NURS FPX 4040 assessment 2 protected health information phi privacy security and confidentiality best practice.docx

NURS FPX 4040 assessment 2 protected health information phi privacy security and confidentiality best practice.docx

1. Assessment 2: Protected Health Information (PHI), Privacy, Security, and
Confidentiality Best Practice
Student Name
Capella University
Course Name
Prof Name
May 16, 2024
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2. Protected Health Information (PHI), Privacy, Security, and Confidentiality Best
Practice
Introduction
In 1996, the Health Insurance Portability and Accountability Act (HIPAA), a federal
regulation, was enacted to provide individuals with rights and protections regarding their
health information (CDC, 2018). It establishes guidelines for the appropriate use and
disclosure of protected health information (PHI) by entities handling health data. Any
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3. information relating to an individual's past, present, or future physical or mental health,
collected or generated by healthcare providers, health plans, public health authorities,
employers, or other healthcare provider organizations, is considered protected health
information (HIPAA, 2018). Examples of such data include names, Social Security
numbers, birth dates, addresses, account numbers, medical details, and decisions.
Summary of PHI Laws
The HIPAA Security Rule imposes national standards to safeguard electronic PHI
(ePHI) (Gatehouse, 2020). It mandates that covered entities implement necessary
measures to prevent unauthorized access, misuse, or disclosure of ePHI. If unprotected
PHI is compromised, covered entities are obligated under the HIPAA Breach
Notification Rule to notify the affected individuals (Heath et al., 2021). Additionally,
covered entities must notify the Department of Health and Human Services (HHS) and,
in certain cases, the media, as per the Rule. The HIPAA Enforcement Rule outlines the
procedures HHS must follow to investigate and penalize organizations violating HIPAA
Rules. This includes imposing sanctions for non-compliance, such as monetary fines,
corrective action plans, and potential legal actions (Moore & Frye, 2019).
Best Practices for Privacy, Security, and Confidentiality
The aforementioned regulations provide comprehensive guidelines for multidisciplinary
teams to secure the privacy of sensitive electronic health information. These standards
require that covered entities implement reasonable and essential safeguards to prevent
unauthorized access, use, or disclosure of ePHI. They also delineate procedures for
HHS to enforce legal actions against entities breaching HIPAA Rules and ensure
individuals maintain control over their PHI.
The Significance of Interdisciplinary Collaboration
Interdisciplinary collaboration is crucial for securing sensitive electronic health
information (ePHI) as it enables diverse stakeholders to work together to ensure patient
data security and compliance with data protection and security standards. By leveraging
expertise from multiple disciplines, organizations can better understand the risks
associated with managing ePHI and devise strategies to protect it (Beckmann et al.,
2021).
For instance, an interdisciplinary team may include a privacy officer, IT personnel, legal
counsel, and a health information management professional. This team can assist a
healthcare organization in developing policies and procedures to safeguard ePHI, such
as implementing proper access controls and encryption to ensure only authorized
individuals have access to the data. Additionally, the team can aid the organization in
devising a response plan in case of a data breach (Beckmann et al., 2021).
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4. Evidence-Based Approaches to Mitigate Risks for Patients and Healthcare Staff
To minimize risks for patients and healthcare staff when utilizing online platforms
containing sensitive electronic health information, several strategies can be
implemented (Health, 2022):
Establish a virtual platform policy outlining guidelines for interacting with patients
via online platforms and restrictions on sharing confidential data.
Use secure communications, ensuring that the services utilized are HIPAA
compliant and encrypted to safeguard data integrity.
Educate employees on the risks of online platforms and the importance of
protecting confidential electronic health records.
Monitor virtual platform accounts for inappropriate information and ensure staff
members adhere to policies and regulations.
Restrict access to sensitive electronic health information to only those individuals
who require it to perform their duties.
Employ authentication methods to verify the identity of anyone accessing
sensitive information.
Implement auditing and monitoring mechanisms to detect any unauthorized
access or attempted access to sensitive data.
Stay abreast of the latest best practices for protecting private electronic health
information.
Effective Staff Training for Interprofessional Teams
As healthcare providers, it is our responsibility to ensure the security, privacy, and
confidentiality of patient information, particularly when using online platforms. Adhering
strictly to patient confidentiality standards, healthcare professionals using virtual
platforms should adhere to the following guidelines (Arigo et al., 2018):
Refrain from discussing or speculating about a patient via virtual platforms.
Avoid disclosing information about a patient's health or treatment via online
platforms.
Never share any patient identifying information via virtual platforms, including
images.
Do not use virtual platforms to solicit or receive patient information.
Refrain from disclosing any patient information or confidential data to individuals
outside the healthcare team.
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5. References
Almaghrabi, N. S., & Bugis, B. A. (2022). Patient confidentiality of electronic health
records: A recent review of the Saudi literature. Dr. Sulaiman al Habib Medical Journal,
4(4). https://doi.org/10.1007/s44229-022-00016-9
Basil, N. N., Ambe, S., Ekhator, C., & Fonkem, E. (2022). Health records database and
inherent security concerns: A review of the literature. Cureus, 14(10).
https://doi.org/10.7759/cureus.30168
HIPAA Journal. (2023, February). Hipaa Social Media Rules – updated 2023.
https://www.hipaajournal.com/hipaa-social-media/
Javaid, D. M., Haleem, Prof. A., Singh, D. R. P., & Suman, D. R. (2023). Towards
insight cybersecurity for healthcare domains: A comprehensive review of recent
practices and trends. Cyber Security and Applications, 1(100016), 100016.
https://doi.org/10.1016/j.csa.2023.100016
Kerr, H., Booth, R., & Jackson, K. (2020). Exploring the characteristics and behaviors of
nurses who have attained microcelebrity status on Instagram: Content analysis. Journal
of Medical Internet Research, 22(5), e16540. https://doi.org/10.2196/16540
Vos, J. F. J., Boonstra, A., Kooistra, A., Seelen, M., & van Offenbeek, M. (2020). The
influence of electronic health record use on collaboration among medical specialties.
BMC Health Services Research, 20(1), 676. https://doi.org/10.1186/s12913-020-05542-
6
Vukusic Rukavina, T., Viskic, J., Machala Poplasen, L., Relic, D., Marelic, M., Jokic, D.,
& Sedak
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