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Regulatory adherence in a healthcare organization refers to the organization’s adherence to laws, regulations, and requirements that are important to the organization’s business processes.

by | Jun 5, 2022 | Humanities | 0 comments

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Discussion 5
Regulatory adherence in a healthcare organization refers to the organization’s adherence to laws, regulations, and requirements that are important to the organization’s business processes. Not adhering to these requirements leads to legal punishments. The major purpose of regulatory requirements in the healthcare industry is to improve patient care. One of the major regulatory requirements of any healthcare organization such as Cleveland clinic to ensure that they carefully handle patient information. Several laws have been put in place to ensure that organizations abide by this regulation, including the Healthcare Information Portability and Accountability Act (HIPAA) and the Health Information Technology for Economic and Clinical Health Act (HITECH) (Michiganstateuniversity, 2019). The second regulatory requirement for healthcare organizations is to ensure that any patient gets emergency services regardless of the type of insurance that they have. The Emergency Medical Treatment and Labor Act (EMTALA) was created to ensure that healthcare organizations abide by that.
All healthcare organizations deal with sensitive information. Thus, good data management is essential. This helps to ensure that there is an information security and privacy. One of the functions that help to ensure that there is data privacy and security is the implementation of the HIPAA framework. The HIPAA framework has a set of privacy and security rules that an organization needs to implement. The second function that would promote security and privacy in healthcare organizations is having a standardized electronic health record (EHR) (Michiganstateuniversity, 2019). This is promoted by the HITECH law. This law also controls how patient data is being shared to ensure that there is total confidentiality of the data. It also helps to ensure that in case a healthcare organization shares data with a third party for research, the data is fully de-identified.
References
Michiganstateuniversity. (2019, August 12). A Guide to Healthcare Compliance Regulations. Retrieved from michiganstateuniversityonline: https://www.michiganstateuniversityonline.com/reso…
Security in healthcare
COBIT is an IT governance framework and support tool that enables organizations to bridge the gap between control requirements, business risks, and technical issues. This framework helps develop policies and best practices for an organization’s IT management. It provides a permanent set of controls for information technology and is organized around a logical framework of IT-related processes and switches (“Top 7 healthcare cybersecurity frameworks,” 2021). Today, healthcare providers, such as hospitals and insurance companies, are joining other actors, including financial institutions, government and private companies, in adopting COBIT to become an integrator of IT best practices through harmonization with other standards. Healthcare industry is also adopting the National Institute of Standards and Technology (NIST) Cyber Security Framework (CSF) as an outstanding framework for organizations in the sector to regularly evaluate their current cyber security risk posture and remedy discovered issues to acceptable levels
Record Management
According to HIPAA regulations, CE and BA must keep medical records for at least six years from the date of creation or the last effective date, whichever is later. This regulatory standard applies only to specific documents, including: A written or electronic record that an organization marks as CE or BA. all documentation of security and privacy procedures demonstrating compliance with HIPAA, HIPAA assessment documentation required, Data usage agreements and other forms required to comply with HIPAA, signed licenses issued to patients authorizing CE or BA to publish PHI as documentation of efforts to obtain such licenses, Notice of Privacy Policy, Medical and Billing Records for Patients, Documentation of Officials for HIPAA compliance and all individuals in the organization responsible for compliance (“Top 7 healthcare cybersecurity frameworks,” 2021).
Privacy
The Health Information Technology for Economic and Clinical Health Act (HITECH) promotes standardized electronic health records (EHR). The Patient Protection and Affordable Care Act,” and it’s the “Patient Protection” portion of the act that has arguably had the biggest impact on healthcare compliance (“guide to healthcare compliance regulations,” 2019). The law requires healthcare providers implement a compliance and ethics program as a condition for reimbursement for patients enrolled in federally funded healthcare programs
References
A guide to healthcare compliance regulations. (2019, August 12). Michigan State University. https://www.michiganstateuniversityonline.com/reso…
Top 7 healthcare cybersecurity frameworks. (2021, April 27). Ignyte Assurance Platform. https://www.ignyteplatform.com/top-7-healthcare-cy…

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