The System Development Life Cycle

The U.S. Department of Health and Human Services (HHS) states that in order to realize meaningful use of the EHR technology, healthcare providers are obliged to apply the technology in a approach that enriches quality, safety, and efficiency of healthcare delivery; ebbs healthcare inconsistencies; involves patients and families; enriches care coordination; expands population and public health; and guarantees sufficient privacy and security guards for personal health information. (U.S Department of Health and

Today’s world in Health care Electronic health records are being utilized in every office. With that utilization of the electronic health records from your staff and physicians and patients, the reduction in mis-diagnoses is continuing to decrease as the years pass. Some would say that EHR is a continual migration path sometimes dictated by internal organizational issues. (Latour, 2009) A CIO would need to research and evaluate every option for her hospital staff. The hospital would do great to join the newly HIR organization to extend its ability to care for patients across the continuum of care (Latour, 2005) The whole purpose of the EHR system is to provide quality care by providing care to patients ensuring accuracy, comprehensiveness, data integrity, data security, and decreased medical errors within the patients chart and clinical side.

The SWOT analysis will focus on the organizations and their strengths, weaknesses, opportunities, and threats. Organizations will have to face challenges, but how they recover and cope with them is important. The SWOT implies that the implementation of EHR faces some challenges of improving the safety, cost, Lack of System Integration, and productivity of patient care. Legal compliance/regulations are still a problem facing the healthcare industry as they assure security of information. The investment in the EHR is a key area when addressing these concerns because of the access of healthcare supply chains increase in workflow and efficiency. Hence, the implementation of EHR requires a level of data within the system by a

The System Development Life Cycle (SDLC) and the Risk Management Framework (RMF) are both processes that are critical to the overall function of an information system, however many project managers and system developers working with the SDLC regularly neglect to incorporate the RMF steps into the development of information systems. This lack of planning and foresight often has unexpected financial impacts, or worse, adverse security effects to an organization later on. Is it possible these individuals overlook the RMF because it is difficult to follow or does not align well with the SDLC? What is the purpose of, and the steps involved with each of these

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

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.

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

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.

Hence, EHR 's are inherently complex amalgamations of diverse subsystems targeted toward varied users. The stakeholders are the users and must have a role in implementing any IT or EHR system into its work flow. An EHR can be customized to accommodate any environment depending on the level of expertise of the vendor and how long they have been in the business of creating an optimum system that 's customized to fit the organizations needs. For the most part, EHR 's must be designed for efficient, error free use. Ideally, an EHR is a system that encompass all the subsystems that make a hospital meet "meaningful use" criteria to acquire incentives for adopting EHR into practice. In the next five years, EHR adoption will no longer be a luxury, it will be a "MUST". EHR 's and other health information technology will be a necessity to practice medicine (econsultant.com, 2010). Rather than purchase several standalone systems, it would behoove one , in my opinion , to purchase an EHR that would satisfy all the needs of the stakeholders, the physician , nurses and other hospital staff and all parties involved in the tertiary practice too. Although LWMS 's budget is not large enough to accommodate the full cost of implementing an EHR,

EHRs adoption is an essential part of improving patient safety and the quality of health care by reducing errors, allowing access to complete and accurate medical information to produce better patient outcomes. Although, it seems like a win/win situation there are still some challenges that appear when implementing an EHR. Some challenges would be Time, Cost, Work- Flow Distribution, Security/Privacy, and Interoperability just to name few. Interoperability is defined as the ability of a computer system or software to exchange or make use of information, which can create a major issue for any organization if these systems are not communicating properly. Security and Privacy are always a concern because implementing HIPAA measures is not an easy task. Not only do you have to comply with the federal level organization still need to recognize state laws which can often be more stringent. Especially, when you need to cover areas such as mental health, drug and alcohol services, genetic testing, HIV, and family planning issues. Change management would be enacted to overcome any issues involving process change resistance. It is a methodical approach and application of knowledge that use tools and resources to deal with this type of change. Methodologies would

Under the HIPAA Security Rule, health care providers are required to conduct an accurate and thorough analysis of the potential risks and vulnerabilities. Protecting the confidentiality, integrity, availability, and privacy of data in health care is very important. For a risk analysis, health care providers would prioritize risks based on the severity of the impact that it would cause their patients and practices (Security Risk Analysis TipSheet, 2014). In addition, identifying the potential threats to patient privacy and security (Security Risk Analysis TipSheet, 2014). A risk analysis process would include determining the likelihood and impact of potential risk to electronic protected health information, implementing security measures to

Perhaps the most important piece of legislation relevant to our understanding of security risks surrounding EMR and health information technology is The Health Information Portability and Accountability Act (HIPAA), which was signed into law in 1996 by the Clinton administration. HIPAA impacts the healthcare industry in many ways, but of particular importance – at least for our purposes of understanding security risks surrounding EMR – is HIPAA’s security rule, which governs how providers must protect private health information during the process of adopting and implementing new health information technology such as EMR. HIPAA requires “covered entities” to take reasonable measures to protect electronic private health information. HIPAA is vitally important to our understanding of EMR risks because providers can face harsh penalties if found in violation of HIPAA.

The electronic protected health information (ePHI) gets electronically stored and collected in hard copy form as they secure the information. According to the U.S. Department of health and Human Service Office for Civil Rights (OCR) report, millions of people have been impacted by HIPAA data breaches. Hence, healthcare organizations must protect and secure personal health data now more than ever because of the threats that are associated with information. This would substantially increase the protection of healthcare from cyber threats. Moreover, these people are extremely diverse and the cleverness of their data information must be organized within hospitals. Medical records are in high demand because of the sophistication of the records.

Data privacy is vital to healthcare organizations and the health information they store. Johns (YEAR) defines data security as “a collection of protection measures and practices that safeguard data, computers, and associated resources from undesired occurrences and exposures” (p. 207). To protect their information, organizations must develop a data security program to meet the needs of Health Information Portability Accountability Act (HIPAA), stakeholders, and the business’s needs. Additionally following the guidelines set by HIPAA is key to being in compliance with the law. These programs differ depending on the organizations that are required to establish them, however, they all follow the same steps in creating and implementing this program

I will line up subject matter experts who know the business processes for the new system and can provide guidance to developers and programmers during build out.12 In addition, assign a business expert full-time, or nearly full-time, to the implementation; and create a steering committee that includes subject matter experts and developers, that meet frequently.12 A detailed plan will be developed to describe the functionalities of the system and how to measure the performance of the system and its output. The EHR system has to be compliant with requirements of Health Insurance Portability and Accountability Act (HIPAA) which helps ensure the privacy of electronic health information.13