Welcome to Marshall Hospital! As a new employee in the Health Information Management Department one of your responsibilities is to manage off-site storage of medical records. Understanding the federal and state regulations regarding off-site storage of medical records is a very important part of this responsibility. Off-site storage (also known as remote storage), is “a location separate from the facility” (Bowie & Green, 2011, p.103). To be in compliance with the 2013 HIPAA Omnibus rule, we are required to have our vendors attest to proper storage of protected health information by signing this agreement (Bowie & Green, 2011, p.103). We require that you read the Marshall Hospital Business Associate Agreement (BAA) that we have in place with
In the health care business, there are certain standards and laws that have been put in place to protect our patients and their personal health information. When a health care facility fails to protect their patient’s confidential information, the US Government may get involved and facilities may be forced to pay huge sums of money in fines, and risk damaging their reputation.
The Health Insurance Portability and Accountability Act (HIPAA) was passed by congress in 1996, and helps to ensure the privacy and security of Electronic Health Records (EHR's). By following the rules and regulations set forth under HIPAA, we can ensure the safety of patients' EHR's. We are responsible for protecting patients' records, and there are many measures we can take in order do this. Firstly, we must always keep patients' health information private. This means no discussing the records with people that are not authorized to know, and even then, we should only disclose the minimum necessary amount of information possible. For covered entities, we must designate a privacy and security officer to ensure the privacy
An outside business can dispose of protected health information by purging or destroying electronic media. This is covered in 45 CFR 164.308(b), 164.314(a), 164.502(e), and 164.504(e). HHS HIPAA Security Series 3: Security Standards – Physical Safeguards is a good source for more information. The Medical Records Director should maintain documentation with all
Medical treatments require a great deal of paperwork. Before patients are allowed to go through treatments, a clinic must process their insurances, medical records, and surgery details. As a result, a lot of private information is gathered within the hospitals. With so much private information, it is essential for healthcare facilities to efficiently organize their paperwork. An unorganized recording system can prove disastrous to a hospital. Leaving patients’ paperwork publicly unattended and misplacing a file are both considered negligent. Misplacing patients’ information can potentially lead to information theft and invasion of privacy. An efficient way of storing information can be valuable in preventing HIPAA
Information security and HIPAA policies should cover all the necessary access and control measures needed to secure information system resources and deter, shield and protect the organization from security breaches. The scenario demonstrates that the organizations overall information security posture is poor. The HIPAA, remote access and retention policies within the information management division need to be addressed due to the healthcare organizations legal obligation to ensure the privacy of protected information. Security safeguards can be addressed through vigilance and the implementation logical and administrative access controls. Properly administered HIPAA Privacy and remote access policies would not only help alleviate but quickly identify 3 undocumented accounts with global remote access. HIPAA security standards require any user with access to protected health information have a documented need to
when working in the front office of a medical office there are multiple things to put in consideration to avoid violating HIPAA.
Modern communications capabilities open up a world of possibilities for all types of medical practices to develop deeper connections with their patients and to manage health care remotely. The HIPAA Privacy Rule gives patients the right to obtain copies of their medical records, treatments and protected health information or PHI. These requirements go further if medical providers want to receive reimbursement from Medicare and Medicaid -- patients must be able to access their records online, download copies and transmit the information to third-party providers. Most medical practices are finding it necessary to develop patient portals where patients and physicians can interact, share information and perform important functions such as practices billing patients and accepting payments online. HIPAA 's rules require that these patient portals have strong security and privacy protections to prevent unauthorized access of these confidential PHI records.
Medical records and medical correspondence are increasingly going digital. This has different risks than traditional paper records. Starting with HIPAA compliant software helps keep digital records safe. The IT end of things is a critical piece of the puzzle and one that can be a burden for small offices
According to both HIPPA and HITECH, an organization must have policies and procedures in place to enforce data storage integrity. This means the organization must take measure to protect healthcare information from an unauthorized user and there must be a way to successfully retrieve any and all patient information in the health information system. By doing so, the organization is ensuring integrity, inadvertent disclosure and availability of their records (Hawkins, 2013).
The information contained in the medical records is confidential and can only be released to authorized individuals in accordance with state and federal regulations. At Consulate Health Care only authorized persons may have access to clinical records in the permanent record file. Specifically authorized personnel are those involved in resident care, the Executive Director, consultants employed by the Facility, appropriate representatives of survey agencies, and others engaged in research projects who have been approved by the Executive Director. As a health care provider, Beneva Lakes’ primary focus of Health Insurance Portability and Accountability Act, HIPAA, is: Combating against fraud and abuse; Ensuring confidentiality and security of individuals’ information/data; and Mandating uniform standards for electronic data transmissions of patient health information. Sharing Protected Health Information, PHI, is allowed for the purposes of treatment, billing, health care operations, determining eligibility and with patient authorization. Any sharing of PHI not required or allowed by federal of state statute is improper and it must be properly maintained for at least ten years. It is Consulate Health Care’s policy that prior to releasing PHI for promotional purposes, the provider must receive a written authorization that includes the dates it is valid and the ability of the patient to revoke the authorization.
The hospital accounting department will also be off limits except only for those personnel that are authorized. Extra vigilance must be place on all medical record rooms, since the hospital still has paper medical records. All medical staff will receive training so that they understand the importance of HIPAA. This policy will guarantee that we have controls in place in regards to accessing patient information and staff access is monitored.
Several years ago, a mandate was ordered requiring all healthcare facilities to progress from paper charting and record keeping to electronic health record (EHR). This transition to electronic formatting has pros and cons associated with it. I will be describing the EHR mandate, including who initiated it, when it was initiated, the goals of the EHR, and how the Affordable Care Act and the Obama administration are tied into it. Then I will show evidence of research and discuss the six steps of this process as well as my facilities progress with EHR. Then I will describe meaningful use and how my facility attained it. Finally, I will define HIPAA law, the possible threats to patient confidentiality relating to EHR, and how what my facility
Cerner offers Skybox storage for the storage of patient information. It has an unlimited storage capacity and the data is uploaded once and then available in the Cloud at anytime and location. Data is located at the hospital site and at Cerner data center locations. This allows for file replication in the event of data loss or corruption. Military grade encryption is utilized with continuous intrusion monitoring (Cerner, 2015). Security standards are also built into the system to meet HIPAA standard. HIPAA training must be completed by each new employee and a signature must be obtain that the employee will follow HIPAA guidelines. Access to patient information is only given if it is pertains to their hired position. The hospital must develop HIPAA policies that are updated annually. User specific logins and passwords are utilized to sign into the system and they need to be changed at set
The department of Health and Human Services protects and guides the health and well being of individuals here in America (Thacker, 2014). They fulfill these duties providing Americans with adequate and efficient health and human services and monitoring services designed to increase the efficiency of care in the health system (Thacker, 2014). One of the services being monitored by the department of Health and Human Services is the electronic health record system, which carries private and vital information of patient’s health record enabling all eligible participating health workers access to these records (Thacker, 2014). A breach of the protective health information of patients in a health organization creates chaos as these are against the health insurance portability and accountability (HIPAA) law (Thacker, 2014). Hence, measure will have to be put in place to determine what caused the breach and how to rectify it to ensure the breach never happens again (Thacker, 2014).
Although the EHR is still in a transitional state, this major shift that electronic medical records are taking is bringing many concerns to the table. Two concerns at the top of the list are privacy and standardization issues. In 1996, U.S. Congress enacted a non-for-profit organization called Health Insurance Portability and Accountability Act (HIPAA). This law establishes national standards for privacy and security of health information. HIPAA deals with information standards, data integrity, confidentiality, accessing and handling your medical information. They also were designed to guarantee transferred information be protected from one facility to the next (Meridan, 2007). But even with the HIPAA privacy rules, they too have their shortcomings. HIPAA can’t fully safeguard the limitations of who’s accessible to your information. A short stay at your local