Informatics systems have implications for professional, regulatory and ethical standards. That is because they make use of protected health information as inputs. To be more precise, there is an inherent expectation for patient information to be protected. However, informatics systems rely on this information thereby presenting concerns that can be potentially preempted through implementing the standards that act as guides to ensure that information security and confidentiality expectations are not violated. These standards have an overlap with the health care practice standards that are already in use in managing all health care information. In fact, regardless of context, there is an expectation of information integrity, non-maleficence, beneficence, justice, equality, confidentiality, and autonomy. In addition, these standards include an expectation of accountability, legitimate infringement, least intrusive alternative, openness, access, security and privacy for all informatics activities (Davis & LaCour, 2014). In addition, the regulatory standards must be observed, particularly the legislation intention to protect patient information. That is because they have legal implications with possibility of judicial intervention and penalties for violations. Examples of the relevant regulatory regulations include the 21st Century Cures Act of 2016, Medicare Access & CHIP (Children’s Health Insurance Program) Reauthorization Act of 2015, Food and Drug Administration Safety and Innovation Act (FDASIA) of 2012, Affordable Care Act of 2010, Health Insurance Portability and Accountability Act (HIPAA) of 1996, Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009, and Privacy Act of 1974. Benchmark – Electronic Health Record Implementation Paper. In addition, there is a need to observe the regulations presented by the institutional review boards (IRB), Medicare laws, and patient records confidentiality rules (Hoffman 2017).
The EHR team must ensure that all order sets are part of the new record. These occurs by undertaking deliberate steps. Firstly, the new record must be compatible with the old record. If not compatible, then the old record should be reviewed and integrated into the new record so that all the available information is assimilated into one information database. Secondly, the new record should be implemented in a progressive manner so that users familiarize themselves with its use even as data is transferred from the old record into the new record. This step ensures that the new record performs as intended even as kinks are eliminated with continued use (Davis & LaCour, 2014) Benchmark – Electronic Health Record Implementation Paper.
Communicating the changes ensures that all stakeholders are aware of what is taking place, and are well prepared for the change. Successful, efficient and effective can only be achieved through the inclusion of three features. Firstly, ensuring that all the stakeholders are primed to have a shared vision of what the change seeks to address. They must recognize that change is necessary to address an existing problem Benchmark – Electronic Health Record Implementation Paper. Secondly, appointing or assigning effective leadership that has a good understanding of the change and can explain its intentions. This ensures that knowledgeable persons are assigned to lobby for the change and convince other stakeholders to support the change. Thirdly, disturbing the status-quo so that the stakeholders are dissatisfied with the state of affairs and look to the change as a way of achieving a new acceptable status quo (McGonigle & Mastrian, 2018).
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