CONFIDENTIALITY & HIPAA

COMPLIANCE TRAINING FOR HEALTHCARE EMPLOYEES

                 KRISTEN TEREO
         MHA 690:HEALTH CARE CAPSTONE
                SHERRY GROVER
                  JULY 19, 2012
Confidentiality Practices

o Understanding HIPAA
  o Its purpose

  o Penalties & Sanctions

  o What is HIPAA all about?



o Review of Handbook


o Acknowledgement & Certification
Objectives

o State what is HIPAA and what does it govern.


o Explain who (entities) is covered by HIPAA privacy
 rule.

o Identify who is authorized to see protected health
 information.

o What are the penalties that can be imposed for
 violating HIPAA.
What is HIPAA?


                             Health Information
                             Portability and
                             Accountability Act


o HIPAA governs the privacy rights of patients and the
  confidentiality of medical records

o Federal Law
The Purpose of HIPAA

o   Protect individuals from the adverse effects of improper
    disclosure of protected health information.

o   Protect against unauthorized and inappropriate use of
    protected health information.

o   Establish a standard set of provisions, that if followed, provide
    evidence that the health care institution properly handled and
    disclosed private medical information.
Penalties and Sanctions

General Business Practice
Violation

 o   $100,000 for violations that have
     occurred with such frequency as to
     constitute a general business
     practice.


                PLUS
 o   Civil action may be brought against any
      person or entity who violates the law.
Civil Penalties

o   ANY VIOLATION

$100 for each and every act or violation
not to exceed $25,000 per person for
single standard per calendar year

o   “KNOWING” VIOLATION

$50,000 - $250,000 fines dependent
upon if misuse is under „false pretenses‟
or with intent to sell for personal gain or
malicious harm
Criminal Sanctions

   Up to 1 year
      -Wrongful disclosure
   Up to 5 years
       -Wrongful disclosure under false
        pretenses
   Up to 10 years
      -Wrongful disclosure under false pretenses
       or knowingly or intentionally sell or transfer
       such protected information for commercial
       advantage, personal gain, or malicious harm.
Individual Rights

o Access - to see, get copy of one's records,
o Amendment- to request corrections, statement of
  disagreement when errors are found.
o Accounting - of uses and disclosures of protected health
  information (patient may request a list of the entities
  to which/whom one's records has been disclosed).
o For especially sensitive information, can request extra
  protections and/or confidential communications.
o To complain about, get resolution of, privacy
  problems.
Safeguards

o Verbal conversations precautions: Close doors when discussing treatments and
    administering procedures.
o   Close curtains and speak softly in semi-private rooms when discussing treatments and
    administering procedures.
o   Avoid discussion about patients in public areas such as elevators and cafeteria lines.
o   Do not leave messaged on answering machine regarding patient conditions or test
    results.
o   Avoid paging patients using information that could reveal their health problems.
o   Secure storage and transportation or patient information.
o   Display precautions (e.g., computer screens displayed away from public access)
o   Posted or written patient information i.e., whiteboards kept away from public access
    areas).
o   Log off computers when away from workstation.
o   Telephone and facsimile precautions: When given patient information regarding
    condition on the phone limit responses to basic responses stable or critical.
Resources and Contacts

   Supervisor or Manager

   Compliance Contacts:
     Donna Smith (800) 555-1234
     Susan Johnson (800) 555-5678



   State Health Compliance line
    800-555-6789
Resources

o U.S. Department of Health and Human Services. The
      Health Insurance Portabillity and Accountability
      Act of 1996 (HIPAA) Privacy and Security Rules.
      Retrieved from www.hhs.gov

o Wolper, L.F. (2011). Health care administration:
      Managing organized delivery systems (5th ed.).
      Sudbury, MA: Jones and Bartlett Publishers.

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Week 1 discussion 2 - HIPAA Training

  • 1. CONFIDENTIALITY & HIPAA COMPLIANCE TRAINING FOR HEALTHCARE EMPLOYEES KRISTEN TEREO MHA 690:HEALTH CARE CAPSTONE SHERRY GROVER JULY 19, 2012
  • 2. Confidentiality Practices o Understanding HIPAA o Its purpose o Penalties & Sanctions o What is HIPAA all about? o Review of Handbook o Acknowledgement & Certification
  • 3. Objectives o State what is HIPAA and what does it govern. o Explain who (entities) is covered by HIPAA privacy rule. o Identify who is authorized to see protected health information. o What are the penalties that can be imposed for violating HIPAA.
  • 4. What is HIPAA? Health Information Portability and Accountability Act o HIPAA governs the privacy rights of patients and the confidentiality of medical records o Federal Law
  • 5. The Purpose of HIPAA o Protect individuals from the adverse effects of improper disclosure of protected health information. o Protect against unauthorized and inappropriate use of protected health information. o Establish a standard set of provisions, that if followed, provide evidence that the health care institution properly handled and disclosed private medical information.
  • 6. Penalties and Sanctions General Business Practice Violation o $100,000 for violations that have occurred with such frequency as to constitute a general business practice. PLUS o Civil action may be brought against any person or entity who violates the law.
  • 7. Civil Penalties o ANY VIOLATION $100 for each and every act or violation not to exceed $25,000 per person for single standard per calendar year o “KNOWING” VIOLATION $50,000 - $250,000 fines dependent upon if misuse is under „false pretenses‟ or with intent to sell for personal gain or malicious harm
  • 8. Criminal Sanctions  Up to 1 year -Wrongful disclosure  Up to 5 years -Wrongful disclosure under false pretenses  Up to 10 years -Wrongful disclosure under false pretenses or knowingly or intentionally sell or transfer such protected information for commercial advantage, personal gain, or malicious harm.
  • 9. Individual Rights o Access - to see, get copy of one's records, o Amendment- to request corrections, statement of disagreement when errors are found. o Accounting - of uses and disclosures of protected health information (patient may request a list of the entities to which/whom one's records has been disclosed). o For especially sensitive information, can request extra protections and/or confidential communications. o To complain about, get resolution of, privacy problems.
  • 10. Safeguards o Verbal conversations precautions: Close doors when discussing treatments and administering procedures. o Close curtains and speak softly in semi-private rooms when discussing treatments and administering procedures. o Avoid discussion about patients in public areas such as elevators and cafeteria lines. o Do not leave messaged on answering machine regarding patient conditions or test results. o Avoid paging patients using information that could reveal their health problems. o Secure storage and transportation or patient information. o Display precautions (e.g., computer screens displayed away from public access) o Posted or written patient information i.e., whiteboards kept away from public access areas). o Log off computers when away from workstation. o Telephone and facsimile precautions: When given patient information regarding condition on the phone limit responses to basic responses stable or critical.
  • 11. Resources and Contacts  Supervisor or Manager  Compliance Contacts:  Donna Smith (800) 555-1234  Susan Johnson (800) 555-5678  State Health Compliance line 800-555-6789
  • 12. Resources o U.S. Department of Health and Human Services. The Health Insurance Portabillity and Accountability Act of 1996 (HIPAA) Privacy and Security Rules. Retrieved from www.hhs.gov o Wolper, L.F. (2011). Health care administration: Managing organized delivery systems (5th ed.). Sudbury, MA: Jones and Bartlett Publishers.