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Understanding 
HIPAA Lisa Copley 
MHA690 
August 26, 2014 
Dr. Rockie McDaniel
HIPAA Privacy Rule 
The Standards for Privacy of Individually 
Identifiable Health Information (“Privacy 
Rule”) establishes a set of national 
standards for the protection of certain 
health information (HHS.gov, 2014).
Goal 
• A primary goal of the Privacy Rule is to 
guarantee that individuals’ health 
information is appropriately secured while 
permitting the movement of health 
information necessary to provide and 
promote high quality health care and to 
protect the public's health and well being.
Who is covered 
• Health Plans 
• Health Care Providers 
• Health Care Clearinghouses
What is protected health 
information (PHI) 
“Individually identifiable health information” is information, 
including demographic data, that relates to: 
•the individual’s past, present or future physical or mental 
health or condition, 
•the provision of health care to the individual, or 
•the past, present, or future payment for the provision of 
health care to the individual, 
and that identifies the individual or for which there is a 
reasonable basis to believe it can be used to identify the 
individual.
Penalties for Noncompliance 
Prior to 2/18/2009 After 2/18/2009 
Penalty Amount Up to $100 
per violation 
$100 to $50,000 or more 
per violation 
Calendar Year Cap $25,000 $1,500,000
References 
• HHS.gov (2014). Summary of the HIPAA 
Privacy Rule. Retrieved from 
http://www.hhs.gov/ocr/privacy/hipaa/unde 
rstanding/summary/index.html

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Wk1dq2

  • 1. Understanding HIPAA Lisa Copley MHA690 August 26, 2014 Dr. Rockie McDaniel
  • 2. HIPAA Privacy Rule The Standards for Privacy of Individually Identifiable Health Information (“Privacy Rule”) establishes a set of national standards for the protection of certain health information (HHS.gov, 2014).
  • 3. Goal • A primary goal of the Privacy Rule is to guarantee that individuals’ health information is appropriately secured while permitting the movement of health information necessary to provide and promote high quality health care and to protect the public's health and well being.
  • 4. Who is covered • Health Plans • Health Care Providers • Health Care Clearinghouses
  • 5. What is protected health information (PHI) “Individually identifiable health information” is information, including demographic data, that relates to: •the individual’s past, present or future physical or mental health or condition, •the provision of health care to the individual, or •the past, present, or future payment for the provision of health care to the individual, and that identifies the individual or for which there is a reasonable basis to believe it can be used to identify the individual.
  • 6. Penalties for Noncompliance Prior to 2/18/2009 After 2/18/2009 Penalty Amount Up to $100 per violation $100 to $50,000 or more per violation Calendar Year Cap $25,000 $1,500,000
  • 7. References • HHS.gov (2014). Summary of the HIPAA Privacy Rule. Retrieved from http://www.hhs.gov/ocr/privacy/hipaa/unde rstanding/summary/index.html