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Confidentiality
Karen Vargas
MHA690
Professor Sherrie Hu
July 18, 2019
 HIPAA-Health Insurance
Portability and
Accountability Act
 Legal Protection for PHI
 Guidelines for Professionals
 HIPAA Privacy Rule
Patient Rights
• Privacy and confidentiality
of personal health
information (PHI).
• Trust and confidence in
healthcare providers.
Safeguards
and Security
measures
POLICIES
& PROCEDURES
HIPAA
COMPLIANCE
EMPLOYEE
TRAINING/EDUCATION
PHYSICAL & TECHNICAL
SAFEGUARDS
COMPLIANCE
PROGRAM/OFFICER
Impact to Patients
& Providers
Patients
 Loss of Trust with medical team
 Mental and emotional harm
 Identity theft/harm
Providers
 Legal challenges
 Fines
 Damaged public reputation
 Loss of accreditation
References
Fox News. (2008). Report Over 120 UCLA hospital staff saw celebrity health
records (Links to an external site.). Retrieved
from https://www.foxnews.com/story/report-over-120-ucla-hospital-staff-saw-
celebrity-health-records
U.S. Department of Health and Human Services (2018). Health information
privacy. Retrieved from: https://www.hhs.gov/hipaa/for-
professionals/compliance-enforcement/data/enforcement-
highlights/index.html
Wager, K. A., Lee, F. W., & Glaser, J. P. (2017).
Health care information systems: A practical approach for health care
management (4th ed.). Retrieved from https://content.ashford.edu

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Confidentiality pp 7 18-19

  • 2.  HIPAA-Health Insurance Portability and Accountability Act  Legal Protection for PHI  Guidelines for Professionals  HIPAA Privacy Rule Patient Rights • Privacy and confidentiality of personal health information (PHI). • Trust and confidence in healthcare providers.
  • 4. Impact to Patients & Providers Patients  Loss of Trust with medical team  Mental and emotional harm  Identity theft/harm Providers  Legal challenges  Fines  Damaged public reputation  Loss of accreditation
  • 5. References Fox News. (2008). Report Over 120 UCLA hospital staff saw celebrity health records (Links to an external site.). Retrieved from https://www.foxnews.com/story/report-over-120-ucla-hospital-staff-saw- celebrity-health-records U.S. Department of Health and Human Services (2018). Health information privacy. Retrieved from: https://www.hhs.gov/hipaa/for- professionals/compliance-enforcement/data/enforcement- highlights/index.html Wager, K. A., Lee, F. W., & Glaser, J. P. (2017). Health care information systems: A practical approach for health care management (4th ed.). Retrieved from https://content.ashford.edu

Editor's Notes

  1. All patients have the right to confidentiality and protection of their personal health information (PHI). In the article by Fox News (2008), many celebrities at UCLA Medical Center had their PHI breached over the course of about 4 years, due to the lack of measures and safeguards the organization had in place to prevent this. The Health Insurance Portability and Accountability Act of 1996 established legal mechanisms to ensure a patient’s medical identity and PHI remains private and secure (U.S. Department of Health and Human Services, 2018). Healthcare providers have a legal and ethical obligation to ensure security requirements are in place for this purpose and patients deserve to have trust and confidence in their medical team.
  2. Healthcare organizations (HCOs) and all healthcare professionals must understand, implement, and practice appropriate safeguards and to ensure their patient’s PHI is secure (Wager, Lee, & Glaser, 2017). There are many ways to accomplish this. As a healthcare leader, I would ensure all staff members have read and understand our HCO’s relevant policies and procedures upon hire and and I would provide annual or semi-annual mandatory education regarding HIPAA laws and how it’s applied within our organization. Frequent leader rounding and huddles regarding safe practice is helpful to support hard-wiring the expectation and importance of these measure. It’s very important that physical and technical safeguards be in place such as screen covers for computer monitors, password-protected log-ins, and security software. Another valuable assets to an HCO is a compliance officer and a comprehensive compliance program that supports continual employee education and support. These measure are a crucial part of the overall security program for an HCO.
  3. The impact can be devastating to an individual whose PHI is mishandled or breached in any way. It can lead to mental and emotional damage to the individual and can also precipitate huge legal challenges and reputation damage in the public’s eyes. As a healthcare leader, it’s my responsibility to ensure all team members understand and comply with the rules and regulations of HIPAA and that they are well-versed in our organization’s privacy and security policies and procedures. In the digital age we live in today, this is imperative and must be a continual part of an HCO’s education plans.