When you are looking at a new vendor to build a relationship with, there’s a lot at stake. Reliability, training and service and long-term viability are only a few things you must evaluate. When selecting an Electronic Health Record (EHR) vendor, the stakes are even higher. Finding the right EHR will help you provide quality care and make your practice more efficient. But selecting the wrong one can reduce the number of patients you see, expose you to security threats, and even prevent you from accessing critical information if the system goes down.
The purpose of this discussion board is to describe the Electronic Health Record (EHR), the six steps of an EHR and how my facility implements them, describe “meaningful use” and how my facility status is in obtaining it, and to further discuss the EHR’s and patient confidentiality.
In today’s health care industry providing quality patient care and avoiding harm are the foundations of ethical practices. However, many health care professionals are not meeting the guidelines or expectations of the American College of Healthcare Executives (ACHE) or obeying the organizations code of ethics policies, especially with the use of electronic medical records (EMR). Many patients fear that their personal health information (PHI) will be disclosed by hackers or unauthorized users. According to Carel (2010) “ethical concerns shroud the
The way in which facilities access patient’s health records have changed from paper charts to electronic health records (EHR). Healthcare facilities have been mandated by the federal government to start using EHR for access and storage of health information (Department of Health and Human Services, 2008). There are six steps that assist facilities in order to prepare them to start utilizing EHR (Office of the National Coordinator for Health Information Technology, 2014). EHR privacy is maintained through the Health Insurance Probability Accountability Act (HIPAA) (Burkhart and Nathaniel, 2014). This allows coordination of care among healthcare professionals in order to deliver quality, safe, cost effective care to patients.
Health care agencies invest large sums of capital into EMR and in addition, rely upon reimbursement from the Health IT system (for example Medicare and Medicaid). According to Hurdle et al., (2007), the American Medical Informatics Association [AMIA] Code of Ethics, “patients have the right to know about the existence of electronic records containing personal biomedical data” (p. 391). In addition a patient has the right to expect that “biomedical data are maintained in a safe, reliable, secure, and confidential environment that is consistent with applicable law, local policies, and accepted informatics processing standards” (p. 392).
It is essential that health care researchers and/or managers abide by the Health Insurance Portability and Accountability Act of 1996 (HIPPA) before sharing any patient health information to the public. The Privacy Rule under HIPPA will permit the sharing of health information without patient permission for payment, treating, and health care operations, and other specified purposes (Koontz, 2015). In addition, the Security Rule under HIPPA is designed to ensure that patient health information is protected from the unauthorized disclosure and access (Koontz, 2015). After all, the increase in health information technology makes it easier for researchers to obtain patient health data (Largent, Joffe, & Miller, 2011). However, the health care researcher
Healthcare companies always be in a myth that their business agreements will protect in case of a breach but unfortunately that is myth It’s essential for third party vendors to fully realize they are part of HIPAA regulations, they are not allowed to view healthcare data. To ensure vendors will not impose data risk it’s better to educate third party vendors, and. the HIPAA`s business associate agreement (BAA) rule for all relationships this agreement must be signed by third party vendor. The BAA maintains electronic information of all patients, if they fail to do so it is advisable
Security breaches of EMRs vary from someone without consent viewing the patient’s information, to a hacker using the information to steal one’s identity. According to Privacy Rights Clearing House, more than 260 million data breaches have occurred in the United States, including those of health related records. Approximately 12 percent of data breaches involve medical organizations (Gellman, 2012). According to Redspin, a provider of Health Insurance Portability and Accountability Act risk analysis and IT security assessment services, more than 6 million individual’s health records were compromised during a period from August 2009 and December 2010 (Author Unknown, 2010). A provision of the Health Information Technology for Economic and Clinical Health (HITECH) Act requires all breaches affecting 500 or more people to be reported to the Department of Health and Human Services. This reporting is to be accomplished within 60 days of discovery. The Redspin report covering the period above involved 225 breaches of protected health information. The amount of people with access to an individual’s health record creates concern with confidentiality. According to the Los Angeles
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).
Although the EHR is still in a transitional state, this major shift that electronic medical records are taking is bringing many concerns to the table. Two concerns at the top of the list are privacy and standardization issues. In 1996, U.S. Congress enacted a non-for-profit organization called Health Insurance Portability and Accountability Act (HIPAA). This law establishes national standards for privacy and security of health information. HIPAA deals with information standards, data integrity, confidentiality, accessing and handling your medical information. They also were designed to guarantee transferred information be protected from one facility to the next (Meridan, 2007). But even with the HIPAA privacy rules, they too have their shortcomings. HIPAA can’t fully safeguard the limitations of who’s accessible to your information. A short stay at your local
The decision to convert to EHR had to be probably still is long hours of research, time consuming.
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
EHRs have also changed healthcare by increasing productivity. Now health care professionals are not having to order scan or test multiple times due to results not being able to be located. One additional way that EHRs have changed the healthcare industry is by increase patient satisfactions. Patients like that their healthcare providers are easily up to date on the facts of their health information. Healthcare IT is now considered as a essential factor of a high-quality healthcare system (Wager, Lee, Glaser, 2013).
Legendary Health Center (LHC) is a general health center serving the residents of Eastern Ohio. We accept patients of ages, ethnicities, with or without insurance for more than 20 years. Legendary Health Center encompasses four counties, Clermont, Brown, Adams, and Highland. LHC employs 10 providers, three midlevel providers and 50 staff
9) Booz Allen Hamilton (Canada), Rand (US) and HIMSS Analytics (US) have completed high level analyses of the costs and benefits to be derived from electronic health records. To what degree can the benefits be truly realized in Canada?