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8 PAGES
ESSAY 1
TOPIC: – Privacy Considerations in Healthcare
Post are comprised of three elements:
1. Your own original post (OP), responding to the topic as described
1.
450-500 words
2. Your OP should be written in
APA format (see the “APA Style Guide” under the
INFORMATION tab).
3.
Sources must be cited.
PLAGIARISM WILL NOT BE TOLERATED.
4. Write in a professional way. Do not employ text shorthand, emojis, or the like.
ESSAY 2
TOPICS:- PICK
ONE
Physician assisted suicide
Direct to consumer drug advertising
Use of patient restraints
Organ donation issues
Personal relationships with patients
Surrogate parenting
Reporting of observed negligence
Defining clinical death
Conflicts between medical practice and religious practices
Ethical concerns arising out of the current medical malpractice legal system Ethical conflicts in mental health settings
Use this format:
Font: Times New Roman 12 pt.
Title page (name, title of paper, date submitted) No abstract
Content pages –
6 pages, double spaced. Reference page – minimum 5 references
Use
APA style to cite resources and references. There is an
APA guide under INFORMATION.
Here is a suggested structure for your papers:
1. Briefly introduce the topic and the ethical question or conflict involved.
2. State the arguments adopted by those who argue for.
3. State the arguments adopted by those who argue against.
4. State your position and develop the reasoning that supports it.
If you feel a different approach is better, you are free to adopt it, as long as you are exploring the aspects I’ve suggested.
The most common error I see students make in their papers is failing to include adequate citation of resources in APA style.
·
For example, quoting from your research, you may write “Most students don’t pay enough attention to rubrics when doing course assignments, and lose points as a result.” (Crocker, 2020)
· “(Crocker, 2020)” should be an “in text” citation within the body of your writing. The full citation for “Crocker, 2020” must appear on the reference page.
Keep these things in mind:
· WHY, WHY, WHY- when stating YOUR position, “I am in agreement with Crocker’s
statement” isn’t adequate. WHY are you in agreement? On what principle or experience
or reasoning can you defend your position?
· WHO SAYS? – whenever you make an affirmative statement without a foundation, I’m
going to ask you “who says?” If it’s a third person (someone else), it should be cited. If it’s first person (you), there should be argument that supports it.
I don’t believe we need to debate the general principle that an individual’s health related information should be protected from unauthorized disclosure. So this week, we’re not debating the ethics question “should there be a right to privacy of healthcare information?”, we will assume there should be.
Since most of us will be working in healthcare, we need to recognize that such a right to privacy for our patients places ethical, as well as legal, requirements on us. So first, let’s take a look at how the federal government, through the Health and Human Services Department (HHS), protects patient privacy by administering a law called the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
Visit HHS at
https://www.hhs.gov/hipaa/for-individuals/guidance-materials-for-consumers/index.html
. Click on the video. That will start a series of short videos that will follow automatically, lasting about 20 minutes in total. This will provide a good overview of HIPAA.
Read the article “Boston Hospitals Fined”.
When HIPAA was enacted in 1996, we didn’t know very much about mapping an individual’s genetic code and using it to identify genetically determined health risks. Now, because of the success of the Human Genome Project and the research that it has made possible, we can predict many risk factors and the future will make many others predictable as well. HIPAA didn’t address the privacy of genome profiles per se.
And here we have an ethical discussion to explore. Research the web and learn about the Human Genome Project.
Here are some questions for you to address in this essay’s:
If an individual’s genome indicates a high risk of developing a significant disorder, like heart disease or diabetes mellitus…
…should that information be available to the government, potential employers, insurance companies or others so those entities can take it into account in hiring or premium rating decisions?
…should there be a HIPAA-like law for genomic information?
…can you think of a situation where it would be ethical to disclose health information (genetic or arising from a clinical relationship) without the patient’s consent?
ABC News documentary leads to HIPAA violation fines against Boston hospitals
Violations stem from ABC series ‘Save My Life: Boston Trauma’
Sean Philip Cotter
Friday, September 21, 2018
Three prestigious Boston hospitals are being fined nearly $1 million after the feds slapped them with HIPAA violations regarding the documentary series “Save My Life: Boston Trauma” — even as the hospitals maintain they did nothing wrong.
Massachusetts General Hospital, Brigham and Women’s Hospital and Boston Medical Center all reached settlements announced yesterday with the U.S. Department of Health & Human Services. MGH paid the most at $515,000, followed by Brigham at $384,000 and BMC at $100,000.
The feds say the hospitals handed over patients’ protected medical information to ABC without first getting permission from patients during filming of the series in late 2014 and early 2015.
“That’s a major amount. It is unusually high,” Boston health care lawyer Timothy Cornell, who was not involved in the cases, told the Herald yesterday of the settlements. “This shows the degree to which the patient’s identity was exposed.”
The agreements did not require the hospitals to admit liability — and they are maintaining their innocence.
A BMC spokesman told the Herald, “Boston Medical Center obtained proper consent from all patients involved in this filming project in full compliance with HIPAA.”
MGH and Brigham, which together comprise Partners Healthcare, said in a joint statement, “Neither BWH nor MGH received complaints from patients or their families regarding ABC News’ presence at the hospitals,” a Partners spokesman said. “In fact, some patients and families expressed gratitude about being given an opportunity to share their stories and experiences in a way that could help others across the nation.”
“In 2014, MGH and BWH agreed to participate in the ABC News documentary to provide viewers a window into the expert care that academic medical centers deliver every day — the kind of care that had been the focus of national attention in the wake of the Boston Marathon bombings. The hospitals believe that working with the media is a vital means of educating and informing the public about medicine and health care, reinforcing messages about disease and prevention, and providing reassurance to those who may one day require the expertise and skill of a trauma center.”
The hospitals said they had news crew members undergo HIPAA training and sign confidentiality agreements. All patients included in the documentary had to give consent in writing and had to be allowed multiple opportunities to back out.
ABC did not respond to requests for comment. The documentary series, which aired in six installments in July and August 2015, depicted the trauma departments of the world-renowned Boston hospitals.
HIPAA — the Health Insurance Portability and Accountability Act — is a 1996 law that governs medical patient privacy by binding what medical personnel can release.
Robert Thompson, a pop-culture expert who teaches at Syracuse University, said medical shows, both real and fictional, have been popular since the days of radio, and are important pieces of media output — assuming everyone follows the rules.
“The medical experience is as close to universal as you’re going to get,” Thompson said. “We’re all going to end up in a hospital. Getting sick and being in love are the two things that everyone is going to experience.”
Downloaded from
http://www.bostonherald.com/business/business_markets/2018/09/abc_news_documentary_leads_to_hipaa_violation_fines_against_boston
9/23/2018
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