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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

Slide 1: Introduction

Hello healthcare leaders, I am Student Name, and today I am presenting a critical topic related to community resources and best practices for a carefully coordinated healthcare system and care management.

Slide 2: Agenda

Community Resources and Best Practices

Care coordination and care management are interchangeable terms with slightly different meanings. The Internet of Medical Things (IoMT) has facilitated the recording and maintenance of healthcare records. According to the Agency for Healthcare Research and Quality (AHRQ), care coordination involves deliberate activities and communication among all participants to provide safer and effective care, while care management entails episodic evaluation with a proficient team ensuring effective management of the medical system (Dealtry, 2022).

However, despite technological integrations such as Electronic Health Records (EHR), wearable devices, Telehealth, and mobile services, care coordination and management are facing a crisis. Every technology has its drawbacks, and in the case of care coordination management, it gives rise to ethical and legal issues for stakeholders. Data breaches, whether internal or external, pose significant concerns, with the USA being particularly vulnerable. Over the last four years, US hospitals have experienced more than 90% of security breaches, with breached medical records being sold on black market websites for substantial sums (Seh et al., 2020).

Slide 3: Scenario

This incident involves the healthcare organization ARcare, which experienced a data breach between the last two months of 2022, with exposure confirmed in the first month of 2023. The breach, identified as a ransomware attack, involved cybercriminals demanding a substantial sum in exchange for the data of 345,000 patients. This critical breach compromised vital patient information including IDs, financial accounts, and insurance details. Despite paying the ransom, data restoration remained uncertain, prompting ARcare to prioritize care coordination management to enhance cybersecurity.

Slide 4: Ethical Issues about Use of Health Care Information Systems for Care Coordination

The American Public Health Association (APHA) advocates for healthcare services within communities while adhering to ethical principles. Telehealth and health services facilitate remote access to care with a holistic approach to care coordination. However, the use of healthcare information systems raises ethical concerns, including security, privacy, and confidentiality, which can adversely affect both patients and organizations (WritersBay, 2021).

Slide 5: Legal Issues of Current Practices and Potential Changes

Legal issues surrounding the misuse of healthcare information include patient security and organizational financial and reputational loss. Legislation such as the Health Information Technology for Economic and Clinical Health (HITECH) Act and the Health Insurance Portability and Accountability Act (HIPAA) aim to address privacy concerns and promote secure health technology integration. Recommendations for potential changes include strengthening information system collaboration, investing in data management, and aligning stakeholders with security agendas.

Slide 6: Comparison of Current Outcomes with Best Practices

Weak security measures and inadequate investment in Health Information Systems contribute to data breaches and misuse. Best practices emphasize system strengthening, teamwork, collaboration, and education for both healthcare professionals and patients.

Slide 7: Evidence-Based Practices

Evidence-based interventions focus on system strengthening through multi-factor authentication, team collaboration, and education. Technologies such as the Internet of Medical Things (IoMT) and Electronic Health Records (EHR) should be accompanied by a competent IT team to ensure data security.

Slide 8: Role of Stakeholders in Intervention

Stakeholders play crucial roles in improving healthcare information systems. Patients, providers, payors, and policymakers must collaborate to enhance system security, with policymakers relying on data-driven decision-making for effective interventions.

Slide 9: Explanation of Data-Driven Outcomes

Data-driven decision-making enhances cybersecurity through timely threat identification, security architecture strengthening, collaborative incident reporting, and AI-enabled threat visualization and analysis.

Slide 10: Practices to Sustain Outcomes

Sustaining positive outcomes requires involvement of all stakeholders, proactive threat detection, severity assessment, and continuous training and education. State and federal policies play a vital role in accrediting organizations and ensuring accountability.

Slide 11: Conclusion

The healthcare information system’s vulnerabilities have led to significant financial and personal losses, emphasizing the need for ethical, legal, and evidence-based interventions. Stakeholder collaboration, data-driven decision-making, and sustained efforts are essential to mitigate risks and ensure a secure and reliable healthcare information system.

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

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

NURS FPX 6616 Assessment 1 Community Resources and Best Practices

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

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/

NURS FPX 6616 Assessment 1 Community Resources and Best Practices