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HIPAA Violations Patient Privacy

HIPAA Violations – Patient Privacy

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Institutions

HIPAA Violations – Patient Privacy

Health is one of the most prominent and important factors in most communities. Though there are several reasons behind this importance, the main is that health contributes to the wealth of a nation or country. Most countries have implemented ways to ensure the existence of a healthy nation. In this struggle, governments and institutions have formed multiple meetings, research and laws to ensure continuous improvement of health related aspects. While improving health care services, concerns on patient privacy have become important. Jeopardizing patient privacy hinders provision of quality health care. To solve most health care violations the first step is to improve patient privacy, according to most institutions and government this can be achieved using the electronic health records and observing the laid down health rules. The need to improve confidentiality or patient privacy has led to the continuous use of electronic health records as well as existence of strict health government rules and policies.

According to Diana, Barbra, and Deborah (1998), it should be a priority to place high emphasizes on the privacy, confidentiality and security of patient health information. Though theorists may see privacy in different levels, respecting and recognizing every attribute of patient information is necessary. Privacy is an important component to the well being of human beings and therefore has an intrinsic value. Respecting the privacy of others has a moral duty and every person even those in authority should respect it. In health services, patient information both written and spoken should be considered as personal information for the patient and therefore should be kept private. Maintaining patient privacy is important for the following reasons; allows the patient to make personal decisions or personal autonomy, encourages individuality, respect and up hold the dignity of human beings (Diana, Barbra, & Deborah, 1998).

Electronic health records comprises of a systematic collection of patient or population health information. The information collected is kept in digital format and in a manner capable of sharing and access to authorized persons. According to an article in the National Health care Quality Report (2004), electronic records have improved quality and convenience of health care in services in most health institution. This has been achieved by ensuring increased patient participation during provision of health care services. Electronic records are available to patients easily and therefore the patient can keep tap on what information if available about themselves. Storage of patient information is digital format allows constant monitoring to ensure that only authorized person can access the information, this is because use of data security systems such as passwords and dedicated networks can be introduced. Further electronic health records have also reduced patient privacy violation by improving care coordination. Proper coordination brings about reduction in the number of health practitioners who have to handle sensitive patient information. It also assists in increasing practice efficiency, accurate diagnoses and cost savings thus reducing the need for patient hospital visits and referrals. Therefore, electronic health records have improved the entire health care industry and assisted in solving major HIPAA violations which is patient privacy (AHRQ, 2004).

Just like there are advantages and disadvantages to paper medical records, there are also advantages and disadvantages to electronic health records (EHR). Since the system relies on technology advancement it is faced by several shortcomings that come along with technology. It is also worth noting that EHR is a fairly new system and is expected to continue improving as time goes by. Scientific and technological breakthrough is expected to be achieved even though some literature still argue that the technological break thorough have been achieved, it is evidence that the electronic records is a better and method than the paper records. “There have been technological breakthroughs but patient documentation has remained the same” (Young, 2000). The researchers view on the electronic records concept has remained stagnant for a long period after the launch, and this is a representation that the concept has little room for improvement. The slow pace of the concept exposes the patient to some reasonable degree of privacy violations. It has taken a long time to find permanent and reliable security measures for information stored in digital format. The fact that the patient still cannot be granted complete privacy in relation to health care, strict rules and government policies have been introduced to help boost the level of privacy (Young, 2000).

Government role in healthcare is to create systems that contribute to enhancing quality healthcare which is available to all. The Obama administrative goal on the same is to introduce a record system that is not only national wide but also one that is simple and quick to implement. The president recently introduced the ‘universal patient identifier’ which has improved communication among health practitioners as well and communication with patient and agencies. Since the identifier is technology supported, it has assisted to improve patient privacy though elimination of combat fraud and allowed only authorized medical research. Further the government understands that privacy cannot be fully assured even with the use of digital records due to the increase of cyber crimes but even so, it has assisted in solving the issue through laying down strict punishments enforced by law to the offenders. “It is high responsibility to protect patient” this is the law that health institutions and the government embrace when handling any topic related to health care. The health care institutions also provide written policies to assist all the practitioners in the healthcare sector to take a proactive approach on patient privacy when handling their information. The written policies consist of issues such as right of patient consent, right of patient to see audit, clear trail of record movement and responsibilities of healthcare staff to protect patient information (Robert, 2010).

Health information system provides the most reliable and faster way to provision of patient treatment and care. Health institutions have embraced several modern and new techniques to improve quality and availability of heath care. However, by doing so they are also faced by multiple HIPAA violations which the most severe being violation of patient privacy. Though it is true that healthcare has showed constant improvement on quality declaration, effective health systems and claims imbursement mainly because of the changes in the handling of health records, it is not fully determined that patient privacy has improved. In the recent past, the health industry has embraced use of electronic health records and revising of the existing measures to improve medical privacy. The Congress and the health institutions such as the HIPAA are working round the clock to find solutions to the limitations of using electronic health records with an aim of improving patient privacy even further.

References

Diana, W. Barbra, B. & Deborah, A. (1998) The Electronic Medical Oncology Record:Misconceptions, Barriers and Benefits. Retrieved from

Young, K. (2000) Informatics for Healthcare Professionals. Philadeplhia: F. A Davis

AHRQ. (2004) National Healthcare Quality Report. Rockville, MD: Agency for Healthcare Research and Quality. AHRQ Publication

Robert, P (2010). HYPERLINK “http://www.nytimes.com/2010/07/14/health/policy/14health.html?_r=1&hpw” U.S. Issues Rules on Electronic Health Records. The New York Times.

Purification and Characterization of Triacylglycerols in Natural Oils

Purification and Characterization of Triacylglycerols in Natural Oils

Name of Student

Institutional Affiliation

Part A. Isolation and Purification of the Unknown Lipids

Weight of nutmeg = 5.05559g

Weight of 250ml round bottomed flask with solid after evaporation is 142.2445g

Weight of an empty 250ml round bottomed flask is 139.7451g

Therefore, weight of crude product = 142.2445 – 139.7451

= 2.4994g

Weight of purified lipid is the difference in the weight of the flasks.

Weight of an empty beaker is 30.487

Weight of beaker with product is 30.8827g

Therefore, weight of purified product is the difference in the weight of the flasks

Weight of purified product = 30.8827 – 30.4873

= 0.3954g

Recovery yield % = g of purified lipid/g of crude lipid 100

= 0.3954/2.4994 100

= 14.3795%

Yield of product in g/g of nutmeg used in the isolation

= yield of purified product in grams / weight of nutmeg used

= 0.3594 / 5.05559g

= 0.0711 g/g of nutmeg used in isolation

Part B. Characterization of the Unknown Lipid

Lipids Distance Travelled Rf – Correct Results

Rf = Distance from the origin migrated by a compound / Distance from origin migrated by solvent

Separation was done on a thin layer plate that was 20 * 20cm in dimensions. Separation was done using a solvent that consisted of hexane: diethyl : acetic acid in the ration 80:20:1. The Rf value was determined by taking the quotient of the distance travelled from the origin by the compound over the distance travelled from the origin by the solvent.

For the nutmeg, the retention factor = Distance travelled by solvent/Distance travelled by the compound. The distance travelled way 100mm

For Nutmeg Rf = 31/100

= o.31

The retention factor of the other lipids as calculated from the chromatogram are:

56/100 = 0.56

60/100 = 0.60

22/100 = 0.22

78/100 = 0.78

53/100 = 0.53

The figure in bold is the one which represents the darkest band with all the other bands representing non-significant lipids.

6.

Compound Retention Factor

Nutmeg 0.23, 0.45, 0.31, 0.65

Triglyceride 0.60

Cholesterol ester 0.60

Oleic acid 0.22

Fatty acid methyl ester 0.30

Glycerol phosphatide 0.60

Diacylglycerol(Monoolein) 0.68

A vivid observation of the chromatogram reveals that the most significant component was the triglyceride. The purification step was effective to aa small extent due to a lack of accuracy in the measurement of the samples. Additionally, there may be pollutants which affected the nature of the results to a large extent.

Retention Time % of Total

3.001 0.725

5.883 0.418

6.086 0.231

6.188 0.147

6.506 0.124

6.576 0.167

6.904 5.887

7.059 0.882

7.152 5.839

7.234 2.144

7.292 1.556

7.589 0.214

7.799 70.791

8.457 5.857

8.693 0.178

9.050 4.692

7.

Retention Time Fatty acids present

3.001 Safrole5.883 Geraniol6.086 Eugenol6.188 Myristin6.506 Methoxy Eugenol6.576 Iso-elemicin6.904 Dipentene7.059 i-Terpinol7.152 d-Borneol7.234 d-Linalool

7.292 Elemicin7.589 Menthone7.799 Menthyl Isovalerate8.457 Camphene

8.693 Methyl palmitate9.050 Methyl palmitoleate8. Gas chromatography encompasses vaporization of a sample and its subsequent injection onto the chromatographic head column. The flow of inert gases which are in a gaseous mobile phase transports the sample. The adsorption of the column takes place on the surface of the inert solid; this is enhanced by the liquid stationery phase. The thermal conductivity detector is preferred when analyzing hydrocarbons that are smaller in molecular mass as well as analysis of inorganic gases. Its efficiency is achieved when the thermal conductivity of two gas flows is compared; the carrier gases which is pure and the sample. The thermal conductivity of the gas determines the behavior of the sample under study.

9. Weight % = Peak area / Total peak area for all the FAMES

Total peak area = 2013600

For Trimyristin = 1.171 e + 6 / 2013600

= 58.15

For Oleic acid = 77640/2013600

= 3.8%

10. Table for the components identified in the Free acid methyl esters identified in the sample.

Component % in the nutmeg Retention Time Essential oil 12.5% 8.457 9.693e + 4

Unsaponifiable constituents 8.5% 7.059 1.460e + 4

Oleic acid 3.0% 9.050 7.764e + 4

Linoleic acid as glyceride 0.5% 5.883 6914

Formic, acetate and cerotic acids Insignificant amounts 9.208 2431

Trimyristin 73.0% 7.799 1.171e + 6

The fatty acid that is present in greatest amounts is Trimyristin. It is a saturated fatty acid of myristic acid. My results deviate to a small extent with the results. Here is the link http://www.fao.org/docrep/v4084e/v4084e04.htm

Discussion

Nutmeg is a seed that is rich in essential and fatty oils. Extraction of essential and fatty oils was observed in the experiment. The two types of oils in existent are essential oils and fixed oils. One characteristic nature of essential oils is that they are very volatile. On the other hand, fixed oils as their name suggests are generally non-volatile. The solubility of different lipids varies significantly with the type of composition. They dissolve in organic compounds like hexane but not in water. One major reason for this is that they are non-polar compounds which cannot dissolve in non-polar water. They dissolve in ether because both the lipids and water are non-polar hence are able to mix with one another.

Saponification is the process by which alkaline hydrolysis of esters leads to the formation of esters. Soaps are salts of alkaline salts like sodium and potassium of long chain fatty acids. The process occurs when the triglycerides that are present in fats or oils react with sodium hydroxide of potassium hydroxide leading to the formation of soap and glycerol. The presence of fatty acids is shown by the solution turning cloudy. However, since the bubble formation was minimal, the fatty acid presence was very small.

The gas chromatography is an equally important biochemical technique that forms the basis for any scientific analytical work. For it to be successful; there are various components that make it up and are all essential to the reproducibility of the results. One of the major components is the carrier gas; the carrier gas should be chemically inert in order to avoid reaction that may arise from the contact with the sample under investigation. The preferred carrier gases are among them, helium. The carrier system is fitted with a molecular sieve that is responsible for water removal as well as other impurities. The choice of the carrier gas is dictated by the detector type that is used.

The injection part is another feature within the gas chromatography set up; it is the point at which the sample under study is introduced into the system. The sample size should be small in size in order to ensure optimal column efficiency. Large sized samples lead to loss of resolution; the sample is preferably introduced as a plague of vapor and a micro-syringe is used. The sample port temperature is usually at 50 degrees high above the least volatile component’s boiling point.

Hip hop dance,

Name

Course

Professor

Date

Hip hop dance,

When it started

In 1970s, Latino and Black Americans established several styles, which include popping, locking and breaking (Chang 2). As such, hip hop danced started in 1970s in New York and California. The dance does not have a coordinated choreography as seen in other dances; it is a freestyle dance whose moves emerge while on stage. In 1970s, several dance styles were created, such as the funk style, breaking style and the up-rock styles (Chang 18). As such, these dances played a significant role in the emergence and the development of the hip-hop dance.

How it started

Hip hop dance evolved from the culture of hip-hop. The development and popularity of the popping, locking and breaking dance styles in the 1980s created an opportunity for the development of the hip-hop social dancing (Schloss 19). Such were evident in the television shows, such as Soul Train, which showcased the dance styles and crews in the early stages; hence, giving a mainstream exposure of the hip-hop dances. In response, the dance industry had a commercial show of the hip-hop dance version, which was considered as the “new style’ (Schloss 17). Since then, hip-hop is seen in both outdoor dance spaces and studio dances (Schloss 26). Further, commercialization of hip-hop occurred in 1990s and 2000s. Such was evidenced by the production of several movies and television shows, which include Step Up, The Grind, Rize, America’s Best Dance Crew and Planet B-Boy among others (Schloss 3). However, the dance has a stronger presence in the urban centers in comparison to the rural centers, which makes it associated with middle and upper class income earners. Such is because there is a rare practice of the dance in the rural areas.

Works Cited

Chang, Jeff. Total Chaos: The Art and Aesthetics of Hip-Hop. New York City: BasicCivitas, 2006.

Schloss, Joseph. Foundation: B-Boys, B-Girls and Hip-Hop Culture in New York. New York City:

Oxford University Press, 2009.