Discussion: HIPAA Protected Health NUR 514

Discussion: HIPAA Protected Health NUR 514

Discussion: HIPAA Protected Health NUR 514

, and requirements for privacy and confidentiality in EHRs. Discuss one ethical and one legal issue related to the use of EHRs that directly impact advanced registered nursing practice. Discuss possible consequences for compromising patient data and measures you can implement in your own practice to protect patient privacy and confidentiality.

Re: Topic 7 DQ 2

and protected health information are applicable to electronic health records (EHR). The patient has a right to privacy in regard to all their health care information (U.S. Department of Health & Human Services Office for Civil Rights, n.d.). This information must only be shared with authorized personnel who provide direct care to the patient. EHRs use data encryption and security measures to protect this data. The user has a password to access the system. If patient portals are in use, the patient can access using PINs or passwords. All information contained in an is to be used for the purposes of patient care or data aggregation to improve patient outcomes (U.S. Department of Health & Human Services Office for Civil Rights, n.d.). It is the legal obligation of a facility or provider to notify patients of any data breaches and the Secretary of Health and Human Services.

As an , EHR documentation can be time-consuming. This can have an impact on the nursing-patient partnership. The patient must be able to establish a rapport with the nurse in order for cooperation and collaboration to result in positive health outcomes for the patient (McBride et al., 2018). When a clinical decision support system is required in a specific patient population, the advanced practice nurse creates a legal situation in which they cause harm to the patient. A patient with a history of heart failure who presents to the emergency room with a diagnosis of possible sepsis based on a CDSS symptom recognition pattern is an example. Based on the history and further evaluation, the patient had a CHF exacerbation (McBride et al.).

violations result in fines or time in prison or both. I would maintain patient privacy by not speaking in public areas about PHI. This means creating a private area to speak to patients and families without others having the ability to overhear. The EHR must be locked when I am not in attendance. Family members must provide the PIN or code necessary to get any information in person or via phone. The patient must clearly state who he/she wants to have his/her information shared with unless there is a legal document giving an individual power of attorney for health care.

References

McBride, S., Tietze, M., Robichaux, C., Stokes, L., & Weber, E. (2018). Identifying and addressing ethical issues with use of electronic health records. Online Journal of Issue in Nursing, 23(1). 

U.S. Department of Health & Human Services Office for Civil Rights. (n.d.). Privacy, security, and electronic health records. https://www.hhs.gov/sites/default/files/ocr/privacy/hipaa/understanding/consumers/privacy-security-electronic-records.pdf.

RESPOND HERE (150 WORDS, 2 REFERENCES)

This is insightful, Camille; the application or electronic health record system is associated with different legal and ethical practices that ought to be observed. As a result, Health Insurance Portability and Accountability Act (HIPAA) and protected health information are applicable to the EHR. The main objective of the EHR system is to enhance the management of patient’s data. As a result, there is always the need for healthcare professionals or users to adhere to the privacy policies or confidentiality of information (McBride et al., 2018). Enhancing the confidentiality of information is one of the ethical concerns often observed by healthcare professionals when using an EHR system. The confidentiality of information can be achieved through integrating effective mechanisms to enhance the security of data (Iyengar et al., 2018). Putting security measures such as passwords is one of the main methods that can be used to enhance the confidentiality of information. Also, encryption processes can be undertaken to prevent unauthorized access of patient’s data by third parties or strangers. Additionally, adherence to the HIPAA policies is critical in ensuring the maintenance of data security.

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What are the factors impacting informatics support for clinical and translational research?

In recent years, there have been numerous initiatives undertaken by members of the biomedical informatics (BMI) community to describe people, organizational, and leadership factors that influence the collection, management, analysis, and dissemination of data, information, and knowledge in support of biomedical research [1–4]. A common theme spanning these reports has been the critical role of predisposing or enabling factors that may impact the likelihood of achieving the promise of computational-approaches to such information needs [5]. As clinical and translational science (CTS) emerges as a national priority, the correlating growth in the scale and scope of CTS research programs also causes a corresponding increase in the acuity of such information needs. [6–8]. At the same time, systematic evaluations of optimal people, organization, and leadership models related to the provision of data, information, and knowledge management technologies and methods relevant to the conduct of CTS are notably lacking. In this report, we describe an effort, focused on such factors in the specific context of clinical and translational science programs situated in academic healthcare centers (AHCs), intended to address the preceding gap in knowledge.

Background
Key terms and definitions
Given that the intent of this report is to describe a survey and evaluation of such people, organizational and leadership factors that impact informatics support for CTS, it is important to provide shared context for key terms and concepts that we will use in the remainder of the manuscript. Do address this nee, we will utilize the following working definitions:

Computational and Information Science: The term Computer Science (CS) became popular in the 1960s, but it does not always correspond with a specific and community accepted definition of the field’s focus and scope. According to the Association for Computing Machinery (ACM) conventions, CS can be defined broadly as the branch of science concerned with the theoretical and applied use of computers to process information. Notably, there is considerable disagreement about whether CS is a subset of applied mathematics, engineering, or a distinct discipline in its own right [9]. Similarly, there is no widely accepted definition for the domain of Information Science (IS). According to an examination of the connections between CS, IS, and Biomedical Informatics by

Biomedical Informatics: Biomedical Informatics (BMI) is “the interdisciplinary field that studies and pursues the effective uses of biomedical data, information, and knowledge for scientific inquiry, problem solving, and decision making, motivated by efforts to improve human health” [11]