The Electronic Health Record And The Movement Toward The Digital Age

In a healthcare world that operates on stringent budgets and margins, we begin to see the need for a higher capacity healthcare delivery system. This in turn puts pressure on the healthcare organizations to ensure higher standards of patient care, and compliance with the reform provisions. However, these are the harsh realities of today’s healthcare environment, a setting in which value does not always equal quality. The use of technology can help to amend some of this by providing higher capacity care without compromising quality; this can be done with the use of such technology as electronic health records (EHRs). This paper will aim to address how EHRs influence healthcare today by expanding upon topics such as funding sources, reimbursement methods, economic factors, socioeconomic factors, business influences, and cost containment.

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 Insurance Portability and Accountability Act (HIPAA) was intricately designed to provide not only a more efficient health care system but also as a protection for private patient information and data. With the widespread use of technology and computers in hospitals, the availability of patient information, their health portfolio, and their previous care has greatly improved the efficiency of health care. However, this also means that there is greater leeway for that information to be lost and/or shared without patients consent.

HIV and AIDS are two very serious diseases which first came known and reported in the U.S. in 1981. Today it is estimated that 1.7 million people in the U.S. have been infected with HIV since that date 619,000 people have already died from it. The CDC, (Center For Disease Control) estimates that every one in five people living with HIV, are unaware that they even have it. With a serious medical condition such as this, it is good that the HIPAA privacy act exists because the privacy of every patient’s medical information, including any information about AIDS and HIV, will be protected and is to

HIPAA, (Health Insurance and Portability Act of 1996) outlines rules and regulations and the rights of patients to access their healthcare information such as notifications of privacy practices, copying and viewing medical records, and amendments. This paper explains why confidentiality is important today and discusses recourses patients can use if they believe their privacy has been violated. This paper will also discuss criminal and civil penalties’ that can occur for breaking HIPAA privacy rules.

HIPAA, (Health Insurance and Portability Act of 1996) outlines rules and regulations and the rights of patients to access their healthcare information such as, notifications of privacy practices, copying and viewing medical records, and amendments. This paper explains why confidentiality is important today and discusses recourses patients can use if they believe their privacy has been violated. This paper will also discuss criminal and civil penalties’ that can occur for breaking HIPAA privacy rules.

HIPAA confidentiality is important for very patient but for some reasons when they hear someone has HIV or AIDS it gives them the right to talk about it with others which have no reason to know. I will show why it is so important to be sensitive to this type of health conditions. Will examine the social, legal, and ethical ramifications of improper information disclosure.

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

It has always been the job of health care providers to maintain doctor-patient confidentiality. Not only is it a legal obligation it is also an ethical obligation to many doctors, nurses, physician’s assistants and many other medical staff. Until recently medical records were primarily recorded on paper and stored in cabinets and locked in what was believed as a secure room. The Health Insurance Portability and Accountability Act also known as HIPAA, was passed on August 21, 1996. Although the law was passed in 1996 it did not become effective until April 14, 2003. This was due to the fact that “Given that Congress did not act to produce these within the timeframe specified by the law the secretary at the Department of Health and Human

The Health Insurance Portability and Accountability Act (HPAA) violation has been a continuous problem for the healthcare industry. The Mishandling of private health information has become far too common in today’s health system, resulting in negative or harmful effects on patients and the health care providers. Therefore, of main concern in the health care industry is to secure the confidential Protected Health Information (PHI). Healthcare professionals have the ethical, moral, and legal obligation to protect all electronic health data. Failure to adhere to the law can have both ethical and legal ramifications that can result in civil and criminal penalties (Indiana University 2016).

Release of Information in healthcare is critical to the quality of continuing the care provided to patients. It plays an important role in billing, reporting, research and other functions. The HIPAA privacy rule has specific rules for the management of health information to ensure confidentiality of each individual. The rule will balance the need for prompt and informed delivery of health care services with that of protecting the individual. There are no standard uniform state privacy law in use of all 50 states, yet the territories. State laws focus on for example HIV generic information as well as a degree of strictness or protectiveness of patient privacy. Some states need that additional patient authorization be obtained prior to release, but some states do not. The law required that healthcare organizations develop, implement and maintain policies, processes and procedures around release of information. Overall management of those HIM processes that shows the fundamental to confidentiality, security and compliance in releasing protected health information. It is important that the organization 's policies and procedures include the management practices that support the process of disclosure and it 's oversight.

There are three main HIV reporting systems which physician are required to use in making a report, name based reporting, code based reporting and name to code reporting. However, physicians and laboratories in the United States are required to report to local and health departments using the reporting system, although the requirements differ among states. As a matter of fact, reporting and notification helps in informing individuals about the possible risk of being HIV positive, receive HIV counseling and testing, and most importantly help them get appropriate medical care. Although individuals may be discouraged from undergoing testing if they know someone will notify their contacts. Similarly, some individuals threaten to discontinue the course of treatments if their status is revealed to

“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

Electronic Medical Records (EMRs) are now exercising a more significant impact on healthcare practices than ever before. The United States healthcare system stands on the brink of a new age of electronic health information technology. The potential for innovation within this new technology represents a great opportunity for the future of medicine. However, in seeking to implement EMRs caution must be exercised to ensure that implementation does not have adverse effects on the personal nature of the patient-physician relationship an important issue that must be addressed in order preserve the integrity of healthcare in the new electronic age.

In medicine one of the things every patient is entitled to, no matter what, is their privacy. Since ancient times the privacy between a doctor and a patient has been somewhat of sacred thing. The patient has the right to release their health information to whomever they please. Even for doctors to access a patient’s medical history there has to be consent from the patient. In Mair’s article she reports about the case PD v Harvey in which PD upon asking for her future husband’s (FH) HIV test results was denied access because of lack of consent from FH. FH because of his right to confidentiality, despite having the disease, was able to lie and forge a pathology report which reported his HIV status as negative and in turn PD was lead to believe that FH actually received a negative result. If PD had been allowed the right to view the positive result or maybe even if the doctors would have taken into consideration her well-being PD could have avoided being infected (2009). Before testing a patient for HIV/AIDS a doctor should consult the patient in this consultation the patient should be educated about the disease, the testing process, and actions to be taken upon a positive result, including disclosure to sexual