Monday, November 4, 2013

HIPAA After Activity (Quality of Life) Directors - A crash Course!


Relax...

The good news is that HIPAA is not as scary as it has been made out to be. I have written guide specifically for activity (Quality wearing Life) directors and activities personnel. Since most individuals are the makers of having calendars, newsletters, banners, bulletin boards, etc., we need to understand about the HIPAA policies.

The following article will hopefully ease your brain about HIPAA regulations. In this way, you will be in case that have your calendars, banner ads, bulletin boards and paper prints, while being in full compliance with all the regulations.

What is HIPAA?

HIPAA or the Health care insurance Portability and Accountability Perform was enacted in 1996 to help last regulate the transferability of health and to empower the government to fight fraud and abuse in long term care.

So what does that have to do with Activities (Quality of Life)?

In addition to the health concerns insurance, HIPAA was initially designed to regulate "individually identifiable" health information which was transmitted electronically. Since at any hour, the "Privacy Rule" that might be defined by HIPAA is growing that concept.
So in summary, a large amount of information that is crucial to Nursing Homes can now be covered under HIPAA(2). Since activities personnel solution personal resident information, one of the areas for disclosure could that is the activities department. In accessory, the penalties for violating these rules are definitely steep ($100 to $25, 000 a price reduction, for each violation), for this reason pay attention

Is your store a Covered Entity? Pick.

The only facilities that really needs to adhere to HIPAA are called Covered Entities. Covered Entities are often the the following: Health care providers, Health Plans and General practitioners Clearinghouses and Business lovers. Each of these groups is anticipated to follow the guidelines where there are described in HIPAA. Those groups that don't fall under the "Covered entities" description may not have to follow HIPAA.

Here it is sometimes in English. There are four basic groups that are looking to worry about the HIPAA guidelines; in this article My goal is to only look at a selected, the health care investor.
In general a medical practitioner is a Nursing Home, treatment center, hospital or any other facility that provide skilled or intensive dare.

Personal Health Information-The essence of HIPAA

In terms of HIPAA, the information actually worried about is referred to as "Personal Health Information" in combination with PHI. It can be best referred to as: any information that identifies a consumer, that is received or brought to life by a facility that contains discover the past, present or future physical or mental health of individuals. PHI can also include helpful information for payment for medical services-however; I am intentionally averting that topic in this information.

This information is normally present in medical charts and payment files, however, it can be purchased in bulletin boards, Photos, Calendars and Birthday Cards, Game Rooms and Common Districts and Activity Progress Text letters. It is the highlighted areas that we will address in this article specifically.

All other information that I don't address, should be covered by your facility, in it really "Privacy Policy".

Each facility must have its own policy that is certainly given to the resident on admission as well as to the staff who have the facility. It is also not a bad idea for the action department to follow a higher level in regard to level of privacy, since we usually accept the residents on your personal level, including but this includes to: family issues, special requests off their resident, newsletter articles, etc.

Please note: it is in the hands every employee to keep you resident information confidential for a person every aspect listed more than. It is also in the possession of each employee to know what forms of information are covered for the HIPAA policy and under facilities' online privacy policy. Please educate yourself to this specific information in those policies and this also using this as a college degree tool!

Now that all associated with legal stuff is out of the way...

Now, you are sure if you have a facility is a included entity and you know what exactly are PHI. There are several ways to maintain department and residents risk - free with HIPAA regulations. Most definitely when you realize that there's different ways to change medical information which have been allowed under HIPAA likes and dislikes. First, let's look at the instances which it is OK to expose PHI.

Generally, the facility can provide PHI to family allies, friends and clergy, right from:

1) The residents' name that's why room number
2) The general condition off resident-(e. g. - Ms. Smith is having an outstanding day today, she went to Bible Study on her own. Not: Ms. Smith is sure because we gave her a double bit of medicine. )
3) The residents' cathedral affiliation.

In the toting examples, we will take into account some ways, in and it is not allowed to expose medical information

1) As you walk along side the hall you hear step 2 staff members- "I ended up seeing Mr. Jones last night and his delusions were really low density lipoprotein! " Besides being rumors, this is also disclosure of PHI plus a violation of HIPAA.
2) As you are going into Care Plan information on the pc, you are called away; you leave the computer on with what on the screen, Rear a violation, since anyone can come by and take into account the computer.
3) You are expecting a fax from a hospital about an outlook resident; you do not pick up the fax until tomorrow. Once again, who recall the information? Remember, there lots of ways to violate HIPAA regulation.

So let's recap... we know there are several ways to reveal looking at residents, but what about information i use everyday in man activity plans, bulletin boards and other publications?

Well, let's take it bit by bit.

1) Photo's - most facilities have a standard form where the resident gives permission to enjoy their pictures and is locked in the chart. This allows us to use a basic picture for what we need. However, if you put the resident's name using this picture, you will wear violation HIPAA. If you need to use a name (on several hours bulletin board for example) all you intend to do is ask the particular resident for permission additionally document it!
2) Calendars and Birthday cards- Methods to avoid the HIPAA regulations about Birthday cards and calendars is very simple. PHI can be de-identified by taking the birth year from any information. For example: Happy Birthday to Joe Smith -6/15! There is not any other medical information that should be used on a schedule anyway so simply cut (diagnoses, dementia items, etc. ) from the schedule.
3) Bulletin Boards and Miscellaneous- In just about any case with PHI if you take the proper steps should certainly be asked permission, you can stop it from any confusion. If the individual pictures, avoid putting names inside them. If you must, experience explicit permission and blog post. If you avoid using PHI about residents whether you're clear.
4) Activity Rooms and Relevant areas- It is well and good to use pictures of residents using your common areas. Please remember that no medical information can accompany the pictures. Do not identify people by room or unit, especially if that resident resides of any memory/dementia care unit.
5) Activity and Progress Notes- Practically all progress notes should take part in the individual chart of what number of resident. If there is documentation outside of the chart, it needs becoming a shredded or placed for our chart itself. Pure and easy...

In general, HIPAA is nothing to fright for any Activity (Quality installation for Life) Director. The regulation was enacted eye privacy issues for people of Nursing and Educated care. If your activity department uses common sense to prevent improper disclosures they're usually fine. Please feel inside use this article definitely reference tool and check with your administrator roughly individual questions.

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