Discussion: Ethics, Cyber Ethics, And Security

In recent years, hackers have targeted medical records, from hospitals and other healthcare institutions, across the country. These records contain personal information, contact information, and most importantly, for the hackers, information that may prove useful in stealing an identity. Thus, healthcare organizations have made it a priority to protect patient records and privacy. However, with the influx of technological advancements and hacker determination, there is no perfect way to ensure that all records are secure and safe.

Photo Credit: Getty Images/Blend Images
In addition to medical records, privacy concerns are relevant with any patient chart in any setting. For example, a chart left open on a computer monitor in a patient room, employee passwords and log-in information, and new employee access and screening all represent other ways in which ethics and security merge in healthcare and nursing practice.

For this Discussion, you will consider the importance of ethics as it relates to security. You will also reflect on how these topics might affect clinical practice and the connection to nursing informatics.

To Prepare
Review the Learning Resources associated with the topics of ethics, cyber ethics, and security.
Consider the role of each of these topics for clinical practice, as well as the importance of understanding each of these topics.
Reflect on how COVID-19 might have impacted each of these topics, which reviewing the article, “The COVID-19 Pandemic Highlights Shortcomings in US Health Care Informatics Infrastructure: A Call to Action.”
By Day 3 of Week 9
Post a cohesive response that addresses the following for each of the topics of ethics, cyber ethics, and security:

Explain how each of the topics might impact clinical practice. Describe why it is important to understand how ethics applies to clinical practice. Be specific and provide examples.
How might ethics apply to informatics, e-health records, importance of passwords and security?
After reviewing the article, “The COVID-19 Pandemic Highlights Shortcomings in US Health Care Informatics Infrastructure: A Call to Action,” describe potential impacts of the pandemic on ethics and security as it applies to clinical practice. Be specific and provide examples.

IP Privacy, Security, And Informed Consent

healthcare
policy
You are the new office coordinator of a small multi-specialty group practice. You have been tasked with updating the office policies on medical records and confidentiality and training the employees on this important topic.For this assignment you will address each of prompts in 3-5 pgs, not including title pg and reference pg.

Discuss medical records and the importance of confidentiality.
Describe one legal standard, regulation, or policy that is related to confidentiality and/or medical records in healthcare.
Explain how such policies and procedures should be communicated to employees.
Use APA formatting and citation standards. Use at least two (2) scholarly references published within the last 5 years to substantiate your work.

Financials

Due to decreased funding caused by value based models of payment, accountable care organization payment and bundled care payment, discuss the following in 400 words. cite your references in apa format

What is the impact that these new payment models will have on Krona’s revenue.
Address the possible issues surrounding next year’s forecasting.
Discuss the challenges, benefits, and risks in utilizing capitation.

Marketing

here are very few industries that have the unique economic factor in which the majority of its revenue does not come directly from the customer, but from a third party. This unique economic factor is usually referred to as a private health care insurance company. Third party payers are the commercial, governmental, and health care maintenance insurance companies that help providers manage its patient’s accounts. With the change in focus toward the patient as consumer and increasing number of health plans that are high deductible, patients are becoming more involved in deciding where they go for their healthcare needs.

To increase referrals, Krona is beginning to develop a new marketing campaign to target a new patient mix and increase revenues, something that you discussed in your last Individual Project. You have been asked by the chief financial officer (CFO) to collaborate with the marketing director and discuss the importance of having advertising materials for both the health insurance companies and the patients who receive the health care services.

answer these questions in 400-600 words. citing your references in APA format

List 3 marketing approaches you would use to target potential patients and health care insurance companies.
Explain what factors you used in choosing your specific marketing strategies and the purpose of each selection..
How should the hospital market their commitment to patients while considering valued based programs, accountable care organizations and bundled payments?

Some marketing strategies may include the following:

o Social Media
o Television/Radio
o Telemarketing
o Direct Marketing to customers and referrals

Theories

The VP of HR reviewed the executive summary and decided that your recommendation was a strong course of action for the change process. In her discussions with Leroy, she mentioned that it would be good to have you participate in a focus group to discuss your experiences with the change process. She was interested in discovering some best practices for change and felt that your experiences would be very valuable to Red Carpet’s approach to change. To guide the discussion, she recommended addressing a few points that should be covered in the focus group. Leroy will gather the results of the focus group and share it with the VP of HR.

Review the Red Carpet scenario for this course and with your classmates; discuss the following questions that will provide insight into your own change experiences: in 400-600 words and citing your references in APA format

Describe a successful change from your own experiences and why it worked well.
Describe an unsuccessful change from your own experiences and why it did not achieve its intended objectives.
From your own experiences, what do you think Red Carpet should do to make the change successful?

Grief

Grief: define and describe the physical symptoms, psychological and social responses and its spiritual aspects.
Summarize the types of grief.
Although death is a universal human experience, please specify culture-specific considerations that exist regarding attitudes toward the loss of a loved one, including age (child or older adult) and cause of death.
Submission Instructions:

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

Chronic Illness

Identify chronic illness and its relationship to rehabilitation.
Choose from one:
COPD, CHF, Stroke, Hip fracture
Create interventions that support an older adult’s adaptation to the chronic illness or disability.
Describe the nurse’s role in assisting older adults in managing chronic conditions.
From your readings and knowledge which opportunities do you think can be change in the health care system to improve care for older adults with chronic illness and disability.
Submission Instructions:

The work is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
The work is to be 5 pages in length, excluding the title, abstract and references page.
Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
Journal articles and books should be referenced according to APA style.

STUDY GUIDE: ATTENTION-DEFICIT HYPERACTIVITY DISORDER

Create a study guide for your assigned disorder: ADHD (ATTENTION-DEFICIT HYPERACTIVITY DISORDER) Your study guide should be in the form of an outline with references, and you should incorporate visual elements such as concept maps, charts, diagrams, images, color coding, mnemonics, and/or flashcards. Be creative! It should not be in the format of an APA paper. Your guide should be informed by the DSM-5 but also supported by at least three other scholarly resources.

Areas of importance you should address, but are not limited to, are:

1-Signs and symptoms according to the DSM-5

2-Differential diagnoses

3-Incidence

4-Development and course

5-Prognosis

6-Considerations related to culture, gender, age

7-Pharmacological treatments, including any side effects

8-Nonpharmacological treatments

9-Diagnostics and labs

10-Comorbidities

11-Legal and ethical considerations

12-Pertinent patient education considerations

Psychopathology

Assignment

· Based on your evaluation of this patient, develop a video case presentation that includes chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; and current psychiatric diagnosis including differentials that were ruled out.

· Include at least five (5) scholarly resources to support your assessment and diagnostic reasoning.

· Ensure that you have the appropriate lighting and equipment to record the presentation

· Present the full case. Include chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; and current psychiatric diagnosis including differentials that were ruled out.

· Report normal diagnostic results as the name of the test and “normal” (rather than specific value). Abnormal results should be reported as a specific value.

Be succinct/ Address the following:

· Subjective: What details did the patient provide regarding their personal and medical history? What are their symptoms of concern? How long have they been experiencing them, and what is the severity? How are their symptoms impacting their functioning?

· Objective: What observations did you make during the interview and review of systems?

· Assessment: What were your differential diagnoses? Provide a minimum of three (3) possible diagnoses. List them from highest to lowest priority. What was your primary diagnosis, and why?

· Reflection notes: What would you do differently in a similar patient evaluation?

Case Study

26-year-old white female. Individual is A/O x3. Individual reports “everything hit me like a freight train in January. I could not sleep.” Individual reports she was placed on medication during recent inpatient admission to psychiatric facility. Individual reports “it works a little too well. It makes me sleepy.” She reports originally going to the psychiatric facility because she could not sleep. Individual reports being diagnosed with Bipolar disorder. She reports losing 14 pounds within one week. Individual reports taking Gabapentin 600 mg in the morning, 600 mg at noon, and 1200 mg at night, and Abilify 5 mg at night. Individual complains of sleeping too much at night. Individual rates life 8/10 with 10 being total happiness. She denies S/I, H/I. individual reports that she has highs and lows. She reports she tried Lithium during inpatient admission “I had a really bad reaction. I had diarrhea.” DX; Bipolar I disorder; Mild depression. Plan; Gabapentin 600 mg tablet, 1.5 tablet nightly, Gabapentin 600 mg one tablet twice daily, Aripiprazole 5 mg one tablet nightly.

DX;

Bipolar disorder, Depression

Medications

Gabapentin 600 mg 1.5 tab nightly

Gabapentin 600 mg one tab daily

Aripiprazole 5 mg tab nightly

Mental exam

PHQ-9 total score; 4

GAD-7 total score; 7

Assessment

Mild depression (disorder) (f32.0/296.21) Major depressive disorder, single episode, mild modified.

Bipolar I disorder (disorder) (f31.9/296.80) Bipolar disorder, unspecified.

Plan;

“I wanna continue going on the right track.” Continue all medications as ordered.

Vital signs

BP; 122/75

HR; 88 bpm

Ht/Lt; 5’11”

Wt; 153 lbs 9 oz

BMI; 21.42

Pain; 0/10Assignment

· Based on your evaluation of this patient, develop a video case presentation that includes chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; and current psychiatric diagnosis including differentials that were ruled out.

· Include at least five (5) scholarly resources to support your assessment and diagnostic reasoning.

· Ensure that you have the appropriate lighting and equipment to record the presentation

· Present the full case. Include chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; and current psychiatric diagnosis including differentials that were ruled out.

· Report normal diagnostic results as the name of the test and “normal” (rather than specific value). Abnormal results should be reported as a specific value.

Be succinct/ Address the following:

· Subjective: What details did the patient provide regarding their personal and medical history? What are their symptoms of concern? How long have they been experiencing them, and what is the severity? How are their symptoms impacting their functioning?

· Objective: What observations did you make during the interview and review of systems?

· Assessment: What were your differential diagnoses? Provide a minimum of three (3) possible diagnoses. List them from highest to lowest priority. What was your primary diagnosis, and why?

· Reflection notes: What would you do differently in a similar patient evaluation?

Case Study

26-year-old white female. Individual is A/O x3. Individual reports “everything hit me like a freight train in January. I could not sleep.” Individual reports she was placed on medication during recent inpatient admission to psychiatric facility. Individual reports “it works a little too well. It makes me sleepy.” She reports originally going to the psychiatric facility because she could not sleep. Individual reports being diagnosed with Bipolar disorder. She reports losing 14 pounds within one week. Individual reports taking Gabapentin 600 mg in the morning, 600 mg at noon, and 1200 mg at night, and Abilify 5 mg at night. Individual complains of sleeping too much at night. Individual rates life 8/10 with 10 being total happiness. She denies S/I, H/I. individual reports that she has highs and lows. She reports she tried Lithium during inpatient admission “I had a really bad reaction. I had diarrhea.” DX; Bipolar I disorder; Mild depression. Plan; Gabapentin 600 mg tablet, 1.5 tablet nightly, Gabapentin 600 mg one tablet twice daily, Aripiprazole 5 mg one tablet nightly.

DX;

Bipolar disorder, Depression

Medications

Gabapentin 600 mg 1.5 tab nightly

Gabapentin 600 mg one tab daily

Aripiprazole 5 mg tab nightly

Mental exam

PHQ-9 total score; 4

GAD-7 total score; 7

Assessment

Mild depression (disorder) (f32.0/296.21) Major depressive disorder, single episode, mild modified.

Bipolar I disorder (disorder) (f31.9/296.80) Bipolar disorder, unspecified.

Plan;

“I wanna continue going on the right track.” Continue all medications as ordered.

Vital signs

BP; 122/75

HR; 88 bpm

Ht/Lt; 5’11”

Wt; 153 lbs 9 oz

BMI; 21.42

Pain; 0/10

Discussion

From the Discussion Preparation, compare the health care-based factors in the issues that you reviewed that, in your opinion, cause the cost curve of health care to shift. Provide at least one example showing the manner in which the cost curve shifts in your response.