This digital transformation leads to an explosion of connected environments, and attackers will compromise weak links.The extension of the Failure Mode and Effects Analysis (FMEA) as an adaption to a broader domain of application could leverage the secondary use of clinical documentation consistent with acceptable professional standards of practice, state laws, facility policies, and procedures, and the resident's plan of care to create iterative FMEAs such as Design Failure Mode Effect Analysis (DFMEA), Process Failure Mode Effects Analysis (PFMEA), and Failure Mode Effects Criticality Analysis (FMECA) that can more accurately identify threats to a high-risk process (Durivage, 2017).
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With all the new innovative applications of the Internet, there are opportunities to develop new products and services with new quality definitions that move away from the conventional utilitarian focus and become a factor in changing environments and competitive systems. The security of the Internet and cybersecurity is now a quality matter and requires new quality assurance tools and methods. Using FMEA as a quality improvement approach for Waverly Family Health Services, the objective of this paper will first consist of evaluating the current organizations' workflows for every department; defining the attainment level responsive to the shared priorities, needs, preferences, and values of the patient and clinician; interfacing with the training team responsible for system testing, deployment, training end-users; identifying user and safety issues in the Practice Fusion EHR system deployment; proceeding with staff education and implementation roll-out from go-live day to full adoption in six months, and informing quality improvement planning to assess and identify potential improvements. |
Reference
Durivage, M. A. (2017). The certified reliability engineer handbook. Quality Press.
Durivage, M. A. (2017). The certified reliability engineer handbook. Quality Press.
Project Plan: Practice Fusion EHR Implementation
Filled with a plurality of navigational layers, rapid changes in healthcare make the future health system more complex and risky.Many factors such as technological innovations, growing incidence of chronic disease, workforce and resources, conflicting trends and evidence regarding its contribution to the goals of health sector reform, politics in nursing and healthcare, and its myriad of moral and ethical dilemmas require practitioners to think on their feet and discern how to respond effectively amid these difficult practice situations
Epistemologically, without a historical awareness of the behavior, how can we understand what cybercrime is and in what direction is it developing? Legal and illegal actors consider data transferability online and offline, and hospitals are sitting on a large amount of it; medical records, social security numbers, credit card information, etc. Load More
So data as the new oil is a primary target of cybercriminals. Outside of breaches, medical, financial, and other personal data could be found on online sites that sell debit and credit card data and are located on the Deep Web. The burden to secure data has been directed at the state, private sector, and the individuals urged by various authorities and experts to reduce the amount of data they make available to others that were stolen to mitigate the risk of fraud. This victim-centered approach puts the onus of protection on the victims of cybercrime, not the offenders and firms whose systems had been compromised. Unfortunately, vulnerable applications are often not fixed for a considerable amount of time, leaving the user, far removed from their control, susceptible to attack. With all the new innovative applications of the Internet requiring personal information to be used, customers are left with fewer options should they choose to obtain a device that does not have these capabilities. Even now, healthcare providers must submit Medicaid and Medicare reimbursement requests electronically. With additional regulations for the healthcare industry, these regulations have brought to the forefront the importance of securing electronic protected health information (EPHI). The Security Standards in HIPAA were developed to implement a comprehensive security program to protect ePHI that may be at risk while permitting authorized individuals to access and use this information depending on whether such use falls under fair use or any other permissible use defined by law. These standards consider three fundamental security parameters: confidentiality, integrity, and availability. This article was designed to assist the healthcare provider, or covered entity, in reviewing the accessibility of EPHI, covers guidelines for the implementation standards, and provides recommendations to assure compliance with the requirements on the minimum standards, if required. Following the suggestions, this article will provide a covered entity with the assurance that it complies with administrative, physical, and technical safeguards implementation standards of the Privacy and Security Rule of HIPAA/HITECH, along with recommendations based on other related regulations and industry regulations best practices. |
Privacy & Security Risk Assessment Report
According to Mubarak (2015), success may be defined as achieving something desired, planned, or attempted. However, some cases may not achieve success (Reed, 2019).A subtle yet significant difference in personal health record (PHR) offerings is the degree to which individuals have direct control over the management of and responsibility for their PHRs. Some PHRs offer read-only access to one’s medical record, while others allow individuals to control who gets to view what is within their record.
While there is considerable debate regarding the degree to which individuals should control access to their health information and the forms that hold may take (Thurston, 2014), a patient-centered, multilevel activation and empowerment framework would also provide an economically viable solution to the need for better healthcare without escalating costs by avoiding duplication (Ved et al., 2011). Personal health records are powerful tools for the management of health. Despite suggesting that consumers are interested in adopting personal health records, public health has yet to engage with the growing momentum despite significant opportunities. Load More
Potential benefits of PHRs to public health include providing information and resources, promoting healthier living, strengthening the continuum of care, and being a source of health monitoring data to supplement traditional public health activities such as surveillance and surveys. According to the survey Most Americans Want to Share and Access More Digital Health Data (PEW Research Center, 2021), 82% of Democrats, 66% of independents, and 51% of Republicans would share personal health information with public officials to speed outbreak investigations and other public health activities with proper security and confidentiality measures. With various internal and external factors that determine the quality of life of a mature adult, this indicates that with the utilization of PHRs, information and communications technologies may, to some extent, play an instrumental role in interconnectedness and social stimulation and can also be seen as a boundary object that communicates between the residents of knowledge and practice (George & Kohnke, 2018). |
Emerging as important domains for consumers, there is much room for improvement and policies and procedures. Some major features that most consumers want in a PHR are easy navigation, explanation of medical terminology (Levin, 2006), standardizing clinical information, the ability to view their medical documents, and more partnership strategies reinforcing patient-centered interaction.
However, barriers like the digital divide, patient trust in the doctor, medical terminology, and security and privacy issues with health care information technology may hinder adoption. These barriers can be addressed through increased consumer outreach (Pushpangadan & Seckman, 2015) and by identifying and reviewing legislation and policy measures to strengthen information security (Heart et al., 20017). Furthermore, a business-IT-aligned approach in which applications rely on available services to facilitate business processes (Saripalle, 2019), interoperability of the PHR with existing EHRs (Xiao et al., 2021) need to be universally accessible, user-friendly, protect consumers' privacy, and be controlled by patients themselves to foster positive change in health behaviors (Ruhi & Chugh, 2021). However, the EHR is only functional if the data entered by the user is correct and placed in the most appropriate data fields. This makes the EHR “meaningful” in its function and capabilities. |
Reference
George, J. F., & Kohnke, E. (2018). Personal health record systems as boundary objects. Communications of the Association for Information Systems, 42(1), 2.
Heart, T., Ben-Assuli, O., & Shabtai, I. (2017). A review of PHR, EMR and EHR integration: A more personalized healthcare and public health policy. Health Policy and Technology, 6(1), 20-25.
Levin, M. E. (2006). Different use of medical terminology and culture-specific models of disease affecting communication between Xhosa speaking patients and English-speaking doctors aAt a South African paediatric teaching hospital. South African Medical Journal, 96(10), 1080-1084.
Mubarak, S. A. (2015). Construction project scheduling and control.
PEW Research Center. (2021, July 27). Most Americans want to share and access more digital health data. pewtrusts.org. Retrieved July 28, 2021, from https://www.pewtrusts.org/en/research-and-analysis/issue-briefs/2021/07/most-americans-want-to-share-and-access-more-digital-health-data
Pushpangadan, S., & Seckman, C. (2015). Consumer perspective on personal health records: A review of the literature. On-Line Journal of Nursing Informatics, 19(1).
Reed, S. M. (2019). PHR and SPHR complete study guide: Professional in Human Resources certification 2018 exams.
Ruhi, U., & Chugh, R. (2021). Utility, Value, and Benefits of Contemporary Personal Health Records: Integrative Review and Conceptual Synthesis. Journal of medical Internet research, 23(4), e26877.
Saripalle, R., Runyan, C., & Russell, M. (2019). Using HL7 FHIR to achieve interoperability in patient health record. Journal of biomedical informatics, 94, 103188.
Thurston, M. (2014). Key themes in public health. Routledge.
Ved, V., Tyagi, V., Agarwal, A., & Pandya, A. S. (2011, November). Personal health record system and integration techniques with various electronic medical record systems. In 2011 IEEE 13th International Symposium on High-Assurance Systems Engineering (pp. 91-94). IEEE. doi: 10.1109/HASE.2011.63.
Xiao, D., Song, C., Nakamura, N., & Nakayama, M. (2021). Development of an application concerning Fast Healthcare Interoperability Resources based on Standardized Structured Medical Information Exchange version 2 data. Computer Methods and Programs in Biomedicine, 106232.
Heart, T., Ben-Assuli, O., & Shabtai, I. (2017). A review of PHR, EMR and EHR integration: A more personalized healthcare and public health policy. Health Policy and Technology, 6(1), 20-25.
Levin, M. E. (2006). Different use of medical terminology and culture-specific models of disease affecting communication between Xhosa speaking patients and English-speaking doctors aAt a South African paediatric teaching hospital. South African Medical Journal, 96(10), 1080-1084.
Mubarak, S. A. (2015). Construction project scheduling and control.
PEW Research Center. (2021, July 27). Most Americans want to share and access more digital health data. pewtrusts.org. Retrieved July 28, 2021, from https://www.pewtrusts.org/en/research-and-analysis/issue-briefs/2021/07/most-americans-want-to-share-and-access-more-digital-health-data
Pushpangadan, S., & Seckman, C. (2015). Consumer perspective on personal health records: A review of the literature. On-Line Journal of Nursing Informatics, 19(1).
Reed, S. M. (2019). PHR and SPHR complete study guide: Professional in Human Resources certification 2018 exams.
Ruhi, U., & Chugh, R. (2021). Utility, Value, and Benefits of Contemporary Personal Health Records: Integrative Review and Conceptual Synthesis. Journal of medical Internet research, 23(4), e26877.
Saripalle, R., Runyan, C., & Russell, M. (2019). Using HL7 FHIR to achieve interoperability in patient health record. Journal of biomedical informatics, 94, 103188.
Thurston, M. (2014). Key themes in public health. Routledge.
Ved, V., Tyagi, V., Agarwal, A., & Pandya, A. S. (2011, November). Personal health record system and integration techniques with various electronic medical record systems. In 2011 IEEE 13th International Symposium on High-Assurance Systems Engineering (pp. 91-94). IEEE. doi: 10.1109/HASE.2011.63.
Xiao, D., Song, C., Nakamura, N., & Nakayama, M. (2021). Development of an application concerning Fast Healthcare Interoperability Resources based on Standardized Structured Medical Information Exchange version 2 data. Computer Methods and Programs in Biomedicine, 106232.