NRS 450 Benchmark – Health Information Standards and Regulations

Paper Instructions

Assessment Description

The purpose of this assignment is to become familiar with health information standards and regulations. Students will evaluate the utilization of AI chatbots in patient education for health promotion.

For this assignment, complete the “Health Information Standards and Regulations” template.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies;

RN-BSN

  • 8.5 Use information and communication technologies in accordance with ethical, legal, professional, and regulatory standards, and workplace policies in the delivery of care.

American Association of Colleges of Nursing Core Competencies for Professional Nursing Education

This assignment aligns to AACN Core Competencies 8.5

Attachments

  • NRS-450-T2-HealthInformationStandar

We Work Hard So That You Don’t

We’ll write a 100% plagiarism-free paper in under 1 hour.

Section 1

Term/Topic Description/ Purpose Is this a federal regulation, health data standard, or classification system (data terminology)? What is the year of the most recent update? Include a link for the most current version. What is the impact on nursing practice?
Health Insurance Portability and Accountability Act (HIPAA)  HIPAA mandates the establishment of nationwide regulations to safeguard confidential patient health data from unauthorized disclosure without the patient’s explicit permission or awareness. Federal legislation   Most recent update 2024

Link https //www.hipaaguide.net/hipaa-updates/

Maintaining HIPAA compliance is of the utmost importance for nurses in their day-to-day work, owing to the sensitive nature of the data they manage. Nurses routinely access, disseminate, and document their patients’ treatment plans, medical records, and other pertinent health-related information.
Health Information Technology for Economic and Clinical Health Act (HITECH Act) Promotes the adoption of electronic health records by healthcare providers and enhances security and privacy measures for healthcare data. Federal law Most recent update 2024

Link https //www.hipaajournal.com/what-is-the-hitech-act/

The HITECH Act alters the dynamics between healthcare practitioners, organizations, patients, and payors by emphasizing the adoption and use of health information technology.
21st Century Cures Act (Cures Act)  President Obama signed the Act on December 13, 2016, with the goals of addressing the opioid misuse problem, accelerating the development of drugs and medical devices, improving mental health service delivery, and encouraging and funding the advancement of research into the prevention and treatment of severe diseases. Federal law Most recent update 2023

Link https //www.federalregister.gov/documents/2023/11/01/2023-24068/21st-century-cures-act-establishment-of-disincentives-for-health-care-providers-that-have-committed

While clinicians are now obligated to share records with patients as a result of the Final Rule mandate, the Cures Act remains a health policy that aims to grant patients unrestricted, cost-free digital access to all of their medical records.
Trusted Exchange Framework and Common Agreement (TEFCA) The TEFCA aims to establish principles and minimum standards for the safe and suitable sharing of electronic medical records between networks. This will enhance access to data and better support the existing use cases enabled by HINs and health IT developers. Federal legislation   Most recent update 2023

Link https //www.healthit.gov/topic/interoperability/policy/trusted-exchange-framework-and-common-agreement-tefca

By increasing the scope of exchanges and centralizing all patient records, TEFCA adoption facilitated better care coordination, facilitated easier patient access to their medical records, and ultimately led to better health outcomes.
Patient Protection and Affordable Care Act of 2010 The primary goals of the Patient Protection and Affordable Care Act of 2010 are to increase access to affordable health insurance, extend Medicaid coverage to all adults with income below 138% of the Federal Poverty Level (FPL), and promote the implementation of innovative healthcare delivery methods aimed at reducing overall healthcare costs.  Family Legislation Most recent update 2017

Link https //www.congress.gov/bill/111th-congress/house-bill/3590

Nurses are required under the ACA to actively engage in innovation, transformational leadership, along with care coordination. They play a crucial role in achieving cost reduction, improving quality, and enhancing patient access in the future.
Food and Drug Administration Safety Innovation Act (FDASIA) The FDASIA grants the FDA more powers to safeguard pharmaceuticals’ safety, efficacy, and quality in the USA.  Federal legislation  Most recent update 2018

Link https //www.congress.gov/bill/112th-congress/senate-bill/3187

The FDASIA legislation serves a crucial role in safeguarding patients’ well-being and the healthcare system’s overall integrity. The federal government mandates the FDA to protect public health by guaranteeing the safety, effectiveness, and security of medicines, biological substances, and medical devices.
Fast Healthcare Interoperability Resources (FHIR)  FHIR is a comprehensive framework that facilitates the seamless electronic healthcare information exchange.  Federal legislation  Most recent update 2024

Link https //ecqi.healthit.gov/fhir

FHIR enables the secure availability of healthcare information, encompassing clinical and administrative information, to authorized individuals who require access for the benefit of patients receiving care. It has the potential to empower patients to assume responsibility for their healthcare.
Health Level Seven International (HL7)  HL7 is a widely recognized standard used for the exchange of medical informatics among healthcare providers.   Health data standard Most recent update 2023

Link https //confluence.hl7.org/display/HL7/2023May+Announcement+of+Formation+of+Consensus+Groups

HL7 is known for its comprehensive coverage of laboratory test directives and results and its well-defined protocols for exchanging data between healthcare and laboratory information systems. It is recognized as a standard in the field of healthcare management.
International Classification of Diseases (ICD)  The purpose of ICD is to facilitate global consistency in the gathering, analysis, categorization, and representation of mortality data. This involves establishing a framework for reporting reasons for death on death certificates.  Medical classification Most recent update 2022

Link https //www.paho.org/en/news/11-2-2022-whos-new-international-classification-diseases-icd-11-comes-effect

The significance of the ICD lies in its role as a universal tool for documenting, reporting, and tracking diseases. This enables global data comparison and sharing in a uniform manner, spanning across hospitals, regions, countries, and time periods.
Systematized Nomenclature of Medicine – Clinical Terms (SNOMED CT) SNOMED CT is a system of clinical terminology that offers a consistent and empirically supported means of expressing clinical data that physicians record.  Classification system Most recent update 2023

Link https //www.techtarget.com/searchhealthit/definition/SNOMED-CT

SNOMED CT offers a consistent and empirically supported method for displaying clinical data that nurses record.
Logical Observation Identifiers Names and Codes (LOINC)  LOINC is a code system comprising a collection of names, codes, and identifiers applied to clinical and lab observations, screening and survey instruments utilized in health care, and document-type identifiers.  Health Data Standard Most recent update 2023

Link https //digital.ahrq.gov/loinc

Establishing a uniform system of test vocabulary and encoding test result values is critical for facilitating successful data transmission. It is crucial to agree on the definition of data, how it is externally represented, measurement units, and other aspects that influence how medical professionals perceive the results that are given.

Section 2

Question 1 Information and Communication Technologies

  • Identify common risks associated with using information and communication technologies (i.e., electronic health records [EHR], telehealth, mHealth, wearable technologies, decision support systems) in patient care.
  • Discuss how workplace policies help mitigate these risks.
    Several risks and disadvantages are associated with using information and communication technologies in patient care. These include the potential for unauthorized access to Protected Health Information, the possibility of altered data leading to incorrect healthcare decisions, the risk of adverse results due to limited device functionality, and the potential for miscommunication (Nittari et al., 2020).

A highly effective approach to alleviating these drawbacks entails preemptively anticipating potential issues during the implementation stage and diligently monitoring the system’s performance after deployment.

Effective safeguarding of electronic health data and patient privacy necessitates equal emphasis on organizational policies and practices alongside technical mechanisms (Keshta & Odeh, 2021).

Improving patient safety can be achieved by implementing various measures such as clinical flags, medication alerts, and reminders, enhanced monitoring and reporting of guidance and test results, support for clinical decisions, and ensuring restricted access to comprehensive patient data to only authorized personnel.

Question 2 Challenges of Implementation and Monitoring

  • Select a standard, regulation, or classification system from the list in Section 1.
  • Using your selection as an example, discuss how legal and regulatory requirements can help address the risks associated with using information and communication technologies in patient care.

HIPAA compliance is distinctive in that it ensures the privacy and security of patient information, particularly regarding the implementation of electronic health records (Mbonihankuye et al., 2019).

Due to the varying data formats, HIPAA permits the development of a suitable format that facilitates data access and control. Organizations must apply specific safeguards to protect the confidentiality of patients’ sensitive information. A professional with knowledge of HIPAA and compliance with the regulations is required.

The officer will guide the organization and ensure that all requisite measures are in place to prevent any violations of HIPAA. In case of a data breach or violation, the officer must reinstate the order by the act’s stipulations. Controlling access is a critical component of HIPAA compliance.

Prevent unauthorized access to workstations, documents, or sensitive components. This can be accomplished by implementing security measures that monitor data access and alert the organization in the event of unauthorized entry.

Cite a minimum of two sources in APA format to complete this assignment. Sources must be

  • Published within the past five years.
  • Appropriate for the assignment criteria.
  • Relevant to nursing practice.

References

  • Keshta, I., & Odeh, A. (2021). Security and privacy of electronic health records Concerns and challenges. Egyptian Informatics Journal, 22(2), 177–183. https //doi.org/10.1016/j.eij.2020.07.003
  • Mbonihankuye, S., Nkunzimana, A., & Ndagijimana, A. (2019). Healthcare Data Security Technology HIPAA compliance. Wireless Communications and Mobile Computing, 2019, 1–7. https //doi.org/10.1155/2019/1927495
  • Nittari, G., Khuman, R. S., Baldoni, S., Battineni, G., Sirignano, A., Amenta, F., & Ricci, G. (2020). Telemedicine Practice Review of the current ethical and legal challenges. Telemedicine Journal and E-health, 26(12), 1427–1437. https //doi.org/10.1089/tmj.2019.0158

We Work Hard So That You Don’t

We’ll write a 100% plagiarism-free paper in under 1 hour