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HIPAA, etc.

HIPAA, etc. Dee-Ann Carpenter-Yoshino, MD. Welcome. Background Big Island UH-Manoa JABSOM UHIMRP Medical Arts Clinic Department of Native Hawaiian Health. Overview. What you will be doing in HCOP Shadowing Medical Arts Clinic HIPAA. HCOP. Summer of Learning Summer of fun

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HIPAA, etc.

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

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

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

  4. HCOP • Summer of Learning • Summer of fun • Meet new people • Learn to live together • Shadowing • PBL • Writing

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

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

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

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

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

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

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

  12. What is HIPAA? • Healthcare Insurance Portability and Accountability Act

  13. Components of HIPAA • Transaction standards—October 2003 • Privacy—April 2003 • Security—now • Other components

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

  15. Objectives of HIPAA • Improve efficiency of national health system • Reduce fraud and abuse • Protect patient rights and private health data • Improve quality of care—access to consistent clinical data • Establish security standards for internet-based technology

  16. HIPAA Privacy Rule • PHI—protected health information • 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

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

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

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

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

  21. Privacy (continued) • 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). • If you see a patient later, smile, but don’t say hello unless they say hello to you first. WHY?

  22. (continued) • Do NOT read any mail in office NOT addressed to you • Do NOT read computer screen with any protected health information • EXCEPTIONS: • TPO (treatment, payment, operations) • Permission by patient

  23. When is HIPAA effective? • NOW • In the future

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

  25. Mahalo Any questions?

  26. QUIZ • Sign paper • Any questions?

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

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