Identify whether this incident was an actual breach of privacy according to the HIPAA law. Health and medical homework help
Description
Scenario No. 1: HIPAA Privacy Rule
Case Study: Imagine that you are the privacy officer for a small town hospital. You receive a report that there is a breach of privacy. You are informed that a 15-year-old girl is received at the emergency with an emergency labor. The baby is delivered in the emergency room as there is no time to move the patient to the obstetrics (OB) department. In addition to the emergency delivery, the baby is born with multiple medical problems. Once the mother and baby are moved to obstetrics and neonate, care is given to both.
The OB nurse who took care of the mother and baby completes her shift, and she goes home to her own daughter to have a talk with her. She sits her daughter down and pleads with the girl to tell her if she ever has any problems, especially when it comes to pregnancy. The nurse tells her daughter the story about the young patient who delivered that evening, and she accidentally mentions the patients name. The patients name is one of those odd names that immediately triggers the nurses daughter to relay that she knows the patient. The mother/nurse, realizing that she made a big mistake by mentioning the patients name, pleads with her daughter not to say anything. Needless to say, word shoots through the four high schools in the town the next day.
The nurse returns to work the following evening, and she contacts you to hand in her badge and keys, stating that she knows she made a mistake by breaching the young patients privacy and she knows she is going to be fired. In addition to the breach of the obstetrics nurse, you learn that the patient hid her pregnancy from her family, and to make matters worse, her aunt and mother are both nurses at the hospital. You know both of these nurses on a professional and personal level.
Scenario No. 1 HIPAA Privacy Rule Project Assignment:
Research the HIPAA Privacy Rule here:
-
U.S. Department of Health and Human Services. (2002). Standards for privacy of individually identifiable health information; Final Rule. Federal Register, 67(157), 53182-53273. Retrieved from http://www.hhs.gov/ocr/privacy/hipaa/administrative/privacyrule/privrulepd.pdf
Then, perform additional research regarding the HIPAA Privacy Rule and prepare your Final Paper by analyzing the issues through these questions in regards to the above scenario:
- Analyze the specific requirements needed to perform this investigation.
- Identify whether this incident was an actual breach of privacy according to the HIPAA law.
- Examine the differences and similarities between the hospitals stance and HIPAA as to whether the nurse should be fired from her job.
- Explain why you would fire or not fire the nurse immediately or whether you would put her on administrative leave awaiting the details of the investigation.
Final Paper
The final assignment for this course is a Final Paper. The purpose of the Final Paper is for you to culminate the learning achieved in the course by applying your knowledge in the field of health care ethics and medical law through the analysis of an actual case regarding an ethical dilemma.
Focus of the Final Paper
Review the three scenarios below. Choose one of them and address the questions asked within your selected scenario in the form of a written analysis.
Scenario No. 1: HIPAA Privacy Rule
Case Study: Imagine that you are the privacy officer for a small town hospital. You receive a report that there is a breach of privacy. You are informed that a 15-year-old girl is received at the emergency with an emergency labor. The baby is delivered in the emergency room as there is no time to move the patient to the obstetrics (OB) department. In addition to the emergency delivery, the baby is born with multiple medical problems. Once the mother and baby are moved to obstetrics and neonate, care is given to both.
The OB nurse who took care of the mother and baby completes her shift, and she goes home to her own daughter to have a talk with her. She sits her daughter down and pleads with the girl to tell her if she ever has any problems, especially when it comes to pregnancy. The nurse tells her daughter the story about the young patient who delivered that evening, and she accidentally mentions the patients name. The patients name is one of those odd names that immediately triggers the nurses daughter to relay that she knows the patient. The mother/nurse, realizing that she made a big mistake by mentioning the patients name, pleads with her daughter not to say anything. Needless to say, word shoots through the four high schools in the town the next day.
The nurse returns to work the following evening, and she contacts you to hand in her badge and keys, stating that she knows she made a mistake by breaching the young patients privacy and she knows she is going to be fired. In addition to the breach of the obstetrics nurse, you learn that the patient hid her pregnancy from her family, and to make matters worse, her aunt and mother are both nurses at the hospital. You know both of these nurses on a professional and personal level.
Scenario No. 1 HIPAA Privacy Rule Project Assignment:
Research the HIPAA Privacy Rule here:
-
U.S. Department of Health and Human Services. (2002). Standards for privacy of individually identifiable health information; Final Rule. Federal Register, 67(157), 53182-53273. Retrieved from http://www.hhs.gov/ocr/privacy/hipaa/administrative/privacyrule/privrulepd.pdf
Then, perform additional research regarding the HIPAA Privacy Rule and prepare your Final Paper by analyzing the issues through these questions in regards to the above scenario:
- Analyze the specific requirements needed to perform this investigation.
- Identify whether this incident was an actual breach of privacy according to the HIPAA law.
- Examine the differences and similarities between the hospitals stance and HIPAA as to whether the nurse should be fired from her job.
- Explain why you would fire or not fire the nurse immediately or whether you would put her on administrative leave awaiting the details of the investigation.
Scenario No. 2: DNR
Project Assignment: Review your State Governments website and search for its official Do Not Resuscitate (DNR) Form. Along with the form will be information and instructions regarding the form. In addition, research three area hospitals to determine if they provide separate DNR forms. Then, perform additional research regarding DNR and prepare your Final Paper by analyzing the issues through these steps:
- Analyze the requirements of your State Governments DNR.
- Identify the requirements of the three hospitals DNRs.
- Examine the differences and similarities between the states and the three hospitals DNR requirements, and address the following questions:
- What are they?
- Which one should you follow?
- Explain how a DNR is applied if a patient is under hospice care and EMTs are called.
Scenario No. 3: Institutional Code of Ethics
Project Assignment: Codes of ethics are standards that outline how individuals or groups of people are to act. The healthcare/medical community has its own code of ethics, which is outlined in the American Medical Associations Code of Medical Ethics. Review the following:
- AMAs Code of Medical Ethics here:
-
American Medical Association. (2013). AMAs code of medical ethics. Retrieved from http://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/code-medical-ethics.page.
- Three local or regional hospitals codes of ethics.
- Various scholarly research on healthcare codes of ethics (at least seven additional sources).
Then, prepare your Final Paper by analyzing the issues through these steps:
- Analyze the specific requirements of a code of ethics.
- Identify three critical elements of the AMAs code that you believe are most important.
- Examine the differences and similarities between the AMAs Code of Medical Ethics requirements and the code requirements of the three hospitals that you researched.
- Explain why certain individuals and/or groups (please name these) should follow a hospitals code of ethics.
Writing the Final Paper
The Final Paper:
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- Must be eight to ten double-spaced pages in length, excluding title and reference pates, and formatted according to APA style as outlined in the Ashford Writing Center.
- Must include a title page with the following:
- Title of paper
- Students name
- Course name and number
- Instructors name
- Date submitted
- Must begin with an introductory paragraph that has a succinct thesis statement.
- Must address the topic of the paper with critical thought.
- Must end with a conclusion that reaffirms your thesis.
- Must use at least eight scholarly sources that were published within the past five years, including a minimum of four from academic journals found in the Ashford University Library.
- Must document all sources in APA style, as outlined in the Ashford Writing Center.
- Must include a separate reference page, formatted according to APA style as outlined in the Ashford Writing Center.
References:
Nursing Standards
Nursing and Midwifery Board of Australia. (2018). Code of conduct for midwives. https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx
Clinical Guidelines
Guideline Adaption Committee. (2016). Clinical practice guidelines and principles of care for people with dementia. NHMRC Partnership Centre for Dealing with Cognitive and Related Function Decline in Older People. https://cdpc.sydney.edu.au/wp-content/uploads/2019/06/CDPC-Dementia-Guidelines_WEB.pdf
Living Guideline
Stroke Foundation. (2022). Australian and New Zealand living clinical guidelines for stroke management – chapter 1 of 8: Pre-hospital care. https://app.magicapp.org/#/guideline/NnV76E
Evidence-based practice
BMJ Best Practice
Goldfarb, S., & Josephson, M. (2020). Cystic fibrosis. BMJ Best Practice. https://bestpractice.bmj.com/
Schub, T., & Cabrera, G. (2018). Bites: Head lice [Evidence-based care sheet]. Cinahl Information Systems. https://www.ebscohost.com
Beyea, S. C., & Slattery, M. J. (2006). Evidence-based practice in nursing: A guide to successful implementation. http://www.hcmarketplace.com/supplemental/3737_browse.pdf
JBI: Evidence summary
Swe, K. K. (2022). Blood glucose levels: Self-monitoring [Evidence summary]. JBI EBP Database. https://jbi.global
JBI: Best practice information sheet
Bellman, S. (2022). Experiences of living with juvenile idiopathic arthritis [Best practice information sheet]. JBI EBP Database, 24(1), 1-4.
Cochrane Database of Systematic Reviews
Srijithesh, P. R., Aghoram, R., Goel, A., & Dhanya, J. (2019). Positional therapy for obstructive sleep apnoea. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD010990.pub2
Drug Information
Codeine. (2023, January). In Australian medicines handbook. Retrieved February 2, 2023, from https://amhonline.amh.net.au
Colorado State University. (2011). Why assign WID tasks? http://wac.colostate.edu/intro/com6a1.cfm
Dartmouth Writing Program. (2005). Writing in the social sciences. http://www.dartmouth.edu/~writing/materials/student/soc_sciences/write.shtml
Rutherford, M. (2008). Standardized nursing language: What does it mean for nursing practice? [Abstract]. Online Journal of Issues in Nursing, 13(1). http://ojin.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Health-IT/StandardizedNursingLanguage.html
Wagner, D. (n.d.). Why writing matters in nursing. https://www.svsu.edu/nursing/programs/bsn/programrequirements/whywritingmatters/
Writing in nursing: Examples. (n.d.). http://www.technorhetoric.net/7.2/sectionone/inman/examples.html
Perth Children’s Hospital. (2022, April). Appendicitis [Emergency Department Guidelines]. Child and Adolescent Health Service. https://www.pch.health.wa.gov.au/For-health-professionals/Emergency-Department-Guidelines/Appendicitis
Department of Health. (n.d.). Who is being active in Western Australia? https://ww2.health.wa.gov.au/Articles/U_Z/Who-is-being-active-in-Western-Australia
Donaldson, L. (Ed.). (2017, May 1). Healthier, fairer, safer: The global health journey 2007-2017. World Health Organisation. https://www.who.int/publications/i/item/9789241512367
NCBI Bookshelf
Rodriguez Ziccardi, M., Goyal, G., & Maani, C. V. (2020, August 10). Atrial flutter. In Statpearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK540985/
Royal Perth Hospital. (2016). Procedural management: Pre and post (24-48 hours) NPS. Canvas. https://courses.ecu.edu.au
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