NURS FPX 4040 Assessment 2 Protected Health Information Phi Privacy Security and Confidentiality Best Practice NURS-FPX 4040 Managing Health Information and Technology

Protected Health Information (PHI), Privacy, Security, and Confidentiality Best Practices The Health Insurance Portability and Accountability Act (HIPAA), enacted in 1996, was designed to grant individuals rights and protections concerning their health information (CDC, 2018). HIPAA outlines strict guidelines regarding the appropriate use and disclosure of protected health information (PHI) by entities handling health data. PHI refers to any data related to an individual’s past, present, or future physical or mental health, collected or generated by healthcare providers, public health authorities, or related organizations (HIPAA, 2018). This includes personal details such as names, Social Security numbers, birth dates, addresses, account numbers, clinical data, and diagnoses. Summary of PHI Laws HIPAA’s Security Rule mandates national requirements for safeguarding electronic PHI (ePHI) (Gatehouse, 2020). Covered entities must implement measures to prevent unauthorized access, misuse, or disclosure of ePHI. In instances where PHI is compromised, the HIPAA Breach Notification Rule requires entities to inform affected individuals, the Department of Health and Human Services (HHS), and in specific cases, the media (Heath et al., 2021). Additionally, the HIPAA Enforcement Rule empowers HHS to investigate and impose penalties on organizations for non-compliance. Sanctions can include monetary fines, corrective action plans, or legal actions (Moore & Frye, 2019). Best Practices for Privacy, Security, and Confidentiality Adhering to privacy and confidentiality regulations requires implementing reasonable safeguards to protect ePHI from unauthorized access, use, or disclosure. Interdisciplinary collaboration plays a crucial role in strengthening data security measures. A privacy officer, IT staff, legal counsel, and health information management specialist can collaboratively develop policies and procedures, such as encryption and access controls, to enhance ePHI security (Beckmann et al., 2021). These teams also devise response plans for data breaches and promote compliance through regular training sessions. Evidence-Based Strategies to Minimize Risks Minimizing risks for patients and healthcare staff while engaging in social media activities requires the adoption of evidence-based strategies (Health, 2022). These include: Establishing social media policies to guide staff behavior and prevent the sharing of private information. Using secure, HIPAA-compliant communication platforms with encryption. Conducting employee training on the risks of social media and the importance of safeguarding ePHI. Monitoring social media accounts to ensure compliance with established guidelines. Restricting access to sensitive data based on job roles. Employing authentication methods to verify access to data. Implementing auditing mechanisms to detect unauthorized access attempts. Table: Summary of Best Practices, Regulations, and Evidence-Based Strategies Aspect Details Examples PHI and HIPAA Compliance Defined under HIPAA to include identifying data related to health status, treatment, or payment. Names, Social Security numbers, diagnoses, and clinical information. Best Practices for ePHI Security Interdisciplinary collaboration ensures comprehensive policies for safeguarding sensitive health data. Teams developing encryption protocols, access control systems, and breach response strategies. Evidence-Based Risk Mitigation Implementation of secure communication tools and regular training to minimize risks in social media usage. Policies restricting patient data sharing on platforms and enforcing auditing mechanisms for data access. Effective Staff Training for Interprofessional Teams Healthcare providers must uphold the highest standards of confidentiality, particularly on social media platforms. Training interprofessional teams is essential to ensure adherence to these standards. Rules include avoiding speculation or criticism of patients, refraining from disclosing patient information, and never using social media to request or receive confidential data (Arigo et al., 2018). Ensuring compliance involves fostering a culture of responsibility and emphasizing the significance of protecting sensitive information. References Almaghrabi, N. S., & Bugis, B. A. (2022). Patient confidentiality of electronic health records: A recent review of the Saudi literature. Dr. Sulaiman al Habib Medical Journal, 4(4). https://doi.org/10.1007/s44229-022-00016-9 Beckmann, J. L., et al. (2021). Interdisciplinary measures for safeguarding PHI. Journal of Health Information Security, 10(2), 45–54. HIPAA Journal. (2023, February). HIPAA social media rules – updated 2023. https://www.hipaajournal.com/hipaa-social-media/ NURS FPX 4040 Assessment 2 Protected Health Information Phi Privacy Security and Confidentiality Best Practice Moore, C., & Frye, R. (2019). Enforcement challenges of