First Health Record Bank Pilot Launches

Washington State’s experiment in consumer-controlled health records has moved into a pilot phase, transforming the health record banking model from theory to testing. Earlier this month the Washington State Health Care Authority (HCA) announced the launch of three pilot sites that will try out the feasibility of a permanent statewide health record bank network. Health record banks centrally store copies of consumer’s health records,...

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Accounting for All Disclosures

Many in healthcare still haven’t made their peace with HIPAA’s accounting of disclosure requirements—the provision under which covered entities, upon request, must provide patients with a record of the entities to whom they have disclosed the patient’s protected health information (PHI). They consider it an undue administrative burden for requests they rarely receive. Now new requirements in the American Recovery and Reinvestment Act...

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A Good Time for a HIPAA Refresher

Mixed in with the billions of dollars for health IT in the American Recovery and Reinvestment Act are new privacy and security regulations for using it. It’s reminiscent of 1996, when HIPAA mandates on transacting certain health information electronically required accompanying standards for doing so securely. After the initial trumpet of ARRA’s wake up call, something of a lull is ensuing. The industry is chewing over the published...

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When FERPA and HIPAA Collide

A 19-year-old college student uses her university clinic for gynecological visits. Her parents contact the clinic and ask to see her health record in order to find out if she is using birth control. The clinic shares the record with the parents. Did the clinic staff do wrong? Maybe not. The behavior would seem to fly in the face of the HIPAA privacy rule, but virtually all public schools and most private and public postsecondary...

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Piecing apart ARRA

AHIMA has posted reviews of the American Recovery and Reinvestment Act. The law, previously known as the stimulus bill, allots approximately $19 billion to promote the adoption of health IT. It also introduces significant new privacy and security requirements for healthcare entities. There are two overviews on the AHIMA site: the first on the general provisions of the legislation and the second specifically dedicated to the privacy...

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