Table B1 Environmental Risk Analysis Risk Description Probability of Severity of Countermeasures Status of Risk Risk Countermeasure Environmental Low High Contingency Implemented disasters (floods, plans for hurricanes, accessing and tornadoes) charting PHI damaging and during inhibiting access emergencies to PHI (CMS, (CMS, 2007, p. 2007, p. 4) 18) Technology Medium Medium Contingency Implemented malfunctions and plans for power outages accessing PHI, inhibiting access charting PHI, and to PHI (CMS, placing orders 2007, p. 4 ) during emergencies (CMS, 2007 , p. 18) Hackers using Medium Medium Password Implemented computers and requirements, wireless internet to firewalls, access PHI antiviruses, and (Bertin, 2009, p. encryption of 190) data (Bertin, 2009, p. 186, 189, 190) Paper MARs being High Medium Mobile BCMA Proposed lost or destroyed system for (Coiera, 2003, p. access to PHI at 115) the bedside (Perry, Shah, & Englebright, 2007) Location of High Medium BCMA system Proposed computer screens laptops with next to patient configurable rooms threatening screens (Howard confidentiality of Medical, 2011.) PHI (Bertin, 2009, p. 185)
Table B1 Environmental Risk Analysis Risk Description Probability of Risk Severity of Risk Countermeasures Status of Countermeasure Environmental disasters (floods, hurricanes, tornadoes) damaging and inhibiting access to PHI (CMS, 2007, p. 4) Low High Contingency plans for accessing and charting PHI during emergencies (CMS, 2007, p. 18) Implemented Technology malfunctions and power outages inhibiting access to PHI (CMS, 2007, p. 4 ) Medium Medium Contingency plans for accessing PHI, charting PHI, and placing orders during emergencies (CMS, 2007 , p. 18) Implemented Hackers using computers and wireless internet to access PHI (Bertin, 2009, p. 190) Medium Medium Password requirements, firewalls, antiviruses, and encryption of data (Bertin, 2009, p. 186, 189, 190) Implemented Paper MARs being lost or destroyed (Coiera, 2003, p. 115) High Medium Mobile BCMA system for access to PHI at the bedside (Perry, Shah, & Englebright, 2007) Proposed Location of computer screens next to patient rooms threatening confidentiality of PHI (Bertin, 2009, p. 185) High Medium BCMA system laptops with configurable screens (Howard Medical, 2011.) Proposed
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