The Health Insurance Portability and Accountability Act (HIPAA) impacts virtually every aspect of the healthcare industry. This book is designed to answer questions about how to implement the HIPAA requirements into daily practice.
This vital resource offers mental and behavioral health providers clear, demystified guidance on HIPAA and HITECH regulations pertinent to practice. Many mental health providers erroneously believe that if they uphold their ethical and legal obligation to client confidentiality, they are HIPAA compliant. Others may believe that because their electronic health record provider promises HIPAA compliance, that their practice or organization is HIPAA compliant also not true. The reality is HIPAA has changed how providers conduct business, permanently, and providers need to know how to apply the regulations in daily practice. Providers now have very specific privacy requirements for managing patient information, and in our evolving digital era, HIPAA security regulations also force providers to consider all electronic aspects of their practice. HIPAA Demystified applies to anyone responsible for HIPAA compliance, ranging from sole practitioners, to agencies, to larger mental health organizations, and mental health educators. While this book is written for HIPAA covered entities and business associates, for those who fall outside of the regulations, it is important to know that privacy and security regulations reflect a new standard of care for protection of patient information for all practitioners, regardless of compliance status. Additionally, some HIPAA requirements are now being codified into state laws, including breach notification. This book s concise but comprehensive format describes HIPAA compliance in ways that are understandable and practical. Differences between traditional patient confidentiality and HIPAA privacy and security regulations are explained. Other important regulatory issues covered that are of importance of mental health providers include: Patient rights under HIPAA How HIPAA regulations define psychotherapy notes, with added federal protection Conducting a required security risk assessment and subsequent risk management strategies The interaction with HIPAA regulations and state mental health regulations Details about you may need Business Associate Agreements, and a Covered Entity s responsibility to complete due diligence on their BAs Training and documentation requirements, and the importance of sanction policies for violations of HIPAA Understanding what having a HIPAA breach means, and applicable breach notification requirements Cyber defensive strategies. HIPAA Demystified also addresses common questions mental health providers typically have about application of HIPAA to mobile devices (e.g. cell phones, laptops, flash drives), encryption requirements, social media, and Skype and other video transmissions. The book also demonstrates potential costs of failing to comply with the regulations, including financial loss, reputational damage, ethico-legal issues, and damage to the therapist-patient relationship. Readers will find this book chock full of real-life examples of individuals and organizations who ignored HIPAA, did not understand or properly implement specific requirements, failed to properly analyze the risks to their patient s private information, or intentionally skirted the law. In the quest to lower compliance risks for mental health providers HIPAA Demystified presents a concise, comprehensive guide, paving the path to HIPAA compliance for mental health providers in any setting.
This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.
In the realm of health care, privacy protections are needed to preserve patients' dignity and prevent possible harms. Ten years ago, to address these concerns as well as set guidelines for ethical health research, Congress called for a set of federal standards now known as the HIPAA Privacy Rule. In its 2009 report, Beyond the HIPAA Privacy Rule: Enhancing Privacy, Improving Health Through Research, the Institute of Medicine's Committee on Health Research and the Privacy of Health Information concludes that the HIPAA Privacy Rule does not protect privacy as well as it should, and that it impedes important health research.
Data sharing can accelerate new discoveries by avoiding duplicative trials, stimulating new ideas for research, and enabling the maximal scientific knowledge and benefits to be gained from the efforts of clinical trial participants and investigators. At the same time, sharing clinical trial data presents risks, burdens, and challenges. These include the need to protect the privacy and honor the consent of clinical trial participants; safeguard the legitimate economic interests of sponsors; and guard against invalid secondary analyses, which could undermine trust in clinical trials or otherwise harm public health. Sharing Clinical Trial Data presents activities and strategies for the responsible sharing of clinical trial data. With the goal of increasing scientific knowledge to lead to better therapies for patients, this book identifies guiding principles and makes recommendations to maximize the benefits and minimize risks. This report offers guidance on the types of clinical trial data available at different points in the process, the points in the process at which each type of data should be shared, methods for sharing data, what groups should have access to data, and future knowledge and infrastructure needs. Responsible sharing of clinical trial data will allow other investigators to replicate published findings and carry out additional analyses, strengthen the evidence base for regulatory and clinical decisions, and increase the scientific knowledge gained from investments by the funders of clinical trials. The recommendations of Sharing Clinical Trial Data will be useful both now and well into the future as improved sharing of data leads to a stronger evidence base for treatment. This book will be of interest to stakeholders across the spectrum of research-from funders, to researchers, to journals, to physicians, and ultimately, to patients.
This updated edition re-published in July 2013, includes 2013 HIPAA Omnibus changes and simplifies the overwhelming complexity of the HIPAA Privacy and Security regulations. HIPAA standards and implementation specifications can be understood with the help of this simple guide. Risk management program can be built with step-by-step implementation guide, risk self-assessment, set of comprehensive policies and procedures, privacy, security, office productivity forms and ready to use templates. The book also contains HIPAA awareness quiz to test the basic understanding of rules and provides examples of workable solutions and documents. More about Robert K. Brzezinski MBA, CHPS, CISA, CPHIMS can be found at www.bizwit.us
Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.
Pamphlet is a succinct statement of the ethical obligations and duties of individuals who enter the nursing profession, the profession's nonnegotiable ethical standard, and an expression of nursing's own understanding of its commitment to society. Provides a framework for nurses to use in ethical analysis and decision-making.
The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.
Building on the revolutionary Institute of Medicine reports To Err is Human and Crossing the Quality Chasm, Keeping Patients Safe lays out guidelines for improving patient safety by changing nurses' working conditions and demands. Licensed nurses and unlicensed nursing assistants are critical participants in our national effort to protect patients from health care errors. The nature of the activities nurses typically perform â€" monitoring patients, educating home caretakers, performing treatments, and rescuing patients who are in crisis â€" provides an indispensable resource in detecting and remedying error-producing defects in the U.S. health care system. During the past two decades, substantial changes have been made in the organization and delivery of health care â€" and consequently in the job description and work environment of nurses. As patients are increasingly cared for as outpatients, nurses in hospitals and nursing homes deal with greater severity of illness. Problems in management practices, employee deployment, work and workspace design, and the basic safety culture of health care organizations place patients at further risk. This newest edition in the groundbreaking Institute of Medicine Quality Chasm series discusses the key aspects of the work environment for nurses and reviews the potential improvements in working conditions that are likely to have an impact on patient safety.