AI, Health Care & HIPAA – New Compliance Challenges

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AI, HEALTH CARE HIPAA NEW COMPLIANCE
CHALLENGES
PRESENTED BY PAUL R. HALES, J.D.
EDUCATIONAL WEBINAR
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AI, Health Care and HIPAA Compliance
What Are We Going to Cover? What is AI? AI in
Health Care Uses Rapid Transformation When
HIPAA Does and Does Not Apply to Health
Information How HIPAA Applies to Health Care
AI Uses and Disclosures of PHI Research Business
Associates Potential AI HIPAA Violations
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AI, Health Care and HIPAA Compliance
What is AI? Google What is Artificial
Intelligence (AI)? Artificial intelligence is a
field of science concerned with building
computers and machines that can reason, learn,
and act in such a way that would normally
require human intelligence or that involves data
whose scale exceeds what humans can analyze. The
ability to analyze vast amounts of data quickly
can lead to accelerated breakthroughs in
research and development.
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AI, Health Care and HIPAA Compliance
What is AI? Microsoft What is Artificial
Intelligence? Artificial Intelligence is the
ability of a computer system to deal with
ambiguity, by making predictions using
previously gathered data, and learning from
errors in those predictions in order to generate
newer, more accurate predictions about how to
behave in the future.
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AI, Health Care and HIPAA Compliance
AI in Health Care Exciting Innovation
Earthquakes New but Omni-present Rapidly
Evolving Health Care Opportunities to Improve
Patient Outcomes Health Research Broader and
Deeper Understandings Early Diagnosis Preventativ
e techniques Development of New Drugs
FDA Rapid Public Health Syndromic Surveillance
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AI, Health Care and HIPAA Compliance
AI in Health Care Day-to-Day Administration Analys
is of Health Care Operations Clinical
Support EHR EMR Documentation Accurate Coding
and Billing Prevent Fraud and Abuse Detect
Fraud and Abuse Reply to Patient
Questions Generate Care Plans and Discharge
Instructions
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AI, Health Care and HIPAA Compliance

• Uses and Disclosures of PHI
• Treatment 45 CFR 164.501 Examples
• AI assistance with diagnosis
• o Radiology and Imaging
• Patient Monitoring
• Medical Device Automation
• Payment 45 CFR 164.501 Example
• Automated Coding
• Health Care Operations 45 CFR 164.501
  Examples
• Administrative Workflow
• Analyze data to identify quality and patient
  safety issues
• Identify improper access to patient medical
  records
• Identify Fraud and Abuse issues

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AI, Health Care and HIPAA Compliance
Potential for HIPAA AI Violations Exciting
Innovation Earthquakes New but Omnipresent and
Everywhere Rapidly Evolving Health Care
Opportunities to Improve Patient Outcomes Health
Research Broader and Deeper Understandings
Early Diagnosis Preventative techniques
Development of New Drugs FDA Rapid Public
Health Syndromic Surveillance
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AI, Health Care and HIPAA Compliance
Potential for HIPAA AI Violations Artificial
intelligence is a field of science concerned with
building computers and machines that can reason,
learn, and act in such a way that would normally
require human intelligence or that involves data
whose scale exceeds what humans can analyze. The
ability to analyze vast amounts of data quickly
can lead to accelerated breakthroughs in
research and development. More complete data sets
are needed to provide better results
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AI, Health Care and HIPAA Compliance
Compliance Officials and Senior Management Large
Academic Medical Centers Other Large
Organizations Many Locations Many Actors Many
Forms Institutional Inertia Annual Risk
Analysis NIST Threats Human (unintentional)
Threat Vulnerability Control
Non-compliant HIPAA Policies, Procedures and Forms Enterprise-wide HIPAA Policies, Procedures and Forms are not uniform Patch-work Enterprise- wide HIPAA Compliance Enterprise-wide HIPAA Violations unknown unsuspected Create up to date, compliant HIPAA Policies, Procedures and Forms Replace all Policies, Procedures and Forms Train staff Spot check for compliance
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AI, Health Care and HIPAA Compliance
In Conclusion We Have Covered What is AI? AI in
Health Care Uses Rapid Transformation When
HIPAA Does and Does Not Apply to Health
Information How HIPAA Applies to Health Care
AI Uses and Disclosures of PHI Research Business
Associates Potential AI HIPAA Violations
www.thehipaaetool.com
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Thank You! Your Questions Please
Paul Hales, J. D.
PaulHales_at_AttorneyHales.com 314-534-3534
Register Now
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