Explain The 3 Distinct Models Used Within Canada Essay

Use of an EHR presents major opportunities for the compromise of patient’s personal health information (PHI). The facility must ensure proper safe guards are implemented and functioning properly at all times. Employees need to be educated on the safety measures to prevent breach of patient confidential health records. Privacy breaches can result from misuse or improper storage of PHI by the healthcare professional, by third party payers, or by lack of proper encryption in the EHR system itself (Burkhardt & Nathaniel, 2014). The Health Insurance Portability and Accountability Act (HIPAA) is a law that holds healthcare facilities and professionals accountable for keeping PHI confidential, patients to control

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.

Regulation placed upon the healthcare system only seek to improve safety and security of the patients we care for. The enactment of the Health Insurance Portability and Accountability Act (HIPPA) and the enactment of Meaningful Use Act the United States government has set strict regulations on the security of health information and has allotted for stricter penalties for non-compliance. The advancement of electronic health record (EHR) systems has brought greater fluidity and compliance with healthcare but has also brought greater security risk of protected information. In order to ensure compliance with government standards organizations must adapt

6. Use certified EHR technology to identify patient-specific education resources and provide to patient, if appropriate

EHR was created to have a technical way to securely exchange private and personal medical health information in hopes to improve the quality of care, decrease medical errors, limiting paper use, reduction of health care cost, and increasing a person access to affordable health care. A mandate was created for EHR stating that health records can be accessible to all facilities with patients having the capability to access their own health records at any time. Ameliorating the quality and convenience of care given to a patient, allow for cost saving measures, engage the patient and family to participate in their care, improve accuracy of medical diagnosis, and enhance the efficiency of the overall outcome of the patients’ health.

Several years ago, a mandate was ordered requiring all healthcare facilities to progress from paper charting and record keeping to electronic health record (EHR). This transition to electronic formatting has pros and cons associated with it. I will be describing the EHR mandate, including who initiated it, when it was initiated, the goals of the EHR, and how the Affordable Care Act and the Obama administration are tied into it. Then I will show evidence of research and discuss the six steps of this process as well as my facilities progress with EHR. Then I will describe meaningful use and how my facility attained it. Finally, I will define HIPAA law, the possible threats to patient confidentiality relating to EHR, and how what my facility

There are few concerns regarding the HITECH Act that need to be addressed, such as Data breach of protected health information, EHR risk assessments and patients' electronic access to their health information, this access will allow them to view their records online, this kind of access electronic access might cause exposure to their health record online to a third party. Other concern is about the use of the electronic health records and whether it is capable of improving the quality of care and also some privacy and safety issues.

To achieve Stage 1 meaningful use of an EHR, providers must meet 15 core objectives and 5 objectives out of 10 from the menu set objectives. Providers must track the 3 required core Clinical Quality Measures (CQMs) on patients and identify at least 3 additional CQMs from the set of 38 CQMs on patients. Stage 2 requirements consist of continuations of stage 1 requirements, with heightened demands for the number of electronic transactions. Stage 2 impacts nursing, brings greater emphasis on disease management, clinical decision support, transition of care, documentation of care plans and patient access to health information (Guterl, 2012). Stage 3 is likely to follow the same format as its predecessors, with a divide between core (mandatory) and menu

(ONC) is to coordinate “national efforts to implement and use the most advanced health information technology and the electronic exchange of health information … to improve health care” (Health and Human Services [HHS], n.d., website). However, sharing confidential information found in the electronic health record (EHR) for research and quality improvement potentiate legal, financial and ethical challenges.

In addition to the core elements, providers will have to choose any five of the ten additional tasks to implement in 2011-2012. Some examples of these might be clinical lab results, patient appointment reminders and drug-formulary checks. This gives the providers a chance to choose their own path toward full EHR implementation and meaningful use. Legislation ties payments to the achievement of advances in health care processes and outcomes. The regulations are specific as to when providers will have to use particular functions in order to be considered meaningful users. The meaningful use rule acknowledges the urgency of adopting the electronic health record and recognizes the challenges it will pose on all providers.

HIE face a range of challenges as they try to get hundreds and even thousands of participants in sharing data. Getting data in front of doctors and other clinicians is one of the biggest challenges HIEs face. Ideally, it would be delivered directly to a providers' EMR system, so when a patient goes to an outside lab for blood tests, the results would show up in the electronic record at the doctor's office, and the doctor would be notified that the results are there. However, with limited EMR use across the country, HIEs have had to provide alternative delivery methods. HIE is considered to be one of the key components of the national health IT infrastructure being established by the HITECH Act. Policymakers and health care providers believe this health IT infrastructure will produce a number of benefits, many of which are directly related to HIE.

Dr. Kemp defines an electronic medical record (EMR) as “the digital version of a paper chart that contains all of a patients ' medical history from one practice” (Kemp, 2014). He also differentiates between the use of the term electronic medical record (EMR) and electronic health record (EHR). An EHR is more “comprehensive” than an EMR. It allows for data sharing across multiple practices. The use of both EMRs and EHRs has gained in notoriety in the last decade. And it appears that the use of these two terms is interchangeable. The idea of data sharing and having one’s health records at the click of a button is highly appealing. While there are several ethical implications to explore when dealing with computerized charting, the objective for this research review will focus primarily on three interesting concepts: autonomy, finance, and privacy, as it relates to information technology.

informed consent is impossible unless the decision makers have appropriate and relevant information. This means that patients must not only have access to information about proposed treatment modalities but also to their very own records. When these records are in EHR form, this means that they must have access to their EHRs as well. Service providers must structure their services in such a way as to accommodate newly emerging patient rights [3].

“An electronic health record (EHR) is a digital version of a patient’s paper chart. EHRs are real-time, patient-centered records that make information available instantly and securely to authorized users.” (healthit.gov) The EHR mandate was created “to share information with other health care providers and organizations – such as laboratories, specialists, medical imaging facilities, pharmacies, emergency facilities, and school and workplace clinics – so they contain information from all clinicians involved in a patient’s care.” ("Providers & Professionals | HealthIT.gov", n.d., p. 1) The process has proved to be quite challenging for providers. As an

The correlation of increased potential patient rights violations and sensitive personal health data among electronic medical records than paper records is growing at an alarming rate. An estimated 52,000 public comments was reviewed by the Department of Health and Human Services requiring privacy regulations governing individually identifiable health information since the passage of Health Insurance Portability and Accountability Act of 1966 (HIPPA). The individually identifiable health information includes demographic data that relates to the individuals past, present, or future physical or mental health condition. In addition, the provision of health care rights of the individual, confidentiality, protection of