1 County Departmental Issues © HIPAA Pros 2002 All rights reserved

2 Central Point of Coordination (CPC)  Burden of HIPAA  Role Based Access to Protected Health Information (PHI)

3 Law Enforcement / Jail  HIPAA Rights  Claims Submission  Hospital Bills  Suicide Risks  Health Assessment  Mental Health Warrants

4 Law Enforcement / Jail PHI SOURCE OF CONFIDENTIALITY Inmate health files201 IAC section 50.15(8)

5 Case Management  Inhouse or Contracted  Megellan / MBC and Counseltec  Referrals (i.e., Goodwill)

6 Public Health  Clinics  Senior Health  Hospice  Jail Visits  Flu Shots  Maternal Care / WIC  Family Care  Payment  Wellmark

7 Public Health PHI SOURCE OF CONFIDENTIALITY Nursing, venereal disease, HIV records Ch. 139A.3, A.9

8 Recorder  Registrar of Vital Records  Birth Certificate  Death Certificate  Marriage Record

9 Recorder PHI SOURCE OF CONFIDENTIALITY Vital Statistics Paternity A(4)

10 Auditors  Detailed Bills  Business Associates  Legal Settlements / Financial Responsibility Between Counties

11 Auditors PHI SOURCE OF CONFIDENTIALITY Mental health recordsCh 229, 230 Ch. 228 Health info. to support eligibility and other uses Health information35B.10 Legal Settlement

12 Emergency Response  Written Acknowledgement  Communication Systems

13 Mental Health  Business Associates  Accounts Payable  Tax Abatement  Written Acknowledgement

14 Attorneys  Records  Prosecution  Sexual Assault  Physical Assault  Hospital Emergency Department

15 Attorneys  Medical Examiner Reports  Autopsy  Mental Health Files

16 Attorneys PHI SOURCE OF CONFIDENTIALITY Crime Victim Medical Records Ch. 915, , Dependent Adult Abuse Files 235B.6