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

Greetings esteemed healthcare Leaders, my name is [Student Name], and I am honored to present a pivotal topic today concerning Community Resources and best practices for a meticulously coordinated healthcare system and care management.

Slide 2: Agenda

Community Resources and Best Practices

Care coordination and care management, although used interchangeably, hold distinct nuances. The advent of the Internet of Medical Things (IoMT) has revolutionized healthcare record-keeping. According to the Agency for Healthcare Research and Quality (AHRQ), care coordination entails deliberate activities and communication among all involved parties to ensure the provision of safer and more effective care. Conversely, care management involves episodic evaluations with a proficient team, optimizing the management of the medical system (Dealtry, 2022).

However, despite technological integration such as Electronic Health Records (EHR), wearable devices, Telehealth, and mobile services, care coordination and management face a crisis. Each technological advancement brings its own set of challenges, leading to ethical and legal dilemmas for stakeholders. One of the most significant concerns is data breaches, whether internal (e.g., disclosure or loss/theft) or external (e.g., hacking). Healthcare organizations, especially in the United States, are highly susceptible to data breaches, with over 90% of security breaches occurring in US hospitals over the past four years. This vulnerability leads to the illicit sale of medical records on underground platforms, with the average cost of a breach reaching $15 million in the US alone in 2019 (Seh et al., 2020).

Slide 3: Scenario

Consider the case of ARcare, a healthcare organization that experienced a data breach incident between the final two months of 2022, but only became aware of it in the first month of 2023. The nature of the attack indicated a ransomware attack, where cybercriminals demanded a hefty sum in exchange for the data of 345,000 patients. This compromised information included crucial details such as patient IDs, financial accounts, and insurance information. Despite paying the ransom, ARcare faced uncertainty regarding data restoration. This incident underscored the critical importance of prioritizing care coordination management to bolster 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 grounded in ethical principles within communities. Technologies such as Telehealth and Health services facilitate remote access to care services, embodying a holistic care coordination approach. However, the utilization of electronic medical records raises ethical concerns. Ethical principles guiding care coordination encompass autonomy, beneficence, non-maleficence, and justice, ensuring equitable access to care services without discrimination (WritersBay, 2021).

Data breaches pose significant ethical dilemmas, compromising patient privacy and organizational integrity. Breached information can inflict financial, psychological, and physical harm on patients, while organizations endure reputational and financial repercussions. This compromises the ethical principles of autonomy and beneficence, as data breaches occur without consent and harm the individuals involved (Layman, 2020).

Slide 5: Legal Issues of Current Practices and Potential Changes

Legal ramifications of healthcare information misuse encompass patient security and organizational integrity. Data breaches often result in adverse consequences for both patients and healthcare entities. 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 promote secure health technology integration and strengthen privacy concerns related to information sharing (Legal and Ethical Issues in Health Informatics, 2020).

Recommendations for legal changes include bolstering healthcare information systems, enhancing collaboration, investing in data management, and ensuring alignment among stakeholders. Implementation of these measures can mitigate the risk of legal repercussions and safeguard patient and organizational interests.

Slide 6: Comparison of Current Outcomes with Best Practices

Weak security measures, lack of multi-factor authentication processes, and inadequate investment in Health Information Systems contribute to data breaches and information misuse. Strengthening medical information systems, fostering teamwork and collaboration, and prioritizing education and training for healthcare professionals are essential strategies to address these challenges. Best practices entail continual improvement through the involvement of IT professionals, patients, physicians, and nurses (Steger et al., 2019).

Slide 7: Evidence-Based Practices

Evidence-based interventions such as Telemedicine, Telehealth, and wearable devices play a crucial role in modern healthcare. Strengthening information systems through Multi-factor Authentication, fostering team collaboration, and providing education and training are pivotal in mitigating cybersecurity risks. Empowering patients to share pertinent information responsibly contributes to a more secure healthcare environment (Steger et al., 2019).

Slide 8: Role of Stakeholders in Intervention

Stakeholders play a vital role in improving healthcare information systems. Patients, providers, payors, and policymakers each contribute to enhancing system security and efficacy. Patients can mitigate adverse repercussions by exercising discretion in information sharing, while providers intervene through collaborative efforts and comprehensive training. Payors incentivize secure system integration, and policymakers enact regulations to ensure compliance and accountability (Lübbeke et al., 2019).

Slide 9: Explanation of Data-Driven Outcomes

Data-driven decision-making is integral to enhancing cybersecurity and optimizing healthcare systems. Artificial intelligence and machine learning facilitate timely threat detection and response, strengthening security architecture and incident reporting mechanisms. Leveraging AI capabilities enables proactive threat mitigation and fosters a more resilient healthcare ecosystem (Chauhan et al., 2021).

Slide 10: Practices to Sustain Outcomes

Sustaining positive outcomes necessitates ongoing collaboration among stakeholders, proactive threat mitigation, and continuous training and education. Senior executives must spearhead these efforts, leveraging AI to bolster system management and mitigate internal and external threats. Compliance with state and federal regulations ensures accountability and patient trust in healthcare organizations (Narrasimman, 2023).

Slide 11: Conclusion

In conclusion, the healthcare information system faces significant challenges, leading to financial and personal losses for patients and organizations alike. Ethical and legal considerations underscore the importance of implementing robust security measures and fostering collaboration among stakeholders. By adopting evidence-based practices, leveraging data-driven decision-making, and sustaining proactive interventions, healthcare entities can mitigate risks and safeguard patient well-being and organizational integrity.

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

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