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3261. Secure De-identification and Re-identification Full Text available with Trip Pro

Secure De-identification and Re-identification Today's healthcare organizations have both an ethical and legal responsibility for protecting patient privacy. However, the HIPAA privacy rule allows for the release of de-identified patient data for certain purposes. Secure encryption technology can be used to encrypt patient identified data so only the owners of the original data can re-identify the patient. It further allows consistent de-identification over episodic collection events.

2003 AMIA Annual Symposium Proceedings

3262. Navigating the Road to Implementation of the Health Insurance Portability and Accountability Act Full Text available with Trip Pro

Navigating the Road to Implementation of the Health Insurance Portability and Accountability Act The Health Insurance Portability and Accountability Act of 1996 (HIPAA) has a profound impact on safety net providers. To help agencies afford expert consultation and provide the opportunity for collaboration, a regional health foundation has created the first model in the nation to bring together safety net providers to work toward implementation of the HIPAA.

2003 American Journal of Public Health

3263. Privacy in psychiatric treatment: threats and responses. (Abstract)

Privacy in psychiatric treatment: threats and responses. The author provides an overview of the current status of privacy in psychiatric treatment, with particular attention to the effects of new federal regulations authorized by the Health Insurance Portability and Accountability Act (HIPAA).The author reviews the ethical and legal underpinnings for medical privacy, including the empirical data supporting its importance; discusses those portions of the new federal regulations most relevant

2002 American Journal of Psychiatry

3264. Influence of the HIPAA Privacy Rule on health research. Full Text available with Trip Pro

Influence of the HIPAA Privacy Rule on health research. Anecdotal reports suggest that the Health Insurance Portability and Accountability Act Privacy Rule (HIPAA Privacy Rule) may be affecting health research in the United States.To survey epidemiologists about their experiences with the HIPAA Privacy Rule.Thirteen societies of epidemiology distributed a national Web-based survey; 2805 respondents accessed the survey Web site and 1527 eligible professionals anonymously answered (...) questions.Responses related influences such as research delays and added cost after Privacy Rule implementation, frequency and type of Privacy Rule-related institutional review board modifications, level of difficulty obtaining deidentified data and waivers, experiences with multisite studies, and perceived participant privacy benefits under the rule. Respondents ranked their perceptions of Privacy Rule influence on 5-point Likert scales.A total of 875 (67.8%) respondents reported that the HIPAA Privacy Rule has

2007 JAMA

3265. HIPAA and patient care: the role for professional judgment. (Abstract)

HIPAA and patient care: the role for professional judgment. Federal health privacy regulations, commonly known as the Health Insurance Portability and Accountability Act (HIPAA) regulations, came into effect in April 2003. Many clinicians and institutions have relied on consultants and risk managers to tell them how to implement these regulations. Much of the controversy and confusion over the HIPAA regulations concern so-called incidental disclosures. Some interpretations of the privacy

2005 JAMA

3266. Inherited medullary thyroid cancer and the duty to warn: revisiting Pate v. Threlkel in light of HIPAA. (Abstract)

Inherited medullary thyroid cancer and the duty to warn: revisiting Pate v. Threlkel in light of HIPAA. Familial medullary thyroid cancer (FMTC) is one of the few autosomal dominant cancers for which genetic testing provides a clear medical indication for prophylactic and/or curative therapy, and for which prophylactic thyroidectomy, followed by thyroid hormone replacement, presents a relatively low morbidity risk. Medullary thyroid cancer (MTC) is a particularly aggressive type of thyroid (...) confidentiality legislation, known as the HIPAA Privacy Rules, which came into effect April 12, 2003.

2005 Thyroid

3267. Health information, the HIPAA privacy rule, and health care: what do physicians think? Full Text available with Trip Pro

Health information, the HIPAA privacy rule, and health care: what do physicians think? This study examines physicians' attitudes toward key Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule requirements and assesses the effects of their implementation. We found that despite physicians' generally negative views toward the Privacy Rule, they rated organizations implementing more rule requirements better at protecting the privacy of patient records than organizations

2005 Health affairs (Project Hope)

3268. Development and testing of a CD-ROM based tutorial for nursing students: getting ready for HIPAA. (Abstract)

Development and testing of a CD-ROM based tutorial for nursing students: getting ready for HIPAA. The purpose of this study was to develop and test a CD-ROM tutorial for nursing students to educate them on how the rules and regulations of the Health Insurance Portability and Accountability Act (HIPAA) affect them as they engage in patient care activities in hospitals. The project was completed in two parts, the first of which was production of a stand-alone, audio lecture, image and text self (...) -instruction on CD-ROM to distribute to students as they began their clinical experience. The second part compared the effectiveness of learning the HIPAA content via CD-ROM to a text-directed, self study method. Students were pretested and randomly assigned to one of the types of instruction based on their seminar group assignment. One group received the CD-ROM, Getting Started with HIPAA, along with a journal article on HIPAA, while the other (control) group received only the journal article. All

2005 The Journal of nursing education Controlled trial quality: uncertain

3269. The HIPAA authorization form and effects on survey response rates, nonresponse bias, and data quality: a randomized community study. (Abstract)

The HIPAA authorization form and effects on survey response rates, nonresponse bias, and data quality: a randomized community study. There has been speculation that the Health Insurance Portability and Accountability Act (HIPAA) has muted participation in research but little direct evidence to substantiate those claims exists.To evaluate the effects of including a HIPAA authorization form (HAF) on multiple measures of survey performance. RESEARCH DESIGN, SUBJECTS: A community survey of Olmsted

2007 Medical Care Controlled trial quality: uncertain

3270. The impact of HIPAA authorization on willingness to participate in clinical research. Full Text available with Trip Pro

The impact of HIPAA authorization on willingness to participate in clinical research. This study systematically examined the impact of inclusion of Health Insurance Portability and Accountability Act (HIPAA) authorization on the willingness of African Americans of diverse sociodemographic characteristics to participate in a clinical research study and explored reasons for nonparticipation.For a purposive sample of 384 African American outpatients at four metropolitan primary care clinics from (...) August 2005 through May 2006, willingness to participate in a hypothetic clinical research study of an antihypertensive medication under one of two experimental conditions was compared. Interviewees were randomly assigned to undergo informed consent alone (control group) or informed consent with HIPAA authorization (HIPAA group). They were asked whether they would participate and reasons for their decisions.A smaller proportion of interviewees in the HIPAA group were willing to enroll in the study

2007 Annals of epidemiology Controlled trial quality: uncertain

3271. Do characteristics of HIPAA consent forms affect the response rate? (Abstract)

Do characteristics of HIPAA consent forms affect the response rate? Under the The Health Insurance Portability and Accountability Act Privacy Rule, researchers are required to obtain written authorization from patients to gain access to protected health information. The purpose of this research was to examine how the characteristics of authorization forms used by hospitals affect the likelihood of consent.This work reports on a recent telephone survey (administered January to August 2004

2007 Medical Care

3272. Bioterrorism surveillance and privacy: intersection of HIPAA, the Common Rule, and public health law. Full Text available with Trip Pro

Bioterrorism surveillance and privacy: intersection of HIPAA, the Common Rule, and public health law. The threat of bioterrorism in the wake of the September 11, 2001, terrorist attacks cannot be ignored. Syndromic surveillance, the practice of electronically monitoring and reporting real-time medical data to proactively identify unusual disease patterns, highlights the conflict between safeguarding public health while protecting individual privacy. Both the Health Insurance Portability

2008 American Journal of Public Health

3273. Potential impact of the HIPAA privacy rule on data collection in a registry of patients with acute coronary syndrome. Full Text available with Trip Pro

Potential impact of the HIPAA privacy rule on data collection in a registry of patients with acute coronary syndrome. Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule has the potential to affect data collection in outcomes research.To examine the extent to which data collection may be affected by the HIPAA Privacy Rule, we used a quasi-experimental pretest-posttest study design to assess participation rates with informed consent in 2 cohorts (...) of patients eligible for the University of Michigan Acute Coronary Syndrome registry. The pre-HIPAA period included telephone interviews conducted at 6 months that sought verbal informed consent from patients. In the post-HIPAA period, informed consent forms were mailed to ask for permission to call to conduct a telephone interview. The primary outcome measure was the percentage of patients who provided consent. Incremental costs associated with the post-HIPAA period were also assessed.The pre-HIPAA

2005 Archives of Internal Medicine

3274. Passive consent for clinical research in the age of HIPAA. Full Text available with Trip Pro

Passive consent for clinical research in the age of HIPAA. Federal laws and regulations, including the Health Insurance Portability and Accountability Act (HIPAA) of 1996, intended primarily to protect individuals, have been described as significant barriers to the use of clinical registries and other population-based tools for health care research. Although these regulations allow for the waiver or alteration of usual consent procedures when the research meets certain specific criteria

2006 Journal of General Internal Medicine

3275. Prospective study of clinician-entered research data in the Emergency Department using an Internet-based system after the HIPAA Privacy Rule. Full Text available with Trip Pro

Prospective study of clinician-entered research data in the Emergency Department using an Internet-based system after the HIPAA Privacy Rule. Design and test the reliability of a web-based system for multicenter, real-time collection of data in the emergency department (ED), under waiver of authorization, in compliance with HIPAA.This was a phase I, two-hospital study of patients undergoing evaluation for possible pulmonary embolism. Data were collected by on-duty clinicians on an HTML data

2004 Medical Informatics and Decision Making

3276. Multidimensional Analysis: A Management Tool for Monitoring HIPAA Compliance and Departmental Performance Full Text available with Trip Pro

Multidimensional Analysis: A Management Tool for Monitoring HIPAA Compliance and Departmental Performance Most RIS and PACS systems include extensive auditing capabilities as part of their security model, but inspecting those audit logs to obtain useful information can be a daunting task. Manual analysis of audit trails, though cumbersome, is often resorted to because of the difficulty to construct queries to extract complex information from the audit logs. The approach proposed by the authors

2004 Journal of Digital Imaging

3277. HIPAA's implications for public health policy and practice: guidance from the CDC. Full Text available with Trip Pro

HIPAA's implications for public health policy and practice: guidance from the CDC. 15192909 2004 06 24 2017 02 14 0033-3549 119 2 2004 Mar-Apr Public health reports (Washington, D.C. : 1974) Public Health Rep HIPAA's implications for public health policy and practice: guidance from the CDC. 216-9 Kamoie Brian B Department of Health Policy, George Washington University School of Public Health and Health Services, USA. Hodge James G JG Jr eng Journal Article United States Public Health Rep

2004 Public Health Reports

3278. Where Is HIPAA Taking Physician Practices? Full Text available with Trip Pro

Where Is HIPAA Taking Physician Practices? 16369443 2006 06 21 2018 11 13 1531-0132 7 2 2005 Apr 20 MedGenMed : Medscape general medicine MedGenMed Where is HIPAA taking physician practices? 65 Bergeron Bryan B Health Sciences and Technology Division, Harvard Medical School and Massachusetts Institute of Technology, Cambridge, Massachusetts, USA. eng Journal Article 2005 04 20 United States MedGenMed 100894134 1531-0132 IM Computer Security legislation & jurisprudence standards Confidentiality

2005 Medscape General Medicine

3279. A HIPAA-Compliant Architecture for Securing Clinical Images Full Text available with Trip Pro

A HIPAA-Compliant Architecture for Securing Clinical Images The Health Insurance Portability and Accountability Act (HIPAA, instituted April 2003) Security Standards mandate health institutions to protect health information against unauthorized use or disclosure. One approach to addressing this mandate is by utilizing user access control and generating audit trails of the various authorized as well as unauthorized user access of health data. Although most current clinical image systems [e.g (...) ., picture archiving and communication system (PACS)] have components that generate log files for application debugging purposes, there is a lack of methodology to obtain and synthesize the pertinent data from the large volumes of log data generated by these multiple components within a PACS. We have designed a HIPAA-compliant architecture specifically for tracking and auditing the image workflow of clinical imaging systems such as PACS. As an initial first step, we developed HIPAA-compliant auditing

2005 Journal of Digital Imaging

3280. Are We Really Better Off With HIPAA? Full Text available with Trip Pro

Are We Really Better Off With HIPAA? 16614675 2006 06 20 2008 11 20 1531-0132 7 4 2005 Nov 21 MedGenMed : Medscape general medicine MedGenMed Are we really better off with HIPAA? 53 Frishauf Peter P eng Editorial 2005 11 21 United States MedGenMed 100894134 1531-0132 IM MedGenMed. 2006;8(1):18, author reply 18 16967546 MedGenMed. 2006;8(1):18; author reply 18 16967538 MedGenMed. 2006;8(1):18; author reply 18 16967539 MedGenMed. 2006;8(1):18; author reply 18 16967545 MedGenMed. 2006;8(1):18

2005 Medscape General Medicine

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