Health Insurance Portability and Accountability Act (HIPAA)

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Presentation transcript:

Health Insurance Portability and Accountability Act (HIPAA)

What Is ? HIPAA is a law adopted in 1996 to provide standards for health care related electronic transactions HIPAA mandates federal privacy protections for certain individually identifiable health information, covered under the HIPAA Privacy Rule

HIPAA Privacy Rule Regulates how medical professionals and other people use and disclose certain individually identifiable health information –Called protected health information (PHI)

What Information Is Protected? Individually identifiable health information must be kept confidential, including demographic data that relates to: 1.The individual’s name, address, birth date, social security number, etc. 2. The individual’s past, present, or future physical or mental health or condition

What Information Is Protected? 3. The health care services provided to the individual 4. The past, present, or future payment for health care services provided to the individual

Maintaining Confidentiality Professionals are to take all precautions necessary to keep all individually identifiable health information confidential. 1. Professionals are not to speak about patients with any identifiable information with anyone other than other professionals working with the patient.

Maintaining Confidentiality 2. Patient records should not be left in public space unattended, where they are easily accessible to unauthorized people. 3. Professionals must make reasonable efforts to avoid being overheard and reasonably limit shared information.

Maintaining Confidentiality 4. Professionals may disclose protected health information to a family member or other person involved when the individual is present during the disclosure. 5. Professionals are permitted to communicate with patients regarding their health care, including through the mail or by the phone. Messages may be left with family members, on voice mail, etc. with patient consent.

When Health Information Can Be Shared 1. Providing information needed for payment of benefits or health coverage 2. Disclosing information to specific agencies as required by public health laws for the purpose of: –Controlling infectious disease –Preventing injury –Preventing child abuse, neglect, or domestic violence –Preventing any serious threat to public health or safety

When Health Information Can Be Shared 3. Complying with workmen’s compensation laws 4. Providing information for legal proceedings 5. Providing law enforcement agencies with information to locate or apprehend fugitives and to identify victims or missing persons

When Health Information Can Be Shared 6. Assisting a person who has been designated as your legal representative if you are unable to make medical decisions on your own (such as if you are under the age of 18) 7. Assisting an official agency in the event of a disaster relief effort to notify family members of your condition, status, and location