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Understanding the Potential Role of eMR Compromise
By Render Davis MHA CHE
www.BusinessofMedicalPractice.com
Whether it is an employer interested in the results of an employee’s health screening; an insurer attempting to learn more about an enrollee’s prior health history; the media in search of a story; or health planners examining the potential value of national health databases, the confidential nature of the traditional doctor-patient relationship may be compromised through demands for clinical information by parties other than the patient and treating caregivers.
Impact of eMRs
In addition, without clear safeguards the growth in use of electronic medical records may put personal health information at risk of tampering or unauthorized access. Clearly, employers and insurers are interested in the status of an individual’s health and ability to work; but does this desire to know, combined with their role as payers for health care, constitute a right to know? The patient’s right to privacy remains a volatile and unresolved issue.
Assessment
Counter to this concern is the recognition that electronic records may dramatically improve communications by offering greater accessibility of information to clinicians in the hospital or office potentially reducing medical errors through elimination of handwritten notes, increased use of built in prompts and clinically-derived triggers for orders and treatments, and development of pathways for optimal treatments based on clinically valid and tested best practices.
Conclusion
And so, your thoughts and comments on this ME-P are appreciated. What do you think about this confidentiality conflict and the role of eMRs? Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.
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Filed under: Ethics, Information Technology, Practice Management | Tagged: Business of Medical Practice, Confidentiality Conflicts in Medicine, EHRs, EMRs, managed care ethics, meaningful use, medical ethics, Render Davis, www.BusinessofMedicalPractice.com |
The Leading Business Education Network for Doctors, Financial Advisors and Health Industry Consultants 
Using the Census for Health Reporting?
The US Census Bureau puts together a wealth of health-related information from its American Community Survey and decennial Census. For example, you can track down ages, types of disabilities, poverty status and even health insurance for most places.
While Census data has a well deserved reputation for complexity that often requires advanced computer skills, you can find useful information with just a few mouse clicks – if you know where to look.
http://www.healthjournalism.org/resources-tips.php
And so, do you believe in using census data for health reporting as some experts opine, or is this a “confidentiality accident waiting to happen”, as suggested by Dr. David Edward Marcinko MBA, our ME-P Publisher-in-Chief.
Your thoughts are appreciated.
Ann Miller RN MHA
[Executive-Director]
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Doctors Group Advocates for EHR Privacy
As efforts to implement electronic medical records escalate, so does the debate about patient privacy and the potential for commercial exploitation of the technology. Computerized files are seen as a way to improve care and save tens of billions of dollars in health costs, but doctors and advocacy groups have raised concerns about the risks of exposing detailed personal health information. In particular, doctors worry that insurance and drug companies could manipulate the records to affect decisions on patient treatment.
MedChi, which represents more than 22,000 Maryland physicians, recently announced that it was the first medical society in the nation to pass a resolution calling for state-level legislation to ensure that doctors retain responsibility for treatment decisions, and that medical records are made available on a neutral platform that does not advance any commercial interests.
Source: Andrea K. Walker, Baltimore Sun [11/17/10]
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Hospitals criticized for patient data-mining
Hospitals are coming under fire for using private health and financial records to target affluent or privately insured patients, according to Kaiser Health News and USA Today.
http://www.kaiserhealthnews.org/Stories/2012/February/06/Hospitals-Mine-Patient-Records.aspx
Frances
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