Electronic Health Records

Jocelyn Garcia University of Phoenix HCS/483 Week 2 November 1, 2012

Outline

What is Electronic Health Records Effects of the new technology considerations Adopting EHRs privacy and security implications HIPPA Privacy and Security Rules description Explain if HIPPA applies to the new technology

Health Care Information System

Implementing EHR Health care data & info = health care information system

Electronic Health Record- records relating to health information that can be created, managed, and consulted by authorized health providers across more than one healthcare organization

Benefits

improve quality, outcomes, and safety Improve efficiency, productivity, and cost reduction Improve service and satisfaction Medical & nursing health info & data transferable electronic Manage all types of results ( ex. lab tests) Order entry & support primarily for ordering medications (CPOE) Decision support provides guidance for decisions (CDSS or ADSS)

Core functions

Effect of technology on Health Care

Decision support system (CDSS or ADSS) computerized intelligence systems that provide guidance and decisions as a clinical computer assistant diagnosing. Information Systems- Computerized Provider Order Entry (CPOE), Electronic Medical Record (EMR), Electronic Health Record (EHR), Personal Health Record (PHI). Electronic communication and connectivity (Email, web messaging, and telemedicine) facilitates communicating effectively with other care givers and the patient. Telehealth patient support that includes patient education, materials, and home monitoring Health Information Exchange (HIE)- future of EHR SYSTEM is the administration process and the management of reporting population health.

Privacy and Security implications on EHRs

Protected health information
Staff members, employees and volunteers must follow federal and state laws to protect the patients privacy

How to use PHI- treatment, payment, healthcare operations, special uses Disclosing PHI to Others- required or permitted by law Privacy Rights- Under the federal laws requirement, privacy programs the patients have specific rights Privacy Duties- Federal health information privacy rules requires to provide a notice to the patient of privacy practices. Other Information or Complains- are handled by the Health and Human Services

HIPPA Privacy and Security Rules

Health Insurance Portability and Accountability Act of 1996 (HIPPA) establish rules for access, authentication, storage, editing, and transmitting electronic medical records.

Standards are more strict on electronic records than paper records Protects health information Covered entities

Privacy Policies and Procedures . A covered entity must develop and implement written privacy policies and procedures that are consistent with the Privacy Rule
Protects health information Privacy Rule preempted by the federal requirements if States are contrary reports diseases or injury, child abuse, birth, or death Reports public health surveillance, investigation, or intervention requires certain health plans for management or financial audits And more

"individually identifiable health information that is held or transmitted by a covered entity or its business associate, in any form or media, whether electronic, paper, or oral. The Privacy Rule calls this information protected health information(12 45 C.F.R. 160.103).

Conclusion

With the technology of EHR, health care organizations can improve quality, outcomes, safety, efficiency, productivity, service, satisfaction and lower BUDGET. With the large consumer demands EHR allows health care organizations to treat and care for a patient faster with any health provider. Personal health records are private and should remain private! with the appropriate privacy rules of HIPPA and implementing those rules can reduce legal issues.

In conclusion YES, HIPPA does apply to EHR.

??? ANY QUESTIONS???

References

U.S. Department of Health and Human Services: OCR Privacy brief; summary of the HIPPA Privacy Rules. Retrieved on October 30, 2012 from http://hhs.gov/hippa UHS: Protecting your Privacy; Protecting your Health Information. Retrieved on October 31, 2012 from http://www.hhs.gov/ocr/phi Wager, K. A., Lee, F. W., & Glaser, J. P. (2009). Health care information systems: A practical approach for health care management (2nd ed.). San Francisco, CA: Jossey-Bass.