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electronic health records privacy
electronic health records privacy
electronic health records privacy
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E-Health may have developed as an integral platform for the health industry to build upon and shape itself towards the future but this does not cover the drawbacks that this platform carries along. In spite of all the pros of this field, the cons should not be overshadowed as these cons can be a major setback to the rapidly growing and progressing health industry. Because of the infancy of this platform, lack of standards and initial setbacks like the startup cost, regular maintenance and update, privacy protection and some legal issues have been seen as major hurdles to its development. When the context of an integrated and interconnected platform comes up, the first question that arises is how the platform maintains and protects the privacy of its users. The case of E-Health is similar. E-Health means keeping the medical records of the patients over the …show more content…
With a new framework, anything can turn out badly, the framework could fall flat or the information can be stolen. Despicable employments of gathered data are all potential doors for a claim. Indicting the medicinal services industry has in the previous couple of decades been a lucrative endeavour for lawyers attempting to right the wrong done to a patient, whether by exclusion or commission. When a new system is implemented, an initial setback is always a major hurdle to overcome. In case of E-health the hurdle is the initial training provided to the staff as this can significantly decrease the productivity of the staff. A study conducted by the University of California-Davis found a 25-33 percent drop in physician productivity in the initial implementation phases of the EMR. While ultimately the goal is to increase productivity in the office or hospital, expect to see a significant drop in productivity, and ultimately revenue, in the first several weeks, and perhaps longer. (Palma,
As the evolution of healthcare from paper documentation to electronic documentation and ordering, the security of patient information is becoming more difficult to maintain. Electronic healthcare records (EHR), telenursing, Computer Physician Order Entry (CPOE) are a major part of the future of medicine. Social media also plays a role in the security of patient formation. Compromising data in the information age is as easy as pressing a send button. New technology presents new challenges to maintaining patient privacy. The topic for this annotated bibliography is the Health Insurance Portability and Accountability Act (HIPAA). Nursing informatics role is imperative to assist in the creation and maintenance of the ease of the programs and maintain regulations compliant to HIPAA. As a nurse, most documentation and order entry is done electronically and is important to understand the core concepts of HIPAA regarding electronic healthcare records. Using keywords HIPAA and informatics, the author chose these resources from scholarly journals, peer reviewed articles, and print based articles and text books. These sources provide how and when to share patient information, guidelines and regulation d of HIPAA, and the implementation in relation to electronic future of nursing.
Jha, A. K., Burke, M. F., DesRoches, C., Joshi M. S., Kralovec P. D., Campbell E. G., & Buntin M. B. (2011). Progress Toward Meaningful Use: Hospitals’ Adoption of Electronic Health Records. The American Journal of Managed Care, 17, 117-123
In 2009 President Obama, through the American Reinvestment and Recovery Act, pledged to provide incentives to the nation’s physicians and hospitals to convert to an electronic healthcare system in attempt to improve the quality of care and reduce cost (Freudenheim, 2010). By converting to an electronic system, we have the opportunity for improved communication between all healthcare providers and decreased cost to our healthcare system. The goal is to improve communication across all aspects of the service chain (Horan, Botts & Burkhard, 2010). Almost two years later, the conversion progress continues to be slow. Only one in four physician’s offices, mostly large groups, have implemented the electronic record system (Freudenheim, 2010).
“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 incentive, the government began issuing payments to those providers who “meaningfully use certified electronic health record (EHR) technology.” (hhs.gov) There are three stages that providers must progress through in order to receive theses financial incentives. Stage one is the initial stage and is met with the creation and implementation of the HER in the business. Stage two “increases health information exchange between providers.” ("United States Department of Health and Human Services | HHS.gov", n.d., p. 1) Stage three will be the continuation and expansion of the “meaningful use objectives.” ("United States Department of Health and Human Services | HHS.gov", n.d., p. 1) The hospital, where I work, initiated the HER mandate many years ago. In this paper, I will discuss the progression and the challenges that my hospital encountered while implementing the EHR mandate.
According to the National Alliance for Health Information Technology (2008) and the American Health Information Management Association (AHIMA) (2012), the personal health record (PHR) is defined as the individual lifelong electronic health records. Its features are electronic, readily available, personal control, standardization, resource sharing, and portability. Although the PCEHR is currently being implemented in several countries of the world, it still has many controversial disadvantages. Hoy, Yoshihashi, & Bailey, 2012) mention that some of the ideal functions of PHR, include patient controlled, longitudinal record, interoperable and resource sharing, portability, automated input of clinical reports, as well as the integration of clinician workflow. "The PCEHR is aimed to be a secure electronic summary of people's medical history stored and shared in a network of connected systems from a central electronic hub (Australian Nursing Journal, Aug. 2012; Kerai, Wood, &Martin, March 2014)”. The Australian Government has clear legal provisions on PCEHR implementation, including the conditions of participation, target participants, methods and procedures of registration, informed consent, security requirements, penalties for violation of privacy and mitigation strategies (Australian Nursing Journal, Aug. 2012; Australia Government ComLaw, 2012; Williams, 2013; Wilson, 2012). However, The Australian (2013, September 17) notes that the Australia government has invested 1 billion on the project, but only 0.6% of people actually using this program registered at about 65 million electronic health record conditions.
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.
...). Privacy and Health Information Technology. Journal of Law Medicine, 37(2), 121-149. Retrieved January 28, 2011 from CINAHL database
The objective of electronic health records (EHR) and health information technology (HIT) is to make health care more efficient and safer by providing both patients and health professionals alike with information to reduce duplication and promote preventive care, and inform decision-making. But many challenges arise for the adoption of these technologies, particularly in the medical community, traditionally reluctant to organizational and technological change. Also
The Health Information Technology for Economic and Clinical Health (HITECH Act), which was passed as part of the American Recovery and Reinvestment Act of 2009, has fostered significant progress in the adoption of Electronic Health Records (EHRs) in various clinical settings, particularly through the Medicare and Medicaid EHR Incentive Programs and its focus on EHR adoption in Stage 1 Meaningful Use (CITATION gov). For instance, as a result of the Medicare and Medicaid EHR Incentive Programs, the percentage of office based physicians who have adopted an EHR system dramatically rose from 18.2% in 2001 to a staggering 78.4% in 2013 (CITATION phys data). Additionally, as of July 2013, 67% of hospitals achieved Stage 1 Meaningful Use and an additional 16% were paid for adopting EHRs (CITATION hosp data).
Since various e-prescribing systems have various draw backs, the most effective system suitable for a given healthcare facility should always be chosen. There are two choices which should be considered when choosing an e-prescribing system. We have either a standalone system or an e-prescribing system within an electronic health record (HER) system. Each option has merits and demerits in terms of cost, efforts and time needed to implement, effects on practice workflow and productivity, and whether it can operate with other electronic health information systems. Hence various features of the system to be used should be considered and weighed from a short term and longer range perspective as this will help in the selection of the best choice which will meet a given healthcare facility practice’s needs (Grossman et al. 395).
290). Throughout numerous healthcare organizations, e-Health techniques are regarded as vital to the delivery of quality, patient-centred health care. The e -technology can improve patient-physician relationships, to guide aimed questions for greater understanding of health conditions and better management of the health disorders. As per The Centers for Medicare & Medicaid Services e-Health initiatives will help the health care industry deliver higher quality care and reduce costs. Among the limitations and shortcomings of E-health are the chances of impersonality, e-Health applications might not be user-friendly and commonly available. Patients also need to develop confidence in E-health. Concerns about privacy and security of information have slowed the development of this initiative (McGonigle & Garver Mastrian, 2015, p. 290). It is critical to assure the security of health-related medical records. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is the main Federal laws that protects patient’s health information. The Law requires the organizations that manage health information to have policies and safeguards to protect health information saved on paper or
Did you ever think about how much time is spent on computers and the internet? It is estimated that the average adult will spend over five hours per day online or with digital media according to Emarketer.com. This is a significant amount; taking into consideration the internet has not always been this easily accessible. The world that we live in is slowly or quickly however you look at it: becoming technology based and it is shifting the way we live. With each day more and more people use social media, shop online, run businesses, take online classes, play games, the list is endless. The internet serves billions of people daily and it doesn’t stop there. Without technology and the internet, there would be no electronic health record. Therefore, is it important for hospitals and other institutions to adopt the electronic health record (EHR) system? Whichever happens, there are many debates about EHR’s and their purpose, and this paper is going to explain both the benefits and disadvantages of the EHR. Global users of the internet can then decide whether the EHR is beneficial or detrimental to our ever changing healthcare system and technology based living.
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).
Studies have implied that, healthcare professionals who practice clinical features through EHR were far more likely provide better preventive care than were healthcare professionals who did not. (page 116). From 2004, EHR has initiated, even the major priority of President Obama’s agenda is EHR (Madison & Stagger, 2011). Health care administration considers EHR as the introduction of advanced technology which can improve patient satisfaction are can increase the financial incentives of the healthcare organization. Studies have pointed out that the federal policy is proposed to transform all medical records into EHR (Hebda & Calderone, 2010).
Health information technology (HIT) is improving the population of the United States of America’s health outcomes and heath care quality. Health information technology has many benefits, including efficiency, financial savings for patients and hospitals, increased safety for patients, and the potential to improve quality of patient care. According to the RAND research, health information technology can save up to $77 billion per year. As a matter of fact, accurate health information records indicate that health information technology is decreasing people’s death rates. After many follow ups it has reported that the use of electronic medical records has “reduce death by 34%”. They found that benefits of health information technology has been