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Health Studies
HLST 4320
Rajabali Ghandhari

Class Assignment Session # 5 July 10 2013 Group # 2 Group member names: Ativ Bhatt, Parth Chen, William Desai, Dhruvina Zakaib, Elise Lecture 4 Assignment 1 Summary The key features of a security system are accountability, authentication and password, authorization and access control, availability, data integrity, data storage, data transmission, parameter definition, and rule-limit access. Accountability is that users are responsible for user access to information and their actions can be traced based on their audit trails. An audit trail is a log of security relevant records such as financial transactions, scientific research, and health care data transactions. Authentication is gaining access to a secure system by biometric or physical devices. Different levels of access dependant o predefined users. Availability is up to date information that is accurate. Data integrity ensures that data has not been altered or destroyed in an unauthorized manner. Data storage is physical protection and storage of equipment such as server room. Data transmission is the exchange of data by encryption or firewall. Parameter definition is when a system has defined boundaries for users. Rule limited access prevents access to information beyond their need. Lecture 4 Assignment 2 Summary The users of health are patients, MDs, health insurance companies, life insurance companies, laboratories, pharmacies, hospitals, state bureau, employers, medical information bureau, lawyers, researchers. The categories of security are, administrative procedures, physical safeguards, and technical security. Real world health care security issues include, network security, Doctor’s PCs are largely unprotected, work stations are not tied to individuals. Security recommendations include backing up key files, encrypting data sensitive information, use of good passwords, intranet versus internet and virus protection. Lecture 5 Assignment 1 – A. Summarize the content of the EHR in a table Components Description Administrative Registration, admissions, discharge, transfer data, and collection of data. Uses unique patient identifier to link data to patient Laboratory Used to integrate orders, results from lab, schedules, billing, and other administrative information Radiology Used to tie together patient radiology data it includes patient tracking, scheduling, results reporting, and image tracking functions. Used in conjunction with PACS Pharmacy Used in conjunction with lists of patients medicines, orders, and conflicts of medicines. Recommends safe and effective therapy, management, and prevention of medication errors, counselling proper medication use. Supervises medication storage, dispensing, and distribution and maintains supplies. Computerized POE Permits clinical providers to electronically order laboratory, pharmacy, and radiology services Clinical documentation Provides electronic clinical notes, reports, medication Lecture 5 Assignment 1 – B. Relate stakeholders to the applications of EHR Administrative Laboratory Radiology Pharmacy CPOE MAR (Medical Applications  (Copmputerized Admin. physician order records) entry) Stakeholders ↓ E-providers x x x x x x E-payers x x x E-consumers x E-vendors x x x x Lecture 5 Assignment 2 – A. Relate the items in the next series of slides to one of the six systems that’s mentioned in the previous slides B. If a new system should be added to the six systems, add that system and include the following items in the next series of slides a. Added “PACS Storage system for medical information” Systems  AdministrativeLaboratory Radiology Pharmacy Computerized Medication PACS Physician administrationStorage system Order Entry records for Medical (MAR) information EHR Items ↓ All written x x x x correspondence regarding the patient Clinical reminder x x x Comments x x x x x Communication tool for x x health-care team Correspondence with or x x about the patient Current complaint x x x Current patient complaint x x x recorded in patient’s own words Date x x x x x x x Dating and initialing x x x x x x x DOB x x x x Doctor’s diagnosis and x x treatment plan Document calls made to x x x and from the patient Documentation for billing x and coding Emergency contact x Family medical history x x x Follow-up information x x Health-care needs x Hospital discharge x x summary forms Illnesses, surgeries, x x x allergies, and current medications Information summarizing x x the patient’s hospitalization Informed consent forms x Instructions for follow-up x care Instructions to patient x Insurance / financial x information and person responsible for payment Lab and radiology reports x x x x Legal document x x admissible in court Lists the following (Patient x x symptoms, Diagnosis, Suggested treatment) Medical conditions x x Medical history x x x Medical treatment plan x x x Medication prescribed x x x Name and address x Occupation x Occupational history x x Operative reports, follow- x x x up visits, and telephone calls Patient demographic x information Patient education and x research Physical examination x x x results Physician signature x Plan to provide for x x continuity of care Post results of laboratory x x x x tests and examinations Record all medical or x x x discharge instructions given to the client Record all telephone x communication with the client Record date item was x received on the actual form Records from other x x physicians or hospital Response to care
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