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Confidentiality presentation(1)
Health Information Privacy

HIPAA Privacy Rule protects the privacy of
individually identifiable health information; the
HIPAA Security Rule, which sets national
standards for the security of electronic protected
health information; and the confidentiality
provisions of the Patient Safety Rule, which
protect identifiable information being used to
analyze patient safety events and improve
patient safety.
The HIPAA Privacy Rule provides federal protections for personal health information
held by covered entities and gives patients an array of rights with respect to that
information. At the same time, the Privacy Rule is balanced so that it permits the
disclosure of personal health information needed for patient care and other important
purposes.
The Security Rule specifies a series of administrative, physical, and technical
safeguards for covered entities to use to assure the confidentiality, integrity, and
availability of electronic protected health information.
Understanding Health Information
                Privacy
                                               Your Health Information Is
For Consumers                                  Protected By Federal Law

 Most of us believe that our medical and       Most of us believe that our medical and
  other health information is private and        other health information is private and
  should be protected, and we want to            should be protected, and we want to
  know who has this information. The             know who has this information. The
  Privacy Rule, a Federal law, gives you         Privacy Rule, a Federal law, gives you
  rights over your health information and        rights over your health information and
  sets rules and limits on who can look at       sets rules and limits on who can look at
  and receive your health information.           and receive your health information.
  The Privacy Rule applies to all forms of       The Privacy Rule applies to all forms of
  individuals' protected health                  individuals' protected health
  information, whether                           information, whether electronic,
  electronic, written, or oral. The Security     written, or oral. The Security Rule, a
  Rule, a Federal law that protects health       Federal law that protects health
  information in electronic form, requires       information in electronic form, requires
  entities covered by HIPAA to ensure            entities covered by HIPAA to ensure
  that electronic protected health               that electronic protected health
  information is secure.                         information is secure.
For Covered Entities

 The Privacy and Security            If an entity is not a covered
  Rules apply only to covered
  entities. Individuals, organizat     entity, it does not have to
  ions, and agencies that meet         comply with the Privacy
  the definition of a covered          Rule or the Security Rule.
  entity under HIPAA must
  comply with the Rules'
  requirements to protect the
  privacy and security of health
  information and must provide
  individuals with certain rights
  with respect to their health
  information.
•   A Health Plan
•   This includes:
•   Health insurance companies
•   HMOs
•   Company health plans
•   Government programs that pay for health
    care, such as Medicare, Medicaid, and the
    military and veterans health care programs
A Health Care Provider
This includes providers such as:
Doctors
Clinics
Psychologists
Dentists
Chiropractors
Nursing Homes
Pharmacies
...but only if they transmit any information in
an electronic form in connection with a
transaction for which HHS has adopted a
standard.
A Health Care Clearinghouse
 This includes entities that process nonstandard health
 information they receive from another entity into a
 standard (i.e., standard electronic format or data
 content), or vice versa.
Workforce Compliance
♦Provide privacy training to all of its workforce,
as necessary and appropriate to their functions




                            ♦Designate a privacy official person responsible for
                            privacy policies and procedures



♦Develop and apply a system of sanctions for
employees who violate the entity’s policies
Confidentiality presentation(1)
References
HIPAA compliant transactions (2012). Retrieved September 12, 2012 from
        www.batuta.org/billing.html
Privacy (2012). Retrieved September 12, 2012 from www.hhs.gov
Wolper, L. (2011) Health care administration: Managing organized delivery
        systems. Sudbury, Massachusetts: Jones and Bartlett Publishers.

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Confidentiality presentation(1)

  • 2. Health Information Privacy HIPAA Privacy Rule protects the privacy of individually identifiable health information; the HIPAA Security Rule, which sets national standards for the security of electronic protected health information; and the confidentiality provisions of the Patient Safety Rule, which protect identifiable information being used to analyze patient safety events and improve patient safety.
  • 3. The HIPAA Privacy Rule provides federal protections for personal health information held by covered entities and gives patients an array of rights with respect to that information. At the same time, the Privacy Rule is balanced so that it permits the disclosure of personal health information needed for patient care and other important purposes. The Security Rule specifies a series of administrative, physical, and technical safeguards for covered entities to use to assure the confidentiality, integrity, and availability of electronic protected health information.
  • 4. Understanding Health Information Privacy Your Health Information Is For Consumers Protected By Federal Law  Most of us believe that our medical and  Most of us believe that our medical and other health information is private and other health information is private and should be protected, and we want to should be protected, and we want to know who has this information. The know who has this information. The Privacy Rule, a Federal law, gives you Privacy Rule, a Federal law, gives you rights over your health information and rights over your health information and sets rules and limits on who can look at sets rules and limits on who can look at and receive your health information. and receive your health information. The Privacy Rule applies to all forms of The Privacy Rule applies to all forms of individuals' protected health individuals' protected health information, whether information, whether electronic, electronic, written, or oral. The Security written, or oral. The Security Rule, a Rule, a Federal law that protects health Federal law that protects health information in electronic form, requires information in electronic form, requires entities covered by HIPAA to ensure entities covered by HIPAA to ensure that electronic protected health that electronic protected health information is secure. information is secure.
  • 5. For Covered Entities  The Privacy and Security  If an entity is not a covered Rules apply only to covered entities. Individuals, organizat entity, it does not have to ions, and agencies that meet comply with the Privacy the definition of a covered Rule or the Security Rule. entity under HIPAA must comply with the Rules' requirements to protect the privacy and security of health information and must provide individuals with certain rights with respect to their health information.
  • 6. A Health Plan • This includes: • Health insurance companies • HMOs • Company health plans • Government programs that pay for health care, such as Medicare, Medicaid, and the military and veterans health care programs
  • 7. A Health Care Provider This includes providers such as: Doctors Clinics Psychologists Dentists Chiropractors Nursing Homes Pharmacies ...but only if they transmit any information in an electronic form in connection with a transaction for which HHS has adopted a standard.
  • 8. A Health Care Clearinghouse This includes entities that process nonstandard health information they receive from another entity into a standard (i.e., standard electronic format or data content), or vice versa.
  • 9. Workforce Compliance ♦Provide privacy training to all of its workforce, as necessary and appropriate to their functions ♦Designate a privacy official person responsible for privacy policies and procedures ♦Develop and apply a system of sanctions for employees who violate the entity’s policies
  • 11. References HIPAA compliant transactions (2012). Retrieved September 12, 2012 from www.batuta.org/billing.html Privacy (2012). Retrieved September 12, 2012 from www.hhs.gov Wolper, L. (2011) Health care administration: Managing organized delivery systems. Sudbury, Massachusetts: Jones and Bartlett Publishers.