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3281. 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

3282. 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

3283. 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

3284. HIPAA privacy and security implications for field triage. (Abstract)

HIPAA privacy and security implications for field triage. The Health Insurance Portability and Accountability Act (HIPAA) of 1996 addresses insurance reforms, medical savings accounts, fraud and abuse provisions, and health information standards. This report discusses HIPAA issues that could impact field triage and emergency medical services.

2006 Prehospital emergency care

3285. 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

3286. An integrative framework for HIPAA-compliant I*IQ healthcare information systems. (Abstract)

An integrative framework for HIPAA-compliant I*IQ healthcare information systems. Currently the healthcare industry in the US is not only contending with relentless pressures to lower costs while maintaining and increasing the quality of service but is also under a stringent timeline to become compliant with the health insurance, portability and accountability act (HIPAA) regulatory requirements. Robust healthcare information systems (HCIS) become critical to enabling healthcare organizations (...) address these challenges. Hence, it becomes an imperative need that the information that is captured, generated and disseminated by these HCIS be of the highest possible integrity and quality as well as compliant with regulatory requirements. This paper addresses this need by proposing an integrative framework for HIPAA compliant, I*IQ HCIS. It bases this framework on an integration of the requirements for HIPAA compliance, the principles of information integrity, as well as the healthcare quality

2004 International journal of health care quality assurance

3287. Quality consciousness...auditing for HIPAA Privacy Compliance. (Abstract)

Quality consciousness...auditing for HIPAA Privacy Compliance. The Health Insurance Portability and Accountability Act (HIPAA) privacy deadline has passed. Now it is essential to comply with the regulations. The stakes are high; therefore, a HIPAA Privacy Compliance Program must be part of an organization's quality initiatives. This article provides guidelines for the challenges of continual program improvement, successful cultural change, and effective monitoring of the existing program (...) . Healthcare organizations will attain compliance goals through internal audits on the processes, policies, and training efforts of their HIPAA program.

2004 Journal of Nursing Care Quality

3288. 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

3289. The Health Insurance Portability and Accountability Act (HIPAA): its broad effect on practice. (Abstract)

The Health Insurance Portability and Accountability Act (HIPAA): its broad effect on practice. The Health Insurance Portability and Accountability Act (HIPAA), and its final rule, raised fears among practitioners of new and complex regulations that might interfere with medical practice, lead to inadvertent liability and unwanted expense. It generated a dizzying set of health-care administrative activities and a new work for legal consultants. It has extensive scope, and includes most health (...) plans and practitioners. It has regulated both privacy and security, including electronic, paper, and oral communications. However, after a HIPAA compliant office structure is established, and the privacy notice is reviewed and signed by the patient, disclosure of medical information for treatment, payment or "health-care operations" is permitted without recurrent consent forms, thus allowing substantially familiar patterns of doctor-to-doctor communication about treatment. Further, the initial

2005 American Journal of Gastroenterology

3290. HIPAA and research: how have the first two years gone? (Abstract)

HIPAA and research: how have the first two years gone? To assess the impact of the Health Insurance Portability and Accountability Act (HIPAA) on research in ophthalmology.A personal perspective with a review of relevant publications.Review of experience at a single institution as it transitioned to enforcing HIPAA guidelines.HIPAA has been costly to institutions and will continue to be so. At Johns Hopkins alone, nearly 26,000 employees have had to take HIPAA compliance training and pass (...) examinations with an overall estimated cost of nearly $2 million in the first year. At the same time, complying with HIPAA regulations has increased institutional awareness of privacy issues.HIPAA has added a layer of regulation to research that has increased the burden of researchers but is unlikely to prevent most research from taking place. Although there are clear benefits to the heightened awareness of the implications of research on study subjects' privacy, the costs of implementing HIPAA have been

2006 American Journal of Ophthalmology

3291. Local perspective of the impact of the HIPAA privacy rule on research. (Abstract)

Local perspective of the impact of the HIPAA privacy rule on research. The operational and economic impact of the Health Insurance Portability and Accountability Act (HIPAA) of 1996 was evaluated. The setting was a natural experiment which involved a single-site, clinical research study that was initiated before the enactment of HIPAA and subsequently modified to be compliant with the new policy.A formative assessment was conducted of the recruitment process to a clinical trial evaluating (...) the efficacy of an educational strategy to inform Veterans about the National Cancer Institute/Department of Veterans Affairs cosponsored Selenium and Vitamin E Cancer Prevention Trial (SELECT). Personnel time and costs were determined based on weekly accrual for study periods before and after the implementation of HIPAA. Root cause analysis was used to assess the recruitment protocol and to identify areas for improvement.The implementation of HIPAA resulted in a 72.9% decrease in patient accrual (7.0

2006 Cancer

3292. From Hippocrates to HIPAA: privacy and confidentiality in emergency medicine--Part I: conceptual, moral, and legal foundations. (Abstract)

From Hippocrates to HIPAA: privacy and confidentiality in emergency medicine--Part I: conceptual, moral, and legal foundations. Respect for patient privacy and confidentiality is an ancient and a contemporary professional responsibility of physicians. Carrying out this responsibility may be more challenging and more important in the emergency department than in many other clinical settings. Part I of this 2-part article outlines the basic concepts of privacy and confidentiality, reviews

2005 Annals of Emergency Medicine

3293. From Hippocrates to HIPAA: privacy and confidentiality in emergency medicine--Part II: Challenges in the emergency department. Full Text available with Trip Pro

From Hippocrates to HIPAA: privacy and confidentiality in emergency medicine--Part II: Challenges in the emergency department. Part I of this article reviewed the concepts of privacy and confidentiality and described the moral and legal foundations and limits of these values in health care. Part II highlights specific privacy and confidentiality issues encountered in the emergency department (ED). Discussed first are physical privacy issues in the ED, including problems of ED design

2005 Annals of Emergency Medicine

3294. HIPAA enhancements to improve emergency department security. (Abstract)

HIPAA enhancements to improve emergency department security. The Health Insurance Portability and Accountability Act (HIPAA) seems to be as useful as is capitalism to the medically uninsured (or perhaps, as necessary as another leukotriene inhibitor for asthma). Is the emergency medical community doing enough? Can we improve on HIPAA to increase privacy in the emergency department? HIPAA regulations are reviewed in all their wondrous complexity and simplified so that even your medical director

2004 Annals of Emergency Medicine

3295. Health Insurance Portability Accountability Act (HIPAA) regulations: effect on medical record research. Full Text available with Trip Pro

Health Insurance Portability Accountability Act (HIPAA) regulations: effect on medical record research. To evaluate the effect of impending HIPAA regulations on Applications for Exemptions from Institutional Review Board (IRB) approval.HIPAA was implemented to reduce potential for misuse of personal information and restricts access to medical records by insurers, employers, and clinical researchers. We hypothesized that HIPAA regulations adversely impact medical records research.The UW-Madison (...) Human Subjects Committee database was accessed to evaluate success and delays in processing Applications for Exemption between September 1999 and March 2003. The number of protocols submitted, number of required revisions, and number considered nonexempt (requiring full IRB review) were determined.Prior to 2000, applications for medical records research were rare (11 applications in 1999-2000). In anticipation of the implementation of HIPAA regulations, a new application process was instituted

2004 Annals of Surgery

3296. HIPAA compliance efforts. (Abstract)

HIPAA compliance efforts. Identify the regulations from the Health Insurance Portability and Accountability Act (HIPAA) that impact the emergency department. Describe processes that demonstrate compliance with the security and privacy regulations that pertain to protected health information. Identify the consequences of noncompliance to this congressional mandate.A review of the literature was conducted to extract the effects of the legislation on emergency services. Since the inception

2004 Pediatric Emergency Care

3297. Physician PDA Use and the HIPAA Privacy Rule Full Text available with Trip Pro

Physician PDA Use and the HIPAA Privacy Rule Physicians need better access to information when making patient care decisions. Hospitals should allow electronic data transfers to physician PDAs to improve patient care, and physicians must institute measures to secure the confidentiality of patient information on their PDAs. By explicitly excluding copies from their designated record set, hospitals need not maintain copies or track access of information on personally owned PDAs.

2003 AMIA Annual Symposium Proceedings

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