1. Health Sciences

2.  Principles  Code of Conduct for right and wrong  Values  Core of all health care decisions

3.  Is saving a life the most important thing?  How do you respect a patient’s decision?  Is everyone treated equally?  Regardless of race, money or?  Is there a place for bias in health care?  How do you provide care to the best of your ability?

5.  Contain all information that the Health Care Team needs  Confidential  Shared only within Health Care Team  Need written permission to release

6.  Privileged communications  Belong to the health care provider  Patient has the right to their records  Acts as a legal record in court

7.  Black or blue ink  Erasures are not allowed  No white out  Errors should have a single line through them  Original writing should still be visible  Initial vs. signature ◦ Which Habit of Mind?

8.  Must be maintained  Kept confidential  Shredded for privacy  Destroyed

9.  Federal privacy standard to protect medical records and health information  Enacted in 1996  Implemented April 2004

10.  Protect the rights of consumers ◦ Providing access to health information ◦ Controlling inappropriate use  Improve quality of healthcare ◦ Restoring trust  Improve efficiency and effectiveness ◦ National framework for health privacy protection ◦ Outreach and enforcement

11.  Gives patients more control  Sets boundaries on use and release  Establishes appropriate safeguards to protect privacy  Holds violators accountable  Creates balance when public responsibility requires disclosure of data

12.  Access to medical records  Notice of privacy practices  Limits on use of personal medical information  Prohibition on marketing information  Allows for stronger state laws to stay in effect  Confidential communications  Complaints

13.  Written privacy procedures  Employee training and privacy office  Public responsibilities ◦ Some limited disclosure permitted  Equivalent requirements of Government

14.  Materials are available to explain the rule  Seminars are available to clarify rules  Enforcement primarily complaint driven

15.  Civil violations ◦ $100 per violation ◦ $25,000 per year  Criminal violations ◦ Range up to $50,000 and one year in prison ◦ Up to $100,000 and 5 years for “false pretenses” ◦ Up to $250,000 and 10 years for intent to sell or use for personal gain or malicious harm

16.  Need to be fully compliant of HIPAA regulations in the clinical areas at CAL  Students must follow this rule during clinical rotations senior year  This impacts all types of records; written, electronic  May not give out information on telephone  May not discuss private medical information at home

17. NO discussion of privileged patient information allowed outside of Health Care Team !!