HIPAA etc DeeAnn CarpenterYoshino MD Welcome n Background

HIPAA, etc. Dee-Ann Carpenter-Yoshino, MD

Welcome n Background n Big Island n UH-Manoa n JABSOM n UHIMRP n Medical Arts Clinic n Department of Native Hawaiian Health

Overview n. What you will be doing in HCOP n. Shadowing n. Medical Arts Clinic n. HIPAA

HCOP n Summer of Learning n Summer of fun n Meet new people n Learn to live together n Shadowing n PBL n Writing

Shadowing n. What is shadowing? n. How do you dress? n. How do you act? n. What do you say?

What is shadowing? n Following a health care professional n Ask questions? n Introductions n See patient by self? n Opportunities available

How do you dress? n Appropriate PROFESSIONAL dress n Men: Long pants, dress shirt (t-shirt NOT acceptable), tucked in? n Women: Pants, skirt (NOT mini), and blouse, dress (NOT low cut) n Comfortable shoes (NO Slippers!) n White coat n Nametag

How do you act? n Professional n Be on time or early n Stand up straight n Keep hands out of your face and at your side n Keep out of the way of the health care professional

What do you say? n Introductions: “Hi, my name is _____. I’m with the HCOP (spell out). Thanks for letting me shadow you. . ” n It’s ok to answer patients’ questions n Do NOT talk while health care professional is talking n If you have questions, please ask away from the patient, in private office, etc.

Medical Arts Clinic n Wahiawa n 8 doctors (multi-discipline—Family Practice, Internal Medicine, Pediatrics, and Surgery) n 5 MA n 3 RN n Friendly, fun atmosphere

HIPAA n What is HIPAA? n Why did it come about? n What does HIPAA mean to you? n When is it effective? n Do I need further training?

What is HIPAA? n. Healthcare Insurance Portability and Accountability Act

Components of HIPAA n Transaction standards— October 2003 n Privacy—April 2003 n Security—now n Other components

Why HIPAA? n Lack of standardization–for the collection, storage and transmission of health data n Increasing health care costs— uniform health care data to evaluate alternative coverage and treatment approaches n Protect Privacy of Individual Health Information

Objectives of HIPAA n Improve efficiency of national health system n Reduce fraud and abuse n Protect patient rights and private health data n Improve quality of care—access to consistent clinical data n Establish security standards for internetbased technology

HIPAA Privacy Rule n PHI—protected health information n Any health information relating to – Past, present or future physical or mental health or condition – Provision of health care or – Past, present or future payment for health care

HIPAA Privacy #1: Use and disclosure n n n n Treatment, payment, operations (TPO) Mandatory Disclosure Opportunity for individual to agree/object Authorization Permissible uses and disclosures Minimum necessary Incidental disclosures

HIPAA Privacy #2: Individual Rights n Notice of Privacy Practices n Acknowledgement of Receipt of Notice n Right to access n Right to Amend n Right to Request Additional Protections n Accounting Disclosures

Privacy, continued Created/received by provider, plan, employer or clearinghouse n Individually identifiable or reasonable likely to be identifiable in any medicum n Ø Written Ø Verbal Ø Electronic

What does HIPAA mean to you? n Difficult to shadow n RESPECT patient’s privacy n Do NOT speak about any patient in a way that anyone who hears you can identify that person n Do NOT talk about patients in front of anyone else except that health care professional you’re working with

Privacy (continued) n Even if you know someone, do NOT share with anyone (even your family) the fact that you saw that patient UNLESS YOU GET THAT PATIENT’S PERMISSION). n If you see a patient later, smile, but don’t say hello unless they say hello to you first. WHY?

(continued) n Do NOT read any mail in office NOT addressed to you n Do NOT read computer screen with any protected health information n EXCEPTIONS: ØTPO (treatment, payment, operations) ØPermission by patient

When is HIPAA effective? n NOW n In the future

Do I need further training? n It depends on the clinic or office you are working n References n UH website n JABSOM n Look forward to future training if you decide to go into health field

Mahalo Any questions?

QUIZ n Sign n Any paper questions?

n http: //www. hawaii. edu/hrc_training