Reference no: EM133561824
Case Study: A 42-year-old male scientist, along with his wife and two children, from a tiny town called Albarracin, (about 4 hours outside Madrid, Spain), traveled to San Diego with a dual purpose...for him to interview for a job at the famous the Salk Institute Laboratories and to scope out the area as a potential place to relocate. Their primary spoken language is Spanish (Castilian Spanish), with the hope to one day master English. Since they traveled so far, a first-time visit to the U.S. no less, they decided to tack on some leisure time as a family. Next stop, Vale, Colorado for a few days of skiing. before heading back to Spain.
Anyone who has ever skied understands that you should never say aloud- 'This is the last run of the day'. It is believed to be a jinx of sorts. Well, Elena, the wife of the scientist, was feeling fatigued as it was quite late in the day, and as she nearly reached the bottom of the mountain, her ski hit the edge of a rock near the treeline. She fell and broke her ankle. All she kept thinking was, 'I never should have said I'd take one last run'. Despite the fact that she is an expert skier, she is also a Type I Diabetic. Rushed by ambulance to the local hospital, the doctors tried to access her medical records from Spain. HIE standardization throughout the United States has a long way to go before a seamless process is realized, but international e-data adds a completely new dimension of complexity. The emergency department doctor called her doctor, directly, asking to email the records (Madrid to Colorado). Elena was airlifted to the regional hospital, stabilized with her glucose levels, and then sent to surgery, where 5 screws were inserted into her ankle. The surgeon emailed the before and after pictures to Elena's primary physician near Madrid. The family spent another week nearby the U.S. hospital so they could visit. A patient portal was set up for Elena, and she was discharged home for recuperation near her hometown. List the main challenges that Elena and her family have faced. Keeping in mind that the patient and family go hand-in-hand.
Questions:
- Briefly discuss the current overall state of HIE's in the United States.
- Do you believe it was ethical for the doctors to email each other (including patient photos) via a non-secured health network? Why or why not? Are there extenuating circumstances?
- The patient portal is in English only. Identify the primary problem and offer a short and long-term solution. Please provide with APA 7th edition reference ?