Thursday
July 31, 2014

Homework Help: Confidentiality in Allied Health

Posted by Huggins on Sunday, November 28, 2010 at 10:09pm.

Use Opinion 5.07 and information from other research you
conduct to find answers to the following questions. Explain
each of your answers.
1. Should corrections be date and time stamped?
2. When should a patient be advised of the existence of
computerized databases containing medical information
about the patient?
Confidentiality in Allied Health
2 Confidentiality in Allied Health
3. When should the patient be notified of the purging of
archaic or inaccurate information?
4. When should the computerized medical database be
online to the computer terminal?
5. When the computer service bureau destroys or erases
records, should the erasure be verified by the bureau
to the physician?
6. Should individuals and organizations with access to the
databases be identified to the patient?
7. Does the AMA ethics opinion mention encryption as a
technique for security?
8. In regard to electronic medical records (EMRs), what is
the policy for disclosing authorized data requested by
third parties?
GOAL
This project is designed to expose you to some real-world
discussion on confidentiality of computerized medical records
as documented by the American Medical Association and to
give you an opportunity to demonstrate your written communication
and research skills.
WRITING GUIDELINES
1. Type your submission, double-spaced, in a standard
print font, size 12. Use a standard document format
with 1-inch margins. (Do not use any fancy or
cursive fonts.)
2. Include the following information at the top of your paper:
a. Name and complete mailing address
b. Student number
c. Course title (Confidentiality in Allied Health)
d. Graded project number (02302800)
3. Read the assignment carefully and answer each question.
Use proper citation in either APA or MLA style.
02302800 3
4. Be specific. Limit your submission to the questions asked
and issues mentioned.
5. Include a reference page in either APA or MLA style.
On this page, list Web sites, journals, and all other
references used in preparing the submission.
6. Proofread your work carefully. Check for correct spelling,
grammar, punctuation, and capitalization.
GRADING CRITERIA
Each question in this project is worth 10 percent of the total
grade. The eight questions will be evaluated according to the
following criteria:
Content of questions 1¨C8 (10 points each) 80 percent
Written communication 10 percent
Format 10 percent
Here¡¯s a brief explanation of each of these points.
Content
The student
¡ö Provides clear answers to the assigned questions
¡ö Addresses the questions in complete sentences, not
just simple yes or no statements
¡ö Supports his or her opinion by citing specific information
from the assigned Web sites and any other references
using correct APA or MLA guidelines for citations and
references
¡ö Stays focused on the assigned issues
¡ö Writes in his or her own words and uses quotation
marks to indicate direct quotations
4 Confidentiality in Allied Health
Written Communication
The student
¡ö Answers each question in a complete paragraph that
includes an introductory sentence, at least four sentences
of explanation, and a concluding sentence
¡ö Uses correct grammar, spelling, punctuation, and
sentence structure
¡ö Provides clear organization (for example, uses words like
first, however, on the other hand, and so on, consequently,
since, next, and when)
¡ö Proofreads the paper carefully to make sure it contains
no typographical errors
Format
The paper is double-spaced and typed in font size 12. It
includes the student¡¯s
The above is the directions to which I have to follow. Can someone please proof read this and let me know if I am on the right track.

1. Should corrections be date and time stamped?
Yes. This is for proper documentation purposes and to protect the integrity of the data. If ever the patient asks information on whom and when the correction was made, the information will be readily available. It should also include the name of the person who made the changes or who viewed the online record. (H-315.997 Patients' Access to Information Contained in Medical Records)


2. When should the patient be advised of the existence of computerized databases containing medical information about the patient?
The patient should be advised once the data is transferred to the computer database. Patient's permission should be obtained before they transfer the records on the computer database. This done to protect the patient's right to privacy and confidentiality. (H-315.997 Patients' Access to Information Contained in Medical Records)
3. When should the patient be notified of purging of archaic or inaccurate information?
The patient should be notified before the information was purged or before the inaccurate information is replaced by the more accurate data. ("Patient confidentiality")
4. When should the computerized medical database be online to the computer terminal?
If sharing this information allows patients to be treated more efficiently and safely.
"Electronic health information systems allow increased access and transmission to 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" (Patient Confidentiality)
5. When the computer service bureau destroys or erases records, should the erasure be verified by the bureau to the physician?
Yes, because it is the physician¡¯s responsibility to make sure the patient¡¯s medical records are properly distorted and/or erased the patient's records integrity is at stake. Any changes made to the patient¡¯s file, whom ever is making the changes should notify the physician.

6. Should individuals and organizations with access to the databases be identified to the patient?
Yes, since it is a breach of confidentiality if information is disclosed to a third party, without patient consent or court order any private information that the physician has learned within the patient-physician relationship.
7. Does the AMA ethics opinion mention encryption as a technique for security?
Yes, The HIPAA Security Standards require physicians to protect the security of patients' electronic medical information through the use of procedures and mechanisms that 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.
8. What does the ethics opinion say about disclosure by recipients of authorized data to third parties?
If the patient gave the authorization to release his electronic records into the computer database According to AMA patient confidentiality rules, "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" (Patient Confidentiality)

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