UMUC Family Clinic Case Study

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UMUC Family Clinic data flow with external healthcare organizations
There are two important healthcare organizations that need to communicate and have data flow with UMUC Family Clinic. These organizations are pharmaceutical and insurance company. It is important for UMUC Family Clinic to communicate for instance with pharmaceutical organization because Dr. Martin will be sending electronic prescription on behalf of his patients to the pharmacist. The pharmacist will require some form of information in order to honor the prescription. Also, in order to process patient bills and claims, UMUC Family Clinic needs to exchange patient information with the insurance company.
Electronic health information exchange (HIE) allows providers, pharmacists, patients and other health care organizations “to appropriately access and securely share a patient’s vital medical information electronically” (HealthIT.gov. 2014). This will help to improve healthcare quality and efficiency. Exchanging information between UMUC Family Clinic and the pharmacy is vital to patient’s continuum
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The Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191, enacted on August 21, 1996 established this requirement (U.S. Department of Health & Human Services, 2016). The goal of the Privacy Rule is to “assure that individuals’ health information is properly protected while allowing the flow of health information needed to provide and promote high quality health care” (U.S. Department of Health & Human Services, 2016). The law requires providers and healthcare organizations to implement physical, administrative, and technical measures to protect EMR. Such safety measures include access controls such as passwords and PIN numbers, encrypting EMR information and to establish audit trail (Rodriguez,

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