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comply. HITECH also outline the procedure to notify patients if their information has been inappropriately accessed or released. (Harmon, 2019).To protect patient’s health information, organizations need to encourage a culture of security. Starting with staff, reiterate that privacy is of the utmost importance. Also informing them that something as innocuous as looking at private emails from an outside server while on a work computer, expose the system to viruses and the like. Staff needs teaching on “acceptable use,” of websites, and management needs to specifically state which are forbidden while on workcomputers and enforcing those prohibitions. Every workstation is a potential point of privacy breach. Remind staff to log out after finishing charting, be aware of those around you, and use “privacy” screens on portable workstations. Because so many disciplines have access to charts, some will be allowed to enter information, and only pertinent information will be viewable.
Advanced Information Management and the Application of Technology 7 Data about patients in a HIS are extensive, encompassing everything from labs and diagnostic imaging to hospitalizations and mental health issues, sometimes from birth onwards. A proper method of backing up this information is needed. Information should be frequently updated and backed up. This could be done weekly, monthly, and yearly. During back-ups, the system would be “down,” and charting wouldn’t be possible. In the hospital, where care is delivered 24-7, downtimes should be scheduled on night shift. This shift is most desirable because there most likely would be less scheduled nursing interventions. Back up charting methods need to be in place. Like old paper charting methods, nurses could put assessments on pre-printed forms. A back-up MAR should be printed if medications administration was required during system downtime. After the system backup is completed, information that was written during downtime would then need to be input. Another challenge of a HIS is data storage and retrieval. One way to store patient information would be to have on premise storage systems. This way the IT department would have the utmost control on data. It would also be subject to less breaches due to information being transmitted wirelessly. (O’Dowd, n.d.). Organizations would have to pay for the storage and upkeep of these systems. Any time they needed to increase storage, that would entail greater costs. As healthcare organizations grow, the scalability of their storage comes into play. Another way to deal with issue, is using a cloud-based system. There wouldn’t be a need for a physical location for storage. Either system used, information can be retrieved when needed. Security measures including encryption. Also limiting those with access to information using sign in codes, and even biometrics such as thumbprint or retina scanning before accessing mass data storage.
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