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1. Medical photography with a mobile phone: useful techniques, and what neurosurgeons need to know about HIPAA compliance. (PubMed)

Medical photography with a mobile phone: useful techniques, and what neurosurgeons need to know about HIPAA compliance. Medical photographs are commonly employed to enhance education, research, and patient care throughout the neurosurgical discipline. Current mobile phone camera technology enables surgeons to quickly capture, document, and share a patient scenario with colleagues. Research demonstrates that patients generally view clinical photography favorably, and the practice has become (...) be accompanied by an awareness of the legal ramifications of the Health Insurance Portability and Accountability Act (HIPAA). HIPAA compliance is straightforward when one is empowered with the knowledge of what constitutes a patient identifier in a photograph. Little has been published to describe means of improving the accuracy and educational value of medical photographs in neurosurgery. Therefore, in this paper, the authors present a brief discussion regarding four easily implemented photography skills

2019 Journal of Neurosurgery

2. HIPAA case studies: misguided mistakes and egregious errors

HIPAA case studies: misguided mistakes and egregious errors HIPAA case studies: misguided mistakes and egregious errors HIPAA case studies: misguided mistakes and egregious errors | | March 7, 2019 2 Shares An excerpt from . When it comes to HIPAA violations, there are, sadly, plenty of examples available to serve as cautionary tales. Some seem like innocent mistakes that just about anyone could make. Others are so egregious that those involved appear to be willfully inviting the wrath (...) of regulators and malpractice attorneys. Unfortunately, some people assume that any post that does not include the patient’s name or photograph is a safe post. As we will see, that is a false and dangerous assumption. The following examples of HIPAA violations over the years offer valuable lessons for anyone dealing with patient privacy issues in the digital age. Before and after Because purely cosmetic procedures are not typically covered by health insurance, plastic surgery practices often need to market

2019 KevinMD blog

3. Updating HIPAA for the electronic medical record era. (PubMed)

Updating HIPAA for the electronic medical record era. With advances in technology, patients increasingly expect to access their health information on their phones and computers seamlessly, whenever needed, to meet their clinical needs. The 1996 passage of the Health Insurance Portability and Accountability Act (HIPAA), modifications made by the Health Information Technology for Economic and Clinical Health Act (HITECH), and the recent 21st Century Cures Act (Cures) promise to make patients (...) , describe challenges to health data portability and fluidity, and present the authors' policy recommendations for lawmakers to consider so that the vision of HIPAA, HITECH, and Cures may be fulfilled.© The Author(s) 2019. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For permissions, please email: journals.permissions@oup.com.

2019 Journal of the American Medical Informatics Association

4. It’s Time for Innovation in the Health Insurance Portability and Accountability Act (HIPAA) (PubMed)

It’s Time for Innovation in the Health Insurance Portability and Accountability Act (HIPAA) Whether it is the result of a tragic news story, a thoughtful commentary, or a segment on the entertainment networks, patient privacy rights are never far from the top of our minds. The Privacy and Security Rules contained in the Health Insurance Portability and Accountability Act of 1996 (HIPAA) represent a concerted effort to protect the privacy and security of the volumes of patient data generated

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2016 JMIR medical informatics

5. HIPAA: Are you in violation?

HIPAA: Are you in violation? HIPAA: Are you in violation? HIPAA: Are you in violation? | | March 7, 2018 47 Shares HIPAA (Health Information Portability Accountability Act of 1996) is the privacy care act involving electronic transfer of records so that the identity of a patient remains unknown. It includes any electronic, written or oral transfer of information. When I was a kid, there was no such thing. As a grown-up medical professional, you are surrounded constantly by HIPAA. Charts (...) the penalties will. Penalties are hefty and can be up to $25,000 for a violation, maximal at $50,000 or 1 year of imprisonment depending on the severity of the offense. Sometimes when you are rounding, and there is only a curtain that serves as a partition between two patients how does one get around it? Does it violate HIPAA when discussing someone’s care when you are clearly within earshot of someone else? Technically speaking, yes it does. Do authorities turn a blind eye? Of course, they do. Unless

2018 KevinMD blog

6. Should a HIPAA-questionable good deed go unpunished?

Should a HIPAA-questionable good deed go unpunished? Should a HIPAA-questionable good deed go unpunished? Should a HIPAA-questionable good deed go unpunished? | | October 27, 2018 139 Shares On a Saturday morning, Michael, a physician, was making his way through the hospital atrium after his weekend rounds. On his way out, he noticed a family he knew well. They were talking quietly and appeared distraught. He asked them if they were okay. They said that the husband’s mother had been admitted (...) . That weekend, however, a nurse, who had experienced some tension with the family over their desire to take the patient home, filed an incident report. She stated that Michael had overstepped his bounds and requested that the case undergo review by the privacy office as a possible HIPAA violation. An investigation ensued, which concluded that Michael had indeed violated the hospital’s privacy policy. Furthermore, he was told that even if he had obtained written consent from the family, it would not allow

2018 KevinMD blog

7. The Role of HIPAA Omnibus Rules in Reducing the Frequency of Medical Data Breaches: Insights From an Empirical Study. (PubMed)

The Role of HIPAA Omnibus Rules in Reducing the Frequency of Medical Data Breaches: Insights From an Empirical Study. Policy Points: Frequent data breaches in the US health care system undermine the privacy of millions of patients every year-a large number of which happen among business associates of the health care providers that continue to gain unprecedented access to patients' data as the US health care system becomes digitally integrated. Implementation of the HIPAA Omnibus Rules in 2013 (...) Act (HIPAA), which were enacted in 2013, significantly increased the regulatory oversight and privacy protection requirements of business associates. The objective of this study is to empirically examine the effects of this shift in policy on the frequency of medical privacy breaches among business associates in the US health care system. The findings of this research shed light on how regulatory efforts can protect patients' privacy.Using publicly available data on breach incidents between

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2018 Milbank Quarterly

8. HIPAA's Individual Right of Access to Genomic Data: Reconciling Safety and Civil Rights. (PubMed)

HIPAA's Individual Right of Access to Genomic Data: Reconciling Safety and Civil Rights. In 2014, the United States granted individuals a right of access to their own laboratory test results, including genomic data. Many observers feel that this right is in tension with regulatory and bioethical standards designed to protect the safety of people who undergo genomic testing. This commentary attributes this tension to growing pains within an expanding federal regulatory program for genetic

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2018 American Journal of Human Genetics

9. The case of HIPAA, an orthodontist, and Black Panther’s Michael B. Jordan

The case of HIPAA, an orthodontist, and Black Panther’s Michael B. Jordan The case of HIPAA, an orthodontist, and Black Panther's Michael B. Jordan The case of HIPAA, an orthodontist, and Black Panther’s Michael B. Jordan | | March 21, 2018 21 Shares After an orthodontist where his patient broke her retainer after watching Michael B. Jordan in the blockbuster hit, the Black Panther, the young woman identified herself as the anonymous patient after learning about the story via Twitter. Though (...) she was initially quite embarrassed, she was ultimately good-natured about all of the unexpected publicity. The natural question for many health care providers was whether there was a violation of patient privacy or HIPAA? If there was, was there any harm? If there was a violation of patient privacy or HIPAA, what should the consequences be if any? HIPAA violation? Protecting PHI alone may not be enough What we know is that the orthodontist in question feels that this blog post was . This much

2018 KevinMD blog

10. Electronic Communication of Protected Health Information: Privacy, Security, and HIPAA Compliance. (PubMed)

Electronic Communication of Protected Health Information: Privacy, Security, and HIPAA Compliance. Technology has enhanced modern health care delivery, particularly through accessibility to health information and ease of communication with tools like mobile device messaging (texting). However, text messaging has created new risks for breach of protected health information (PHI). In the current study, we sought to evaluate hand surgeons' knowledge and compliance with privacy and security

2017 Journal of Hand Surgery - American

11. Development of a HIPAA-compliant environment for translational research data and analytics. (PubMed)

Development of a HIPAA-compliant environment for translational research data and analytics. High-performance computing centers (HPC) traditionally have far less restrictive privacy management policies than those encountered in healthcare. We show how an HPC can be re-engineered to accommodate clinical data while retaining its utility in computationally intensive tasks such as data mining, machine learning, and statistics. We also discuss deploying protected virtual machines. A critical planning

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2017 Journal of the American Medical Informatics Association

12. HIPAA Compliant Wireless Sensing Smartwatch Application for the Self-Management of Pediatric Asthma (PubMed)

HIPAA Compliant Wireless Sensing Smartwatch Application for the Self-Management of Pediatric Asthma Asthma is the most prevalent chronic disease among pediatrics, as it is the leading cause of student absenteeism and hospitalization for those under the age of 15. To address the significant need to manage this disease in children, the authors present a mobile health (mHealth) system that determines the risk of an asthma attack through physiological and environmental wireless sensors (...) and representational state transfer application program interfaces (RESTful APIs). The data is sent from wireless sensors to a smartwatch application (app) via a Health Insurance Portability and Accountability Act (HIPAA) compliant cryptography framework, which then sends data to a cloud for real-time analytics. The asthma risk is then sent to the smartwatch and provided to the user via simple graphics for easy interpretation by children. After testing the safety and feasibility of the system in an adult

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2016 ... International Conference on Wearable and Implantable Body Sensor Networks. International Conference on Wearable and Implantable Body Sensor Networks

13. HIPAA doesn’t apply to rich hospital donors

HIPAA doesn’t apply to rich hospital donors HIPAA doesn't apply to rich hospital donors HIPAA doesn’t apply to rich hospital donors | | March 5, 2016 40 Shares I’ve written a lot lately about caring for our patients, and about caring for our spouses, and those things make me very happy. But now and then, things rub me the wrong way. I was recently working at TMH, or Tiny Memorial Hospital, my vague name for small facilities since I work at several and wish to preserve their anonymity. While (...) if I’m supposed to understand. (Almost all things federal dwell in a kind of fog impenetrable by logic and reason.) But donate enough and someone will know when and where you went to the ER. And that’s just good customer service, right? Right. Privacy, HIPAA, is for little people. And yet: “Who will guard the guards themselves,” or as it is commonly rendered, “who watches the watchers?” I don’t know, but I guess we all need to watch ourselves lest we end up fired. The only other alternative, it seems

2016 KevinMD blog

14. HIPAA

HIPAA HIPAA Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 HIPAA HIPAA Aka: HIPAA , Health Insurance Portability and Accountability (...) Act , Health Information Privacy , Patient Data Privacy , HIPAA Limited Data Set II. Definition: Security Rules HIPAA Security Rule Proposed (1998) HIPAA security rules must be adhered to when transmitting medical data over telecommunications networks Ensure confidentiality, integrity and availability of all protected health information (e-PHI) Identify and protect against reasonably anticipated threats to security or integrity of information Protect against reasonably anticipated impermissable

2018 FP Notebook

15. 2013 HIPAA Changes Provide Opportunities and Challenges for Researchers: Perspectives from a Cancer Center. (PubMed)

2013 HIPAA Changes Provide Opportunities and Challenges for Researchers: Perspectives from a Cancer Center. In 2013, the U.S. Department of Health and Human Services modified the Health Insurance Portability and Accountability Act Privacy Rule to "strengthen privacy and security protections" while "improving workability and effectiveness to increase flexibility for and decrease burden on regulated entities." In this article, we attempt to translate these generalized goals into the real-world

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2016 Clinical Cancer Research

16. I wish HIPAA had privacy settings

I wish HIPAA had privacy settings I wish HIPAA had privacy settings I wish HIPAA had privacy settings | | September 11, 2015 44 Shares “There’s such an issue of privacy in health care, and yet they let all the patients walk around with their derrières sticking out.” This quote within an by the National Post got me thinking about HIPAA. The Health Insurance Portability and Accountability Act of 1996 is a big flat hammer with excellent intentions. Like , however, it too has its side effects (...) of privacy is isolation and sometimes despair. I wish HIPAA had privacy settings like Facebook, Linkedin, Google+, etc. Q: Do you mind if the patient on the other side of the curtain hears our conversation? A: Depends. No problem for most things, except probably bowel or genital stuff. I’d love it if they would refill my ice water, or call for help if I roll off the bed. Q: Do you mind sharing a room with Typhoid Mary? A: Heck no! Also, whose grandmother or baby did she sit next to in the waiting room

2015 KevinMD blog

17. Digital mobile technology facilitates HIPAA-sensitive perioperative messaging, improves physician-patient communication, and streamlines patient care (PubMed)

Digital mobile technology facilitates HIPAA-sensitive perioperative messaging, improves physician-patient communication, and streamlines patient care Mobile device technology has revolutionized interpersonal communication, but the application of this technology to the physician-patient relationship remains limited due to concerns over patient confidentiality and the security of digital information. Nevertheless, there is a continued focus on improving communication between doctors and patients (...) the immediate transfer of HIPAA-compliant data to patients and their designees. Such systems can greatly improve the level of communication between physicians, patients, and patients' families and caregivers. All types of users, including healthcare professionals, patients, and their loved ones, recorded high levels of satisfaction. Based on these observations, we conclude that mobile digital communications platforms represent a way to harness the power of social media to enhance patient care.

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2015 Patient safety in surgery

18. Health Privacy Is Difficult but Not Impossible in a Post-HIPAA Data-Driven World. (PubMed)

Health Privacy Is Difficult but Not Impossible in a Post-HIPAA Data-Driven World. In the 13 years since their promulgation, the Health Insurance Portability and Accountability Act (HIPAA) rules and their enforcement have shown considerable evolution, as has the context within which they operate. Increasingly, it is the health information circulating outside the HIPAA-protected zone that is concerning: big data based on HIPAA data that have been acquired by public health agencies and then sold (...) ; medically inflected data collected from transactions or social media interactions; and the health data curated by patients, such as personal health records or data stored on smartphones. HIPAA does little here, suggesting that the future of health privacy may well be at the state level unless technology or federal legislation can catch up with state-of-the-art privacy regimes, such as the latest proposals from the European Commission.

2014 Chest

19. HIPAA, dermatology images, and the law. (PubMed)

HIPAA, dermatology images, and the law. From smart phones to iPads, the world has grown increasingly reliant on new technology. In this ever-expanding digital age, medicine is at the forefront of these new technologies. In the field of dermatology and general medicine, digital images have become an important tool used in patient management. Today, one can even find physicians who use their cellular phone cameras to take patient images and transmit them to other physicians. However, as digital (...) imaging technology has become more prevalent so too have concerns about the impact of this technology on the electronic medical record, quality of patient care, and medicolegal issues. This article will discuss the advent of digital imaging technology in dermatology and the legal ramifications digital images have on medical care, abiding by HIPAA, the use of digital images as evidence, and the possible abuses digital images can pose in a health care setting.

2013 Seminars in Cutaneous Medicine and Surgery

20. Text Messaging to Communicate With Public Health Audiences: How the HIPAA Security Rule Affects Practice. (PubMed)

Text Messaging to Communicate With Public Health Audiences: How the HIPAA Security Rule Affects Practice. Text messaging is a powerful communication tool for public health purposes, particularly because of the potential to customize messages to meet individuals' needs. However, using text messaging to send personal health information requires analysis of laws addressing the protection of electronic health information. The Health Insurance Portability and Accountability Act (HIPAA) Security Rule (...) is written with flexibility to account for changing technologies. In practice, however, the rule leads to uncertainty about how to make text messaging policy decisions. Text messaging to send health information can be implemented in a public health setting through 2 possible approaches: restructuring text messages to remove personal health information and retaining limited personal health information in the message but conducting a risk analysis and satisfying other requirements to meet the HIPAA

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2013 American Journal of Public Health

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