Comments on: Accounting for All Disclosures http://journal.ahima.org/2009/03/25/accounting-for-all-disclosures/ The Journal of AHIMA is published monthly by the American Health Information Management Association Thu, 18 Mar 2010 21:33:28 -0500 http://wordpress.org/?v=2.9.1 hourly 1 By: Stephanie Fitzgerald, RHIT http://journal.ahima.org/2009/03/25/accounting-for-all-disclosures/comment-page-1/#comment-17690 Stephanie Fitzgerald, RHIT Fri, 12 Mar 2010 20:19:51 +0000 http://journal.ahima.org/?p=264#comment-17690 How does ARRA, Accounting of Disclosures, and the changes apply to a Radilogy Film Library? We release images burned to a CD and/or hard copy films. We are also separate from the HIM Dept. Should we keep a log of all requests? How does ARRA, Accounting of Disclosures, and the changes apply to a Radilogy Film Library?
We release images burned to a CD and/or hard copy films. We are also separate from the HIM Dept. Should we keep a log of all requests?

]]> By: Janie Batres http://journal.ahima.org/2009/03/25/accounting-for-all-disclosures/comment-page-1/#comment-17628 Janie Batres Thu, 11 Mar 2010 05:12:06 +0000 http://journal.ahima.org/?p=264#comment-17628 Do you have to disclose all release of Health Information to the patients. Court Orders,continum of care? Thanks Janie Do you have to disclose all release of Health Information to the patients. Court Orders,continum of care?

Thanks
Janie

]]> By: Kevin Heubusch http://journal.ahima.org/2009/03/25/accounting-for-all-disclosures/comment-page-1/#comment-6674 Kevin Heubusch Sun, 31 May 2009 03:29:33 +0000 http://journal.ahima.org/?p=264#comment-6674 Jeff, thank you for the pointing this out. I should have written that by August HHS is required to issue regulations defining the content of the accounting. By December 31, the department must adopt technical standards that enable EHRs to produce that content in an accounting. Six months after that, HHS must promulgate the rule. So that takes us to June 2010. That deadline, by the way, appears in ONC’s recently released implementation plan at http://www.hhs.gov/recovery/reports/plans/onc_hit.pdf Jeff, thank you for the pointing this out. I should have written that by August HHS is required to issue regulations defining the content of the accounting. By December 31, the department must adopt technical standards that enable EHRs to produce that content in an accounting. Six months after that, HHS must promulgate the rule.

So that takes us to June 2010.

That deadline, by the way, appears in ONC’s recently released implementation plan at http://www.hhs.gov/recovery/reports/plans/onc_hit.pdf

]]> By: Jeff http://journal.ahima.org/2009/03/25/accounting-for-all-disclosures/comment-page-1/#comment-6618 Jeff Fri, 29 May 2009 20:58:24 +0000 http://journal.ahima.org/?p=264#comment-6618 The secretary’s regulations are required no later than August. This is not true. Quote: The secretary shall promulgate regulations on what information shall be collected about each disclosure...not later than 6 months after the date on which the secretary adopts standards on accounting for disclosure... When is the deadline for the standards to be adopted? Nowhere is it stated. Once we know that, then we can figure out 6 months afterward. The secretary’s regulations are required no later than August.

This is not true. Quote: The secretary shall promulgate regulations on what information shall be collected about each disclosure…not later than 6 months after the date on which the secretary adopts standards on accounting for disclosure…

When is the deadline for the standards to be adopted? Nowhere is it stated. Once we know that, then we can figure out 6 months afterward.

]]> By: Kevin Heubusch http://journal.ahima.org/2009/03/25/accounting-for-all-disclosures/comment-page-1/#comment-4269 Kevin Heubusch Tue, 14 Apr 2009 17:18:56 +0000 http://journal.ahima.org/?p=264#comment-4269 Vicki, At this point, no one is sure whether the accounting would include an audit trail of staff access. ARRA itself didn't go into that level of detail. Instead it charged HHS with determining exactly what information providers will have to include in the accounting. Vicki,
At this point, no one is sure whether the accounting would include an audit trail of staff access. ARRA itself didn’t go into that level of detail. Instead it charged HHS with determining exactly what information providers will have to include in the accounting.

]]> By: Dane Alli, RHIA http://journal.ahima.org/2009/03/25/accounting-for-all-disclosures/comment-page-1/#comment-4266 Dane Alli, RHIA Tue, 14 Apr 2009 16:33:35 +0000 http://journal.ahima.org/?p=264#comment-4266 Will the ARRA requirements for disclosure negatively affect the development of RHILO's like the one recently stood-up in California? With the ARRA disclosure rules physician's will be reluctant to digitize their office, to be able to share information (PHI) with others. For fear that it will increase the need for data input of what was released and to whom. If HIPAA was a mess on the disclosure reporting side, why confuse the matter with the passing of the ARRA provision? Will the ARRA requirements for disclosure negatively affect the development of RHILO’s like the one recently stood-up in California? With the ARRA disclosure rules physician’s will be reluctant to digitize their office, to be able to share information (PHI) with others. For fear that it will increase the need for data input of what was released and to whom. If HIPAA was a mess on the disclosure reporting side, why confuse the matter with the passing of the ARRA provision?

]]> By: Vicki Ament http://journal.ahima.org/2009/03/25/accounting-for-all-disclosures/comment-page-1/#comment-4135 Vicki Ament Sun, 12 Apr 2009 17:22:23 +0000 http://journal.ahima.org/?p=264#comment-4135 Under the new requirements of ARRA does this require that facilities produce the computerized audit trail of employees who have accessed PHI for use within their own facility if this audit trail is requested by a patient? Under the new requirements of ARRA does this require that facilities produce the computerized audit trail of employees who have accessed PHI for use within their own facility if this audit trail is requested by a patient?

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