BY: Cherrie Mangalinao             MHA 690
THE PRIVACY ACT The HIPAA Privacy Rule establishes national standards to protect  individuals’ medical records and other ...
WHO IS RESPONSIBLE FORPATIENT PRIVACY HEALTHCARE PROVIDERS      Physicians      Nurses      Hospitals      Clinics IINSU...
WHO IS RESPONSIBLE FORPATIENT PRIVACY HEALTH INFORMATION DEPARTMENT      Claims Department      Benefits and Eligibility ...
WHAT ARE WE RESPONSIBLE FOR?     (1) access control, to minimize the inappropriate      retrieval of critical, electronic...
WHAT ARE WE RESPONSIBLE FOR?     (5) audit control, to allow for meaningful tracing      of inappropriate information acc...
PENALTIESHIPAA Violation           Minimum Penalty           Maximum PenaltyIndividual did not know   $100 per violation, ...
PENALTIESHIPAA violation due to     $1,000 per violation, with   $50,000 per violation,reasonable cause and not   an annua...
PENALTIESHIPAA violation due to     $10,000 per violation, with $50,000 per violation,willful neglect but        an annual...
PENALTIESHIPAA violation is due to    $50,000 per violation, $50,000 per violation,willful neglect and is not   with an an...
THE GOALIT IS OUR JOB AS A TEAM    TO PROTECT OUR PATIENTS’ RIGHTS AND        PRIVACY
REFERENCES HIPAA Violations and Enforcement [Report]. (2012).  American Medical Association. Retrieved from  http://www.a...
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Maintaining Patient Privacy

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MHA690 Week1 DQ2

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Maintaining Patient Privacy

  1. 1. BY: Cherrie Mangalinao MHA 690
  2. 2. THE PRIVACY ACT The HIPAA Privacy Rule establishes national standards to protect individuals’ medical records and other personal health information and applies to health plans, health care clearinghouses, and those health care providers that conduct certain health care transactions electronically. The Rule requires appropriate safeguards to protect the privacy of personal health information, and sets limits and conditions on the uses and disclosures that may be made of such information without patient authorization. The Rule also gives patients rights over their health information, including rights to examine and obtain a copy of their health records, and to request corrections.
  3. 3. WHO IS RESPONSIBLE FORPATIENT PRIVACY HEALTHCARE PROVIDERS Physicians Nurses Hospitals Clinics IINSURANCE COMPANIES HMOs Company Health Plans Government Programs
  4. 4. WHO IS RESPONSIBLE FORPATIENT PRIVACY HEALTH INFORMATION DEPARTMENT Claims Department Benefits and Eligibility Department Referral Department Healthcare and Premium Payments Department We are all responsible as a team for our patients’ privacy!
  5. 5. WHAT ARE WE RESPONSIBLE FOR?  (1) access control, to minimize the inappropriate retrieval of critical, electronically stored information  (2) encryption of private health data, to prevent intruders from locating transmissions across cyberspace, and to make recoding the transmission more difficult  (3) integrity control, to protect the validity and reliability of HCIT-accessible data  (4) authentication, to help the organization identify who is authorized and therefore allowed to access specific documents and records
  6. 6. WHAT ARE WE RESPONSIBLE FOR?  (5) audit control, to allow for meaningful tracing of inappropriate information access and retrieval  (6) alarms, to provide warnings and alerts about attempted or intended intrusions into stored private data  (7) event reporting, to ensure that any breach of HIPAA standards and regulations is swiftly reported and the resulting damages controlled quickly and effectively
  7. 7. PENALTIESHIPAA Violation Minimum Penalty Maximum PenaltyIndividual did not know $100 per violation, with an $50,000 per violation,(and by exercising annual maximum of with an annual maximumreasonable diligence $25,000 for repeat of $1.5 millionwould not have known) violations (Note:that he/she violated maximum that can beHIPAA imposed by State Attorneys General regardless of the type of violation)
  8. 8. PENALTIESHIPAA violation due to $1,000 per violation, with $50,000 per violation,reasonable cause and not an annual maximum of with an annual maximumdue to willful neglect $100,000 for repeat of $1.5 million violations
  9. 9. PENALTIESHIPAA violation due to $10,000 per violation, with $50,000 per violation,willful neglect but an annual maximum of with an annual maximumviolation is corrected $250,000 for repeat of $1.5 millionwithin the required time violationsperiod
  10. 10. PENALTIESHIPAA violation is due to $50,000 per violation, $50,000 per violation,willful neglect and is not with an annual maximum with an annual maximumcorrected of $1.5 million of $1.5 million
  11. 11. THE GOALIT IS OUR JOB AS A TEAM TO PROTECT OUR PATIENTS’ RIGHTS AND PRIVACY
  12. 12. REFERENCES HIPAA Violations and Enforcement [Report]. (2012). American Medical Association. Retrieved from http://www.ama-assn.org/ama/pub/physician- resources/solutions-managing-your-practice/coding- billing-insurance/hipaahealth-insurance-portability- accountability-act/hipaa-violations-enforcement.page Understanding Health Information Privacy. (2012). Retrieved from http://www.hhs.gov/ocr/privacy/hipaa/understanding/ind ex.html Wolper, L. F. (2011). Health Care Administration: Managing Organized Delivery Systems ( 5th Edition). Boston: Jones and Bartlett Publishing Retrieved from VitalSource

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