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Essay: Complying with HIPPA Regulations: Requirements for EHR Software Compliance

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  • Published: 25 February 2023*
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documentclass[12pt]{article}

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title{Electronic Health Record (EHR) Software Requirements Compliance with Health Insurance Portability and Accountability Act (HIPPA)}

author{Jeevan Pandey }

date{October 29, 2018}

begin{document}

maketitle

begin{abstract}

Being able to efficiently critique a paper is a necessary skill that every researcher should possess. In this deliverable, I have carefully utilized the three-pass method described in the paper “How to Read a Paper” by S. Keshav to write my critique of a paper. More specifically, I focused on the second pass to make more detailed notes about the figures, tables, and the content clarity of the paper. I also utilized the third pass to get important information related to my critique such as: the study’s contribution to the knowledge, theory, or practice in the field, the research design and methodology used in the study, the study's findings in terms of how they are presented and interpreted, the researcher's conclusions, the content, writing quality, style, and organization of the information in the paper. I have also identified important information related to the paper such as the author's name, publication date and venue, purpose of the study, and the analytical approach or theoretical framework used by the paper. To successfully write my critique, I followed important guidelines from the article titled “Writing a critique or review of a research article" by the University of Calgary. The article is beneficial to anyone who is writing a critique.

end{abstract}

section{Introduction}

The health-care industry relies on Electronic Health Record

(EHR) systems, which are real-time, patient-centered records

that make patient information available instantly and securely

to authorized users textbf{(HealthIT2018EHR)}. EHRs contain information related to a

patient’s medical history, diagnoses, medications, treatment

plans, laboratory and test results, etc., that are accessed by

health-care providers to make decisions about a patient’s care

textbf{HealthIT2018EHR}. Considering the information contained in EHR systems, who gets access to this information is very important in order to protect patient privacy and confidentiality. Hence, the United States congress passed the

Health Insurance Portability and Accountability Act (HIPPA)

in 1996 to protect and handle confidential

health information effectively textbf{California2018EHR}. According to this act, EHR systems need to

comply with all the rules and regulations under HIPPA to

protect patient information. More specifically, the software

requirements for an EHR system need to be in compliance with

the legal obligations outlined in HIPPA §164.312. The legal

obligations outlined in HIPPA §164.312 can be found on textbf{Massey2012Itrust}

To comply with HIPPA regulations, EHR software

companies have compliance teams that make sure that the

software requirements are in compliance with HIPPA

regulations as software engineers are not well-prepared to identify legally compliant software requirements textbf{Massey2012Itrust}. Thus, when working on these EHR software

projects, moving to the next phase of the software development

life cycle is dependent on the approval from the compliance

department which, depending on the complexity of the project,

can be a lengthy process. This wait time is a valuable resource of a

company along with the cost associated with paying employees

in the compliance team that handle the task of matching

software requirements compliance with HIPPA. Thus, there is a need to automate the process of matching EHR software requirements with HIPPA regulations. To identify possible solutions, this research will also explore some popular data mining document similarity algorithms that can help compare these EHR software requirements with the regulations outlined in HIPPA and determine if they are legally compliant for implementation.

section{Background}

There are other studies that have identified the complexity involved in matching EHR software requirements with HIPPA regulations.  Massey et al. conducted a study to identify whether EHR software requirements that have met or

exceeded their legal obligations outlined in HIPPA are ready

for legal implementation or not [3]. They examine how

software engineers make this determination using a multi-case

study with three cases [3]. In the first case study, engineering

graduate-level software engineering students assess the

requirements in comparison to obligations outlined in HIPPA

[3]. In the second case study, they use a different set of

participants, and in the third case study, they use a Wideband

Delphi approach to deriving consensus in groups [3]. They then

measure the results against the evaluations of HIPPA

compliance subject matter experts [3]. Their findings indicate

that average graduate-level software engineering students are

ill-prepared to write legally compliant software and that subject

matter experts are an absolute necessity [3].

Studies related to

Wagh et al. have also proposed cosine similarity and

citation based similarity mesures to examine the similarity

between legal documents [4]. They mention the complexity of

the legal domain and emphaisize the importance of retreiving

information from legal documents which is carried out by a

human expert [4]. They use a network based model and

measure network metrix like degree distribution, centrality, and

connected components [4]. According to their findings, citation

based similarity measure is more robust in determining parallel

among cases [4].

Gupta et al. have used a clustering based approach

called similarity index to identify similarity between text

documents [5]. Their alogirthm uses two types of

similarity index and propose a new similarity index. They use

neural networks to calculate metrix like precision, recall,

accuracy, and f-measure [5].

section{Objectives}

section{Methods}

section{Data}

This paper uses data from the ITrust Medical Record

System, an open-source EHR system designed and

implemented by students and faculties at North Carolina State

University. The data contains software requirements from the

ITrust dataset along with the traceability matrix that links the

requirements with their respective HIPPA §164.312

obligations.

section{Execution Plan}

newpage

section{References}

bibliography{references}

bibliographystyle{acm}

end{document}

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