MUST USE A MINIMUM OF 5 OF THE REQUIRED RESOURCES BELOW
Why are many health care organizations hesitant to adopt electronic health records (EHR) when they have the potential to improve quality, increase access, and reduce costs? Some organizations are concerned with the ethical and legal issues that may arise in daily operations. In 2010, legislators noticed health care’s reluctant transition into full EHR integration and began to provide financial incentives to those organizations that not only adopt EHRs, but also use them meaningfully to improve quality of patient care. As an advanced practice nurse, it is important to be aware of the challenges, policies, and incentives associated with integrating EHR systems. It is also critical that you understand the concept of “meaningful use” and how it plays out in today’s health care organizations.
In this Application Assignment, you analyze meaningful use criteria to determine the authentic legal, financial, and ethical issues that may surround it.
• Reflect on the information presented in the Learning Resources, focusing on meaningful use legislation and the “Ethics in Nursing Informatics” section of your course text.
• Investigate the legal, financial, and ethical issues surrounding meaningful use.
• Ask yourself: What are the goals of meaningful use?
Write a 4- to 5-page essay in which you:
• Summarize the legal, financial, and ethical issues that may arise as a result of meaningful use legislation.
• Explain how these issues might present barriers to successful implementation within an organization.
• Discuss ways that health care organizations can make the most of their electronic health record investments in light of meaningful use.
• Explain how EHR-related meaningful use legislation is being implemented in your organization.
Course Text: American Nurses Association. (2008). Nursing informatics: Scope and standards of practice. Silver Spring, MD: Author.
• “Ethics in Nursing Informatics” (p. 49-52)
This page of the text introduces three common ethical codes used in health care today.
Croll, P. (2010). Privacy, security, and access with sensitive health information. Studies in Health Technology & Informatics, 151, 167-75.
The author proposes a model for controlling the security of health information networks and systems.
Hjort, B. (2007). AHIMA report addresses evolving role of health care privacy and security officers. Journal of Health Care Compliance, 9(3), 47–68.
This article identifies the challenges and responsibilities of health care workers employed in privacy and security positions.
Layman, E. J. (2008). Ethical issues and the electronic health record. The Health Care Manager, 27(2), 165-176.
The findings within this article provide recommendations for health personnel, leaders, and policy makers when attempting to design ethically sound electronic health records.
Mackenzie, G., & Carter, H. (2010). Medico legal issues. Studies in Health Technology & Informatics, 151, 176-182.
Within this article, the authors provide an overview of the legal issues, precautions, and potential breaches that surround the privacy and security of electronic patient records
O’Keefe-McCarthy, S. (2009). Technologically-mediated nursing care: The impact on moral agency. Nursing Ethics, 16(6), 786-796.
Examine technology’s ability to negatively affect the patient/nurse relationship as decisions are based more on data and less on emotional and pedagogical reasoning by referencing the material found in this article.
Withrow, S. C. (2010). How to avoid a HIPAA horror story. Healthcare Financial Management, 64(8), 82-88
The HIPAA horror story that is detailed here underlines the importance of adopting HIPAA privacy and security provisions in efforts to reduce potential violations and financial threats.
California HealthCare Foundation. (2011).
Retrieved from http://www.chcf.org/
The California HealthCare Foundation outlines quality reform plans that improve efficiency and reduce cost for California’s patients.
Centers for Medicare & Medicaid Services. (2010). CMS EHR meaningful use overview.
The U.S. Department of Health and Human Services defines the term meaningful use and also its view of meaningful use criteria, requirements, and financial impact.
American Nurses Association. (2011). Ethics and human rights.
Retrieved from https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/
See this website to view position statement documents developed by the ANA to promote adherence to ethics and human rights.
Healthcare Information and Management Systems Society. (2019). The HIMSS privacy & security toolkit. Retrieved from https://www.himss.org/privacy-security-toolkit
At this website you will find a categorized tool kit that consists of implementation plans, legislation, and case studies to help health care professionals better understand matters of privacy and security.
The American Medical Informatics Association. (2014). Retrieved from http://www.amia.org/about-amia/ethics
At this website you will find a American Medical Informatics Code of Ethics for Healthcare Professionals. The current code is accessible below.
Petersen, C., Berner, E. S., Embi, P. J., Fultz Hollis, K., Goodman, K. W., Koppel, R., … Winkelstein, P. (2018). AMIA’s code of professional and ethical conduct 2018. Journal of the American Medical Informatics Association: JAMIA, 25(11), 1579-1582. Retrieved from https://academic.oup.com/jamia/article/25/11/1579/5134082
AMIA’s Code of Professional and Ethical Conduct 2018 by Petersen, C., Berner, E. S., Embi, P. J., Hollis, K. F., Goodman, K. W., Koppel, R., ..Winkelstein, P., in Journal of the American Medical Informatics Association, Vol. 25/Issue 11. Copyright 2018 by Hanley & Belfus, Inc. Reprinted by permission of Hanley & Belfus, Inc. via the Copyright Clearance Center.