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Ensuring Medical Privacy: Challenges and Solutions in the UVa Healthcare System

The protection of medical privacy is a paramount concern in the UVa Healthcare System, echoing the timeless principles of the Hippocratic Oath. Instances like lost medical records and unauthorized disclosures raise pressing questions about security measures in place. Understanding the implications of HIPAA, the responsibilities of healthcare providers, and appropriate training is crucial. As the system transitions to digital records, maintaining patient confidentiality becomes even more complex. UVa Hospital prioritizes privacy, but awareness of challenges and solutions is vital for patients and practitioners alike.

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Ensuring Medical Privacy: Challenges and Solutions in 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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