HIPAA: Privacy and Security Rules What is HIPAA? The Health Insurance Portability & Accountability Act of 1996 (HIPAA) was passed by the U.S. Congress to improve portability and continuity of health insurance coverage; to combat waste, fraud and abuse in health insurance; to reduce costs and the administrative burdens by improving efficiency and effectiveness of the health care system by standardizing the interchange of electronic data; and to ensure the pri... ... middle of paper ... ...). Privacy and Health Information Technology. Journal of Law Medicine, 37(2), 121-149. Retrieved January 28, 2011 from CINAHL database North Carolina DHHS.
Issue The Health Insurance Portability and Accountability Act of 1996 was created to improve the efficiency and effectiveness of the health care system. There are numerous rules that fall under this act, which include Privacy, Security, Enforcement, Omnibus, and Breach Notification Rule. All of which set a national standards of protection, confidentiality, and integrity. HIPAA is to protect those who are patients in any medical facility. Researchers who conduct interventional clinical research have put into question the Privacy Rule and how it will affect their research activities.
(World Health Organization, 2008) The importance of health information Health information is vital for the development of research as well as for tracing a patient’s history. It plays a pivotal role in improving health care safety, the quality of healthcare and overall patient outcomes (National Academy of Sciences, 2009). It becomes possible to not only reduce the propensity of medical errors but to also reduce medication that one needs. The generation of strategic health information is a core rule of public health since it is relied upon for the identification of needs, priorities and inequalities in healthcare. It is also used to monitor policies and the actions taken in conformity to them.
The UR plan activities are directly tied to Mac Audit and coverage requirements. (Spath, 2013, p.128). Purpose & Goal of Plan The purpose of the plan is to determine medical necessity, quality of care, appropriate level of care, and efficient use of resources. The plan goal is to support MPHC’s Mission, of providing quality care, improving patient safety, and reducing costs by the collection and review of data to identify under and over utilization of resources and unsure patient treatment meet best practices for the care provided. Program Structure The UR Plan Committee includes representatives from Physicians, Nursing, Administration, Quality Management, Admission and Discharge coordinators, and Health Information Management.
Managed care dominates health care in the United States. It is any health care delivery system that combines the functions of health insurance and the actual delivery of care, where costs and utilization of services are controlled by methods such as gatekeeping, case management, and utilization review. Different types of managed care plans came into development by three major factors. These factors include choice of providers, different ways of arranging the delivery of services, and payment and risk sharing. Types of managed care organizations include Health Maintenance Organizations (HMOs) which consist of five common models that differ according to how the HMO is related to the participating physicians, Preferred Provider Organizations (PPOs), Exclusive Provider Organizations (EPO), and Point of Service Plans (POS).
Among the limitations and shortcomings of E-health are the chances of impersonality, e-Health applications might not be user-friendly and commonly available. Patients also need to develop confidence in E-health. Concerns about privacy and security of information have slowed the development of this initiative (McGonigle & Garver Mastrian, 2015, p. 290). It is critical to assure the security of health-related medical records. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is the main Federal laws that protects patient’s health information.
Health information opponents has question the delivery and handling of patients electronic health records by health care organization and workers. The laws and regulations that set the framework protecting a user’s health information has become a major factor in how information is used and disclosed. The ability to share a patient document using Electronic Health Records (EHRs) is a critical component in the United States effort to show transparency and quality of healthcare records while protecting patient privacy. In 1996, under President Clinton administration, the US “Department of Health and Human Services (DHHS)” established national standards for the safeguard of certain health information. As a result, the Health Insurance Portability and Accountability Act of 1996 or (HIPAA) was established.
HIPAA is the federal Health Insurance Portability and Accountability Act of 1996. The primary goal of the law is to make it easier for people to keep health insurance, protect the confidentiality and security of healthcare information ad help the healthcare industry control administrative costs. HIPAA stands for the Health Insurance Portability and Accountability Act of 1996. HIPAA was first introduced in 1996. It was made a law by the United States Congress and signed by President Bill Clinton.
Hippa? Is it best for us, or not? Hippa is the acronym for the Health Insurance Portability Act of 1996. Confidentiality is a huge issue to the Health Insurance Portability and Accountability Act (Hippa) mainly due to protection of the clients. The act sets standards for the storage and privacy of personal medical data.
Conclusion The essay has been conducted to present a proposal of implementing electronic health records for the patients in America. The essay has focused on the issues and challenges of the technology. In addition to this, the essay has also provided recommendations that can be considered for the effective implementation of the proposal. The adoption of electronic health record is quite costly; in addition to this, the technology is also vulnerable to hacking and crashing. With proper care, this technology should be adopted by healthcare institutions of America.