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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.

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

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.

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

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.

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.

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

Patient’s privacy and Information security has important role in Healthcare organizations. Health information is private and it should be protected by the Federal Law HIPAA. In recent years, Healthcare providers moving the patients’ health records on computers from paper. The Electronic Health Record (EHR) with patient’s information is considered as very sensitive in Healthcare organization. The sensitive information of patients in healthcare has to be managed such that it is safe and secure from unauthorized access. In this paper I have discussed the concepts of information security and patients’ privacy, the HIPAA security standards, security threats and privacy issues in healthcare.

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).

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.,

With the advancement in technology, health professionals are slowly moving away from using paper-based records to adopting health information systems in healthcare settings. An important advent of health informatics is the introduction of electronic health records (EHRs) which is an information system that collects patients’ health data that can be shared across various health settings (Ahmadi M, 2008; Aultman and Dean, 2014). Despite the benefits of EHRs in modernising and improving the quality of healthcare services (Miller and Sim, 2004; Petersen et al., 1998; Valdes et al., 2004), many ethical dilemmas surrounding privacy and control of electronic information remain unresolved. For consumer groups, security of data is a major barrier to embracing e-health technologies; consumers are concerned about the lack of control of unauthorised access and maintaining the confidentiality of their health information (Ayatollahi et al., 2014; Thakkar and Davis, 2006). Ethical issues related to EHRs can be discussed using the 4 ethical principles: beneficence, autonomy, fidelity and justice.

In recent years, there has been a growing interest in EHR adoption in many countries this is due to an increasing recognition that a stronger health information technology (HIT) is crucial to achieve a higher quality care at lower costs. EHR has been identified to be an important integral part of an efficient health care information system that guarantees positive health outcomes (Cline & Luiz, 2013; Institute of Medicine [IOM] 2003). According to the International Organization for Standardization ([ISO], 2005), EHR is defined as a repository of patient data in digital form, stored and exchanged securely, and accessible by multiple authorized users. It contains retrospective, concurrent, and prospective information and its primary purpose is to support continuing, efficient, and quality integrated health.