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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

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