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Assessing IT Systems for Health Information Management

Assessing IT Systems for Health Information Management

Health Information Management (HIM) is an essential component of modern healthcare, and the successful application of Information Technology (IT) systems is critical to enhancing patient care quality. Electronic Health Record (EHR) systems stand out as a cornerstone in managing patient information and improving healthcare delivery among the different IT systems used in HIM. The System Development Life Cycle (SDLC) framework is a useful project management tool for assessing, creating, and implementing IT systems in this setting. This paper delves into the SDLC-based critical assessment of EHR systems, concentrating on vulnerabilities and security concerns and assessing strategies to reduce these risks.

Type of IT System Applied To Health Information Management (HIM)

For this assignment, I decided to concentrate on Electronic Health Record (EHR) Systems as a sort of IT system used in Health Information Management (HIM) to improve patient quality of care. EHR systems are an essential component of modern healthcare because they allow healthcare providers to manage patient information efficiently and securely, streamline clinical workflows, improve care coordination, and provide timely access to patient data, ultimately leading to improved patient outcomes and quality of care. Moreover, the EHR system’s widespread acceptance and considerable influence on healthcare delivery, patient safety, and overall healthcare quality makes it valuable.

Organizational Needs that Define the Requirements for Electronic Health Record Systems

Multifaceted organizational demands dictate the criteria for Electronic Health Record (EHR) Systems in Health Information Management (HIM). To begin, EHR systems should provide extensive and secure data storage, retrieval, and sharing to guarantee healthcare professionals access correct and up-to-date patient information. EHR systems should support care coordination and information exchange by facilitating interoperability between multiple healthcare facilities and providers (1). Furthermore, in order to ensure patient data privacy and security, EHR systems must adhere to legal and regulatory standards such as HIPAA. They should also give clinical decision support tools to help clinicians make evidence-based decisions and improve patient outcomes. Furthermore, flexibility and scalability are required to accommodate the individual needs of various healthcare settings and ensure that the system can adapt as the organization develops and evolves. Overall, an EHR system needs to focus on data accuracy, accessibility, security, compliance, decision assistance, and adaptability in order to improve patient care and healthcare management.

The Five Phases of the SDLC Applied To HIM

The System Development Life Cycle (SDLC) comprises several phases, each of which plays a crucial role in addressing the organizational needs for Electronic Health Record (EHR) Systems applied to Health Information Management (HIM):

Planning Phase

This phase entails defining project scope and objectives in accordance with the organization’s demand for customization and scalability. The organization can describe how the EHR system will meet its specific requirements throughout the planning phase (2). This phase also aids in the establishment of the budget and timeframe, ensuring that the implementation adheres to budgetary and resource restrictions.

Analysis Phase

The analysis phase focuses on understanding the current processes and requirements. This phase addresses the demand for data accuracy and accessibility. It entails soliciting feedback from healthcare professionals to ensure that the EHR system appropriately captures and displays patient data and that authorized people can easily access it.

Design Phase

The architecture and components of the system, as well as user interfaces, are specified at this phase. The design phase addresses the demand for customization by allowing the EHR system to be tailored to the organization’s specific workflows and operations (3). It guarantees that the design of the system is user-friendly and meets the needs of healthcare practitioners.

Implementation Phase

This phase is concerned with the development and deployment of the EHR system. It is critical in meeting security and compliance requirements, ensuring that the system is created with security mechanisms to secure patient data. Compliance with regulatory standards, such as HIPAA, is built into the system to protect patient privacy and data.

Maintenance and Support Phase

The maintenance phase addresses the need for scalability and adaptability once the system has gone live. It enables continuous upgrades, enhancements, and modifications as organizational needs change. It assures that the EHR system will be able to grow with the organization and meet its evolving needs. Each stage of the SDLC is critical in meeting the organizational requirements for EHR systems in HIM. The SDLC assists in customizing, securing, and adapting the system to ensure it fulfills the organization’s particular requirements while increasing patient quality of care, from initial design and analysis to continuous maintenance.

Three Possible Data and Security Breach Vulnerabilities in Electronic Health Record Systems Applied to HIM

Electronic Health Record (EHR) systems are critical tools in healthcare, yet they are not without flaws that can result in data and security breaches. One serious flaw is in user authentication and access control. Unauthorized staff can get access to patient records if user authentication mechanisms are inadequate or access controls are loose (4). This compromise could result in unauthorized access to or manipulation of sensitive patient data. To prevent this issue, healthcare companies must implement strong authentication techniques such as multi-factor authentication and rigorous access limits.

Another flaw pertains to data encryption and transfer. EHR systems frequently entail the transmission of patient data among various healthcare providers and systems. Data can be intercepted and accessed by malevolent actors if it is not adequately encrypted during transmission. This risk can be avoided by employing strong encryption mechanisms, which ensure that patient data stays secure while in transit.

Finally, the human component is a possible weakness. Healthcare professionals and staff are occasionally duped into giving critical information or jeopardizing system security as a result of social engineering assaults. To mitigate this vulnerability, businesses should engage in rigorous cybersecurity training and awareness programs that educate employees about the risks of phishing, social engineering, and best practices for data security.

Three Protocols to Mitigate Identified Data and Security Breaches

Role-Based Access Control (RBAC)

RBAC is a protocol that aids in the mitigation of user authentication and access control vulnerability. It guarantees that users can only access the data and services required for their responsibilities. By deploying RBAC, healthcare businesses can prohibit unwanted access to patient information and sensitive data. This protocol helps to enforce the principle of least privilege by ensuring that each user has only the access required to do their work, limiting the risk of data breaches caused by unauthorized access.

Transport Layer Security (TLS)

Healthcare businesses should use TLS protocols to improve data encryption during transmission. TLS is a cryptographic technology that assures data integrity and confidentiality while in transit. When EHR systems employ TLS for data sharing, the information is encrypted, making it illegible to anyone who intercepts the data (5). Strong encryption techniques, such as TLS, ensure that patient data stays secure while in transit between systems, lowering the danger of data breaches during the transmission of healthcare information.

Security Awareness Training

Continuous security awareness training for healthcare professionals and personnel can successfully decrease the human element vulnerability. Through these training programs, staff should be educated about the risks of social engineering, phishing attacks, and other prevalent cybersecurity vulnerabilities. Organizations may dramatically minimize the likelihood of employees unwittingly compromising system security by boosting employee awareness and providing them with the knowledge and tools to recognize and respond to security threats. Regular training and simulations of security incidents serve to reinforce best practices and improve the organization’s overall security posture.

How the Outcomes from the Analysis of Electronic Health Record Systems

Using the SDLC Can Improve Patient Quality of Care

The results of a System Development Life Cycle (SDLC) analysis of a selected IT system can significantly improve patient quality of care by ensuring the system is customized to the specific needs of the healthcare organization, improves data accuracy and accessibility, complies with security and privacy standards, and adapts to changing requirements. An Electronic Health Record (EHR) system increases the efficiency of healthcare operations, streamlines care coordination and gives healthcare providers the tools they need to make informed, evidence-based decisions (6). This leads to more exact diagnosis, treatment, and patient management, which leads to better patient outcomes, fewer medical errors, and, ultimately, a higher level of care.

Conclusion

In the ever-changing world of healthcare, integrating IT systems, particularly Electronic Health Record (EHR) systems, is critical for providing high-quality patient care. The System Development Life Cycle (SDLC) provides a systematic framework for efficiently assessing, designing, and implementing these systems while addressing vulnerabilities and security concerns that may compromise patient data and healthcare operations. Healthcare businesses can optimize their EHR systems to improve data accuracy, accessibility, and security by thoroughly evaluating the SDLC phases and applying security procedures and best practices. These enhancements protect sensitive patient information and lead to greater care coordination, informed decision-making, and, ultimately, a higher standard of patient quality of care.

Sources

Dixon, B. E., Rahurkar, S., & Apathy, N. C. (2020). Interoperability and Health Information Exchange for Public Health. Health Informatics, 307–324. https://doi.org/10.1007/978-3-030-41215-9_18

Rogers, C. K., Parulekar, M., Malik, F., & Torres, C. A. (2022). A Local Perspective into Electronic Health Record Design, Integration, and Implementation of Screening and Referral for Social Determinants of Health. Perspectives in Health Information Management, 19(Spring), 1g. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9123531/

Marwaha, J. S., Landman, A. B., Brat, G. A., Dunn, T., & Gordon, W. J. (2022). Deploying digital health tools within large, complex health systems: key considerations for adoption and implementation. Npj Digital Medicine, 5(1), 1–7. https://doi.org/10.1038/s41746-022-00557-1

Shukla, S., George, J. P., Tiwari, K., & Kureethara, J. V. (2022). Data Security. Data Ethics and Challenges, 41–59. https://doi.org/10.1007/978-981-19-0752-4_3

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Shah, T., Borondy Kitts, A., Gold, J. A., Horvath, K., Ommaya, A., Opelka, F., Sato, L., Schwarze, G., Upton, M., & Sandy, L. (2020). Electronic Health Record Optimization and Clinician Well-Being: A Potential Roadmap Toward Action. NAM Perspectives. https://doi.org/10.31478/202008a

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Question 


In this assignment, you will examine IT systems applied to health information management (HIM), the potential vulnerabilities of these systems, and protocols to mitigate the risk of data and security breaches that are due to these vulnerabilities. IT systems are used for health information and data management in many areas, including patient electronic medical records (EMR), hospital operations management, and health care policy decisions. The System Development Life Cycle (SDLC) is a project management framework used to assess IT systems and associated organizational needs to identify and implement improvements to the system. You will write a paper to examine how the SDLC framework can be used to assess an IT system applied to HIM and evaluate risk mitigation protocols that reduce system risk and improve patient quality of care.

Assessing IT Systems for Health Information Management

Assessing IT Systems for Health Information Management

Instructions
Write a 5-6 page paper in which you:

1. Choose a type of IT system applied to Health Information Management (HIM) for improved patient quality of care supported by an explanation for your selection.
Examples include
Electronic Health Record Systems.
e-prescribing Systems.
Clinical Decision Support Systems.
Radiology Information Systems.
Physician Order Entry Systems.
2. Outline organizational needs that define the requirements for the selected type of IT system applied to HIM.
3. Critique each of the five phases of the SDLC and how each addresses the organizational needs for the selected type of IT system applied to HIM.
4. Assess three possible data and security breach vulnerabilities in the selected type of IT system applied to HIM.
5. Evaluate three protocols to mitigate identified data and security breach vulnerabilities and improve the selected type of IT system applied to HIM.
6. Synthesize how the outcomes from the analysis of a selected IT system using the SDLC can improve patient quality of care.
7. Use at least three sources to support your writing. Choose sources that are credible, relevant, and appropriate. Cite each source listed on your source page at least one time within your assignment. For help with research, writing, and citation, access the library or review library guides.
This course requires the use of Strayer Writing Standards (SWS). The library is your home for SWS assistance, including citations and formatting. Please refer to the Library site for all support. Check with your professor for any additional instructions.

The specific course learning outcome associated with this assignment is:

– Analyze how health care IT technologies, databases, and business processes applied to patient information, data security, and data integrity can improve quality of care.

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