice (Shah, Murtaza, & Opara, 2014). To elaborate your point about avoiding privacy breeches and the importance of staff education, I have found the education department of nurses in rural areas is often challenged with budget cuts. Thanks again for another insightful discussion of electronic health records.

Brase goes on to state that interoperability mandates would eventually compile and organize all American health records into one singular, unsecured database, ripe for hackers and cyber criminals to access and utilize at will (HealthITInteroperability, 2015). The ONC’s plan for the future of systems interoperability states that the “learning health system,” which evolves over time to overcome barriers as they are identified, should be the objective of the interoperability movement (ONC, 2014). In the current systems organization, it falls on the covered entities, the providers and facilities themselves, to implement the appropriate security safeguards to protect patient health information. It is unclear at this time who will be ultimately responsible for providing health information security for the new global-access system. Unfortunately, there is currently no way of knowing in totality what the potential risks to electronic health information are, until a large-scale interoperable and information-sharing system is active, with security systems in place. There is also no definitive way of knowing how many individuals’ private health information may be compromised should the inadequacies of the security system be exploited, until that potential breach

The department of Health and Human Services protects and guides the health and well being of individuals here in America (Thacker, 2014). They fulfill these duties providing Americans with adequate and efficient health and human services and monitoring services designed to increase the efficiency of care in the health system (Thacker, 2014). One of the services being monitored by the department of Health and Human Services is the electronic health record system, which carries private and vital information of patient’s health record enabling all eligible participating health workers access to these records (Thacker, 2014). A breach of the protective health information of patients in a health organization creates chaos as these are against the health insurance portability and accountability (HIPAA) law (Thacker, 2014). Hence, measure will have to be put in place to determine what caused the breach and how to rectify it to ensure the breach never happens again (Thacker, 2014).

In a world full of electronics it would only seem logical to have health records electronic. Not only are medical records efficient, reliable, and quick to access, new technology allow patients to access their own personal medical records with a simple to use login and password. “People are asking whether any kind of electronic records can be made safe. If one is looking for a 100% privacy guarantee, the answer is no”(Thede, 2010). At my hospital, upon every admission we ask the patient for a password for friends and family to have to have if they would like an update on the patient 's condition. We do not let visitors come up and see the patient without the patient 's consent. In doing these things, we help to ensure the safety and protection of the patient 's health information and privacy.

Topic - Job Specialisation uses standardised work procedures to have workers perform repetitive; precisely defined and simplified tasks. Explain why companies use this approach to job design. Using the Job Characteristics model, describe how specialised jobs can be modified to eliminate the boredom and low job satisfaction associated with them. (Chapter 9)