The document discusses confidentiality and privacy of personal health information. It outlines legislation like PHIPA and QCIPA that govern how personal health information is collected, used and disclosed. The document uses a case study of a nurse disclosing patient information over the phone to analyze if it was appropriate. It determined the disclosure was professional misconduct according to practice standards. The document also provides strategies for nurses to meet practice standards regarding privacy and confidentiality in different practice settings.
The theme for World No Tobacco Day for 2023 is “We Need Food Not Tobacco”. The Cancer Association of South Africa (CANSA) wholeheartedly supports the World Health Organisation (WHO) campaign to create awareness around the negative consequences of tobacco farming and use of tobacco.
What are the cardiovascular disorders?
Public Health importance
Burden of disease
Risk factors of cardiovascular disorders
Causation
Prevention strategies
Global Action Plan for the Prevention and Control of NCDs
India - National programme (NPCDCS)
This Information Brief was developed by WHO's Department of Child and Adolescent Health and Development to support staff of the Organization and other UN agencies working at global, regional and national levels in promoting the uptake of effective interventions to improve the sexual and reproductive health of adolescents through schools in low-income countries. The premise of the Brief is that school-based sexual and reproductive health education is one of the most important and widespread ways to help adolescents to recognize and avert risks and improve their reproductive health. This evidence-based information brief establishes ways in which the health sector can help the education sector provide appropriate information to adolescents about when and why they need to use health services and where these may be available.
ANTI-SMOKING-HEALTH-EDUCATION-CAMPAIGN.pptx This slide talks about Anti Smoking health Education Campaign . Common Risk Factors of Smoking and its Long Term Effects. In this slide you will also know what is smoking, what is tobacco smoking, the chemicals in the cigarettes, Most dangerous compound found in a cigarette, Kind of tobacco smoke.
What is second hand smoke?
What is Third hand smoke?
What is Mainstream smoke?
What is nicotine and its effect?
What's the difference between healthy lungs and smoking lungs?
The theme for World No Tobacco Day for 2023 is “We Need Food Not Tobacco”. The Cancer Association of South Africa (CANSA) wholeheartedly supports the World Health Organisation (WHO) campaign to create awareness around the negative consequences of tobacco farming and use of tobacco.
What are the cardiovascular disorders?
Public Health importance
Burden of disease
Risk factors of cardiovascular disorders
Causation
Prevention strategies
Global Action Plan for the Prevention and Control of NCDs
India - National programme (NPCDCS)
This Information Brief was developed by WHO's Department of Child and Adolescent Health and Development to support staff of the Organization and other UN agencies working at global, regional and national levels in promoting the uptake of effective interventions to improve the sexual and reproductive health of adolescents through schools in low-income countries. The premise of the Brief is that school-based sexual and reproductive health education is one of the most important and widespread ways to help adolescents to recognize and avert risks and improve their reproductive health. This evidence-based information brief establishes ways in which the health sector can help the education sector provide appropriate information to adolescents about when and why they need to use health services and where these may be available.
ANTI-SMOKING-HEALTH-EDUCATION-CAMPAIGN.pptx This slide talks about Anti Smoking health Education Campaign . Common Risk Factors of Smoking and its Long Term Effects. In this slide you will also know what is smoking, what is tobacco smoking, the chemicals in the cigarettes, Most dangerous compound found in a cigarette, Kind of tobacco smoke.
What is second hand smoke?
What is Third hand smoke?
What is Mainstream smoke?
What is nicotine and its effect?
What's the difference between healthy lungs and smoking lungs?
Real-World Data and Real-World Evidence Webinar
Panelists
Tara Cowling, Medlior
Laurie Lambert, CADTH
Craig Campbell, London Health Sciences
Sandra Anderson, Innomar Strategies
Brad Alyward, Canadian Organization for Rare Disorders
Durhane Wong-Rieger, Canadian Organization for Rare Disorders
What Is Population Health And How Does It Compare to Public HealthHealth Catalyst
Master data management is key for healthcare organizations looks to integrate different systems. The two types of master data are identity data and reference data. Master data management is the process of linking identity data and reference data. MDM is important for mergers and acquisitions and health information exchanges. The three approaches for MDM are: IT system consolidation, Upstream MDM implementation, and Downstream master data reconciliation in an enterprise data warehouse.
Power point presentation based on 2014 capstone project for lpn scope of practice, ethics, regarding/relating to scope of practice, wound care, tracheostomy's, and drains.
The goal of Integrating HIV Innovative Practices (IHIP) is to enable health care providers to implement proven innovations within their own practices and clinics. This Webinar is the first in a three part series featuring grantees of the Health Resources and Services Administration’s Special Projects of National Significance (SPNS) Enhancing Linkages to HIV Care & Services in Jail Settings Initiative (Jail Linkages Initiative), as they share lessons learned and advice for others hoping to create or expand similar programs.
Explore how to secure buy-in and foster partnerships within correctional settings, as well as how to navigate the “culture of corrections.” Hannah Zellman of Philadelphia FIGHT, a SPNS Jail Linkages grantee, will present alongside Dr. Linda Rose Frank and Debra D’Alessandro of the PA/MidAtlantic AIDS Education and Training Center about the work their organizations have done individually and collaboratively in the corrections setting.
Real-World Data and Real-World Evidence Webinar
Panelists
Tara Cowling, Medlior
Laurie Lambert, CADTH
Craig Campbell, London Health Sciences
Sandra Anderson, Innomar Strategies
Brad Alyward, Canadian Organization for Rare Disorders
Durhane Wong-Rieger, Canadian Organization for Rare Disorders
What Is Population Health And How Does It Compare to Public HealthHealth Catalyst
Master data management is key for healthcare organizations looks to integrate different systems. The two types of master data are identity data and reference data. Master data management is the process of linking identity data and reference data. MDM is important for mergers and acquisitions and health information exchanges. The three approaches for MDM are: IT system consolidation, Upstream MDM implementation, and Downstream master data reconciliation in an enterprise data warehouse.
Power point presentation based on 2014 capstone project for lpn scope of practice, ethics, regarding/relating to scope of practice, wound care, tracheostomy's, and drains.
The goal of Integrating HIV Innovative Practices (IHIP) is to enable health care providers to implement proven innovations within their own practices and clinics. This Webinar is the first in a three part series featuring grantees of the Health Resources and Services Administration’s Special Projects of National Significance (SPNS) Enhancing Linkages to HIV Care & Services in Jail Settings Initiative (Jail Linkages Initiative), as they share lessons learned and advice for others hoping to create or expand similar programs.
Explore how to secure buy-in and foster partnerships within correctional settings, as well as how to navigate the “culture of corrections.” Hannah Zellman of Philadelphia FIGHT, a SPNS Jail Linkages grantee, will present alongside Dr. Linda Rose Frank and Debra D’Alessandro of the PA/MidAtlantic AIDS Education and Training Center about the work their organizations have done individually and collaboratively in the corrections setting.
Health Care Reform (The Affordable Care Act) .docxisaachwrensch
Health Care Reform (The Affordable Care Act)
“
ANA believes that health care is a basic human right (ANA, 1989, ANA, 1998, ANA 2005). Thus, ANA reaffirms its support for a restructured health care system that assures universal access to a standard package of essential health care services for all citizens and residents.”
“ANA believes that the development and implementation of health policies that reflect the six Institute of Medicine (IOM) aims (Safe/Effective/Patient-centered/Timely/Efficient/Equitable) and are based on outcomes research will ultimately save money.”
“The system must be reshaped and redirected away from the overuse of expensive, technology-driven, acute, hospital-based services in the model we now have, to one in which a balance is struck between high-tech treatment and community-based and preventive services, with emphasis on the latter. The solution is to invert the pyramid and focus more on primary care, thus ultimately requiring less costly secondary and tertiary care.”
Activity:
Please read the attached Health Policy Brief on Basic Health Program and “Nursing’s Role in healthcare reform” from American Nurse Today.
Please go to
www.rnaction.org
, go to the Take Action tab above to access the following information regarding health care reform and the new Affordable Care Act. Scroll down the page to the heading Resources and Supreme Court Challenge to learn more about the health care reform and how it affects you as a nurse and as an individual with a family. Check out all the different information.
HealthCare.gov
Keeping health care reform healthy, patients informed
New Animation Explains Changes Coming for Americans Under Obamacare
(7/13)
Health Care Transformation: The Affordable Care Act and How it Affects Nurses
(3/12)
Health Care Reform Legislation Timeline
ANA Policy and Provisions of Health Reform Law
National Conference of State Legislatures Health Reform Site
Kaiser Family Foundation Health Reform Page
The Supreme Court Decision Matters for Registered Nurses, their Families, and their Patients
ANA Analysis: Supreme Court Arguments on the ACA
ANA to Supreme Court: ‘Individual Mandate’ Needed to Make Health Reform Work
Then proceed to the Kaiser Foundation to watch the following:
http://kff.org
““Health Care Reform Hits Main Street on the Kaiser Foundation website or Youtube. (2010)
“New Animation Explains Changes Coming to Americans under Obamacare” (2013) Youtube or Kaiser Foundation
“
Health insurance Explained: YouToons Have it Covered”
(
2014) Youtube or Kaiser Foundation
If you would like more information regarding the ACA, the Kaiser Foundation is a great source and cover many issues.
http://kff.org
Link:
http://kff.org/health-reform/press-release/new-animation-explains-changes-coming-for-americans-under-obamacar.
You have been working on this project for weeks, and now it is twalthamcoretta
You have been working on this project for weeks, and now it is time to submit your final version. This should be a complete, polished artifact that contains all of the required critical elements and incorporates the feedback you received from your instructor on Milestones One and Two. This is your opportunity to shine!
To complete this assignment, review the
Final Project I Guidelines and Rubric
document.
Note:
This activity is one of many that will contribute to the completion of the final projects. See the
Final Project Assignment Table
for more information.
Healthcare professionals must have a strong working knowledge of ethics and law to be competent and successful. A qualified professional knows how to provide safe, quality healthcare to a population of culturally diverse consumers. To address the needs of all patients, you can apply models such as shared decision making, where patients are encouraged to share their preferences and needs. The application of this model requires that healthcare professionals know how to apply ethical theories such as patient autonomy, beneficence, nonmaleficence, justice, and fidelity when caring for patients. On a daily basis, healthcare professionals face ethical dilemmas involving patients and colleagues. Understanding how to effectively apply the code of ethics in your field, and various other codes of professional conduct, is an important skill required of all healthcare professionals. By applying ethical decision making, you positively impact the delivery of safe, quality healthcare. Under certain circumstances, healthcare professionals can be sued by patients for malpractice; it is more common for physicians to be sued when patients are injured or die as a result of their medical care. Healthcare professionals need a clear understanding of the elements of medical malpractice (standard of care, breach, causation, and damages) and how they are applied by a judge in a court of law. Healthcare professionals play a critical role due to the nature of their relationship with both patients and physicians. To remain competent and grow in the field, healthcare professionals are expected to understand how their professional responsibility includes a wide-ranging accountability to self, their profession, their patients, and the public. Your final case study for this course will require you to analyze a court decision in which a physician was found liable for medical malpractice. You will focus on facts pertaining to the medical standard of care, breach of care, and causation, and explain how they were applied to law. You will then use the facts of the case to identify an ethics issue and determine an ethical theory that would help provide a safe, quality healthcare experience for the patient. Next, you will apply a clinician–patient shared decision-making model to describe how the ethics issue could be resolved. You will also include a discussion about possible violations of the code of ethics in you ...
2. Agenda
Confidentiality and Privacy: Personal Health Information Slide No.
Objective 3
Introduction to Vignette 5
Legalisation 7
Personal Health Information 10
Client Perspectives 12
Professional Misconduct 14
Quality Practice Settings 16
Case Study 18
Final Thoughts 21
References 22
3. Objective
Demonstrate how Practice Standards based on legislation
guide our responses and decisions
To have a clear understanding of the client’s rights and a
nurses responsibility to maintain confidentiality and privacy
of health information
Apply this knowledge to future practice in a
variety of practice settings
Unlimited Learning Resources. HIPPA logo. [Photograph]. Retrieved from http://tinyurl.com/qhgcr9u
4. Introduction
Vignette 1: Reproduction Care Scenario Vignette
There is so much happiness that people want to share in the Family
Birthing Unit. I am finding it really challenging about who I can share
information with. We focus on family centered care, so it seems
reasonable that we communicate with family. Sometimes it is hard to
figure out who the family is. I just took a phone call from a woman who
said she is the mother-in-law of Valerie Hill, one of our new admissions.
When I told her she was doing well after her caesarean section, she asked
me why that had happened – she was supposed to have a natural birth.
She got very worried about Valeria and the baby and why the midwife
hadn’t been able to deliver her and was asking all sorts of questions. I
wanted to make her feel better so I gave her a few details to calm her
down. Now I am not so sure that was the right thing to do.
5. QUESTION:QUESTION:
WHAT CAN I SAY AND TO WHOM??WHAT CAN I SAY AND TO WHOM??
123RF. Thinking nurse. [Photograph]. Retrieved from http://tinyurl.com/q7j9nwl
6. What suggestions would you give?
What suggestions would you give to the nurse in
this vignette on what things she can say and to
whom?
Think back to the required readings/video and
how you would apply this to our vignette.
7. According to theAccording to the
College of Nurses of Ontario:College of Nurses of Ontario:
“Nurses have ethical and legal responsibilities to maintain the privacy
and confidentiality of clients' personal health information obtained
while providing care. Personal health information is any identifying
information about clients, in verbal, written or electronic form. This
includes information collected by nurses during the course of
therapeutic nurse-client relationships. The Personal Health Information
Protection Act, 2004 sets consistent rules for the management of
personal health information and outlines clients' rights regarding their
personal health information” (College of Nurses of Ontario, 2009).
College of Nurses of Ontario. (n.d.) CNO logo. [Logo]. Retrieved from
http://www.sources.com/Listings/Subscribers/L440.htm
8. PHIPA:PHIPA: Personal Health InformationPersonal Health Information
Protection Act, 2004Protection Act, 2004
Governs health care information privacy in Ontario for the collection, use
and disclosure of personal health information within the health sector
This means the client has the right to control how his/her personal health
information is collected, used and disclosed
PHIPA sets consistent rules for how to keep this information confidential and
secure, while allowing for the effective delivery of health care
(Information and Privacy Commissioner of Ontario, n.d.)
9. QCIPA:
Quality of Care Information Protection Act, 2004Quality of Care Information Protection Act, 2004
Applies to hospitals, independent health facilities, long-term care homes,
licensed medical laboratories and specimen collection centres
Encourages health professionals in these settings to share information and
hold open discussions to improve patient care, without fear that the
information will be used against them
Examples where QCIPA provides protection to Nurses:
The College’s Quality Assurance Program
Safety Occurrence Reporting (SORs)
(College of Nurses of Ontario, 2009;
Ontario Ministry of Health and Long-Term Care, n.d.)
10. What is Personal Information?
Clients do not have to be named for information to be considered personal
health information.
Information that could serve as a Patient Identifier:
Physical or mental health, including family health history
Care previously provided (including persons who provided care)
A plan of service (Use of Home Care, Long-Term Care Facility)
Donation of body parts or substances (e.g., blood)
A person’s health card number
The name of a client’s substitute decision-maker
(College of Nurses of Ontario, 2009)
11. Disclosure defined as …
“Making information available or releasing it to another custodian or person”
“Express consent is needed when personal health information is disclosed
outside of the health care team or is not used to provide health care”
(College of Nurses of Ontario, 2009)
However, PHIPA allows the disclosure of personal health information without
consent, for the following reasons:
• to manage risk • to support quality of care programs
• to allocate resources • to obtain payment
• to do research, if a research plan has been approved by a research
ethics board
13. Yes or No?
So let’s reassess:
From what we’ve learned so far, do you think
it was right or wrong for the nurse to disclose
personal health information to an unknown
family member over the telephone?
Think about the Practice Standard,
required readings, and the required
video you watched.
NUR56100. Bedside nurse. [Clip Art]. Retrieved from http://tinyurl.com/p7qh8h5
14. The College of Nurses considers this act to be …
Professional misconduct.
According to the Practice Standard: Confidentiality and Privacy – Personal
Health Information,
“giving information about a
client to a person other than the client or his or her
authorized representative, except with the consent of
the client or his or her representative, or as required
or allowed by law”
(College of Nurses of Ontario, 2009).
15. Professional Misconduct: Now What?
Agency Specific, but here are some first STEPS:
Contact your Union Rep – they can help guide you
through the process
Manager/Educator
Client – find out the disclosure process with your Agency
before performing this step
Centre for Professional Practice
Learning Plan
Educate your fellow colleagues with new learning
(Make a negative experience into a positive!)
16. Quality Practice Settings
The College of Nurses of Ontario ENCOURAGESENCOURAGES
employers and nurses to use strategies to develop
and maintain a quality practice setting
Employers should promote a learning environment to
try and establish a process that may aide in helping
staff members deal with issues and/or conflicts that
may arise in the workplace relating to privacy and
confidentiality of personal health information
National Alliance for Partnerships in Equality. Male nurse. [Photograph]. Retrieved from
http://tinyurl.com/nfbg4s8
17. Meeting the Standard
Some steps nurses can do to meet the standard:
Before the disclosure of client’s personal information outside the health
team to people such as family members or friends, obtain the client’s
expressed consent
Inform clients that at any point, they may withhold or withdraw their
expressed consent to disclose their name, location in the facility and general
health status
Inform clients that at any point, they may withhold or withdraw their
expressed consent to disclose their name to a person representing his/her
religious organization
If client is incapable of providing informed and knowledgeable consent,
seek consent from the substitute decision maker
(College of Nurses of Ontario, 2009)
18. Discussion
Can you think of other examples where this practice guideline
applies/is transferable?
Case Study – Transfer your new knowledge to a different setting
Darkcoin Foundation. Keyboard. [Photograph]. Retrieved from http://tinyurl.com/ngqrrb7Hommersen, R. Fake facebook. [Image screenshot].
19.
20. Social Media: Think before you post
Build your brand
Transparency
Honesty
Respectfulness
Add value
Nurses are perceived as trustworthy and our profession as honorable.
Nurses/nursing students shall conduct themselves in a manner that not only
maintains this perception, but also builds upon it.
Be diligent
Stay engaged
Protect your privacy
When in doubt, don’t post
Get off the Internet
(Registered Nurses’ Association of Ontario,
21. Time to wrap things up …
Any final thoughts?
Keith-Harris.com. Questioning man. [Clip Art]. Retrieved from http://tinyurl.com/qagd4oc
22. References
College of Nurses of Ontario. (2014). Professional conduct.
Professional misconduct. Retrieved from
http://www.cno.org/Global/docs/ih/42007_misconduct.pdf
College of Nurses of Ontario. (2013). Social media: Reflect before you post.
Retrieved from http://www.cno.org/learn-about-standards-
guidelines/educational-tools/webcasts/social-media-reflect-before-you-
post/
College of Nurses of Ontario. (2009). Confidentiality and privacy:
Personal health information. Retrieved from
http://www.cno.org/Global/docs/prac/41069_privacy.pdf
23. References
Information and Privacy Commissioner of Ontario. (n.d.). PHIPA:
Personal health information protection act, 2004. Retrieved from
https://www.ipc.on.ca/english/phipa/
National Council of State Boards of Nursing. (2011). A Nurse’s guide to
the use of social media. Retrieved from
https://www.ncsbn.org/NCSBN_SocialMedia.pdf
Ontario Ministry of Health and Long-Term Care. (n.d.). Legislation: Quality of
care information protection act, 2004. Retrieved from
http://www.health.gov.on.ca/en/common/legislation/qcipa/
Build your brand – Are you speaking as yourself, with or without your ‘nursing hat’ on? Tone and context can often be misinterpreted. Building your voice or online persona will help to minimize confusion when it comes to the tone of your comments.
Transparency – Identify yourself, write in the first person, and don’t be afraid to show your personality. Own your voice. Social media is all about continuous dialogue. Be smart, post smarter.
Honesty – Do not make false or misleading comments/statements. If you make a mistake, take responsibility for it. It’s ok! It’s better to own it and clarify than to deny or ignore and open yourself to further criticism.
Respectfulness – Exercise discretion and confidentiality when referring to others, including coworkers, patients and clients. Do not post identifiable information and/or content unless you have permission to do so. Avoid harassment, intimidation, abuse or threats (both when posting and responding to posts). Not all conversations are worth participating in. Anything you post online becomes public information and may remain online indefinitely, even if you attempt to modify or delete your post. Avoid fights and personal attacks.
Add value – Stick to what you know. Post meaningful comments, and aim for quality. Interested in gaining new knowledge? Ask! Someone will likely post back to you!
Be diligent – Check your sources. Separate opinions from facts. Know the difference between offering suggestions and offering health-related advice. Offering advice could lead to liability.
Stay engaged – Stay informed, post regularly, and respond to comments in a timely manner.
Protect your privacy – Never disclose your personal information. Once it’s posted, it’s there for good. Keep your personal information personal. Get to know your privacy settings.
When in doubt, don’t post – Many social applications have timers built in. If you’re unsure about posting something, ask yourself ‘is this something that MUST be posted right now?’ ‘Am I posting out of emotion?’ If you are afraid of losing your thought, type it out and put it on a delayed post. Come back to it later. Social media is very fleeting. By the time you decide it wasn’t worth posting, the topic might be irrelevant on social media.
Get off the Internet - Be aware of the amount of time you spend on social media. Don’t let it negatively affect your life. There’s nothing wrong with unplugging.