Gore negore HIPAA Kudzidziswa Kuteerera

Mutano Wemainishuwarenzi Wekushandisa Mutemo uye Kuzvidavirira Mutemo wakagadzwa muna 1996. Unomanikidzwa neHhovisi yeHurumende dzeHurumende dzeHurumende yeUnited States. Ndiyo yakagadzirwa nehutungamiri hurumende yakagadzirirwa kubvumira vashandi kutora inshuwarisi yavo yezvehutano navo kana vakasiya mushandirwi, vanobvumira vanhu kuwana rubatsiro rwehutano inshumo pasinei nemamiriro ezvinhu akambovapo (mune mamwe mamiriro ezvinhu), uye kuisa mararamiro ehupenyu hwehutano hwomurwere mashoko.

• IHIPAA Privacy Rule inodzivirira hutano hwehumwe hwehutano hunozivikanwa.
• HIPAA Kudzivirirwa Mutemo inogadza mitemo yenyika yekuchengeteka kwehutano hwehutano hwemagetsi.

Zvinotarisirwa nemutemo kupa HIPAA dzidzo nekudzidziswa kune vamwe vanoshanda muhutano hwehutano hwehutano kuti vave nechokwadi chekuzvidavirira kwehutano nekuchengeteka kwehutano hwehutano hwakachengetedzwa. Masangano akavharidzirwa anofanira kudzidzisa nhengo dzose dzevashandi paHIPAA nemitemo.

1 -

HIPAA Zvimwe Zvaunoda

Nzira dzeKubvunza Pamwe Chete Zvinozivikaniswa Nehutano Hwehutano Hwehupenyu (Hwokuchengetedzwa Kwebasa) yakagadzirirwa kutarisa zvakananga kudzivirira kwehutano hwehutano hwemunhu. Zvakakosha kuti hutano hwehofisi yako yezvehutano huchengetedze HIPAA kutevedza.

Ndiani Anofukidzirwa neChinyararire Rule Rule?

• Health Plans
• Health Care Providers
• Health Care Clearinghouses

Rimwe sangano rakavharwa, sezvinotsanangurwa muHIPAA, rinogona kuva chirongwa che inshuwarhu yehutano, chirongwa chekuchengetedza utano kana mutapi wehutano anotumira mashoko ehutano akachengeteka ehurumende uye anogona kuva masangano, masangano kana vanhu.

Vanachiremba uye vamwe vezvehutano vanoshanda nevarwere uye zvakavanzika zvehutano zvehutano vanofanira kuchengetedza mitemo, mitemo, nemitemo yakagadzirirwa kuchengetedza kuchengetedza kwevarwere nekuvanzika. Vose vanopa hutano vane basa rekuchengeta vashandi vavo vakadzidziswa uye vane ruzivo maererano neHIPAA kuteerera . Zvingave zvichirangarirwa kana zvisingabvumirwi, kuziviswa kusina mvumo kwePHI kunonzi kunopesana kweHIPAA.

• Business Associates

Mushandi webhizimisi, sezvinotsanangurwa neHIPAA, munhu chero upi zvake kana sangano rinoita bhizinesi rinosanganisira kushandiswa kana kuziviswa kwehutano hwehutano hwakachengetedzwa panzvimbo yechinhu chakavharidzirwa uye hausi mushandi weiyo yakavharwa.

Ndeapi Mashoko Anodzivirirwa?

PHI kana kuchengetedzwa kwehutano hwehutano kunoreva chero ruzivo rwehumwe ruzivo rwunosanganisira murugwaro rwechiremba rwechiremba runoparidzirwa kana kuchengetedzwa mune chero chimiro.

Zvishandiso uye Kuratidzwa

Rimwe sangano rinofukidzira rinogona kushandisa kana kuzivisa ruzivo rwehutano rwakachengetedzwa (PHI) pasina mvumo mune mamwe mamiriro ezvinhu.

1. Kune Munhu Mumwechete
2. Kurapa, Kubhadhara, uye Healthcare Operations
3. Zvishandiso uye Kuratidzwa neMikana Yekubvumirana kana Kuda
4. Kushandiswa Kunosanganisira Kuzivisa.
5. Zvido zveHuzhinji uye Mabasa Okubatsira
6. Limited Data Yakagadzirirwa zvinangwa zvekutsvakurudza, hutano hwehutano kana hutano hwekutarisira

Nzvimbo Yakachengetedzwa Inoshandisa Zita

Vatapi vezvehutano vane mvumo yekupa varwere vavo neChinyorwa cheZvirongwa Zvimwe. Ichi chinocherechedza, sezvinodiwa neHIPAA Privacy Rule, inopa varwere kodzero yekutaurirwa pamusoro pekodzero dzavo dzepachivande sezvazviri maererano nehupenyu hwavo hwakachengetedzwa hwehutano (PHI).

Chizivo chinofanirwa kutsanangura mamwe mazano zviri nyore kunzwisisa mazwi:

• Mutevedzeri achashandisa sei nekubudisa pachena PHI yavo
• Vane kodzero vane maonero maererano nePHI yavo pachavo
• Mutsara unozivisa murwere wemitemo inoda kuti mupepeti arambe akazvimirira zvePHI yavo
• Ndivanaani vanogona kutaurirana kuti vawane mamwe mashoko pamusoro pemitemo yevadzidzisi vevamwe

Kuteerera uye Kutongwa kweKusateerera

Civil Money Penalties

• $ 100 kubudikidza nekukundikana kutevera
• $ 25,000 pahuwandu kwegore nekuda kwekuputsika kwakawanda kwezvinodiwa zvakafanana

Chirango chemhosva (nokuda kwekuziva nekuwana kana kuzivisa PHI mukuputsa HIPAA)

• $ 50,000 yakanaka uye kusvika kune rimwe gore mujeri
• $ 100,000 yakanaka uye kusvika kumakore mashanu ari mujeri (kana kukanganisa kunosanganisira kunyengedzwa kwenhema)
• $ 250,000 yakanaka uye kusvika makore gumi mujeri (kana kukanganisa kunosanganisira chinangwa chokutengesa, kutamisa, kana kushandisa PHI)

2 -

HIPAA kuchengeteka Mutemo

The Security Standards for Kudzivirirwa Kwemagetsi Anodzivirirwa Utano Hwehupenyu (iyo Security Rule)

HIPAA kuchengetedzwa kunoreva kugadzirisa kuchengetedzwa kwePHI mune chero upi hwemagetsi. Izvi zvinosanganisira chero ruzivo rwakashandiswa, rwakachengetwa kana kuparadzirwa kwekombiyuta. Chero chinzvimbo chinotsanangurwa neHIPAA sechinhu chakavharidzirwa chine mutoro wekuvimbisa kuchengetedza uye kuchengeteka kwemashoko omurwere uye nekuchengetedza zvakavanzika zvePHI yavo.

Ndiani Anofukidzirwa Nekuchengeteka Mutemo?

• Health Plans
• Health Care Providers
• Health Care Clearinghouses

Rimwe sangano rakavharwa, sezvinotsanangurwa muHIPAA, rinogona kuva chirongwa che inshuwarhu yehutano, chirongwa chekuchengetedza utano kana mutapi wehutano anotumira mashoko ehutano akachengeteka ehurumende uye anogona kuva masangano, masangano kana vanhu.

• Business Associates

Mushandi webhizimisi, sezvinotsanangurwa neHIPAA, munhu chero upi zvake kana sangano rinoita bhizinesi rinosanganisira kushandiswa kana kuziviswa kwehutano hwehutano hwakachengetedzwa panzvimbo yechinhu chakavharidzirwa uye hausi mushandi weiyo yakavharwa.

Ndeapi Mashoko Anodzivirirwa?

Electronic PHI kana Dziviriro Yehutano Yakachengetedzwa inoreva chero ruzivo rumwe ruzivo rwekutsvaga rwunosanganisira murwere rwechiremba wezvechiremba runoparadzirwa kana kuchengetedzwa chero ipi zvayo. Mutemo wekuchengeteka usingabatanidzi PHI inotumirwa mumuromo kana kunyorwa.

Administrative Simplification

Izvo zvinyorwa zvinyorwa zvinyorwa zveHIPAA zvinogadzira mitemo yenyika yekuchengeteka kwemashoko ehutano akachengeteka ehutano. Izvi zvinosanganisira mitemo uye mitemo yekutengeserana uye kodeti inotarisa uye zvitsva zvevashandi nevateresi.

Kutengesa uye Code Set Standards

Nhamba dzekutengeserana kweElectronic Data Interchange (EDI) dzekuchengetedza kwehutano dzinosanganisira zvikwereti uye dzinosangana nemashoko, kubhadhara uye kubhadhara mazano, hutano hwemhosva, kukodzera, kubhadhara uye kuparadzaniswa, kutumirwa uye kupiwa simba, kubatana kwezvipo uye kubhadhara mari yepamusoro.

Nhamba yekodhi inogadzirisa zvirongwa zvekuongororwa, nzira, uye zvinodhaka zvinosanganisira HCPCS (Ancillary Services / Procedures), CPT-4 (Physicians Procedures), CDT (Dental Terminology), ICD-9 (Kuongororwa uye chipatara chirwere chemaperembudzi), ICD-10 ( Kubva munaOctober 1, 2015) uye NDC (National Drug Codes) nheyo.

Chizivo Maitiro kune Vashandi Nevanopa

Zvinyorwa zvitsvene zvinosanganisira The Employer Identification Number (EIN) uye The National Provider Identifier (NPI). IEIN inoshandiswa kuzivisa vashandisi pamatareji akaenzana. Mutungamiri weNational Provider Identification kana NPI nhamba gumi, yakasiyana-siyana yekuzivikanwa inoshandiswa kutora nzvimbo yekupa vapezi seNhamba yeNyika yeZvipa Inowanikwa (UPIN) muHIPAA zvinyorwa zvese. Vatapi vezvehutano vanodiwa nemutemo weHIPAA kuwana NPI.

Mitemo yekuchengetedza HIPAA kuchengetedzwa inosanganisira kuchengetedzwa kwezvinhu zvitatu zvinokosha.

Zvokuchengetedza Zvokuchengetedzwa

1. Ita chirongwa chekuchengetedza chirongwa chekuchengetedza kusanganisira kushandiswa kwemitemo nemitemo, kuongorora kweperi, chirongwa chekugadziriswa uye zvimwe zvidziviriro zvekuita kuti vateereri vehofisi vezvehutano vabvumirwe.
2. Ipa mutoro wekuchengeteka kumunhu akasarudzwa kuti atarisire uye atarisire kushandiswa kwekuchengetedzwa kwehutano uye mufambiro wevashandi.
3. Itai zvinhu zvinoita kuti vashandi vave nekudzidziswa kwakakodzera uye mvumo yakakodzera yekuwana PHI.
4. Tsanangura maitiro ekuwanika kwevashandi vose uye kuti anopiwa sei
5. Anoda kuti vese vashandi vepahofisi vekurapa kusanganisira vatungamiri vanochengetedzwa kuchengeteka uye vane zviyeuchidzo zvepanguva uye shanduro yekushandisa.

Zvokuchengetedza Muviri

1. Firiza PHI munzvimbo yakachengeteka uye nzvimbo yevashandi yevashandi (izvi zvinosanganisira kushandiswa kwekiki, makii, uye mabheji anozarura magonhi) anorega kugona kune vanhu vasingabvumirwi uye vashandi.
2. Ita mazano ekusimbisa zvibvumirano zvekugamuchira, kugadziriswa kwemichina, uye kubata vatenzi. Ita uye kupa magwaro eine mirayiridzo yekuti iwe office rezvechiremba rinogona kubatsira sei kuchengetedza PHI (somuenzaniso, kuvhara kombiyuta isati yaisiya isina kutarisirwa)
3. Ipa kudzivirirwa pamoto nedzimwe njodzi

Zvekuchengeteka

1. Gadzira chiziviso chakasiyana-siyana chemushandisi kusanganisira passwords uye nhamba dzepini
2. Ita yekutengesa logoff control
3. Nyora uye uongorore basa remabasa ekugadzirisa zvinangwa
4. Shandisa zvinyorwa zvinyorwa kuti uchengetedze dhiyabhorosi kudarika pamusoro pewetaneti

Kuteerera uye Kutongwa kweKusateerera

Civil Money Penalties

• $ 100 kubudikidza nekukundikana kutevera
• $ 25,000 pahuwandu kwegore nekuda kwekuputsika kwakawanda kwezvinodiwa zvakafanana

Chirango chemhosva (nokuda kwekuziva nekuwana kana kuzivisa PHI mukuputsa HIPAA)

• $ 50,000 yakanaka uye kusvikira gore rimwe mujeri
• $ 100,000 yakanaka uye kusvika kumakore mashanu ari mujeri (kana kukanganisa kunosanganisira kunyengedzwa kwenhema)
• $ 250,000 yakanaka uye kusvika makore gumi mujeri (kana kukanganisa kunosanganisira chinangwa chokutengesa, kutamisa, kana kushandisa PHI)

3 -

Mazano Okudzivisa Kurwisana HIPAA

1. Tora matanho anodiwa kuti ugare usina kuzivisa ruzivo kuburikidza nekugara uchikurukurirana. Dzivisa kuzarura ruzivo kuburikidza nekugara uchikurukurirana; kukurukura nezvehutano hwemashoko munzvimbo dzekumirira, kumigwagwa kana kukwira; kukanganiswa kwakakodzera kwePHI; uye ruzivo rwekutsvaga ruzive rushoma kune vashandi vane mabasa anoda kuti ruzivo. Mashoko makuru anogona kuonekwa seasina maturo zvokuti anogona nyore nyore kutaurwa mukutaura nguva dzose asi inofanira kugoverwa chete pane chido chekuziva nheyo.
2. Dzivisa kukurukura nemashoko ekurwara munharaunda dzekumirira, kumigwagwa kana kukwira. Mashoko ane njere anogona kunzwiwa nevashanyi kana vamwe varwere. Uyewo iva nechokwadi chekuti uchengetedze magwaro evarwere kubva pane zvinowanikwa kuvanhu. Sezvo kutarisa mune madheski uye vanamukoti vari kunze, enda kune imwe nzvimbo yakawanda kuti uone kuti makombiyuta anodzivirirwa nguva dzose. Chati vakachengetwa vanofanira kuiswa uye pamberi pepamusoro yakavharwa maererano neHIPAA mitemo.
3. PHI haifaniri kutongororwa mumarara. Chero gwaro rakakandwa mumarara rakasununguka kuvanhu uye naizvozvo kuputsa kwemashoko. Kune nzira dzakawanda dzekurasa PHI. Kurapa kwakakodzera pepa PHI kunosanganisira kupisa kana kupisa. Electronic PHI inogona kushandiswa nekubvisa, kubvisa, kugadziridza, kuchenesa, kunyunguduka, kana kupisa.
4. Kune huwandu hwehutano huripo hwakagadzirirwa kuchengetedza dambudziko revarwere. Sarudza pakusarudza zvigadzirwa uye software iyo yakachengetedzwa dhepfenyuro pamusoro pekutsvaga kusina wireless kusanganisira firewalls, anti-virus, anti-spyware, uye inyanzvi yekuongorora yekupinda. Shandisa zvakanyanyisa kana ukawana dhesi pamusoro pekubatana kwekune kure. Nyanzvi dzinoti dzinoshandisa nzira mbiri yekuvimbiswa nenheyo dzekuchengeteka uye passwords.