The Scope of the Practicum Practicum Scope is the individual patients’ access to information in an HIE. Practicum Goal is to list considerations involved in making privacy and security policy.
What is HIE? An HIE is the electronic movement of health-related information.
What is HIE? In the process of care, health information is created, captured and then shared with other entities.
What is HIE? For each connection there is a technology, standard, policy, business case/ business model, product and specific sets ofinformation used, stored or which need to be transferred from one source to one or more destinations in the course of caring for an individual patient.
The case for a Patient PortalConnection Patients have the right to a copy of their health record 2 Patient records or health information are maintained in many locations, and originate from a variety of sources.
The Patient Portal Connection An HIE’s primary function is to provide structure – connection, integration, standardizing and facilitation. How can an HIE help patients get access to their information from these various sources in an easier way?
Policy considerations This practicum has a narrow focus, on privacy and security policies.
Is my private information secure? Can anyone see my personal health information on the Internet?
What types of information mightbe shared in an HIE? Protected information Individually Identifiable Health Information Information for public good – example, syndrome surveillance Genetic information, emergency preparedness information, medical and health-related discipline research information, mental health and other sensitive health information.
What does this mean to me? Patient Safety Audit disclosures Breach notification
Ask your doctor or patientrepresentative the followingquestions: 1. Is my health information automatically shared in the HIE? 2. Who controls my • • What if I don’t want my information shared? information? Me, the • • Can I control the information my doctor sees? HIE, or my doctor? • • Can I control which doctor sees what information? 3. Do I have to take action to not participate?
Ask your doctor or patientrepresentative the followingquestions: …continued 4. If your doctor uses • • What happens when I opt in? terms like opt in/opt • • What happens when I opt out? out, ask what they mean. • • Can I opt out of sharing a visit or a lab test? 5. How secure is mypersonal information? 6. Do I have to share mental health, drug • Courtesy American Health Information abuse, or other Management Association (AHIMA) sensitive data?
After granting Portal Access Transparency Disclosures Continuing privacy education. Manage and maintain TRUST
Refferences American Health Information Management Association (AHIMA) www.ahima.org …1 http://www.hhs.gov/ocr/privacy/hipaa/understanding /consumers/medicalrecords.html …2