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Discussion prompt is:
Given the increasing use of technology in healthcare, ensu
Discussion prompt is:
Given the increasing use of technology in healthcare, ensuring HIPAA (Health Insurance Portability and Accountability Act) compliance while managing patient information is crucial. Reflect on your experiences or insights into the use of electronic health records (EHRs) and other digital tools in clinical settings.
Discuss potential HIPAA violations that could occur during clinical practices with these technologies and explore the challenges and strategies in preventing such breaches. Incorporate examples from clinical experiences or hypothetical scenarios of possible violations.
How do nursing informatics professionals play a pivotal role in identifying risks, implementing safeguards, and maintaining a balance between technological advancements and the protection of patient privacy and security?
In 100-150 words, reply to 2 of the following peer posts:
1. The more I think abut HIPAA’s guidelines, the more I realize how careful a nurse has to be to protect a patient’s information that they are caring for. However, this week at the hospital I was assigned a patient on the med-surg floor. I went into the patient’s room to take their vitals and I was charting them in the room. When turned in the computer, I realized that the nurse on this patient’s case had failed to sign out of epic and log off the computer. I signed her out and signed myself in and had figured it must have been incidental. However, I went into the room later that day to find the same thing. The issue with this is that anyone (including the patient) who is in the room would be able to freely access patient records. The solution to this situation is quite simple, the nurse needs to recognize the importance of protecting patient health records and also needs to take the time to log on and off as she comes and goes from the computer.
One way that nursing informatics professionals help to protect patient privacy is by ensuring that healthcare systems are using accredited digital EHR that will effectively protect patient privacy while also ensuring a level of security. By taking this step, healthcare systems can protect patient information. There are accreditation steps that informatics professionals can take to ensure that the systems meet the standards through testing and certification (Sewell, 324).
Informatics professionals also help to implement safeguards. One way this is done is with positive patient identifier (PPI) sysetems. Through these systems, there is an extra step to prevent mishaps from happening (Sewell, 326). An example of a PPI is scanning the patient’s barcode and the medication before administering it. There are many more examples of how nursing informatics professionals help keep patients and their information safe, but these are just a few.
2. Hello Everyone,
The integration of electronic health records (EHRs) and digital tools in healthcare has revolutionized patient care by improving data access and communication. However, ensuring HIPAA compliance in this digital environment remains a significant challenge, as healthcare organizations must protect patient information from potential breaches.
HIPAA violations often occur due to unauthorized access to EHRs and the improper sharing of patient data. For example, a nurse might access a patient’s records put of curiosity, violating the “minimum necessary” rule, which restricts access to information that is essential for job function. They can also occur if healthcare workers inadvertently expose protected health information. For example, leaving a workstation with the EHR system open, discussing patient details in public spaces, or sending PHI via unsecured email are common ways breaches might occur. Misuses of digital tools such as patient portals and improper access to sensitive information also raise concern. Preventing these violations requires a combination of technological safeguards and staff education. Strategies include implementing encryption for all electronic communications, utilizing role based access to limit information exposure, and employing automatic logouts on unattended devices. Regular staff training on HIPAA guidelines and breach reporting is essential for creating a culture of accountability.
Nursing informatics professionals play a crucial role in ensuring these safeguards are implemented. They assess risks associated with new technologies, lead the development of HIPAA complaint systems, and monitor for potential breaches. Informatics experts are also responsible for designing user friendly systems that encourage proper use while minimizing human error. by blending their clinical expertise with IT skills, they ensure that patient safety and data security are maintained alongside the adoption of innovation healthcare technologies.
3. There is no doubt that being in nursing patient confidentiality is one of the most important things that we have to deal with. EHR’s are very reliable in a clinical setting however they can be an easy way to breech patient confidentiality. In clinical EHR is the way we get our information about our patient for the day. They are kept very confidential because you need to use your own username and password to be able to get into any patient information and it is also a way to show us why someone was in a patient’s chart. Digital tools are very helpful in a clinical setting because it is a lot faster than handwriting and it allows for faster communication between the healthcare team and therefore letting the patient have better care.
There are so many HIPAA violations that can occur during clinical practices with using technology. By sharing patient information in a public place that can breech patient confidentiality. Another way that we can breech HIPAA in a clinical setting is if a nurse leaves their computer on with a patient’s chart open, anyone could see what is going on with that patient. We could prevent these types of breeches by talking amongst the healthcare providers in a private place where people can’t hear and by making sure we log out of the computer no matter how long we will be gone. Another thing that could help stop HIPAA violations is by knowing the consequences, there are different levels to HIPAA breeches. According to the AMA “CMPs [civil money penalties] for HIPAA violations are determined based on a tiered civil penalty structure. The secretary of HHS has discretion in determining the amount of the penalty based on the nature and extent of the violation and the nature and extent of the harm resulting from the violation” (AMA, 2024). The penalties range from $100- $50,000.
Nursing informatics play a pivotal role in identifying risks, implementing safe guards and maintaining a balance between technology and patient privacy by creating a space where the technology that is used by the healthcare team is not easily accessible by the public. There are certain programs that the hospitals use which are not easily accessible to the public such as EPIC. It is also not easy for people to understand how to use the system, it has to be taught.
4. EHR or Electronic Health Record is an electronic version of a patient’s medical record, it contains sensitive information such as the patient’s biographical location, symptoms, diagnosis, and the medications they use, etc (Basil et al., 2022). The transition from paper charts into EHRs has helped healthcare workers be more efficient with charting, ensure better continuity of care, and many more benefits. However, having a patient’s entire medical history digitized makes it vulnerable to access by unauthorized individuals.
Unauthorized access is a risk associated with EHRs. Healthcare workers may accidentally leave their computers open, or forget to log out of the system, making it possible for unauthorized people to view their patient’s data. For example, a nurse might go to answer a call light and forgets to logout of the EHR system, exposing the patient’s data, thus breaching their confidentiality.
Informatics nurses are able to ensure the protection of patient privacy in the new age of EHRs, due to their unique knowledge of both patient care and information technology. Participating in risk analysis by outlining how patient information is gathered and stored, they can identify points in time when data may be vulnerable to breaches (Tariq & Hackert, 2023). In collaboration with the IT department, informatics nurses could educate the healthcare staff about best practices in data security, to minimize the risk of human errors. Best practices in data security include creating a unique strong password, changing passwords every 3-4 months, recognizing phishing attempts etc (Tariq & Hackert, 2023).
In conclusion, Electronic health records have in a way revolutionized the work of healthcare professionals, by providing efficiency and ensuring continuity of care. Security risks have arised along with the digitization of patient health records such as data breaches. Nursing informatics helps mitigate those risks by identifying risks and implementing safeguards, to protect patient’s privacy.
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