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HIPAA in the Land Of RHIOs 18 th  Annual Summer Institute in Nursing Informatics University at Maryland School of Nursing Presented by  Tak Nobumoto Director of Operations, UB|MD Privacy and Security Officer, UB|MD
Who am I? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What You Will Learn ,[object Object],[object Object],[object Object],[object Object]
Topics of Discussion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Purpose of HIPAA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HIPAA’s Vision ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What is HIPAA? Transactions Health Insurance Portability and Accountability Act of 1996 Administrative Simplification National Prov ID Privacy Security ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],More to follow
Who is Covered under HIPAA? ,[object Object],[object Object],[object Object],[object Object]
Who Implements HIPAA? ,[object Object],[object Object],[object Object],[object Object]
What is PHI? ,[object Object],[object Object],[object Object]
HIPAA continued ,[object Object],[object Object],[object Object],[object Object]
[object Object]
Privacy ,[object Object],[object Object],[object Object]
Privacy Rule ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HIPAA Privacy: Uses and Disclosures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HIPAA Privacy: Patient Rights ,[object Object],[object Object],[object Object],[object Object],[object Object]
Security ,[object Object],[object Object]
Three Components of Security ,[object Object],[object Object],[object Object],[object Object]
Top Security Issues ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Penalties ,[object Object],[object Object],[object Object],[object Object]
Laws, Rules and Regulations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Laws, Rules and Regulations ,[object Object],[object Object],[object Object]
Other NYS laws and rules ,[object Object],[object Object]
Information Subject of Special Protections ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HIPAA: Reality? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HIPAA Reality? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HIPAA in the News ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HIPAA in the news
HIPAA in the local news ,[object Object],[object Object],[object Object],[object Object],[object Object]
HIPAA in the local news ,[object Object]
Examples of Privacy Complaints ,[object Object],[object Object]
How Can We Comply? ,[object Object],[object Object]
What can we do? ,[object Object],[object Object],[object Object],[object Object]
HIPAA: The final word ,[object Object],[object Object],[object Object],[object Object],[object Object]
Health  Information  Technology _________________________ Clinical Data Exchange
National Health Information Network ,[object Object]
National Health Information Network (NHIN) ,[object Object],[object Object],[object Object],[object Object],[object Object]
WNY clinical data exchange projects ,[object Object],[object Object],[object Object],[object Object],[object Object]
NYS Information Security and Privacy Collaboration ,[object Object],[object Object],[object Object]
RHIO responsibilities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Affirmative Consent ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Uses of Health Information ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sensitive Information ,[object Object],[object Object],[object Object],[object Object]
Data trustworthiness ,[object Object],[object Object],[object Object],[object Object],[object Object]
Other points ,[object Object],[object Object],[object Object],[object Object]
One final, final thought… ,[object Object],[object Object],[object Object]
Questions ,[object Object],[object Object],[object Object],[object Object]

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HIPAA and RHIOs

  • 1. HIPAA in the Land Of RHIOs 18 th Annual Summer Institute in Nursing Informatics University at Maryland School of Nursing Presented by Tak Nobumoto Director of Operations, UB|MD Privacy and Security Officer, UB|MD
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  • 35. Health Information Technology _________________________ Clinical Data Exchange
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Editor's Notes

  1. Over the past three decades the healthcare industry and the Federal government have tried to arrest double digit increases in healthcare costs. Some of the methods to do so have included group insurance plans, subsidized plans, managed care, self-insured funds, wellness programs and preventive education. The organization that oversees Medicare and Medicaid, called HCFA at the time, now CMS, limited allowable charges and required standardized transactions. What followed was the introduction of traditional health plans who each introduced their own cost-saving ideas that surrounded billing and claims. Unfortunately, elements involved in these transactions were not standardized and left providers who handle a variety of patients, represented by a variety of payers, with a multitude of inconsistencies. Delays and rejections due to processing errors and incorrect coding formats became commonplace causing a strain and even causing many to submit to paper that which could have been submitted electronically.