HIPAANEW! NASW approved.

Learning Objectives

After completion of the course, you will be able to:

Privacy Rule: General Topics
  1. List 5 things that the HIPAA Privacy Rule requires the average provider or health
    plan to do.
  2. Describe how the HIPAA Privacy Rule protects individuals’ medical records and
    other personal health information.
Covered Entities
  1. Explain which entities are covered by the Privacy Rule by following decision trees.
Business Associate
  1. Define business associate, provide several examples of business associates, and frame a business
    associate contract.
Permitted Uses and Disclosures
  1. Discuss six permitted uses and disclosures of protected health information.
Minimum Necessary
  1. Define the HIPAA Privacy Rule’s minimum necessary standard and its application in the use and
    disclosure of protected health information. Right to Access Medical Records
  2. Explain the right of access to the protected health information afforded to patients under the HIPAA
    Privacy Rule.
Right to Amend Medical Records
  1. Explain the right to amend the protected health information afforded to patients under the HIPAA
    Privacy Rule.
Right to Accounting Disclosures
  1. Explain the right to an accounting of disclosures of protected health information afforded to patients
    under the HIPAA Privacy Rule.
Incidental Uses and Disclosures
  1. Discuss various situations where incidental uses and disclosures of protected health information are
    permitted under the Privacy Rule.
  2. Provide examples of reasonable safeguards a covered entity must implement to limit incidental, and
    avoid prohibited, uses and disclosures of protected health information.
Public Health Uses and Disclosures
  1. Explain how a covered entity can disclose protected health information to a public health authority
    and comply with the requirement to provide individuals with an accounting for disclosures.
Marketing Uses and Disclosures
  1.  Define marketing and distinguish between what is marketing and what is not marketing under the
    HIPAA Privacy Rule.
  2.  Discuss situations when an authorization is required from the patient before a provider or health
    plan can engage in marketing to that individual.
  3.  Distinguish between activities for treatment or health care operations versus marketing activities.
  4.  Identify two circumstances when a patient’s prior authorization is required for the use and disclosure
    of protected health information for marketing.
Workers’ Compensation
  1. Discuss how the Privacy Rule works with respect to disclosures for workers’ compensation.
Limited Data Set
  1. Discuss the requirement of limited data set.
  2. Discuss the use and disclosure of limited data set to a business associate under the HIPAA
    Privacy Rule.
Notice of Privacy Practices
  1. Discuss the right provided by the Privacy Rule to individuals to receive a notice of privacy
    practices for protected health information, and specify the content of the notice.
  2. Identify three entities who are not required to develop a notice of privacy practices.
Personal Rep/Parents and Minors
  1. Identify individuals and circumstances under which these individuals can have access to protected
    health information of minors or other individuals.
Research Uses and Disclosures
  1. Explain the application of HIPAA Privacy Rule in research uses and disclosures of protected health information.
Administrative Simplification
  1. Discuss the implementation of administrative simplification requirements by HHS.

Course Contents

1. Protecting the Privacy of Patient’s Health Information
  •  Overview
  •  Patient Protections
  •  Health Plans and Providers
  •  Outreach and Enforcement
2. Summary of the HIPAA Privacy Rule
  • Introduction
  • Statutory & Regulatory Background
  • Who Is Covered by The Privacy Rule
  • Definitions
  • Business Associates
  • What Information Is Protected
  • General Principle for Uses and Disclosures
  • Permitted Uses and Disclosures
  • Authorized Uses and Disclosures
  • Limiting Uses and Disclosures to the Minimum Necessary
  • Notice and Other Individual Rights
  • Administrative Requirements
  • Organizational Options
  • Other Provisions: Personal Representatives and Minors’ Personal Representatives
  • State Law
  • Enforcement and Penalties for Noncompliance
  • Compliance Dates
  • Copies of the Rule & Related Materials
  • Incidental Uses and Disclosures
  • Minimum Necessary
  • Personal Representatives
  • Business Associates
  • Uses and Disclosures for Treatment, Payment, and Health Care Operations..
  • Marketing
  • Disclosures For Public Health Activities
  • Research
  • Disclosures For Workers’ Compensation Purposes
  • Notice of Privacy Practice For Protected Health Information
  • Restrictions on Government Access to Health Information
3. Implementation of Administrative Simplification Requirements by HHS.
  • Overview
  • Implementation Plan
  • Standards Adoption Process
  • Public and Private Sector Input into the Standards Development Process
  • Implementation Schedule
  • Understanding CMS’s Compliance Policy
  • What Is a Contingency Plan?
  • Steps For Contingency Planning
  • Health Plan Responsibilities
  • Review Your Good Faith Efforts to Comply
4. Security Standard
  • General Approach
  • Specific Requirements
  • Guidance on Compliance with HIPAA Transactions and Code Sets
  • After the October 16, 2003 ImplementationDeadline
  • Enforcement Approach
  • Working Toward Compliance
  • HIPAA Administrative Simplification Compliance Act (ASCA)
  • Electronic Transaction Standards
  • Code Set Standards
  • What Is a Code Set
  • What Code Sets Have Been Adopted as HIPAA Standards?
5. FAQ About HIPAA
  • HIPAA: In General
  • Privacy Rule: General Topics
  • Protected Health Information
  • Preemption of State Law
  • Covered Entities
  • Compliance Dates
  • Minimum Necessary
  • Business Associates
  • Treatment/Payment/Health Care Operations
  • Right to Access Medical Records
  • Complaints
  • Right to an Accounting of Disclosures
  • Incidental Uses and Disclosures
  • Public Health Uses and Disclosures
  • Facility Directories
  • Disclosure to Family and Friends
  • Disclosures Required by Law
  • Disclosures for Rule Enforcement
  • Disclosures for Law Enforcement Purposes
  • Authorizations
  • Marketing Uses and Disclosures
  • Workers’ Compensation Disclosures
  • Notice of Privacy Practices
  • Personal Reps/Parents and Minors
  • Limited Data Set
  • Research Uses and Disclosures
  • Transition Provision

APPENDIX A: NOTICE OF PRIVACY PRACTICES
APPENDIX B: SAMPLE BUSINESS ASSOCIATE CONTRACT
APPENDIX C: HOW TO FILE A HEALTH INFORMATION PRIVACY COMPLAINT WITH THE OFFICE FOR CIVIL RIGHTS