HIPAA COMPLIANCE

HIPPA Compliance

Jewish Hospital and St Mary’s HealthCare

HIPAA COMPLIANCE

What does HIPAA

stand for?

HIPAA COMPLIANCE

What does HIPAA Stand for?

The Health Insurance Portability andAccountability Act of 1996

(HIPAA) Privacy Rule 

HIPAA COMPLIANCE

What is HIPAA?

HIPAA is: “The Office for Civil Rights enforces the HIPAA

Privacy Rule, which protects the privacy of individually identifiable health information,

and the confidentiality provisions of the Patient Safety Act, which protects identifiable

information being used to analyze patient safety events and improve patient safety.”

HIPAA COMPLIANCE

WHO HAS TO ABIDE BY THE HIPAA RULES AND REGULATIONS?

HOW DOES THIS AFFECT ME?

HIPAA COMPLIANCE

COVERED ENTITIES

The Privacy Rule applies only to covered entities.  Individuals, organizations, and

agencies that met the definition of a covered entity under HIPAA  must comply with the Privacy Rule's requirements to protect the

privacy of health information and must provide individuals with certain rights with

respect to their health information. 

HIPAA COMPLIANCE

Who does it include?

A Covered Entity is one of the following:

A Health Care Provider

 A Health Plan  A Health Care

Clearinghouse

HIPAA COMPLIANCE

Who does it Include? cont’d

This includes providers such as: (just to name a few) Doctors Clinics Psychologists Dentists Chiropractors Nursing Homes Pharmacies

HIPAA COMPLIANCE

Facts cont’d

The Privacy Rule does not stop calls or visits to hospitals by family, friends, clergy or anyone else.  Unless the patient objects, basic information such as phone number, room number and general condition can: 

-be listed in the hospital directory; -be given to people who call or visit and ask for the patient; -be given to clergy along with religious affiliation--when provided by the patient--

even if the patient is not asked for by name.

HIPAA COMPLIANCE

Facts cont’d

The Privacy Rule does not prevent child abuse reporting.  You may continue to report child abuse or neglect to appropriate government authorities. 

The Privacy Rule is not anti-electronic.  You can communicate with patients, providers, and others by e-mail, telephone, or facsimile, with the implementation of appropriate safeguards to protect patient privacy. 

HIPAA COMPLIANCE

GAME TIME: POP QUIZ!!!!!

HIPAA COMPLIANCE

HIPAA Examples

You are working as a Nursing assistant and your shift is ending. You have to give a report to the Nursing assistant coming on board.

Where is it permissible to give this report?

-In the patients room while they are sleeping

-In the elevator on the way to your car

-In the cafeteria while you both eat-In an area away from those not

involved in the patients care

HIPAA COMPLIANCE

ANSWER

In an area away from those not involved in the patients care

NEVER SHARE INFORMATION WHERE IT CAN BE HEARD BY OTHERS WHO ARE

NOT INVOLVED IN THE PATIENTS CARE

HIPAA COMPLIANCE

HIPAA Examples cont’d

You have a patient that is HIV+, a person calls the floor and asks what the patients diagnosis is.

What do you do?

-Ask what their relation is and proceed to tell them the patient is HIV+

-Explain that you are not authorized to give that kind of information

-Tell them to come to the hospital and you will tell them in person

-Ask them to call the nurse caring for the patient

HIPAA COMPLIANCE

Answer

Explain that you are not authorized to give that kind of information

NEVER GIVE OUT PATIENT INFORMATION TO THOSE WHO ARE NOT INVOLVED IN

THE PATIENTS DIRECT CARE

HIPAA COMPLIANCE

HIPAA Examples cont’d

You are on a crowded elevator and over hear a conversation between two doctors about a patients poor personal hygiene.

What should you do?

-Laugh hysterically but keep quite, after all you know all about poor personal hygiene issues

-Explain to them you don’t believe this is the time/place for their conversation and report them to your manager

-Join in… after all, its been a long day and you need to vent

HIPAA COMPLIANCE

Answer

Explain to them you don’t believe this is the time/place for their conversation and

report them to your manager

If you witness any time of HIPAA violations be sure to report them to your manager

HIPAA COMPLIANCE

HIPAA examples cont’d

You are in housekeeping and are cleaning a patients room. Under the bed you find the doctors handwritten notes on the patient that was just discharged.

What do you do?

-Throw them in the trash-Shred them-Take them to the doctors lounge-Give them to the charge nurse on

the floor

HIPAA COMPLIANCE

ANSWER

Give them to the charge nurse on the floor

NEVER THROW ANY PATIENT INFORMATION IN THE TRASH.

NURSING/CARE TEAM STAFF WILL PROPERLY HANDLE PATIENT

INFORMATION

HIPAA COMPLIANCE

Group Discussion

Have you ever witnessed a HIPAA violation?

What actions did you take?

What are some examples of potential HIPAA violations? Act them out on your groups.

HIPAA COMPLIANCE

ROLE PLAY

Give an example of a telephone conversation between a healthcare employee and a patients family member exhibiting the following:

-HIPAA Violation

-HIPAA Compliance

HIPAA COMPLIANCE

HIPAA Summary

What is HIPAA? Who must follow HIPAA rules and

regulations? Why is HIPAA important?

HIPAA COMPLIANCE

QUESTIONS????

HIPAA COMPLIANCE

Evaluations

Please complete evaluations and turn them in before you leave.

HIPAA COMPLIANCE

Resources

For more information please go to website:

www.hhs.gov