Question

FIl in the answers to the bold wording in the paragraphs --- needs completion

TOPIC-

RT is a 75 yo widow who lives in an apartment in town with her daughter. She was diagnosed with COPD at age 65 years and is followed by her primary health care provider. She reports that she has recently been having trouble with shortness of breath, especially when outdoors breathing in the cold winter air. The nurse practitioner prescribes a higher dose of her regular inhaler and a new rescue inhaler. A referral has been made to your home care agency for the management of RT's COPD.

How could a lack of interoperability between the community, hospital and primary care provider's Electronic Health Record affect your ability to care for the patient?

How would you address the daughter wanting to see the health information in the electronic health record? What ethical and legal issues are involved?

How does the right to privacy fit in with your scope of practice?

PAPER

Interoperability of the system provides full and comprehensive medical record of the patient, Lack of interoperability makes the patient data inaccessible to the point of care physician.Daughter wanting to see the information in health records will be the breach of patient privacy. The ethical issue of patient confidentiality and the legal issue of sharing of patient information is involved in

Maintaining a patient's right to privacy and nurse practitioner's practice work to maintain the privacy of the patient. [If this is your introduction, it needs a bit more background detail to explain the situation you are discussing in your essay. Who is involved? What is the situation? What is COPD? How does it affect the patient? ]

Explanation:

Interoperability is the ability of different EHR (electronic health record) systems to communicate with each other and exchange patient data. Due to the presence of any type of system in the market, interoperability of systems is an issue that has handicapped the HER system to an extent. It is because of different software, systems cannot exchange data. Due to this inability, point of care physician cannot access the complete data of patient who was previously taking the services of some other healthcare provider. In this scenario, a nurse practitioner cannot access RT's data that is present in the hospital because the nurse practitioner has access to only a smart part of RT's data. In the absence of health and family history, she is not able to make a sound decision. [This paragraph answers some of the requirement, but needs more detail. Where does the Home Care agency fit in to this scenario? How could the Home Care agency access the fact that the NP had prescribed for RT?]

A healthcare provider cannot permit the daughter to see the patient information on HER without the permission of her mother. This decision is reached through ethical and legal considerations. Nursing ethics states that the healthcare provider must keep the information provided by the patient confidential. Nurse or healthcare providers cannot share the information given by the patient with the family members of the patient. This ethical consideration was made binding by the HIPAA (Health Insurance Portability and Accountability Act). The act states that sharing patient's information with a third party is a punishable offense. There are some exceptions to this rule such as sharing information for reimbursement, for administrative purposes, or if the reporting of disease is mandatory.

Maintaining of patient's right to privacy is the part of the nurse practitioner's (NP) scope. This is important to establish trust and rapport between the NP and the patient. The establishment of trust encourages the patient to share more valuable information with the NP. This information helps the NP to take more patient-centered decisions increasing the quality of patient care. The following steps NP should take to protect the patient's right to privacy: first,She should never talk to any third person about the patient's condition which applies at off-duty hours .Secondly,nursing practices should never leave the patient's confidential information lying in open and lastly the identifiable information of patient should be in a lock whose access should be limited to NP only.

Answer 1

Chronic obstructive pulmonary disease, or COPD, is an inflammatory disease that limits airflow to the lungs. Older adults, especially women, are at increased risk for this common, often preventable disease.COPD is progressive, meaning it gets worse over time

Interoperability itself is complex. The term refers to more than just the ability to exchange information. For two EHR systems to be truly interoperable, they must be able to exchange and then use the data. For this to occur, the message transmitted must contain standardized coded data so that the receiving system can interpret it. However, lack of standardized data is an issue that has plagued the U.S. health care system for decades and now certainly limits the ability to share data electronically for patient care.

Health information exchange through electronic interoperability of electronic medical records (EMRs) allows a person’s health information to be immediately accessed by any approved health provider and would improve the safety and quality of health care, particularly during emergency care.