The UVa Healthcare SystemWhere has your record been?Your Medical Records TodayProtecting the RecordHIPAAPrivacyRights of IndividualsSecurityLiabilityImplementing HIPAA is easy, right?How Will They Do It?CritiquesQuestionsThe UVa Healthcare SystemMedical Privacy"Whatsoever things I see or hear concerning the life of men, in my attentance on the sick or even apart therefrom, which ought not be noised abroad, I will keep silence thereon, counting such things to be as sacred secrets."- Oath of Hippocrates, 4th Century, B.C.E.Where has your record been?“Medical Records Fall Out of Vehicle, Blown Through Street” – Associated Press, May 26, 2000“Prozac Maker Reveals Patient E-Mail Addresses” – The Washington Post, July 4, 2001“Patients’ Records Found in Unsecured Dumpsters” – The Daily Herald, June 18, 2000“Settlement in Privacy Suit Against Drug Store; Children Allegedly Learned of Dad’s AIDS from Son of a Pharmacy Clerk” – Chicago Tribune, January 9, 1998“Allen Makes Diagnosis of Depression Public; Medical Records Mailed Anonymously” – The Washington Post, August 26, 2000“Robert Downey Did Drugs in Rehab!” – The National Enquirer, June 19, 2001Your Medical Records Today Mostly paperIncorrect InformationMany organizations have accessProtecting the RecordThe Doctors: Hippocratic OathThe State: State LawThe Hospital: Lock & KeyLimited guidelines for digitizationHIPAAHealth Insurance Portability and Accountability Act of 1996 Electronic Health Transactions Standards Unique Identifiers Privacy & Confidentiality StandardsSecurity & Electronic Signature StandardsPrivacyConsents & AuthorizationInternal Policies Minimum NecessaryTrainingRights of IndividualsNoticesAccessAdditionsAccounting of DisclosuresRight of RestrictionSecurityComputer & Network SecurityEmployee SecurityBusiness Operation SecurityContingency PlansLiabilityWho can sue?HHSYouCriminal PenaltiesImplementing HIPAA is easy, right?HIPAA is complexIt’s about people8,000 of ThemVarious Levels of EducationRecords Difficult to TrackDoctors are UnsureHow Will They Do It?New Administrative FunctionsComputer Systems to track and manage recordsPaperless RecordsTrainingCritiquesHIPAA Initiatives and Risk ManagementSmall practices do not have the resourcesTight ScheduleTransition Phase is the most riskyBut…UVa Hospital cares about
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