To HIPAA, a Son: Assessing the Technical, Conceptual, and Legal Frameworks for Patient Safety Information
75 Pages Posted: 6 Aug 2005 Last revised: 13 Feb 2019
This article critically examines the technical and legal models for process-supporting health technologies; technologies that support the ongoing "process" or "system" reform movement by collecting, coding, and distributing patient safety information. This article first describes the intersecting patient safety information technologies. Second, and with particular emphasis on Electronic Health Records technology, it examines some of the possible models for patient information distribution and describes the data model issues faced by the architects of an Electronic Health Record (EHR). Third, there is a critical survey of the legal issues surrounding patient safety IT systems, particularly their error and privacy costs. Fourth, there is an examination of barriers to successful implementation of patient safety systems and proposed solutions. Finally, the article questions whether U.S. policymakers, regulators, and patient safety system architects should shift their focus from purely technical and financial issues to take a more patient-centric approach to the system that they propose.
Keywords: Electronic health records, interoperability, medical error, medication error, e-health
JEL Classification: K13, K32, I12, I18
Suggested Citation: Suggested Citation