SCHOOL OF PUBLIC HEALTH. HIPAA Privacy Training
|
|
- Abraham Parrish
- 6 years ago
- Views:
Transcription
1 SCHOOL OF PUBLIC HEALTH HIPAA Privacy Training
2 Public Health and HIPAA This presentation will address the HIPAA Privacy regulations as they effect the activities of the School of Public Health. It is imperative to comply with the HIPAA Privacy Rule in all aspects in order to ensure the public s trust and cooperation in School of Public Health activities.
3 School of Public Health Roles When interacting with patients, SOPH can take on a number of different roles. These include, but are not limited to: Public health researcher Federal grant recipient Health educator State oversight agency Each role carries with it unique regulatory responsibilities when protecting patient privacy.
4 School of Public Health Activities Louisiana Breast and Cervical Health Program Louisiana Cancer Control Partnership Louisiana Tumor Registry AIDS Education and Training Center (AETC) Nurse Family Partnership Tobacco Control Initiative SILLY Study (Study of Insulin sensitivity in Low-birth weight Louisiana Youth)
5 Research Some public health activities may fall under the definition of research. When in doubt as to whether the public health activity undertaken is research, the LSUHSC-NO IRB must make a determination of whether the activity is human subjects research under the Common Rule and therefore, the Privacy Rule. The following activities are not research : Quality assessment and improvement activities, including outcomes evaluation, and development of clinical guidelines or protocols, fall under the category of health care operations provided the primary aim is not obtaining generalizable knowledge. Activities that aim primarily for generalizable knowledge of population health can fall into the category of public health activity.
6 Research (cont.) Research is defined by the Common Rule as systematic investigation, including research development, testing and evaluation, designed to develop or contribute to generalizable knowledge. Activities which meet this definition constitute research for purposes of this policy, whether or not they are conducted or supported under a program which is considered research for other purposes. For example, some demonstration and service programs may include research activities. 45 CFR If the activity is research under the Common Rule, please contact the Office of Research Services and reference the HIPAA and Human Subjects Research Training Module for the proper handling of PHI.
7 Public Health Data Collection Public Health data collection is not directly linked to disease control activities. Data Collection includes but is not limited to: Vital Records (births, deaths) Disease registries
8 Public Health Surveillance Public Health Surveillance is the systematic collection, analysis, interpretation, and dissemination of health data on an ongoing basis, to gain knowledge of the pattern of disease occurrence and potential in a community, in order to control and prevent disease in the community Source: Centers for Disease Control (CDC)
9 HIPAA Privacy Rules affect Public Health Surveillance Public Health Authorities Definition of Public Health Authority Minimum Necessary Requirement Public Health Disclosures without an Authorization Child Abuse or Neglect Person at risk of contracting or spreading a disease Quality, safety or effectiveness of a product or activity regulated by the FDA. Ways to Submit Information to Public Health Authorities De-identified Information Limited Data Sets Full Data Sets NOTE: Additional regulations affecting the Juvenile Justice Program are addressed in a separate presentation.
10 Disclosures for Public Health Activities When disclosing information for public health purposes, LSUHSC-NO must consider the following: Whether the entity requesting the information is a public health authority or other agencies that are authorized by law to collect under HIPAA? Whether the disclosure is subject to the minimum necessary requirement? Whether the disclosure requires a signed HIPAA authorization form from the individual?
11 What is a Public Health Authority? A public health authority is: an agency or authority of the United States, a State, a territory, a political subdivision of a State or territory, an Indian tribe, a person or entity acting under a grant of authority from or contract with such public agency, including the employees or agents of such public agency or its contractors ; or persons or entities to whom it has granted authority, that is responsible for public health matters, as part of its official mandate.
12 Examples of Public Health Authorities Examples of Public Health Authorities are: Department of Health and Human Services (DHHS), National Institute of Health (NIH), Health Resources and Services Administration (HRSA); State and local health departments (Louisiana Department of Health and Hospitals) the Food and Drug Administration (FDA), the Centers for Disease Control and Prevention (CDC) Occupational Safety and Health Administration (OSHA) Contact the LSUHSC-NO Privacy Officer if you are unsure whether the entity requesting information is a public health authority.
13 Public Health Authorities (cont.) Additionally, there may be some instances where LSUHSC-NO is the public health authority. For example, LSUHSC-NO is the a public health authority in its role as the administrator of the Louisiana Tumor Registry. The Legislature created the Tumor Registry, therefore, as an entity the Tumor Registry is acting under a grant of authority from the State and qualifies as a public health authority.
14 Minimum Necessary Requirement When disclosing PHI for public health purposes, LSUHSC-NO is required to reasonably limit the information disclosed to the minimum necessary to accomplish the purpose. LSUHSC-NO is not required to make a minimum necessary determination if the public health disclosures are made pursuant to an individual s authorization or for a disclosure that is required by other law.
15 Minimum Necessary Requirement (cont.) LSUHSC-NO may reasonably rely on a minimum necessary determination made by a public health authority in requesting PHI. LSUHSC-NO may develop for specific procedures that address the types and amounts of PHI disclosed for routine and recurring public health disclosures. Should your area need assistance in developing procedures, contact the LSUHSC-NO Privacy Officer.
16 Authorization Requirement In general, the HIPAA Privacy requires LSUHSC-NO to obtain a signed HIPAA authorization form from the individual to disclose his/her PHI. However, there are certain health disclosures where obtaining an authorization is not required, such as treatment, payment, operations, and to the individual whom the information is about. If in doubt to whether an authorization is needed, contact the LSUHSC-NO Privacy Officer or obtain an authorization from the individual.
17 Public Health Disclosures LSUHSC-NO may make the following disclosures of PHI, without a signed HIPAA authorization form from the individual: May report to a public health authority that is authorized by law to collect and receive information for the purposes of: preventing or controlling disease, injury, or disability, including but not limited to: the reporting of disease, injury, vital events, such as birth or death, the conduct of public health surveillance, public health investigations, and public health interventions at the discretion of a public health authority, to an official of a foreign government agency that is acting in collaboration with a public health authority;
18 Public Health Disclosures (cont.) Under the Privacy Rule, LSUHSC-NO can also make public health disclosures without a signed HIPAA authorization form by the individual in cases where required by law. For example, The Louisiana Legislature passed R.S. 40: et seq. which mandates the collection of information on cancer cases in the state of Louisiana. This law requires healthcare providers to submit diagnostic, treatment, and follow-up information on cancer cases to the Louisiana Tumor Registry or its regional registries.
19 Public Health Disclosures (cont.) Reporting of child abuse and neglect LSUHSC-NO may report known or suspected child abuse or neglect, if the report is made to a public health authority or other appropriate government authority that is authorized by law to receive such reports. For example, the Louisiana Department of Social Services has the legal authority to receive reports of child abuse or neglect. The Privacy Rule allows LSUHSC-NO to report such cases to that authority without obtaining an authorization from the individual.
20 Public Health Disclosures (cont.) Persons at risk of contracting or spreading a disease LSUHSC-NO may disclose PHI to a person who may have been exposed to a communicable disease or may otherwise be at risk of contracting or spreading a disease or condition, if other law authorizes LSUHSC- NO to notify such individuals as necessary to carry out public health interventions or investigations.
21 Public Health Disclosures (cont.) Quality, safety, or effectiveness of a product or activity regulated by the FDA. Examples of purposes or activities for which such disclosures may be made include, but are not limited to: Collecting and reporting adverse events (or similar activities regarding food or dietary supplements), product defects or problems (including problems with the use or labeling of a product) or biological product deviations Tracking FDA-regulated products Enabling product recalls, repairs, or replacement or for lookback (including locating and notifying persons who have received products that have been withdrawn, recalled, or are subject of lookback.) Conducting post-marketing surveillance
22 Ways to Submit the Information to Public Health Authorities De-identified Data Limited Data Sets Full Data Sets
23 De-identified Information To submit to a public health authority, LSUHSC-NO may take PHI and remove all direct and indirect identifiers to eliminate or make highly improbable, re-identification using statistical techniques. Once the PHI is de-identified, the information is no longer subject to the Privacy Rule and may be disclosed freely.
24 Direct Identifiers Names Postal address information, other than town or city, State, and zip code Telephone numbers Fax numbers Electronic mail addresses Social Security numbers Medical records numbers Health plan beneficiary numbers Account numbers Vehicle identifiers and serial numbers, including license plate numbers Device identifiers and serial numbers Web Universal Resource Locators (URLs) Internet Protocol (IP) address numbers Biometric identifiers, including finger and voice prints Full face photographic images and any comparable images Any other unique identifying number, characteristic, or code. Certificate/license numbers
25 Indirect Identifiers All geographic subdivisions smaller than a state including street address, city, county, precinct, zip code, and their equivalent, except for the initial three digits of zip code, if according to the current publicly available data from the Bureau of Census; the geographical unit formed by combining all zip codes with the same initial three digits contains more than 20,000 people; and the initial three digits of a zip code for all such geographical units containing 20,000 or fewer people is changed to 000. All elements of dates (except year) for dates directly related to an individual, including birth date, admission date, discharge date, date of death, and all ages over 89 and all elements of dates (including year) indicative of age, except that such ages and elements may be aggregated into a single category of age 90 or older.
26 Statistical Standard Option HIPAA provides that LSUHSC-NO may determine that health information is not individually identifiable if: A person with appropriate knowledge of and experience with generally accepted statistical and scientific principles and methods for rendering information not individually identifiable, applying such principles and methods, determines that the risk is very small that the information could be used, alone or in combination with other reasonably available information, by an anticipated recipient to identify an individual who is the subject of the information; and that person documents the methods and results of the analysis that justify such determination. If you feel you need to utilize this option, you must contact the LSUHSC-NO Privacy Officer BEFORE any disclosure of information occurs.
27 Re-identification of Data LSUHSC-NO may assign a code or other means of record identification to allow de-identified information to be re-identified, if the code is not derived from, or related to, the removed identifiers. Only LSUHSC-NO will have the re-identification information and must be closely guarded to prevent unauthorized disclosure of PHI. If the data is re-identified, the information once again becomes subject to all the requirements of the Privacy Rule.
28 Where to find LSUHSC-NO policy and procedures on De-identification of PHI? LSUHSC-NO s HIPAA Policies and Procedures on De-identification of PHI are contained in Chancellor s Memorandum (CM) 53 and may be found at: Policy O: De-identification of Protected Health Information 53/Deidentification1.aspx Policy O Attachment A: Request for De-identified Information 53/pdf/AttachmentA-Deidentification.pdf Policy S Attachment D: Principal Investigator s Request De-identification form for Approved Exempt Research 53/pdf/AttachmentD-InstitutionalReviewBoard.pdf
29 Limited Data Sets LSUHSC-NO may disclose PHI in a limited data set (LDS) to a researcher who has entered into an appropriate data use agreement LDS must have all direct identifiers removed; they may still include information that could indirectly identify the subject using statistical methods.
30 Data Use Agreement LSUHSC-NO must condition the disclosure of the LDS on the execution of a data use agreement. Data use agreement must establish: the permitted uses and disclosures of such information by the recipient, consistent with the purposes of research; limit who can use or receive the data; require the recipient to agree not to re-identify the data or contact the individuals.
31 Where to find LSUHSC-NO s HIPAA policies and procedures on Limited Data Sets and Data Use Agreements? LSUHSC-NO s HIPAA Policies and Procedures on Limited Data Sets and Data Use Agreements are contained in Chancellor s Memorandum (CM) 53 and may be found at: Policy N: Limited Data Set 53/LimitedDataSet14.aspx Policy N Attachment A: Limited Data Set Request and Data Use Agreement 53/pdf/AttachmentA-LimitedDataSetRequest.pdf
32 Full Data Sets The Privacy Rules allows LSUHSC-NO to disclose directly identifiable PHI, such as name, address and social security number for public health purposes. However, because of the security and privacy risks of associated with the transfer of this sensitive information, the LSUHSC-NO Privacy Officer and LSUHSC-NO Security Officer MUST be contacted before any transmission of full data sets takes place.
33 Penalties for HIPAA violations There is a tiered system for assessing the level and penalty of each violation: Tier A-violations that are accidental not intentional-fines of $100 per violation up to $25,000 for violations of an identical type per calendar year. Tier B-violations due to reasonable cause and not willful neglect- fines of $1000 per violation up to $50,000 for violations of an identical type per calendar year.
34 Penalties for HIPAA violations (cont.) Tier C- violations that the hospital corrected, but were due to willful neglect of the policies/procedures-fines $10,000 per violation up to $250,000 for violations of an identical type per calendar year. Tier D- violations due to willful neglect that the hospital did not correct-fines $50,000 per violation up to $1.5 million for violations of an identical type per calendar year.
35 Additional Penalties Loss of your job or student status. Individuals and health care providers (hospitals, etc.) can also face civil and criminal prosecution, depending on the facts of the case.
36 Role of Privacy Officer Responds to HIPAA privacy complaints Implements policies and procedures Conducts educational programs Reviews LSUHSC s privacy program Is available to answer any privacy questions or concerns.
37 Reporting a HIPAA violation If anyone suspects or knows of mishandling or misuse of patient PHI, a complaint can be made to: Contact the LSUHSC-NO Privacy Officer or the Office of Compliance Programs by: Telephone at: Office: (504) Confidential reporting hotline: (504) , or at: nocompliancehotline@lsuhsc.edu
38 Questions? We Are Here to Help! Office of Compliance Programs 433 Bolivar St. Suite 807 New Orleans, LA
DE-IDENTIFICATION OF PROTECTED HEALTH INFORMATION (PHI)
PRIVACY 8.0 DE-IDENTIFICATION OF PROTECTED HEALTH INFORMATION (PHI) Scope: Purpose: All workforce members (employees and non-employees), including employed medical staff, management, and others who have
More informationINSTITUTIONAL REVIEW BOARD Investigator Guidance Series HIPAA PRIVACY RULE & AUTHORIZATION THE UNIVERSITY OF UTAH. Definitions.
HIPAA PRIVACY RULE & AUTHORIZATION Definitions Breach. The term breach means the unauthorized acquisition, access, use, or disclosure of protected health information which compromises the security or privacy
More informationLifeBridge Health HIPAA Policy 4. Uses of Protected Health Information for Research
LifeBridge Health HIPAA Policy 4 Uses of Protected Health Information for Research This Policy contains the following Sections: I. Policy II. III. IV. Definitions Applicability Procedures A. Individual
More informationYALE UNIVERSITY THE RESEARCHERS GUIDE TO HIPAA. Health Insurance Portability and Accountability Act of 1996
YALE UNIVERSITY THE RESEARCHERS GUIDE TO HIPAA Health Insurance Portability and Accountability Act of 1996 Handbook Table of Contents I. Introduction What is HIPAA? What is PHI? What is a Covered Entity
More informationIt defines basic terms and lists basic principles that all LSUHSC-NO faculty, staff, residents and students must understand and follow.
Office of Compliance Programs Revised: July 18, 2017 HIPAA Privacy HIPAA Privacy Workforce Training The Health Insurance Portability & Accountability Act (HIPAA) requires that the University train all
More informationAPPLICATION FOR RESEARCH REQUESTING AN IRB WAIVER OF CONSENT AND HIPAA AUTHORIZATION
FORM W/H-01 APPLICATION FOR RESEARCH REQUESTING AN IRB WAIVER OF CONSENT AND HIPAA AUTHORIZATION Research for which this form is appropriate generally involves only existing patient records or specimens.
More informationTHE JOURNEY FROM PHI TO RHI: USING CLINICAL DATA IN RESEARCH
THE JOURNEY FROM PHI TO RHI: USING CLINICAL DATA IN RESEARCH Helenemarie Blake, Esq. Chief Privacy Officer, Interim Office of HIPAA & Privacy Security August 2016 SCENARIO You are putting a study together
More informationThe Queen s Medical Center HIPAA Training Packet for Researchers
The Queen s Medical Center HIPAA Training Packet for Researchers 1 The Queen s Medical Center HIPAA Training Packet for Researchers Table of Contents Overview of HIPAA and Research 3 Penalties for violations
More informationThe HIPAA privacy rule and long-term care : a quick guide for researchers
Scripps Gerontology Center Scripps Gerontology Center Publications Miami University Year 2005 The HIPAA privacy rule and long-term care : a quick guide for researchers Jane Straker Patricia Faust Miami
More informationHIPAA Privacy Training for Non-Clinical Workforce
Office of Compliance Programs HIPAA Privacy Training for Non-Clinical Workforce Revised: January 24, 2017 HIPAA Privacy Workforce Training The Health Insurance Portability & Accountability Act (HIPAA)
More informationNavigating HIPAA Regulations. Michelle C. Stickler, DEd Director, Research Subjects Protections
Navigating HIPAA Regulations Michelle C. Stickler, DEd Director, Research Subjects Protections mcstickler@vcu.edu 828-0131 Key Definitions Covered Entity: Organization that handles identifiable health
More informationIRB 101. Rachel Langhofer Joan Rankin Shapiro Research Administration UA College of Medicine - Phoenix
IRB 101 Rachel Langhofer Joan Rankin Shapiro Research Administration UA College of Medicine - Phoenix Contents Brief discussion of regulations IRB Structure Levels of Approval Informed Consent HIPAA/HITECH
More informationThe Impact of The HIPAA Privacy Rule on Research
The Impact of The HIPAA Privacy Rule on Research This is simplification? Upstate Medical University WHAT HASN T CHANGED All research involving human subjects must be reviewed and approved by the IRB. The
More informationHIPAA COMPLIANCE APPLICATION
1 HIPAA COMPLIANCE APPLICATION PROJECT TITLE: PRINCIPAL INVESTIGATOR Name (Last, First): Please complete this form if you intend to use/disclose protected health information (PHI) in your research. An
More informationThe HIPAA Privacy Rule and Research: An Overview
The HIPAA Privacy Rule and Research: An Overview Joy Pritts, JD Research Associate Professor Health Policy Institute Georgetown University jlp@georgetown.edu 1 Topics HIPAA Background Overview of Privacy
More informationWhat is HIPAA? Purpose. Health Insurance Portability and Accountability Act of 1996
Patient Privacy and HIPAA/HITECH What is HIPAA? Health Insurance Portability and Accountability Act of 1996 Implemented in 2003 Title II Administrative Simplification It s a federal law HIPAA is mandatory,
More informationHIPAA Policies and Procedures Manual
UNIVERSITY of NORTH CAROLINA at CHAPEL HILL SCHOOL of NURSING HIPAA Policies and Procedures Manual November 2015 1 Table of Contents I. INTRODUCTION... 3 A. GENERAL POLICY... 3 B. SCOPE... 3 II. DEFINITIONS...
More informationHIPAA PRIVACY TRAINING
HIPAA PRIVACY TRAINING HIPAA Privacy Training Objective Present a general overview of HIPAA and define important terms Understand the purpose of HIPAA and the Privacy Rule Understand the term Protected
More informationWHAT IS AN IRB? WHAT IS AN IRB? 3/25/2015. Presentation Outline
Education &Training WHAT IS AN IRB? Introduction to the UofL Institutional Review Boards & Human Subjects Protection Program IRB Review Process Post Approval Monitoring March 2015 1 Presentation Outline
More informationNew HIPAA Privacy Regulations Governing Research. Karen Blackwell, MS Director, HIPAA Compliance
New HIPAA Privacy Regulations Governing Research Karen Blackwell, MS Director, HIPAA Compliance kblackwe@kumc.edu 913-588 588-0942 HIPAA Health Insurance Portability and Accountability Act In a Nutshell
More informationHIPAA Privacy Regulations Governing Research
HIPAA Privacy Regulations Governing Research HIPAA Health Insurance Portability and Accountability Act In a Nutshell The Privacy Regulations govern a provider s use and disclosure of health information
More informationAccess to Patient Information for Research Purposes: Demystifying the Process!
Access to Patient Information for Research Purposes: Demystifying the Process! Cynthia Nappa Institutional Privacy Administrator State University of New York Upstate Medical University 1 Administrative
More informationHEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT
HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT INSTRUCTIONS Read through this presentation. Submit completed post test to the Portage County MRC Coordinator. Estimated completion time: 1 hour Learning
More informationSan Francisco Department of Public Health Policy Title: HIPAA Compliance Privacy and the Conduct of Research Page 1 of 10
Page 1 of 10 TITLE: HIPAA COMPLIANCE: PRIVACY AND THE CONDUCT OF RESEARCH POLICY It is the policy of the San Francisco Department of Public Health (DPH) to maintain the privacy of Protected Health Information
More informationSystem-wide Policy: Use and Disclosure of Protected Health Information for Research
System-wide Policy: Use and Disclosure of Protected Health Information for Research Origination Date: May 2016 Next Review Date: May 2019 Effective Date: May 2016 Reference #: SYS ADMIN-RA-005 Approval
More informationHIPAA. Health Insurance Portability and Accountability Act. Presented by the UMMC Office of Integrity and Compliance
HIPAA Health Insurance Portability and Accountability Act Presented by the UMMC Office of Integrity and Compliance Rules and Regulations to ensure Privacy Set Federally recognized standards to ensure both
More informationNew Study Submissions to the IRB
New Study Submissions to the IRB Tufts-New England Medical Center Tufts University Health Sciences IRB Education Series 2006 Presentation may only be reused or reprinted with written permission from the
More informationCommission on Dental Accreditation Guidelines for Filing a Formal Complaint Against an Educational Program
Commission on Dental Accreditation Guidelines for Filing a Formal Complaint Against an Educational Program The Commission strongly encourages attempts at informal or formal resolution through the program's
More informationPrivacy and Security Orientation for Visiting Observers. DUHS Compliance Office
Privacy and Security Orientation for Visiting Observers DUHS Compliance Office 919-668-2573 compliance@dm.duke.edu Introduction This orientation is to provide new Visiting Observers with the HIPAA Privacy
More informationUSE AND DISCLOSURE OF PROTECTED HEALTH INFORMATION WITHOUT AUTHORIZATION
USE AND DISCLOSURE OF PROTECTED HEALTH INFORMATION WITHOUT AUTHORIZATION Policy The Health Science Center may disclose protected health information without a patient authorization in the following circumstances:
More informationADVANCED PLASTIC SURGERY, PLLC. NOTICE OF PRIVACY PRACTICES
Effective Date: July 1 st 2013 ADVANCED PLASTIC SURGERY, PLLC. NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO
More informationProfessional Compliance Program Grievance Report
Professional Compliance Program Grievance Report Please complete this form carefully. All material that you wish AAOS to consider must either accompany this form or be sent electronically and identified
More informationThe University of Chicago Medicine Privacy Program Accounting of Disclosures Definition Table
The HIPAA Privacy Rule provides an individual with the right to receive a listing, known as an Accounting of s, which provides information about when the University of Chicago Medicine (UCM) discloses
More informationHIPAA PRIVACY NOTICE
HIPAA PRIVACY NOTICE PLEASE REVIEW THIS NOTICE CAREFULLY. IT DESCRIBES HOW YOUR MEDICAL INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU MAY GAIN ACCESS TO THAT INFORMATION. POLICY STATEMENT This Practice
More informationPatient Privacy Requirements Beyond HIPAA
Patient Privacy Requirements Beyond HIPAA Jane Hyatt Thorpe, J.D. School of Public Health and Health Services George Washington University Carrie Bill, J.D. Feldesman Tucker Leifer Fidell LLP The George
More informationCLINICIAN S GUIDE TO HIPAA PRIVACY
CLINICIAN S GUIDE TO HIPAA PRIVACY Introduction... 2 What is HIPAA?... 2 Health Information Privacy... 2 Protected Health Information... 3 Identifiers... 3 HIPAA s Impact on Clinical Practice, Treatment,
More informationModule: Research and HIPAA Privacy Protections ( )
Module: Research and HIPAA Privacy Protections (7-18-11) HIPAA's protections focus on individually identifiable health information HIPAA defines identifiable health information as (1) any form or medium"
More informationMSK Group, PC NOTICE O F PRIVACY PRACTICES Effective Date: December 30, 2015
MSK Group, PC NOTICE O F PRIVACY PRACTICES Effective Date: December 30, 2015 This notice describes how medical information about you may be used and disclosed and how you can get access to this information.
More informationNotice of Privacy Practices for Protected Health Information (PHI)
Notice of Privacy Practices for Protected Health Information (PHI) Dermatology Associates of Colorado, PC THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN
More informationPrivacy Rule Overview
Privacy Rule Overview Protected Health Information (PHI) is private information that is subject to special treatment under the HIPAA Privacy Regulations. PHI can only be used or disclosed in research if
More informationalways legally required to follow the privacy practices described in this Notice.
The ANXIETY & STRESS MANAGEMENT INSTITUTE 1640 Powers Ferry Rd, Building 9, Suite 10 0, Marietta, Georgia 30067, 770-953-0080 Health Insurance Portability and Accountability Act (HIPAA) NOTICE OF PRIVACY
More informationNOTICE OF PRIVACY PRACTICES Mid-Atlantic Women s Care, PLC Effective Date: September 23, 2013 Last Revised: February 15, 2018
NOTICE OF PRIVACY PRACTICES Mid-Atlantic Women s Care, PLC Effective Date: September 23, 2013 Last Revised: February 15, 2018 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED
More informationSouthwest Acupuncture College /PWFNCFS
Southwest Acupuncture College /PWFNCFS This replaces policies in the catalogue and any other documents to date. Boulder Santa Fe TABLE OF CONTENTS STATEMENT OF PURPOSE... 1 I. RIGHT TO A NOTICE OF PRIVACY
More informationUNIVERSITY OF ILLINOIS HIPAA PRIVACY AND SECURITY DIRECTIVE
May 19, 2016 UNIVERSITY OF ILLINOIS HIPAA PRIVACY AND SECURITY DIRECTIVE UNIVERSITY OF ILLINOIS HIPAA PRIVACY AND SECURITY DIRECTIVE Table of Contents DIRECTIVE INFORMATION... 4 BACKGROUND... 4 APPLICABILITY...
More informationAdvanced HIPAA Communications and University Relations
Advanced HIPAA Communications and University Relations accepts no liability of any use reliance placed on it, as it is warranty, express, or implied, or completeness of 1 the HIPAA Health Insurance Portability
More informationI. Preamble: II. Parties:
I. Preamble: MEMORANDUM OF UNDERSTANDING BETWEEN THE FEDERAL COMMUNICATIONS COMMISSION AND THE FOOD AND DRUG ADMINISTRATION CENTER FOR DEVICES AND RADIOLOGICAL HEALTH The Food and Drug Administration (FDA)
More informationCompliance Program, Code of Conduct, and HIPAA
Compliance Program, Code of Conduct, and HIPAA Agenda Introduction to Compliance The Compliance Program Code of Conduct Reporting Concerns HIPAA Why have a Compliance Program Procedures to follow applicable
More informationPatient-Level Data. February 4, Webinar Series Goals. First Fridays Webinar Series: Medical Education Group (MEG)
First Fridays Webinar Series: Medical Education Group (MEG) Patient-Level Data February 4, 2011 Provide Insights into MEG Operations Share Up-To-Date Information Webinar Series Goals Share Best Practices
More informationHIPAA in DPH. HIPAA in the Division of Public Health. February 19, February 19, 2003 Division of Public Health 1
HIPAA in the Division of Public Health February 19, 2003 February 19, 2003 Division of Public Health 1 Handouts HIPAA Definitions AG Advisory Opinion - Definition of Health Plan DPH Coverage Determination
More informationFINANCIAL CONFLICT OF INTEREST POLICY Public Health Services SECTION 1 OVERVIEW, APPLICABILITY AND RESPONSIBILITIES
FINANCIAL CONFLICT OF INTEREST POLICY Public Health Services SECTION 1 OVERVIEW, APPLICABILITY AND RESPONSIBILITIES 1.1 Statement of Background and Purposes The United States Department of Health and Human
More informationPRIVACY POLICY USES AND DISCLOSURES FOR TREATMENT, PAYMENT, AND HEALTH CARE OPERATIONS
PRIVACY POLICY As of April 14, 2003, the Federal regulation on patient information privacy, known as the Health Insurance Portability and Accountability Act (HIPAA), requires that we provide (in writing)
More informationPresented by the UAMS HIPAA Office August 2013 Anita B. Westbrook
HIPAA and Social Media and other PHI Safeguards Presented by the UAMS HIPAA Office August 2013 Anita B. Westbrook Social Networking Let s Talk Facebook More than 750 million users Average user has 130
More informationA Better You Counseling Services, LLC 1225 Johnson Ferry Road, Ste 170 Marietta GA
A Better You Counseling Services, LLC 1225 Johnson Ferry Road, Ste 170 Marietta GA 30068 404-216-1135 Health Insurance Portability and Accountability Act (HIPAA) NOTICE OF PRIVACY PRACTICES I. COMMITMENT
More informationOrthopedic Specialty Clinic, Ltd. Updated 05/2014
Orthopedic Specialty Clinic, Ltd. Updated 05/2014 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.
More informationPennsylvania Hospital & Surgery Center ADMINISTRATIVE POLICY MANUAL
Page 1 Issued: POLICY: Committee Approval: HIPAA Administrative Policy Review Committee: April 2003 April 2005 April 2006 April 2007 April 2008 Attachment(s): For purposes of this policy, Pennsylvania
More informationNotice of Privacy Practices
2269 CHERRY VALLEY ROAD, NEWARK, OH 43055 (740) 788-1400 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW
More informationHIPAA Privacy Rule. Best PHI Privacy Practices
HIPAA Privacy Rule Best PHI Privacy Practices Learning Objectives Define the acronym HIPAA. Understand your role and responsibilities under the privacy regulations. Know what patient s rights are in terms
More informationSUMMARY OF THE CIRCUMSTANCES AND PURPOSES FOR WHICH YOUR HEALTH INFORMATION MAY BE USED AND DISCLOSED
374 Hudlow Road, Post Office Box 336 Forest City, NC 28043 Phone: (828) 245-0095 FAX: (828) 248-1035 Toll Free: 1-800-218-CARE (2273) HOSPICE OF RUTHERFORD COUNTY PRIVACY PRACTICES THIS NOTICE DESCRIBES
More informationMobile Mammo Registration Instructions
Mobile Mammo Registration Instructions 1. Call to schedule your appointment @ 239-936-4068 2. Fill out the following forms Note: All forms must be completed even if you were a previous patient on RRC Mobile
More informationMassachusetts Department of Public Health. Privacy of Health Data
Massachusetts Department of Public Health Privacy of Health Data Institutional Commitment to Privacy Privacy and Data Access Office Staffing Privacy Attorney Confidential Data Officer Admin Support Goals
More informationUSES AND DISCLOSURES OF PROTECTED HEALTH INFORMATION: HIPAA PRIVACY POLICY
Page Number 1 of 8 TITLE: PURPOSE: USES AND DISCLOSURES OF PROTECTED HEALTH INFORMATION: HIPAA PRIVACY POLICY To assure that individually identifiable health information contained in any University Health
More informationHIPAA Compliancy Group, LLC. 2017
1 Meet Your Expert Proud Sponsor Visionary Contributor Endorsed Partner Marc Haskelson Compliancy Group, CEO Marc@compliancygroup.com CompTIA Channel Advisory Board Co Chair CompTIA Business Applications
More informationStudent Orientation: HIPAA Health Insurance Portability & Accountability Act
_ Student Orientation: HIPAA Health Insurance Portability & Accountability Act HIPAA: National Privacy Law History of HIPAA What was once an ethical responsibility to protect a patient s privacy is now
More informationHIPAA for CNAs. This course has been awarded one (1.0) contact hour. This course expires on May 31, 2020.
HIPAA for CNAs This course has been awarded one (1.0) contact hour. This course expires on May 31, 2020. Copyright 2015 by RN.com. All Rights Reserved. Reproduction and distribution of these materials
More informationHIPAA PRIVACY DIRECTIONS. HIPAA Privacy/Security Personal Privacy. What is HIPAA?
DIRECTIONS HIPAA Privacy/Security Personal Privacy 1. Read through entire online training presentation 2. Close the presentation and click on Online Trainings on the Intranet home page 3. Click on the
More informationNOTICE OF PRIVACY PRACTICES
NOTICE OF PRIVACY PRACTICES 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. WHY ARE YOU GETTING
More informationSafeguarding PHI Nutrition Services. UAMS HIPAA Office May 2015
Safeguarding PHI Nutrition Services UAMS HIPAA Office May 2015 HIPAA (not HIPPA) What is HIPAA? The Health Insurance Portability and Accountability Act is a federal law that protects the privacy and security
More informationGeisinger IRB Member Orientation Session 2. Debra L. Henninger, MHS RN CCRC Associate Director, Research Compliance
Geisinger IRB Member Orientation Session 2 Debra L. Henninger, MHS RN CCRC Associate Director, Research Compliance 1 How does the IRB make decisions? Guiding Ethical Principles Regulatory Considerations
More informationNOTICE OF HOSPICE EL PASO S PRIVACY PRACTICES
NOTICE OF HOSPICE EL PASO S PRIVACY PRACTICES 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.
More informationETHICAL AND REGULATORY CONSIDERATIONS
CONSIDERATIONS Office for Office for Human Research Protections The Office for Office for Human Research Protections (OHRP) is an administrative subdivision within the U.S. Department of Health and Human
More informationISDN. Over the past few years, the Office of the Inspector General. Assisting Network Members Develop and Implement Corporate Compliance Programs
Information Bulletin #7 ISDN National Association of Community Health Centers, Inc. INTEGRATED SERVICES DELIVERY NETWORKS SERIES For more information contact Jacqueline C. Leifer, Esq. or Marcie H. Zakheim,
More informationInformation Privacy and Security
Information Privacy and Security 2015 Purpose of HIPAA HIPAA stands for the Health Insurance Portability and Accountability Act. Its purpose is to establish nationwide protection of patient confidentiality,
More informationFlorida Statewide Guardian ad Litem Program PO Box Tallahassee, FL Telephone: (850) GuardianadLitem.org
Florida Statewide Guardian ad Litem Program PO Box 10628 Tallahassee, FL 32302-2688 Telephone: (850) 922-7213 GuardianadLitem.org 1 Within the Justice Administrative Commission, the Statewide Guardian
More informationR. Gregory Cochran, MD, JD
California Academy of Attorneys for Health Care Professionals October 19-21, 2012 Government Subpoenas (and other Requests) and Health Privacy Considerations R. Gregory Cochran, MD, JD Overview Overview
More informationHIPAA & Research Overview for the Privacy Board March 22, UAMS HIPAA Office Vera M. Chenault, JD
HIPAA & Research Overview for the Privacy Board March 22, 2011 UAMS HIPAA Office Vera M. Chenault, JD The Privacy Board - YOU HIPAA Privacy Rule establishes the requirements for membership and role of
More informationJohns Hopkins Notice of Privacy Practices for Health Care Providers
Johns Hopkins Notice of Privacy Practices for Health Care Providers This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please
More informationNOTICE OF PRIVACY PRACTICES
EFFECTIVE DATE: APRIL 14, 2003 NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW
More informationFEDERAL AND STATE BREACH NOTIFICATION LAWS FOR CALIFORNIA
FEDERAL AND STATE BREACH NOTIFICATION LAWS FOR CALIFORNIA LEGAL CITATION California Civil Code Section 1798.82 California Health and Safety (H&S) Code Section 1280.15 42 U.S.C. Section 17932; 45 C.F.R.
More informationNotice of Privacy Practices for Protected Health Information
Notice of Privacy Practices for Protected Health Information This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review
More informationNOTICE OF PRIVACY PRACTICES Occupations, Inc. 15 Fortune Road West Middletown, NY 10941
NOTICE OF PRIVACY PRACTICES Occupations, Inc. 15 Fortune Road West Middletown, NY 10941 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS
More informationSENATE, No STATE OF NEW JERSEY. 216th LEGISLATURE INTRODUCED APRIL 28, 2014
SENATE, No. STATE OF NEW JERSEY th LEGISLATURE INTRODUCED APRIL, 0 Sponsored by: Senator LORETTA WEINBERG District (Bergen) Senator JOSEPH F. VITALE District (Middlesex) Senator JAMES W. HOLZAPFEL District
More informationPARAGOULD DOCTORS CLINIC PRIVACY NOTICE
PARAGOULD DOCTORS CLINIC PRIVACY NOTICE Protected Health Information THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE
More informationPATIENT INFORMATION. In Case of Emergency Notification
PATIENT INFORMATION Patient Name Date Nickname DOB Age Sex Race/Ethnicity Language(s) spoken at home Person completing form Relation to Patient Patient Address City State Zip Phone # Other Phone Medical
More informationBest practices in using secondary analysis as a method
Best practices in using secondary analysis as a method Katharine Green, PhD(c), CNM University of Massachusetts Amherst, USA July, 2015 University of Massachusetts Amherst, U.S.A. Secondary data analysis:
More informationPATIENT NOTICE OF PRIVACY PRACTICES Effective Date: June 1, 2012 Updated: May 9, 2017
PREMIER PSYCHIATRY Psychiatric and Behavioral Health Services PATIENT NOTICE OF PRIVACY PRACTICES Effective Date: June 1, 2012 Updated: May 9, 2017 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU
More information1303A West Campus Drive
Page 1 of 5 Applies to: faculty staff student clinicians Effective Date of This Revision: April 6, 2005 student employees visitors contractors Contact for More Information: HIPAA Chief Privacy Officer
More informationMAIN STREET RADIOLOGY
MAIN STREET RADIOLOGY PATIENT REGISTRATION FORM **OFFICE USE ONLY** TODAY S DATE: MR#: LAST NAME: FIRST NAME: ADDRESS: APT: CITY: STATE: ZIP CODE: HOME PHONE #: ( ) - CELL PHONE#: ( ) - DATE OF BIRTH:
More informationBalance Fitness and Nutrition
Balance Fitness and Nutrition HIPPA Notice of Privacy Practices Effective Date: January 29, 2012 THIS NOTICE DESCRIBES HOW PROTECTED HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN
More informationUniversity of Wisconsin-Madison Policy and Procedure
Page 1 of 9 I. Policy The HIPAA Privacy Rule does not require that patients provide written or verbal authorization prior to some uses or disclosures of their protected health information. UW- Madison
More informationNOTICE OF PRIVACY PRACTICE UNIVERSITY OF CALIFORNIA SAN FRANCISCO DENTAL CENTER
Effective Date: February 1, 2018 NOTICE OF PRIVACY PRACTICE UNIVERSITY OF CALIFORNIA SAN FRANCISCO DENTAL CENTER THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW
More informationHIPAA and HITECH: Privacy and Security of Protected Health Information
HIPAA and HITECH: Privacy and Security of Protected Health Information What is HIPAA? Health Insurance Portability and Accountability Act of 1996 A federal law enacted to: Protect the privacy of a patient
More informationSaint Joseph Mercy Health System Institutional Review Board
Saint Joseph Mercy Health System Institutional Review Board NEW PROJECT APPLICATION At Saint Joseph Mercy Health System, which includes Ann Arbor, Livingston, Saline, St. Mary s Livonia, Chelsea and Port
More informationSerious Notable Occurrence:. Serious notable occurrences include;
1 of 10 Processing of a s Section 624.4 Notable occurrences, defined. Notable occurrences: are events or situations that meet the definitions in subdivision (c) of OPWDD part 624.4 and occur under the
More informationWRAPPING YOUR HEAD AROUND HIPAA PRIVACY REQUIREMENTS
WRAPPING YOUR HEAD AROUND HIPAA PRIVACY REQUIREMENTS Jeffrey Staton Attorney at Law Legal Aid Society of Louisville 416 W. Muhammad Ali Blvd., Ste. 300 Louisville, KY 40202 Phone: 502.614.3146 Jstaton@laslou.org
More informationPATIENT BILL OF RIGHTS & NOTICE OF PRIVACY PRACTICES
Helping People Perform Their Best PRIVACY, RIGHTS AND RESPONSIBILITIES NOTICE PATIENT BILL OF RIGHTS & NOTICE OF PRIVACY PRACTICES Request Additional Information or to Report a Problem If you have questions
More informationHIPAA Privacy & Security Training
HIPAA Privacy & Security Training for Nonclinicians Introduction As a Duke Medicine workforce member you may have access to patients and patient information and you have a legal and ethical obligation
More informationSection 1 Conflicts of Interest Introduction
POLICY ON CONFLICT OF INTEREST IN THE DESIGN, IMPLEMENTATION, OR REPORTING OF GRANTSANDSPONSOREDPROJECTS Section 1 Conflicts of Interest Introduction 1.1 INTRODUCTION The New Jersey Conflict of Interest
More informationWAKE FOREST BAPTIST HEALTH NOTICE OF PRIVACY PRACTICES
WAKE FOREST BAPTIST HEALTH NOTICE OF PRIVACY PRACTICES Effective April 14, 2003 Revised February 17, 2010 Revised September 23, 2013 Revised July 1, 2016 This Notice of Privacy Practices applies to the
More informationNOTICE OF PRIVACY PRACTICES UNIVERSITY OF CALIFORNIA RIVERSIDE CAMPUS HEALTH CENTER
NOTICE OF PRIVACY PRACTICES UNIVERSITY OF CALIFORNIA RIVERSIDE CAMPUS HEALTH CENTER Effective Date: April 14, 2003 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND
More informationDepartment of Juvenile Justice Guidance Document COMPLIANCE MANUAL 6VAC REGULATION GOVERNING JUVENILE SECURE DETENTION CENTERS
COMPLIANCE MANUAL 6VAC35-101 REGULATION GOVERNING JUVENILE SECURE DETENTION CENTERS This document shall serve as the compliance manual for the Regulation Governing Juvenile Secure Detention Centers 6VAC35-101)
More information