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Health Insurance Portability Accountabilty Act

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  1. 1. Health Insurance Portability and Accountability Act Team B o
  2. 2. BACKGROUND INFORMATION <ul><li>Congress enacted the Health Insurance Portability and Accountability Act in 1996 to provide safeguards to protect security and confidentiality of patient information. </li></ul><ul><li>This Act granted Congress 3 years to enact comprehensive legislation regarding health care privacy. </li></ul><ul><li>In 1999, US Department of Health and Human Services (HSS) proposed regulations protecting patient’s rights against misuse of disclosure of personal information. </li></ul><ul><li>Finalized regulations were implemented in April 2003 that governed the protection of confidential information. </li></ul>
  3. 3. REGULATIONS COVERED UNDER HIPAA <ul><li>Consumer control over health information. </li></ul><ul><ul><li>Patients are not required to provide personal information during registration process at health care facilities. </li></ul></ul><ul><ul><li>Written explanation of conditions to use and disclose health information must be provided to patients. </li></ul></ul><ul><li>Rules regarding medical record release and use. </li></ul><ul><ul><li>Health information may not be disclosed to patient’s employers or financial institutions without patient authorization. </li></ul></ul><ul><ul><li>Emergency circumstances, identifying deceased, limited law enforcement activities, and national security needs are areas HIPAA rules permit allow disclosure of health information without individual authorization. </li></ul></ul>
  4. 4. REGULATIONS COVERED UNDER HIPAA Cont… <ul><li>Accountability for medical record use and release. </li></ul><ul><ul><li>Civil and criminal penalties are established for violating patient privacy. </li></ul></ul><ul><li>Balancing public responsibilities and privacy protections. </li></ul><ul><ul><li>All medical records and other electronic health information used or disclosed are protected. </li></ul></ul><ul><ul><li>With situations that involve more stringent state laws that are already in placed, health care organizations must follow the most restrictive law, protecting patient privacy. </li></ul></ul><ul><ul><li>The provisions of HIPAA apply equally to private and public health care sectors. </li></ul></ul>
  5. 5. RAMIFICATION FOR NON-MEDICAL SECURITY IN IT <ul><li>Reduce security transaction costs for affiliated practices. </li></ul><ul><ul><li>Physicians care about one thing - caring for their patients. </li></ul></ul><ul><ul><li>By helping these independent practices identify, purchase and manage security solutions, the healthcare organization can help educate their physicians while lowering their own public exposure </li></ul></ul>
  6. 6. RAMIFICATION FOR NON-MEDICAL SECURITY IN IT Cont… <ul><li>Security technology will provide at least this minimum level of compliance. </li></ul><ul><li>Also provides extra protection over and above the HIPAA standard. </li></ul>
  7. 7. HIPAA ADVISORY <ul><li>As technology marches on, challenges related to information security will be a critical topic, and remain under the radar of the Security Rule. </li></ul><ul><li>There may have been &quot;final rules&quot; established for HIPAA, but the delivery and business of healthcare is ever changing. </li></ul>
  8. 8. NATIONAL SECURITY ISSUES <ul><li>Since 9/11, terrorism, biological warfare, emergency preparedness, and homeland security have climbed to the top of the country's &quot;hot topics&quot; list. </li></ul><ul><li>These concerns are bringing healthcare-related issues - and new initiatives - to the forefront. </li></ul><ul><li>How we integrate the HIPAA regulations (both current and new) presents overwhelming challenges for the healthcare industry. </li></ul>
  9. 9. FUTURE FOR HIPAA <ul><li>A search of the internet readily yields hundreds, if not thousands of websites which detail how industry organizations are addressing the ongoing challenge of maintaining HIPAA-compliant cultures as they respond to new initiatives and opportunities. </li></ul><ul><li>HIPAA re-assessments, privacy, and security program updates, new training, and new opportunities for return on investment (ROI) are being recognized as a necessary part of any plan for new capabilities and operational enhancements. </li></ul>
  10. 10. PREVENT INAPPROPIATE PRIVACY-RELATED BEHAVIOR AMONG STAFF <ul><li>Helping the members of your staff integrate HIPAA privacy practices into their daily routines. </li></ul><ul><li>Providing authoritative guidelines, explanations, scenarios and scripts will show workers how they can meet their HIPAA privacy obligations. </li></ul>
  11. 11. REFERENCES <ul><li>Raymond S. Edge and John Randall Groves. (2006). Ethics of Health Care: A Guide for Clinical Practice. Retrieved August 28, 2007, from University of Phoenix ebook collection. </li></ul><ul><li>http://www.scmagazine.com/asia/news/article/419684/hipaa-comes-security-challenge/ </li></ul><ul><li>http://www.hipaadvisory.com/action/notdone.htm </li></ul>