This paper examines how health care organizations can protect patient privacy in the era of electronic health records, with primary reference to the HIPAA Privacy Rule's national standards for electronic protected health information. The discussion covers two core safeguards — secure information systems and employee training — and evaluates how each reduces the risk of data breaches. The paper also critically assesses vague terminology surrounding "supply-oriented" and "value-oriented" service models in health care manufacturing, arguing that these terms lack accepted definitions and coherent meaning. A concluding reflection evaluates the relative fairness and relevance of the two discussion questions addressed throughout.
Health care organizations are guided in their efforts to protect health care information by the Privacy Rule of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The Privacy Rule sets national standards for the security of electronic protected health information (HHS.gov, 2012). These standards provide a baseline, but there are additional methods by which health care providers can maintain patient privacy.
Maintaining confidentiality of patients' health care information is essential. There are two main points where leaks can occur: in the electronic storage or transmission of data, or from end users such as hospital staff. Some systems for managing health care information have better security than others, and it is therefore important that organizations focus on acquiring the best system available.
The information systems themselves are essential to ensuring patient privacy. For example, if multiple systems handle data, there is a greater risk of an information leak, though any single leak might expose only a limited amount of information. When all information is contained within a single system, the risk of a leak may be reduced, but any breach that does occur could expose the totality of patient records. It is therefore essential that health care organizations utilize a system designed both to minimize risk and to encrypt or compartmentalize information, so that if a leak occurred, only a portion of a patient's information would be exposed — and preferably in encrypted format.
The two main safeguards are operational and procedural. When systems transmit information securely and are resistant to unauthorized access, the technical side of the equation is addressed. Together, a well-designed system and a well-trained workforce minimize the risk of any breach to an acceptable level.
"Employee training as a key confidentiality safeguard"
"Critical analysis of undefined health care service terminology"
"Reflection on question validity and HIPAA relevance"
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