HIPAA 1
Under HIPAA this is defined as information which contains one or more patient identifiers such as name, DOB, medical record numbers, address, Soc.Sec. number, home address, photos, email address, driver's license numbers.
PROTECTED HEALTH INFORMATION (PHI)
State laws require proof of vaccination when children register for school. This federal legislation requires physicians to keep permanent records with specific vaccine information like lot number and manufacturer, and report adverse vaccine events.
NATIONAL CHILDHOOD VACCINE INJURY ACT
Federal agency in HHS overseeing drug quality and release for public use.
FDA-FOOD and DRUG ADMINISTRATION
State laws which allow employees access to information about toxic or hazardous substances, employer duties, employee rights, and other workplace health and safety issues.
RIGHT-TO-KNOW LAWS
1.Who owns the physical medical record itself and maintains security and privacy of it?
2.Who has some control over the information in the record?
1. THE PLACE WHERE THE RECORD IS CREATED. (office, hospital, outpatient center, etc.).
2. THE PATIENT. The patient is free to request and obtain copies of their own medical records, request an amendment to the records, request IN WRITING that specific records be released to third parties (such as insurance companies or for a lawsuit... unless a court subpoenas the records then no consent is required only notification afterward).
Protected health information from which certain patient identifiers have been removed.
LIMITED DATA SET
Cannot be excluded from coverage due to pre-existing conditions, children under 26 may be covered under parents health plan, plans must include certain preventative services, insurers cannot cancel due to simple mistakes in applications. Individual mandate-fine for not getting insurance until 2019 repealed.
PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010
Branch of the US Dept. of Justice that regulates the sale and use of drugs.
DEA-DRUG ENFORCEMENT AGENCY
Prohibits knowingly and willfully receiving or paying anything of value to influence the referral of federal health care program business.
FEDERAL ANTIKICKBACK LAW
What are the 5 C's of medical record documentation?
1. CONCISE-get to the point
2. COMPLETE-include what is important
3. CLEAR-direct language, medical language
4. CORRECT
5. CHRONOLOGICALLY ORDERED (TIME ORDERED)
What does HIPAA stand for and what are the 4 standards?
HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT
1.TRANSACTIONS AND CODE SETS
2. PRIVACY RULE
3. SECURITY RULE
4. NATIONAL IDENTIFIER STANDARDS
Allows for individuals to bring civil actions on behalf of the US government for false claims made to the government under qui tam. meaning "to bring action for the king and oneself"
FEDERAL FALSE CLAIMS ACT
This agency under the dept. of HHS overseas and enforces the Security Rule of HIPAA and will investigate if there are data breaches, maintains a record of breaches of PHI,
OCR-OFFICE OF CIVIL RIGHTS
Prohibits physicians or their family members who own health care facilities from referring patients to those entities if the federal government (Medicare or Medicaid) will pay for treatment.
STARK LAW
Non-profit lobbying organization for a voice in legislation, provides Long Term Care companies with training in quality improvement and quality assurance.
AHCA-AMERICAN HEALTH CARE ASSOCIATION
What step can a patient take if HIPAA is violated?
REPORT IT TO THE OFFICE OF CIVIL RIGHTS (OCR)
Established the ability for individuals to donate their body or parts after death for transplants, tissue banks, or research
UNIFORM ANATOMICAL GIFT ACT
Not-for-profit that accredits hospitals, home care, nursing homes, long term care, outpatient centers, behavioral health facilities, clinical laboratories
THE JOINT COMMISSION (TJC)
State laws written for the express purpose of governing the practice of specific health care professions. Define practice scope, requirements to practice, licensing boards, suspension or revocation, renewal.
MEDICAL PRACTICE ACTS
Agency that oversees accreditation for HMO's and PPO's, ACO's, patient centered medical homes, other health and case management plans.
NCQA- NATIONAL COMMITTEE FOR QUALITY ASSURANCE
This is information held confidential within a protected relationship such as attorney-client, physician-patient, etd. and may protect the holder of information from forced disclosure on the witness stand.
PRIVILEGED COMMUNICATION
Prohibits child labor and the firing of employees for exercising their rights under the wage and hour standards. Overtime and minimum wage established
FAIR LABOR STANDARDS ACT OF 1938
Charged with writing and enforcing compulsory standards for health and safety in the workplace, among which are the Hazard Communications Standards
OSHA- OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION
a no-fault federal system of compensation for individuals or families of individuals injured or killed by vaccines rather than suing manufacturers or providers.
NATIONAL VACCINE INJURY COMPENSATION PROGRAM
This accrediting agency evaluates 30 different allied health education programs (such as medical assistant programs) to see if they are preparing students well by teaching broad and specific professional standards
CAAHEP-COMMISSION on ACCREDITATION of ALLIED HEALTH EDUCATION PROGRAMS