Thursday, August 15, 2019
HIPAA and Information Technology
A ââ¬Å"standardized medical records databaseâ⬠can offer providers promptness in receiving pertinent materials from the patientââ¬â¢s chart. This documentation may entail access to the patientââ¬â¢s medical, family history, contact numbers, and any other relative to notify in case of an emergency. Electronic prescribing, and sharing of reports, test results, and public health alerts with other entities promotes coordination of care. Diagnostics and readings, such as blood pressure, and sugar, are just examples of the data that is immediately available through the ââ¬Å"health information exchange (HIE).Physicians, hospitals, and clinics will enter these facts and figures into ââ¬Å"patient vault,â⬠the central database for the patient. Along with these recordings, patients can leave messages for the physician, and request medication refills. With the convenience of the automated charting format, the doctor, and patient does not have to wait while paper reports are sorted through because of misfiles, disorganized records, poor communication with staff, or typographical errors. The electronic system ensures that records are in chronological order, and that all reports are current, adequately preparing the provider for the appointment.The Detroit Medical Center, which purchased the equipment to convert its paper record format into electronic, as has been developing the process since, has produced some promising statistics. Chief Nursing Officer Patricia Natale, credits the automated application for reducing the length of prolonged admissions, and misjudgments in administering medications through the ââ¬Å"EMR-enabled medication scanningâ⬠feature. The hospitalââ¬â¢s management team affirms that the electronic filing ââ¬Å"systemâ⬠has already generated nearly $5 in ââ¬Å"savingsâ⬠for the facility, and has been upgrading security for ââ¬Å"patients.â⬠This feat is accomplished by effectively supervising imperative acti vities conducted daily, and diminishing the occurrences of prescription inaccuracies by ââ¬Å"75 percent,â⬠as per the current assessments, observes DMC Chief Medical Information Officer Leland Babitch, MD. Findings by The United States Institute of Medicine indicate that hospital blunders are responsible for approximately 100,000 of patient deaths a year. DMC Vice President for Quality and Safety Michelle Schreiber, MD claims that the automated charting format has proven to greatly assist providers with treating patients throughout the day.The HIPAA issues that could arise are as follows. In the article in GreenvilleOnline. com website, ââ¬Å"Growing Medical Identity Theft Puts Patients at Risk,â⬠Osby, (2013) cites a report issued by The U. S. Department of Health and Human Services, (2010). As a concern, health care ââ¬Å"identity theft,â⬠is in competition with the ââ¬Å"otherâ⬠most prominent national ââ¬Å"identityâ⬠crimes, claiming over ââ¬Å"5 million ââ¬Å" victims in the year Osby (2013) apprises. Mark Savage, a senior attorney for Consumers Union, announced that breaking into patientââ¬â¢s ââ¬Å"personal informationâ⬠via automated databases is a problem that is worsening in the medical office.He recognizes that ââ¬Å"electronic medical recordsâ⬠are capable of offering advantages to the health care industry, and its patrons. However, he adds that quandary lies in the assurance of safeguarding patientââ¬â¢s sensitive materials (2012). Individually identifiable information, such as ââ¬Å"birthdates,â⬠demographics, ââ¬Å"social security,â⬠and contact numbers, provide an abundance of facts which prospective felons find extremely attractive to when attempting to extort funds from ââ¬Å"hospitals, or for other monetary rewards.These illicit activities wreak havoc on the patient, in the form of erroneous invoices, which can compromise ââ¬Å"their credit,â⬠their employment, and even s ubject them to improper ââ¬Å"treatments,â⬠stemming from inaccurate ââ¬Å"medicalâ⬠documentation (Osby, 2013). The author also alerts that ââ¬Å"securityâ⬠measures fail to match the demand for electronic records, data sharing, and social media and mobile technology to manage patient data, or the new uses for digital health information.â⬠Stealing is the primary offender in the ââ¬Å"medicalâ⬠field, impacting over ââ¬Å"500 patients,â⬠trailed only by ââ¬Å"authorized ââ¬Å"disclosure ââ¬Å"to,â⬠or with ââ¬Å"health information,â⬠and staff oversights, and misplacing automated, or ââ¬Å"paperâ⬠files (The Department Health and Human Services, 2010) GreenvilleOnline interviewed Chad Lawson, a spokesman for ââ¬Å"Spartanburg Regional,â⬠(where an information security council was comprised in 2012, to guarantee that regulations put in place to shield ââ¬Å"patient information areâ⬠resilient, and dependable).During t his conversation, Lawson advised that ââ¬Å"as technology grows and changes and becomes even more vital to the continuing development of improved quality, we must promise that our efforts to keep information safe are adaptable to the fast growth of electronic medical records and other portals for speed and efficiency in patient careâ⬠(2012).I believe technology in the medical records management industry is so far behind other industries primarily because of affordability, and that the perception of cost can outweigh the value. Although the president has allocated nearly ââ¬Å"$3 million Medicare/Medicaid bonusesâ⬠to various health care establishments, including ââ¬Å"clinics,â⬠and hospitals,â⬠to aid in the transition, the expense of purchasing, and operations still hinder progress.Despite the positive reviews from current customers of the electronic system, less than ââ¬Å"4 percentâ⬠of facilities have followed through with conversion, having alread y limiting funding of many IT projects, The University of Michigan School Of Medicine reported. A quarter of American ââ¬Å"hospitals,â⬠ââ¬Å"alreadyâ⬠fiscally impaired by the down-spiraling economy, have upgraded only partially to automated ââ¬Å"records,â⬠or have remained with paper. Healthcare reform in general has been a political ââ¬Å"hotbedâ⬠of controversy throughout several presidencies.The nationââ¬â¢s failing economy, rising unemployment, terrorism, natural disasters are already on the forefront of many debates. The fiscal budget ââ¬Å"puts the squeezeâ⬠on any other programs, particularly those which would most likely require enormous funding to proceed. I am of the opinion that these are some of the reasons that the push to incorporate a universal electronic records format has been delayed, and still continues lagging behind other industries.
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