From a utilitarian perspective, the improper disclosure of confidential health information related to HIV / AIDS is an absolute wrong. While such improper disclosure may actually be beneficial to the at-risk people in the patient's life, such as unprotected sex partners, when viewed from a societal point-of-view, such disclosure would be improper. Most people who know that they have a contagious fatal disease will take steps to limit other's exposure to that disease. Therefore, it is in society's best interest to encourage testing. The fact that some people will continue to knowingly expose others to the disease is not a compelling reason to break confidentiality, because many people would forego testing if they believed that their results would be made public. The number of people put at risk in each scenario is unequal; therefore the ethical consequences of a breach of confidentiality are worse than the ethical consequences of maintaining…...
mlaReferences
American Association for World Health. (2001). Fact sheet: confidentiality and HIV testing.
Retrieved February 1, 2009, from the Body.
Web site: http://www.thebody.com/content/prev/art33036.html
University of Miami. (2005). Violation penalties (HIPAA). Retrieved February 1, 2009 from Miller School of Medicine
HIPAA Compliance Training of Nursing Services Staff
Curriculum Development - HIPAA
Educational need and rationale. The primary educational need of nurses at Heart of Lancaster egional Medical Center is training in the Health Insurance Portability and Accountability Act (HIPAA). The basis for identification of this need was the administration of semi-structured interviews and questionnaires with nursing services staff at Heart of Lancaster medical center. The results of the interviews and survey showed a clear lack of knowledge about HIPAA. In addition, The American ecovery and einvestment Act of 2009 contains provisions for medical records privacy for storage, transmission, and disclosure that link directly to HIPAA. Essentially, the two pieces of legislation create double jeopardy when any practices by medical personnel or medical institutions are not in compliance with HIPAA. Because of the potential for substantive fines for violation of either of The Acts, it is evident that an educational program on HIPAA…...
mlaReferences
Bandura, A. (1977). Social Learning Theory. New York, NY: General Learning Press.
Bloom, Benjamin S.(1994). Reflections on the development and use of the taxonomy [In Anderson, Lorin W. And Lauren A. Sosniak, (Eds.). (1994), Bloom's Taxonomy: A Forty-Year Retrospective. Chicago National Society for the Study of Education.]
Lieb, S. (1991, Fall). Principles of adult learning. Arizona Department of Health Services. VISION.
____. A Model of Learning Objectives. A Taxonomy for Learning, Teaching, and Assessing: A Revision of Bloom's Taxonomy of Educational Objectives. Ames, IA: Iowa State University. Center for Excellence in Learning and Teaching. Retrieved http://www.celt.iastate.edu/teaching/RevisedBlooms1.html
HIPAA Compliance
Unfortunately, the world we live in is not always trustworthy. There are those even in the most sensitive positions, like healthcare providers, who are more than willing to exploit patient information for their own selfish gains. This is why the federal government has stepped in to ensure greater patient protection with the HIPAA.
The HIPAA is a piece of legislation that aims to further provide protection for patients in a healthcare setting. An overview of HIPAA privacy rules clearly shows clear guidelines that protect the privacy of patients by limiting the access to healthcare records and health related information that might be sensitive if leaked to any third party. These privacy restrictions are part of the Heath Insurance Portability and Accountability Act of 1996 (HIPPA) Privacy and Security ules. According to the research, HIPPA "protects the privacy of individually identifiable health information" (U.S. Department of Health & Human Services, 2012).…...
mlaReferences
Bell, Michael. (2001). HIPAA compliance: A step-by-step guide using the structure of your compliance program. Report on Medicare Compliance. Retrieved August 8, 2012 from http://www.ehcca.com/presentations/HIPAA4/bell1.pdf
U.S. Department of Health & Human Services. (2012). Health information privacy. About HHS. Retrieved August 6, 2012 from http://www.hhs.gov/ocr/privacy/
HIPAA (the Health Insurance Portability and Accountability Act of 1996) and ecent Changes
On August 21, 1996 a new law was signed called the Health Insurance Portability and Accounting Act of 1996, which is abbreviated as HIPPA (HEP-C, 2003 & egence, 2003). The law guarantees many things to American workers, including continuous healthcare coverage for people who are changing jobs (DC, 2003). HIPPA also includes a provision that details the manner in which health information can be disbursed, and also seeks to "combat waste, fraud, and abuse in health insurance and health care (DC, 2003). ecently rules and regulations were developed by the government that mandate new requirements for creation, storing, transmittal and care of health related data manually and electronically (DC, 2003). Additionally, a Privacy ule was enacted that regulates the manner in which private medical and health information can be shared or disseminated among health care entities and health…...
mlaReferences
DC Department of Health. (2003) "HIPPA Overview." District of Columbia, 2003. Retrieved November 22, 2003, from, http://dchealth.dc.gov/hipaa/hipaaoverview.shtm
HHS. (March, 2003). "FAQ's." Retrieved from United States Department of Health and Human Services. November 20, 2003, http://hhs.gov/ocr/hipaa/whatsnew.html
HRSA. "HIPAA Overviews and Updates." Retrieved from HRSA, November 22, 2003, http://www.hrsa.gov/website.htm#overview
Hep-C. "The Health Insurance Portability and Accountability Act of 1996." Retrieved from HEP-C alerts, November 23, 2003, http://www.hep-c-alert.org/links/hippa.html
The security rule also requires the physician to train his staff periodically on security policies and procedures and to come up with a contingency plan in cases of calamities like an earthquake, fire or other events that can destroy his information systems. Experts estimate that 70-80% of the administrative policies and procedures and 20-30% of the technology of the security rule constitute its implementation specifications and other approaches in meeting them. Some approaches are required while some are addressable. Dr. Lazarus says that a particular implementation specification that is addressable allows a physician to perform something else that is equivalent to it but not to ignore the specification. What applies to a solo medical practitioner will not apply to a 200-physician alliance or a 00-bed hospital, for example, but whatever it is, must be in fine shape and carefully documented. Walsh Consulting said that a physician basically needs information…...
mlaBibliography
American Medical Association. HIPAA-Health Insurance Portability and Accountability Act, June 23, 2004. http://www.ama-assn.org/ama/pub/category/4234.html
Centers for Medicare and Medicaid Services. The Health Insurance Portability and Accountability Act of 1996, 2004. http://cms.hhs.gov/hipaa
Chin, Tyler. Data Guard: the Next HIPAA Mandate. American Medical News. Mobile edition. http://www.ama-assa.org/amednews/2004/05/10/bisa0510.htm
Employee Benefits Security Administration. The Health Insurance Portability and Accountability Act of 1996 (HIPAA). U.S. Department of Labor. http://www.dol.gov/ebsa/pdf/fshipaa.pdf
HIPAA Privacy ule: The Effects of the HIPAA Privacy ule on Clinical esearch
The positive and negative effects the HIPAA Privacy ule has on clinical research
The HIPAA Privacy ule was issued by the United States Department of Health and Human Services (HHS) in accordance with the Health Insurance Portability and Accountability Act of 1996. Its major goals is to ensure that people's health information is protected and at the same time allows the necessary flow of health information that is required to guarantee the health of the public and to promote quality health care (HHS, 2015). The rule covers health care clearing houses, health plans, and health care providers who deal with the electric transmission of health information, referred to as 'covered entities' by HIPAA standards.
One of the major ways clinical research benefits from this rule is through the time and resources saved, which would have otherwise been lost due to…...
mlaReferences
The Association of Academic Health Centers (2008). HIPAA Creating Barriers to Research and Discovery. AAHCDC. Retrieved 16 March 2015 from http://www.aahcdc.org/policy/reddot/AAHC_HIPAA_Creating_Barriers.pdf
The National Institute of Health (2015). HIPAA Privacy Rule - Information for Researchers. Retrieved 12 March 2015 from http://privacyruleandresearch.nih.gov/
The U.S. Department of Health and Human Services (2015). Summary of The HIPAA Privacy Rule. OCR Privacy Brief. Retrieved 17 March 2015 from http://www.hhs.gov/ocr/privacy/ hipaa/understanding/summary/privacysummary.pdf
HIPAA Compliant Electronic Medical ecord Capture/Management System
The successful outcome of medical processes largely depends on complete, relevant, and timely medical data. Up-to-date and accurate data allows for images of surgical wounds, surgical pathology, and operative techniques to be used in the most efficient ways for patient management. However, while there are technological solutions that could improve medical data storage and retrieval systems, any improvement to medical data systems must include not only technological elements but ethical and legal considerations as well. There are multiple regulations guarding the privacy and integrity of patients' medical data. One of the major regulatory instruments that governs medical data in the United States is the Health Insurance Portability and Accountability Act (HIPAA), which imposes harsh penalties for breaches in patient privacy, data handling, and data security rules as defined in the act. Hence, images of medical data or medical procedures that are not HIPAA compliant…...
mlaReferences
Berman, K. & Knight, J. (2008). Finance intelligence for IT professionals. Boston: Harvard Business Press.
Carr, N.G. (2005). Does IT matter? Information technology and the corrosion of competitive advantage. Cambridge: Harvard Business School.
Chesbrough, H. (2003). Open innovation: The new imperative for creating and profiting from technology. Cambridge: Harvard Business School.
Langer, A.M. (2011). It and organizational learning: Managing change through technology and education (2nd Ed.) New York: CRC Press.
HIPAA
Discussing Most Important Aspects HIPAA Privacy Security Law Critiquing Effect egarding Protection Security Personal Health Information (PHI)
HIPAA is an acronym for the Health Insurance Portability Accountability Act. This is an act signed into law by President Bill Clinton on August 21st, 1996. The maim aspects of this law is protection and provision of privacy to a patient's medical history The U.S. Department of Health & Human Services, 2003.
This law ensures that no patient information is ever spilled to the public. The law also governs against any fraudulent activity from taking place in regards to a patient's medical history and identity. To protect a patient's privacy, the law states the kind of information regarding a patient that can be released, and it also specifies who the information can be released to. The law requires that any organization handling patient information to establish safeguards that ensure privacy of personal health information.…...
mlaReferences
Beaver, K., & Herold, R. (2004). The Practical Guide to Hipaa Privacy and Security Compliance. Boca Raton, FL: Auerbach Publishers, Incorporated.
Burke, L.D., Tyler, L., & Weill, B. (2010). MediSoft Made Easy: A Step-by-step Approach. Upper Saddle River, NJ: Pearson Education, Limited.
The U.S. Department of Health & Human Services. (2003). Health Information Privacy, from http://www.hhs.gov/ocr/privacy/ hipaa/administrative/privacyrule/index.html
If the marketing claims to be medically expedient then personal health records may be released.
3. Are there requirements for covered entities to have written privacy policies? If so, what has to be addressed in the policy?
Yes, covered entities do need written privacy policies. Those policies address the specific circumstances the covered entity might release his or her personal health information. For example, a person might authorize a personal representative to access personal health information and make medical decisions in emergencies: when the individual is incapacitated, unconscious, or otherwise unable to make conscious decisions. The written privacy policy must also include limitations to access: for example, limitations to access of information given to employers, marketing researchers, or other non-medical organizations.
4. How will employees in the medical office have to be trained regarding privacy (for example, who is responsible for training and record keeping)? What is required if an employee doesn't…...
mlaReferences
United States Department of Health and Human Services. "Case Examples Organized by Covered Entity." Retrieved Nov 14, 2008 at
Housing. Though one's medical health is usually not asked for on a lease application, the landlord might very well look it up, using an online service. One might ask why, but it is similar to the employer's reason: not wanting the tenant complaining that their disability was not accommodated (this is against the law) or that they were discriminated against (this is why the landlord would look up medical history secretly (What are the 12 circumstances can personal health information be used for purposes unrelated to health care?)
8. Marriage. It sounds unromantic, but potential spouses often want to know about any history of illness, genetic or otherwise. Also, many partners (wisely) want the other tested for STD's such as HIV and Hepatitis C in most states, testing for syphilis is mandatory, though there is a cure in the early stages (What are the 12 circumstances can personal health information…...
Figure 1: Electronic Medical Systems Architecture
Source: (Cahn, 2001)
The core building blocks of this framework include the presentation and client layers, where web-based applications aligned with the needs of clinicians, specialist MDs and patients. The need for synchronization across Platform, Storage and Infrastructure and Integration areas of this framework dictate the speed and accuracy of responses to all users of the system. Thinking of this framework as the foundation that the specific processes that clinics, practices and hospitals rely on to complete daily tasks to accomplish their goals and objectives while at the same time ensuring a high level of security across each component. The integration and security requirements are critical for HIPAA compliance.
Another approach to viewing the framework that is emerging from it providers addressing the unmet needs of a medical practice area is shown in Figure 2. This is a framework that has foundational elements focused on Security and…...
mlaReferences
David Cahn (2001, November). ECM fosters the future it framework. MSI, 19(11), 36-38. Retrieved September 22, 2008, from ABI/INFORM Global database. (Document ID: 90248042).
Ram Dantu, Herman Oosterwijk, Prakash Kolan, Husain Husna. (2007). Securing medical networks. Network Security, 2007(6), 13. Retrieved September 28, 2008, from ABI/INFORM Global database. (Document ID: 1294137471).
Barry Hall (2008). Health Incentives: The Science and Art of Motivating Healthy Behaviors. Benefits Quarterly, 24(2), 12-22. Retrieved September 26, 2008, from ABI/INFORM Global database. (Document ID: 1481467951).
David C. Kibbe (2005). 10 STEPS to HIPAA SECURITY COMPLIANCE. Family Practice Management, 12(4), 43-9. Retrieved September 24, 2008, from ABI/INFORM Global database. (Document ID: 834471611).
HIPAA has made finding subjects for clinical trials easier or more difficult is moot. HIPAA was passed almost twenty years ago. Since 1996, HIPAA rules protect the privacy of test subjects, strengthen informed consent, and have generally changed the culture around these issues, further protecting people who are involved in clinical trials. It's law, and that's what clinical researchers have to work with. Further, the privacy rule was designed with one objective (protect privacy), so evaluating it against another objective (making research easier) is a red herring. The theory is that HIPAA should make it easier to find subjects, but it wasn't written for that so much as just to assuage apprehension about the privacy of medical information. Because HIPAA is law, it doesn't much matter if it has made it harder or easier, the only thing that matters is that practitioners understand the best practices as to how…...
mlaReferences
Erlen, J. (2005). HIPAA -- Implications for research. Orthopedic Nursing. Vol. 24 (2) 139-142.
HHS. (2004). Clinical research and the HIPAA Privacy Rule. National Institutes of Health. Retrieved July 27, 2015 from
They each get on the phone, pull up the image on computer and discuss the image and the results and what the results indicate.
One recent study measured the productivity benefits of using PACS and the participants, all radiologists estimated there was a 100% increase in productivity for CT scans, MIs and ultrasounds (Kywi, 2005).
Overall PACS has provided a new and innovative method for physicians to utilize medical imaging to their highest potential.
COLLIDE or COINCIDE
While the PACS system is undeniably important in the world of medical care because of the advantages that it provides. It creates a speedy, accurate and instant result to tests which doctors can pull up at their desk and view almost as soon as the procedure is over with. With the new abilities the system allows it has revolutionized the medical imaging field as well as many aspects of total health care.
With the decision to implement…...
mlaReferences
Gater, Laura (2004) PACS integration and work flow.(CE Directed Reading)
Glaser, John (2001) HIPAA will be helpful. Modern Healthcare
Kywi, Alberto (2005) PACS is a crowd-pleaser in healthcare: California healthcare system meticulously plans going filmless via a PACS installation, and finds abundant acceptance by physicians.(Picture Archiving and Communication System / Diagnostic Imaging)(Cottage Health System) Health Management Technology
McLURE, MARCIA L.(2000) HIPAA Brings New Requirements, New Opportunities.
Healthcare
#1 I believe in evidence-based policy, and on that front there is evidence that the glass ceiling exists. I have no personal anecdotes to tell on the subject, and an individual anecdote is meaningless when discussing broad sociological phenomena. After all, this is a well-studied issue for which there is a lot of data. A lot of the studies on the subject are European, but there are a few that specifically discuss the United States. Cotter et al. (2001) found evidence that a glass ceiling exists in the United States in their study of the gender inequalities of earnings in the 25th, 50th and 75th quartiles of earnings. Their findings show that gender inequality with respect to wages, and opportunity, increases the higher up the corporate ladder you go. There is evidence that females have lower rates of holding positions of authority than do men (Baxter & Wright, 2000).
Moreover, women…...
mlaReferences
Arken, D., Bellar, S. & Helms, M. (2004). The ultimate glass ceiling revisited: The presence of women on corporate boards. Journal of Business Ethics. Vol. 50 (2004) 177-186.
Baxter, J. & Wright, E. (2000). The glass ceiling hypothesis: A comparative study of the United States, Sweden and Australia. Gender and Society. Vol. 14 (2) 275-294.
Cotter, D., Hermsen, J., Ovadia, S. & Vanneman, R. (2001). The glass ceiling effect. Social Forces. Vol. 80 (2) 655-681.
Jackson, J. (2001). Women middle managers' perception of the glass ceiling. Women in Management Review Vol. 16 (1) 30-41.
Title: Ensuring Patient Privacy and Protection: An Overview of HIPAA egulations
Introduction
The Health Insurance Portability and Accountability Act (HIPAA) was enacted in 1996 with the primary goal of protecting the privacy and security of patients' health information. HIPAA includes a set of rules that healthcare providers, insurance companies, and their business associates must follow to ensure the confidentiality and security of patients' personal and medical information. These rules are known as the HIPAA Privacy ule, the HIPAA Security ule, and the HIPAA Breach Notification ule.
Under the HIPAA Privacy ule, patients have the right to access their medical records, request corrections to inaccuracies, and control who can access their health information. Healthcare providers are required to obtain patients' consent before disclosing or using their health information for purposes other than treatment, payment, or healthcare operations. The HIPAA Security ule, on the other hand, outlines security measures that covered entities must implement to…...
mlaReferences
\"Summary of the HIPAA Privacy Rule.\" HHS.gov, U.S. Department of Health & Human Services, www.hhs.gov/hipaa/for-professionals/privacy/laws-regulations/index.html.
\"What is Protected Health Information?\" HHS.gov, U.S. Department of Health & Human Services, www.hhs.gov/answers/hipaa/what-is-phi/index.html.
\"Your Rights Under HIPAA.\" HHS.gov, U.S. Department of Health & Human Services, www.hhs.gov/hipaa/for-individuals/guidance-materials-for-consumers/index.html.
\"Permitted Uses and Disclosures.\" HHS.gov, U.S. Department of Health & Human Services, www.hhs.gov/hipaa/for-professionals/privacy/guidance/permitted-uses/index.html.
1. The importance of data governance in healthcare IT systems.
2. The role of data governance in ensuring patient privacy and confidentiality in health IT.
3. Challenges and solutions in implementing effective data governance strategies in healthcare organizations.
4. The impact of data governance on improving healthcare outcomes and patient care.
5. The role of data governance in ensuring data quality and integrity in health IT systems.
6. Ethical considerations in data governance for health IT data.
7. The role of data governance in facilitating interoperability and data sharing in healthcare.
8. The impact of data governance on healthcare analytics and predictive modeling.
9. Strategies for building a....
Health Information System (HIS)
A Health Information System (HIS) is a comprehensive, integrated information system designed to manage, store, and process health-related data and information. It provides a platform for the collection, analysis, and dissemination of patient health information, facilitating efficient and effective healthcare delivery.
Components of a Health Information System
A comprehensive HIS typically consists of the following components:
Electronic Health Record (EHR): A digital repository of patient health information, including medical history, medications, allergies, vital signs, diagnostic test results, and treatment plans.
Patient Management System: A module for scheduling appointments, managing patient demographics, and tracking insurance coverage.
Clinical Decision Support Tools:....
1. Overseeing and managing the day-to-day operations of the radiology department, including scheduling, staffing, budgeting, and quality assurance.
2. Developing and implementing policies and procedures to ensure efficient and effective delivery of radiology services.
3. Collaborating with other healthcare professionals, such as radiologists, physicians, and nurses, to coordinate patient care and ensure accurate and timely imaging results.
4. Ensuring compliance with regulatory requirements, such as HIPAA, and maintaining quality standards set by accrediting organizations.
5. Managing equipment maintenance and upgrades, as well as ordering and stocking supplies needed for radiology procedures.
6. Providing leadership and guidance to radiology staff, including training, performance evaluations, and resolving....
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