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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."

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The UVa Healthcare System

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  1. 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.

  2. 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

  3. Your Medical Records Today • Mostly paper • Incorrect Information • Many organizations have access

  4. Protecting the Record • The Doctors: Hippocratic Oath • The State: State Law • The Hospital: Lock & Key • Limited guidelines for digitization

  5. HIPAA • Health Insurance Portability and Accountability Act of 1996 • Electronic Health Transactions Standards • Unique Identifiers • Privacy & Confidentiality Standards • Security & Electronic Signature Standards

  6. Privacy • Consents & Authorization • Internal Policies • Minimum Necessary • Training

  7. Rights of Individuals • Notices • Access • Additions • Accounting of Disclosures • Right of Restriction

  8. Security • Computer & Network Security • Employee Security • Business Operation Security • Contingency Plans

  9. Liability • Who can sue? • HHS • You • Criminal Penalties

  10. 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

  11. How Will They Do It? • New Administrative Functions • Computer Systems to track and manage records • Paperless Records • Training

  12. 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

  13. Questions ? ? ?

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