Chapter 11 by Dee McGonigle, Kathleen Mastrian, and Nedra Farcus

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Chapter 11by Dee McGonigle, Kathleen Mastrian,
and Nedra Farcus

• Overview of Health Insurance Portability and
  Accountability Act (HIPAA) of 1996

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Key Terms Defined

• American National Standards Institute (ANSI)
• Center for Medicare and Medicaid Services (CMS)
• Confidentiality
• Consequences

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Key Terms Defined

• Electronic Data Interchange (EDI)
• Electronic Health Record (EHR)
• Extensible Markup Language (XML)
• Gramm-Leach-Bliley Act (GLBA)

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Key Terms Defined

• Health Information Portability and Accountability
  Act (HIPAA)
• Health Information Technology (HIT)
• Health Level 7 (HL7)
• Information Technology (IT)

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Key Terms Defined

• International Standards Organization (ISO)
• National Provider Identifier (NPI)
• Open Systems Interconnection (OSI)
• Privacy

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Key Terms Defined

• Protected Health Information (PHI)
• Regional Health Information Organizations (RHIO)
• Rights
• Sarbanes

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Key Terms Defined

• Security
• Standards Developing Organizations (SDOs)
• Standard Generalized Markup Language (SGML)

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Overview of HIPAA

• The Health Insurance Portability and
  Accountability Act (HIPAA)
• The Office for Civil Rights (OCR)
• Security and Privacy
• Implementation Problem

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Overview of HIPAA

• Administrative Simplification
• Privacy Requirements
• 2002 US Department of Health and Human Services
• Electronic Transaction and Code Standards

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Overview of HIPAA

• Security Requirements
• Needed Safeguards
• HIPAA was the first of its kind
• As information increases, need will prevail

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Overview of HIPAA

• HIPAA Standards
• The American National Standards Institute (ANSI)
  X12N
• Health Level 7 (HL7) Standards Organizations
• ISO

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United States and Beyond

• The Gramm-Leach-Bliley Act (GLBA)
• Sarbanes-Oxley Act (SOX)

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HIPAA

• HIPAA Privacy Rule
• Covered Entities

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Thought Provoking Questions

• Why is it important to establish patient
  ownership of the health care record?
• 2. What are the potential negative consequences
  of the proposed right of amendment and correction
  of healthcare records by patients?

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Thought Provoking Questions

• 3. One of the largest problems with healthcare
  information security has always been
  inappropriate use by authorized users. How will
  the proposed regulations help to curb this
  problem?
• 4. How do you envision HL7 and HIPAA evolving in
  the next decade?

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Thought Provoking Questions

• Imagine that you are the designated Privacy
  Officer in a healthcare institution.
• What types of monitoring procedures would you
  develop?
• What would you include in your sanctions for
  violations policy?

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Thought Provoking Questions

• 7. How would you address the following?
• a. Tracking each point of access of the
  patients database including who entered the data
  
• b. Nurses in your hospital have an access code
  that only gives them access to their Units
  patients. A visitor accidently comes to the wrong
  unit looking for a patient and asks the nurse to
  find out what unit the patient is on.