Executive Committee Presentation
Introduction
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
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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
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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
Conclusion
References
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 Nursing, 20(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
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