Description
Develop a release of patient information compliance checklist (3-4 pages) for hospital staff members to follow. Include an introduction that covers the HIPAA Privacy Rule, proper and improper use of health information, and existing controls to protect patient confidentiality and privacy.
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Introduction
Electronic health records and modern communication technologies have made health information increasingly accessible. As a result, maintaining privacy requires the handlers of health information to know and follow release of information (ROI) protocols closely. ROI is also critical to the quality of the continuity of care. ROI also plays a significant role in billing, reporting, and other functions related to patient care processes.
ROI procedures must clearly define privacy and confidentiality, often used interchangeably. However, they are distinctly different concepts. Privacy refers to the freedom from intrusion into an individual’s personal information. Confidentiality refers to the sharing of information with unauthorized users. Confidentiality is usually viewed as an ethical responsibility; however, privacy is more of a legal matter.
Privacy specialists believe that patient information belongs to patients, and they have a right to protect themselves from the potential impacts of having their information available to providers and other users. However, release of patient information is often needed for providing patient care and serving other purposes. HIPAA establishes the standard to protect patients’ confidential information and specifies the procedures for releasing it.
In this assessment you will continue on in your new role as a HIM analyst for Valley City Regional Hospital. You will gather information from the hospital’s risk manager about privacy issues and develop a three- to four-page compliance checklist, including an introduction, for the release of patient information for all hospital staff members to follow. You will want to make sure that your checklist specifically addresses the privacy issues the risk manager shared with you.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
Competency 1: Describe the purposes and scope of the Health Information Portability and Accountability Act (HIPAA).
Explain how the HIPAA Privacy Rule applies to audit violations.
Competency 2: Integrate privacy rules and regulations into health information management processes.
Outline the release of information process, including procedures, used for highly sensitive data.
Distinguish between proper and improper use of health information.
Describe the process to de-identify patient information.
Describe controls to protect patient confidentiality and privacy.
Competency 5: Communicate effectively in a professional and ethical manner.
Create a clear, well-organized, professional compliance checklist that is generally free of errors in grammar, punctuation, and spelling.
Follow APA style and formatting guidelines for citations and references.
Preparation
To successfully complete this second course assessment:
View this media piece: Vila Health: Privacy.
As you view the media piece, keep in mind privacy requirements and the potential privacy violations presented. Based on the media piece, you will develop a compliance checklist, outlining for staff members the steps they need to take to release patient information.
Review the risk report and SWOT analysis you completed in Assessment 1. You may have an opportunity to incorporate elements from some of your previous work into this assessment.
Instructions
In this assessment you will continue on in your new role as a HIM analyst for Valley City Regional Hospital. The director of quality assurance likes the risk report you recently prepared (Assessment 1). Now, he would like you to complete another task.
Other leaders have brought to his attention some concerns about whether hospital staff professionals are consistently complying with privacy requirements. He’d like you to gather information from the hospital’s risk manager about this issue. The Vila Health: Privacy media piece will provide information about the risk manager’s insights. Your task will be to develop a three- to four- page compliance checklist, including an introduction, for the release of patient information for all hospital staff members to follow. You will want to make sure that your checklist specifically addresses the privacy issues the risk manager shared with you.
Be sure your ROI checklist includes all of the following:
What are the major steps hospital staff members need to follow when releasing patient information?
How does the HIPAA Privacy Rule apply to each step in the process?
What are the proper procedures to follow when de-identifying patient information?
Also include an introduction to your checklist. Your introduction needs to address all of the following questions:
What is the HIPAA Privacy Rule and how does it apply to the ROI process?
What constitutes proper and improper use of health information?
What controls does Valley Regional Hospital have in place to protect patient confidentiality and privacy?
Note: As a best practice, consider completing the checklist first. As you write the checklist, you may discover information you want to include in your introduction.
Additional Requirements
Length: 3- to 4-page double-spaced compliance checklist with an introduction.
Format: Times Roman, 12-point type.
APA: Follow APA style and formatting guidelines for citations and references. Include a separate works cited page for your references.
Writing: Create a clear, well-organized, professional compliance checklist that is generally free of errors in grammar, punctuation, and spelling.
Privacy Scoring Guide
CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
Outline the release of information process, including procedures, used for highly sensitive data. Does not outline the release of information process, including procedures, used for highly sensitive data. Outlines the release of information process, including procedures, used for highly sensitive data in minimal depth and detail. Outlines the release of information process, including procedures, used for highly sensitive data. Outlines the release of information process, including procedures, used for highly sensitive data. Outline is highly detailed, including numerous specifics.
Distinguish between proper and improper use of health information. Does not distinguish between proper and improper use of health information. Distinguishes between proper and improper use of health information in minimal depth and detail. Distinguishes between proper and improper use of health information. Distinguishes between proper and improper use of health information. Includes multiple examples and references to current, scholarly and/or authoritative sources.
Describe the process to de-identify patient information. Does not describe the process to de-identify patient information. Attempts to describe the process to de-identify patient information; however, omissions and/or errors exist. Describes the process to de-identify patient information. Describes the process to de-identify patient information. Description includes multiple examples and references to current, scholarly and/or authoritative sources.
Describe controls to protect patient confidentiality and privacy. Does not describe controls to protect patient confidentiality and privacy. Describes controls to protect patient confidentiality and privacy in minimal depth and detail. Describes controls to protect patient confidentiality and privacy. Describes controls to protect patient confidentiality and privacy. Description includes multiple examples and references to current, scholarly, and/or authoritative sources.
Explain how the HIPAA Privacy Rule applies to audit violations. Does not explain how the HIPAA Privacy Rule applies to audit violations. Explains how the HIPAA Privacy Rule applies to audit violations in minimal depth and detail. Explains how the HIPAA Privacy Rule applies to audit violations. Explains how the HIPAA Privacy Rule applies to audit violations. Explanation includes multiple specifics and references to current, scholarly, and/or authoritative sources.
Create a clear, well-organized, professional compliance checklist that is generally free of errors in grammar, punctuation, and spelling. Does not create a clear, well-organized, professional compliance checklist that is generally free of errors in grammar, punctuation, and spelling. Attempts to create a clear, well-organized, professional compliance checklist that is generally free of errors in grammar, punctuation, and spelling. However, lapses, omissions, and/or errors exist. Creates a clear, well-organized, professional compliance checklist that is generally free of errors in grammar, punctuation, and spelling. Creates a clear, well-organized, professional, and error-free compliance checklist. Checklist includes multiple examples and references to current, scholarly, and/or authoritative sources.
Follow APA style and formatting guidelines for citations and references. Does not follow APA style and formatting guidelines for citations and references. Attempts to follow APA style and formatting guidelines for citations and references; however, omissions and/or errors exist. Follows APA style and formatting guidelines for citations and references. Follows APA style and formatting guidelines for citations and references without errors and/or omissions.
Unformatted Attachment Preview
1/11/24, 4:12 PM
Vila Health: Privacy
Privacy
The Hospital Floor
Click each icon to learn what Lawrence learned in his audit.
Okay, here are a few things I noticed that you might want to address in your
compliance checklist.
Kathryn Chapman voice mail
Leona Davis and Gayle Slocum
conversation
Brendan Davis email
https://media.capella.edu/CourseMedia/HIM4660/VilaHealth-Privacy/wrapper.asp#
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1/11/24, 4:12 PM
Vila Health: Privacy
Joann Reese and Scott
McKinney conversation
Shauna Dean and Margie Hodges
conversation
Intro
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Transcript (transcript.asp)
Licensed under a Creative Commons Attribution 3.0 License (https://creativecommons.org/licenses/by-nc-nd/3.0/).
https://media.capella.edu/CourseMedia/HIM4660/VilaHealth-Privacy/wrapper.asp#
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