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Scenario 10 -Identifying Privacy Violations Staff at Community Hospital, a 200-b

ID: 127437 • Letter: S

Question

Scenario 10 -Identifying Privacy Violations Staff at Community Hospital, a 200-bed facility, has been busy with HIPAA Privacy Rule issues recently. Community Hospital is regularly surveyed by the city safety department for compliance with local codes related to issues such as fire and water safety. Community Hospital's privacy officer has issued an unsigned business associate agreement to the department of health, instructing the chief of its survey office to sign it because its surveyors, who may come into contact with Community Hospital's PHI, function as business associates Recently, the hospital's emergency room staff has informed the privacy officer that patients family members have been bringing cameras into the emergency room to photograph treatment as it is occurring. The privacy officer instructs emergency room staff to log the names of individuals who are taking the pictures. He then sends letters to the family members, notifying them that they have committed a HIPAA violation and their names may be turned over to the Office for Civil Rights for investigation. Elderly patients are frequently discharged from the hospital to local nursing homes for skilled rehabilitation following orthopedic issues such as hip fractures and many types of surgeries. Staff on the units from which patients have been discharged have routinely copied the entire patient chart to accompany the patient to the nursing home, but the privacy officer informed them that this is a violation of the HIPAA Privacy Rule 1. Identify the HIPAA Privacy Rule concept that is at issue in each paragraph of this scenario. 2. Has Community Hospital's privacy officer correctly interpreted the Privacy Rule requirements in each situation? 3. For each analyze and explain why or why not?

Explanation / Answer

1. Answer

1st paragraph

Hospital privacy officer should sign the business agreement under HIPPA rules, Surverys should also sign obeying that they would not violate HIPPA

2nd paragraph

Taking photographs in restricted area is one off the HIPPA violating issue

3rd paragraph

Taking patient file is from one hospital to another is against HIPPA

2. Answer

According to me Yes, he has interpreted he correct privacy requirement rule.

3. Answer.

Signing format should follow strctly. If the respected people can not sign the agreement, during inspections it is going to be a finding that they not in accodence with HIPPA

Should restrict people inside the treatment room in emergency to avoild privacy issues like taking photographs and all. Emergency room is a restricted area but there are cameras fixed from hospital end, if something wrong they do with the patient we can see the footage and punish staff for the disturbance caused. But as per HIPPA and not disturbing other patinets we will not allow too crowd in the emergency area. First we should instruct and guide the patient family upfront we can not issue letters.

Accoding to HIPPA we should protect patient health information but when he is going to another center staff should give discharge summary to the patient attenders so that they will continue the treatment, it against HIPPA copying whole patient chart

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