Executive Committee Presentation

Executive Committee Presentation


HIPPA Compliance 1996

Decreases health care fraud and abuseCommands industry-wide standards for health care information on electronic billing and other processesRequires the protection and confidential handling of protected health information


Response to Situation Per HIPAA Regulations (1996): Privacy, Security, and HITECH (2009)

Individual NoticeMedia NoticeNotice to the SecretaryNotification of a Business Associate

Response to situation per HIPAA Regulations (1996): Privacy, Security, and HITECH 2009

UnintentionalInadvertently DisclosureGood Faith Belief

Ethical Issues of the Situation

NotificationsRemedial Action Reported

Employee Follow-Up

Recommended Changes Per 1996 HIPPA: Data Security and Privacy Compliance

Assign responsibilityKeep Protected Health Information (PHI) secure and privateEstablish office policies, implementation procedures, and training for employees Inform patients of their rights and support those rights Limit access of patient information to businesses outside the organization


Medical Error (Incident Reports)

Incident report if filed when medical errors occurIn hospitals, nursing homes, and assisted livingThese describe what happened at the sceneHelpful when dealing with possible future liability issues

Response to Medical Error to Reduce Liability

Acknowledgement of the ErrorTransparencyEthics

Ethical Issues of Medical Errors

Harm to patientsDisclosure of ErrorImpact of quality of care

Responses to Joint Commission Concerns

Identify and prioritize high risk processesUse a team approachConduct risk assessmentsOpportunity to improve patient safety

Strategy to Reduce Medical Errors

Anticipate the unexpectedPromote effective teamsCreate a learning environment



Annual Report to Congress on Breaches of Unsecured Protected Health Information : For Calendar Years 2009 and 2010 http://www.hhs.gov/ocr/privacy/hipaa/administrative/breachnotificationrule/brinstruction.html Department of Health & Human Services. (n.d.). Instructions for Submitting Notice of a Breach to the Secretary. Retrieved November 15, 2013, from http://www.hhs.gov/ocr/privacy/hipaa/administrative/breachnotificationrule/brinstruction.htmlErlen, J. (2001). Medication Errors: ethical implications.Orthopedic Nursing20(4), 82-5. Freeman Cook, A., & Hoas, H. (2008). Ethics Conflicts in Rural Communities: Recognizing and Disclosing Medical Errors (2nd ed.). Retrieved from http://geiselmed.dartmouth.edu/cfm/resources/ethics/chapter-12.pdf. Fremgen, B. F. (2012). Medical law and ethics: An interactive look at the decision, dilemmas, and regulations in healthcare practice today (4th ed.). Upper Saddle River, NJ: Prentice Hall.Lesar, T. S. (2000, July 24). Recommendations for Reducing Medical Errors. Retrieved November 14, 2013, from http://http://www.medscape.com/viewarticle/408566_2 Sentinel Event Alert. (2001, February 27). The Joint Commission. Retrieved November 14, 2013, from http://www.jointcommission.org/assets/1/18/SEA_16.pdf