Electronic Health Records Breaches Within Security

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

This affects the delivery of healthcare in that the information needed by providers, physicians, medical staff, and the patients themselves, may not be delivered correctly, timely, and of course securely. Various systems will be discussed and each how they affect healthcare delivery, in particular Electronic Health Record (EHR), Electronic Medical Records (EMR) and Computerized Physician Order Entry (CPOE) (also sometimes referred to as Computerized Provider Order Entry).

As more healthcare information is stored and transmitted digitally, ensuring that your organization complies with the myriad of federal and state regulations is becoming increasingly difficult. As part of this digital transformation, healthcare organizations are partnering with cloud companies, data processors, and other organizations that must also comply with HIPAA business associate requirements. This has resulted in an increase in the scope of security challenges for healthcare providers and their business associates.

According to U.S. Department of Health and Human Services (n.d.), the migration of healthcare providers to using electronic health records and the wide-spread use of computer and web based applications motivated the U.S. Department of Health and Human Services to develop regulations for protecting the privacy and security of Private health Information (PHI) of individuals. The advance in computing technology and easy storage options, led healthcare providers change their physician order entry, patient health records, pharmacy, laboratory systems, health insurance plans to fully computerized systems. While the change facilitates work efficiency and increased quality of service by ensuring greater mobility and easy access to information anywhere at any time, it adds potential security and privacy risks (Mercuri, 2004). HIPAA requires that every covered entity keep the privacy of individuals and implement acceptable form of security to protect the integrity, availability and confidentiality of private health information. According to U.S. Department of Health and Human Services (n.d.), the goal of the Security Rule is to safeguard the security of electronic private health information (ePHI) while giving more flexibility to covered entities such as healthcare providers, healthcare clearing houses and insurance companies in using new security technologies to better the quality of service and healthcare. The HIPAA Security Rule is updated on a regular basis

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

     Abstract:  Electronic medical databases and the ability to store medical files in them have made our lives easier in many ways and riskier in others.  The main risk they pose is the safety of our personal data if put on an insecure an insecure medium.  What if someone gets their hands on your information and uses it in ways you don't approve of? Can you stop them?  To keep your information safe and to preserve faith in this invaluable technology, the issue of access must be addressed.  Guidelines are needed to establish who has access and how they may get it.  This is necessary for the security of the information a, to preserve privacy, and to maintain existing benefits.

Over the last ten plus years, health care information technology continues to progress in a direction to increase patient safety and outcomes while maintaining the patients privacy. The purpose of this paper is to discuss the implementation of an Electronic Health Record [EHR] within the health care field and my work facilities compliance using this technology. I will also be discussing how the mandate goals will benefit the patient and the care provided by their healthcare team while improving patient safety. I will apply the concepts of data security while retaining the patient’s confidentiality and privacy to avoid a HIPAA violation within my practice.

Information security so important in healthcare because being able to share data digitally holds a lot of potential for doctors, nurses and clinicians to send and receive content fast and effectively. Although this is a great thing, on one hand, it is also dangerous because patient data and other sensitive information are even more at risk of being stolen, exposed or accessed by unauthorized parties. Because of this, security must be a top priority for any medical organization today and for the future. In order to ensure patient data will be secure, healthcare facilities should implement safeguards on data information.

According to a recent survey of physicians, an estimate of 83% own at least one mobile device and one in four doctors use smartphones and computers in their medical practice (Barrett, 2011). There is a great concern that protected health information (PHI) may be compromised by the use of mobile devices under the Health Insurance Portability and Accountability Act (HIPAA). The HIPAA law is in effect to secure patient medical records are kept confidential and safe. The increase of patients and health care practitioners communicating not only with the patient and other medical professionals using mobile devices raises security issues of protected health information (PHI). The HIPAA Security Rule requires reasonable safeguards to protect

The desideratum to secure patient’s records in a healthcare environment led to the adoption of the Electronic Health Records (EHR). The EHR is a computerized system that maintains the health record and contains a comprehensive health history of an individual. The availability of healthcare records in an electronic format has conveniently amended the quality of healthcare services. This paper presents a systematic literature review concerning the privacy and security issues that confront the medical industry in the utilization of electronic medical records.

One of the biggest issue with EHR is that patient data can be accessed by unauthorized users. If that information fell in the wrong hands, a patient can become a victim of identity theft. To resolve the issue, healthcare organizations should first train their employees on HIPAA and the consequences for not following it. Then, they should give a different password to each authorized user to known who access the patient’s file. Finally, they should make sure their computer has a security system to detect and stop a

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.

In light of available security measures and their widespread acceptance within the information security community, there is no excuse for healthcare organizations to fail in fulfilling their duty to protect personal patient information. Guaranteeing the confidentiality and privacy of data in healthcare information is crucial in safeguarding the data of patients as there should be a legal responsibility to protect medical records from unauthorized access.

The rapid changes in technology over the past few decades has left the healthcare industry ill-prepared to operate in today’s environment. Most substantial protections of sensitive consumer information has come as a result of federal regulation, most notably in 1996 with the Health Insurance Portability and Accountability Act and 2009 as part of the American Recovery and Reinvestment Act. Protection of information in the healthcare industry has lagged behind all other industries, perhaps because the records aren’t financial in nature or sensitive government information. Implementing simple steps for many organizations may be enough to limit the vast majority of breaches, although a layered, comprehensive security approach should be the ultimate goal for companies.