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NUR 514 Topic 7 DQ 2 Review HIPAA, protected health information (PHI), and requirements for privacy and confidentiality in EHRs
Sample Answer for NUR 514 Topic 7 DQ 2 Review HIPAA, protected health information (PHI), and requirements for privacy and confidentiality in EHRs Included After Question
NUR 514 Topic 7 DQ 2 Review HIPAA protected health information (PHI) and requirements for privacy and confidentiality in EHRs
Topic 7 DQ 2
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.
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A Sample Answer For the Assignment: NUR 514 Topic 7 DQ 2 Review HIPAA, protected health information (PHI), and requirements for privacy and confidentiality in EHRs
Title: NUR 514 Topic 7 DQ 2 Review HIPAA, protected health information (PHI), and requirements for privacy and confidentiality in EHRs
JB
Nov 14, 2022, 4:33 PM
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Class:
As telehealth technology advances toward seamless data access regardless of distance or health system, how can patient privacy rights and the confidentiality of personal medical data be protected?
Thank you for sharing!
Take care,
Dr. B
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JB
Nov 13, 2022, 8:44 AM
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Class:
Which types of resistance to new technologies might be evident among patients, caregivers, and nurses? Which evidence and strategies might help to diminish these resistances?
Thank you for sharing?
Take care,
Dr. B
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Sara Wood
Nov 13, 2022, 7:26 PM
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One example of resistance to new technologies that is seen among patients is resistance to using telehealth services, especially in patients who are elderly and did not grow up with advanced technology like younger generations did. These patients may not have access to internet at home, may not understand how to access telehealth links on their computer or smartphone, and may feel that the time and energy required to learn how to use telehealth services is not worth it. One strategy to help decrease this resistance would be to hold educational sessions for patients to learn how to access and participate in telehealth sessions. Patients could come in person and bring their device of choice to use for telehealth, and could practice logging in to a telehealth session while there is in-person support for them. This is preferable to having them attempt to login to a telehealth appointment at home when any support for them from the healthcare provider’s office would be virtual. This type of educational session would be particularly helpful for elderly patients who live alone and do not have anyone to help them troubleshoot issues they may have with their telehealth visit.
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CH
Nov 15, 2022, 11:58 AM
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For many nurses, new technologies and major job changes that come with them become “the straw that broke the camel’s back”, so to speak. Most nurses already feel overwhelmed with their workload, and learning a new technology just adds to that (Kirkley & Stein, 2004). When technology has an obvious benefit, nurses are more likely to adopt it. There is also the fact that many older nurses who often set the tone for an organization or unit were trained using much less technology and tend to be initially more resistant. Ultimately, personalities and determination usually dictate whether a nurse will succeed adopting a new technology in practice (Kirkley & Stein, 2004). If leadership wants to engage nurses in new technologies, there are a few options. It is important to involve nurses in early preparations, ensure the technology is readily available and appropriate for the care setting, and ensure that nurses fully understand the big picture and their role in the care team (Kirkley & Stein, 2004).
Kirkley, D., & Stein, M. (2004). Nurses and clinical technology: Sources of resistance and strategies for acceptance. Nursing Economic$, 22(4), 216–222,195.
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AD
Nov 16, 2022, 9:51 PM
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Over this past week, it has happened a couple of times, which I think is absurd. Patients have been complaining about electronic prescriptions being sent over; would rather have a written prescription…apparently, there is a lag in communication and my patient’s pharmacies are not getting the correct prescription. This builds up frustration. Not only are they getting the prescription but now have to run back to the emergency department to get a new medication. It cost money, time, and energy. Some of these patients do not follow through, so they end up not getting it. This could mean antibiotic resistance, not curing the disease, or even making things worse. This should not be a problem and should be fixed immediately. one way to accomplish this is to verify the correct pharmacy is listed in the patient’s chart, double check it was sent, and maybe even call the pharmacy to ensure its accuracy.
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JB
Nov 12, 2022, 8:50 AM
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Class:
Since we are considering roles as an advanced registered nurse in informatics, it is important that we keep in mind the patient’s privacy when considering data sharing and technology in the clinical setting. If you were the privacy officer in your organization, how would you address one of the following?
- Tracking each point of access of the patient’s database, including who entered data.
- Encouraging employees to report privacy and security breaches.
- The healthcare professionals are using smartphones, iPads, and other mobile devices. How do you address privacy when data can literally walk out of your setting?
- You observe one of the healthcare professionals using his smartphone to take pictures of a patient. He sees you and says, in front of the patient, “I am not capturing her face!” How do you respond to this situation?
Choose one of the scenarios above and respond with your answer.
Thank you for sharing!
Take care,
Dr. B
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LG
Nov 14, 2022, 3:24 PM
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- You observe one of the healthcare professionals using his smartphone to take pictures of a patient. He sees you and says, in front of the patient, “I am not capturing her face!” How do you respond to this situation?
I would ask the healthcare professional to accompany me to the director of nursing’s office where the two of us would explain that taking any type of pictures of a patient is a HIPAA violation, even if the HC professional thinks that the picture would not be seen publicly, it is a violation of the patient’s rights. I would then print out the HIPAA guidelines so that the employee would have a paper in hand copy to read over and keep for themselves. I would also encourage them that if they see others doing the same thing that they should report it immediately.
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JB
Nov 11, 2022, 11:30 AM
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Class:
How do you envision Health Level Seven and the HITECH Act evolving in the next decade?
Thank you for sharing!
Take care,
Dr. B
References: NUR 514 Topic 7 DQ 2 Review HIPAA, protected health information (PHI), and requirements for privacy and confidentiality in EHRs
McGonigle, D. & Mastrian, K. (2018). Nursing Informatics and the Foundation of Knowledge. (4th ed.). Jones & Bartlett Learning.
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TW
Nov 13, 2022, 11:33 AM
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Within the next decade I predict that, due to the Health Level 7 protocol and the Health Information Technology for Economic and Clinical Health (HITECH) act, there will be major advancements in the interoperability of health records across the nation. Interoperability is a major goal of the healthcare system nationwide and is necessary to fulfill the obligations of the Cures Act and the Medicare Access & CHIP Reauthorization Act (MACRA), to name a few. These acts mandate increased data sharing between healthcare systems. I anticipate an increase in application programing interfaces (API) usage that will facilitate communication between systems. Not only will the APIs allow patient’s personal health information to be readily available to organizations, but they will also make it extremely easy to access for the patients themselves. (Federated Health Information Model, n.d.) Although there has been development and use of innovative nationwide platforms such as the prescription drug monitoring program (PDMP), there is still much fragmentation between healthcare systems and the data they have access to and the data they will share. We recently had a
patient present to the clinic that reported being admitted to a hospital outside of the healthcare system that I am employed in. Per the patient’s account, the reason that they were admitted may have some bearing on the condition that we were treating her for, but unfortunately, we did not have access to the other hospital system’s medical records and were unable to confirm the treatment that she received there. In ten years, I foresee that this will not be an issue and the increased access to patients’ records will lead to better patient outcomes.
Reference: NUR 514 Topic 7 DQ 2 Review HIPAA, protected health information (PHI), and requirements for privacy and confidentiality in EHRs
Federated Health Information Model (fhim). (n.d.). Brief History of Selected US Legislation Related to Interoperability (2006 – 2019). https://fhim.org/resources/page2#_ftn13
NUR 514 Topic 7 DQ 2 Review HIPAA, protected health information (PHI), and requirements for privacy and confidentiality in EHRs Grading Rubric Guidelines
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Check Out Also: NUR 514 Topic 7 DQ 1 Discuss how emerging technologies (consumer, mobile and telehealth technologies) impact patient care and the storage of health information
Topic 7 DQ 2
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Topic 7 DQ 2
The Health Insurance Portability and Accountability Act (HIPAA) is a critical federal law and regulation passed in 1996 with the aim of protecting patient information used through health technology platforms like the electronic health records (EHRs). The HIPAA privacy regulations mandate health care providers and organizations as well as their associated third parties to develop and follow certain provisions aimed at enhancing the security, integrity, confidentiality and privacy of the information, especially under its privacy rule on protected health information (PHI) (McGonigle & Mastrian, 2021). One ethical issue that can arise based on HIPAA rules is the disclosure of PHI on social media. While nurses have the freedom to use social media to share experiences and even trends on nursing practice, they cannot share and disclose patient information on these platforms, even if they constitute part of the experience. The disclosure of such information can lead to legal suits because of violation of the privacy rule. Further, the disclosure leads to reduced levels of trust and compromises the integrity of such data. Therefore, such violations and breaches have a direct impact on advanced registered nursing practice.
The possible consequences include reduced levels of trust in nurses by patient, reputational damage to the registered nurse and their organization, including a possible termination of their employment contract. Nurses become liable to legal suits as the patients may sue them for compensation because of disclosing private and personal information (Bergren & Maughan, 2020). Nurses may also have their licenses revoked and even barred from practicing forever.
The protection of patient data improves and adheres to the privacy and confidentiality requirements. Therefore, having policies on usage of social media and adherence to HIPAA provisions are critical measures that can enhance privacy and confidentiality (Keshta & Odeh, 2021). These measures will ensure that nurses do not violate the privacy rule and use social media in the best way to protect the nursing practice and profession.
References
Bergren, M. D., & Maughan, E. D. (2020). Data and information literacy: A fundamental nursing
competency. NASN School Nurse, 35(3), 140-142. DOI: 10.1177/1942602X20913249.
Keshta, I., & Odeh, A. (2021). Security and privacy of electronic health records: Concerns and
challenges. Egyptian Informatics Journal, 22(2), 177-183. https://doi.org/10.1016/j.eij.2020.07.003
McGonigle, D., & Mastrian, K. (2021). Nursing informatics and the foundation of knowledge.
Jones & Bartlett Publishers.