Changes have occurred in cost, educational programs, homeland security and disaster planning, the development of the unique patient identifier, the compilation of personal health records, and research initiatives. The purpose of this article is to review some of the changes that have occurred in the clinical environment as a result of HIPAA implementation. If you are working in the health care system, you should have already participated in one or more HIPAA educational sessions, your patients should be routinely receiving information about HIPAA, and their signatures should be on file, indicating whether or not they approve the disclosure of their personal information from their medical record. Department of Health and Human Services developed the regulations contained within the HIPAA privacy rule ( Office of Civil Rights, 2003 Standards for Privacy, 2002). It took five years before the legislation for the Privacy Rule became effective on April 14, 2001, with an April 14, 2003, compliance date. The Health Insurance Portability and Accountability Act (HIPAA) was passed in 1996. We can laugh about HIPAA – and doing so is a great way to reduce our stress about the complexities of implementing this legislation - but ultimately we need to get serious about how this legislation changes what we do at work, reduce our confusion, and teach our patients about privacy. I did a HIPAAectomy for my patients, which required me to remove all their personal health information (PHI) from the medical records and I definitely have a case of HIPPAitis, which I got from getting too much HIPAA in my system ( HIPAAdvisory, 2000-2005).Īnyone in the middle of the HIPAA Canyon needs a huge sense of humor to survive and to navigate the landscape.Īnyone in the middle of the HIPAA Canyon needs a huge sense of humor to survive and to navigate the landscape. I am routinely in a state of HIPAAhypoglycemia because of my low level of understanding about HIPAA regulations. I am a HIPAAchondriac, who complains about HIPAA all the time. What this abbreviation really stands for is Highly Intricate Paperwork in Abundant Amounts and the Huge Increase in Paperwork and Aggravation Act. I’ve been organized, sanitized and now I am HIPPAnoid and HIPAAtized. Key words: code of ethics, Electronic Health Record (EHR), ethics, Health Information Management professionals, Health Insurance Portability and Accountability Act (HIPAA), nurses, patient education, patient privacy, personal health information, personal health recordīefore examining some of the more serious and scholarly aspects of the Health Insurance Portability and Accountability Act (HIPAA), let’s take a humorous look at a humorous description of how HIPAA may have left you feeling since April of 2003. OJIN: The Online Journal of Issues in Nursing. Implications for homeland security, disaster planning, unique patient identifiers, the compilation of personal health records, and research are discussed.Ĭitation: Harman, L., (May 31, 2005). The impact of HIPAA at work, including increased cost and the complexities of educating employees and patients is assessed. The rationale for HIPAA and a clarification of key terms, including covered entities, personal health information, and designated record sets, is reviewed. Harman, PhD, RHIA Abstract This article addresses the impact of the Health Insurance Portability and Accountability Act (HIPAA) several years after implementation. The covered entity may not use or disclose the protected health information of an individual who receives services from one covered function (e.g., health care provider) for another covered function (e.g., health plan) if the individual is not involved with the other function.Laurinda B. For help in determining whether you are covered, use the decision tool at: Ĭovered Entities With Multiple Covered FunctionsĪ covered entity that performs multiple covered functions must operate its different covered functions in compliance with the Privacy Rule provisions applicable to those covered functions. ![]() The Privacy Rule, as well as all the Administrative Simplification rules, apply to health plans, health care clearinghouses, and to any health care provider who transmits health information in electronic form in connection with transactions for which the Secretary of HHS has adopted standards under HIPAA (the “covered entities”). ![]() ![]() A health care provider who transmits any health information in electronic form in connection with a transaction covered by this subchapter.The following are covered entities under the HIPAA regulations:
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