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  1. 1. MHA 690 Joseph Ferguson Prof. Cynthia Davis
  2. 2.  Confidentiality is the process of not- disclosing information to unidentified or unauthorized third parties. Something that is confidential is limited to a certain number of people.
  3. 3.  A breach of confidentiality is when information is willingly or unwillingly shared or distributed to a third party without consent. Breaches can occur at any time; they can occur verbally through a conversation, written in document, and electronically through email over a computer (AMA, 2013)
  4. 4.  HIPAA-Health Insurance Portability and Accountability Act  AMA-American Medical Association  NEC- National ethics committees and councils  State Laws
  5. 5.  All NPI (Non public information)  Medical Records and Billing Information  Patients and Medical personnel  Conversations between Patients and Clinicians  (US Dept. of Health and Human Services, 2013).
  6. 6.  All Covered entities must follow the regulations under HIPAA  Healthcare Providers (Doctors, Dentist, Pharmacist, etc.)  Health Plans (HMO, Health insurance Companies, Government programs like Medicaid)  Healthcare Clearing House  Business associates( Lawyers, IT specialist, Billing companies, Etc.)  (US Department of Health and Human Services, 2013).
  7. 7.  Patients have the right to determine who can review and receive their health information.  Patients have the right to change or updated medical profiles.  Patients have the right to choose what information they want to disclose to a physician.  (Beauchamp and Childress, 2012).
  8. 8.  In certain situations Medical Personnel have a duty to report.  Doctors can report information if the patient is a public health risk such as spreading diseases like HIV/AIDS.  If a patient talks to a psychiatrist about harming or killing someone or group of people.  Minors show signs of abuse.  (Beauchamp and Childress, 2012).
  9. 9.  Selling account information to creditors and marketers  Accessing patient records for personal use  Using patient information in marketing ads without consent  Misleading patients about health studies to gain profit for products.  (Department of Health and Human Services, 2013).
  10. 10.  Breach in confidentiality can have minor to severe penalties for individuals and the organization involved.  Fines  Suspension or Termination  Civil lawsuits  Criminal lawsuits  Reduction of patients  Mistrust from the community  (Department of Health and Human Services, 2013).
  11. 11.  If you are unsure or believe a breach in confidentiality has occurred always ask questions.  Do not email account or social security numbers  Contact immediate supervisor or department head  Do not discuss or share information with co – workers. This may lead to more breaching.  Lock up all NPI physical and electronic data  Shred unattended documents  Refer to this training and tool book
  12. 12.  The confidentiality training will be effective for the healthcare organization for variety of reasons; it will help avoid lawsuits (Civil or Criminal), educate employees of laws, identify unethical behavior, and used as a guideline to follow in day to day operations.  It is critical to stay up to date on ethical healthcare rules and regulations. On going training sessions throughout the year will help the organization operate affectively.
  13. 13.  American Medical Association. (2013). Hipaa: Health insurance portability accountability act. Retrieved from resources/solutions-managing-your- practice/coding-billing-insurance/hipaahealth-  Beauchamp, T., & Childress, J. (2012). Principles of biomedical ethics. (7th ed.). New York, NY: Oxford University Press.  US Department of Health and Human Services. (2013). Summary of hipaa privacy rule. Retrieved from g/summary/index.html