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Running head: Project D – Concept Paper Prep
Project D – Concept Paper Prep
Ahnna M Atkins
Liberty University
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Project D – Concept Paper Prep
Introduction
Technological advancement has brought about varied positive impacts in almost all
fields. The healthcare sector has also embraced such advancements to bring about easy and
quick service delivery. One of the ways that the healthcare sector has benefited from this
approach is through the introduction of the Electronic Health Records (EHRs). This system
makes it easy for nurses and other people involved in the process to easily access specific
information about patients. The need for this system cannot be ignored. Today, several authors
have expressed themselves on this issue. This paper gives an annotation about some of the
sources of
information about this concept.
The Problem
The problem to be addressed is how are health, health care use, and socio-demographic
characteristics associated with patient and public support for a national EHR system? The
potential to gather and have ease of access to collected medical records has been a major driver
for the implementation of electronic medical records. There are a number benefits to be realized
through the integration of these records, including increased quality of clinical research and
improved healthcare outcomes through better effectiveness of medical care services. Fernández-
Alemán, et al discusses that benefits but also points out that there has been very little in policy
development to go alongside the mandates of transferring private health data to something as
susceptible as an electronic health record. “The three fundamental security goals are
confidentiality, integrity and availability (CIA). The protection and security of personal
information is critical in the health sector, and it is thus necessary to ensure the CIA of personal
health information Fernández-Alemán, et al, 2013).
The Purpose
The purpose of the qualitative study is to ascertain the level of patient and public support
for a national EHR system overall and for what purposes should it be used. Transferring the
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paper records to electronic format have raised a debate amongst, privacy advocates physicians
and patients regarding whether appropriate consent mechanisms are in place to protect the
sensitive data. Past research has indicated that there are three major areas of concern that have
an impact on individuals’ decisions to give consent for use of their information:
1. The sensitivity of the data
2. The relationship between the individual and the recipient
3. How informed on how their data will be utilized
The more an individual feels their information is secure and there is a valid relationship between
them and the intended recipient, them more comfortable they are with releasing the information.
The Significance
The significance of this study is to determine the relationship between overall support for
a national EHR system and the use of EHRs for health care, planning and policy, and health
research. “Providing access to EHRs is a vital next step in activating patients in their care and
improving the health system. However, this opens new security threats (Fernández-Alemán, et al,
2013). Will all of the threats of hackers accessing databases of secured information, there is a
real concern surrounding people’s access levels to the data contained in an individual’s EHR. As
is already in effect, a patients EHR may be selectively accessible based on the facility’s system
and physicians need to know. There is the threat of security defects causing disclosure of private
information to unauthorized entities. The more a patient feels that their data is secured from both
internal and external hacking, the more likely they are to give their consent, thus gaining their
buy in to assist in their medical plans, recovery and maintenance of healthcare needs.
Annotated Bibliography
Amatayakul, Margret. Electronic Health Records: A Practical Guide for Professionals and
Organizations. 2012.
In this book, the author gives a detailed analysis of the impact of the electronic health
records and how such a transformation has bettered the delivery of healthcare. The author further
analyzes the advantages associated with this approach, as opposed to the traditional approach
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Project D – Concept Paper Prep
that was not only time-consuming but also tedious. The book written in a simple language
because it targets people from all walks of life. The weak point of the book, perhaps, is that the
author focuses more on the electronic health records and talks little about the traditional
methods. The fact that the book has been widely referenced means that many authors in the
same field agree with the sentiments posited by Amatayakul. The book is necessary for
understanding
this phenomenon.
Bain, Lisa J, and Sheena M. P. Norris. Assessing the Impact of Applications of Digital Health
Records on Alzheimer's Disease Research: Workshop Summary. 2016.
In this book, Bain and Sheena analyze the issue from the perspective of how digital
records can be useful in researching Alzheimer. In the book, they highlight why digitization of
the health sector, especially as refers to record management is necessary to achieve accurate
results whenever undertaking any research. The sensitivity of Alzheimer, they argue, deserves
total dedication, hence the need to use electronic health records. The book is written in a
relatively simple language that can easily be understood by all without any form of
interpretation. Throughout the book, the author takes a neutral perspective, ignoring the
temptations of criticizing the traditional approach of record management. The authenticity of the
book is based on the fact that the author heavily borrows from renowned writers on this issue.
The book will be used to give a detailed analysis on why in the attempts to understand Alzheimer
and the challenges associated with it, EHRs are necessary.
Brown, Gordon D, et al. Health Informatics: A Systems Perspective. 2013.
Brown’s approach on this matter is based on the need to understand why the demand for
Electronic Health Records is high in the modern era. He argues that technological advancement
has played a role in revolutionizing the approach that the health department embraces. Indeed,
his main argument is that Electronic Health Records have simplified the record management
process and made it easy for the users. The main weakness of this book is that it is written in a
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complicated language that cannot be easily understood by laymen. It can only be easily
understood by people with a background in the healthcare field. Like other sources, Brown
heavily borrows from other authors. The detailed analysis that the author gives makes the source
an ideal one as far as researching this issue is concerned.
Fasano, Philip. Transforming Health Care: The Financial Impact of Technology, Electronic
Tools, and Data Mining. 2013.
Fasano takes a slightly different approach when analyzing the concept of Electronic
Health Records. He looks at it from the financial perspective. In this book, the author seeks to
give a detailed explanation on how technological advancement has been received in the
healthcare sector and to find out the extent to which such advancement has affected the financial
statuses of healthcare facilities. He argues that one of the areas that have greatly benefited is that
of data mining. Fasano uses a simple language that can easily be understood by different
audiences, making his source an ideal one. The academic qualifications and background that
Fasano boasts of makes him an authority on this subject, hence giving the book the validity it
deserves. The source will be necessary for understanding the financial impact of EHRs.
Fernández-Alemán, J. L., Señor, I., Lozoya, P. A., & Toval, A. (2013). Security and privacy in
electronic health records: A systematic literature review. Journal of Biomedical
Informatics, 46(3). Retrieved from
https:// www.sciencedirect.com/science/article/pii/S1532046412001864
Since paper documents become more difficult to manage and a lot of formal files
become useless, it should not come as a quite surprise that new technologies become more
attractive and health records are easier to work with if they are electronic. With this in mind,
the article by Fernández-Alemán, J. L., Señor, I., Lozoya, P. A., and Toval, A. presents an in-
depth analysis and literature review covering the privacy and safety of electronic health record
(EHR) systems. This article proves that using electronic health records become more popular
among the hospitals. The authors inform integrated health records offer a wide range of
advantages,
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including the improvements in the level of heath care, the development of evidence-based
medicine, and even the reduction in costs. That is why this work is useful for exploring the
effects of electronic medical records on future policies, practice and research on privacy laws.
Gartee, Richard, and Sharyl Beal. Electronic Health Records and Nursing. Pearson, 2012.
This source analyzes the impact of Electronic Health Records from the nursing
perspective. The authors argue that unlike the past, nurses are now in a better position as far as
data mining about specific clients is concerned. They argue that this approach has facilitated
quick delivery of services as it eliminates the traditional approaches that were time-consuming.
Written in a simple manner, the book can be understood by all without any interpretation. The
authors have also heavily borrowed from other established authors, meaning that the validity of
the arguments they make cannot be questioned. This book will be important in researching this
topic.
Jamshed, N., Ozair, F., Sharma, A., & Aggarwal, P. (2015). Ethical issues in electronic health
records: A general overview. Perspectives in Clinical Research, 6(2), 73.
doi:10.4103/2229-3485.153997
There is no doubt that using electronic medical records is very beneficial. As a result, a
lot of counties are twitching to such technologies since they are cost-effective, and they offer a
wide range of options to improve the quality of health care. At the same time, it is wrong to
forget about various ethical issues associated with using electronic medical records. The article
published by Fouzia F. Ozair, Nayer Jamshed, Amit Sharma, and Praveen Aggarwal is very
relevant to the study because it explores diverse ethical issues that often arise during the using
of electronic medical records and explains the ways to solve them.
Menachemi, N., & Collum, T. H. (2011). Benefits and drawbacks of electronic health record
systems. Risk Management and Healthcare Policy, 4, 47-55. doi:10.2147/rmhp.s1298
Over the last ten years, all spheres were computerized, and healthcare did not become an
exception. The implementation of electronic health record is an important step in the
development of heath care systems. The work published by Nir Menachemi and Taleah H
Collum is very important for the research since it is focused on the privacy and safety issues
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connected with computerization within the hath care. The study clearly explains the main
advantages and disadvantages of using electronic health record systems, discussing the financial
benefits, improved level of health care quality, and, on the other hand, increased expanses or
medical errors, as well as many other aspects.
Raposo, V. L. (2015). Electronic health records: Is it a risk worth taking in healthcare
delivery? German Medical Science GMS Publishing House, 11. Retrieved from
https:// www.ncbi.nlm.nih.gov/pmc/articles/PMC4677576/
Today, the electronic health records are a serious challenge within the sphere of
healthcare delivery. It is not a secret that a lot of healthcare institutions, health professionals,
and even patients face a lot of issues and problems connected with such a drastic transformation.
The work by Vera Lúcia Raposo is focused on the results of such changes, involving various
aspects in medical liability and patient safety. it is essential to explore that in terms of new
technologies being implemented, applying new system for health records has two main sides.
First of all, thanks to technologies available, it becomes possible to avoid numerous errors. As a
result, a lot of lawsuits can be avoided, and patient safety can be enhanced. However, on the
other hand, if new technologies are not used properly, new errors can arise that will be even
more serious and dangerous, posing new threats to patient safety and juridical liability of people
working in the hospitals. Since both these sides are clearly presented by Vera Lúcia Raposo,
this article is very important for studying the effects of electronic medical records on future
policies,
practice and research on privacy laws.
Sher, M., Talley, P. C., Yang, C., & Kuo, K. (2017). Compliance with Electronic Medical
Records Privacy Policy: An Empirical Investigation of Hospital Information Technology
Staff. The Journal of Health Care Organization, Provision, and Financing, 54.
doi:10.1177/0046958017711759
It is true that using electronic medical records seem has a wide range of benefits. As a
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Project D – Concept Paper Prep
result, it should be very useful for all heath care institutions as it helps to decrease increased
financial pressure and to improve health care quality in general. With this in mind, the study by
Sher, Talley, Yang, and Kuo provides an empirical investigation on modern health information
technologies. This article is very important in studying the effects of electronic medical records
on future policies, practice and research on privacy laws as it is focused on the measures
healthcare professionals should consider developing information technology staff member’s
adherence to privacy policy.
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Project D – Concept Paper Prep
References
Amatayakul, Margret. Electronic Health Records: A Practical Guide for Professionals and
Organizations. 2012.
Bain, Lisa J, and Sheena M. P. Norris. Assessing the Impact of Applications of Digital Health
Records on Alzheimer's Disease Research: Workshop Summary. 2016.
Brown, Gordon D, et al. Health Informatics: A Systems Perspective. 2013.
Fasano, Philip. Transforming Health Care: The Financial Impact of Technology, Electronic
Tools, and Data Mining. 2013.
Fernández-Alemán, J. L., Señor, I., Lozoya, P. A., & Toval, A. (2013). Security and privacy in
electronic health records: A systematic literature review. Journal of Biomedical
Informatics, 46(3). Retrieved from
https:// www.sciencedirect.com/science/article/pii/S1532046412001864
Gartee, Richard, and Sharyl Beal. Electronic Health Records and Nursing. Pearson, 2012.
Jamshed, N., Ozair, F., Sharma, A., & Aggarwal, P. (2015). Ethical issues in electronic health
records: A general overview. Perspectives in Clinical Research, 6(2), 73.
doi:10.4103/2229-3485.153997
Menachemi, N., & Collum, T. H. (2011). Benefits and drawbacks of electronic health record
systems. Risk Management and Healthcare Policy, 4, 47-55.
doi:10.2147/rmhp.s1298 Raposo, V. L. (2015). Electronic health records: Is it a risk worth
taking in healthcare
delivery? German Medical Science GMS Publishing House, 11. Retrieved from
https:// www.ncbi.nlm.nih.gov/pmc/articles/PMC4677576/
Sher, M., Talley, P. C., Yang, C., & Kuo, K. (2017). Compliance with Electronic Medical
Records Privacy Policy: An Empirical Investigation of Hospital Information Technology
Staff. The Journal of Health Care Organization, Provision, and Financing, 54.
doi:10.1177/0046958017711759
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