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For the Record Protecting Electronic Health Information (1997) / Chapter Skim
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Appendix A Study Committee's Site Visit Guide
Pages 209-220

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From page 209...
... Appendixes
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From page 211...
... · teams review documents, match to questions, identify gaps/ areas in need of on-site questioning · make final decisions regarding individuals to interview on-site STEP4: Generate customized site visit protocol STEPS: Conduct site visit · kick off introductory meeting with CEO/CID and all actors · follow up with one-on-one interviews 211
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From page 212...
... Documents/information to request ahead of time · Organization's mission statement Organizational chart · Privacy and security policies · Enabling/implementation documents for privacy/security policies · Description of personnel practices for punishing violators · Policies on record-keeping · Policy for release of information from medical records · Information system descriptions · Strategic plan for information system · Description of security systems for information system · List of responsibilities within information systems department · who is responsible for data release internally and externally? · who has administrative oversight for making sure information policies are actually implemented?
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From page 213...
... F1) What factors motivate and shape the development of confidentiality policies: state and federal legislation, law suits, unauthorized releases of medical information?
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From page 214...
... C1) Is institutional review board approval required for all such stud ies?
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From page 215...
... C1) Is there a variance between the policies for paper records and electronic records regarding security and access?
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From page 216...
... What components exist as part of the electronic medical record: problem list, medications, lab results, visit history, patient-provider relationships, bedside (clinical) measurements, full-text clinical notes, images, demographic information including emnlover financial insurance next of kin?
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From page 217...
... lb) To what extent does cost effectiveness affect decisions regarding security?
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From page 218...
... 3a) Is restriction of access to medical records preemptive, or is presumptive access granted with audit based review?
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From page 219...
... B4) Have they found ways to circumvent security measures that they don't believe provide real value?
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From page 220...
... D1) How will future development of information technology change the privacy and security picture?
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Key Terms

  • security measures
  • electronic medical
  • site visit
  • medical information
  • security threats

  • medical record
  • regarding security
  • access granted
  • patient record
  • clinical notes

  • receive additional
  • user perspectives
  • records kept
  • electronic patient
  • reporting mechanisms

  • handle requests
  • specific policies
  • primary identifier
  • medical purposes
  • effectiveness affect

  • confidentiality provisions
  • technology change
  • automatically maintain
  • regarding privacy
  • visit protocol

  • factors motivate
  • routinely shared
  • measures resulted
  • based review
  • existing security


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