Name

Capella university

NURS-FPX 4040 Managing Health Information and Technology

Prof. Name

Date
Protected Health Information (PHI), Privacy, Security, and Confidentiality Best Practices
In 1996, the Health Insurance Portability and Accountability Act (HIPAA) was enacted to provide individuals with protections and rights regarding their health information (CDC, 2018). HIPAA establishes guidelines for the secure use and disclosure of Protected Health Information (PHI) by organizations handling health data. PHI refers to information concerning an individual’s past, present, or future physical or mental health, generated by healthcare providers, health plans, employers, public health authorities, or other entities. This includes identifiable data such as names, Social Security numbers, birth dates, addresses, account numbers, clinical data, and diagnoses (HIPAA, 2018).
Summary of PHI Laws
The HIPAA Security Rule requires that covered entities implement measures to protect electronic Protected Health Information (ePHI), setting national standards for safeguarding this data from unauthorized access, misuse, or exposure (Gatehouse, 2020). If unprotected PHI is compromised, the HIPAA Breach Notification Rule mandates that affected individuals be notified and, in some cases, the Department of Health and Human Services (HHS) and the media must be informed (Heath et al., 2021). Furthermore, the HIPAA Enforcement Rule outlines procedures for HHS to investigate violations and enforce penalties on entities that fail to comply. These penalties can include monetary fines, corrective actions, and legal sanctions (Moore & Frye, 2019).
Best Practices for Privacy, Security, and Confidentiality
HIPAA regulations provide a structured approach for multidisciplinary teams to secure ePHI, requiring organizations to implement appropriate safeguards to prevent unauthorized access or use. Additionally, these regulations empower HHS to take legal actions against non-compliant entities, ensuring that individuals retain control over their PHI. The legal framework emphasizes the importance of teamwork in safeguarding ePHI.
The Importance of Interdisciplinary Collaboration
Interdisciplinary collaboration is crucial for securing ePHI, as it facilitates coordinated efforts among diverse stakeholders to comply with privacy and security regulations. A team that includes a privacy officer, IT staff, legal counsel, and health information management specialists can significantly enhance a healthcare organization’s ability to protect ePHI. These teams are instrumental in establishing policies and procedures, such as implementing access controls and encryption methods to safeguard sensitive data. Additionally, they play a vital role in developing response strategies for potential data breaches (Beckmann et al., 2021).
Evidence-Based Strategies to Mitigate Risks for Patients and Healthcare Staff
Organizations can employ evidence-based practices to mitigate risks associated with the use of social media, which can involve sensitive ePHI (Health, 2022). Recommended strategies include:

 	
Developing a social media policy with clear guidelines for engaging with patients and sharing health information.
 	
Using HIPAA-compliant and encrypted communication tools to maintain data security.
 	
Educating staff on the risks of social media and the importance of protecting private health information.
 	
Monitoring social media platforms for unauthorized disclosures and ensuring compliance.
 	
Restricting access to sensitive health information to authorized personnel only.
 	
Implementing strong authentication processes for accessing sensitive data.
 	
Regularly updating best practices and protocols to ensure the protection of private health information.

Effective Staff Training for Interprofessional Teams
Healthcare professionals are responsible for securing patient data privacy, particularly when using social media platforms (Arigo et al., 2018). Medical staff must adhere to patient confidentiality and established guidelines when engaging on social media. Key recommendations include refraining from discussing patient health or treatment, avoiding the posting of identifiable patient information, and not requesting or sharing patient details through social media channels.



Table: Best Practice Areas



Best Practice Area
Description
Example Strategies




Protected Health Information (PHI)
HIPAA guidelines outline the use and protection of identifiable health information collected or created by health-related entities (HIPAA, 2018).
Keep names, addresses, Social Security numbers, clinical details, and account numbers confidential and secure.


Interdisciplinary Collaboration
Different health professionals work together to ensure ePHI security and compliance with laws (Beckmann et al., 2021).
Assemble a team of privacy officers, IT staff, legal experts, and health management specialists to create policies, procedures, and response plans.


Social Media Policy and Training
Develop a policy and train staff to manage ePHI securely on social media platforms (Arigo et al., 2018; Health, 2022).
Ensure social media communications are HIPAA-compliant, educate staff on safeguarding sensitive information, monitor accounts for unauthorized disclosures, and use authentication methods for data access.






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

Basil, N. N., Ambe, S., Ekhator, C., & Fonkem, E. (2022). Health records database and inherent security concerns: A review of the literature. Cureus, 14(10). https://doi.org/10.7759/cureus.30168

HIPAA Journal. (2023, February). HIPAA social media rules – updated 2023. https://www.hipaajournal.com/hipaa-social-media/

Javaid, D. M., Haleem, Prof. A., Singh, D. R. P., & Suman, D. R. (2023). Towards insighting cybersecurity for healthcare domains: A comprehensive review of recent practices and trends. Cyber Security and Applications, 1(100016). https://doi.org/10.1016/j.csa.2023.100016

Kerr, H., Booth, R., & Jackson, K. (2020). Exploring the characteristics and behaviors of nurses who have attained microcelebrity status on Instagram: Content analysis. Journal of Medical Internet Research, 22(5), e16540. https://doi.org/10.2196/16540
Capella 4040 Assessment 2 Protected Health Information PHI Privacy Security and Confidentiality Best Practice