David Givens Health Care Information Technology Management...

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David Givens Health Care Information Technology Management Instructor: Dr. Mountasser Kadrie Health Information Privacy, Security, and HIPAA
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1 Heinz Children’s Health is a small pediatric practice located in a small, rural community. And like similar smaller practices located in these small communities they have reached a point where they are considering updating their technology to keep up with the changing times. Dr. Helen Heinz, the founder and owner of the practice, decides to adopt an electronic health record system (HER). After a brief period of weighing the pros and cons of various systems to adopt, she decides to go with a local company, Fleet Software for the implementation. Her son happens to be friends with the founder of this company which is probably one of the motivating factors of why this company was chosen even though they are new to dealing with electronic health records. However, Dr. Heinz did do her due diligence by calling several references who had done business with Fleet Software-even though it was not made known if these references had done business involving EHRs. Unfortunately, concerns soon begin to arise concerning confidentiality and system reliability. The first instance of concern that should be addressed is the lack of communication on systems upgrades and the potential problems they can present. Fleet should have notified Dr. Heinz’s business that there was going to be an upgrade done the night before and to be prepared for any possible glitches in the system-including not being able to access part or all of the system. This would have given Heinz Children’s Health a chance to have the paper records for their patients available ahead of time just in case. There would not have been any lost time from staff trying to retrieve the paper medical records while trying to take care of the patients at the same time. Also Fleet should have had someone monitoring the system right after the upgrade to test for issue. That is just good customer service.
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2 The second instance that should be addressed is the blatant and unprofessional breach of confidentiality from the receptionist at the clinic. This could have been avoided in the first place by if Dr. Heinz had gone over her HIPAA requirements in detail with Fleet before selecting them as the company to do business with. Since the company is new to the health care technology field the doctor should found out what their understanding was of the laws and how they were going to implement this understanding into the accessibility of the system. This should have all been mapped out and understood before the system went into place. However, the issue is a two way street being that Dr. Heinz is new to the technology too so she probably assumed this would be taken care of already. Selecting a company with years of experience in this field would have been a much better choice. Be that as it may, the only section that the receptionist and other unauthorized staff should have access to is the basic information of the patient.
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