NUR 514 Emerging Technology Brief Assignment Paper

NUR 514 Emerging Technology Brief Assignment Paper

Topic 7 DQ 2

The Health Insurance Portability and Accountability Act (HIPAA) is a federal health care policy aimed at ensuring that providers and organizations adhere to set health information security protocols and usage, especially sharing of patient protected information. The protected health information (PHI) requires providers not to disclose any personal information of their patients without their express consent (Cohen et al., 2018). The privacy and confidentiality requirements implore providers to ensure that such information is not disclosed to other individuals as it is unethical and illegal. The privacy and confidentiality requirements imply that the entities cannot change the information but can store it in different formats that include paper and electronic files.

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One ethical issue associated with the use of electronic health records (EHRs) based on HIPAA provisions is ensuring confidentiality of the information (PHI) and never disclosing it without informed consent. Another aspect is the legal issue where the privacy of an individual is paramount, including their health information (Keshta & Odeh, 2021). Consequently, providers cannot alter information or share it without the express informed consent of the individual or patient. The implication is that an advanced practice registered nurse (APRN) should adhere to these provisions and comply with all the legal aspects of care provision.

Telehealth is playing a critical role in care delivery for patients in remote locations and with resource limitations. The use of EHRs and telehealth can improve the health of the underserved and those with chronic conditions. However, providers must share such information using EHRs and increased interoperability. Such systems may compromise patient data, especially mobile applications that access such information (McBride et al., 2018). As such, it is essential to institute measures like enhanced data security and limiting authorization based on the level of expertise of the provider. It also requires organizational policies on data security and patient health information management to avoid any possible violations or breaches that can lead to legal actions against the facility.

References

Cohen, I. G., & Mello, M. M. (2018). HIPAA and protecting health information in the 21st

century. Jama, 320(3), 231-232. DOI:10.1001/jama.2018.5630.

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

McBride, S., Tietze, M., Robichaux, C., Stokes, L., & Weber, E. (2018). Identifying and

addressing ethical issues with use of electronic health records. Online Journal of Issues in Nursing, 23(1), 1-4. DOI: 10.3912/OJIN.Vol23No01Man05

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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.