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Demonstration of Health - IT Benefits:
Access to PHI in India
Presented by
Mr. Amitava Chakraborty
IPR, Space Law & Health-IT Consultant (India, US, EU)
amitava268111@gmail.com, +1-408-663-7962
&
Advocate Bagmisikha Puhan
IPR Consultant, India
2
When a patient gives personal health information to a healthcare
provider, that becomes Protected Health Information (PHI)
PHI Includes:
• Verbal information
• Information on paper
• Recorded information
• Electronic information (faxes, e-mails)
PHI can be used or disclosed for
• Treatment, payment, and healthcare operations
• With authorization/agreement from patient
• For disclosure to patient
PHI can be used/disclosed without authorization for the following reasons:
• To inform appropriate agencies
• Public health activities related to disease prevention/control ,
• To report victims of abuse, neglect or domestic violence
• To funeral homes, tissue/organ banks
• To avert a serious threat to health/safety
3
1
Diagnosed with Depression
2
3
Received free samples of anti-depressant
medications via e-mail
Breach of Confidentiality and
Patient Privacy
4
Intended Purpose
• PHI is sensitive personal information, the flow of which is
to be made for an intended purpose, only after valid
consent of the individual.
• The purpose and the usage of the PHI must be clear to the
understanding of the individual, and the consent must then
be obtained.
• The covered entities must ensure that the individual is
aware of the intended recipients of the PHI.
The above are the most the basic security and privacy rules of
adherence.
5
Security and Privacy Standards
• Privacy refers to the authorization of the patient for
obtaining, retaining, managing, and transmitting of the
data.
• Security refers to the encryption of the data, while
retaining, managing, and transmitting of the same to
the intended recipients.
• The minimum standards of confidentiality requires that
the PHI is reduced to de-identified data.
– the identity of the owner of the data should not be tied to
the information which flows from one stakeholder to the
other.
6
Reasonable Measures
• Sharing and transmitting of the PHI is inevitable in this
Health-IT environment.
• Reasonable efforts to safeguard the identifiable
information available with the stakeholders is a
mandate and a necessity.
– Extends over to the handling of the data, and the
transmitting of the data, over a period of time.
7
Solution Includes:
• e-PHI implementation on a secure channel
• computer-implemented cloud based EMR
management on a heterogeneous health
environment
• Authentication based PHI sharing b/w
covered entities
• Designing of a Risk Adjusted Payment
model/system in the healthcare network
• Implementation of State defined privacy and
confidentiality clauses.
US2014297320
US2014150077A1
8
US20040078229
9
THANK YOU
Mr. Amitava Chakraborty
IPR, Space Law & Health-IT Consultant (India, US, EU)
amitava268111@gmail.com, +1-408-663-7962 (CA, USA)
&
Advocate Bagmisikha Puhan
IPR Consultant, India

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8.2 Demonstration Health - IT benifits - Bagmishika Puhan ( Session 8)

  • 1. 1 Demonstration of Health - IT Benefits: Access to PHI in India Presented by Mr. Amitava Chakraborty IPR, Space Law & Health-IT Consultant (India, US, EU) amitava268111@gmail.com, +1-408-663-7962 & Advocate Bagmisikha Puhan IPR Consultant, India
  • 2. 2 When a patient gives personal health information to a healthcare provider, that becomes Protected Health Information (PHI) PHI Includes: • Verbal information • Information on paper • Recorded information • Electronic information (faxes, e-mails) PHI can be used or disclosed for • Treatment, payment, and healthcare operations • With authorization/agreement from patient • For disclosure to patient PHI can be used/disclosed without authorization for the following reasons: • To inform appropriate agencies • Public health activities related to disease prevention/control , • To report victims of abuse, neglect or domestic violence • To funeral homes, tissue/organ banks • To avert a serious threat to health/safety
  • 3. 3 1 Diagnosed with Depression 2 3 Received free samples of anti-depressant medications via e-mail Breach of Confidentiality and Patient Privacy
  • 4. 4 Intended Purpose • PHI is sensitive personal information, the flow of which is to be made for an intended purpose, only after valid consent of the individual. • The purpose and the usage of the PHI must be clear to the understanding of the individual, and the consent must then be obtained. • The covered entities must ensure that the individual is aware of the intended recipients of the PHI. The above are the most the basic security and privacy rules of adherence.
  • 5. 5 Security and Privacy Standards • Privacy refers to the authorization of the patient for obtaining, retaining, managing, and transmitting of the data. • Security refers to the encryption of the data, while retaining, managing, and transmitting of the same to the intended recipients. • The minimum standards of confidentiality requires that the PHI is reduced to de-identified data. – the identity of the owner of the data should not be tied to the information which flows from one stakeholder to the other.
  • 6. 6 Reasonable Measures • Sharing and transmitting of the PHI is inevitable in this Health-IT environment. • Reasonable efforts to safeguard the identifiable information available with the stakeholders is a mandate and a necessity. – Extends over to the handling of the data, and the transmitting of the data, over a period of time.
  • 7. 7 Solution Includes: • e-PHI implementation on a secure channel • computer-implemented cloud based EMR management on a heterogeneous health environment • Authentication based PHI sharing b/w covered entities • Designing of a Risk Adjusted Payment model/system in the healthcare network • Implementation of State defined privacy and confidentiality clauses. US2014297320 US2014150077A1
  • 9. 9 THANK YOU Mr. Amitava Chakraborty IPR, Space Law & Health-IT Consultant (India, US, EU) amitava268111@gmail.com, +1-408-663-7962 (CA, USA) & Advocate Bagmisikha Puhan IPR Consultant, India