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NURS FPX 6616 Assessment 1 Community Resources and Best Practices

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    NURS FPX 6616 Assessment 1 Community Resources and Best Practices

    Student Name

    Capella University

    NURS-FPX 6616 Ethical and Legal Considerations in Care Coordination

    Prof. Name

    Date

    Community Resources and Best Practices

    Greetings healthcare leaders,

    I am [Student Name], and today I will be discussing a crucial topic related to community resources and best practices for a well-coordinated healthcare system and care management.

    Agenda: Community Resources and Best Practices

    Care coordination and care management, though slightly different, play essential roles in ensuring safer and effective healthcare. According to the Agency for Healthcare Research and Quality (AHRQ), care coordination involves deliberate activities and communication among all participants to provide safer and more effective care. On the other hand, care management is an episodic evaluation with a proficient team to make the medical system more effective (Dealtry, 2022).

    Despite technological integration such as Electronic Health Records (EHR), wearable devices, Telehealth, and mobile services, care coordination and management face challenges. Issues like data breaches, both internal (disclosure and loss/theft) and external (hacking), pose ethical and legal concerns for stakeholders. Healthcare, particularly in the USA, is highly vulnerable to data breaches, with more than 90% of security breaches in US hospitals occurring in the last four years. This has led to the sale of medical records on the black market, with an average cost of $15 million for a record breach in 2019 (Seh et al., 2020).

    Scenario: ARcare Data Breach

    A recent incident involving ARcare, a healthcare organization, experienced a data breach between the last two months of 2022 and the first month of 2023. This ransomware attack demanded a significant amount of money in exchange for the data of 345,000 patients, including crucial information such as patient IDs, financial accounts, and insurance details. Despite paying the ransom, data restoration confirmation remained pending. This critical incident prompted ARcare to prioritize care coordination management to enhance cybersecurity.

    Ethical Issues Concerning Health Care Information Systems for Care Coordination

    The American Public Health Association (APHA) emphasizes ethical principles in healthcare services within communities. While Telehealth and Health services provide access to care services with a holistic care coordinating approach, the use of healthcare information systems introduces ethical concerns. Ethical principles for care coordination include autonomy, beneficence, non-maleficence, and justice. However, the use of healthcare information systems raises ethical issues such as security, privacy, and confidentiality, potentially harming patients and organizations (WritersBay, 2021).

    The shift from a disease-based approach to a patient-centered approach in the healthcare system, facilitated by the Internet of Medical Things and Electronic Health Records, has improved communication between healthcare professionals and patients. However, the inclusion of sensitive information in the system, such as addresses, medical history, and financial details, raises the risk of harm in case of a data breach. Organizations also face financial and reputational consequences post-breach, compromising ethical principles of autonomy and consent (Layman, 2020).

    Legal Issues of Current Practices and Potential Changes

    Legal issues regarding the misuse of healthcare information encompass patient security and organizational financial and reputational losses. Data breaches lead to data misuse, which is detrimental to both patients and healthcare organizations. Regulatory frameworks such as the Health Information Technology for Economic and Clinical Health (HITECH) Act and the Health Insurance Portability and Accountability Act (HIPAA) aim to secure health technology integration and strengthen privacy concerns related to information sharing in organizations.

    Potential Changes Recommended

    The World Health Organization (WHO) recommends several areas for consideration in changing the Health Information System (HIS) (Legal and Ethical Issues in Health Informatics, 2020):

    1. Collaborative HIS between healthcare sectors, departments, and information technology for improved healthcare information governance.
    2. Increased investment in technology security and training to avoid legal repercussions from data breaches.
    3. Alignment of all stakeholders, including patients, healthcare teams, nurses, organizational leaders, and states, with the health information system security agenda.
    4. Utilization of information and communication technology for better access to information, with a focus on innovative technology updates.
    5. Strengthening applications and systems with common standards, guidelines, and solutions for data management or analysis.
    6. Use of data to avoid possible harm by reporting and communicating information to improve healthcare services.
    7. Accountability by states and national oversight to track progress or lack of reliable health information systems, supported by legal frameworks such as HIPAA.

    Comparison of Current Outcomes with Best Practices

    Current challenges such as weak security, lack of multi-authentication processes, and low investment in Health Information Systems result in information loss, theft, and misuse. The illegitimate use of information can lead to financial and lifetime losses through ransom, blackmail, and identity theft. Strengthening medical information systems, fostering teamwork and collaboration, and educating patients and healthcare teams are crucial for real-time strategies and continuous improvement.

    Best practices involve constant improvement through collaboration with IT professionals, patients, physicians, and nurses. Training and educational sessions for healthcare professionals should address current misuse practices and include internal and external factors affecting the health information system.

    Evidence-Based Practices

    Evidence-based best practices aim to keep healthcare records safe while utilizing technologies such as Telemedicine, Telehealth, and wearable devices. The interventions include system strengthening through Multi-factor Authentication, team collaboration through API, and education and training for patients and healthcare staff. Multi-factor Authentication adds layers of identity confirmation factors to the health information system, making unauthorized access more difficult.

    Organizations integrating health information technology need to develop competent IT teams to handle information critically. Physicians, while knowledgeable in medical matters, may lack expertise in IT, emphasizing the need for an integrated API system. Patient education is crucial, emphasizing the importance of not sharing unnecessary information, such as social security numbers.

    Role of Stakeholders in Intervention

    Stakeholders play a vital role in the health information system, influencing policies to secure organizations’ information. Patients, providers, payors, and policymakers are the major stakeholders, each contributing to the improvement of activities that impact the organization’s information system. Patients control adverse repercussions by providing non-critical information, while providers intervene collaboratively to protect their reputation, finances, and careers. Payors support the system financially and incentivize secure practices, while policymakers set rules and regulations based on sound, evidence-based information.

    Explanation of Data-Driven Outcomes

    Data-driven decision-making (DDDM) is essential for enhancing security and improving healthcare systems. Artificial intelligence and machine learning are crucial tools for cybersecurity, providing timely information on potential cyber threats, strengthening security architecture, creating incident report mechanisms, and enabling visualization and analysis. Data-driven measures facilitate proactive threat anticipation, strengthening of hardware and software architecture, and collaborative incident response.

    Practices to Sustain Outcomes

    Sustaining positive outcomes requires the involvement of all stakeholders in interventions. Executives must lead the effort, ensuring equal participation and preventing redundant interventions. Continuous threat assessment, evaluation of potential financial damage, and tracking whether threats are internal or external with the help of AI contribute to sustainability. Professional IT teams, continuous training, and educational sessions, along with state and federal policies, play a crucial role in sustaining a secure and reliable information system.

    Conclusion

    The challenges faced by the healthcare information system, particularly in the USA, have led to significant financial and personal losses. Ethical concerns include principles of autonomy, beneficence, non-maleficence, and justice. Legal consequences encompass reputation damage and legal actions from stakeholders. Legal changes recommended involve strengthening systems, collaboration, and training. Evidence-based studies support these recommendations. Stakeholders, especially policymakers, play a crucial role, utilizing data-driven decision-making. Sustaining positive practices requires leadership,

    AI assistance, continuous training, and accountability through state and federal policies. Strengthening systems and teams is crucial for reducing data breach events.

    References

    Chauhan, H., U. S., S., & Singh, S. K. (2021). Health information and its crucial role in policy formulation and implementation. Journal of Health Management, 23(1), 54–62. https://doi.org/10.1177/0972063421994957

    Dealtry, N. (2022, June 3). Care Coordination vs Care Management | Elation Health EHR. Www.elationhealth.com. https://www.elationhealth.com/blog/independent-primary-care-blog/care-coordination-v-care-management/

    Layman, E. J. (2020). Ethical issues and the electronic health record. The Health Care Manager, 39(4), 150–161. https://doi.org/10.1097/hcm.0000000000000302

    NURS FPX 6616 Assessment 1 Community Resources and Best Practices

    Legal and Ethical Issues in Health Informatics. (2020, April 10). USF Health Online. https://www.usfhealthonline.com/resources/health-informatics/legal-and-ethical-issues-in-health-informatics/

    Lübbeke, A., Carr, A. J., & Hoffmeyer, P. (2019). Registry stakeholders. EFORT Open Reviews, 4(6), 330–336. https://doi.org/10.1302/2058-5241.4.180077

    Narrasimman, P. (2023, January 24). Cyber Security in Healthcare: Importance and Use Cases. Www.knowledgehut.com. https://www.knowledgehut.com/blog/security/cyber-security-in-healthcare

    Seh, A. H., Zarour, M., Alenezi, M., Sarkar, A. K., Agrawal, A., Kumar, R., & Khan, R. A. (2020). Healthcare data breaches: Insights and implications. Healthcare, 8(2), 133. NCBI. https://doi.org/10.3390/healthcare8020133

    NURS FPX 6616 Assessment 1 Community Resources and Best Practices

    Steger, rew, company, rew is the web editor for H. magazine H. experience includes marketing for a major I. services, & WashingtonExec, digital strategy for. (2019, October 30). What Happens to Stolen Healthcare Data? Technology solutions that drive healthcare. https://healthtechmagazine.net/article/2019/10/what-happens-stolen-healthcare-data-perfcon

    WritersBay, U. (2021, November 17). Ethical And Policy Issues about Care Coordination. Uniquewritersbay.com. https://uniquewritersbay.com/ethical-and-policy-issues-about-care-coordination/