Question

Healthcare computerized systems can provide administrative functions in the areas of scheduling, admissions, billing, accounting, and human resource management. These systems are used to support the management functions and general operations of the health care organization. Central to the implementation of any administrative computerized system is the readiness of the healthcare organization to address training requirements to ensure patient confidentiality as required by the HIPAA privacy and security standards. In this assignment you will create an action plan to implement training to ensure compliance with these HIPAA standards. Your training action plan will be specific to one of the administrative healthcare systems noted below.

Choose one of the administrative healthcare systems below and research the basic functions and purposes of the system.

Answer 1

The ACA regulations, including a cap on administrative costs and the adoption of EMRs, aim to reduce healthcare costs, while HIPAA requires rigorous standards for patient privacy protection. Training plans are essential for administrative healthcare systems to ensure compliance with these standards. Such plans must encompass legal considerations to maintain the integrity and confidentiality of patient information.

Step-by-step explanation:

The Affordable Care Act (ACA) introduced various regulations aimed at curbing the rise of healthcare costs. A critical component of these regulations included a cap on administrative costs, as well as the requirement for healthcare providers to adopt electronic medical records (EMRs), which are anticipated to lower administrative expenses considerably.

HIPAA regulations necessitate that healthcare organizations maintain high standards for patient data privacy and security. When implementing administrative healthcare systems such as scheduling, billing, and human resource management, there is a need for extensive training plans to ensure personnel are informed about these standards to avoid breaches of confidential patient information.

Therefore, when creating an action plan to implement these systems, considerations around legal mandates such as patient privacy, confidentiality, and HIPAA compliance are paramount. This incorporates developing policies that harmonize the advancement of healthcare quality and efficiency with the safeguarding of patient information.