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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 | 3 Comments »
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