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physical (Acrobatiq, 2019, p. 32).Administrative safeguards include; continual assessment of the health system environment and its effectiveness. Employee training on the use of health information technology in compliance with policies and having a set of standards in place for those who may violate the policies. Technical safeguards used are the utilization of unique usernames and passwords for all users of the HIS. Passwords must be strong eight to twelve characters in length and are changed frequently. Computer software is designed with built in safety features for automatic timing out of the system when not in use. Audit controls aids in monitoring the system and who has entered a patient’s private health record, creating a caution to those who have access. A second system safeguard is encryption of transmissions. Technology is more widely accessible remotely; encryption helps to protect health information will allowing interoperability and accessibility to not be compromised. Antivirus software and firewalls serve as another layer of technical protection of health records. Physical safeguards include who has access to the facility and controlled workstations. The location of computers in a secured area help to limit monitor visibility along with the operating system which automatically locks. Personnel plays a pivotal role in maintaining patient privacy by not discussing patent information in a public space,requiring family members have a privacy code when inquiring about a patient’s medical information or plan of care, and creating an environment which protects patient health records and sensitive information (Acrobatiq, p. 32, 2019).Organizational Efficiency and ProductivityThe implementation of a new or upgraded HIS will help to standardize documentation, reduce waste, and increase productivity and human and financial capital. Standardized
ACCOUNTABLE CARE AND NURSING12documentation creates a system for clearer understanding between nurses, physicians and all disciplines involved in direct patient care. Standardizing documentation makes the HIS searchable, efficient and more friendly to the intended users’. With the implementation of an HISterminology will carry the same meaning and allow staff to be more proficient in documenting and the sharing of information. A complete and well-designed system will prevent duplication in testing, duplicate medications and reduce the incidence of duplicate patient accounts. The new system can reduce physical materials needed. Through the ability for electronic signatures the need for any paper charting and maintaining a physical chart is eliminated therefore, reducing waste in many areas of a hospital. While the system is being implemented and introduced, a needto upstaff is temporarily needed to permit proper education and staff training is provided. Once staff has been trained and the new system fully implemented the productivity will improve.