Introduction
The identified condition is HIV/AIDS. The chronic condition requires healthcare providers to initiate and maintain patient-centered and evidence-based care to optimize clinical experiences. Handling patients with HIV/AIDS means integrating services in a way that increases the flow of information across teams. For instance, there are interactions between the pharmacists, physicians, case managers, and others responsible for ensuring consistent adherence to treatment. Breach of confidentiality or privacy undermine the quality, cost, and safety of patient care. Exposing sensitive details such as diagnosis, disease progression, and patient’s demographic details increases the risk of stigma, prejudice, and declining physician-patient trust. Data breaches triggers negative health-seeking behavior and discontinuation of therapies, which contract requirement for healthcare providers to serve patients’ interests.
The patient population include men and women admitted at the facility with HIV and related complications. The demographic details include patients above 55 years and require interprofessional attention to improve symptoms. The information system that best provided the needed information is Electronic Health Record (EHR). The system support organization shift from paper patient records, which means that the care team collects and stores patient health information, HIV test results, physician visits, and treatment electronically. The specific documentation sought are details of physician and specialist visits. However, it is also vital to review information for admission and treatments for a broader understanding of the patient’s status and patient-centered interventions necessary to optimize care outcomes. Similarly, reviewing patients treated between 2020 and 2022 and those aged above 55 enhances the likelihood of making informed conclusions in adherence to data security measures.
The type of documentation for review include progress notes, lab results, and treatments. Others are patient medical histories, discharge summaries, hospital admissions, medication reviews, and contact tracing. On the source of the information needed, computerized physician order entry (CPOE) is the ideal option. The system allow physicians to enter and share treatment details such as HIV medications, lab results, and radiology orders through electronic means (Abouelmehdi et al., 2018). Efficiency in sending information and a collaborative model involving the pharmacy, laboratory, and radiology departments make the system relevant for monitoring security of information flow within the facility. The type of system used is clinical since the primary focus is on preventing disclosure of sensitive details about patients’ HIV diagnosis, treatment, and progress. The system also networks with others such as pharmacy and radiology for collaborative commitment to addressing patients’ needs.
The information collection process will involve physicians, nurses, pharmacists, and others recording patient’s details in the facility’s EHR. The identified members of the care team are responsible for documenting the details across the continuum. For storage, the various details will be in the electronic health records. From the beginning of patient contact, all information must be coded and put underneath a pseudonym, the matching of which is under heavy security and available only to certain office members under heavy security who have been trained in security and sworn to privacy practices with any breaches punishable by termination or by law.
Controlling access to the information is another priority for the care team. In this case, all information that goes through a doctor’s office must be reviewed, including hospital stays, test results, treatment, and progress reports. All information must be kept under the patient pseudonym. Any documentation that contains the patient’s real name must be kept under lock and key, with only one or two staffers having access to that information with keys (Abouelmehdi et al., 2018). Patient information should be protected under numerous passwords that are changed often and available only to those specific office members who have been trained and sworn to privacy.
To ensure the documentation meets interoperability standards, it is crucial to ensure that systems exchange information efficiently and securely. One consideration for meeting interoperability standards is ensuring that information exchanged is accessible by only authorized users (Sorbie, 2020). Similarly, meting interoperability standards will require automation of patient admission, discharge details, and other relevant details