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Welcome                           to                      HIPAA TrainingPresented by: Reginald AbadsantosDate:         Oct...
Learning Objectives• Describe Health Insurance  Portability and Accountability  Act’s [HIPAA]   – Purpose   – Goals   – Ac...
HIPAA - Health Insurance Portability and           Accountability Act of 1996         • Purpose:           • provide conti...
HIPAA - Health Insurance Portability and           Accountability Act of 1996What it does:    limits exclusion for preexi...
HEALTH INFORMATION                                MANAGEMENT                                PROFESSIONALS         Health I...
PRIVACY RULE                    a Federal law which gives                     individual rights over their               ...
KEY ELEMENTS OF                 PRIVACY RULE           Covered Entity Uses and Disclosure Research Individual Rights ...
PRIVACY RULE – WHO                  IS TO FOLLOW THE RULE?             Note: HIPAA refer to them as covered entities Heal...
PRIVACY RULE – WHAT                     INFORMATION MUST BE                     PROTECTED? Patient’s information entered ...
PRIVACY RULE – HOW                   IS THE INFORMATION                   PROTECTED? Covered entities must:   have proce...
PRIVACY RULE – HOW                  IS THE INFORMATION                  PROTECTED? Covered entities must:   put in place...
PATIENT’S RIGHTS                   Providers and health               insurers must comply with          patient’s right t...
PATIENT’S RIGHTS                     Decide whether to give their                     permission before information can  ...
TRUE OR FALSE                                  QUESTIONS                       1. THE ROLE OF A HEALTH INFORMATION        ...
TRUE OR FALSE    ANSWERS1. FALSE2. FALSE3. TRUE4. FALSE5. TRUE
TRUE OR FALSE                                   QUESTIONS                       6. HIPAA GUARANTEES AVAILABILITY OF HEALTH...
TRUE OR FALSE    ANSWERS6. TRUE7. FALSE8. TRUE9. TRUE10. TRUE
Summary• HIPAA Primary goal  – Making health care delivery more efficient and    increasing the number of Americans health...
References:Health Information Privacy (n.d.). U.S. Department of       Health and Human Services. Retrieved from       htt...
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Hipaa training

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Hipaa training

  1. 1. Welcome to HIPAA TrainingPresented by: Reginald AbadsantosDate: October 24, 2012Advisor: Dr. Susan Anderson
  2. 2. Learning Objectives• Describe Health Insurance Portability and Accountability Act’s [HIPAA] – Purpose – Goals – Actions• Identify Health Information Management Professionals’ Role• Enumerate & Explain Privacy Rule’s – Elements – Who – What – How• Evaluate Patient’s rights
  3. 3. HIPAA - Health Insurance Portability and Accountability Act of 1996 • Purpose: • provide continuity of health coverage. • control fraud & abuse. 1 • reduce healthcare cost. • guarantee the security & privacy of health information. • Goal: • greater individual rights with regards to a 2 person’s health information. • greater privacy protection of ones health information
  4. 4. HIPAA - Health Insurance Portability and Accountability Act of 1996What it does:  limits exclusion for preexisting medical conditions.  prohibits discrimination against employees and dependents based on health status.  guarantees availability of health insurance to small employers.  guarantees renewability of insurance to all employees regardless of size of employer.
  5. 5. HEALTH INFORMATION MANAGEMENT PROFESSIONALS Health Information professionalsare the custodians of patient information.Role: protect the integrity and confidentiality of patient information. assist in monitoring the healthcare facility’s compliance with its own data security policies and procedures.
  6. 6. PRIVACY RULE  a Federal law which gives individual rights over their health information. sets rules and limits on who can look at and receive your health information. applies to all forms of individuals protected health information, whether electronic, written, or oral. entities covered by HIPAA is to ensure that electronic protected health information is secure.
  7. 7. KEY ELEMENTS OF PRIVACY RULE  Covered Entity Uses and Disclosure Research Individual Rights Administrative Requirements Compliance and Enforcement
  8. 8. PRIVACY RULE – WHO IS TO FOLLOW THE RULE? Note: HIPAA refer to them as covered entities Health Plans Most Health care Providers Health care Clearing house
  9. 9. PRIVACY RULE – WHAT INFORMATION MUST BE PROTECTED? Patient’s information entered by doctors, nurses and other healthcare providers. Patient’s conversation with doctor about their care or treatment with nurses and others. Information about patient in their health insurer’s computer system. Billing information about patient. Most other health information about patient held by those who must follow these laws.
  10. 10. PRIVACY RULE – HOW IS THE INFORMATION PROTECTED? Covered entities must:  have procedures in place to limit who can view and access patient’s health information  implement training programs for employees about how to protect patient’s health information  reasonably limit uses and disclosures to the minimum necessary to accomplish their intended purpose.
  11. 11. PRIVACY RULE – HOW IS THE INFORMATION PROTECTED? Covered entities must:  put in place safeguards to protect patient’s health information  have contracts in place with their contractors and others ensuring that they use and disclose patient’s health information properly and safeguard it appropriately.
  12. 12. PATIENT’S RIGHTS Providers and health insurers must comply with patient’s right to:Ask to see and get a copy of a their health recordsHave corrections added to their health information.Receive a notice that tells how their health information is used and shared.
  13. 13. PATIENT’S RIGHTS Decide whether to give their permission before information can be used or shared for certain purposes Get a report on when and why patients health information was shared. Ask to be reached somewhere other than home. Ask that patients information not be shared. File complaints.
  14. 14. TRUE OR FALSE QUESTIONS 1. THE ROLE OF A HEALTH INFORMATION PROFESSIONAL IS TO ASSIST PATIENT IN FILING OUT THEIR HEALTH INFORMATION.2. PRIVACY RULE ONLY APPLIES TO PROTECTING THE WRITTEN HEALTHINFORMATION OF AN INDIVIDUAL.3. THE GOAL OF HIPAA IS TO PROVIDE GREATER PRIVACY PROTECTIONOF AN INDIVIDUALS HEALTH RECORD.4. ONE OF THE KEY ELEMENTS OF PRIVACY RULE IS STRUCTUREINTEGRITY.5. HIPAA WAS SIGNED TO LAW IN 1996.
  15. 15. TRUE OR FALSE ANSWERS1. FALSE2. FALSE3. TRUE4. FALSE5. TRUE
  16. 16. TRUE OR FALSE QUESTIONS 6. HIPAA GUARANTEES AVAILABILITY OF HEALTH INSURANCE TO SMALL EMPLOYERS.7. ONE OF THE PATIENTS RIGHTS IS THE RIGHT TO BE ABLE TO ASK TOGET A COPY OF THEIR SPOUSES MEDICAL RECORD.8. A PATIENT HAS TO THE RIGHT TO OPT OUT IN SHARING THEIRINFORMATION.9. HIPAA REFERS TO HEALTHCARE PROFESSIONALS AS COVEREDENTITIES.10. BEFORE I WENT BACK TO MY POSITION, I HAD THE ABILITY TO ASKQUESTIONS ABOUT HIPAA PRIVACY PRACTICES.
  17. 17. TRUE OR FALSE ANSWERS6. TRUE7. FALSE8. TRUE9. TRUE10. TRUE
  18. 18. Summary• HIPAA Primary goal – Making health care delivery more efficient and increasing the number of Americans health insurance coverage• Value of HIPAA Privacy rule – Protecting patients personal privacy• Articulate patient’s rights based on HIPAA Privacy practices
  19. 19. References:Health Information Privacy (n.d.). U.S. Department of Health and Human Services. Retrieved from http://www.hhs.gov/ocr/privacy/hipaaJohns, M.L. (2011). Health information management technology: An applied approach. Chicago, IL: Ahima Press.Nass, S.J., Levit, L.A., & Gostin, L.O. (Eds.). (2009). Beyond the HIPAA Privacy Rule: Enhancing Privacy, Improving Health Through Research. Institute of Medicine. Washington, DC: The National Academies Press. [NCBI library version] Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK9578/

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