Ethical, Legal and Regulatory Policy Issues

Ethical, Legal and Regulatory Policy Issues

Overview

Before you begin work on this assignment, be sure you have read the Case Study and reviewed the feedback received on your Stage 2 assignment. Refer to the System Recommendation Report Table of Contents below to see where you are in the process of developing this report.

As a professional medical consultant, your next step in developing your recommendation for an EHR system is to determine what ethical, legal and regulatory policy issues apply and how they will be addressed in the selection and use of the system.

System Recommendation Report

Table of Contents

Introduction (Stage 1)

I. Organizational Analysis and Requirements (Stage 1)

A. Introduction

B. Organizational Strategy

C. Strategic Use of Technology

D. Components of an Information System

E. Requirements

F. Summary

II. Sharing Data (Stage 2)

A. Introduction

B. Need to Share Data

C. Types of Data to be Shared

D. Data Interchange Standards

E. Summary

III. Ethical, Legal and Regulatory Policy Issues (Stage 3) 

A. Introduction

B. Table of Ethical, Legal and Regulatory Policy Issues

C. Addressing the Most Difficult Issue

D. Summary

IV. System Recommendation (Stage 4)

A. Introduction

B. Proposed IT solution

C. How the Proposed IT Solution Meets the Requirements

D. Improvements from Proposed IT Solution

E. Implementation Considerations

F. Summary

Conclusion (Stage 4)

References

System Recommendation Report (SRR), Section III – Ethical, Legal and Regulatory Policy Issues

Section III of the System Recommendation Report (SRR) analyzes the ethical, legal, and regulatory policy issues that influence the selection of an EHR system and how it is used. For this assignment, you will identify the ethical, legal and regulatory policy issues related to health care information systems, explain the impact of the ethical, legal and regulatory policy issues on the selection and use of health care information systems, and describe how the ethical, legal and regulatory policy issues can be addressed in the development and use of EHR systems. This analysis leads into Section IV – System Recommendation section of the SRR (the Stage 4 assignment) that will propose an EHR solution to meet the Midtown Family Clinic’s organizational strategy and fulfill its operational needs.

Below are a list of course resources and an example to assist you in completing Section III of the Report.

Course Resources: The table below provides the sources for the definitions and explanations of the topics. You should use other resources as well, but be sure they apply to health care information technology implementations.

Course Resources for Table of Ethical, Legal and Regulatory Policy Issues
  Topic Source of Definitions/Explanations

(located in Course Content)

1 Safe Design Week 2: “Principles of Quality and Safety for HIT,” lecture b
2 Meaningful Use Week 2: “Introduction to Quality Improvement and HIT,” lecture a
3 Quality Improvement Week 2: “Introduction to Quality Improvement and HIT,” lecture b
4 Data Accuracy Week 3: “Data Quality Improvement” lecture a
5 Data Accessibility Week 3: “Data Quality Improvement” lecture a
6 Data Comprehensiveness  Week 3: “Data Quality Improvement” lecture a

 

7 Data Consistency Week 3: “Data Quality Improvement” lecture b
8 Privacy Week 4: “Privacy, Confidentiality & Security,” lecture a

Week 4: “Security,” lecture c

9 Confidentiality Week 4: “Privacy, Confidentiality & Security,” lecture a

Week 4: “Security,” lecture c

10 Security Week 4: “Privacy, Confidentiality & Security,” lecture a
11 Individually Identifiable Health Information Week 4: “Privacy, Confidentiality & Security,” lecture a
12 Protected Health Information Week 4: “Privacy, Confidentiality & Security,” lecture c
13 HIPAA Privacy Rule Week 4: “Privacy, Confidentiality & Security,” lecture c

Week 4: ” System Security Procedures and Standards,” lecture a

14 HIPAA Security Rule Week 4: “Privacy, Confidentiality & Security,” lectures c and d

Week 4: ” System Security Procedures and Standards,” lecture a

15 Business Associate Contracts Week 4: “Privacy, Confidentiality & Security,” lectures c and d

 

16 Authentication Week 4: “Security,” lecture a
17 Authorization Week 4: “Security,” lecture a
18 Encryption Week 4: “Security,” lecture b
19 Technical Safeguards Week 4: ” System Security Procedures and Standards,” lecture b
20 Healthcare Ethical Principles Week 4: “Ethics and Professionalism,” lecture a

Example: An example for a topic entry is provided below.

Example from another industry: For example, for a fitness center that is adopting a new technology solution involving a kiosk for customers to use to pay for their membership at the gym, then for the Area of Accessibility, the following might be entered. Note the thorough explanation.
Topic Definition of Topic How it impacts and will be addressed in the selection and use of a system
Accessibility Accessibility is the degree to which a product, device, service, or environment is available to as many people as possible. This includes accessibility to people with various impairments such as: cognitive, visual, hearing and /or dexterity issues. Since the customers will use the kiosk to pay their membership fees, it must be accessible to everyone, including those with some disabilities. The system will be required to give instructions in both written and audible forms. The system provides audio instructions and other tools for people with disabilities. As part of the implementation, these capabilities will be tested and front desk personnel will be trained to assist customers if needed.

Stage 3 Assignment Instructions

The first step is to incorporate the feedback you received on your Stage 2 assignment, making any needed corrections or adjustments. If you have not incorporated the feedback from your Stage 1 assignment, you should do so prior to submitting Stage 3. For this assignment, you will add Section III to Sections I and II of the System Recommendation Report (SRR).

Using the case study, the overview above, Course Content readings, and external resources, develop your Section III on ethical, legal and regulatory policy issues. Approximate lengths for each section are provided as a guideline; be sure to provide all pertinent information. Apply specific information from the case study to address each area listed below.

III. Ethical, Legal and Regulatory Policy Issues

A. Introduction – Introduction to this section describing what is included. (3-4 sentences)

B. Table of Ethical, Legal and Regulatory Policy Issues – The table below lists 20 topics related to ethical, legal and regulatory policy issues for healthcare IT systems. Each of these is defined in the course materials; the table above provides the sources where the definitions and explanations can be located. (Provide an introductory sentence and copy the table and insert information within.)

For each topic, you will provide:

· a brief definition, a minimum of two sentences, in your own words

· a brief explanation, a minimum of two sentences, of the impact of the topic or issue on the selection and use of the EHR system; and

· a brief explanation, a minimum of two sentences, of how the topic or issue will be addressed in the development and use of the EHR system.

DO NOT copy the definitions from the class resources or other sources, but use your own words and provide enough information to demonstrate your understanding of each topic.

The “right” and “wrong” answers have to do with whether or not you correctly define each issue as it relates to an EHR technology solution and provide a well-supported explanation for how it will be accommodated. Your responses will be evaluated on whether they are applicable to an EHR solution, appropriately defined, adequately explained, and are appropriate to the Midtown Family Clinic.

Table of Ethical, Legal and Regulatory Policy Issues
Topic Definition of the Topic

(minimum 2 sentences for each, a definition in your own words)

How the topic impacts and will be addressed in the selection and use of an EHR system (minimum 4 sentences for each topic – 2 on impact and 2 on how addressed)
1 Safe Design
2 Meaningful Use
3 Quality Improvement
4 Data Accuracy
5 Data Accessibility
6 Data Comprehensiveness
7 Data Consistency
8 Privacy
9 Confidentiality
10 Security
11 Individually Identifiable Health Information
12 Protected Health Information
13 HIPAA Privacy Rule
14 HIPAA Security Rule
15 Business Associate Contracts
16 Authentication
17 Authorization
18 Encryption
19 Technical Safeguards
20 Healthcare Ethical Principles

C. Addressing the Most Difficult Issue – Consider each of the 20 issues listed and choose the one that you believe will be the most difficult for the Midtown Family Clinic to implement. Explain why you selected the issue and what should be done to ensure it is properly addressed when the system is selected, implemented and used. Your response will be assessed on its applicability to the Case Study and how well you support your choice and explain what should be done. (A paragraph of five to six sentences.)

D. Summary – briefly summarize the content of this section and tie the information together for the reader. (3-4 sentences)

Formatting Your Assignment

For academic writing, the writer is expected to write in the third person. In third person, the writer avoids the pronouns I, we, my, you, your, and ours. The third person is used to make the writing more objective by taking the individual, the “self,” out of the writing. This method is very helpful for academic writing, a form in which facts, not opinion, drive the tone of the text. Writing in the third person allows the writer to come across as unbiased and thus more informed. The Report is to be written for the Midtown Family Clinic, and reference should not be made by name to individuals who own or work in the Clinic.

· Include Sections I and II revised according to any feedback received, and add to it Section III.

· Keep your paper concise: Use the recommendations provided in each area for length of response. Content areas should be double spaced; table entries should be single-spaced. It’s important to value quality over quantity. Section III should not exceed 4 pages.

· Ensure that the table is preceded by an introductory sentence that explains what is contained in the table, so the reader understands why the table has been included.

· Use at least two resources with APA formatted citation and reference. Use at least one external reference and one from the course content.

Compare your work to the Assignment Instructions above and the Evaluation Criteria/Grading Rubric below to be sure you have met content and quality criteria. Do not overlook this step. Read your work out loud or have your computer read it to you. Fix the grammar and other areas identified.

· Submit your paper as a Word document, or a document that can be read in Word.

· Your submission filename should be as follows: Lastname_firstname_Stage_3

EVALUATION CRITERIA/GRADING RUBRIC:

Criteria 90-100%

Far Above Standards

80-89%

Above Standards

70-79%

Meets Standards

60-69%

Below Standards

< 60%

Well Below Standards

Possible Points
Section Introduction and Summary 9-10 Points

Provides effective introduction and summary to Section III; is clear, logical, derived from the Case Study; demonstrates a sophisticated level of writing.

8.5 Points

Provides an introduction and summary to Section III; is clear, logical, and derived from the Case Study.

7.5 Points

Provides an introduction and summary to Section III; is adequate, and derived from the Case Study.

6.5 Points

Not clear, logical and/or derived from the Case Study. Or, either the introduction or summary is not included.

0-5 Points

Not included, or demonstrates little effort.

10
Table of Issues

20 Topics; 2 sentences each for: definition, impact and how addressed in system

45-50 Points

Fully and logically explained, are clearly related to the Case Study, and demonstrate a s sophisticated level of analysis and writing. Effective Introduction to table is provided.

40-44 Points

Logically explained, are related to the Case Study, and demonstrate analysis and effective writing. Introduction to table is provided.

35-39 Points

Definitions and explanations provided and relate to the Case Study. Introduction to the table is provided.

30-34 Points

Not all clearly explained and/or are not related to the Case Study. Introduction to table may not be provided.

0-29 Points

Not all addressed or little effort is demonstrated.

50
Most Difficult Issue

Issue identified; explanations of why selected and what is to be done

18-20 Points

Issue selected is clearly related to the Case Study; explanations demonstrate sophisticated analysis and critical thinking.

16-17 Points

Issue selected is related to the Case Study; explanations demonstrate effective analysis and critical thinking.

14-15 Points

Issue is related to the Case Study; explanations are provided.

12-13 Points

Issue is not identified; and/or explanations provided are not correct; and/or issue is not related to the Case Study.

0-11 Points

Issue and/or explanations are not related to the Case Study; and/or little effort is demonstrated.

20
Incorporation of Feedback on Previous Stage

Substantive feedback related to key content is addressed and previous sections are improved

5 Points

Substantive corrections very effectively incorporated to reflect feedback received on Stage 2.

4 Points

Substantive corrections incorporated to reflect feedback received on Stage 2.

3.5 Points

Corrections incorporated to reflect feedback received on Stage 2. May not have addressed all key points or sufficiently corrected.

3 Points

Minimal corrections made based on feedback received on Stage 2. Some improvements still needed.

0-2 Points

No corrections made based on feedback received on Stage 2 and/or incorrect changes made.

5
Research

Two or more sources–one source from within the IFSM 305 course content and one external (other than the course materials)

9-10 Points

Required resources are incorporated and used effectively. Sources used are relevant and timely and contribute strongly to the analysis. References are appropriately incorporated and cited using APA style.

8.5 Points

At least two sources are incorporated and are relevant and somewhat support the analysis. References are appropriately incorporated and cited using APA style.

7.5 Points

Only one resource is used and properly incorporated and/or reference(s) lack correct APA style.

6.5 Points

A source may be used, but is not properly incorporated or used, and/or is not effective or appropriate; and/or does not follow APA style for references and citations.

0-5 Points

No course content or external research incorporated; or reference listed is not cited within the text

10
Format

9-10 Points

Well organized and easy to read. Very few or no errors in sentence structure, grammar, and spelling; double-spaced, written in third person and presented in a professional format.

8.5 Points

Effective organization; has few errors in sentence structure, grammar, and spelling; double-spaced, written in third person and presented in a professional format.

7.5 Points

Some organization; may have some errors in sentence structure, grammar and spelling. Report is double spaced and written in third person.

6.5 Points

Not well organized, and/or contains several grammar and/or spelling errors; and/or is not double-spaced and written in third person.

0-5 Points

Extremely poorly written, has many grammar and/or spelling errors, or does not convey the information.

10
TOTAL Points Possible 100

IFSM 305 Stage 3: Ethical, Legal, and Regulatory Policy Issues 11/17/2017 6


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