NR 512 Week 5 Health IT Hot Topic of the Week Assignment EHR and the Role of Family Nurse Practitioner

What resources or strategies are entertained in your practice setting to secure patient health information (PHI)?

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We have quite a few strategies and resources to secure patient health information that come to mind. I will start with being an authorized user who must have a log-on and password in order to enter our system. The password will change every 90 days or less and after 3 failed attempts to log-on into the system the users account will be locked until the IT department corrects the issue with a verified user.

All computers in my facility have an automatic log-off feature when not in use for more than 3 minutes. This is an extra layer of security incase an employee forgot to log-off or had to run-off for an emergency. We are also not allowed to leave even a single sheet of paper with patient information unattended. Even if turned over, the fact that someone can turn it back over makes it a risk for privacy.

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Any family member or friend who calls to inquire about a patient’s condition must be able to give a 4-digit code that is only given to the patient. So, if the patient has given the family member or friend the code then you may give information about their status, however I still attempt to sway away from that if the patient is A&O x’s4. If the patient needs more education on their condition I would rather do that so they can relay the info themselves. If the patient is simply having a hard time explaining a situation I’m always more than happy to help.

We also have annual required and updated education for HIPAA which covers many topics and now even includes violations for social-media and personal electronic devices. Other topics include use of email, fax machines and talking is public areas to name a few.

We go to great lengths at my facility to protect patient privacy with even our IT department sending us notifications of new and potentially dangerous email threats. It takes a whole department to constantly be surveilling for potential dangers and sometimes that still isn’t enough.

In my current practice setting we use quite a few methods to to secure patient information. Just as in most practice settings we utilize a computer system with login and password requirements. Additionally, the computer systems will time out after a period of inactivity as a back up layer to security. E-mails may be encrypted when patient information or confidentiality needs to be maintained. Additionally, all electronic devices which are mobile operate on a secure network which require the added security of VPN tokens. There are the presence of ample locked boxes for documents that need to be shredded. Finally, there are levels of access to patient information based on a need to know basis. For example, customer service representatives who access patient files for appointments and registration do not have access to patient medical files, as it is not necessary to perform their job functions.

An additional resource for implemented to protect patient data includes our corporate compliance. Our corporate compliance department handle both anonymous and other reports of misuse of access to patient files. This department has received reports from patients, family members, spouses, and other relationships regarding the misuse of patient data. Their response is swift and violation of patient privacy is not tolerated, often resulting in immediate termination.

An article by Fry, (2017) provided measures health care entities can utilize to protect patient data. These measures included recommendations for setting access control, device management, HIPPA compliant message storage, and security training as methods (Fry, 2017). I was not surprised to find that my employer is inline with cybersecurity recommendations which help to protect patient date.

Reference Fry, G. (2017). The danger within: Insider data security can threaten your practice. Chiropractic Economics, 63(9), 43-46.

NR512
Health IT Topic of Week Assignment
Guidelines with Scoring Rubric
Purpose
This assignment is designed to help students
Develop an appreciation for informatics, basic skills and knowledge required in practice settings. Students will select a “hot” or popular topic of particular interest to their practice to discuss. The topic will be selected from the website using the link provided in the course Assignments section.
Course Outcomes
Through this assignment, the student will demonstrate the following ability.
(CO 6) Describe health information systems within healthcare setting and the profession of nursing in all practice domains and settings including electronic health records (EHR), their management and patient-care information technology (IT). (PO 4)
(CO 7) ExploretrendsandissuesinNIandtheirimpactonnursingpracticeinall domains.(POs9,11)
Due Date: Sunday 11:59 p.m. MT at the end of Week 5.

Total Points Possible: 125

Requirements

Students will login to Fierce EMR and Fierce Health IT using the link provided in the course Assignments and select a “current/popular” topic of the week that may impact their practice. Students, in a professionally developed paper, will discuss the rationale for choosing the topic, how it will impact practice in a positive or negative manner, citing pros and cons. Include a discussion of how informatics skills and knowledge were used in the process relevance to developing the assignment. In the conclusion, provide recommendations for the future. Submit completed Fierce Health IT Topic paper for Wk. 5 to drop box by end of Week 5.
Preparing the paper
1. The Fierce EMR and Fierce Health IT Current/Popular Topic of the Week assignment must be a professional, scholarly prepared paper. See the guidelines for writing a professional, scholarly paper in the Course Resources. The professional paper will have an introduction, body of paper to explain what you are doing, summary/conclusion, and at least three scholarly references.
2. Required texts may be used as references, but a minimum of three sources must be from outside of course readings.
3. All aspects of the paper must be in APA format as expressed in the 6th edition.
4. The paper (excluding the title page, introduction and reference page) is 4-6 pages in length.
5. Ideas and information from professional sources must be cited correctly.
6. Grammar, spelling, punctuation, and citations are consistent with
formal academic writing

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Participation for MSN

Threaded Discussion Guiding Principles

The ideas and beliefs underpinning the threaded discussions (TDs) guide students through engaging dialogues as they achieve the desired learning outcomes/competencies associated with their course in a manner that empowers them to organize, integrate, apply and critically appraise their knowledge to their selected field of practice. The use of TDs provides students with opportunities to contribute level-appropriate knowledge and experience to the topic in a safe, caring, and fluid environment that models professional and social interaction. The TD’s ebb and flow is based upon the composition of student and faculty interaction in the quest for relevant scholarship. Participation in the TDs generates opportunities for students to actively engage in the written ideas of others by carefully reading, researching, reflecting, and responding to the contributions of their peers and course faculty. TDs foster the development of members into a community of learners as they share ideas and inquiries, consider perspectives that may be different from their own, and integrate knowledge from other disciplines.

Participation Guidelines

Each weekly threaded discussion is worth up to 25 points. Students must post a minimum of two times in each graded thread. The two posts in each individual thread must be on separate days. The student must provide an answer to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week. If the student does not provide an answer to each graded thread topic (not a response to a student peer) before the Wednesday deadline, 5 points are deducted for each discussion thread in which late entry occurs (up to a 10-point deduction for that week). Subsequent posts, including essential responses to peers, must occur by the Sunday deadline, 11:59 p.m. MT of each week.

Direct Quotes

Good writing calls for the limited use of direct quotes. Direct quotes in Threaded Discussions are to be limited to one short quotation (not to exceed 15 words). The quote must add substantively to the discussion. Points will be deducted under the Grammar, Syntax, APA category.

Grading Rubric Guidelines

Performance Category	10	9	8	4	0
Scholarliness Demonstrates achievement of scholarly inquiry for professional and academic decisions.	Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisions Evaluates literature resources to develop a comprehensive analysis or synthesis. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion	Provides relevant evidence of scholarly inquiry but does not clearly state how the evidence informed or changed professional or academic decisions. Evaluates information from source(s) to develop a coherent analysis or synthesis. Uses some valid, relevant, reliable outside sources to contribute to the threaded discussion.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions. Information is taken from source(s) with some interpretation/evaluation, but not enough to develop a coherent analysis or synthesis. Little valid, relevant, or reliable outside sources are used to contribute to the threaded discussion. Demonstrates little or no understanding of the topic.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions. Information is taken from source(s) without any interpretation/evaluation. The posting uses information that is not valid, relevant, or reliable	No evidence of the use of scholarly inquiry to inform or change professional or academic decisions. Information is not valid, relevant, or reliable
Performance Category	10	9	8	4	0
Application of Course Knowledge – Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources; Applies concepts to personal experience in the professional setting and or relevant application to real life.	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources. Applies concepts to personal experience in their professional setting and or relevant application to real life Interactions with classmates are relevant to the discussion topic but do not make direct reference to lesson content	Posts are generally on topic but do not build knowledge by incorporating concepts and principles from the lesson. Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life Does not demonstrate a solid understanding of the principles and concepts presented in the lesson	Posts do not adequately address the question posed either by the discussion prompt or the instructor’s launch post. Posts are superficial and do not reflect an understanding of the lesson content Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life	Posts are not related to the topics provided by the discussion prompt or by the instructor; attempts by the instructor to redirect the student are ignored No discussion of lesson concepts to personal experience in the professional setting and or relevant application to real life
Performance Category	5	4	3	2	0
Interactive Dialogue Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days. (5 points possible per graded thread)	Exceeds minimum post requirements Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts three or more times in each graded thread, over three separate days. Replies to a post posed by faculty and to a peer Summarizes what was learned from the lesson, readings, and other student posts for the week.	Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days Replies to a question posed by a peer Summarizes what was learned from the lesson, readings, and other student posts for the week.	Meets expectations of 2 posts on 2 different days. The main post is not made by the Wednesday deadline Does not reply to a question posed by a peer or faculty	Has only one post for the week Discussion posts contain few, if any, new ideas or applications; often are a rehashing or summary of other students’ comments	Does not post to the thread No connections are made to the topic
	Minus 1 Point	Minus 2 Point	Minus 3 Point	Minus 4 Point	Minus 5 Point
Grammar, Syntax, APA Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted. Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition	2-3 errors in APA format. Written responses have 2-3 grammatical, spelling, and punctuation errors. Writing style is generally clear, focused, and facilitates communication.	4-5 errors in APA format. Writing responses have 4-5 grammatical, spelling and punctuation errors. Writing style is somewhat focused.	6-7 errors in APA format. Writing responses have 6-7 grammatical, spelling and punctuation errors. Writing style is slightly focused making discussion difficult to understand.	8-10 errors in APA format. Writing responses have 8-10 grammatical, spelling and punctuation errors. Writing style is not focused, making discussion difficult to understand.	Post contains greater than 10 errors in APA format. Written responses have more than 10 grammatical, spelling and punctuation errors. Writing style does not facilitate communication. The student continues to make repeated mistakes in any of the above areas after written correction by the instructor
	0 points lost				-5 points lost
Total Participation Requirements per discussion thread	The student answers the threaded discussion question or topic on one day and posts a second response on another day.				The student does not meet the minimum requirement of two postings on two different days
Early Participation Requirement per discussion thread	The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week.				The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT.

NOTE: To receive credit for a week’s discussion, students may begin posting no earlier than the Sunday immediately before each week opens. Unless otherwise specified, access to most weeks begins on Sunday at 12:01 a.m. MT, and that week’s assignments are due by the next Sunday by 11:59 p.m. MT. Week 8 opens at 12:01 a.m. MT Sunday and closes at 11:59 p.m. MT Wednesday. Any assignments and all discussion requirements must be completed by 11:59 p.m. MT Wednesday of the eighth week.

NR 512 Week 5 Health IT Hot Topic of the Week Assignment EHR and the Role of Family Nurse Practitioner