Hipaa training
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Transcript of Hipaa training
Welcometo
HIPAA Training
Presented by: Reginald AbadsantosDate: October 24, 2012Advisor: Dr. Susan Anderson
Learning Objectives
• Describe Health Insurance Portability and Accountability Act’s [HIPAA]– Purpose– Goals– Actions
• Identify Health Information Management Professionals’ Role
• Enumerate & Explain Privacy Rule’s– Elements– Who– What– How
• Evaluate Patient’s rights
• Purpose:• provide continuity of health coverage.• control fraud & abuse. • reduce healthcare cost. • guarantee the security & privacy of health information.
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• Goal:• greater individual rights with regards to a
person’s health information.• greater privacy protection of one's health
information
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HIPAA - Health Insurance Portability and Accountability Act of 1996
HIPAA - Health Insurance Portability and Accountability Act of 1996
What it does: limits exclusion for preexisting medical
conditions. prohibits discrimination against employees
and dependents based on health status. guarantees availability of health insurance
to small employers. guarantees renewability of insurance to all
employees regardless of size of employer.
HEALTH INFORMATION MANAGEMENT PROFESSIONALS
Health Information professionals are the custodians of patient information.
Role: protect the integrity and confidentiality of patient
information. assist in monitoring the healthcare facility’s
compliance with its own data security policies and procedures.
PRIVACY RULE a Federal law which gives
individual rights over their health information.
sets rules and limits on who can look at and receive your health information.
applies to all forms of individuals' protected health information, whether electronic, written, or oral.
entities covered by HIPAA is to ensure that electronic protected health information is secure.
KEY ELEMENTS OF PRIVACY RULE
Covered Entity
Uses and Disclosure
Compliance and Enforcement
Research
Individual Rights
Administrative Requirements
PRIVACY RULE – WHO IS TO FOLLOW THE RULE?
Note: HIPAA refer to them as covered entities
Health Plans
Most Health care Providers
Health care Clearing house
PRIVACY RULE – WHAT INFORMATION MUST BE PROTECTED?
Patient’s information entered by doctors, nurses and other healthcare providers.
Patient’s conversation with doctor about their care or treatment with nurses and others.
Information about patient in their health insurer’s computer system.
Billing information about patient. Most other health information about patient held by those
who must follow these laws.
PRIVACY RULE – HOW IS THE INFORMATION PROTECTED?
Covered entities must: have procedures in place to limit who can view
and access patient’s health information implement training programs for employees
about how to protect patient’s health information reasonably limit uses and disclosures to the
minimum necessary to accomplish their intended purpose.
PRIVACY RULE – HOW IS THE INFORMATION PROTECTED?
Covered entities must: put in place safeguards to protect patient’s
health information have contracts in place with their contractors
and others ensuring that they use and disclose patient’s health information properly and safeguard it appropriately.
PATIENT’S RIGHTS
Providers and health insurers must comply with patient’s right to:
Ask to see and get a copy of a their health records
Have corrections added to their health information.
Receive a notice that tells how their health information is used and shared.
PATIENT’S RIGHTS
Get a report on when and why patient's health information was shared.
Ask to be reached somewhere other than home. Ask that patient's information not be shared. File complaints.
Decide whether to give their permission before information can be used or shared for certain purposes
TRUE OR FALSEQUESTIONS
1. THE ROLE OF A HEALTH INFORMATION PROFESSIONAL IS TO ASSIST PATIENT IN FILING OUT THEIR HEALTH INFORMATION.
2. PRIVACY RULE ONLY APPLIES TO PROTECTING THE WRITTEN HEALTH INFORMATION OF AN INDIVIDUAL.
3. THE GOAL OF HIPAA IS TO PROVIDE GREATER PRIVACY PROTECTION OF AN INDIVIDUAL'S HEALTH RECORD.
4. ONE OF THE KEY ELEMENTS OF PRIVACY RULE IS STRUCTURE INTEGRITY.
5. HIPAA WAS SIGNED TO LAW IN 1996.
TRUE OR FALSEANSWERS
1. FALSE
2. FALSE
3. TRUE
4. FALSE
5. TRUE
TRUE OR FALSEQUESTIONS
6. HIPAA GUARANTEES AVAILABILITY OF HEALTH INSURANCE TO SMALL EMPLOYERS.
7. ONE OF THE PATIENT'S RIGHTS IS THE RIGHT TO BE ABLE TO ASK TO GET A COPY OF THEIR SPOUSE'S MEDICAL RECORD.
8. A PATIENT HAS TO THE RIGHT TO OPT OUT IN SHARING THEIR INFORMATION.
9. HIPAA REFERS TO HEALTHCARE PROFESSIONALS AS COVERED ENTITIES.10. BEFORE I WENT BACK TO MY POSITION, I HAD THE ABILITY TO ASK QUESTIONS ABOUT HIPAA PRIVACY PRACTICES.
TRUE OR FALSEANSWERS
6. TRUE
7. FALSE
8. TRUE
9. TRUE
10. TRUE
Summary• HIPAA Primary goal
– Making health care delivery more efficient and increasing the number of Americans health insurance coverage
• Value of HIPAA Privacy rule– Protecting patients personal privacy
• Articulate patient’s rights based on HIPAA Privacy practices
References:Health Information Privacy (n.d.). U.S. Department of Health and Human Services. Retrieved from http://www.hhs.gov/ocr/privacy/hipaaJohns, M.L. (2011). Health information management technology: An applied approach. Chicago, IL: Ahima Press.Nass, S.J., Levit, L.A., & Gostin, L.O. (Eds.). (2009). Beyond the
HIPAA Privacy Rule: Enhancing Privacy, Improving Health Through Research. Institute of Medicine. Washington, DC: The National Academies Press. [NCBI library version] Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK9578/