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Health Informatics and Technology Professional ResponsibilitiesAn Online Self Paced Learning Module for Nursing Students Objectives Describe the role and benefits of health informatics in the delivery of.quality patient centered care Discuss professional health care provider responsibilities for safeguardingconfidential client information including HIPAA regulations Explain possible consequences for breaches in privacy and confidentiality Discuss professional responsibilities in the use of social health care.technology or media as it relates to relationships with patients colleaguesand employers Health Informatics Is the use ofinformation and.technology tocommunicate manageknowledge mitigateerror and supportdecision making . QSEN 2003 Benefits of Healthcare Informatics Healthcare informatics isseen as a potential methodfor improving the delivery of.quality health care by Providing up to the minute real time information about apatient s condition necessaryfor decision making. Benefits of Healthcare Informatics Minimizing errors with anelectronic health record EHR that usescomputerized functions. Barcoding EHR MedicationReconciliation Computerized health careprovider order entry. Patient care alerts reminders Benefits of Healthcare Informatics Promoting meaningful useof electronic health record EHR technology to . Improve the quality of healthcare thru the electronicexchange of health information Provide and engage patients andfamilies via access to personal.health information via portals Improve care coordination Improve population and public Issues surrounding electronic healthrecords . While the use of EHRs cangreatly enhance patient caredecisions and safety theportability of healthinformation and sharing of.electronic data createpotential risks to privacy andconfidentiality Benefits of Healthcare informatics Likewise the use of social.media technology createspossible opportunities forpatient provider exchanges thru texting email or othervenues but raises new.concerns regardingdocumentation andconfidentiality Privacy Confidentiality are not PRIVACY relates to the.patient s right to dignity respect and for personalinfo to be held private CONFIDENTIALITY isdisclosure of information.with the patient s consentfor health care purposesor when legally required Historically Issues of confidentiality.and privacy in nursing arenot new Florence Nightingale isconsidered the founder ofmodern day nursing .npg org uk Nightingale pledge Beginning in 1893 nursesciting the Nightingale Pledgepromised to . Hold in confidence allpersonal matters committedto my keeping and all familyaffairs coming to myknowledge . EHR Electronic health records Professionally nurses have anethical and legalobligation to.maintain patientprivacy andconfidentiality at all With the advent ofelectronic health data .Congress in 1996 enactedHIPAA which stands for the Health Insurance Portability and. Accountability HIPAA in short is a set of rules for hospitals andhealth care providers to ensure that medical records medical billing and patient accounts meet certainconsistent standards for handling documentation .and privacy HIPAA Privacy rule The HIPAA Privacy Rule was enacted in 2003 toestablish standards for the protection and disclosure ofpatient health information and specifically . Defines identifiable protected health information PHI includingpatient identifiers like a person s name birthdate picture medical diagnoses address social security number etc Stipulates how this information may be used by whom andunder what circumstances . HIPPA Privacy rule There are 18 patient identifiers Google 18 patientidentifiers to see the list of identifiers that must beprotected Be aware that health information by itself without the identifiers.is not considered to be protected health information PHI For example a set of vital signs by itself is not protected However when the vital signs are accompanied by a name ormedical record number then it must be protected To better understand HIPPA watch the following you tube video.by the Nebraska Medical Center by Art Witkowski Copy andpaste the web address below into your browser and hit return https www youtube com watch v ... Consequences Health care providers are.required to adhere to HIPAAregulations as well as abide byemployer policies which may bemore strict Failure to do so can result in a.reprimand sanction fine or lossof licensure by the governmentor state board of nursing and orloss of employment by theemployer depending on the.circumstances Know the Facts vs Myths Following are common myths about HIPAA HIPAA prohibits discussions of a patient s condition over the phone with adoctor or family member. HIPAA prevents nurses and doctors from discussing a patient s condition ortreatment in a semiprivate room with the curtain pulled HIPAA prohibits displaying patient care signs like fall risk ordiabetic diet at the door of the hospital room or bedside Know facts vs Myths. Common myths continued HIPAA does not allow leaving messages for patients at theirhomes on an answering machine or with a family member HIPAA prohibits leaving patients charts at the bedside oroutside patients rooms. Patient Authorization Patient authorization for disclosure is notneeded in situations where Laws require reporting of abuse neglect or domestic violence Example child abuse. Disclosure of information is needed to facilitate organ Example kidney donation Patient Authorization Patient authorization for disclosure is notneeded in situations where . Laws require reporting of information for preventingor controlling illnesses communicable diseases injury or disability Examples HIV Sexually Transmitted Diseases Disclosure may lessen a serious threat to a person.or the public Example Workplace violence Technology Explosion In addition to safeguarding information on theelectronic health record EHR professional.responsibilities include appropriate use of health caretechnology via social media Know and Follow These Tips for SocialMedia Use Both the American Nurses Association ANA and the National.Council of State Boards of Nursing NCSBN have combined topublish principles and tips for social networking Additionally know the Social Media Policy for your employeror nursing program Principles and Tips . In general principles and tips from the ANA andNCSBN include 1 Don t share or post information or photos of patients2 Maintain professional boundaries with patients3 Do not post comments about employers co workers even if.names are omitted4 Do not take photos or videos of patientson cell phones or devices5 Report breaches in confidentiality or privacy Principles and Tips . Principles and tips cont d 1 Be mindful that posted content you believe is private andaccessible can be disseminated to others2 Be aware that content deleted from a site maystill be accessible or recoverable. Consequences To learn more about professional responsibilities and thepossible consequences for breaches in privacy orconfidentiality Copy and paste the following link below into your browser and.hit return Read the short article on Social Media Proceed withCaution http www theamericannurse org ... media proceed with caution Professional Boundaries What You Should Know. Additionally be mindful of boundary violationswith patients Contact with patients and former patients viaelectronic or cellular contacts outside of worksettings blurs the distinction between.professional and personal relationships andshould be avoided Additional Considerations ProfessionalRelationships Negative online posts about co workers such as.bullying or intimidation can constitute lateralviolence are inappropriate and can have professionalconsequences Likewise online posts about employers or workconditions has raised issues over freedom of speech.versus libel or defamation Promoting a Professional Image Lastly be aware that others includingnursing employers may use social mediato screen potential applicants for hiring . While many states are enacting laws toprevent employers from demandingaccess i e passwords to personal socialmedia accounts consider carefully whatyou post and how it.reflects on your professional image Social media Knowing the benefitsand risks ofassociated with.electronic healthrecords and internettechnology can helpyou chart a coursethat utilizes electronic.appropriately andprofessionally references American Nurses Association 2011 September Principles for social networking and the nurse SilverSpring MD Author . Coty J Owns I T 2016 Getting social media What are the rules Nursing Focus 45 14 16 Duffy M 2011 Facebook twitter and linkedin oh my American Journal of Nursing 111 4 56 59 Duffy M 2011 Patient privacy and company policy in online life American Journal of Nursing 111 9 Fraser R 2011 The nurse s social media advantage Indianapolis IN Sigma Theta Tau International references. George D R 2011 Friending facebook A minicourse on the use of social media by healthprofessionals Journal of Continuing Education in the Health Professions 31 3 215 219 Jones C Hayter M 2013 Social media use by nurses and midwives a recipe for disaster or a force for good Journal of Clinical Nursing 22 11 12 1495 1496 doi 10 1111 jocn 12239 McWay D C Smith J K 2014 Status update Social media exchanges are sometimes part of the.health record Journal of the American Health Information Management Association 85 3 28 National Council of State Boards of Nursing 2011 August White Paper A nurse s guide to thesocial media Chicago IL Author Quality and Safety Education for Nurses 2003 Retrieved from qsen org References. Schmitt T L 2012 Social media use in nursing education Online Journal of Issues in Nursing 17 3 Skiba D J 2011 The need for social media policies for schools of nursing Nursing Education Perspectives 32 2 126 127 Spector N Kappel D M 2012 Guidelines for using electronic and social media The regulatoryperspective .Online Journal of Issues in Nursing 17 3 1 16 Health Informatics and Technology:Professional Responsibilities. ... HIPAA in short, is a set of rules for hospitals and health care providers to ensure that medical records, medical billing, and patient accounts meet certain consistent standards for handling, documentation, and privacy.