HCA 205 Discussion Role Playing Case Study

HCA 205 Discussion Role Playing Case Study

HCA 205 Discussion Role Playing Case Study

As a Nurse Practitioner, my participation in changing paper medical records to electronic health records would be crucial for the success of the conversion. I would participate in this change by presenting the importance of communication between, me, the patients and other people that I work with ( Doctors, Nurses, CMA, etc.). NPs provide primary health care to a variety of population(children, adults and old patients) and the team care should be able to contact one another and share some information about patients. It could be dangerous if for some reasons one of the team care members is not able to access patients information. One of my concerns that I will mention will be the safety of patients information. Since many people are used to paper medical records, some will forget to lock their computers before leaving their desks, and a malicious person, for example, may access the patient’s information. My role in this transformation will be to learn more about the EHC and educated my team so that patients information do not fall into wrong hands.

The ethical and legal issues that I would identify would be some colleagues accessing patients chart for personal reasons. It would be easy for a coworker to access a patient chart from his/her desk, and it would be unethical and illegal if he/she accesses the chart of his/her neighbor or friend that came to seek medical care. Another unethical and illegal issue would be people not charting patient information accurately. I would approach the ethical or legal concerns that I mentioned by reminding everybody that patients are our priority and by taking the time to evaluate patients’ charts to see how medical results have been documented and I would look for unusual trends.


Batnitzky, A., Hayes, D., & Vinall, P.E. (2018).The U.S. healthcare system: An introduction [Electronic version]. Retrieved from https://content.ashford.edu/Links to an external site.Links to an external site.

As a Medical and Health Services Manager my participation with changing from paper medical records to electronic health records I will take full responsibility in informing all my staff of this new change so that they can get familiar with it. My staff will be the ones that will have to endure most of the changes because they come in contact with the patients.My concern that I have for this merge of information is making sure that all my staff know exactly how to do this correctly so I will need to know if training is involved and if so i will need to schedule my clinic staff for training. They complaints that may occur with this change is incorrect merging pf PHI. My specific role is making sure that everything is done and done correctly. The ethical of having electronic health record offer several advantages over paper records. They increase access to health care, improve the quality of care and decrease costs. A legal issue that could happen is breaches, theft and unauthorized access to PHI. Since September 2009, there have been 380 incidents reported. And the number of patients affected by data breaches has been on a rise. And with the ethical issues I would approach them by letting my staff know to make sure to explain to patients that the merge to electronic PHI is on a rise and it is a more safer way ti keep information as well as it helps improve the quality of care and cost. 


https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4394583/Links to an external site.

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                 I like your post on Medical and Health Services Manager. As concerns the legal and ethical issues in health care, it is very important for the organization or facility that we work for, put in place strategies that will carter for any eventualities that might lead to lawsuits especially on a situation where a patients information is not well protected and is compromised. Example, a patient who has been diagnosed with HIV Aids will not want that information to be leaked except for those directly concerned with his or her treatment. So, with any breach of this information, the most retaliatory tool will be a lawsuit. This should be avoided. Then on ethical issues, “What our eyes should see, our mouths should not say to those that are not suppose to have that information”. That we should all try as much as possible to protect patients health care information by maintaining privacy and confidentiality.  Also, that, Electronic Health Records (EHRs) are some times better in speed and accuracy, but we all should be very careful on how we share these information, and with whom. There are a lot of hackers today who can log in into health system accounts. So we need serious protection on our information technology sector.

HCA 205 Discussion Role Playing Case Study
HCA 205 Discussion Role Playing Case Study

Hello, and great post. Wow, medical and health services manager sounds like a very huge responsibility. To manage anything in an establishment, I assume will be a very challenging role. Managing is a tough role. When I worked at “Best Buy”, a young lady I worked with was promoted to a manager. She was so excited about the new role, until she started, and realised that she did not like it very much. Besides from having to write up people for work conduct, whom she was friends with, and everything coming down on her in the beginning. She eventually gave up the promotion. She just could not handle it. When staff did something wrong, the higher ups came to her, because she was the manager. So, if staff members are not doing things properly, then it meant that she was not managing properly. Furthermore, a medical and health services manager to has to oversee everything. You indicated that you would not have a major role in this transition, but I think you would have a huge role. You have to oversee the entire medical services and health services, making sure that all patients are getting what they need, and all staff members are providing proper care. If not, the administrators of the facility will come down on you, claiming that you do not know how to manage the company, which may get you demoted. 

My participation in the change from paper forms to electronic forms would be to plan the conversion. Get with a team to organize the transition smoothly. Those who would be a part of the transition of the forms would be departmental Supervisors, IT, and an administrative assistant or intern to help facilitate. I would inform each department of the transition and the time frame. I would come up with the form types based upon the needs of each department and current forms used. I would advertise around campus that the transition is in the works. I would also come up with the training along with IT to ensure each staff member learns how to work the forms and secure them properly into the database which I would also work with IT on for security.

Legal issues would be security and properly informing patients of this transfer. When transitioning from paper forms to electronic forms you have to consider the security of patients records. Who all is involved with the input of their charts, using proper protocols that secure the hard copy charts and creating a filing system for that.

Ethical issues that could arise are not properly informing patients of the transfer and the information that would transfer electronically. Patients want to know about their care and a part of that is ethics and informed consent. They have a right to know about anything that concerns them.

I would approach the ethics issue by having staff relay the message to them that the change is coming. The front desk receptionist/patient registrar would assist with providing a memo to patients as they check in for appointments that indicates more information about the EHRs and what kind of information is being transitioned and who all is involved in the transitioning. The major thing is to assure them that their charts will remain confidential. I would also create a system where patients could view their charts online which is what many care facilities are starting to do these days. Patients would be able to see a summary of their visits, Physician notes, upcoming appointments, health topics, and any event associated with the facility. This will help give the patient more security and get them more actively involved in their care.


     A Medical Assistant is different from a Physician Assistant. A Physician Assistant helps a doctor to practice medicine, while a Medical Assistant does perform both administrative tasks and clinical duties under the direction of a Physician. They are not required to meet formal education requirements. They have functions like; directing phone calls, handle administrative work, take care of medical histories and recording, vital signs, explaining treatment procedures to patients, preparing patients for examination and assisting the physician during the examination.

       Participating in change will be like, as for my needs will be; a good working environment which is drug free , proper sanitation, sophisticated office equipments like recent computers as they could store information than manually, respect for privacy and confidentiality, respect for co-workers and vice versa.  On complaints, there could be complaints if need be like poor housekeeping, conditions of the hospital like no air or heat. A role in the transformation to address this situation by always writing and making good suggestions via the “suggestion box” in issues that really need attention. Also, as a Medical Assistant who mostly does administrative work, i will try as much as possible to keep records of patients safe. Have respect for their privacy and their health information tight and sealed. Not logging in to verify a patients health record because I have access and saw him or her in the hospital then wants to know his or her ailment.

      The Ethical issues will mostly be respect for individuals privacy and also that of confidentiality. Not because you are a medical assistant and have information about people’s health records will make me address such concerns in public, we have regulations like the Health Insurance Portability and Accountability Act (HIPAA) in 2013 for compliance and storage of healthcare information and communication. It is a matter that if I am not dwelling with the patient himself or herself, then it must be a case a Power of Attorney (POA).I will not dare to look at people’s health records if I am not assigned to.

     On the Legal side, avoiding lawsuits because the medical sector has one of the highest number of lawsuits in America. As a medical assistant, I will be very cautious even though through a Physician’s order,  to give intradermal injections like TB skin testing and allergy testing, Sometimes it might be done the wrong way, so a lot of caution be taken.     The way I will approach an ethical or legal concern during the transfer to Electronic Health Records (EHR) which is not different from Electronic Medical Records (EMR), will be that of Privacy and Confidentiality. For example, transferring or sending a patient’s medical information like through fax, I have to be careful to whom I am sending, double check the fax number and if possible, the patient’s name could be coded and only the receiver knows who’s documents he or she is receiving with his name on “attention to”. I will or do anything with the patient’s file be around the room while sending the information. Patient’s can sue if their health records are exposed in the case where the information falls on the wrong hands. So, these privacy and confidentiality issue is very important during this transmission.

As a Medical Assistant, another approach to handling EHRs is to make sure you log off of the computer you are using to ensure that no one can accidentally look at a patient’s information.  Also having a username and a password is a great idea when you have to look at a patient’s chart.  Make sure the computer that you are using has an antivirus software program and a firewall to protect the patient’s data.  According to Perspectives in Clinical Research, routine random audits should be conducted to ensure hospital policy compliance.  This allows the system to track how long the user had access to a patient’s chart, the date and the time the user accessed the patient’s chart, and if the user had the authorization to view the patient’s chart.  “The HIPPA Security rule requires organizations to conduct audit trails, and require that they document information systems activity.  Have the hardware, software and procedures to record and examine activity in systems that contain a patient’s health information.” (Ozair, Jamshed, Sharma, Aggarwal)


Ozair, F, Jamshed, N. Sharma, A, Aggarwal, P.  Perspectives in Clinical Research.  Ethical issues in electronic health records:  A general overview.  2015.  Article.  Retrieved. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4394583/ 

As a health care educator, I would not participate directly in everyday patient care related records management.  I would however be charged with teaching either established clinics, or members of the community.  Educating the public on the EHR program and process would be paramount to actual medical staff.  I would struggle with helping people especially those who are not tech savvy with access to their health records.  I would need to create a set course to educate people on the EHR with the help of medical records professionals.  

   My job from an ethical standpoint would again rely on educating and addressing the ethical pitfalls that people would have about their medical records being electronic.  Most people like having that hard copy folder to look their medical history.  It is however ethically sound to transfer medical records to electronic formats because so many things can happen to hard copy medical records i.e. fire, stolen, aging.  Legally there are already measures in place to protect medical records that are electronic, and once again I would be educating members of the medical community and patients on how HIPAA and the Privacy Act affect electronic records.

Reference: Batnitzky, A., Hayes, D., & Vinall, P.E. (2018). The U.S. healthcare system: An introduction [Electronic version]. Retrieved from https://content.ashford.edu/Links to an external site. (Links to an external site.)Links to an external site.