Privacy in clinical settings.miller.
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This document discusses privacy risks for both paper and electronic medical records. It identifies three common risks: inappropriate access to records, tampering with record contents, and record loss due to natural disasters. The document emphasizes that safeguarding personal health information as required by HIPAA is important, and that employees should receive regular HIPAA training and testing to ensure adherence to privacy policies. Consequences for violating HIPAA, such as termination, are also discussed.
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- 1. Privacy in Clinical Settings Veronica Miller
- 2. Introduction • Medical records can be compromised (written or electronic) • Safeguards need to be in place to protect personal health information (PHI) • HIPAA Training needs to be conducted quarterly • Adherence to HIPAA can be a benchmark for annual merit increases
- 3. Privacy and Security • Apply to both paper and electronic records. • The way they are exploited can be mitigated differently. • Shared risks between paper and electronic • Risk based on the patient record format.
- 4. Three Common Risks for both Paper and Electronic Records • The risk of inappropriate access • The risk of record tempering • The risk of record loss due to natural catastrophes
- 5. The Risk of Appropriate Access • Gaining access to record storage areas: finding records left on counters, exam rooms or copy mahcines. • Receiving misdirected fax copies • Inappropriate physical access to records – Securing against inappropriate access is accomplished by segregating records into locked storage areas.
- 6. Electronic Records • Inappropriate access by either unauthorized user gains access to HER data or an authorized user violates the appropriate use conditions. • Medical records can be altered in a number of ways: back dating, fraudulent entries, erasures, or other modifications.
- 7. Electronic Records • The ability to make changes to an electronic record depends upon the rights assigned to the user. • Users with data modification privileges can be added, deleted or modified. • EHR’s can be accessed by using a server account rather than a EHR account.
- 8. HIPAA • The Health Insurance Portability and Accountability Act of 1996 provides legislation around EHR protection. • Employees should be regularly trained on HIPAA regulations • Employees annual merit can be affected by adherence to HIPAA policies and procedures
- 9. HIPAA • Employees will be trained on HIPAA initially as part of their hiring training. All employees must pass the HIPAA test with 100% accuracy. • Employees will be tested quarterly by their department managers. 100% accuracy is necessary to continue working • Employees who break a HIPAA policy will be punished and up to termination, based on the intent.
- 10. Conclusion • The Hospital will control who has access to EHR. • Accessing records unnecessarily, employee will be punished to include termination. • Employees ability to adhere to HIPAA policies will be recognized during their annual review and merit increase.