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HIPAA
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HIPAA
• 1. Health Plans
• 2. Health Care Providers
=
• 3. Health Care Clearinghouses
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HIPAA
•Engage
in one or more covered electronic transactions...
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HIPAA
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HIPAA
• (4) Health care claim status.
•(5) Enrollment and disenrollment in a <=
/span>health plan.
• (6) Eligibility for a health plan.
=
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HIPAA
• (7) Health plan premium payments.
<=
/span>
•(8) Referral certification and <=
span
style=3D'position:absolute;top:55.25%;left:12.17%;width:79.4%;height:6.75%=
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HIPAA
• (9) First report of injury.
=
• (10) Health claims attachments.
•(11) Other transactions that the Secretary may prescribe by regulation.<=
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HIPAA
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HIPAA
HIPAA
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HIPAA
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HIPAA
• on computer
=
;
• on paper
• in the mind of =
a staff
member
•transmitted by =
spoken
word, fax, e-mail, internet, private networks, U.S. mai=
l, handing
a piece of paper to another person
• not transmitted=
at
all
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HIPAA
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HIPAA
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HIPAA
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HIPAA
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HIPAA
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HIPAA
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HIPAA
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HIPAA
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HIPAA
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HIPAA
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HIPAA
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HIPAA
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HIPAA
• THE CONSENT (general)
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HIPAA
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HIPAA
• CONSENTS (cont.)
• signature and date
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HIPAA
• Authorizations (specific)
•an individual's specific authorization to use PHI for purposes other than those covered in the Consent
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}
}
var custShowList=3Dnew Array();
function ImgBtn( oId,bId,w,action )
{
var t=3Dthis
t.Perform =3D _IBP
t.SetActive =3D _IBSetA
t.SetInactive=3D _IBSetI
t.SetPressed =3D _IBSetP
t.SetDisabled=3D _IBSetD
t.Enabled =3D _IBSetE
t.ChangeIcon =3D null
t.UserAction =3D action
t.ChgState =3D _IBUI
t.mObjId =3D oId
t.mBorderId=3D bId
t.mWidth =3D w
t.mIsOn =3D t.mCurState =3D 0
}
function _IBSetA()
{
if( this.mIsOn ) {
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obj.style.posTop=3D0
}
}
function _IBSetI()
{
if( this.mIsOn ) {
obj=3Dthis.ChgState( gFaceClr,gFaceClr,1 )
obj.style.posTop=3D0
}
}
function _IBSetP()
{
if( this.mIsOn ) {
obj=3Dthis.ChgState( gShadowClr,gHiliteClr,2 )
obj.style.posLeft+=3D1; obj.style.posTop+=3D1
}
}
function _IBSetD()
{
obj=3Dthis.ChgState( gFaceClr,gFaceClr,0 )
obj.style.posTop=3D0
}
function _IBSetE( state )
{
var t=3Dthis
GetObj( t.mBorderId ).style.visibility=3D"visible"
if( state !=3D t.mIsOn ) {
t.mIsOn=3Dstate
if( state )
t.SetInactive()
else
t.SetDisabled()
}
}
function _IBP()
{
var t=3Dthis
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if( t.UserAction !=3D null )
t.UserAction()
if( t.ChangeIcon ) {
obj=3DGetObj(t.mObjId)
if( t.ChangeIcon() )
obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-4)*t.mWidth
else
obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-0)*t.mWidth
}
t.SetActive()
}
}
function _IBUI( clr1,clr2,nextState )
{
var t=3Dthis
SetBorder( GetObj( t.mBorderId ),clr1,clr2 )
obj=3DGetObj( t.mObjId )
obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-nextState)*t.mWidth-obj=
.style.posTop
t.mCurState=3DnextState
return obj
}
function TxtBtn( oId,oeId,action,chkState )
{
var t=3Dthis
t.Perform =3D _TBP
t.SetActive =3D _TBSetA
t.SetInactive=3D _TBSetI
t.SetPressed =3D _TBSetP
t.SetDisabled=3D _TBSetD
t.SetEnabled =3D _TBSetE
t.GetState =3D chkState
t.UserAction =3D action
t.ChgState =3D _TBUI
t.mObjId =3D oId
t.m_elementsId=3D oeId
t.mIsOn =3D 1
}
function _TBSetA()
{
var t=3Dthis
if( t.mIsOn && !t.GetState() )
t.ChgState( gHiliteClr,gShadowClr,0,0 )
}
function _TBSetI()
{
var t=3Dthis
if( t.mIsOn && !t.GetState() )
t.ChgState( gFaceClr,gFaceClr,0,0 )
}
function _TBSetP()
{
if( this.mIsOn )
this.ChgState( gShadowClr,gHiliteClr,1,1 )
}
function _TBSetD()
{
this.ChgState( gFaceClr,gFaceClr,0,0 )
this.mIsOn =3D 0
}
function _TBSetE()
{
var t=3Dthis
if( !t.GetState() )
t.ChgState( gFaceClr,gFaceClr,0,0 )
else
t.ChgState( gShadowClr,gHiliteClr,1,1 )
t.mIsOn =3D 1
}
function _TBP()
{
var t=3Dthis
if( t.mIsOn ) {
if( t.UserAction !=3D null )
t.UserAction()
if( !t.GetState )
return
if( t.GetState() )
t.SetPressed()
else
t.SetActive()
}
}
function _TBUI( clr1,clr2,lOffset,tOffset )
{
SetBorder( GetObj( this.mObjId ),clr1,clr2 )
Offset( GetObj( this.m_elementsId ),lOffset,tOffset )
}
function Offset( obj, top, left ){ obj.style.top=3Dtop; obj.style.left=3Dle=
ft }
function SetBorder( obj, upperLeft, lowerRight )
{
s=3Dobj.style;
s.borderStyle =3D "solid"
s.borderWidth =3D 1
s.borderLeftColor =3D s.borderTopColor =3D upperLeft
s.borderBottomColor=3D s.borderRightColor =3D lowerRight
}
function GetBtnObj(){ return gBtnArr[window.event.srcElement.id] }
function BtnOnOver(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetActive() }
function BtnOnDown(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetPressed() }
function BtnOnOut(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetInactive() }
function BtnOnUp()
{
b=3DGetBtnObj()
if( b !=3D null )
b.Perform()
else
Upd()
}
function GetNtsState(){ return parent.gNtsOpen }
function GetOtlState(){ return parent.gOtlOpen }
function GetOtlTxtState(){ return parent.gOtlTxtExp }
function NtsBtnSetFlag( fVal )
{
s=3Ddocument.all.item( this.m_flagId ).style
s.display=3D"none"
if( fVal )
s.display=3D""
else
s.display=3D"none"
}
function _BSetA_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S=
etActive() }
function _BSetI_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S=
etInactive() }
var gHiliteClr=3D"THREEDHIGHLIGHT",gShadowClr=3D"THREEDSHADOW",gFaceClr=3D"=
THREEDFACE"
var gBtnArr =3D new Array()
gBtnArr["nb_otl"] =3D new TxtBtn( "nb_otl","nb_otlElem",parent.ToggleOtlPan=
e,GetOtlState )
gBtnArr["nb_otlElem"] =3D new TxtBtn( "nb_otl","nb_otlElem",parent.ToggleOt=
lPane,GetOtlState )
gBtnArr["nb_nts"] =3D new TxtBtn( "nb_nts","nb_ntsElem",parent.ToggleNtsPan=
e,GetNtsState )
gBtnArr["nb_prev"]=3D new ImgBtn( "nb_prev","nb_prevBorder",30,parent.GoToP=
revSld )
gBtnArr["nb_next"]=3D new ImgBtn( "nb_next","nb_nextBorder",30,parent.GoToN=
extSld )
gBtnArr["nb_sldshw"]=3D new ImgBtn( "nb_sldshw","nb_sldshwBorder",18,parent=
.FullScreen )
gBtnArr["nb_sldshwBorder"] =3D new TxtBtn( "nb_sldshw","nb_sldshwBorder",pa=
rent.FullScreen,null )
gBtnArr["nb_sldshwBorder"].SetActive =3D _BSetA_Border;
gBtnArr["nb_sldshwBorder"].SetInactive =3D _BSetI_Border;
gBtnArr["nb_sldshwText"] =3D new TxtBtn( "nb_sldshw","nb_sldshwText",parent=
.FullScreen,null )
gBtnArr["nb_sldshwText"].SetActive =3D _BSetA_Border;
gBtnArr["nb_sldshwText"].SetInactive =3D _BSetI_Border;
gBtnArr["nb_voice"] =3D new ImgBtn( "nb_voice","nb_voiceBorder",18,parent.=
ToggleVNarration )
gBtnArr["nb_otlTxt"]=3D new ImgBtn( "nb_otlTxt","nb_otlTxtBorder",23,parent=
.ToggleOtlText )
gBtnArr["nb_nts"].m_flagId=3D "notes_flag"
gBtnArr["nb_nts"].SetFlag =3D NtsBtnSetFlag
gBtnArr["nb_otlTxt"].ChangeIcon=3D GetOtlTxtState
var sNext=3D"Next",sPrev=3D"Previous",sEnd=3D"End Show",sFont=3D"Arial",sAr=
row=3D"Arrow",sFreeform=3D"Freeform",sRect=3D"Rectangle",sOval=3D"Oval"
function ShowMenu()
{
BuildMenu();
var doc=3DPPTSld.document.body,x=3DPPTSld.event.clientX+doc.scrollLeft,y=
=3DPPTSld.event.clientY+doc.scrollTop
m =3D PPTSld.document.all.item("ctxtmenu")
m.style.pixelLeft=3Dx
if( (x+m.scrollWidth > doc.clientWidth)&&(x-m.scrollWidth > 0) )
m.style.pixelLeft=3Dx-m.scrollWidth
m.style.pixelTop=3Dy
if( (y+m.scrollHeight > doc.clientHeight)&&(y-m.scrollHeight > 0) )
m.style.pixelTop=3Dy-m.scrollHeight
m.style.display=3D""
}
function _CM()
{
if( !parent.IsFullScrMode() ) return;
if(!PPTSld.event.ctrlKey) {
ShowMenu()
return false
} else
HideMenu()
}
function BuildMenu()
{
if( PPTSld.document.all.item("ctxtmenu") ) return
var mObj=3DCreateItem( PPTSld.document.body )
mObj.id=3D"ctxtmenu"
mObj.style.visibility=3D"hidden"
var s=3DmObj.style
s.position=3D"absolute"
s.cursor=3D"default"
s.width=3D"120px"
SetCMBorder(mObj,"menu","black")
var iObj=3DCreateItem( mObj )
SetCMBorder( iObj, "threedhighlight","threedshadow" )
iObj.style.padding=3D2
CreateMenuItem( iObj,sNext,M_GoNextSld,M_True )
CreateMenuItem( iObj,sPrev,M_GoPrevSld,M_HasPrevSld )
CreateSeparator( iObj )
CreateMenuItem( iObj,sEnd,M_End,M_True )
mObj.style.visibility=3D"visible"
}
function Cancel() { window.event.cancelBubble=3Dtrue; window.event.returnVa=
lue=3Dfalse }
function Highlight() { ChangeClr("activecaption","threedhighlight") }
function Deselect() { ChangeClr("threedface","menutext") }
function Perform()
{
e=3DPPTSld.event.srcElement
if( e.type=3D=3D"menuitem" && e.IsActive() )
e.Action()
else
PPTSld.event.cancelBubble=3Dtrue
}
function ChangeClr( bg,clr )
{
e=3DPPTSld.event.srcElement
if( e.type=3D=3D"menuitem" && e.IsActive() ) {
e.style.backgroundColor=3Dbg
e.style.color=3Dclr
}
}
function M_HasPrevSld() { return( parent.HasPrevSld() ) }
function M_GoNextSld() { if( gIsEndShow ) M_End(); else GoToNextSld() }
function M_GoPrevSld() { if( gIsEndShow ) { history.back(); PPTSld.event.ca=
ncelBubble=3Dtrue; } else GoToPrevSld() }
function M_True() { return true }
function M_End() { window.close( self ) }
function CreateMenuItem( node,text,action,eval )
{
var e=3DCreateItem( node )
e.type=3D"menuitem"
e.Action=3Daction
e.IsActive=3Deval
e.innerHTML=3Dtext
if( !e.IsActive() )
e.style.color=3D"threedshadow"
e.onclick=3DPerform
e.onmouseover=3DHighlight
e.onmouseout=3DDeselect
s=3De.style;
s.fontFamily=3DsFont
s.fontSize=3D"9pt"
s.paddingLeft=3D2
}
function CreateSeparator( node )
{
var sObj=3DCreateItem( node )
SetCMBorder(sObj,"menu","menu")
var s=3DsObj.style
s.borderTopColor=3D"threedshadow"
s.borderBottomColor=3D"threedhighlight"
s.height=3D1
s.fontSize=3D"0px"
}
function CreateItem( node )
{
var elem=3DPPTSld.document.createElement("DIV")
node.insertBefore( elem )
return elem
}
function SetCMBorder( o,ltClr,rbClr )
{
var s=3Do.style
s.backgroundColor=3D"menu"
s.borderStyle=3D"solid"
s.borderWidth=3D1
s.borderColor=3DltClr+" "+rbClr+" "+rbClr+" "+ltClr
}
------=_NextPart_01C23303.68BBECE0
Content-Location: file:///C:/AEEC3A32/StanTaubman'sHIPAAPresentation6-7-02_files/fullscreen.htm
Content-Transfer-Encoding: quoted-printable
Content-Type: text/html; charset="windows-1252"
HIPAA
------=_NextPart_01C23303.68BBECE0--
Click to edit Master subtitle sty=
le
‹date/time›
‹footer›
‹#›<=
span
style=3D'font-family:Arial;font-size:58%;mso-special-format:lastCR'>
------=_NextPart_01C23303.68BBECE0
Content-Location: file:///C:/AEEC3A32/StanTaubman'sHIPAAPresentation6-7-02_files/master05.xml
Content-Transfer-Encoding: quoted-printable
Content-Type: text/xml; charset="utf-8"
‹header›
‹date/time›
‹footer›
‹#›
------=_NextPart_01C23303.68BBECE0
Content-Location: file:///C:/AEEC3A32/StanTaubman'sHIPAAPresentation6-7-02_files/pres.xml
Content-Transfer-Encoding: quoted-printable
Content-Type: text/xml; charset="utf-8"
HIPAA
•RULES APPLY TO =
“COVERED ENTITIES”
•AND AFFECT THOSE WHO INTERACT WITH COVERED ENTITIES
COVERED ENTITIES -1
COVERED ENTITIES -2
COVERED ENTITIES -3
•=
“TRANSACTIONS” are the <=
/span>transmission of information between two parties to carry ou=
t financial or administrative activities related to health ca=
re. It includes the following types=
of =
information transmissions:
=
COVERED ENTITIES -4
•(1) Health care claims or equivalent encounter information.
•(2) Health care payment and remittance =
advice.
• (3) Coordination of benefits.
COVERED ENTITIES -5
COVERED ENTITIES -6
COVERED ENTITIES - 7
COVERED ENTITIES - 8
=
•1.<=
span
style=3D'mso-spacerun:yes'> Health Plans
•e.g. the Alameda County Behavioral Health Plan
•e.g.
Alameda Alliance for Health
•e.g.
State Medi-Cal Program
COVERED ENTITIES - 9
•2.<=
span
style=3D'mso-spacerun:yes'> Health Care Providers
=
•e.g.
Alameda County Behavioral Health Care
Department (as a service system)
•e.g.
Asian Community Mental Health
•e.g. a solo practitioner in the Level III Provider Network
COVERED ENTITIES - 10
•<=
/span>3. Health Care Clearinghouses
•i.e. an entity that processes nonstandard data elements
of health information into standard data elements
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•e.g. ACBHCS does not currently work with a Health Care
Clearinghouse
•e.g.
ACBHCS may be a clearinghouse for some of its contractors
BUSINESS ASSOCIATE
<=
span
style=3D'font-size:138%'>•NOT A COVERED ENTITY
•CONDUCT TRANSACTIONS ON BEHALF OF A COVERED ENTITY
PROTECTED HEALTH INFORMATION
- 1
•These
privacy rules apply primarily to Protected Health
Information (PHI)
•"individually identifiable health information transmitted or maintained by a covered entity, regardless of form." =
PROTECTED HEALTH INFORMATION
- 2
<=
span
class=3DBB style=3D'position:absolute;left:-4.04%'>•“regardless =
of form”
includes information
COVERED ENTITIES ARE RESPONSIBLE
FOR DATA...
•Con=
fidentiality
•Int=
egrity, that is, keep data...
·timel=
y
·accur=
ate
·compl=
ete
•Ava=
ilability
GAP ANALYSIS
•Determining the gap between HIPAA requirements…
• and current conditions
<=
/span>
RISK ANALYSIS
•selecting cost-effective security/control measures by…
<=
/span>•balancing the costs of various controls measures…
•against the losses if those =
controls were not in place.
THE RISK ANALYSIS SHOULD...
1
·identify the assets that need protection (e.g. databases, =
clinical records, fiscal records, software, human resources, supplies, power <=
span
style=3D'position:absolute;top:75.75%;left:20.97%;width:70.59%;height:8.5%=
'>supplies...)
THE RISK ANALYSIS SHOULD...
2
·evaluate the likelihood of risks occurring
·evaluate the harm that could result if the risk arises
·select security measures to =
guard against those risks
THE RISK ANALYSIS SHOULD...
3
·invol=
ve
staff responsible for...
·IS, Q=
A, Med
Records
·Opera=
tions
Management
·Risk
Management/Legal Counsel
·repre=
sentatives
from the community
·and o=
thers
who deal with PHI
THE RISK ANALYSIS SHOULD <=
/span>ADDRESS...
•Threats to Patient Information
– e.g. inaccurate information
– incomplete information
<=
/span>
– re-disclosure of informa=
tion received through an authorized disclosure
RISK ANALYSES SHOULD ADDRESS…
•Ele=
ctronic
Threats
– e.g. power surges
– e.g. fire or water damage
– e.g. viruses
– e.g. garbled transmission of data =
RISK ANALYSES SHOULD ADDRESS…
<=
span
style=3D'font-size:167%'>•System Threats
•i.e. threats=
that
exist when in=
formation
is shared with ot=
hers.…
•e.g. when information is shared with an entity not subject to your policies and procedures
HIPAA PATIENT RIGHTS -1
•Right to obtain and inspect their <=
/span>PHI.
<=
span
style=3D'font-size:150%;visibility:hidden'>•
·Right to receive an accounting of <=
/span>disclosures other than for <=
span
style=3D'position:absolute;top:74.5%;left:20.97%;width:79.58%;height:7.5%'=
>treatment, payment and health care operations.
HIPAA PATIENT RIGHTS -2
·Right to receive
a written no=
tice
of information pr=
actices
from covered entities. Uses
and disclosures may n=
ot be
made unless they are
referenced in such a written notice.
HIPAA PATIENT RIGHTS -3
·Right to request
amendment or
correction of
inaccurate or incomplete PHI. Such requests may be denied only if HIPAA criteria for denial are met.
COVERED ENTITY OBLIGATION=
S =
TO
PATIENTS -1
•refers the pati=
ent to
the entity's S=
tatement
of Information Pr=
actices
COVERED ENTITY OBLIGATION=
S =
TO
PATIENTS -2
•<=
/span>THE
CONSENT...
•states
that the patient may request that the entity restrict h=
ow
PHI is used or disclosed in carrying out treatm=
ent,
payment, or health care operations
·state=
ment
of the right to revoke the consent
·signa=
ture
and date
COVERED ENTITY OBLIGATION=
S =
TO
PATIENTS -3
•inf=
orms
patient about the ri=
ght to
revoke the consent
COVERED ENTITY OBLIGATION=
S =
TO
PATIENTS -4
' + ENDSHOW_MESG + '
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