Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Pros and cons of electronic health records in primary care settings
The importance of electronic health records
The importance of electronic health records
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Prior to the Information Age, medical records were all stored in folders in secure filing cabinets at doctor’s offices, hospitals, or health departments. The information within the folders was confidential, and shared solely amongst the patient and physician. Today these files are fragmented across multiple treatment sites due to the branching out of specialty centers such as urgent care centers, magnetic resonance imaging, outpatient surgical centers, and other diagnostic centers. Today’s ability to store medical records electronically has made it possible to easily send these files from one location to another. However, the same technology which can unify the fragmented pieces of a patient’s medical record has the ability to also create a path for privacy and security breaches. This paper will examine how electronic medical records are used, how they are secured, how security is enforced, and what the consequences of security breaches are.
It is important for the purpose of clarity to distinguish the difference between electronic medical records (EMR) and electronic health records (EHR). Electronic medical records are an electronic composition of an individual’s medical history including such components as procedures, past diseases, diagnosis, medications, doctor’s names, and allergies. An electronic health record is an electronic means of documenting a patient’s procedures, diagnosis, billing information, etc. at each care facility (Badzek & Gross, 1999). A movement that was first initiated under the Bush administration, accepted by the Clinton administration, and now embraced by President Obama is the creation of the individual electronic medical record. In 2009 President Obama included $36 billion in the stimulus package to...
... middle of paper ...
...n%20age/315,000%20patients%27%20information%20disappears%20from%20Emory%20Healthcare%20_%20www.wsbtv.com.htm
Dixon, P. MEDICAL IDENTITY THEFT: The Information Crime that Can Kill You, March 3, 2006. World Privacy Forum. Retrieved from http://www.worldprivacyforum.org/pdf/wpf_medicalidtheft2006.pdf on April 24, 2012.
Foreman, Judy (26 June 2006). "At Risk of Exposure”. Los Angeles Times. Retrieved April 23 , 2012.
Gellman, R. Fact Sheet 8a: HIPAA Basics: Medical Privacy in the Electronic Age. Privacy Clearing House. March, 2012. Retrieved April 19, 2012 from http://www.privacyrights.org/fs/fs8a-hipaa.htm.
Health Insurance Portability and Accountability Act of 1996, 42 U.S.C. § 1320d-9 (2010).
Moore, J. Electronic Medical Records Stimulus Package. Dec. 2009, Retrieved from http://www.electronicmedicalrecords.com/emr-stimulus-hitech-act.php on April 19, 2012.
Overall these sources proved to provide a great deal of information to this nurse. All sources pertained to HIPAA standards and regulations. This nurse sought out an article from when HIPAA was first passed to evaluate the timeline prospectively. While addressing the implications of patient privacy, these articles relate many current situations nurses and physicians encounter daily. These resources also discussed possible violations and methods to prevent by using an informaticist and information technology.
For years now, the healthcare system in the United States have managed patient’s health records through paper charting, this has since changed for the better with the introduction of an electronic medical record (EMR) system. This type of system has helped healthcare providers, hospitals and other ambulatory institutions extract data from a patient’s chart to help expedite clinical diagnosis and providing necessary care. Although this form of technology shows great promise, studies have shown that this system is just a foundation to the next evolution of health technology. The transformation of EMR to electronic heath record system (EHR) is the ultimate goal of the federal government.
... Health Information Privacy For Consumers. Retrieved April 22, 2009, from U. S. Department of Health and Human Services: http://www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html
The U. S government passed the American Recovery Act in 2009 that established incentives and penalties to promote EHR use. From this legislation the Meaningful Use Program for EHR’s s was created. Through The Meaningful Use Program the U.S. government is able to support the adoption and use of EHR technology to enhance and revolutionize health care. The goal of the program is to increase EHR adoption, improve quality, safety, reduce disparities, and improve public health (hmsa , 2012).
Health care and health care information are turning to become unity and are working together to facilitate improvement of health care quality and equity. Therefore, health providers and other relevant stakeholders must strive to put in place strong measures capable of effecting heightened privacy and security precautions. More transparency must also be ensured when medical care organizations and institutions are handling patient’s medical data.
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) affects every aspect of health care from patient privacy to insurance coverage. The federal act was first passed in 1996, yet the first major rule did not go into effect until 2003, protecting patient privacy. HIPAA ultimately came into effect due to the issues regarding patient privacy, security and coverage. Another major concern for both health care workers and the public was the exchange of patient information from one facility to another. Until the relatively recent decision to enforce HIPAA, a patient’s medical record was primarily recorded and maintained on paper and stored in locked cabinets or drawers. Not only was this method inefficient, but patients were also starting to become increasingly concerned over the privacy of these documents.
Summary of the HIPAA Privacy Rule, Office of Civil Rights Privacy Rule Summary, (2003). Retrieved November 12, 2011 from http://www.hhs.gov/ocr/privacy/hipaa/understanding/summary/privacysummary.pdf
HIPPA (Health Insurance Portability and Accountability Act) was put in place by the Federal Government for several reasons; better portability of health insurance for employees, to prevent fraud and abuse within the healthcare delivery system, and simplification of administrative functions associated with healthcare delivery (McGonigle & Mastrian, 2012). Due to sensitive healthcare information being shared federal regulations were also put into place, resulting in the “Privacy Rule” and “Security Rule”. The Privacy Rule limits the use and disclosure of patient information. The Security Rule protects the patients’ healthcare information from improper use or disclosure, to maintain information integrity, and ensure its availability (McGonigle & Mastrian, 2012). Both regulations apply to protected health information (PHI) which is any form of health information that can be used to identify an individual patient. Practitioners who refer to HIPPA are not referring to the act itself but the “Privacy Rule” and “Security Rule” (McGonigle & Mastrian, 2012). It is extremely important to understand these concepts as a student in the clinical setting and how each hospital enforces these concepts. Before starting at any clinical site there is an extensive orientation about HIPPA regarding what is appropriate and not appropriate when it comes to patient information and the repercussions of violating HIPPA. In this paper I will discuss Akron General’s rules and policies regarding their EHR, PHI, EPHI, and social media.
U.S. Department of Health and Human Services, Office for Civil Rights (2003). Summary of the hipaa privacy rule Washington, DC: Retrieved from http://www.hhs.gov/ocr/privacy/hipaa/understanding/summary/privacysummary.pdf
Advances in technology have influences our society at home, work and in our health care. It all started with online banking, atm cards, and availability of children’s grades online, and buying tickets for social outings. There was nothing electronic about going the doctor’s office. Health care cost has been rising and medical errors resulting in loss of life cried for change. As technologies advanced, the process to reduce medical errors and protect important health care information was evolving. In January 2004, President Bush announced in the State of the Union address the plan to launch an electronic health record (EHR) within the next ten years (American Healthtech, 2012).
The purpose of this paper is to discuss how Electronic Medical Records (EMR), affects healthcare delivery. I will discuss the positives and negatives this issue has on healthcare and how it effects the cost and quality for healthcare services. In addition, I will identify any potential trade-offs to cost or quality. Lastly, I will discuss how the EMR affects my job as well as any challenges or opportunities this issue presents.
Medical records and their contents have been an important issue concerning privacy for physicians and their patients. A health care reform bill which passed legislation in 1996 is known as the Health Insurance Portability and Accountability Act (HIPAA) had a new rule put into place in 2000, which requires health care physicians and insurance providers to put into place new procedures that would guard patient health information ("Patient Privacy and Confidentiality", 2013).
The guidance explains and clarifies key provisions of the medical privacy regulation, which was published last December (HIPAA, 1996). Guaranteeing the accuracy, security, and protection of the privacy of all medical information is crucial and an ongoing challenge for many organizations. References American Medical Association (2005). Retrieved December 7, 2008, from http://www.ad http://www.ama-assn.org/.
Our ultimate goal is to keep all clients safe from harm, by protecting their health and privacy to the best of our capability. Knowingly, there is no end to data breaching. Having the intense knowledge and understanding of how to minimize that affect will help save thousands of patients’ identities from disablement. Prevention is key. Professionals need to treat EHR as HIPAA i.e. tablets, laptops, cellphones used in healthcare settings continually locked when not in use. A healthcare professional must keep all of their passwords private from family, friends, and social media without exception. Nurses also need to change their password as often as viable and follow the recommended HIPAA law of practice. Using common sense and good judgment is important. Safe guarding passwords, being aware of your surroundings at all times and learning to correctly log in and out of all devices, is valuable in keeping all information stable as possible. Careless misuse of protecting information can cause risk of breaching. Healthcare workers must remain confidential and alert. Hackers remain a threat; however, professional workers can contribute to patients’ protection by daily practice of the right procedures to reduce data breaching. Nurses in today’s technological society must adhere to the policies and procedures to protect patient health records by providing quality care for patients. We stand on the fight
The purpose of the Electronic Health Record is to provide a comprehensive, standardized and universal digital version of a patient 's health records. The availability of a patient 's digital health record provides health information and data for critical thinking and evidence based decision-making, aggregates patient data for quality assurance and research. The Electronic Health Record has been, "identified as a strategy for effectively and efficiently coordinating and maintaining documentation of patients health histories and as a secure method of providing more informed clinical decision making" (MNA, 2006).