Question

Explain how the CMS promoting interoperability program and its security requirements impact EHR design and use . Explain the role of encryption in storing and security secured data. Explain the importance of making ethical decisions to comply with security requirements when using EHR systems. How could aspects of a christian worldview help inform ethical decision making in the situation?

Answer 1

CMS promoting interoperability program

• CMS makes changes to the promoting interoperability programs( formerly known as the EHR Incentive Programs) to increase interoperability and flexibility while reducing burden and placing a strong emphasis on measures that require the exchange of health information between providers and patients.
• Key provisions that are overhauled in this final rule include
• 90 day reporting CMS confirmed an EHR reporting period of a minimum of any continuous 90 day period in each of calender yars 2019 and 2020 for new and returning participants attesting to CMS or their state medicaid agency
• Performance based scoring methodology: for the medicare promoting interoperability program, the rule finalizes a new performance based scoring methodology consisting of a smaller set of objectives .
• The centers for medicare and medicaid services encourageand CAHs to adopt and meaningfully use certified electronic health record technology through the promoting interoperability programs
• In connection with other CMS initiatives such as  the qualiyty payment program, these programs help to support higj quality, high value care through the use of certified health IT

IMPORTANCE OF MAKING ETHICAL DECISIONS TO COMPLY WITH SECURITY REQUIREMENTS WHEN USING EHR SYSTEMS

• To understnd the complexities of the emerging electronic health record system, it is helpful to know what the health information system has been is now and needs to become.
• The medical record either paper based or electronics is a communication tool that supports clinical decision making, coordination of services, evaluation of the quality and efficacy of care, research , legal protection, education, and accreditation and reulatory processes
• It is the business record of the health care system, documented in the normal course of its activities
• The documentation must be authenticated and if it is handwritten, the entries must be legible.

CHRISTIAN WORL VIEW IN ETHICAL DECISIONS

• When making ethical decisions, no one stands outside a social and cultural world.
• Each of us judges human reality according to a set of adopted and adapted moral criteria based on such factors as nationality, education, social class, professional occupation, and ofcourse religious affiliation.
• Catholicism is a multicultural society bound together by a professional faith; a common baptism and an allegiance to jesus christ, whom we acknowledge as lord
• This fundamental identity determines to a great extend my approach to ethics.
• Although it reflects the catholic bias, the structure of the analysis is applicable to other traditions.