PATIENT- AND FAMILY-CENTERED CARE: Partnerships for Safety & Quality Staff Physician & Resident Physician Toolkit

HIPAA and Patient- and Family- Centered Practice

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HIPAA and Patient- and Family- Centered Practice ▼ Health ▼ Insurance ▼ Portability (and) ▼ Accountability ▼ Act

HIPAA—Health Insurance Portability and Accountability Act HIPAA’s original purpose was to improve the efficiency and effectiveness of the health care system, especially in relationship to documentation and reimbursement. … This led to electronic transfer of information and the realization that this transfer is fast and efficient, but not private. … This led to the development of provisions mandating federal privacy protections for individually identifiable health information.

HIPAA and Patient- and Family- Centered Practice ▼ P ▼ H ▼ I

HIPAA and Patient- and Family- Centered Practice ▼ Protected ▼ Health ▼ Information

HIPAA—Examples of Personally Identifiable Information ▼ Name ▼ Patient Number ▼ SSN ▼ Driver’s License # ▼ Address ▼ Telephone Number ▼ Marital Status ▼ Financial Information ▼ Parental Status ▼ Gender ▼ Race ▼ Religion ▼ Medical Condition ▼ Test Results ▼ Income

HIPAA and Patient- and Family- Centered Practice ▼ N ▼ P

HIPAA and Patient- and Family- Centered Practice ▼ Notice of ▼ Privacy ▼ Protection

HIPAA—Notice of Privacy Protection The posting of these notices often create bureaucratic, intimidating first impressions in ambulatory and inpatient clinical settings By involving patients and families, these notices can be developed at a level understandable to the population served.

HIPAA and Patient- and Family- Centered Practice ▼ T ▼ P ▼ O

HIPAA and Patient- and Family- Centered Practice ▼ Treatment ▼ Payment ▼ Operations

HIPAA and Patient- and Family- Centered Practice ▼ Treatment ▼ Payment ▼ Operations -- exceptions to HIPAA

HIPAA—Health Insurance Portability and Accountability Act

HIPAA—Synergy not Conflict with Patient- and Family-Centered Care HIPAA Privacy Domains Patient- and Family-Centered Care Core Concepts ▼ Respect ▼ Choice ▼ Strengths ▼ Flexibility ▼ Information Sharing ▼ Support ▼ Empowerment ▼ Collaboration Adapted from presentation by Pat Sodomka, FACHE, Senior Vice President, MCG Health System, Augusta, GA, at The 1st International Conference on Family-Centered Care, Boston, MA, ▼ Boundaries ▼ Accountability ▼ Consumer Control ▼ Public Responsibility ▼ Security

HIPAA—Synergy not Conflict with Patient- and Family-Centered Care Boundaries Accountability Public Responsibility Security Choice Consumer Control Respect Information Sharing Empowerment Flexibility Support Strengths Adapted from presentation by Pat Sodomka, FACHE, Senior Vice President, MCG Health System, Augusta, GA, at The 1st International Conference on Family-Centered Care, Boston, MA, 2003.

Confidentiality is not new

HIPAA—Complying with the Law and the Intent of the Law ▼ Patient’s right to privacy and health care system’s need for access to information—need to balance. ▼ Patients define their families and how they will be involved. Permission can be provided for others to be involved, as well. ▼ Transparency, the concept that care processes should be clear to anyone, is one of the IOM “10 Rules for Health Care.” ▼ Patient and family involvement can be defined as part of hospital operations and of clinical treatment plans. ▼ HIPAA allows for professional judgment. ▼ Patient and family advisors can be considered part of the workforce and receive HIPAA training.

HHS.Gov—HIPAA FAQs—Family

HIPAA—Examples ▼ Locating patients ▼ Communicating medical information ▼ Dealing with violations ▼ Peer support programs ▼ Rounds ▼ Tours ▼ Notification of family members