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Patient Privacy and
Confidentiality
Rita Jackson
MHA690
Health Care Capstone
Introduction
The purpose of this presentation is to:
 Outline HIPAA guidelines for the privacy and
confidentiality of patient records
 Outline responsibilities of staff members
 Outline consequences for not adhering to privacy
protections
Background
 Between 2004 and 2006, 127 employees at UCLA
Medical Center were found to have snooped in the
medical records of celebrity patients
 The employees had no reason to view those medical
records
 Employees were terminated
or reprimanded for their actions
HIPAA Guidelines
 HIPAA sets standards for when a patient’s protected
health information may be used
Providing treatment
Billing
Healthcare operations
Providing information to patients
Reporting health-related incidents
HIPAA Guidelines
 Employees and staff must have a valid reason to view
patient records
 Employees and staff must also be authorized to view
patient records under one of the acceptable reasons
 Simply being an employee of the facility is not
authorization to view the records of a specific patient
Penalties for Violating HIPAA
 The medical facility can face fines ranging from
$25,000 to $1.5 million
 Individual employees can face fines ranging from
$50,000 to $250,000 and up to 10 years in prison
depending on the reason for the violation and how
patient health information is used
Medical Facility Policy
 This medical facility strictly follows HIPAA regulations
 All employees must be authorized to view patient
records and have a valid reason under HIPAA to view
patient records
Medical Facility Policy
 Any unauthorized access of patient records can result
in termination
 Employees can also be reported to legal authorities
and face criminal and civil penalties for unauthorized
access of patient records
References
Associated Press. (2008). Report: Over 120 UCLA Hospital staff saw celebrity health records. Fox
News. Retrieved from https://www.foxnews.com/story/report-over-120-ucla-hospital-staff
saw-celebrity-health-records
American Medical Association. (n.d.). HIPAA violations & enforcement. Retrieved from
https://www.ama-assn.org/practice-management/hipaa/hipaa-violations-enforcement
Department of Health and Human Services. (2013). Summary of the HIPAA privacy rule.
Retrieved from https://www.hhs.gov/hipaa/forprofessionals/privacy/laws- regulations/index.html
Department of Health and Human Services. (2019). Notification of enforcement discretion
regarding HIPAA civil money penalties. Retrieved from
https://www.federalregister.gov/documents/2019/04/30/2019-08530/notification-of-
enforcement-discretion-regarding-hipaa-civil-money-penalties

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MHA690 Week 1 Patient Privacy and Confidentiality

  • 1. Patient Privacy and Confidentiality Rita Jackson MHA690 Health Care Capstone
  • 2. Introduction The purpose of this presentation is to:  Outline HIPAA guidelines for the privacy and confidentiality of patient records  Outline responsibilities of staff members  Outline consequences for not adhering to privacy protections
  • 3. Background  Between 2004 and 2006, 127 employees at UCLA Medical Center were found to have snooped in the medical records of celebrity patients  The employees had no reason to view those medical records  Employees were terminated or reprimanded for their actions
  • 4. HIPAA Guidelines  HIPAA sets standards for when a patient’s protected health information may be used Providing treatment Billing Healthcare operations Providing information to patients Reporting health-related incidents
  • 5. HIPAA Guidelines  Employees and staff must have a valid reason to view patient records  Employees and staff must also be authorized to view patient records under one of the acceptable reasons  Simply being an employee of the facility is not authorization to view the records of a specific patient
  • 6. Penalties for Violating HIPAA  The medical facility can face fines ranging from $25,000 to $1.5 million  Individual employees can face fines ranging from $50,000 to $250,000 and up to 10 years in prison depending on the reason for the violation and how patient health information is used
  • 7. Medical Facility Policy  This medical facility strictly follows HIPAA regulations  All employees must be authorized to view patient records and have a valid reason under HIPAA to view patient records
  • 8. Medical Facility Policy  Any unauthorized access of patient records can result in termination  Employees can also be reported to legal authorities and face criminal and civil penalties for unauthorized access of patient records
  • 9. References Associated Press. (2008). Report: Over 120 UCLA Hospital staff saw celebrity health records. Fox News. Retrieved from https://www.foxnews.com/story/report-over-120-ucla-hospital-staff saw-celebrity-health-records American Medical Association. (n.d.). HIPAA violations & enforcement. Retrieved from https://www.ama-assn.org/practice-management/hipaa/hipaa-violations-enforcement Department of Health and Human Services. (2013). Summary of the HIPAA privacy rule. Retrieved from https://www.hhs.gov/hipaa/forprofessionals/privacy/laws- regulations/index.html Department of Health and Human Services. (2019). Notification of enforcement discretion regarding HIPAA civil money penalties. Retrieved from https://www.federalregister.gov/documents/2019/04/30/2019-08530/notification-of- enforcement-discretion-regarding-hipaa-civil-money-penalties