NUR 514 Discussion Informatics in Practice

Sample Answer for NUR 514 Discussion Informatics in Practice Included After Question

NUR 514 Discussion Informatics in Practice

Since HIPAA the compliance date of the privacy rule involving HIPAA in April 2003, there has been over 309,475 HIPAA complaints (Office for Civil Rights, 2022). As you can see this isa big issue and there is pray to many privacy issues, and this is only reported ones. One ethical issue related to the use of EHRS that directly impact advanced registered nursing practice is that there is such quick access to all of a patient record within seconds sometimes it could be easy to go beyond the scope of what care you are involved in and look far back into the patient’s history which is actually a breech of HIPAA. This can be an ethical issue if it changes your outlook on a patient and how you provide care if you have a bias towards the history that you read or if for example you find out your patient was incarcerated. I know in my healthcare system there was in issue with nurses searching where patients live and showing other nurses which is a breach of the patient’s privacy and can technically put the patient in danger by sharing their private residence. A legal issue related to the use of EHRs is false documentation whether that be on purpose or on accident. EHR’s make documentation so much easier but also easy to click and accidently falsify health information which a legal issue. I talked about in my last discussion board post that one of the biggest measures I can implement in my own practice is by always being aware of my surroundings and locking my computer screen when I step away. This way no one can walk by in the hallway and catch a glimpse of the EHR. I will also be aware of my surroundings and not have conversations with patient health information when unauthorized individuals may here. 

References 

Office for Civil Rights (OCR). (2022, October 7). Enforcement Highlights. HHS.gov. https://www.hhs.gov/hipaa/for-professionals/compliance-enforcement/data/enforcement-highlights/index.html 

Topic 7 DQ 1

Description:

Discuss how emerging technologies (consumer, mobile and telehealth technologies) impact patient care and the storage of health information. What is one ethical or legal issue related to EHRs that can impact a registered nursing practice? According to HIPAA, protected health information (PHI), and the requirements for privacy and confidentiality, what is one measure you can implement in your practice to protect patient privacy and confidentiality?

Topic 7 DQ 2

Description:

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.

Consider the emerging role of the telehealth and the EHR in patient care delivery and compromise of patient data using telehealth applications and measures you can implement in your own practice to protect patient privacy and confidentiality.

Description

Objectives:

  1. Analyze ethical, legal, and security measures related to EHRs and the protection of patient information.
    2. Evaluate the role and components of the electronic health record (EHR) and its value in patient care.
    3. Evaluate emerging consumer, mobile, and telehealth technologies that impact patient care and the storage of health information.

S Study Materials

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Advanced Practice Nursing: Essential Knowledge for the Profession

NUR 514 Discussion Informatics in Practice
NUR 514 Discussion Informatics in Practice

Description:

Read Chapter 15 in Advanced Practice Nursing: Essential Knowledge for the Profession. Review Chapter 17.

Nursing Informatics and the Foundation of Knowledge

Description:

Read Chapters 8, 14, 16, and 18 in Nursing Informatics and the Foundation of Knowledge.

Quality Measures

Description:

Review “Quality Measures,” located on the Centers for Medicare and Medicaid Services (CMS) website (2020).

Public Health and Promoting Interoperability Programs

Description:

Explore the Public Health and Promoting Interoperability Programs section of the Centers for Disease Control and Prevention (CDC) website.

ONC Cures Act Final Rule

Description:

Explore the ONC Cures Act Final Rule page of the HealthIT.gov website.

HHS Finalizes Historic Rules to Provide Patients More Control of Their Health Data

Description:

Read “HHS Finalizes Historic Rules to Provide Patients More Control of Their Health Data,” by the HHS Press Office (2020), located on the U.S. Department of Health and Human Services (HHS) website.

5 Critical Considerations for Patient Privacy in Telehealth

Description:

Read “5 Critical Considerations for Patient Privacy in Telehealth,” by Nayyar (2020), located on the HIT Consultant website.

HIPAA Guidance Materials

Description:

Explore the HIPAA Guidance Materials page of the Health Information Privacy section of the U.S. Department of Health and Human Services (HHS) website (2020).

 

Topic 7 Participation

Description:

NA

The Emerging Technology, Its Purpose, and How it Would Function in a Health Care Setting, Including Any Ethical or Legal Issues That Would Accompany the Incorporation of the Technology

35.0

A discussion of the emerging technology, its purpose, and how it would function in a health care setting, including any ethical or legal issues that would accompany the incorporation of the technology, is not included.

A discussion of the emerging technology, its purpose, and how it would function in a health care setting, including any ethical or legal issues that would accompany the incorporation of the technology, is present, but it lacks detail or is incomplete.

A discussion of the emerging technology, its purpose, and how it would function in a health care setting, including any ethical or legal issues that would accompany the incorporation of the technology, is present.

A discussion of the emerging technology, its purpose, and how it would function in a health care setting, including any ethical or legal issues that would accompany the incorporation of the technology, is clearly provided and well developed.

A comprehensive discussion of the emerging technology, its purpose, and how it would function in a health care setting, including any ethical or legal issues that would accompany the incorporation of the technology, is thoroughly developed with supporting details.

How This Technology Improves Access to Care and Promotes Patient Safety and Quality

30.0

A discussion of how this technology improves access to care and promotes patient safety and quality is not included.

A discussion of how this technology improves access to care and promotes patient safety and quality is present, but it lacks detail or is incomplete.

A discussion of how this technology improves access to care and promotes patient safety and quality is present.

A discussion of how this technology improves access to care and promotes patient safety and quality is clearly provided and well developed.

A comprehensive discussion of how this technology improves access to care and promotes patient safety and quality is thoroughly developed with supporting details.

Required Sources

5.0

Sources are not included.

Number of required sources is only partially met.

Number of required sources is met, but sources are outdated or inappropriate.

Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content.

Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.

Presentation

10.0

The piece is not neat or organized, and it does not include all required elements.

The work is not neat and includes minor flaws or omissions of required elements.

The overall appearance is general, and major elements are missing.

The overall appearance is generally neat, with a few minor flaws or missing elements.

The work is well presented and includes all required elements. The overall appearance is neat and professional.

Mechanics of Writing (includes spelling, punctuation, grammar, and language use)

10.0

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is employed.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

The writer is clearly in command of standard, written, academic English.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

10.0

Sources are not documented.

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

Lopes Write Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.

Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?

Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

  • Your response needs to be a minimum of 150 words (not including your list of references)
  • There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
  • Include in-text citations in your response
  • Do not include quotes—instead summarize and paraphrase the information
  • Follow APA-7th edition
  • Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

  • A minimum of 6 responses per week, on at least 3 days of the week.
  • Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
  • Each response needs to be at least 75 words in length (does not include your list of references)
  • Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
  • Follow APA 7th edition
  • Points will be deducted if the above is not followed
  • Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
  • Here are some helpful links
  • Student paper example
  • Citing Sources
  • The Writing Center is a great resource

A Sample Answer For the Assignment: NUR 514 Discussion Informatics in Practice

Title: NUR 514 Discussion Informatics in Practice

The Health Insurance Portability and Accountability Act addresses the privacy and security of protected health information (PHI), which is contained in a patient’s electronic health record (HIPAA). Administrative safeguards, physical safeguards, and technical safeguards are the three pillars of PHI security outlined by HIPAA. These three pillars are also referred to as the three healthcare security safeguard themes. These topics range from methods for locating computers to using firewall software to safeguard health information. One ethical issue of using the EHR is the issue of confidentiality. Autonomy is compromised when patient health data are linked or shared without their knowledge. Due to their lack of faith in the security of the system holding their data, patients may withhold information. As a result, their care might be jeopardized(Chivilgina et al., 2022). There is a chance that errors or theft will cause the health information of thousands of patients to become public. When patient lose faith in such systems the work of advanced registered nurses becomes harder because of lack of access of information. 

A legal challenge associated with the use of EHR is the risk of medical malpractice claims. Theirs an increase in the risk of malpractice especially among healthcare providers when adopting this technology. Risk also increases when transitioning from one system to the other. Her includes more documentation and this can be beneficial of damaging to one’s case. In some instances, basic human errors can trigger malpractice suits.There are various limitations to the systems and if there is an error in the way clinical information is presented, it is also difficult to prove vendor accountability. The systems can also result in errors. Just like the over reliance on spell check systems, sometimes EHRs may result to small mistakes can turn to medical errors. One strategy that can be employed to protect privacy and confidentiality is data encryption. EHRs can make the transfer of patient data safer by encoding the information in a way that can only be decoded by authorized programs or users in possession of the access code, such as test results or diagnoses to patients via patient portals or medical histories to referrals.Encryption can also reduce losses in the event that your data is stolen (Li et al., 2022). When combined with a role-based access control, it can also make it possible to secure information within your office so that only employees with the necessary access can view the decrypted data. 

References 

Chivilgina, O., Elger, B. S., Benichou, M. M., & Jotterand, F. (2022). “what’s the best way to document information concerning psychiatric patients? I just don’t know”—a qualitative study about recording psychiatric patients notes in the ERA of Electronic Health Records. PLOS ONE, 17(3). https://doi.org/10.1371/journal.pone.0264255  

Li, W., Xu, L., Wen, Y., & Zhang, F. (2022). Conjunctive multi-key searchable encryption with attribute-based access control for EHR systems. Computer Standards & Interfaces, 82, 103606. https://doi.org/10.1016/j.csi.2021.103606