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The UVa Healthcare System. Medical Privacy. "Whatsoever things I see or hear concerning the life of men, in my attentance on the sick or even apart therefrom, which ought not be noised abroad, I will keep silence thereon, counting such things to be as sacred secrets."

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The uva healthcare system

The UVa Healthcare System

Medical Privacy

"Whatsoever things I see or hear concerning the life of men, in my attentance on the sick or even apart therefrom, which ought not be noised abroad, I will keep silence thereon, counting such things to be as sacred secrets."

- Oath of Hippocrates, 4th Century, B.C.E.


Where has your record been
Where has your record been?

  • “Medical Records Fall Out of Vehicle, Blown Through Street” – Associated Press, May 26, 2000

  • “Prozac Maker Reveals Patient E-Mail Addresses” – The Washington Post, July 4, 2001

  • “Patients’ Records Found in Unsecured Dumpsters” – The Daily Herald, June 18, 2000

  • “Settlement in Privacy Suit Against Drug Store; Children Allegedly Learned of Dad’s AIDS from Son of a Pharmacy Clerk” – Chicago Tribune, January 9, 1998

  • “Allen Makes Diagnosis of Depression Public; Medical Records Mailed Anonymously” – The Washington Post, August 26, 2000

  • “Robert Downey Did Drugs in Rehab!” – The National Enquirer, June 19, 2001


Your medical records today
Your Medical Records Today

  • Mostly paper

  • Incorrect Information

  • Many organizations have access


Protecting the record
Protecting the Record

  • The Doctors: Hippocratic Oath

  • The State: State Law

  • The Hospital: Lock & Key

  • Limited guidelines for digitization


Hipaa
HIPAA

  • Health Insurance Portability and Accountability Act of 1996

    • Electronic Health Transactions Standards

    • Unique Identifiers

    • Privacy & Confidentiality Standards

    • Security & Electronic Signature Standards


Privacy
Privacy

  • Consents & Authorization

  • Internal Policies

  • Minimum Necessary

  • Training


Rights of individuals
Rights of Individuals

  • Notices

  • Access

  • Additions

  • Accounting of Disclosures

  • Right of Restriction


Security
Security

  • Computer & Network Security

  • Employee Security

  • Business Operation Security

  • Contingency Plans


Liability
Liability

  • Who can sue?

    • HHS

    • You

  • Criminal Penalties


Implementing hipaa is easy right
Implementing HIPAA is easy, right?

  • HIPAA is complex

  • It’s about people

  • 8,000 of Them

  • Various Levels of Education

  • Records Difficult to Track

  • Doctors are Unsure


How will they do it
How Will They Do It?

  • New Administrative Functions

  • Computer Systems to track and manage records

  • Paperless Records

  • Training


Critiques
Critiques

  • HIPAA Initiatives and Risk Management

  • Small practices do not have the resources

  • Tight Schedule

  • Transition Phase is the most risky

  • But…

    UVa Hospital cares about privacy


Questions
Questions

?

?

?


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