Security at All Pine Medical Center

 Security at All Pine Medical Center

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Security at All Pine Medical Center

Critical Thinking Case study: Assessment Profile for the ARC

Scenario: Security at All Pine Medical Center

All Pine Medical Center is a 250 bed trauma hospital in Indianapolis, Indiana. All Pine is a Joint Commission approved Medicare, Medicaid facility and houses a separate large inpatient, outpatient

cardiology building adjacent to the main hospital. Palmer Cardiology Associates manages the cardiology center with Dr. Robert Palmer as the medical director. Dr. Palmer’s group has been affiliated

with All Pine Medical Center for the past fifteen years and generates a vast amount of revenue for the facility.

 

Ten months ago, All Pine moved totally away from paper medical records and implemented an electronic health record (EHR) system. The move was completed in two phases over an eighteen

month time span. Dr. Palmer’s group was ecstatic about the move to an EHR and was fully onboard with the change. Today, Dr. Palmer and his colleagues are frustrated over all of the security

features associated with All Pine Medical Center’s new EHR. Dr. Palmer wants some of the security features disabled so he can get faster access to his patient’s data and not be limited on the time

spent with a patient’s record. The current process in place for all physician’s and hospital employees is to first log on to All Pine Medical Center’s main system with a user name (assigned by the

hospital IT department) and password (selected by the physician or employee); second, then log on to the electronic health record using the main user name but a different password along with an

access code (again assigned by the hospital IT department).

 

Dr. Palmer and his associates want to sign on one time and access anything they want within the main system and electronic health record for as long as they want. He has assured the hospital risk management and health information management departments his group will sign off once they have completed what they needed to do or access in the patient record.

 

Due to the State and Federal rules and regulations in regards to confidentiality and security of patient health information, the health information management department is at a loss as to how to

accommodate Dr. Palmer’s request. The Chief Executive Officer (CEO) and the Chief Information Officer (CIO) of All Pine have said, “Just make him happy”. The health information management

director along with risk management, quality assurance, and the facilities IT department have formed a task force to find a way to modify Dr. Palmer and his groups access to the hospital’s main

system and the EHR. The task force has reviewed the following documents for guidance on confidentiality and security of patient health information.

 

The task force reviewed:

1. Internal policy and procedures on confidentiality, security, and access to patient health records.
2. Joint Commission Accreditation rules and regulations for confidentiality, security, and access to patient health records.
3. HIPAA rules and regulations on confidentiality, security, and access to patient health records.

They are at a standstill on a concrete resolution for Dr. Palmer’s request.

Questions Security at All Pine Medical Center

	Analysis: Compare & contrast the available solutions within the scenario . Scenario: Security at All Pine Medical Center.
Questions:	a. Identify 2 – 3 possible solutions for the issue and/or problem. b. Compare and contrast the pros and cons for each solution. c.  Choose one solution you believe is the best one for addressing/solving the issue and or problem.

Security at All Pine Medical Center

RUBRIC
Excellent Quality 95-100%	Introduction 45-41 points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.		Literature Support 91-84  points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.			Methodology 58-53 points Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met.
Average Score 50-85%	40-38 points More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided.		83-76  points Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration.			52-49  points Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met.
Poor Quality 0-45%	37-1 points The background and/or significance are missing. No search history information is provided.		75-1 points Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration.			48-1 points There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met
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Security at All Pine Medical Center

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