Informatics In Healthcare
Scenario:
A patient approaches you after her consultation with her physician. Her physician had reviewed her electronic health record with her during the consultation. The patient realized that some of the information in her EHR was incorrect. The patient asks you to make changes to this information. Is this possible? Why or why not? Write a 1-page response that includes the following:
Describe what you would tell the patient in this scenario regarding making changes to her electronic health record (EHR).
Explain your reasons for responding to the patient in the way you describe.
Be sure to reference any legal requirements related to EHRs.
Sample Solution
If a patient approached me after her consultation with her physician and asked me to make changes to her EHR, I would tell her that it is possible to make changes to her EHR, but there are some things she needs to know.
First, I would explain to her that the HIPAA Privacy Rule gives patients the right to access and correct their medical records. This means that she has the right to request that any incorrect information in her EHR be corrected.
Full Answer Section
Second, I would explain to her that the HIPAA Security Rule requires healthcare providers to take steps to protect the confidentiality, integrity, and availability of patient health information. This means that I would need to verify her identity before making any changes to her EHR. I would also need to make sure that the changes she is requesting are accurate and necessary. Third, I would explain to her that once I make the changes to her EHR, I will need to create an audit trail to document who made the changes and when. This is to ensure that the integrity of her EHR is maintained. Reasons for Responding in This Way My reasons for responding to the patient in the way I describe are as follows:- To protect the patient's right to access and correct her medical records.
- To comply with the HIPAA Privacy and Security Rules.
- To maintain the integrity of the patient's EHR.