NUR 514 Topic 7 DQ 3

NUR 514 Topic 7 DQ 2

Electronic health records are subject to the Health Insurance Portability and Accountability Act (HIPAA) and protected health information (EHR). The patient has the right to privacy with regard to all of their medical information (U.S. Department of Health & Human Services Office for Civil Rights, n.d.). This information should only be shared with approved staff who are directly involved in the patient’s treatment. To preserve sensitive data, EHRs employ data encryption and security procedures. To gain access to the system, the user must enter a password. If patient portals are used, patients can log in with PINs or passwords. All information stored in an EHR must be used for patient care or data aggregation in order to enhance patient outcomes (U.S. Department of Health & Human Services Office for Civil Rights, n.d.). A facility or provider is required by law to notify patients and the Secretary of Health and Human Services of any data breaches.

As an advanced practice nurse, EHR paperwork can be time-consuming. This can have an impact on the nursing-patient partnership. The patient must be able to establish a relationship with the nurse in order for cooperation and collaboration to result in positive health results for the patient (McBride et al., 2018). When a clinical decision support system is required in a certain patient population, the advanced practice nurse creates a legal position in which they do injury to the patient. A patient with a history of heart failure who presents to the emergency room with a diagnosis of potential sepsis based on a CDSS symptom detection pattern is an example. Based on the narrative and additional evaluation, the patient had a CHF exacerbation (McBride et al., 2018). The EHR will continue to detect sepsis and prioritize orders for sepsis care. The patient’s health would suffer if these order sets were followed. Understanding and teaching these concepts to students is critical for nurse educators.

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HIPAA 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.

Review HIPAA, protected health information (PHI), 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

Electronic health records are subject to the Health Insurance Portability and Accountability Act (HIPAA) and the protection of health information (EHR). All of the patient’s health care information should be kept private (U.S. Department of Health & Human Services Office for Civil Rights, n.d.). This information can only be given to the people who work directly with the patient and are authorized to do so. EHRs protect this information by encrypting it and taking other safety steps. To get into the system, the user has a password. If there are patient portals, the patient can use PINs or passwords to get in. All of the information in an EHR is meant to be used for patient care or to put together data to improve patient outcomes (U.S. Department of Health & Human Services Office for Civil Rights, n.d.). It is against the law for a facility or provider to not tell patients or the Secretary of Health and Human Services about a data breach.

As an advanced practice nurse, it can take a lot of time to fill out EHR paperwork. This could change the relationship between the nurse and the patient. The patient must be able to get along with the nurse so that they can work together to help the patient get better (McBride et al., 2018). When an advanced practice nurse uses a clinical decision support system because it is required, but it isn’t right for a certain group of patients, they break the law and hurt the patient. A person with a history of heart failure who goes to the emergency room and is told they might have sepsis because of a CDSS symptom recognition pattern is an example. Based on the patient’s history and other tests, it turned out that he or she had a worsening of CHF (McBride et al., 2018). Sepsis will still be found by the EHR, and orders will continue to be made with sepsis management in mind. It would be bad for the patient’s health to follow these order sets. It’s important for teachers of nursing to understand these ideas and teach them to their students.

People who break HIPAA can be fined, sent to prison, or both. I would protect the privacy of patients by not talking about PHI in public places. This means making a private place where you can talk to patients and their families without other people being able to listen in. When I’m not around, the EHR must be locked. To get any information in person or over the phone, a family member must give the PIN or code. The patient must clearly say who he or she wants to have access to his or her health information, unless there is a legal document that gives someone else the power to make health care decisions on his or her behalf.

NUR 514 Topic 7 DQ 3 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). https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Identifying-and-Addressing-Ethical-Issues-EHR.html#McBride7

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.

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.

READ ALSO: NUR 590 Topic 1 DQ 2 Explain the importance of a “spirit of inquiry” in an evidence-based culture and what you can do as an advanced registered nurse to encourage this within your practice or organization

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NUR 514 Topic 7 DQ 3 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). https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Identifying-and-Addressing-Ethical-Issues-EHR.html#McBride7

Iyengar, A., Kundu, A., & Pallis, G. (2018). Healthcare informatics and privacy. IEEE Internet Computing, 22(2), 29-31. https://ieeexplore.ieee.org/abstract/document/8345561

Re: Topic 7 DQ 2

The Health Insurance Portability and Accountability Act (HIPAA) requires that patient health information is protected and secure at all times. The regulations that are in place by HIPAA have an effect on healthcare institutions willingness to share data with other institutions (DeNisco & Baker, 2016). The Electronic Medical Record (EMR) is different from an Electronic Health Record (HER) because the information it contains is intended to be shared. While both the EMR and her contain protected health information (PHI), an EHRs purpose is to be shared among physicians and hospitals when needed. Unfortunately, sharing this PHI becomes a challenge. Hospitals in particular, “face a “catch-22” situation in responding to the conflicting mandates of developing electronic health records that information sharing across institutions versus ensuring absolute protection and security of patients’ individual health information” (Sarrico & Hauenstein, 2011).

An ethical issue related to HIPAA and the sharing of information through EHRs is sharing information in emergency situations. There are times in the ER when information is crucial for the care of critically ill patients. Is it ethically right to access

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.

NUR 514 Topic 7 DQ 3 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). https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Identifying-and-Addressing-Ethical-Issues-EHR.html#McBride7
Iyengar, A., Kundu, A., & Pallis, G. (2018). Healthcare informatics and privacy. IEEE Internet Computing, 22(2), 29-31. https://ieeexplore.ieee.org/abstract/document/8345561
LA SHIONA

Re: Topic 7 DQ 2

Patient health information must be protected and secure at all times, according to the Health Insurance Portability and Accountability Act (HIPAA). HIPAA regulations have an impact on healthcare institutions’ willingness to share data with other institutions (DeNisco & Baker, 2016). The Electronic Medical Record (EMR) differs from the Electronic Health Record (HER) in that the information contained within it is intended to be shared. While both the EMR and her contain protected health information (PHI), the purpose of an EHR is to be shared between physicians and hospitals as needed. Unfortunately, sharing this PHI becomes difficult. Hospitals, in particular, “face a “catch-22″ situation in responding to the conflicting mandates of developing electronic health records and sharing information across institutions versus ensuring absolute protection and security of patients’ individual health information” (Sarrico & Hauenstein, 2011).
Sharing information in emergency situations is an ethical issue related to HIPAA and the sharing of information via EHRs. In the emergency room, information is critical for the care of critically ill patients. Is it ethical to gain access?