TN006 Policy and Regulation Supporting Informatics and Technology
Phillip March 25, 2024 No Comments

TN006 Policy and Regulation Supporting Informatics and Technology

TN006 Policy and Regulation Supporting Informatics and Technology

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 University

NURS 6051 Transforming Nursing and Healthcare Through Technology

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Health Insurance Portability and Accountability Act (HIPAA): An Overview

The Health Insurance Portability and Accountability Act (HIPAA) constitutes a series of governmental regulations designed to protect patients’ health information from unauthorized access or usage (HealthIT.gov, n.d.; U.S. Department of Health & Human Services [HHS], n.d.). HIPAA encompasses several crucial provisions:

  • Protection of Electronic Health Records (EHR): HIPAA safeguards the transmission of electronic health records (HHS, n.d.).
  • Patient Access Rights: It grants patients the right to access their health records (HHS, n.d.).
  • Restrictions on Healthcare Staff: HIPAA limits healthcare personnel on how they can use and access patients’ EHR (HealthIT.gov, n.d.; HHS, n.d.).

Impact of HIPAA on Bedside Shift Report (BSR)

HIPAA has significant implications for Bedside Shift Report (BSR), including:

  • Mandatory Safeguarding of Patient Information: Nurses are required to safeguard patient personal information under penalty (Gialanella et al., 2017; HHS, n.d.).
  • Legal Reminder for Healthcare Workers: It serves as a legal reminder to healthcare workers to obtain permission before sharing personal medical information in front of family members, visitors, and/or other patients (Malfait et al., 2019; HHS, n.d.).
  • Cost Implications and Ethical Considerations: HIPAA entails cost implications such as redesigning double occupancy rooms to private or semi-private and presents ethical considerations to nurses regarding privacy breaches and the effective communication of information (Malfait et al., 2019; HHS, n.d.; Hoover, 2016).

NURS 6051 Assessment 6 TN006 Policy and Regulation Supporting Informatics and Technology

Improvements to Bedside Shift Report (BSR) through HIPAA

HIPAA also offers avenues for enhancing Bedside Shift Report (BSR), including:

  • Embracing Health Information Technology (HIT): Utilizing HIT to incorporate EHR and facilitate the meaningful use of patient data (Gialanella et al., 2017; HealthIT.gov, n.d.).
  • Reinforcing Patient Privacy Rights: Emphasizing patient privacy rights and the need for permission to share health information in front of family members (Gialanella et al., 2017; Malfait et al., 2019).
  • Empowering Patients: Involving patients in decision-making processes regarding their health information (The Joint Commission [JC], 2017; Malfait et al., 2019).
  • Streamlining Workflow: Streamlining workflow through patient involvement and utilizing checklists integrated into the EHR (Gialanella et al., 2017).

Dynamic Dialogue Bedside Shift Report (DDBSR): Implementing an Updated BSR Policy – in Compliance with HIPAA

The Dynamic Dialogue Bedside Shift Report (DDBSR) policy aims to engage patients (and their families as appropriate) as active participants in discussing essential patient information during shift handovers. This approach optimizes communication, ensures patient satisfaction, enhances nursing workflow, and protects personal health records and sensitive information.

How does DDBSR Meet HIPAA Guidelines?

  • Reducing Information Sharing Errors: By involving the patient, thereby improving workflow and empowering patient involvement in their care plan (JC, 2017; Malfait et al., 2019).
  • Ensuring Safe and Accurate Care: Through the use of EHR and meeting meaningful use of HIT (HealthIT.gov, n.d.; HHS, n.d.).
  • Implementing Security Measures: Such as hard stops with checklists in the EHR and requiring dual nurse sign-on and sign-off to assure patient safety of medical records (Gialanella et al., 2017).
  • Additional Security Layer: Adding an additional security layer with recorded stamps on who accesses patients’ records (Gialanella et al., 2017; Hoover, 2016).

References

Gialanella, K.M., Mastrian, K., & McGonigle, D. (2017). Legislative Aspects of Nursing Informatics: HITECH and HIPAA. In Nursing informatics and the foundation of knowledge (4th ed., pp. 141-166). Jones & Bartlett Learning.

HealthIT.gov. (n.d.). Health IT legislation. https://www.healthit.gov/topic/laws-regulation-andpolicy/health-it-legislation

Hoover, R. (2016). Benefits of using an electronic health record. Nursing, 46(7), 21–22. doi: 10.1097/01.NURSE.0000484036.85939.06

The Joint Commission. (2017). Inadequate handoff communication: Sentinel alert event. https://www.jointcommission.org/-/media/tjc/documents/resources/patient-safetytopics/sentinel-event/sea_58_hand_off_comms_9_6_17final(1).pdf.pdf)

Malfait, S., Van Hecke, A., Van Biesen, W., & Eeckloo, K. (2019). Is privacy a problem during bedside handovers? A practice-oriented discussion paper. Nursing Ethics, 26(7–8), 2288– 2297. https://doi.org/10.1177/0969733018791348

U.S. Department of Health & Human Services. (n.d.). The HIPAA Privacy Rule. https://www.hhs.gov/hipaa/for-professionals/privacy/index.html

NURS 6051 Assessment 6 TN006 Policy and Regulation Supporting Informatics and Technology