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 • Meet new people • Learn to live together • Shadowing • PBL • Writing
Shadowing • What is shadowing? • How do you dress? • How do you act? • What do you say?
What is shadowing? • Following a health care professional • Ask questions? • Introductions • See patient by self? • Opportunities available
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
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
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.
Medical Arts Clinic • Wahiawa • 8 doctors (multi-discipline—Family Practice, Internal Medicine, Pediatrics, and Surgery) • 5 MA • 3 RN • Friendly, fun atmosphere
HIPAA • What is HIPAA? • Why did it come about? • What does HIPAA mean to you? • When is it effective? • Do I need further training?
What is HIPAA? • Healthcare Insurance Portability and Accountability Act
Components of HIPAA • Transaction standards—October 2003 • Privacy—April 2003 • Security—now • Other components
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
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
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
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
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
Privacy, continued • Created/received by provider, plan, employer or clearinghouse • Individually identifiable or reasonable likely to be identifiable in any medicum • Written • Verbal • Electronic
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
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?
(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
When is HIPAA effective? • NOW • In the future
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
Mahalo Any questions?
QUIZ • Sign paper • Any questions?