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December 21, 2014

Homework Help: Law and Ethics re-post in a jam

Posted by Lei on Wednesday, July 23, 2008 at 7:36am.

Please check this for me I am so confused I guess I am dumb anyways here it thanks all of your help :)








Law and Ethics

The ethical opinion on computer confidentiality is covered by the American Medical Association (AMA) principle of Patient Privacy and Confidentiality. Protecting the patient's right to privacy is of outmost concern to the AMA Ethical Force Oversight Body. Their main purpose is to "protect patient information from the rapid evolution of health care informatics and to monitor rapid and massive possibility of silent breaches of patient confidentiality". According to the Confidentiality of Computerized Patient Records (H-315.990) it clearly states that

"AMA reaffirms the importance of confidentiality of patient records regardless of the form in which they are stored." I beleive that you should handle all patient records with care in order to maintain patient confidentiality at all times. " Confidentiality of Health Care Information, a provision regulating third parties use of computerized patient records in physician's offices; and will develop guidelines for physicians using computerized medical record systems to protect the confidentiality, integrity and security of patient records".

Today's computerized way of record keeping makes it more difficult to maintain privacy and confidentiality. Ethical opinions in computer confidentiality will be discussed in the succeeding statements.

Time and Date Stamping should be done for anyone who had accessed a medical record. In order to properly document changes and to protect the integrity of the data doing this is a must. It should also include the name of the person as well as the date and time that the changes were made on the online record. ("Patients' Access to Information Contained in Medical Records- H-315.9)

According to H-315.997 Patients' Access to Information Contained in Medical Records) " The patient should be advised of the existence of computerized databases containing medical information once the data was transferred to the computer main frame" The patient's premission needs to be obtained before they transfer any of the patient's records. By following this process it will protect the patient's right to privacy as well as mainating confedentiality.

"Patients should be notified when purging archaic or inaccurate information"The patient should also be notified before the removal of such information from the database. If it is found that the information was deemed inaccurate or outdated, the original creator of the data must be notified.You are unable to replace the old information with current information until this is done. ("Patient confidentiality")

Computerized medical database should be added to an online computer terminal if sharing this information allows patients to be treated more efficiently and safely. According to the AMA "patient confidentiality principle "electronic health information systems allow increased access and transmission of health data. Physicians in integrated delivery systems or networks now have access to the confidential information of all the patients within their system or network. Confidential information also is disseminated through clinical repositories and shared databases". This information sharing will make it easier for researchers and health professionals to access similar cases related to what they are working on.

The bureau of computer services should notify the physician involved before any erasure on the data is done. It is the physician's responsibility to determine what information is still necessary on a particular patient's record. What the physician will do is to get permission from the patient before any erasures or changes is done.


Individuals and organizations should get permission from the patient before they are allowed to access the medical records. Any private information that the physician has learned within the patient-physician relationship is considered confidential and needed consent from the patient before being disclosed to a third party or organization

The HIPAA Security Standards requires physicians to protect the security of patient's through encryption. The use of these electronic procedures and mechanisms will protect the confidentiality, integrity, and availability of information. "Physicians must have in place administrative, physical, and technical safeguards that will protect electronic health information that the physician collects, maintains, uses, and transmits" ("Security Standards"

Before any authorized information is disclosed by the recipient they should have the necessary permission from the patient. This is likewise stated by the AMA Patient confidentiality principle where it says that "the patient's express authorization is required before the medical records can be released to the following parties: patient's attorney or insurance company; patient's employer, member of the patient's family member and the patient's attorney under a durable power of attorney for health care"

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