Smartphone technology is at the forefront of innovation in low, middle and high-income countries. Due to the falling price of the smartphone, and the United Nations UN commitment to make Internet access available in the least developed countries bysoon smartphones will be available to all. This technology has already improved the doctor-patient interaction, reducing costs and improving care for patients.
There are currently at least 10, health-related apps that Smartphone in health care be downloaded to a mobile electronic device like the iPad, iPhone, and Android-smart phones and tablet computers that are increasingly being used by consumers and healthcare providers to manage various aspects of health maintenance and healthcare.
Combined with government initiatives like the meaningful use EHR incentive program, designed to increase consumer engagement in personal healthcare, mobile health can only be expected to accelerate in the coming years.
Mobile health technology can be used by consumers to download health information from provider portals, or by healthcare providers to collect, record, and report health information either manually or via interfaces with biomedical devices. Because of this growing trend, HIM professionals should review the latest mobile health regulations and best practices, and develop internal policies aimed at protecting the integrity and privacy of patient records.
Five Concerned Agencies The growing use of mobile devices for healthcare management has not escaped the attention of regulators. At least five federal agencies-the Federal Communications Commission, the Food and Drug Administration, the Federal Trade Commission, the Office for Civil Rights, and the National Institute of Standards and Technology-were present to discuss their regulatory and non-regulatory roles relative to mobile health technology.
While each agency has a different approach to monitoring healthcare mobile device use, each reported a specific emphasis on privacy and security.
The Federal Communications Commission's FCC scope includes authorization of carriers whose networks are used by mobile devices to access, transmit or store information-including health information. The FCC also authorizes a variety of radio frequency medical devices, such as implanted medical devices and patient monitoring devices.
It also establishes the technical rules used by Wi-Fi or other similar networks for short transmissions. The Food and Drug Administration's FDA aim is to promote and protect public health by regulating any technology-including phones and other mobile devices-that is used for treating disease in patients.
The FDA looks at the effectiveness of a medical device for healthcare treatment.
The agency also evaluates the risks that the devices could bring to patients, including those related to security and privacy. Apps that connect to a medical device for the purpose of controlling the device or displaying, storing, analyzing, or transmitting patient-specific medical device data e.
This could include any false or misleading claims or omissions of material facts in relation to a mobile device or app. The FTC has already been involved with two recent cases of enforcement concerning healthcare mobile devices. The first involved an app that claimed to treat acne with a light emitted from the mobile device.
OCR also recommends other data security strategies, such as user authentication and role-based access. Department of Commerce, is concerned with measurement, standards, and testing.
The institute produces a variety of publications related to computer security, including some with mobile security guidance. Mobile Devices and Health Record Management While much has been written stressing how extremely important security and privacy issues are in the use of mobile health technology, a question much less explored is how health information that is captured on mobile devices relates to the management of the health record.
It is widely accepted that any health information captured or stored by clinicians using either a personal mobile device or one provided by the healthcare organization becomes part of the HIPAA-designated record set if that information is used to make decisions about a patient. The same is true when health information that is collected or captured by an individual or patient is transmitted or communicated to a provider who uses it in the provision of care.
Most likely, this information is also part of an organization's legal health record and is subject to requests for disclosures, subpoenas, and e-discovery. Conceivably, the health information generated by a mobile device could also be useful for many non-clinical applications that use medical records-such as audits, health research, and information reporting.
The problem for HIM professionals is how to track and preserve these records when they reside on mobile devices. In addition to privacy and security policies, healthcare organizations would need to have policies that outline the conditions and acceptable uses of mobile devices that capture and store clinical information since that information may become part of a health record.
Policies would need to address how mobile devices are handled when the information they contain may become involved in potential litigation legal holds as well as methods for monitoring and tracking mobile devices that contain health information that is part of the organization's legal health record.Re-engineering Indian health care: Empowered patient (consumer), enhanced outcome and efficient business 2 In recent years, health care has been a subject of much debate and discussion across the globe — more specifically in developed economies.
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