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“Privacy and Health Information Technology”

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A Literature Review
“Privacy and Health Information Technology”
Deborah Jones
Dr. Udoh Udom
Health Information Systems HAS 520
12/06/10

Introduction

The increased use of health information technology (Health IT) is a common element of privacy of medical information. Proponents hope that the increased use of health IT will improve health outcomes for individual patients by facilitating the delivery of evidence-based care and reducing medical errors. Additionally, proponents hope that increasing information sharing among providers will better coordinate care within and across health care settings. Health IT facilitates the creation of a comprehensive health record that can move with an individual over his or her lifetime, in contrast to the fragmented records that exist today. Further, health IT is promoted as a critical tool for improving population health by allowing for the more efficient gathering of data regarding the effectiveness of certain treatments. Finally, health IT is also expected to help decrease health costs by reducing the duplication of services and the delivery of unnecessary or inappropriate care. This paper examines some of the “gaps” in privacy protections that arise out of the current federal health privacy standard, the Health Insurance Portability and Accountability (HIPAA) Privacy Rule, the main federal law which governs the use and disclosure of health information. Additionally, it puts forth a range of possible solutions, accompanied by arguments for and against each. The solutions provide some options for strengthening the current legal framework of privacy protections in order to build public trust in health IT and facilitate its use for health reform. The American Recovery and Reinvestment Act (ARRA) enacted in February 2009 include a number of changes to HIPAA and its regulations, and those changes are clearly noted among

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