vidence-Based Recommendations
| Number | Evidence-Based Recommendation | Additional Insights/Salient Points | Source(s)* |
| 1. | Conducting the gap analysis in HIPPA laws | Undeniably, HIPPA rules have been changing more often, thus calling for the organization and employees to remain updated on the new HIPPA laws. This analysis would be essential in comparing the current practices with the OCR audit procedures. The analysis would as well highlight the strengths and weaknesses of the organization. The analysis of the strengths would trigger the development of effective measures to reduce the weaknesses. | (Stuart, 2019) |
| 2. | Offering fresher courses to employees concerning patient information protection and privacy. | This process would assume that all the employees do not have information on patient information protection and privacy. Thus, we would be offering a fresher course to all employees and ensuring such issues do not happen in the future. Besides, it would limit employees from becoming the sources of data breaches at the institution. | (Stuart, 2019) |
| 3. | The compliance committee should investigate the breach widely. | Effective analysis of this issue would allow the committee to identify the genesis of the problem and solve the problem from its primary cause. For instance, if inadequate training was the main cause, then the committee would treat training as a main solution method that would limit the clinic from facing such issues in the future. | (Stuart, 2019) |
| 4. | The clinic should work with the office of civil rights (OCR) | Working closely with OCR will allow the healthcare professionals and patients to understand their rights and privacies concerning personal health information. | (Stuart, 2019) |
| 5. | Developing a culture of constant information sharing. | An effective information sharing process would be important at the clinic as it would not allow employees to act on their own decisions but consult with other professionals to ensure an effective solution to any ethical issue at the clinic. | (Stuart, 2019) |
https://www.hhs.gov/hipaa/for-professionals/compliance-enforcement/examples/all-cases/index.html?language=es
Ethical Decision-Making Framework for Health Care Leaders
| Number | Ethical Decision-Making Step* | Apply the Ethical Decision-Making Step to the Privacy Breach/HIPAA Violation |
| 1. | Conducting a background check on the breach (Nelson, 2017). | Commencing an effective analysis of the situation will heighten the understanding of professionals from diverse perspectives. The analysis would determine whether the employee was aware of the HIPPA violation they committed or not. |
| 2. | Identification of the ethical issue or question (Nelson, 2017). | The ethical issue under question is that the medical information of the patient was shared with the insurance provider without written consent, thus violating their privacy rights. |
| 3. | Think about the related ethical principles (Nelson, 2017). | The ethical principle is on the violation of HIPPA privacy standards. In this case, the information about the surgical procedure on the patient remains private information that could not be shared without the patient’s written consent. |
| 4. | Determine effective means of responding to the situation (Nelson, 2017). | The case presented limited options for both the organization and the patient. While the law would act on the employee’s actions, the clinic would as well face a portion of the fines. The discussion, in this case, would align with the fine each party would receive concerning the case. |
| 5. | Recommending the response on the issue (Nelson, 2017). | While the clinic could plead with the patient to
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