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NURS FPX 4040 Assessment 2 Protected Health Information Phi Privacy Security and Confidentiality Best Practice

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    NURS FPX 4040 Assessment 2 Protected Health Information Phi Privacy Security and Confidentiality Best Practice

    Student Name

    Capella University

    NURS-FPX4040 Managing Health Information and Technology

    Prof. Name


    Protected Health Information (PHI), Privacy, Security, and Confidentiality Best Practices

    In 1996, the enactment of the Health Insurance Portability and Accountability Act (HIPAA), a federal legislation, aimed to afford individuals rights and protections concerning their health information (CDC, 2018). This legislation provides guidelines for the proper use and disclosure of protected health information (PHI) by entities handling health data. Protected health information, as defined by HIPAA (2018), encompasses any data related to an individual’s current, past, or future physical or mental health, acquired or generated by healthcare providers, health plans, public health authorities, employers, or other healthcare service providers. Examples of such data include names, Social Security numbers, birth dates, addresses, account numbers, clinical details, and diagnoses.

    Overview of PHI Laws

    The HIPAA Security Rule establishes national requirements for safeguarding electronic PHI (ePHI) (Gatehouse, 2020). It mandates that covered entities implement measures to prevent unauthorized access, misuse, or disclosure of ePHI. In the event of a breach involving unprotected PHI, covered entities are obliged under the HIPAA Breach Notification Rule to notify affected individuals (Heath et al., 2021). Additionally, covered entities must inform the Department of Health and Human Services (HHS) and, in specific cases, the media, according to the Rule. The HIPAA Enforcement Rule outlines the procedures HHS follows to investigate and penalize organizations violating HIPAA Rules. Sanctions for non-compliance may include civil monetary fines, corrective action plans, and potential legal actions (Moore & Frye, 2019).

    Best Practices for Privacy, Security, and Confidentiality

    These regulations provide a strong foundation for multidisciplinary teams to protect the privacy of sensitive electronic health information. Covered entities are required to implement reasonable safeguards to prevent unauthorized access, use, or disclosure of ePHI, and HHS can take legal action against entities breaching HIPAA Rules. This ensures individuals maintain control over their PHI.

    The Importance of Interdisciplinary Collaboration

    Interdisciplinary collaboration is crucial for securing sensitive ePHI, enabling various stakeholders to work together to ensure patient data security and compliance with privacy and security laws (Beckmann et al., 2021).

    For instance, an interdisciplinary team comprising a privacy officer, IT staff, legal counsel, and a health information management specialist can assist a healthcare company in formulating policies and procedures to safeguard ePHI. This includes implementing access controls and encryption to restrict access to authorized individuals and devising a response plan in case of a data breach (Beckmann et al., 2021).

    Evidence-Based Approaches to Mitigate Risks for Patients and Healthcare Staff

    To minimize risks associated with social media containing sensitive ePHI, several strategies can be implemented (Health, 2022):

    1. Develop a social media policy outlining guidelines for interacting with patients and restrictions on sharing private information.
    2. Utilize secure communications, ensuring HIPAA compliance and encryption for data safety.
    3. Educate employees on social media risks and the importance of safeguarding electronic health records.
    4. Monitor social media accounts for improper information and ensure staff compliance with rules.
    5. Limit access to sensitive ePHI to individuals needing it for their duties.
    6. Employ authentication procedures to verify the identity of anyone accessing sensitive data.
    7. Establish auditing and monitoring mechanisms to detect unauthorized access to sensitive information.
    8. Stay updated with the latest best practices for safeguarding private electronic health information.

    Effective Staff Training for Interprofessional Teams

    Healthcare providers must ensure the security, privacy, and confidentiality of patient data when using social media. Adherence to strict confidentiality standards involves avoiding speculation or criticism of patients, refraining from disclosing patient health information, never publishing patient-identifying information, not using social media to request or receive patient information, and avoiding disclosing patient data to individuals outside the healthcare team (Arigo et al., 2018).


    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).

    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).

    HIPAA Journal. (2023, February). Hipaa Social Media Rules – updated 2023.

    NURS FPX 4040 Assessment 2 Protected Health Information Phi Privacy Security and Confidentiality Best Practice

    Javaid, D. M., Haleem, Prof. A., Singh, D. R. P., & Suman, D. R. (2023). Towards insighting cybersecurity for healthcare domains: A comprehensive review of recent practices and trends. Cyber Security and Applications, 1(100016), 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.

    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.

    NURS FPX 4040 Assessment 2 Protected Health Information Phi Privacy Security and Confidentiality Best Practice

    Vukusic Rukavina, T., Viskic, J., Machala Poplasen, L., Relic, D., Marelic, M., Jokic, D., & Sedak, K. (2020). Dangers and benefits of social media on e-professionalism of healthcare professionals: Scoping review (preprint). Journal of Medical Internet Research, 23(11).

    Yeo, L. H., & Banfield, J. (2022). Human factors in electronic health records cybersecurity breach: An exploratory analysis. Perspectives in Health Information Management, 19(Spring), 1i. 05542-6