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Computerized patient information under the Privacy Act: a regulatory effectiveness analysis.

V M Brannigan1

  • 1University of Maryland College Park 20742.

Proceedings. Symposium on Computer Applications in Medical Care
|January 1, 1992
PubMed
Summary

Regulatory Effectiveness Analysis measures compliance in technological systems by examining policies and tools. This method identifies gaps that lead to non-compliance, as demonstrated by Veterans Health Administration Privacy Act analysis.

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Area of Science:

  • Health policy analysis
  • Regulatory compliance studies
  • Information governance

Background:

  • Technological regulatory systems require robust compliance mechanisms.
  • Assessing the effectiveness of regulatory systems is crucial for public trust and operational integrity.
  • The Veterans Health Administration (VHA) operates under stringent privacy regulations, including the Privacy Act.

Purpose of the Study:

  • Introduce Regulatory Effectiveness Analysis (REA) as a novel method for evaluating compliance.
  • Identify discontinuities within regulatory systems that may lead to non-compliance.
  • Apply REA to assess the VHA's adherence to the Privacy Act.

Main Methods:

  • Examination of public policies, legal structures, and technical tools within a regulatory framework.

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  • Systematic identification of potential points of failure or non-compliance.
  • Case study application using Veterans Health Administration data and Privacy Act requirements.

    • Main Results:

    • Discontinuities in regulatory systems can be systematically identified.
    • The REA technique provides a framework for pinpointing areas of potential non-compliance.
    • Analysis of VHA actions revealed specific areas for improved Privacy Act adherence.

    Conclusions:

    • Regulatory Effectiveness Analysis is a viable technique for measuring compliance.
    • Identifying discontinuities is key to enhancing regulatory system effectiveness.
    • The VHA can leverage REA to strengthen its compliance with the Privacy Act.