The HIPAA Security Rule guidelines used during this study were:Ī well publicized security breach of the Kaiser Permenante internet patient portal exposed the shortcomings within organizations with direct consequence for the HIPAA Security and Privacy Rule.
Prevent and respond to incidents and gaps in controls.Ī HIPAA compliance case study 8 of Sharp Healthcare-with 2,600 physician offices and 400 IT applications serving nearly 3 million San Diego county residents found that 40% to 70% of the users of its various IT systems were not employees which directly affected the access control process of the systems involved as per the HIPAA privacy and security rules. Implement regular control monitoring and auditing.Ĭonsistently enforce control environment. Require personnel screening and access control.Įnsure compliance through training and communication. General guidelines for HIPAA compliance in the “Seven Habits” format 7 are as follows:ĭocument the policy and control environment.Īssign appropriate oversight of compliance management. A macro-informatics view with the healthcare informatics workflow as the centralized component, and related components either using the workflow or affecting it, is shown in Figure 1 below: healthcare system has several disparate components: Medicare, Medicaid, private insurance, VA and government insurance, out-of-pocket and uncompensated care. The secure portability and accountability of patient and insurance information requires the increased use of information technologies. This paper is a review of the current challenges, trends and initiatives around the various processes and regulations, as related to Health Informatics, and is organized into the process and compliance for HIPAA, secure email and fax communications interfaces, e-prescriptions, the national provider identifier, patient safety, the health information technology savings claims versus costs and a summary discussion. Hairs are never taken away, only added.” The corporate and bureaucratic ecosystem around the hairball is “a Gordian Knot of corporate normalcy.” One editorial observer noted that the Health Insurance Portability and Accountability Act (HIPAA) 1 was “Health Care’s Giant Hairball” 2 after Gordon MacKenzie’s observation of the layering and addition to bureaucracy in his book ‘Orbiting the Giant Hairball’, where he notes that “every new policy ( or regulation, system, procedure or form) is another hair for the hairball. Health Information Technology (Health IT) projects continue to have a significant failure rate Open Source technologies are a viable alternative both for cost reduction and scalability.Ī discussion on the macro view of health informatics is also presented within the context of healthcare models and a comparison of the U.S. There are no real savings yet from the usage of health information technologies the costs for implementation remain high, and the business model has not evolved to meet the needs.
Integration of e-prescribing and NPI data is an area where health informatics can make a real difference. HIPAA compliance is complex data interoperability and integration remains difficult.Įmail and faxing is possible with current over-the-shelf technologies within the purview of the HIPAA Security and Privacy rule. A review of the current challenges, trends and initiatives around the various regulations as related to Health Informatics in the United States is presented.Ī summary of the functions in a workflow-based approach organized into the process and compliance for HIPAA, secure email and fax communications interfaces, e-prescriptions and patient safety and the health information technology savings claims versus costs follows:
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