HIPAA and Codes of EthicsThe situation. Healthcare providers nee.docx

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HIPAA and Codes of Ethics The situation . Healthcare providers need access to patient personal health information wherever patients are present for care. Systems that standardize electronic medical records provide such access, but the risk to privacy that accompanies that access is real, and breaches often make the news. At the Federal level, the HIPAA Privacy Rule protects personal health information gathered by healthcare providers, but most agree that information needs more protection than HIPAA currently affords. Some believe added protection may be found in the forming and keeping of codes of ethics. A scenario . Mary works in a hospital health information management department, and Maureen, her friend, comes one day to pick up the medical records of a patient who is a client of the lawyer Maureen works for. Maureen, however, has forgotten to bring the client’s signed authorization form, though she assures Mary the form, which she saw the patient sign, is at her office. Since Maureen’s need for the form is urgent and there isn’t enough time to return with the form today, Maureen hopes to take the records and return with the form another day. Read the iHealthCoalition’s eHealth Code of Ethics , the Summary of the HIPAA Privacy Rule , and with the above scenario in mind, consider the following questions: In light of what the Code and HIPAA say, how might Mary and Maureen best resolve the problem? How might a code of ethics provide personal medical information more protection than HIPAA? In the above code, only one of the eleven sections is explicitly labeled privacy. Do matters covered in other sections play roles in protecting personal medical information? Explain. In what ways, if any, does HIPAA protect personal medical information where codes of ethics do not? Support your answers with examples, clear reasoning, and by citing the Code of Ethics and HIPAA regulation directly. .

Education

In what ways, if any, does HIPAA protect personal medical
information where codes of ethics do not?
Support your answers with examples, clear reasoning, and by
citing the Code of Ethics and HIPAA regulation directly.

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Please discuss this format because this is what I sent the instructor The topic I chose to discuss is the history of HIPPA (Health Insurance Portability and Accountability Act). HIPAA was originally enacted in 1996. In 2003, the part of the Act relevant to privacy directed the Department of Health and Human Services to write a health privacy rule. HIPAA gives each patient some rights, but HIPAA also permits uses and disclosures of health records without the patient’s consent. Standardization Before HIPAA, rules and regulations lacked consistency, diverse by state, and were split among government. Confusion as to which regulations were applicable. There was no uniformity between state and federal requirements. Congress recognized the increased use of electronic technology, the potential for abuse or compromise, and the need to establish security and privacy standards for it. We have all heard news stories about electronic information being mistakenly lost, stolen, or inadvertently sent to the wrong place. Steps to HIPAA Security Compliance HIPAA Security Compliance ensure that their current computer security complies with the HIPAA standards, Physicians should take responsibility for understanding how health information technology is used in their practice, taking a proactive approach to computer security now, will prevent trouble later. Health Fraud and abuse The HIPAA Act established a comprehensive program to combat fraud committed against all health plans, both public and private. The Fraud and Abuse Control Program (HCFAC) is designed to coordinate Federal, State and local law enforcement activities with respect to health care fraud and abuse. .

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The HITECH Act was incorporated into ARRA to promote the adoption and meaningful use of health information technology. Subtitle D of the HITECH Act, sections 13400–13424, addresses the privacy and security concerns associated with the electronic transmission of health information. It does so, in part, through several provisions that strengthen the civil and criminal enforcement of the HIPAA rules. (OCR, 2017) Consider the following case from the course scenario on St. Michael's Medical Center. Case I: The Blue Wall Many patients and regulators have accused the hospital of neglecting its organizational responsibilities to respect patient rights. The hospital has established a so-called blue wall to withhold information and protect its employees. The administration and the ethics committee overseeing these ethical issues were accused of cover-up and making decisions that endangered vulnerable people. In most cases, the hospital has failed to meet its responsibilities to patients and to comply with regulations. Some of the violations are the following: Employees have exposed patient information to unauthorized people. Nurses have made unilateral decisions and ignored informed consent mandates. Administrators have covered up instances of medication errors and failed to meet regulatory compliance regarding the handling, storage, and retention of medical records. Visitors have found sensitive patient information in files left in hallways and on laptops left in patients' rooms. Mobile devices containing patient information that doctors have claimed were missing have been found lying around in public areas. Few employees have done the right thing. Organizational lapses in policies and procedures occur at all levels. As the newly hired chief executive officer (CEO), you have been asked to address these issues. You will make a presentation to help managers, supervisors, and general staff members to curb the Health Insurance Portability and Accountability Act (HIPAA) violations in the following areas: Communication Secure storage of information Retention of health information Prepare a 15-slide PowerPoint addressing the following items: What are 5 effective health information communication methods? What are the advantages and disadvantages of these methods? What healthcare laws guide the sharing and delivery of health information among stakeholders? What type of health information could be shared and with whom? What are the benefits of sharing patient health information? What current applications are available to share patient information? What HIPAA mandates are about the disclosure of patient information, especially the Privacy and Security Rules? What are the benefits of using social media applications for sharing health information? What limitations exist in sharing health information using social media applications? What is the purpose of seeking patient consent to release medical records? What penalty exists for unauthori.

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Chapter 10 Privacy and Security of Health Records Learning Outcomes After completing this chapter, you should be able to: ♦ List HIPAA transactions and uniform identifiers ♦ Understand HIPAA privacy and security concepts ♦ Apply HIPAA privacy policy in a medical facility ♦ Discuss HIPAA security requirements and safeguards ♦ Follow security policy guidelines in a medical facility ♦ Explain electronic signatures Understanding HIPAA In Chapter 11 we will discuss various ways the Internet is being used for healthcare, including various implementations of EHR on the Internet, Internet-based personal health records (PHR), and remote access. In Chapter 12 we will explore the relationship of the EHR data to the determination of codes required for medical billing. Before moving to those topics it is prudent to understand HIPAA. HIPAA is an acronym for the Health Insurance Portability and Accountability Act, passed by Congress in 1996. The HIPAA law was intended to: ♦ Improve portability and continuity of health insurance coverage. ♦ Combat waste, fraud, and abuse in health insurance and healthcare delivery. ♦ Promote use of medical savings accounts ♦ Improve access to long-term care ♦ Simplify administration of health insurance HIPAA law regulates many things. However, a portion known as the Administrative Simplification Subsection1 of HIPAA covers entities such as health plans, clearinghouses, and healthcare providers. HIPAA refers to these as covered entities or a covered entity. This means a healthcare facility or health plan and all of its employees. If you work in the healthcare field, these regulations likely govern your job and behavior. Therefore, it is not uncommon for healthcare workers to use the acronym HIPAA when they actually mean only the Administrative Simplification Subsection of HIPAA. Note Covered Entity HIPAA documents refer to healthcare providers, plans, and clearing-houses as covered entities. In the context of this chapter, think of a covered entity as a healthcare organization and all of its employees. As someone who will work with patients’ health records, it is especially important for you to understand the regulations regarding privacy and security. However, let us begin with a quick review of HIPAA, then study the privacy and security portions in more depth. HIPAA implementation and enforcement is under the jurisdiction of several entities within the U.S. Department of Health and Human Services (HHS). This chapter will make extensive use of documents prepared by HHS. Administrative Simplification Subsection The Administrative Simplification Subsection has four distinct components: 1. Transactions and code sets 2. Uniform identifiers 3. Privacy 4. Security HIPAA Transactions and Code Sets The first section of the regulations to be implemented governed the electronic transfer of medical information for business purposes such as insurance claims, payme ...

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What is HIPAA? Why was it passed? What arc the potential benefits to health care organizations by complying with HIPAA standards? What arc the potential drawbacks? Solution HIPAA stands for Health Insurance Portability and Accountability Act. It was passed in 1996. It does the following: Provides the ability to transfer and continue health insurance coverage for millions of American workers and their families when they change or lose their jobs; Reduces health care fraud and abuse; Mandates industry-wide standards for health care information on electronic billing and other processes; and Requires the protection and confidential handling of protected health information HIPAA was passed as it gave Congress a way to mandate the establishment of Federal standards for the privacy of individually identifiable health information. When it comes to personal information that moves across hospitals, doctors’ offices, insurers or third party payers, and State lines, our country has relied on a patchwork of Federal and State laws. Under the patchwork of laws existing prior to adoption of HIPAA and the Privacy Rule, personal health information could be distributed—without either notice or authorization—for reasons that had nothing to do with a patient\'s medical treatment or health care reimbursement. For example, unless otherwise forbidden by State or local law, without the Privacy Rule patient information held by a health plan could, without the patient’s permission, be passed on to a lender who could then deny the patient\'s application for a home mortgage or a credit card, or to an employer who could use it in personnel decisions. The Privacy Rule establishes a Federal floor of safeguards to protect the confidentiality of medical information. State laws which provide stronger privacy protections will continue to apply over and above the new Federal privacy standards. Health care providers have a strong tradition of safeguarding private health information. However, in today’s world, the old system of paper records in locked filing cabinets is not enough. With information broadly held and transmitted electronically, the Rule provides clear standards for the protection of personal health information. There are many benefits to healthcare organizations for complying with HIPAA standards. There are huge benefits of reducing paper in health care. There are alo benefits of standardizing data, especially for the coordination of insurance benefits and payments. Also, this will make health plan–specific reporting and filing requirements for hospitals and health care providers unnecessary. Easier to maintain patients\' personal health information in a secure and confidential manner. HIPAA privacy rule also has a lot of benefits. The HIPAA Privacy Rule has helped to create a culture of compliance within many healthcare organizations. With the ever-changing environment of healthcare regulations, compliance is imperative. This enabled different organizations to buil.

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