HIPAA Privacy final project
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School
College of Lake County *
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Course
220
Subject
Information Systems
Date
Dec 6, 2023
Type
docx
Pages
9
Uploaded by jlrod90
HIPAA Privacy & Security Rules: Training Guide
HIPAA Privacy & Security Rules: Training Guide
DeVry University / HIT220
Table of Contents
Introduction
………………………………………………………..….…..………3
HIPAA Privacy Rule
……………..………………………………………..……. 4
Protected Health Information (PHI)...
..…………………………………..……. 5
HIPAA Security Rule
………………………………………………..…
.....
…….. 6
Breach Notification Rule
……………………….…….……………………….…. 7
Conclusion….……………………………………………….………….……
.....
8
Citations
………………………………………………………………..………
....
9
Introduction
Protecting your information and health information is a big task. There are so many
medical professionals who have access to this information, how they protect it is key. Knowing
when to access information and when to release it is vital to keeping this information private and
secure. The information listed in our health records, can give someone sensitive information
about you and/or your life.
Following proper policy procedure can ensure that the only people looking at this
information are those who need to. This training guide will have the who, what, where, when,
and what not to do of health records. Get ready to learn about how the Health Information
Portability Act of 1996 impacts the medical record.
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HIPAA Privacy Rules and Rights
The privacy rule addresses and sets the standards to protect PHI collected, stored, or accessed by
the below entities and their associates relevant to the business. Also, the privacy rule gives
individuals important rights in respect to their PHI. This includes the right to examine, obtain a
copy of their health records in the requested form, and request corrections to their information.
Health plans (Ex: government health plans or health insurance companies)
Health care clearinghouses (Ex: billing services or community health management
information systems)
Health care providers that bear certain health care transactions electronically (Ex:
chiropractors or nursing homes)
Business associates are an entity that performs certain functions or services on behalf of a
covered entity that involves access to PHI. A few examples are:
Billing and claims processing
Financial services
Legal services
Consulting
Data analysis
Patients have the right to:
Obtain a copy of their records in any requested format
Update their medical records and information
Provided with a list of disclosures
Revoke authorization of disclosures
Notification of a breach to their PHI
Receive a copy of their rights
Legally appointed representative
Protected Health Information (PHI)
Understanding what information or data are in these records is crucial to know in order to
properly protect it. Data comes in different types, it can be identifiable health information to
family history, even an x-ray. Every visit to the doctor, the information they take from you turns
into health record data, and therefore is protected
Protected health information, also known as PHI, includes personal identifiable information such
as:
Name
Address
Birth date
Social security number
PHI is protected by the privacy rule, in any form, whether paper, electronic or, verbal.
Information that is related to PHI:
Provision of health care to the individual
An individual’s past, present, or future mental or physical health and/or condition
Past, present, and/or future payment for health care to the individual
HIPAA Security Rule
HIPAA security rule has specific safeguards that covered entities must implement to protect
PHI in any form with confidentiality, integrity, and availability. Security measures through
policies and procedures must be developed and implemented to protect the security of the PHI
they create, receive, transmit, or maintain.
Covered entities must:
Ensure compliance with their staff and workforce
Protect against reasonably anticipated threats that affects the security and/or
integrity to PHI
Maintain confidentiality, availability, and integrity of all PHI created, received,
stored, or transmitted
Protect against impermissible uses or disclosures
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HIPAA Breach Notification Rule
The Breach notification rule requires covered entities to notify individuals who are affected by a
breach, HHS, and in some cases the media of a breach of unsecured PHI. The impermissible use
or disclosure of PHI is presumed to be a breach unless the covered entity demonstrates that there
is a low probability that the PHI was compromised based on the below risk assessment:
The extent of risk that the PHI has been mitigated
If PHI was acquired or viewed
The unauthorized person(s) who accessed PHI or to whom it was disclosed to
Nature and extent of PHI involved
Most notifications must be made within 60 days following the discovery of the breach. Smaller
breaches of fewer than 500 affected individuals may be submitted to HHS annually. Also, this
rule requires business associates to covered entities to notify the covered entity of a breach.
Conclusion
Knowledge is power and knowing the rights and rules of HIPAA can help guide the health
care records to a safe place where people take security and confidentiality seriously. Without
these standards our information is not protected. Not everyone should have access to PHI and
protecting this information is what HIPAA is all about.
References
HIPAA Training and Resources. (2020, October 29). U.S. Department of Health & Human
Services. https://www.hhs.gov/hipaa/for-professionals/training/index.html
Health Insurance Portability and Accountability Act of 1996 (HIPAA) | CDC. (2018, September).
CDC.
https://www.cdc.gov/phlp/publications/topic/hipaa.html#:%7E:text=The%20Health
%20Insurance%20Portability%20and,the%20patient’s%20consent%20or%20knowledge
.
McWay, D. C. (2020). Legal and Ethical Aspects of Health Information Management (MindTap
Course List) (5th ed.). Cengage Learning.
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