I was assigned to do OPTION 1
Information Risk Planning and Management
By Day 1 of Week 1, your instructor will assign each student an option for the assignment. With the explosion of data in the healthcare system, traditional policies and procedures are often inadequate to assess the potential risks in data generation, data sharing and data storage. External forces such as federal and state laws and regulations may mandate certain actions to protect information and report breeches in information. This week’s discussion focuses on the assessment of the current state in preparation for developing an Information governance strategic plan.
Option 1: Legal and Regulatory requirements.
Part 1: Prepare a summary of the federal requirements for information retention, privacy, and security requirements. Your response should be a table format.
Law/Regulation/Joint Commission Requirement
Topic (Retention, privacy, security, other)
Specific requirement summarized (Do not copy and paste the law or regulation into the table)
Source of information (URL)
Part 2: Other organizational information maintained by the organization may not be addressed by legislation or accrediting organization standards. Identify at least two other examples of knowledge management content or knowledge bases. For example, what is the best practice for maintaining email?
Guided Response: Your 250 to 350 word response should address each component of the assigned topic with specific details for future use as a reference. Post a minimum of two follow-up responses to peers by Day 7. Each peer response should be a minimum of five full sentences and should reflect evaluation for the initial post content and recommendations. Use a minimum of two scholarly sources (one source may be the government website), other than textbooks, in APA format as outlined by the Writing Center. Your three required posts must be on three different days of the week.
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Introduction:
As a medical professor, it is important to educate and guide future healthcare professionals on the legal and regulatory requirements surrounding information governance. With the increasing reliance on technology for data storage and dissemination, it is crucial for healthcare organizations to understand and comply with federal requirements for information retention, privacy, and security. This assignment aims to provide students with an opportunity to develop an information governance strategic plan by summarizing these requirements and identifying examples of knowledge management content or knowledge bases.
Part 1:
Federal requirements for information retention, privacy, and security are crucial for maintaining patient confidentiality and ensuring the integrity of healthcare data. The following table provides a summary of some of the key laws and regulations governing these areas in healthcare:
| Law/Regulation/Joint Commission Requirement | Topic | Specific Requirement Summarized | Source of Information (URL) |
|—|—|—|—|
| Health Insurance Portability and Accountability Act (HIPAA) | Privacy | Protects the privacy of individually identifiable health information (PHI) by establishing standards for its collection, use, and disclosure | https://www.hhs.gov/hipaa/for-professionals/index.html |
| HIPAA | Security | Requires healthcare organizations to implement administrative, physical, and technical safeguards to protect PHI from unauthorized access, use, or disclosure | https://www.hhs.gov/hipaa/for-professionals/security/index.html |
| The Joint Commission Standards | Security | Requires healthcare organizations to have policies and procedures in place for the physical and electronic security of health information | https://www.jointcommission.org/standards/standard-faqs/health-information-management-him/ |
| Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs | Retention | Mandates certain retention requirements for healthcare records, including maintaining records for a minimum of six years after the last payment is made | https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/index.html |
Part 2:
Aside from legislation and accrediting organization standards, healthcare organizations maintain other knowledge management content or knowledge bases. Two examples of these are email management and document version control. Best practices for email management often include establishing policies for email retention, categorization, and secure transmission. Document version control involves creating and maintaining a history of document revisions, including date and author information, to ensure that the most up-to-date version of a document is used. These practices can help ensure that important information is easily accessible, while also protecting sensitive information from unauthorized access.
In conclusion, staying up-to-date on legal and regulatory requirements is crucial for healthcare organizations to maintain the confidentiality and security of patient information. This assignment provides students with an opportunity to identify and apply these requirements to develop an information governance strategic plan. Additional knowledge management content or knowledge bases, such as email management and document version control, can also contribute to effective information governance practices in healthcare.