The document discusses the Health Insurance Portability and Accountability Act (HIPAA) and how it relates to protecting patient privacy and confidentiality. HIPAA aims to assure health insurance portability, reduce fraud, and guarantee confidentiality of health information. It requires covered entities like hospitals and healthcare providers to implement privacy protections for protected health information. HIPAA affects how patient information can be shared, used, and accessed according to regulations regarding consent, authorization, and permitted disclosures for treatment, payment, and operations. Staff must be trained on HIPAA policies and compliance is mandatory to avoid penalties for violations.
The document discusses the Health Insurance Portability and Accountability Act (HIPAA) and its privacy and security rules. It provides an overview of HIPAA, explaining its purpose of protecting patient health information and establishing national standards for electronic transactions. It outlines HIPAA's privacy rule, including provisions regarding patient consent, authorization exceptions, and penalties for noncompliance. The document also addresses hypothetical scenarios regarding the appropriate disclosure of patient information under HIPAA.
A nurse wonders if she should check the records of a famous actor who came to the emergency room with his son after a car accident to see if alcohol was involved, which would be a violation of patient privacy and HIPAA regulations. Employees can face penalties ranging from $100 to $50,000 per violation or up to $1.5 million per year for willful neglect of HIPAA policies. It is the employer's responsibility to provide annual HIPAA training and ensure compliance through continued education and assessment of privacy practices.
HIPAA establishes national standards to protect patients' personal health information. It applies to covered entities like health care providers and insurers, as well as their business associates. HIPAA protects individuals' medical records and other personal health information by setting rules for use and disclosure of protected health information. It provides patients rights over their health information including rights to examine and obtain a copy of their records, and to request corrections. HIPAA also protects security of health information whether stored electronically or on paper. Violations of HIPAA can result in fines and penalties.
Wondering what your rights are under the Health Insurance Portability and Accountability Act? Check out the new Notice of Privacy Practices effective 1 OCT 13.
The document discusses HIPAA regulations regarding the privacy and security of protected health information (PHI). It defines key terms like covered entities, PHI, and business associates. It outlines the main components of HIPAA, including the Privacy Rule, Security Rule, exceptions to disclosure of PHI, individual rights, and penalties for noncompliance. Covered entities must implement security standards, conduct risk assessments, and have appropriate policies and workforce training to comply with HIPAA privacy and security requirements.
HIPAA is a national law that establishes standards to protect patient privacy and the confidentiality of patient health information. It applies to covered entities like health plans, providers, and clearinghouses, as well as their business associates. PHI, or protected health information, refers to individually identifiable patient information. HIPAA restricts the use and disclosure of PHI to treatment, payment, and healthcare operations. Covered entities must implement safeguards to secure PHI and provide patient rights and protections. Violations of HIPAA can result in penalties including fines and imprisonment.
The document discusses HIPAA regulations regarding patient privacy. It explains that HIPAA was passed in 1996 to set national standards for protecting patients' medical records and personal health information. Key aspects of HIPAA include defining protected health information, requiring facilities to implement privacy policies and provide privacy training, and giving patients rights over their health information including access and confidentiality. Facilities and individuals can face penalties for HIPAA violations.
This document provides an overview of an organization's policies around protecting patient privacy and data security as required by HIPAA. It discusses the organization's ethical responsibilities to patients, as well as definitions of protected health information, notice of privacy practices, and information security protocols. The objectives are to ensure employees understand and comply with organizational ethics, HIPAA regulations, and data security standards to protect patient confidentiality.
The document discusses the Health Insurance Portability and Accountability Act (HIPAA) and its privacy and security rules. It provides an overview of HIPAA, explaining its purpose of protecting patient health information and establishing national standards for electronic transactions. It outlines HIPAA's privacy rule, including provisions regarding patient consent, authorization exceptions, and penalties for noncompliance. The document also addresses hypothetical scenarios regarding the appropriate disclosure of patient information under HIPAA.
A nurse wonders if she should check the records of a famous actor who came to the emergency room with his son after a car accident to see if alcohol was involved, which would be a violation of patient privacy and HIPAA regulations. Employees can face penalties ranging from $100 to $50,000 per violation or up to $1.5 million per year for willful neglect of HIPAA policies. It is the employer's responsibility to provide annual HIPAA training and ensure compliance through continued education and assessment of privacy practices.
HIPAA establishes national standards to protect patients' personal health information. It applies to covered entities like health care providers and insurers, as well as their business associates. HIPAA protects individuals' medical records and other personal health information by setting rules for use and disclosure of protected health information. It provides patients rights over their health information including rights to examine and obtain a copy of their records, and to request corrections. HIPAA also protects security of health information whether stored electronically or on paper. Violations of HIPAA can result in fines and penalties.
Wondering what your rights are under the Health Insurance Portability and Accountability Act? Check out the new Notice of Privacy Practices effective 1 OCT 13.
The document discusses HIPAA regulations regarding the privacy and security of protected health information (PHI). It defines key terms like covered entities, PHI, and business associates. It outlines the main components of HIPAA, including the Privacy Rule, Security Rule, exceptions to disclosure of PHI, individual rights, and penalties for noncompliance. Covered entities must implement security standards, conduct risk assessments, and have appropriate policies and workforce training to comply with HIPAA privacy and security requirements.
HIPAA is a national law that establishes standards to protect patient privacy and the confidentiality of patient health information. It applies to covered entities like health plans, providers, and clearinghouses, as well as their business associates. PHI, or protected health information, refers to individually identifiable patient information. HIPAA restricts the use and disclosure of PHI to treatment, payment, and healthcare operations. Covered entities must implement safeguards to secure PHI and provide patient rights and protections. Violations of HIPAA can result in penalties including fines and imprisonment.
The document discusses HIPAA regulations regarding patient privacy. It explains that HIPAA was passed in 1996 to set national standards for protecting patients' medical records and personal health information. Key aspects of HIPAA include defining protected health information, requiring facilities to implement privacy policies and provide privacy training, and giving patients rights over their health information including access and confidentiality. Facilities and individuals can face penalties for HIPAA violations.
This document provides an overview of an organization's policies around protecting patient privacy and data security as required by HIPAA. It discusses the organization's ethical responsibilities to patients, as well as definitions of protected health information, notice of privacy practices, and information security protocols. The objectives are to ensure employees understand and comply with organizational ethics, HIPAA regulations, and data security standards to protect patient confidentiality.
HIPAA establishes national standards to protect individuals' medical records and other personal health information. It gives patients more control over their health information and sets boundaries on how health records can be used and shared. Covered entities like health plans and healthcare providers must implement appropriate administrative, physical, and technical safeguards to secure protected health information. This includes conducting risk analyses, limiting access to authorized users, tracking access to records, training employees, and establishing security incident response plans and contingency plans to backup data and ensure business continuity.
Hippa training for healthcare employeesaminahallen
This document discusses HIPAA privacy and confidentiality training requirements for healthcare staff. It states that all staff must receive annual training on HIPAA rules and regulations to understand patient privacy protections and the serious consequences of violating patient privacy. Staff are trained on restricting access to patient information only to those involved in their care, keeping records secure, and conducting private interviews. The document outlines penalties for HIPAA violations which range from $100 per violation for unintentional disclosure up to $250,000 and 10 years in prison for violations committed with malicious intent or personal gain. Maintaining patient privacy and confidentiality is the responsibility of all healthcare staff.
The Health Insurance Portability and Accountability Act (HIPAA) protects private health information and requires security of electronic health records. HIPAA sets standards for handling protected health information (PHI) such as patient names, diagnoses, and billing information. It restricts disclosure of PHI without patient consent to treatment providers, for healthcare operations, and as required by law. Covered entities such as hospitals and insurance companies must notify patients of their privacy practices and allow complaints to be filed with the Office of Civil Rights for violations.
The document outlines the history and purpose of a corporate compliance program. It discusses the large financial losses from improper payments and fraud in government healthcare programs. As a result, laws like HIPAA were passed in 1996 to provide resources to detect fraud and abuse. The purpose of the compliance program is to maintain high ethical standards, quality care, and compliance with laws. It describes key elements of the program like policies, reporting, coding and billing integrity. Violations can be reported anonymously without fear of retaliation.
Have you ever felt confused by HIPAA’s complex regulations? Even if you are well versed in the laws, there are still many headache inducing intricacies. In this webinar, an experienced HIPAA auditor will highlight the basics of HIPAA, its regulations, what you need to know about it, and how it may affect you, especially with a new wave of HHS audits looming. The webinar is designed for HIPAA novices and experts alike, and all questions are encouraged in this interactive session.
While this presentation offers a rudimentary understanding of HIPAA as it relates to PHRs, its primary objective is to highlight key aspects of PHR privacy policies provided by non-covered entities (Microsoft & Google) and argue that HIPAA, after significant amendments, should be extended to them.
An advance directive is a legal document that allows a person to provide instructions about future medical care or appoint someone to make medical decisions if they become unable to do so. It includes documents like living wills, durable power of attorney, and do-not-resuscitate orders. The document only takes effect if a physician determines the person cannot make their own medical decisions. Federal law requires informing patients about their right to complete an advance directive.
This document provides an overview of HIPAA privacy and security requirements for USA as a hybrid covered entity. It discusses how PHI is defined and must be protected in all forms. Only authorized access is allowed and breaches must be reported. Penalties for improper access, use or disclosure of PHI can include civil and criminal penalties. The security rule focuses on safeguarding the confidentiality, integrity and availability of PHI through technical, administrative and physical safeguards.
This document provides an overview of the Health Insurance Portability and Accountability Act (HIPAA). It defines HIPAA and its purpose to protect private health information. It outlines the key aspects of HIPAA compliance including privacy rules, security rules, and breach notification rules. It also defines protected health information, covered entities, business associates, and user rights under HIPAA.
Leading your HIPAA Compliance Culture in 2016Lance King
http://hcsiinc.com
Breaches happen every day! Why not prevent having a breach turn into a 90 day audit? This presentation helps you develop your HIPAA Privacy and HIPAA Security program.
If interested in help, many companies are a hit and run operation. From day one and every quarter of the year, HCSI guides the compliance representative through the HIPAA process of preparing for an audit. The practice will have everything an auditor would need, resulting in the audit taking minutes instead of days.
The document provides an overview of GBMC's HIPAA compliance program and training. It discusses the HIPAA privacy rule's requirements regarding protected health information, patient rights, notice of privacy practices, privacy policies, and the privacy officer. It also covers the HIPAA security rule and topics that will be addressed in the training, including electronic protected health information, user identity, password management, security policies, and the security officer.
This document summarizes a sample HIPAA Notice of Privacy Practices. It explains that the notice describes how health information is used and disclosed, how individuals can access this information, and their privacy rights. It outlines the organization's commitment to maintaining privacy and lists how health information may be used, such as for treatment, payment, and health care operations. It also lists special situations where information may be disclosed, such as for health oversight activities, law enforcement, or public health risks. The notice aims to inform individuals of their privacy rights regarding their personal health information.
This document provides a summary of the Health Insurance Portability and Accountability Act (HIPAA) for nursing students. It discusses the purpose and key aspects of HIPAA such as protecting patient privacy and confidentiality. It outlines the rules for use and disclosure of protected health information, and the consequences of violating HIPAA regulations, which can include civil penalties, criminal charges, and dismissal from nursing programs. Students are instructed to only access the minimum health information needed for their roles and to protect patient data.
The document discusses HIPAA privacy and security requirements. It defines key terms like protected health information and confidentiality. HIPAA established standards to protect personal health information and privacy. It requires covered entities to implement safeguards to ensure the security and confidentiality of protected health information, whether in paper or electronic format. HIPAA also gives patients rights over their medical records and information. Covered entities must notify patients of breaches or improper disclosures as required under HIPAA and HITECH.
The document provides an overview of HIPAA privacy and security laws, including how they have been enhanced by the HITECH Act and ARRA. It defines key terms like protected health information (PHI), covered entities, business associates, and their obligations to secure PHI and comply with privacy requirements. Patients' rights to access and restrict the use of their PHI are also summarized.
PowerPoint presentation from the Human Subjects Research Committee at the University of North Alabama,
in Florence, AL, concerning HIPAA policies and procedures.
The document provides an overview of the Health Insurance Portability and Accountability Act (HIPAA) including what information it protects, the entities it covers, and requirements for things like privacy practices, consent, and authorization. Central Michigan University is described as a "hybrid entity" under HIPAA, with some departments fully covered and others only indirectly affected. The presentation aims to familiarize staff with HIPAA regulations and the university's policies and procedures for protecting health information.
This document provides an overview of HIPAA/HITECH compliance training. It begins with an introduction to the topics that will be covered, including the HIPAA foundation, major players, transactions and identifiers, privacy rule, security rule, and breach notification. It then discusses the historical facts around HIPAA, including what it stands for, when it was passed, who it applies to such as covered entities and business associates. Key aspects of HIPAA are summarized, like the administrative simplification title, electronic data interchange standards, privacy and security rules, individual rights, and breach response requirements.
The document discusses the Health Insurance Portability and Accountability Act (HIPAA). It provides information on the legislative act that established HIPAA, the administrative simplification rules enforced by the Office for Civil Rights, and covered entities that must comply with HIPAA. It also summarizes key aspects of HIPAA regulations including protected health information, use and disclosure limitations, notice requirements, penalties for violations, and examples of HIPAA violation cases.
HIPAA is a federal law that regulates protected health information. It aims to protect the privacy and security of patient medical records and information. There are several types of HIPAA violations including breaches of security, unauthorized access or release of patient information, and employee errors. Proper staff training is necessary to ensure compliance with HIPAA regulations and prevent violations. Training methods include educational materials, in-services, and posting information where patients and staff can see it. Organizations must also have monitoring programs, consequences for violations, and back-up security measures to protect private health information.
Over 120 hospital staff at UCLA inappropriately viewed patient health records between 2004 and 2006, breaching patient confidentiality. This was due to inadequate training of hospital staff on HIPAA guidelines regarding protected patient information. To address this issue, the hospital needs to implement a new training protocol to educate all current and new staff on HIPAA regulations, with an emphasis on only accessing the minimum necessary patient information needed to perform job duties. Failure to follow HIPAA guidelines compromises patient privacy and trust in the healthcare organization.
The document provides training on the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule. It discusses what protected health information (PHI) is and the rules around using and disclosing PHI. Key points include:
- PHI is individually identifiable health information that is protected by HIPAA.
- PHI can generally be used or disclosed for treatment, payment, and healthcare operations without patient authorization. Other uses require authorization or fall under other exceptions.
- The Privacy Rule establishes patient rights regarding access to and restrictions on use of their PHI, and requires covered entities to implement privacy protections and provide privacy training to staff. Non-compliance can result in civil and criminal penalties.
HIPAA establishes national standards to protect individuals' medical records and other personal health information. It gives patients more control over their health information and sets boundaries on how health records can be used and shared. Covered entities like health plans and healthcare providers must implement appropriate administrative, physical, and technical safeguards to secure protected health information. This includes conducting risk analyses, limiting access to authorized users, tracking access to records, training employees, and establishing security incident response plans and contingency plans to backup data and ensure business continuity.
Hippa training for healthcare employeesaminahallen
This document discusses HIPAA privacy and confidentiality training requirements for healthcare staff. It states that all staff must receive annual training on HIPAA rules and regulations to understand patient privacy protections and the serious consequences of violating patient privacy. Staff are trained on restricting access to patient information only to those involved in their care, keeping records secure, and conducting private interviews. The document outlines penalties for HIPAA violations which range from $100 per violation for unintentional disclosure up to $250,000 and 10 years in prison for violations committed with malicious intent or personal gain. Maintaining patient privacy and confidentiality is the responsibility of all healthcare staff.
The Health Insurance Portability and Accountability Act (HIPAA) protects private health information and requires security of electronic health records. HIPAA sets standards for handling protected health information (PHI) such as patient names, diagnoses, and billing information. It restricts disclosure of PHI without patient consent to treatment providers, for healthcare operations, and as required by law. Covered entities such as hospitals and insurance companies must notify patients of their privacy practices and allow complaints to be filed with the Office of Civil Rights for violations.
The document outlines the history and purpose of a corporate compliance program. It discusses the large financial losses from improper payments and fraud in government healthcare programs. As a result, laws like HIPAA were passed in 1996 to provide resources to detect fraud and abuse. The purpose of the compliance program is to maintain high ethical standards, quality care, and compliance with laws. It describes key elements of the program like policies, reporting, coding and billing integrity. Violations can be reported anonymously without fear of retaliation.
Have you ever felt confused by HIPAA’s complex regulations? Even if you are well versed in the laws, there are still many headache inducing intricacies. In this webinar, an experienced HIPAA auditor will highlight the basics of HIPAA, its regulations, what you need to know about it, and how it may affect you, especially with a new wave of HHS audits looming. The webinar is designed for HIPAA novices and experts alike, and all questions are encouraged in this interactive session.
While this presentation offers a rudimentary understanding of HIPAA as it relates to PHRs, its primary objective is to highlight key aspects of PHR privacy policies provided by non-covered entities (Microsoft & Google) and argue that HIPAA, after significant amendments, should be extended to them.
An advance directive is a legal document that allows a person to provide instructions about future medical care or appoint someone to make medical decisions if they become unable to do so. It includes documents like living wills, durable power of attorney, and do-not-resuscitate orders. The document only takes effect if a physician determines the person cannot make their own medical decisions. Federal law requires informing patients about their right to complete an advance directive.
This document provides an overview of HIPAA privacy and security requirements for USA as a hybrid covered entity. It discusses how PHI is defined and must be protected in all forms. Only authorized access is allowed and breaches must be reported. Penalties for improper access, use or disclosure of PHI can include civil and criminal penalties. The security rule focuses on safeguarding the confidentiality, integrity and availability of PHI through technical, administrative and physical safeguards.
This document provides an overview of the Health Insurance Portability and Accountability Act (HIPAA). It defines HIPAA and its purpose to protect private health information. It outlines the key aspects of HIPAA compliance including privacy rules, security rules, and breach notification rules. It also defines protected health information, covered entities, business associates, and user rights under HIPAA.
Leading your HIPAA Compliance Culture in 2016Lance King
http://hcsiinc.com
Breaches happen every day! Why not prevent having a breach turn into a 90 day audit? This presentation helps you develop your HIPAA Privacy and HIPAA Security program.
If interested in help, many companies are a hit and run operation. From day one and every quarter of the year, HCSI guides the compliance representative through the HIPAA process of preparing for an audit. The practice will have everything an auditor would need, resulting in the audit taking minutes instead of days.
The document provides an overview of GBMC's HIPAA compliance program and training. It discusses the HIPAA privacy rule's requirements regarding protected health information, patient rights, notice of privacy practices, privacy policies, and the privacy officer. It also covers the HIPAA security rule and topics that will be addressed in the training, including electronic protected health information, user identity, password management, security policies, and the security officer.
This document summarizes a sample HIPAA Notice of Privacy Practices. It explains that the notice describes how health information is used and disclosed, how individuals can access this information, and their privacy rights. It outlines the organization's commitment to maintaining privacy and lists how health information may be used, such as for treatment, payment, and health care operations. It also lists special situations where information may be disclosed, such as for health oversight activities, law enforcement, or public health risks. The notice aims to inform individuals of their privacy rights regarding their personal health information.
This document provides a summary of the Health Insurance Portability and Accountability Act (HIPAA) for nursing students. It discusses the purpose and key aspects of HIPAA such as protecting patient privacy and confidentiality. It outlines the rules for use and disclosure of protected health information, and the consequences of violating HIPAA regulations, which can include civil penalties, criminal charges, and dismissal from nursing programs. Students are instructed to only access the minimum health information needed for their roles and to protect patient data.
The document discusses HIPAA privacy and security requirements. It defines key terms like protected health information and confidentiality. HIPAA established standards to protect personal health information and privacy. It requires covered entities to implement safeguards to ensure the security and confidentiality of protected health information, whether in paper or electronic format. HIPAA also gives patients rights over their medical records and information. Covered entities must notify patients of breaches or improper disclosures as required under HIPAA and HITECH.
The document provides an overview of HIPAA privacy and security laws, including how they have been enhanced by the HITECH Act and ARRA. It defines key terms like protected health information (PHI), covered entities, business associates, and their obligations to secure PHI and comply with privacy requirements. Patients' rights to access and restrict the use of their PHI are also summarized.
PowerPoint presentation from the Human Subjects Research Committee at the University of North Alabama,
in Florence, AL, concerning HIPAA policies and procedures.
The document provides an overview of the Health Insurance Portability and Accountability Act (HIPAA) including what information it protects, the entities it covers, and requirements for things like privacy practices, consent, and authorization. Central Michigan University is described as a "hybrid entity" under HIPAA, with some departments fully covered and others only indirectly affected. The presentation aims to familiarize staff with HIPAA regulations and the university's policies and procedures for protecting health information.
This document provides an overview of HIPAA/HITECH compliance training. It begins with an introduction to the topics that will be covered, including the HIPAA foundation, major players, transactions and identifiers, privacy rule, security rule, and breach notification. It then discusses the historical facts around HIPAA, including what it stands for, when it was passed, who it applies to such as covered entities and business associates. Key aspects of HIPAA are summarized, like the administrative simplification title, electronic data interchange standards, privacy and security rules, individual rights, and breach response requirements.
The document discusses the Health Insurance Portability and Accountability Act (HIPAA). It provides information on the legislative act that established HIPAA, the administrative simplification rules enforced by the Office for Civil Rights, and covered entities that must comply with HIPAA. It also summarizes key aspects of HIPAA regulations including protected health information, use and disclosure limitations, notice requirements, penalties for violations, and examples of HIPAA violation cases.
HIPAA is a federal law that regulates protected health information. It aims to protect the privacy and security of patient medical records and information. There are several types of HIPAA violations including breaches of security, unauthorized access or release of patient information, and employee errors. Proper staff training is necessary to ensure compliance with HIPAA regulations and prevent violations. Training methods include educational materials, in-services, and posting information where patients and staff can see it. Organizations must also have monitoring programs, consequences for violations, and back-up security measures to protect private health information.
Over 120 hospital staff at UCLA inappropriately viewed patient health records between 2004 and 2006, breaching patient confidentiality. This was due to inadequate training of hospital staff on HIPAA guidelines regarding protected patient information. To address this issue, the hospital needs to implement a new training protocol to educate all current and new staff on HIPAA regulations, with an emphasis on only accessing the minimum necessary patient information needed to perform job duties. Failure to follow HIPAA guidelines compromises patient privacy and trust in the healthcare organization.
The document provides training on the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule. It discusses what protected health information (PHI) is and the rules around using and disclosing PHI. Key points include:
- PHI is individually identifiable health information that is protected by HIPAA.
- PHI can generally be used or disclosed for treatment, payment, and healthcare operations without patient authorization. Other uses require authorization or fall under other exceptions.
- The Privacy Rule establishes patient rights regarding access to and restrictions on use of their PHI, and requires covered entities to implement privacy protections and provide privacy training to staff. Non-compliance can result in civil and criminal penalties.
Protected health information (PHI) refers to a patient's personal information collected by healthcare providers and facilities. PHI includes demographics, medical records, insurance details, and other personal data. The Health Insurance Portability and Accountability Act (HIPAA) was established in 1996 to protect the privacy and security of PHI. HIPAA requires that only qualified healthcare professionals with patient consent can access and handle PHI. Unauthorized access, use, or disclosure of PHI is strictly prohibited and can result in penalties such as job loss, fines, and imprisonment.
PROTECTED HEALTH INFORMATION_PATIENT PRIVACYDenise Masella
Protected health information refers to a patient's private medical information that is protected by law under HIPAA. HIPAA established standards to protect patient privacy and the confidential handling of their health information. PHI includes a patient's demographics, medical treatments, and insurance information. Only qualified health professionals with patient consent can access a person's full medical records and history. Strict privacy rules help ensure patients' sensitive health details are kept private and not inappropriately shared with others. Violations of HIPAA privacy standards can result in penalties like job loss, fines, and imprisonment.
The document discusses the importance of confidentiality in healthcare. It defines key terms like confidentiality and breach of confidentiality. It outlines what information is considered confidential for patients, such as medical records, test results, and insurance details. It also discusses ethics standards, government regulations like HIPAA, and agencies that monitor patient privacy and confidentiality. Healthcare workers are responsible for only sharing patient information with authorized individuals and protecting private documents. Maintaining confidentiality helps ensure quality care and trust between patients and providers.
The document provides an introduction to the Health Insurance Portability and Accountability Act (HIPAA) for health care professionals. It discusses key aspects of HIPAA including protecting patient health information, permitted uses and disclosures of protected health information, and patients' rights to control their health information. The document emphasizes the importance of keeping patient information private and only accessing it when necessary to perform one's job. Violations can result in civil and criminal penalties.
HIPPA-Health Insurance Portability and Accountability ActHarshit Trivedi
This document provides an overview of the Health Insurance Portability and Accountability Act (HIPAA). It discusses the objectives of HIPAA, which are to improve portability and continuity of health insurance, prevent healthcare fraud and abuse, and simplify administration of health insurance. It outlines the key areas covered by HIPAA: insurance portability, fraud enforcement, and administrative simplification. The document also discusses HIPAA regulations around protected health information, privacy laws, audits of access to medical records, and penalties for non-compliance.
This training module covers HIPAA privacy and security rules for protecting protected health information (PHI). It addresses recognizing situations where PHI could be mishandled, practical ways to protect privacy and security of sensitive information, and that employees will be held responsible for improperly handling PHI. The module covers forms of PHI, examples of PHI, HIPAA privacy and security rules, covered entities' duty to protect PHI, and consequences for violations.
HIPAA establishes rules for protecting patient privacy and health information. It applies to covered entities like health plans, providers, and clearinghouses. Business associates of these entities must also comply. Protected health information includes identifiable patient information. Patients have rights to access and restrict use of their information. Covered entities must notify patients of these privacy practices and face penalties for violations like impermissible disclosures or breaches of private health information. Maintaining privacy and security of patient data is important to avoid penalties or consequences.
HIPAA establishes rules for protecting patient privacy and health information. It applies to covered entities like health plans, providers, and clearinghouses. Business associates of these entities must also comply. Protected health information includes identifiable patient information. Patients have rights to access and restrict use of their information. Covered entities must notify patients of these privacy practices and face penalties for violations or impermissible breaches of protected health information. Maintaining privacy and avoiding breaches requires secure practices like password protection and limiting unauthorized access to patient records.
The document provides an overview of the Health Insurance Portability and Accountability Act (HIPAA) for health care professionals. Some key points:
- HIPAA aims to protect patients' protected health information (PHI) and set standards for handling electronic health data.
- PHI includes any individually identifiable health information like names, birthdates, diagnoses. Healthcare workers may only access and share PHI as needed for treatment, payment or operations.
- Permitted uses of PHI include treatment, payment, health operations. Disclosures require patient authorization except as required by law like public health reporting. Incidental disclosures must be limited in nature.
- Violations can result in fines or imprisonment.
The document provides an overview of HIPAA regulations regarding the use and protection of protected health information (PHI). It discusses key aspects of HIPAA including only accessing and sharing PHI when necessary for treatment, payment or operations. It outlines permitted uses such as sharing with other providers, and restrictions such as requiring authorization for other uses. Violations can result in fines or imprisonment. The goal is to protect privacy while still allowing effective care.
Sensible Care EMS Employee Training on HIPAA requires completion of training for all staff under HIPAA. HIPAA was enacted in 1996 to provide continuous health insurance coverage when changing jobs and reduce costs through standardized electronic transactions. It requires notifying patients of their privacy rights, adopting privacy procedures, training employees, designating a privacy officer, and securing records. Violations can result in civil or criminal penalties. The training program will cover what HIPAA does, who must follow it, protected health information, implementation dates, and why HIPAA is important.
The document discusses the importance of patient privacy and the HIPAA Privacy Rule. It defines protected health information (PHI) and outlines how PHI can be disclosed and used properly according to the Privacy Rule. Covered entities must protect PHI by only accessing and sharing the minimum necessary information to do their jobs and taking steps to keep information private. Violations of the Privacy Rule can result in fines.
HIPAA protects patients' private health information and sets privacy and security standards for handling health information. It applies to covered entities like health plans, providers, and clearinghouses. Protected health information includes a patient's medical records and billing information. Covered entities must protect PHI and allow patients access to their own information. Violating HIPAA can result in fines and penalties from the Department of Health and Human Services or disciplinary action from employers. All employees who access PHI must understand and follow HIPAA regulations to avoid misuse of patient information.
Patient Privacy and Safety in HealthcareQueen Myers
Patient privacy and confidentiality are important rights that health care professionals must protect. The HIPAA law establishes national standards to protect patients' private health information. The article discusses how over 120 UCLA hospital staff inappropriately accessed celebrity medical records between 2004-2006, violating patient privacy standards. As health care workers, it is important to understand HIPAA guidelines and only access or share patients' confidential information as necessary for treatment. Violating HIPAA can result in civil penalties up to $1.5 million or criminal penalties such as jail time.
Protected health information includes patients' demographics, medical records, and insurance information. Patient privacy is important and protected by HIPAA, which establishes standards to keep health information confidential. HIPAA requires healthcare providers to implement procedures protecting patient information and privacy when it is accessed or transferred. Violating HIPAA by inappropriately accessing, sharing, or discussing protected patient information without consent can result in penalties including job loss, fines, and imprisonment.
This document provides an overview of organizational ethics, HIPAA, data security, and patient privacy policies for employees. It emphasizes the responsibility of employees to maintain clinical integrity, ensure privacy and confidentiality of patient information, and respect patient values. Employees are educated on proper uses and disclosures of protected health information according to HIPAA rules. The organization monitors internet usage and secures systems to protect electronic patient information, requiring authorization for certain disclosures and auditing access to patient data.
This document provides an overview of organizational ethics, HIPAA compliance, data security, and privacy policies for employees. It emphasizes protecting patient privacy, maintaining integrity in healthcare services, and ensuring ethical and lawful practices. Key aspects covered include obtaining patient authorization for disclosure of health information, monitoring access to electronic systems, and educating employees on security protocols and their responsibilities to keep information confidential.
Here are the key points about protecting patient confidentiality:
- Patient confidentiality has always been an important ethical principle in healthcare, but modern technologies like electronic health records present new challenges to protecting privacy.
- While laws and regulations around confidentiality may still be evolving, physicians should make reasonable efforts to protect patient information and only disclose it with proper consent or in situations required by law.
- Maintaining patient trust is critical, so any accidental or improper disclosure of private health information could damage the patient-physician relationship and potentially lead to legal issues.
- Educating patients about privacy limitations and obtaining signed releases for sensitive records helps ensure confidentiality protections while allowing important treatment to continue.
This document discusses emergency preparedness and response for healthcare facilities. It covers topics like the fundamental paradox of preparing for unlikely emergencies, terrorism, weapons of mass destruction including chemical, biological, radiological and nuclear agents. Various disease categories are described based on their priority, means of transmission and potential impact. The document emphasizes the importance of healthcare workers understanding emergency response plans and their role in responding to different emergency situations.
This document provides an overview of safety policies and procedures for Chesapeake Medical Staffing employees, including emergency codes, disaster planning, hazardous materials, fire safety, and more. Universal safety principles should always be followed in clinical settings. The document reviews key safety elements and responsibilities of both the facility and individual employees to ensure a secure environment.
This document discusses domestic violence and abuse, including definitions, prevalence, risk factors, signs and symptoms, screening and documentation procedures for healthcare providers, and interventions to assist victims. It is intended for mandatory annual training of employees at Chesapeake Medical Staffing.
This document discusses cultural diversity and its impact on health care. It notes that culture includes factors like religion, ethnicity, language, gender, age, education, and socioeconomic class. Culture shapes a group's values, beliefs, behaviors and decision-making over time. A patient's cultural background influences their health beliefs, perspectives on illness and treatments. The document emphasizes the importance of cultural competence in health care, including understanding different cultural perspectives, using interpreters effectively, and employing models to understand a patient's experience of their illness.
The document discusses infection control procedures for healthcare workers. It covers the goals of infection control training which are to educate workers on pathogen transmission in the workplace and apply principles to minimize risks. Standard precautions that should be used with all patients are outlined, including hand hygiene, use of gloves, gowns and masks. Additional contact and airborne precautions are described for patients with certain infections.
The document discusses bloodborne pathogens and safety protocols for employees of Chesapeake Medical Staffing. It covers mandatory training on bloodborne pathogens, personal protective equipment (gloves, gowns, masks, etc.), standard precautions to treat all blood and body fluids as infectious, and procedures for exposure incidents. The two main bloodborne pathogens discussed are hepatitis B and human immunodeficiency virus (HIV), along with their transmission routes and related safety practices.
This document discusses airborne pathogens and provides information about tuberculosis (TB), SARS, and their transmission. It notes that healthcare workers face greater risk of exposure to airborne pathogens than the general public and outlines recommended precautions like respiratory protection, isolation, and annual TB testing for workers. The document emphasizes the importance of early detection and treatment to control the spread of airborne illnesses like TB and prevent exposure.
This document discusses age-specific competencies in caring for patients of different ages. It covers growth and development from infancy through adolescence, highlighting physical, mental, communication and safety needs specific to each age group. The document is intended as training material for medical staff, emphasizing the importance of understanding age-appropriate needs and behaviors in providing quality patient care.
This document discusses several National Patient Safety Goals established by the Joint Commission for hospitals to implement in order to improve patient safety. It provides details on the goals for 2013 related to reducing catheter-associated urinary tract infections, using two patient identifiers, eliminating transfusion errors, reporting critical test results in a timely manner, labeling medications and properly managing anticoagulant therapy.
5th LF Energy Power Grid Model Meet-up SlidesDanBrown980551
5th Power Grid Model Meet-up
It is with great pleasure that we extend to you an invitation to the 5th Power Grid Model Meet-up, scheduled for 6th June 2024. This event will adopt a hybrid format, allowing participants to join us either through an online Mircosoft Teams session or in person at TU/e located at Den Dolech 2, Eindhoven, Netherlands. The meet-up will be hosted by Eindhoven University of Technology (TU/e), a research university specializing in engineering science & technology.
Power Grid Model
The global energy transition is placing new and unprecedented demands on Distribution System Operators (DSOs). Alongside upgrades to grid capacity, processes such as digitization, capacity optimization, and congestion management are becoming vital for delivering reliable services.
Power Grid Model is an open source project from Linux Foundation Energy and provides a calculation engine that is increasingly essential for DSOs. It offers a standards-based foundation enabling real-time power systems analysis, simulations of electrical power grids, and sophisticated what-if analysis. In addition, it enables in-depth studies and analysis of the electrical power grid’s behavior and performance. This comprehensive model incorporates essential factors such as power generation capacity, electrical losses, voltage levels, power flows, and system stability.
Power Grid Model is currently being applied in a wide variety of use cases, including grid planning, expansion, reliability, and congestion studies. It can also help in analyzing the impact of renewable energy integration, assessing the effects of disturbances or faults, and developing strategies for grid control and optimization.
What to expect
For the upcoming meetup we are organizing, we have an exciting lineup of activities planned:
-Insightful presentations covering two practical applications of the Power Grid Model.
-An update on the latest advancements in Power Grid -Model technology during the first and second quarters of 2024.
-An interactive brainstorming session to discuss and propose new feature requests.
-An opportunity to connect with fellow Power Grid Model enthusiasts and users.
Letter and Document Automation for Bonterra Impact Management (fka Social Sol...Jeffrey Haguewood
Sidekick Solutions uses Bonterra Impact Management (fka Social Solutions Apricot) and automation solutions to integrate data for business workflows.
We believe integration and automation are essential to user experience and the promise of efficient work through technology. Automation is the critical ingredient to realizing that full vision. We develop integration products and services for Bonterra Case Management software to support the deployment of automations for a variety of use cases.
This video focuses on automated letter generation for Bonterra Impact Management using Google Workspace or Microsoft 365.
Interested in deploying letter generation automations for Bonterra Impact Management? Contact us at sales@sidekicksolutionsllc.com to discuss next steps.
Programming Foundation Models with DSPy - Meetup SlidesZilliz
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A Comprehensive Guide to DeFi Development Services in 2024Intelisync
DeFi represents a paradigm shift in the financial industry. Instead of relying on traditional, centralized institutions like banks, DeFi leverages blockchain technology to create a decentralized network of financial services. This means that financial transactions can occur directly between parties, without intermediaries, using smart contracts on platforms like Ethereum.
In 2024, we are witnessing an explosion of new DeFi projects and protocols, each pushing the boundaries of what’s possible in finance.
In summary, DeFi in 2024 is not just a trend; it’s a revolution that democratizes finance, enhances security and transparency, and fosters continuous innovation. As we proceed through this presentation, we'll explore the various components and services of DeFi in detail, shedding light on how they are transforming the financial landscape.
At Intelisync, we specialize in providing comprehensive DeFi development services tailored to meet the unique needs of our clients. From smart contract development to dApp creation and security audits, we ensure that your DeFi project is built with innovation, security, and scalability in mind. Trust Intelisync to guide you through the intricate landscape of decentralized finance and unlock the full potential of blockchain technology.
Ready to take your DeFi project to the next level? Partner with Intelisync for expert DeFi development services today!
This presentation provides valuable insights into effective cost-saving techniques on AWS. Learn how to optimize your AWS resources by rightsizing, increasing elasticity, picking the right storage class, and choosing the best pricing model. Additionally, discover essential governance mechanisms to ensure continuous cost efficiency. Whether you are new to AWS or an experienced user, this presentation provides clear and practical tips to help you reduce your cloud costs and get the most out of your budget.
Main news related to the CCS TSI 2023 (2023/1695)Jakub Marek
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The original Czech 🇨🇿 version of the presentation can be found here: https://www.slideshare.net/slideshow/hlavni-novinky-souvisejici-s-ccs-tsi-2023-2023-1695/269688092 .
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HIPAA
1. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee of
HIPAA
JCAHO Mandatory
Annual Competency
Chesapeake Medical Staffing
2. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee of
HIPAA Initiative
Health care has always tried to maintain
confidentiality, but efforts have not always
been successful. Public trust in health care has
eroded and the health care industry needs to
work hard to regain that trust. Health care
institutions and providers have worked to
make sharing of medical information easier to
help facilitate care and payment.
3. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee of
HIPAA
The Health Insurance Portability and Accountability Act
(HIPAA) was enacted in 1996 to cover three specific
areas:
1. Insurance portability or the ability to move to
another employer and be certain that
your insurance will not be denied
2. Fraud enforcement and accountability
3. Administrative simplification
The first two areas have been active since 1996, but it
took until April of 2003 to enact administrative
simplification.
4. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee of
Administrative
Simplification
Administrative simplification refers to the
guidelines that impact healthcare providers in
the communications with other providers,
families, friends, and the media. It includes
written, verbal, phone, fax, and email
communications.
5. This material is the private property of Chesapeake Medical
Staffing.
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Impact on the Caregiver
The essential parts of the administrative simplification
section of the law have to do with:
• consents
• authorization
• patient privacy
• confidentiality
• security of patient
The law directs all health care providers and facilities to
have standards in place to protect patient information
and to educate staff on their responsibilities in this
important area.
6. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee of
HIPPA is designed to:
Assure health insurance portability
Reduce health care fraud and abuse
Guarantee integrity and confidentiality of
health information
Improve the operations of health care
systems and reduce administrative costs
7. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee of
Privacy vs. Confidentiality
Privacy is the individual’s right to decide who,
when, and how any information about him or
herself is disclosed.
Confidentiality is the obligation of another to
maintain the person’s privacy.
8. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee of
Consents and
Authorizations
Upon entering the healthcare facility, the patient is
given
information about how the organization will protect the
privacy of the patient and what types of information will
be shared and under what circumstances (generally
related to the current care of the patient).
This is called the Notice of Privacy Practices and is
required by HIPAA to be given to all patients.
9. This material is the private property of Chesapeake Medical
Staffing.
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HIPAA Privacy LAW
HIPAA is Federal Law and compliance is
mandatory.
Patient information must be protected
through conscious effort at all times no
matter where you are!
The ONLY exception is when information is
shared in order to provide care, treatment
and payment for services.
10. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee of
Consequences of NOT Protecting
Patient Confidentiality
There are both civil and criminal penalties
associated with NOT following the HIPAA
guidelines about releasing patient information.
The penalties vary based on if the information
was inadvertently or deliberately released, as
well as the type of information released.
Penalties and fines may be up to $250,000 and
ten years imprisonment.
11. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee of
Shared Information
Under HIPAA, a facility may share or disclose patient
information for the following purposes:
• Treatment of the patient (e.g. consulting with other
healthcare providers on diagnosis and treatment)
• Obtaining payment from the patient’s health plan
• Operational requirements (e.g. quality improvement
activities or peer review)
• Complying with legally mandated reporting or disclosure
The patient must provide consent or further authorize
any other release of information for any other purpose.
The facility must also make a good faith effort to obtain
a written acknowledgement that the patient received the
Privacy Notice.
12. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee of
Defining HIPAA Terms:
• What is Portability?
Portability ensures that as people move from
one health plan to another they will have
continuity of coverage and will not be denied
coverage under pre-existing clauses.
• What is Accountability?
In accordance with HIPAA, accountability
means an increase in the government’s fraud
enforcement authority.
13. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee of
Covered Entities
Covered entities includes hospitals, health care
providers, third party payers, such as
insurance companies, and anyone who
processes health information. Therefore, the
term “covered entities” includes everyone that
uses, accesses or interacts with patients in any
way. These interactions may be formal or
informal, from those of direct care givers to
those that enter a patient room simply to clean
or deliver items.
14. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee of
Protected Health
Information (PHI)
Protected Health Information (PHI) is a new term that
will be used with increasing frequency in facilities where
you work. PHI refers to personal patient information that
can be used to identify the patient, sometimes even
inadvertently. The patient now has the right to direct
when, why, and to whom PHI may be released. For
instance, in the past, aggregated patient information
may have been collected for research, quality
improvement, or other purposes. Even though the
patient’s name would be omitted, the patient may still
be identifiable through specific data including date of
procedure, type of procedure, gender, or any number of
other details. The new bill allows patients much more
control over PHI.
15. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee of
Protecting PHI
• Information that relates to a patient’s health
cannot be used unless authorized by either
the patient or someone acting on the
patient’s behalf, or unless permitted by
regulation.
• Access to information is limited to only those
individuals who need the information for a
legitimate purpose.
• HIPAA ensures that an individual’s health
information may only be used for health
purposes.
16. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee of
What Kind of Information
is Protected?
Patient information that is protected includes, but is not
limited to:
• the patient’s name, address & telephone number
• age, diagnosis, surgery, date of procedure, and
medications
Beyond this, additional information that is protected
includes any medical history information, results of
physical examinations, laboratory and other diagnostic
results, billing records and claim forms. Any information
that could be used to identify the patient is protected
under HIPAA. It is important to know that this
information is protected in any form, be it written,
electronic, or verbal.
17. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee of
How Does This Law Affect Our
Discussion of Patient Issues?
Although there are persons with whom you need to
communicate about a specific patient, be certain to
consider the following:
• Does the person you are communicating with “need
to know” the information about the patient? In other
words, is there a medical necessity to discuss the
patient?
• Are you discussing the patient out of the hearing of
others?
• Without using a patient name, are you still discussing
the patient in a way that others could discern who
you are speaking about? For example, perhaps there
is only one male on your unit, so if you use the word
“he,” others will know who you are discussing.
18. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee of
Discussing Patient Information with
Family and Personal Representatives
A personal representative is defined as any person who
is legally authorized to act on behalf of the patient. This
can be someone with a legal document, such as a
general power of attorney or a more limited medical
power of attorney, or simply someone who has the
authority to act on behalf of the patient. PHI can be
shared with a personal representative.
19. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee of
Allowed Disclosure
HIPAA allows disclosure of PHI to spouses, parents, legal
guardians, and others involved in a patient’s care
without obtaining the patient’s formal, written
permission. If you are in a patient room and need to
discuss their care or treatment when others are present,
simply ask the patient if there is any objection.
20. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee of
Using and Sharing
Information
Most likely, all the personal information that you use
and
share in your daily duties is covered under HIPAA for
“treatment” purposes. These include:
• Discussing diagnosis and treatment with other
nurses and physicians.
• Performing diagnostic tests and providing this
information to other providers.
• Providing laboratory samples or imaging tests to
those who perform diagnostics on them.
• Referring a patient to another provider or facility,
and discussing the treatment and/or diagnosis.
• Telephone prescription information to a pharmacy.
21. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee of
Requests for Access to
Records
Each facility will determine the specific policies but the
following will be routine:
• Clear identification that the person requesting the
medical record is either the patient or has the correct
authorization to view the record.
• Only the parts of the record included in the
authorization can be viewed.
• The patient may request changes to the record and
the facility and parties involved must respond to the
request within a preset time frame. Note that this
does not imply that the record must be changed, only
that the patient’s request has a response.
• Clear guidelines exist as to which staff members may
have access to records and for what reasons.
22. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee of
Faxes
HIPAA also covers fax communications with specific
patient information. Although each facility will have
different specific policies, general guidelines will most
likely include the following:
• Locating fax machines in private and secure areas,
away from patients and the public.
• Fax cover sheets will include disclaimer to indicate
what to do if sent inadvertently to the wrong
number.
• Whether faxes can or cannot be sent during “off
hours” when the receiving fax papers will not be
picked up immediately.
• Protection of “sent” faxes left unattended on the
fax machine.
23. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee of
Computers
Computers are now commonplace in hospital units and
include a vast amount of patient information that must
be secured. Be vigilant about your computer use,
following these guidelines:
• Computers should be set up so that the screens
are not easily visible to the patient or visitors.
• The computer user should “log off” when finished
with the computer, so the screen is not left “on”
and “visible” to others.
• Each computer user should have their own
password so that each person using the computer
and the screens they go to can be identified.
• Do not share your password with others.
24. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee of
Confidentiality
The mandates of HIPAA require each of us to:
• maintain confidentiality of computer access
codes
• position computer screens away from public
access or view
• log off computers when you have finished.
25. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee of
Audit of Computer Access
• Audits may be conducted on a regular basis
to identify inappropriate access to medical
record information.
• Audits may be conducted on all records for
patients who are hospital employees,
medical staff, admitted under an alias or
recognized as high profile.
• Random samples of records may be audited
on a regular basis.
• This procedure is outlined in hospital policy
and is overseen by the Privacy Officer.
26. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee of
Information Released to
Family/Friends and/or the Press
If the patient elects to be listed in a facility patient
directory, the information in the directory may be
released to family, friends, or the press. Other
information must come from the patient or another
clearly identified person based on the specific situation
and the facility policy.
27. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee of
When NO Information is
Released
In general, any patient receiving care for substance
abuse, psychiatric disorder, HIV, pregnancy, sexual
abuse, or rape is treated with an even greater level of
confidentiality. Confirmation of the patient’s treatment is
generally prohibited. This means that if a call is received
asking about a particular patient, no comment should be
made as to whether the patient is even seeking
treatment or being treated. Check with the facility’s
HIPAA policy for exact terminology. Additionally, a
patient may request to NOT be in the patient directory
and the same standard would be in place. This is a
critical feature and each facility will have very specific
standards for you to follow (http://www.hipaa.org, 2003).
28. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee of
Who Must Comply with
HIPAA?
HIPAA’s privacy and security provisions apply to all
members of the workforce of a health care facility. This
means all employees, such as nurses and physicians,
and administrative, clerical, food service, or
environmental services staff, as well as volunteers or
any others under the facility’s direct supervision, must
adhere to HIPAA policies.
29. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee of
Unauthorized Disclosures
Ensuring the security of patient information relies on
your diligence. Unauthorized disclosures of protected
information can occur if:
• You fail to ensure information you are sending is
going to someone who is authorized to receive
that information
• You neglect to review a patient’s record to find
restriction on the use of their information
• You hear discussions occurring in non-secure
locations that disclose patient information
If you are aware of an incident that may have resulted
in an unauthorized disclosure, you should report it
immediately. A facility may have a method to report
unauthorized disclosures in a confidential manner.
30. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee of
Incidental Exposure
Incidental exposure can happen even when
everything possible has been done to avoid it.
It is a disclosure that cannot be reasonably
prevented, is limited in nature, and occurs as
a by-product of otherwise permitted use or
disclosure.
An example of incidental exposure: a patient
walking down the hall accidentally hears part
of a conversation that takes place while a
therapist speaks to a physician.
31. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee of
Patient Rights
Patients have rights protected under HIPAA
legislation which include the:
• right of access to copies of their medical
record
• right to request the “Amendment of the
Medical Record”
• right to request restriction of uses and
disclosures
• right to request confidential communication
32. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee of
Required Reporting
If you suspect there has been an actual or
attempted privacy breach to any form or
protected information, whether electronic,
paper or recorded, you are required to report it
to the Privacy Officer for the involved facility.
33. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee of
Policy Review
It is recommended all CMS Associates review
the following policies at the facilities you
frequently work:
confidentiality
disclosure
privacy
patient rights
chart audits
patient’s access to their PHI
34. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee of
Conclusion
As of 2003, HIPAA is a mandated law. All health care
facilities and providers are obligated to comply. All CMS
associates need to be knowledgeable of the contents
and ramifications of this law. Although you may see
variations in policies from facility to facility, you will
recognize that the overall intent is to improve the
protection of patient confidentiality in a healthcare
environment that includes a great deal of technological
advances. Please call the office to speak with the CMS
compliance officer if you have any additional questions.
Every hospital has a privacy officer dedicated to
maintaining compliance of HIPAA.