Unit 6 – Information Activity Review Audit Trail

Assignment Introduction

According to the Health Insurance Portability and Accountability Act (HIPAA) of 1996, a covered entity  must implement policies and procedure to regularly review records of information system activity such as  audit logs, access reports, and security incident tracking reports (45 CFR 164.308(a)(1)(ii)(D)). Find out  more information regarding the requirement here:

∙ HIPAA Security Series –

https://www.hhs.gov/sites/default/files/ocr/privacy/hipaa/administrative/securityrule/adminsafeguards.pdf?language=es

∙ HIPAA Regulation – https://www.law.cornell.edu/cfr/text/45/164.308

In addition, covered entities must implement hardware, software, and/or procedural mechanisms that  record and examine activity in information systems that contain or use protected health information (45  CFR 164.312(b)). Find out more information regarding the requirement here:

∙ HIPAA Security Series, Technical Safeguards –

https://www.hhs.gov/sites/default/files/ocr/privacy/hipaa/administrative/securityrule/techsafeguards.pdf?language=es

∙ HIPAA Regulation Text – https://www.law.cornell.edu/cfr/text/45/164.312

Other resources:

∙ https://www.health.state.mn.us/facilities/ehealth/privacy/index.html#11

∙ www.hipaacow.org

∙ http://library.ahima.org/doc?oid=300276

∙ http://bok.ahima.org/doc?oid=300244#.V_6UnfkrJhE

∙ http://library.ahima.org/doc?oid=300262#.V_6UufkrJhE

For this assignment, you will use the information above to create an audit form report template with the  appropriate fields that are needed to successfully review activity within information systems containing  protected health information.

Assignment Scenario

You just accepted a position at Scholastica Hospital as the Director of Data Integrity and Health  Information Management. One of your main responsibilities is the oversight of the HIPAA Privacy and  Security Regulations. You are currently evaluating the process for reviewing activity with your electronic  health record. You discover the electronic health record vendor produces an audit report that provides the  following information regarding access into the records:

∙ User Name (Workforce Member)

∙ Patient’s Name (Who they are looking at)

∙ Date/Time of Access

∙ Workstation ID

When reviewing these reports, you determine that there is not enough information to understand what the  user is doing within the information system. You only know if an employee was in a patient’s chart and the date/time of the access. There is no information or indication to inform you on what the user is doing  within the chart, what the user is looking at, and how long the user was in the chart. Because of this,  audits into the electronic health record are not going well as there is not enough information on access and  reason for access.

Assignment Instructions

1. Research the regulation and best practices for implementation of information system activity  review based on the HIPAA regulations

2. Write a synopsis of the findings from the research, including best practices when designing an  information activity review program for Scholastica Hospital (1 – 2 Pages)

3. Create a template, with the appropriate fields, for an audit log

a. Think about what information you would need to have in order to properly evaluation  access into the electronic health record

b. This may be in Microsoft Word or Excel

4. Create a findings report for the outcomes of the information activity reviews that you conduct

a. Think about what information you would want to report out to leadership regarding the

audits

Assignment Deliverables

25 Points Possible

1. A 1-2 page synopsis of the HIPAA regulations regarding information system activity, including  best practices when designing an information activity review process (10 Points)

2. A template for an audit report, with the appropriate fields that are needed to properly conduct an  audit. Think about what information you would need on an audit trail from your electronic  system to be able to properly conduct audits (10 Points)

a. This can be in Microsoft Word of Microsoft Excel

3. A report template for documenting the outcomes of the information activity reviews that you will  conduct (5 Points)

Format: Follow correct APA Style and include all required components. 7th edition

Hello i have a paper that have written i cant upload it beCAUSE THERE IS AN ISSUE

i JUST NEED FOR SOME ONE TO WRITE UP THE PROGNOSIS OF OCD ABOUT 1 PAGE PLEASE

ONLY 100 WORDS

SCENARIO

A 22-year-old man who was a known heroin abuser was admitted to an emergency department comatose, with shallow respirations. Routine laboratory studies and chest x-ray studies were done after the patient was aroused. He was then transferred to the ICU. He complained of left-sided chest pain. Examination of the chest film showed three fractured ribs on the right and a large right pleural effusion. Further questioning of a friend revealed that he had fallen and struck the corner of a table after injecting heroin.

The diagnosis was traumatic hemothorax secondary to rib fractures and a chest tube was inserted into the right pleural space. No blood could be obtained despite maneuvering of the tube.  Another chest x-ray showed that the tube was correctly placed in the right pleural space, but the fractured ribs and the pleural effusion were on the left. The radiologist then realized that he had reversed the first film. A second tube was inserted into the left pleural space, and 1500 ml. [6 to 7 cups] of blood was evacuated.

Note: The image above is an example and is not the x-ray of this scenario.

1. Using the scenario above, answer the following questions:

A. What did the initial chest x-ray show? Explain the medical terms used.

B. What term indicated that the condition was caused by fractured ribs?

C. What procedure was used to relieve the condition?

D. What is the lesson from this case report?

Follow these guidelines when answering the questions:

• Use a maximum of 100 words.
• Be clear, concise and well organized using as many pertinent medical terms as possible.
• Be free of grammatical, mechanical, and format errors.
• Be in your own words (do not copy text directly from a website, text, or other reference materials) and contain citations from all sources used.

For this activity, you will prepare a reflection paper. Reflect on the concepts you have learned during your readings pertaining to the Hospital Incident Command System (HICS). There are many times that the hospital will be involved in an emergency situation, either internally or externally, requiring the establishment of a HICS (e.g., during a pandemic or an active shooter/threat situation). In preparation for your reflection paper, consider the questions below.

• What are some of the necessary steps that would need to be taken regarding the establishment of HICS and triaging any incoming patients to your hospital?
• How would you communicate with local agencies that are willing to assist you during times of extreme circumstances during an active shooter/threat situation with multiple victims being transported to your location?
• What do you understand completely?
• What did not quite make sense?

You are not required to answer these questions in your paper, but think about them while formulating your responses to the prompts below. The purpose of this assignment is to provide you with the opportunity to reflect on the material you have read and to expand on it. If you are unclear about a concept, either review it in the eTextbook, or ask your professor. This is not a summary but, rather, a reflection paper is an opportunity for you to express your thoughts about the material you are studying by writing about it. Reflection writing is a great way to study because it gives you a chance to process what you have learned and increases your ability to remember it. Use the guidelines below as you reflect on the course material and respond to the following questions in your paper.

• What are your thoughts about the main topics pertaining to HICS?
• Why are these topics or concepts important in the emergency services management field?
• Can you apply them to a personal life situation that you may have been involved in when responding to an emergency, working with hospitals, or working with other agencies? How?

Your reflection paper should be at least two pages in length. Use your own words, and include citations and references for other articles as needed to avoid plagiarism. Adhere to APA Style when constructing this assignment, including in-text citations and references for all sources that are used. Please note that no abstract is needed.

How Do You Adapt/Cope with Stress? 500 words must be cited apa

People adapt to or cope with stress in a variety of ways. Individuals tend to use their personal adaptation/coping styles fairly consistently, across situations. Which of the following is consistent with your style? Circle the question numbers that are true of you.

In the face of stressful situations, I tend to…..

1. Take some kind of action to try to solve the problem
2. Try to strategize about possible actions to take
3. Take time to consider my options and do some planning
4. Make myself wait for an opportune time to do something about it
5. Find out what other people would do in a similar situation
6. Talk to and get emotional support from others about my problem
7. Try to focus on the positive aspects of what is happening
8. Accept what is happening and learn to live with it
9. Seek guidance from God or my higher power
10. Get upset and vent my emotions
11. Deny a problem exists and refuse to believe it is happening
12. Give up trying to get what I want
13. Try to take my mind off the problem by turning to work or other activities
14. Use alcohol or other drugs to avoid thinking about the problem
15. Indulge myself by means of food, drugs, spending money, etc.

Discuss which one you chose, do you feel that it is the best way? What might be a better method?