instructor instructions preview powerpoint before presenting it. if connected to the internet,...
TRANSCRIPT
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Instructor InstructionsInstructor Instructions
Preview PowerPoint before presenting it. If connected to the Internet, hyperlinks should be active.Hand out the quiz at the beginning of the
presentation, so the participants can fill in the blanks as the information appears.
Have the attendees sign the training roster.All students sign HIPAA Confidentiality Statement.Return roster, quizzes, and forms to Station 6-5.Any suggestions – please forward to Shari Turner.
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20152015 HIPAA Training HIPAA Training &&
Other Need-to-Know Other Need-to-Know InfoInfo
For DES RespondersFor DES Responders
Matanuska-Susitna Borough
Department of Emergency Services
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Course Completion Course Completion RequirementsRequirements
Take the Quiz – Minimum Score 100%(Answer the questions as the information is presented.)
Make sure you have signed the training roster
AND Confidentiality Statement.
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MSB DES Policy MSB DES Policy Confidentiality & HIPAAConfidentiality & HIPAA
The DES and ALL of its employees and volunteers
are committed to insuring the confidentiality of our patients.
This policy pertains to ALL information.
Oral Paper-based
Electronic Photographic
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What is What is HIPAA?? HIPAA??
Health Insurance Portability and Accountability Act
Created by the U.S. Department of Health and Human Services (HHS)
(Yes, 2 A’s)
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HIPAA should NEVER negatively impact the quality of patient care or impede the ability to provide care.
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What is PHI?What is PHI?
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The “appropriate” communication of PHI with other health care
providers, directly involved in providing patient care, does not constitute a violation
of HIPAA.
Privacy RulePrivacy Rule
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Privacy RulePrivacy Rule
For example…In a busy emergency room, it
may be necessary for healthcare providers to speak loudly in order
to ensure appropriate treatment.
The Privacy Rule is not intended to prevent this appropriate behavior.
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The Privacy Rule of HIPAAThe Privacy Rule of HIPAA
Provides basic rights regarding the use of “Protected Health Information” (PHI)
We must have in place appropriate administrative, technical, and physical safeguards to protect the privacy of PHI.
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The Privacy Rule requires The Privacy Rule requires us to: us to:
Protect PHIDesignate a Compliance OfficerLook for “Leaks” in our PoliciesConduct Training for the Entire DepartmentDevelop an Authorization Form for Release of
PHIProvide Patients with an NPP Brochure
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Notice of Privacy Practices Notice of Privacy Practices (NPP)(NPP)
EMS personnel must make a “good faith” attempt to provide an NPP
Brochure to each patient.
EMS responders must also make an “good faith” effort to get a signed Acknowledgement of Receipt.
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MATANUSKA-SUSITNA BOROUGHDepartment of Emergency Services
Notice of Privacy Act IMPORTANT: THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Matanuska-Susitna Borough Department of Emergency Services is committed to protecting your personal health information. We are required by law to maintain the privacy of health information that could reasonably be used to identify you, known as “protected health information” or “PHI.” We are also required by law to provide you with the attached detailed Notice of Privacy Practices (“Notice”) explaining our legal duties and privacy practices with respect to your PHI. We respect your privacy, and treat all healthcare information about our patients with care under strict policies of confidentiality that our staff is committed to following at all times.
PLEASE READ THE ATTACHED DETAILED NOTICE. IF YOU HAVE ANY QUESTIONS ABOUT IT, PLEASE CONTACTOUR HIPAA COMPLIANCE OFFICER, AT (907) 861-8010 or [email protected]
Detailed Notice of Privacy Practices…
NNotice of otice of PPrivacy rivacy PPractices ractices ((NPPNPP))
2-Sided Brochure2-Sided Brochure(Sample - Beginning Portion of the NPP Brochure)
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Back of Page 1 of PCR
Acknowledgement of Receipt:
“By signing below I acknowledge that
I have received MSB-EMS’s Notice of Privacy Practices.”
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Notice of Privacy PracticesNotice of Privacy Practices
What if the patient cannot sign?
◦Document the Reason
◦Attempt to get signature of a legal guardian, power of attorney, family member, or facility representative
NPP also available on MSB website:
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Protected Health Protected Health InformationInformation
PHI is any information about a person’s past, present, or future
healthcare that identifies the patient
or reasonably identifies the patient.
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PHIPHI is considered to be… is considered to be…
ANY unique identifying number, characteristic, code, or combination that allows
identification of an individual.Such as…
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Individuals’ Identifiable Individuals’ Identifiable Health InformationHealth Information
Names, including NicknamesAll Geographic Info Smaller than
a StateDOB and/or DODAdmission/Discharge DatesTelephone NumbersSocial Security NumberMedical Records Numbers (PCR
#s)More…
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Individuals’ Identifiable Individuals’ Identifiable Health InformationHealth Information
Email Addresses & Web Addresses
Biometric Identifiers◦Finger and Voice Prints◦Photographic Images◦Tattoos and Piercings
Vehicle Identifiers◦License Plates◦VINs
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Beware of Discussion of Beware of Discussion of PHIPHI
Such as…
Discussing a call anywhere other than an official audit/review
Talking about current or prior incident while re-stocking ambulance or writing report
Discussing “interesting” calls with non-involved responders
Chatting about famous patients or neighborsSharing co-workers or fellow responders PHIComplaining about frequently seen patients
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Use of Cameras in Use of Cameras in FieldField
It may be appropriate to capture images of an accident scene to determine mechanism of injury.
Any image, video, or audio recording that could identify the patient is PHI and should be secured.
Only use devices owned & issued by MSB – no personal devicesStore images & clips securelyImages are property of MSB
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Social Networking, Texting, Social Networking, Texting, and Photosand Photos
Posting of ANY patient or incident-related information,
in any manner, is NOT permitted.
Landmarks, vehicles, buildings, or clothing
may identify a patient.
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Failure to Failure to Comply Comply
The U.S. Dept of HHS may impose civil penalties of $100 per failure to
comply with a Privacy Rule requirement.
A person who knowingly obtains or discloses individually identifiable health
information faces a fine of $50,000 and up to one year imprisonment.
More…
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Failure to Comply Failure to Comply
Obtaining PHI under false pretenses may lead to 5 years imprisonment
or $100,000 fine, or both.
Using PHI for commercial advantage, personal gain, or
malicious harm may lead to 10 years imprisonment or $250,000
fine, or both.
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HIPAA permits disclosure of PHI when
necessary for treatment purposes.
Nonetheless…
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Safeguarding PHISafeguarding PHI
PCRs must be kept in a secure location.PCRs should go directly from each station to Medical Billing;
◦Station 6-5 is considered a secondary option.
NO deviations are permitted.
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Requests for Individual Requests for Individual PCRsPCRs
All “CPR” PCRs shall be scanned/emailed directly to the EMS
QA Manager.
Do not Cc yourself or anyone else.
Requested PCRs may be hand-delivered via a chief or supervisor to
the EMS QA Manager.
PCRs may not be faxed.
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Permitted DisclosuresPermitted Disclosures
Disclosure of PHI is acceptable in the following circumstances:
TreatmentLaw EnforcementVictims of AbusePaymentOperationsPublic Health
Regulations Judicial ProceedingsProtection of Public
SafetyBirths and DeathsApproved Research
Specifics…
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OK to disclose OK to disclose limitedlimited PHIPHI to help police identify or to help police identify or
locate: locate: ◦Suspect◦Fugitive◦Material Witness
◦Missing Person
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OK to Disclose OK to Disclose PHIPHI to to Law EnforcementLaw Enforcement
Document verbal permission
If patient is unconscious OK if in best interest of patient
and the Officer agrees that it will not be used against victim
OK to disclose when it appears victim died as a result of criminal activity
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Law EnforcementLaw EnforcementWhen assisting the police on-scene in identifying or locating a suspect, missing person, or witness,
the responder may release:
Name and AddressDOBSS#Date/Time of TreatmentDistinguishing
Characteristics ◦Height & Weight◦Tattoos & Scars
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Other
Need-to-KnowNeed-to-Know
IInfonfo for DES Respondersfor DES Responders
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You MUST You MUST Report…Report…
Suspected Child Abuse
Belief of Vulnerable Adults
If you report it – Document it!
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Child Abuse & NeglectChild Abuse & Neglect
Physical InjuryFailure to Care for a
ChildSexual AbuseSexual ExploitationMental InjuryMaltreatment
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Office of Children’s Office of Children’s ServicesServices
(800) 478-4444
Reports should be made immediately
following the encounter.
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AK Statutue 47.17.010 (g)AK Statutue 47.17.010 (g)A person required to report child abuse or neglect, who
makes the report to the person's job supervisor or to
another individual working for the entity that employs the
person, is not relieved of the obligationnot relieved of the obligation
to make the report to the department as required.
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Vulnerable AdultsVulnerable AdultsAbandonmentExploitationAbuseNeglectSelf-neglectUndue
Influence
Alaska law requires that protective services
not interfere with the elderly or disabled adults who are capable of caring for
themselves.
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Adult Protective ServicesAdult Protective Services
NEW CentralizedOnline Reporting
Reports must be made
no later than 24 hours after first having cause for
belief.
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You Must Also You Must Also Report…Report…
2nd or 3rd Degree Burns to 5% or more of a patient's
body
Burns to a patient's upper respiratory tract or laryngeal edema due to the inhalation of
super-heated air
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You Must Also Report …You Must Also Report …Bullet wounds, powder burns, or
other injuries apparently caused by the discharge of a firearm;
Injury apparently caused by a knife, axe, or other sharp or pointed instrument, unless the injury was clearly accidental; and
Injury that is likely to cause the death of the patient, unless the injury was clearly accidental.
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Report to Whom??Report to Whom??Injuries that are caused by bullets or
knives, or non-accidental injuries that may lead to death, must be
reported to the relevant local law enforcement:
ASTPalmer PDWasilla PD
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What About Dog What About Dog Bites?Bites?
Dispatch will notify the appropriate local law enforcement agency.
But it’s still a good idea to document that the authorities were contacted.
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Document on the PCR all reports
made to the authorities.
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Reporting Liability??Reporting Liability??Responders who make reports
in “good faith” are immune from liability and protected by law from
retaliation.
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When in Doubt…When in Doubt…On Scene,
Contact Your Supervisor!
After the fact, you may refer any requests for information to:
Medical Billing SpecialistTiffanie Robinson 861-8564
or
HIPAA Compliance OfficerShari Turner 861-8010
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Q&A TimeQ&A TimeWhat question do you have??
Let’s see…
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Q:Q: What if I’m accidentally What if I’m accidentally overheard discussing a overheard discussing a
patient’s patient’s PHIPHI record? record?
A: A: It is not a violation, if you were taking reasonable precautions,
and discussing the Protected Health Information
for a legitimate purpose.
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Q:Q: If the patient is unconscious, If the patient is unconscious,
to whom can we disclose the to whom can we disclose the PHIPHI? ?
A:A: Use the Minimum Necessary standard: disclose only information that is
directly relevant to the person's involvement with the patient's health care.
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Q:Q: What should I do if a What should I do if a government government agencyagency, ,
law enforcement person, or fire law enforcement person, or fire code official, code official,
requests information about a requests information about a patient? patient?
A: A: If you are on the scene, you may assist a law enforcement officer, if the PHI is necessary to
identify or locate a suspect, missing person, or witness.
Otherwise, they must contact theMSB Medical Billing Department
861-8564
When in doubt… consult your supervisor.
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Q: Q: What should I do if I get a phone What should I do if I get a phone call call from the patient from the patient looking for looking for information? information?
A: A: Ask them to please contact the
Medical Billing department: Tiffanie Robinson 861-8564
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Q:Q: May I give information to May I give information to parents parents
or guardians of incompetent or guardians of incompetent patients? patients?
A: A: If someone other than the patient has the legal right to make health care
decisions for the patient, then that person has the right to access the
patient's PHI.
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Q:Q: If I am speaking to a patient, If I am speaking to a patient, and friends or family are in the same and friends or family are in the same
room, room, do I assume the patient has given me do I assume the patient has given me
permission permission to discuss the PHI in front of them to discuss the PHI in front of them or do I need to ask them to leave? or do I need to ask them to leave?
A: A: It is proper to speak, unless the patient objects. If you are uncertain, ask the patient
if it’s okay to discuss their PHI in front of others.
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Q:Q: May I give the patient’s family May I give the patient’s family and friends and friends
PProtected rotected HHealth ealth IInformation? nformation? A: A: If possible, ask the patient and
document the response in the PCR.
The patient’s general condition and location should be sufficient.
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A: A: Yes – to locate a patient or enable the hospital to retrieve records.
Q: Q: Is it OK to use the patient’s name Is it OK to use the patient’s name
over the radio?over the radio?
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A: A: This is considered an “incidental disclosure”
- not a HIPAA violation.It is the same as if a bystander
overhears PHI.
Q: Q: What if someone overhears a What if someone overhears a patient’s name on a scanner?patient’s name on a scanner?
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A: A: HIPAA does not prevent multiple patients
from being transported in the same ambulance.
Q: Q: If it does not adversely affect If it does not adversely affect patient care, may we transport patient care, may we transport
multiple patients?multiple patients?
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Unsure About Discussing an Unsure About Discussing an Incident??Incident??
Ask yourself…
Would a judge agree that the disclosure benefited patient care AND was performed with the utmost discretion?
If you were the patient, would you want an your personal illness or injury to be discussed?
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Remember…Remember…
NEVER apply HIPAA in a way that delays,
impedes, or prevents patient care.
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When in Doubt…When in Doubt…
Contact MSB DES HIPAA Compliance Officers
◦ Quality Assurance Manager Shari Turner 861-8010
◦ Medical Billing Specialist Tiffanie Robinson 861-8564
http://www.hhs.gov/ocr/privacy/index.h
tml
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Thank You for Your Thank You for Your Participation!Participation!
Make sure you have signed the Training Roster AND Confidentiality Statement.