Electronic Health Records: Are They Worth the Risk?
October 18, 2009
Health care is a hot topic in today’s society- everything from reforming the industry so that people are not denied health coverage to finding ways that patients’ medical records can be accessed electronically for more convenience. Moreover, epidemics such as HIV/AIDS spotlights the issues surrounding public health agencies use of maintenance and storage of electronic health records (EHR). Myers, Frieden, Bherwani, and Henning (2008) state that although there are security breaches when personal health information is stored in electronic form, the data can be better secured than paper records because authentication, authorization, auditing, and accountability
…show more content…
McGraw, Dempsey, Harris, and Goldman (2009) agree with this concept by stating that it is important for the government and health agencies to respond to privacy and security risks, not just to build trust and avoid embarrassment, but because good health care depends on it. Without measures in place to protect their information patients will refuse to give out their information to protect themselves. The Health Insurance Portability and Accountability Act of 1996 hinders the comfort ability of having electronic health records because the current regulations does not apply to the businesses from the outside the health care industry that are now handling health information. Even if HIPAA’s rules was strengthened, they would not be well suited to the new businesses because the privacy principles in the framework are too broad to work across platforms and business models (McGraw et al., 2009). In conclusion, the government and health agencies are always in battle when the issue of protecting sensitive information especially consumers’ private information. Informational systems that manage and hold electronic health records are being updated with security measures so that the information is protected. The authors’ do realize that the government and health agencies are always in an up-hill
According to Chiu and her colleague, confidentiality and privacy issues are not new subjects to mental health care providers (109). When patients ' information is captured, stored, and transmitted it could be attacked by identity theft or fraud (Choi et al 57). The benefits of using EHRs obtained by health care organizations could breach patient privacy. The U.S. federal government has introduced the Health Insurance Portability and Accountability Act (HIPAA) which has taken responsibility to protect patients ' rights and privacy (Choi et al. 57). According to Choi and his colleagues, the purpose of the
Health information is a fundamental piece of data which represents a person, business, organization, or a community. This data is vital in monitoring and coordination of care for individuals and communities. It not only monitors and coordinates patient care, but reduces costly mistakes and prevent duplication of treatments as well as taking a pivotal role in preserving, securing, and protecting personal health information. Since, this information is extremely essential and sensitive, it must remain secure and safe to prevent frauds and cyber-attacks. First of all, this paper discusses vitality of the health information in regards to individuals, professionals, and organizations along with its benefits to improve overall quality of life. Secondly, it discusses the role of information technology in various aspects of the industry and the what the future holds within IT.
There is no doubt in that technology has multifaceted benefits but, at the same time, it has forced mankind to feel insecure. Every industry depends upon the data of the customers and the health industry is no more an exception here. The data of each patient is shared to facilitate health itself and for more rigorous and authentic research. Hence, protecting patient data is very important. It is so important that in 1996, the federal government introduced the Health Insurance
With the enthusiasm for health information technology, potential risks and problems associated with electronic health records have received far less attention. Three fundamental security goals are essential to EHR systems: confidentiality, integrity and availability (Haas e26). Patients lose the protection of implied trust domain of medical institutions due to their medical record maintenance performed by non-medical enterprises (e27). Depending on the paradigm, enabling access to an increased number of users poses threats to security and privacy.
Although the EHR is still in a transitional state, this major shift that electronic medical records are taking is bringing many concerns to the table. Two concerns at the top of the list are privacy and standardization issues. In 1996, U.S. Congress enacted a non-for-profit organization called Health Insurance Portability and Accountability Act (HIPAA). This law establishes national standards for privacy and security of health information. HIPAA deals with information standards, data integrity, confidentiality, accessing and handling your medical information. They also were designed to guarantee transferred information be protected from one facility to the next (Meridan, 2007). But even with the HIPAA privacy rules, they too have their shortcomings. HIPAA can’t fully safeguard the limitations of who’s accessible to your information. A short stay at your local
The purpose of this paper is to discuss the electronic health record mandate. Who started it and when? I will discuss the goals of the mandate. I will discussion will how the Affordable Care Act ties into the mandate of Electronic Health Record. It will describe my own facility’s EHR and what steps are been taken to implement it. I will describe the term “meaningful use,” and it will discuss possible threats to patient confidentiality and the what’s being done by my facility to prevent Health Information and Portability Accountability Act or HIPAA violations.
Regulation placed upon the healthcare system only seek to improve safety and security of the patients we care for. The enactment of the Health Insurance Portability and Accountability Act (HIPPA) and the enactment of Meaningful Use Act the United States government has set strict regulations on the security of health information and has allotted for stricter penalties for non-compliance. The advancement of electronic health record (EHR) systems has brought greater fluidity and compliance with healthcare but has also brought greater security risk of protected information. In order to ensure compliance with government standards organizations must adapt
Some health institutions believe that all the patients have the powers to control the use of their records and before any file is accessed, the patient must be consulted by the personnel responsible. To others, however, some of the patients may not know the needs of the health industry, and therefore, at least 200 people can be allowed to access their records. According to this group, the only way to improve the patient’s privacy is by reducing the number of people who access the records. Thus, despite the fact that digital files save on cost and time, there is need to focus on some of the issues affecting the privacy of records in the health sector. Therefore, as much as the current law allows sharing of patient information during payments and treatment, caution must be taken to reduce data mining and marketing using the same
According to the HIPAA, several laws have been introduced to protect the rights of individuals with regard to accessing their personal information. Proposals such as patient’s having the right to control their personal files while at the same time, medical professionals can have access to pertinent information on a need to know basis. Controlled access gives the patient an opportunity to control disclosure of select information in the Electronic Health Record so that certain information can be available to health providers. The broad networking capabilities enabled by the internet
Healthcare can be known for a complex industry. Every day is a new day facing complicated clinical administrative transactions with electronic medical records and safety? Health Information technology is suppose to realize errors using electronic medical records. Leaders must understand the complexity and safety issues in order to help mandate electronic medical records with design, development, implement and use. In the last decade, this article has informed executives, clinicians, and technology. Their main focus was on these three areas computerized physicians order entry. Their main focus was to work all three areas computer physician order entry, computer decision support system,
For instance, while the HIPAA mandates risk assessment and risk management, it “does not mandate the frequency of reviews or updates” (Sayles & Trawick, 2010, p. 304-305). Thus, lack of specifics can lead to some inadequacies or inconsistencies within the legal system, causing healthcare providers and/or patients to adopt information technology with reluctance. Ultimately, enforceable legislation is a significant step for obtaining a strong foundation for information security in healthcare. It is imperative that the legal system be able to dynamically and quickly adapt to the needs of the healthcare industry, in order to keep pace with information technology and the latest security threats.
With the advent of Electronic health systems, Healthcare organizations are facing challenges in securing patient data. According to us department of health & human services The number of breaches has been raised from 2.7 million in 2012 to 94 million in first half of 2015.Recent breach has resulted in 78.8 million records being exposed. The black-market value of health records have much more significance than credit card data. Exposed data brings up to $50,it is 10times as much as stolen credit card number. Health record has lot more information such as date of birth, maiden names, billing information, diagnostic codes and lot more sensitive information, where it can be used for obtaining controlled substances, fraud insurance and wide activities.
In a world full of electronics it would only seem logical to have health records electronic. Not only are medical records efficient, reliable, and quick to access, new technology allow patients to access their own personal medical records with a simple to use login and password. “People are asking whether any kind of electronic records can be made safe. If one is looking for a 100% privacy guarantee, the answer is no”(Thede, 2010). At my hospital, upon every admission we ask the patient for a password for friends and family to have to have if they would like an update on the patient 's condition. We do not let visitors come up and see the patient without the patient 's consent. In doing these things, we help to ensure the safety and protection of the patient 's health information and privacy.
The first principle is that with very few exceptions, health care information about a consumer should be disclosed for health purposes only. The information should be easy to use for those purposes, and very difficult to use otherwise. The second principle is that technical security safeguards be maintained for computerized data. Including audit trails that identify who accessed the data and the prosecution against anyone who used the records for illegal or improper purposes. The third principle is consumer access. The patient should have ability to access his or her records and know others that also have access to them. Patients should be aware of the laws, regulations, and policies that protect their information. The fourth policy is defined as accountability, which is of relation to security and consumer control. Fines and imprisonment are required to those who breach security of personal health information. The final policy is public responsibility. Legislation must be balanced between personal, private interests and national priorities of public health, research, and law enforcement. The excessive flow of information, without patient authorization, is essential to the immediate discovery and investigation in public health crisis. AHIMA's acknowledgement of these five principles are abroad outline of a sensible public policy that balances personal privacy
The rapid changes in technology over the past few decades has left the healthcare industry ill-prepared to operate in today’s environment. Most substantial protections of sensitive consumer information has come as a result of federal regulation, most notably in 1996 with the Health Insurance Portability and Accountability Act and 2009 as part of the American Recovery and Reinvestment Act. Protection of information in the healthcare industry has lagged behind all other industries, perhaps because the records aren’t financial in nature or sensitive government information. Implementing simple steps for many organizations may be enough to limit the vast majority of breaches, although a layered, comprehensive security approach should be the ultimate goal for companies.