Discussion Board Topic -EHR Audit Trails: Review Case Studies 2.3 and 2.6 in your Case Study Textbook.
Then answer the following questions for each case study:
Case Study 2.3
What other relevant elements will you ask IT to include in the audit trail?

Case Study 2.6

Based on the audit trail, formulate an opinion on whether or not each of these employees may have violated the privacy policy. Support your decision.

Propose the next steps to take if there was a concern that one or more the employees violated the privacy policy.

Discussion Board Guidelines:

Post an answer to the question in the topic to the discussion board. Your original post must be at least 250 words and two cited sources textbook can be one

Textbook:

Foltz, D. & Lankisch, K. (2018). Exploring electronic health records, 2nd edition.

Potential privacy violation

Chapter 2 69

The mayor of your town was seen in your emergency department and subsequently ‘fled with injuries that included an orbital floor blow-out fracture and multiple bruises until arge on the 26th.

Past rumors have hinted that the mayor is in an abusive relationship and “‘peculation is rampant that these injuries are a result of abuse. Since the incident, local newspa-pers have printed health information that should not be available to them. To address a potential pivacy breach, the IT department ran an audit trail to see who had accessed the patient’s records. Fie employees in the HIM department accessed the record, and you are tasked with determining if any of them violated the privacy policy.

At this facility, records are still hybrid. The employees are: N. Northwest, coder L Easton, coder S. Southward, transcriptionist E. Downey, file clerk W. Upton, file clerk
Following is the audit trail you were given from IT.

Audit Trail for MR#655966
User Date

N. Northwest 11/28/2019 S. Southward 11/27/2019 L. Easton 11/26/2019 E. Downey 11/24/2019 W. Upton 11/29/2019

What other relevant elements will you ask IT to include in the audit trail?

Resources

Rinehart-Thompson, L. A. 2018. HIPAA Security Rule Concepts. Chapter 4 in Introduction to Health Information Privacy and Security, 2nd ed. Chicago: AHIMA.

Walsh, T. and W. M. Miaoulis, 2014. Practice Brief: Privacy and security audits of electronic health information. Journal of AHIMA 85(3): 54-59.

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