Security risk! Accessing and sharing data
Lisa A. Gallagher BSEE, CISM, CPHIMS

$7.95 		Nursing Management
March 2013 
Volume 44  Number 3
Pages 22 - 27
 
  PDF Version Available!

ABSTRACT
Today's healthcare delivery system includes information technology systems such as electronic health records (EHRs) and other technologies that help clinicians and staff increase efficiency, patient safety, and even patient satisfaction while leading to better collaboration, more patient involvement, and decreased costs. Clinicians and administrative staff who access electronic health data do so with the primary goal of treating the patient; however, there are benefits and risks associated with this access. Going forward, there will be new data access and sharing scenarios that align with new care, quality, and payment models to affect the way data are accessed and shared in important ways.In hospitals and medical practices, there are a number of technology platforms and applications being used by clinicians and staff to access and share electronic patient data.When nurses or other frontline clinical and office staff members access the data in a patient's EHR, they can accomplish many clinical and administrative tasks quickly and efficiently. The impact of the shift to EHRs in the clinical workflow has been felt on many fronts, facilitated by having immediate access to lab results, imaging and associated reports, medication records and e-prescribing tools, drug and allergy alerts, and easier documenting.To effectively use EHR technology in the clinical workflow and protect the confidentiality of patient data, the organization must consider the following: * Identify types/groups of system users: -treating physician(s) -nurse/NP -clinical staff -administrative staff (such as the scheduling clerk) -billing staff. * Determine what information can be accessed by each user type/group, identifying only what's minimally necessary for each user type/role. For example, the scheduling clerk may only access appointment information or the nurse may enter notes. * Determine what functions can be executed by each user type/group, identifying what functions are necessary

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