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) …show more content…
According to studies carried out in several countries, many concerns regarding data security and privacy arose. A study conducted in United States stated that approximately 25 million compelled authorizations occur every year for the disclosure of health information. It has become a concern about the accessibility of EHRs to unauthorized persons. There can be some technical security errors in the system which may disclose information to unauthorized persons or companies, therefore protection is required against the manipulation or unauthorized abuses. EHRs also have difficulties in maintaining data privacy as administrative staff can have access to information without the patient’s explicit consent. (Fernandez - Aleman,
The Health Insurance Portability and Accountability Act (HIPAA) was passed by congress in 1996, and helps to ensure the privacy and security of Electronic Health Records (EHR's). By following the rules and regulations set forth under HIPAA, we can ensure the safety of patients' EHR's. We are responsible for protecting patients' records, and there are many measures we can take in order do this. Firstly, we must always keep patients' health information private. This means no discussing the records with people that are not authorized to know, and even then, we should only disclose the minimum necessary amount of information possible. For covered entities, we must designate a privacy and security officer to ensure the privacy
The purpose of this paper is to discuss the electronic health record mandate. Who started it and when? I will discuss the goals of the mandate. I will discussion will how the Affordable Care Act ties into the mandate of Electronic Health Record. It will describe my own facility’s EHR and what steps are been taken to implement it. I will describe the term “meaningful use,” and it will discuss possible threats to patient confidentiality and the what’s being done by my facility to prevent Health Information and Portability Accountability Act or HIPAA violations.
The health care is changing with the advent of Electronic health record. EHR improves coordinated care and promotes easy access to patient care. This helps in improved patient involvement in healthcare and also make them to be better informed. However, there are security and privacy concerns while using EHR systems. Therefore, different security principles are needed to be applied to EHR systems. Information security (InfoSec) principles helps in protecting EHR systems. This principle includes the following:The information is not available to everyone and are not disclosed to unauthorized individuals, processes and entities. Measures are undertaken to ensure that sensitive information should not reach the wrong people while making right information
With the enthusiasm for health information technology, potential risks and problems associated with electronic health records have received far less attention. Three fundamental security goals are essential to EHR systems: confidentiality, integrity and availability (Haas e26). Patients lose the protection of implied trust domain of medical institutions due to their medical record maintenance performed by non-medical enterprises (e27). Depending on the paradigm, enabling access to an increased number of users poses threats to security and privacy.
Patients incur a heavy cost of accessing EHR when information is fragment across the entire system. The fragmentation raises issues of security of personal data for which the system may be liable if leaked. While doctors have varying expectations of what information to share for patient access, the patients have rights to access and desire custodianship of such information. In as much as the doctors enter data and attempt to control access, patient as relying on the internet for health information and may trust ‘apomediaries’ above conventional sources (Beard et al.,
The challenge faced with the use of EHR in Canada is how to keep track of patient’s as the move through the system. It is necessary to remind clinicians of their role with security and privacy of their patients’ records as they use EHRs in making best decision on their health and in the mist of any other vices.
The rules in "Health Insurance Portability and Accountability Act of 1996" require that organizations will create policies and procedures to prevent unauthorized access to health care information. All persons who maintain and transmit health information apply reasonable technical and physical safeguards to ensure the integrity and confidentiality of such information and unauthorized uses or disclosures. However the existing problems of security of data are not yet fully overcome and the existing problems relating to patient record confidentiality and the impact
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.
Since the creation of EHR, ethical dilemmas take a rise. Unauthorized disclosure is when a patient’s PHI is released to someone that is not authorized by the patient. Sometimes it can be an accident such as an email or phone call. Because of EHR, it is common to have breaches of privacy such as having a security breach or a decrypting a EHR program by stealing the laptop. Events as such violate ethical principles and show no integrity. Integrity assures that the data is accurate and has not been changed. Security breaches threaten patient privacy when confidential health information is made available to others without the individual's consent or authorization.
Information is the center of the healthcare industry. All healthcare organizations utilize information whether in written or oral form. Safe and accurate information are some of the keys to quality care. With the industry constantly changing and with several ways of accessing processed data, safeguarding patient information is top priority. Information governance (IG) seeks to improve how information is handled (Hutchinson & Sharples, 2006). IG includes the protection of data, personal health records (PHR), electronic health records (EHR), and medical information exchanged via telemedicine. Breaches of personal information have been occurring more often and the time for information governance is indeed now. This paper will explain what information governance is, give examples of data breaches and how the particular organization was affected, and explain the importance of implementing information governance.
Security refers directly to protection, and specifically to the means used to protect the privacy of health information and support professionals in holding that information in confidence. The concept of security has long applied to health records in paper form; locked file cabinets are a simple example. As use of electronic health record systems grew, and transmission of health data to support billing became the norm, the need for regulatory guidelines specific to electronic health information became more apparent.
Good explanation. The Federal Government has required for the security of the patients that all the medical information is protected by an electronically system. The EHR is a system like you well said all the necessary information and relevant from the patient so that at the time to ask for the services and if they have any problem providing their information we have it in the system and the multidisciplinary team can have access to it. “The nursing profession must also be involved in determining measures to assure the quality of the data that are exchanged among individual information system and in the formation and maintenance of the EHR” (Hebda & Czar, 2013, p.270). As health care professionals we must be alert and be a part of the EHR or
Personal health record (PHR) is the electronic or paper medical records of patients that are built and updated by patients themselves or by family members. Organizations can consider three factors to provide PHR to patients. The first one is the type of information that patients are allowed to access to and the methods that can be used to access the information. Some organizations enable patients to have total control of their PHR while others limit the data that can be accessed. The second factor is organizations must manage the patients’ identities and assure the accuracy and completeness of information in PHR as well as ensure the proper security to protect the information. Organizations should guarantee that the databases to store patients’ information and the network to transmit the information are secured. The third factor is releasing and disclosure of patients’ health information. Organizations must have valid and proper authorizations on file in order to grant accessed to PHR. Under the Health Insurance Portability and Accountability Act (HIPAA) rules and regulations, organizations must respect the patients’ right of privacy and confidentiality of information. In order to release information, valid authorizations are needed (LaTour, Eichenwald Maki, & Oachs, 2013, p. 98).
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
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.