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HIPAA OBJECTIVES Define HIPAA Define PHI Use of PHI Your rights Your responsibilities HIPAA H EALTH I NSURANCE P ORTABILITY and A CCOUNTABILITY A CT Components of HIPAA

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hipaa objectives
HIPAA OBJECTIVES
  • Define HIPAA
  • Define PHI
  • Use of PHI
  • Your rights
  • Your responsibilities
hipaa
HIPAA
  • HEALTH
  • INSURANCE
  • PORTABILITY and
  • ACCOUNTABILITY
  • ACT
components of hipaa
Components of HIPAA
  • Insurance portability – Insures individuals moving from one health plan to another will have continuity of coverage and will not be denied coverage under pre-existing-condition clauses.
  • Fraud enforcement (accountability) – Significantly increases the federal government’s fraud enforcement authority in many different areas.
  • Administration simplification – the most significant part of the legislation
slide4

Easy to share.

Easy to misuse.

slide5
Knowingly releasing patient information
    • 1 year jail sentence and $50,000 fine
  • Gaining access to health information under false pretences
    • five-year jail sentence and $100,000 fine
  • Releasing patient information with harmful intent or selling information
    • 10-year jail sentence and $250,000 fine
confidential identifiable information
Confidential = Identifiable Information
  • Names
  • Addresses
  • Employers
  • Relatives’ names
  • Dates of birth
  • Telephone and fax numbers
  • E-mail addresses
confidential identifiable information continued
Confidential = Identifiable Information Continued
  • Social Security numbers
  • Medical record numbers
  • Member or account numbers
  • Certificate numbers
  • Voice prints
  • Finger prints
  • Photos
  • Codes
  • Any other characteristic, such as occupation, which may identify individual

CONFIDENTIAL!

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PHI
  • Protected
  • Health
  • Information

PASSWORD

ways to protect patient privacy
Ways to Protect Patient Privacy
  • Do I need to know this to do my job?
  • Do not pass it on.
ways to protect patient privacy10
Ways to Protect Patient Privacy
  • Close patient room doors to discuss treatments & administer procedures.
  • Close curtains & speak softly in semi-private rooms when discussing treatment & administering procedures.
  • Avoid discussions about patients in elevators & cafeteria lines.
  • Do not leave messages regarding conditions or test results on answering machines or with anyone other than patient.
  • Avoid paging patients using information that could reveal their health issues.
rules for use
Rules for Use
  • Treatment
  • Payment
  • Healthcare Operation
  • Authorization from individual patient
  • Disclose information to patient
  • Incidental disclosures are permitted
reasons to release phi without authorization
Reasons to Release PHI Without Authorization
  • State health agencies require providers to report to them when patients have certain communicable diseases, even if patient doesn’t want it reported
  • The FDA requires providers to report certain information about medical devices that break or malfunction
  • Some states require physicians and other caregivers who suspect child abuse or domestic violence to report it to police
reasons continued
Reasons Continued
  • Police have the right to request certain info about patients to determine whether they are suspects in criminal investigation or to assist in locating a missing person, material witness or suspect
  • Courts have the right to order providers to release patient information
  • Providers must report cases of suspicious deaths or suspected crime victims
privacy rules provide you as a client new rights
Privacy Rules Provide You As A Client New Rights
  • Notice of privacy
  • Right to restrict use & disclosure of PHI
  • Right to have PHI communicated by alternate means
  • Right to amend PHI
  • Accounting of disclosures of PHI
  • Right to access PHI
your responsibilities
Your Responsibilities
  • Understand PHI
  • Know rules
  • Know how to implement in your department
  • Reporting violations