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HIPAA
HIPAA
HIPAA
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HIPAA
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HIPAA

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  • 1. Health Insurance Portability and Accountability Act (HIPAA) MHA 690 Sarah Smith
  • 2. HIPAA Law <ul><li>This law was enacted to safeguard patient security and privacy. </li></ul><ul><li>The privacy rule went into effective on April 14, 2003. </li></ul>
  • 3. Two Key Pieces <ul><li>HIPAA Privacy Rule </li></ul><ul><li>HIPAA Security Rule </li></ul>
  • 4. HIPAA Privacy Rule <ul><li>Is a rule in place to protect any private patient information. </li></ul>
  • 5. HIPAA Security Rule <ul><li>The security rule standardizes any security protocol for electronic health information. </li></ul>
  • 6. Who is entitled to follow HIPPA laws? Everyone!!!
  • 7. What type of patient information needs to be protected? <ul><li>Any individuals personal and health information that: </li></ul><ul><ul><ul><ul><ul><li>Information that has been created, kept, filed, used or shared. </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Any information spoken, written, or electronic. </li></ul></ul></ul></ul></ul><ul><li>According to HIPPA this is known as Protected Health Information (PHI). </li></ul>
  • 8. Specific Examples of Protected Health Information (PHI) <ul><li>A patients name, address, birth date, age, phone number, and e-mail address. </li></ul><ul><li>Medical records, diagnosis, x-rays, photos, prescriptions, lab work and test results. </li></ul><ul><li>Billing records, claim data, referral authorizations, explanation and benefits. </li></ul><ul><li>Research records. </li></ul>
  • 9. PHI may be used for: <ul><li>Treatment of a patient such as sending an appointment reminder. </li></ul><ul><li>Payment of health care bills. </li></ul>
  • 10. Notice of Privacy Practices <ul><li>Outlines how the health care organization can use and share a patients PHI. </li></ul><ul><li>Explains the patients privacy rights. </li></ul><ul><li>Have every patient sign a written document stated they have received and understand the Notice of Privacy Practice. </li></ul>
  • 11. What are the repercussions for violating HIPPA laws? <ul><li>An employee who does not protect a patients privacy could lose their job, pay fines, and potentially spend time in jail. </li></ul><ul><li>Fines are $50,000 to $1,500,000. </li></ul><ul><li>Jail time could be up to a maximum of ten years. </li></ul>
  • 12. When can an employee use PHI? <ul><li>ONLY WHEN IT PERTAINS TO YOUR JOB! </li></ul><ul><li>At all other times a patients information needs be protected. </li></ul>
  • 13. <ul><li>A former UCLA Health System employee was the first person to ever serve prison time for violating HIPAA laws. </li></ul><ul><li>The employee pleaded guilty to four misdemeanors courts of accessing and reading confidential medical records of his supervisors as well as high profile celebrities. </li></ul><ul><li>He was sentenced to four months in prison and a fine of $2,000. </li></ul>Story
  • 14. HIPAA is a Law <ul><li>HIPAA is a law and all employees who work at this health care organization are required to follow this law or will be held accountable for their actions. </li></ul><ul><li>Always think before you speak about patient information! </li></ul><ul><li>Do not look for patient information unless it pertains to you! </li></ul>
  • 15. References <ul><li>Dimick, C. (April 29, 2010). Californian sentenced to prison for HIPAA violation. </li></ul><ul><li>Retrieved from http://journal.ahima.org/2010/04/29/californian-sentenced-to- </li></ul><ul><li>prision-for-hipaa-violation/ </li></ul><ul><li>U.S. Department of Health & Human Services. (2011). Summary of the HIPAA </li></ul><ul><li>privacy rule. Retrieved from </li></ul><ul><li>http://www.hhs.gov/ocr/privacy/hipaa/understanding/summary/index.html </li></ul>

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