informatics (april 15 notes)

veracity

telling the truth

fidelity

being loyal, keeping promises

autonomy

patients have the right to make decisions for themselves

paternalism

making decisions on behalf of others

justice

providing what is due to an individual through fairness and equality

respect

maintaining human dignity

privacy

right to own information, patient decides what info is shared, protects the individual

confidentiality

regulation of disclosed info, permission from patient to share info, protects the information

security

actions to protect identity of health data (PHI)

PHI

protected health information

protected health information

information that can identify an individual (not just name and DOB)

regulatory agencies in healthcare

state boards of nursing, centers for medicare & medicaid (CMS), the joint commission (TJC), det norske veritas (DNV)

data security breaches

any exposure of records

penalties for data security breaches

fines and/or imprisonment

prevalence

medical is most likely (primary rights learinghouse)

cost of a data security breach

average $6.75 million per incident (a laptop was $49K, each record was nearly $200)

HIPAA

health insurance portability and accountability act of 1996

HIPAA function

maintain/protect PHI

final rule tiers of fines

unknowing, reasonable, willful neglect (corrected and uncorrected), repeated

when was HIPAA strengthened

2016 (business partners)

HITECH function

ensure privacy and security

“Meaningful Use”” regulation 2009, 2013

controls access to PHI, 2014 deadline for implementing EHR

social media concerns

think before you post!

employment concerns of social media

separate personal and professional life, no pt info, no personal relationships, don’t complain, avoid “flame wars”

email basics

accounts (planning, security), filter spam, out of office reply, content/grammar/emotion