Acts
GINA
Genetic Information Nondiscrimination Act- addresses the ethical issue of confidentiality of genetic information
Out of court statements that are offered to prove the truth of the matter asserted
Hearsay
Group of health care professionals who are charged with the responsibility for evaluating, maintaining, and/or monitoring the quality and utilization of health care services
Peer Review Committee
DHHS
Department of Health and Human Services- provides effective health and human services and by fostering sound, sustained advances in the sciences underlying medicine, public health, and social services
Year HIPAA was established
1996
Addresses the disclosure of drug abuse records
Drug Abuse Prevention, Treatment, and Rehabilitation Act
Protects any confidential information about a client who has applied for or received any alcohol or drug abuse related services
Federal Substance Abuse Confidentially laws
No longer protected 50 years after death
Protected Health Info (PHI)
Legal requirement to inform individuals when their personal information has been compromised
Breach Notification
Designed to map the genes found in human DNA and determine the sequences of the chemical base pairs that make up human DNA
Human Genome Project
Passed in 1964 aiming to end discrimination
Civil Rights Act
Command issued by a court or other authorized official to appear and/or present certain documents and other things.
Subpoena
Unique identification number for covered health care providers, created to help send health information electronically more quickly and effectively
National Standard Healthcare Provider Identifier (NPI)
Form of technical security used to ensure that data transferred from one network location to another is secure from eavesdropping or interception
Encryption
Involves using a unique identifier on blood sample and consent form, gets reported to public health authorities.
Anonymous testing
Requires that CMS provide incentive payments under Medicare and Medicaid to “Meaningful Users” of Electronic Health Records.
HITECH Act
TPO
Treatment, Payment, and Operations- Healthcare organizations may use and share patient information for treatment, payment, and operations under the HIPAA treatment, payment, and operations (TPO) exception without the patient's consent. This exception supports effective healthcare services, such as billing, staff training, quality evaluations, information sharing among professionals, and privacy protection
Who is given access to information for audit activities? (3 answers)
1. those acting on behalf of a federal/state/local government agency providing financial assistance to the treatment program
2. those acting on behalf of third-party payers, peer rvw organizations, or private organizations providing financial assistance
3. those qualified to conduct the audit as determined by program director
Defined as one who performs or assists in performing a function or activity involving the use or disclosure of individually identifiable health information on behalf of a covered entity
Business Associate
Private entity that conducts inspections and surveys of health care facilities based on nationally recognized and developed standards
Accreditation Organization
HIPAA provision that allows the use of de-identified data
Safe Harbor
Requires DHHS to establish national standards for electronic health care transactions and national identifiers for providers, health plans, and employers ans addresses the security and privacy of health data
HIPAA Title II
Requirements of business record exception
Used for encoding data elements, such as medical terms, medical concepts, medical diagnosis codes, and medical procedure codes.
Transaction Code Sets (TCS)
Utilization review process (5 parts)
1. Preadmission review
2. Admission review
3. concurrent review
4. discharge planning
5. audits/reviews for compliance