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HRSA HIPAA contacts

Jessica Townsend
Senior Staff Fellow
Office of Planning and Evaluation
301 443-0371 - Phone
jtownsend@hrsa.gov

Forrest W. Calico, MD, MPH
Health Systems Advisor
Office of Rural Health Policy
301 443-0614 – phone
fcalico@hrsa.gov 

Shannon Dunne Faltens, JD
Public Health Analyst
DHHS/HRSA/Bureau of Primary Health Care
Office of Program & Policy Development
sfaltens@hrsa.gov

Ivana Williams
Senior Program Management Officer
Office of Policy and Program Development
HIV/AIDS Bureau
301-443-8364
iwilliams@hrsa.gov

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HIPAA Overviews, New and Useful Tools

HIPAA Security for HRSA Grantees:
A Practical Approach to Compliance

For those of you unable to tune into the April 6th the audio conference, and for those who would like to have colleagues hear it, an archive of the audio conference is now available though On Demand Audio Stream.

This program assists HRSA grantees in understanding and fully implementing the HIPAA Security regulation. Implementing the new HIPAA standard for Security can be a daunting task for medical clinic administrators. This easy-to-understand session discusses each of the major components of the regulation including administrative requirements, physical safeguards and technical measures. Included are helpful tools to develop and implement practical, cost-effective policies and procedures to comply with these federal mandates.

With Steven Lazarus, PhD, FHIMSS, from Boundary Information Group Inc., and Robert Tennant, MA from MGMA’s Government Affairs Department

Presented by MGMA and Sponsored by the Health Resources and Services Administration (HRSA)

To listen to the audio conference and download the handouts visit: http://www.mgma.com/special/grantee.cfm

If, after listening to the conference, you have questions, you can post your query on a special discussion board which has been set up for HRSA grantees. Questions will be answered by the MGMA faculty. The handout for the conference includes information on how to access the discussion board.

If you have difficulty in accessing this website, please call 1.877.275.6462 ext. 1875 for assistance


HIPAA Security Standards Final Rule Published - The final Rule adopting HIPAA standards for the security of electronic health information was published in the Federal Register on February 20, 2003. This final rule specifies a series of administrative, technical, and physical security procedures for covered entities to use to assure the confidentiality of electronic protected health information. The standards are delineated into either required or addressable implementation specifications. Click here to view the Final Rule (PDF 914K).

Are you a covered entity under HIPAA? To find out use the decision tools put out by CMS http://www.cms.gov/hipaa/hipaa2/support/tools/decisionsupport/default.asp

http://hhs.gov/ocr/hipaa -- The Office of Civil Rights (OCR) is the Departmental component responsible for implementing and enforcing the privacy regulation.  Provides viewing of the Final Privacy Regulation in various formats and policy guidance. This site also provides the offical tools, helpful information and fact sheets, and helpful Frequently Asked Questions. It should be your starting place for privacy rule implementation.

For new Frequently Asked Questions and facts about the modifications to the Privacy rule, use this link http://hhs.gov/ocr/hipaa/whatsnew.html.

Protecting Health Information Privacy and Complying with Federal Regulations A Resource Guide for HIV Services Providers and the Health Resources and Services Administration's HIV/AIDS Bureau Staff http://hab.hrsa.gov/publications/hippa04.htm

http://cms.hhs.gov/hipaa -- Centers for Medicare and Medicaid Services (formerly HCFA), official HIPAA site.  Provides general information on Administrative Simplification, the Transactions and Code Sets and Securities Rules, and HIPAA related information on Medicare and Medicaid.

Here is a document that will help the writer of a Notice of Privacy Practices create a notice that does not require a high literacy level. The document describes principles for writing plain English, clear layout, and presentation. It also suggests some easily understandable words and phrases that can be used.

A letter from the CMS Administrator to all providers explaining Transactions and Code Sets implementation: http://www.cms.gov/hipaa/hipaa2/Letter092203.pdf

Guidance from CMS on its approach to compliance with the Standard Transactions and Code Sets. This also includes ways in which entities can demonstrate good faith compliance. http://www.cms.gov/hipaa/hipaa2/guidance-final.pdf

Below is a link to short internet videos developed by CMS on various aspects of implementing HIPAA.
http://www.eventstreams.com/cms/tm_001/launch.htm

http://www.samhsa.gov/hipaa/index.html -- This site was developed by the Substance Abuse and Mental Health Administration to provide information and assistance to grantees.  In addition to providing an overview of HIPAA it addresses some issues of importance to substance abuse and mental health providers.

http://snip.wedi.org/public/articles/index.cfm?cat=9 (Not a Federal Government Site) -- This site was developed by the Workgroup for Electronic Data Interchange-- Strategic National Implementation Process.  Succinct summary of  the various parts of HIPAA.


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HRSA Bureaus and Offices

Protecting Health Information Privacy and Complying with Federal Regulations A Resource Guide for HIV Services Providers and the Health Resources and Services Administration's HIV/AIDS Bureau Staff http://hab.hrsa.gov/publications/hippa04.htm

http://bphc.hrsa.gov:80/hipaa/  -- Bureau of Primary Health Care.  Site includes an example of a HIPAA specific Risk Assessment Plan for Community Health Centers and what health centers need to know about Transactions and Code Set Standards.

http://telehealth.hrsa.gov/pubs/hipaa.htm -- Privacy Rule discussion and section section on how HIPAA may affect Telemedicine providers.

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Compliance

http://hhs.gov/ocr/hipaa/contractprov.html Sample Business Associate Contract Provisions from OCR.

www.hhs.gov/ocr/hipaa/finalmaster.html -- OCR is responsible for enforcement of the privacy rule.  Here is an excellent overview.  Uses an easy to follow question and answer format for providing guidance.  Answers the “who, what, when…” of compliance issues.

http://sharpworkgroup.com/index.html (Not a Federal Government Site) -- Southern HIPAA Administrative Regional Process.  All-volunteer workgroup.  Focused on regional coordination for successful HIPAA compliance for all stakeholders in the southern regional healthcare industry.  They have useful links and information on transactions, code sets, identifiers and implementation assistance.

http://www.ama-assn.org/ama/pub/category/6438.html (Not a Federal Government Site) -- AMA site.  Guides the reader through a compliance process.  Physicians are the target audience, but useful for clinics and others provider groups.

http://www.hipaadvisory.com/regs/index.htm (Not a Federal Government Site) -- Commercial resource sponsored by Phoenix Health Systems.  Site has many useful links on compliance countdowns, privacy, tools and commercial products.  Daily updates on wide range of HIPAA issues.

www.nchica.org (Not a Federal Government Site) -- The North Carolina Healthcare Information and Communications Alliance.  This site has HIPAA information including tools (checklists, how to get started etc.) white papers, FAQs and resource links.  It also provides a job description for Privacy Officer.

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Toolkits and Checklists

http://snip.wedi.org/public/articles/index.cfm?Cat=17 (Not a Federal Government Site) -- Security and Privacy White Papers developed by the Workgroup for Electronic Data Interchange—Strategic National Implementation Process.  Detailed discussion of implementation of privacy and security provisions including immediate and longer terms steps to take..

http://www.wpc-edi.com/hipaa/HIPAA_40.asp (Not a Federal Government Site) -- Washington Publishing Company, publisher of HIPAA implementation guides.  Guides may be purchased or downloaded for free in PDF format.  

http://www.ama-assn.org/ama/pub/category/6698.html (Not a Federal Government Site) -- AMA offers model forms: authorizations, consent and Notice of Privacy Practices. Reproduction and use of the forms by physicians and their staff is permitted. Any other use, duplication or distribution of   the forms by any other party requires the prior written approval of the American Medical Association, Health Law Department.

http://www.hospitalconnect.com/aha/key_issues/hipaa/index.html (Not a Federal Government Site) -- Extensive HIPAA information site.  Offers model forms and documents, including an Authorization Form and a Business Associate Agreement.  Also provides discussions, articles, publications and links. 

Meetings, Conferences and Training Opportunities

www.sharpworkgroup.com/index.html (Not a Federal Government Site) -- Lists various conferences and meetings. 


Special Topics

Public Health

* HIPAA Privacy Rule and Public Health Guidance from CDC and
the U.S. Department of Health and Human Services
http://www.cdc.gov/mmwr/preview/mmwrhtml/m2e411a1.htm

* Appendix A: Selected Privacy Rule Concepts and Definitions
http://www.cdc.gov/mmwr/preview/mmwrhtml/m2e411a2.htm

* Appendix B: Sample Text That Can Be Used To Clarify Public
Health Issues Under the Privacy Rule
http://www.cdc.gov/mmwr/preview/mmwrhtml/m2e411a3.htm
The file type available is Adobe Acrobat (PDF). The PDF file, contain graphics and figures and are true representations of the hard copy of the MMWR. The Adobe Acrobat format requires an Adobe Reader.

Research

HIPAA Privacy Rule - This Web site has been developed to provide the research community with information about the HIPAA Privacy Rule and how it might affect research

Statistical Data (Not a Federal Government Site) - The Privacy and Confidentiality Committee of the American Statistical Association has just made available a comprehensive website dealing with confidentiality, privacy and a number of related topics. http://gill.amstat.org/comm/CmtePC/

Data standards - http://www.mahealthdata.org (Not a Federal Government Site) -- Massachusetts Health Data Consortium.  This site has a useful cross-reference chart among the regulation text, preamble explanations and response to comments.

www.wpc-edi.com/models/primerhome.html (Not a Federal Government Site) -- Health care EDI transactions.  Provides a general overview of how electronic data interchange standards can be used by health care organizations.

Securitywww.wedi.org/public/articles/index.cfm?cat=9 (Not a Federal Government Site)

Workgroup for electronic data interchange.  Their site provides an excellent glossary of HIPAA related terms as well as a useful HIPAA regulation schedule. 

Employer Identifier Standard FAQs – http://aspe.hhs.gov/admnsimp/faqemp.htm

National Provider Identifier Standard FAQs – http://aspe.hhs.gov/admnsimp/faqnpi.htm

Security and Electronic Signature Standards FAQs – http://aspe.hhs.gov/admnsimp/faqsec.htm

Electronic Transactions Standards FAQshttp://aspe.hhs.gov/admnsimp/faqtx.htm

Code sets FAQshttp://aspe.hhs.gov/admnsimp/faqcode.htm

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States

http://www.nga.org/center/divisions/1,1188,C_ISSUE_BRIEF^D_2717,00.html
(Not a Federal Government Site)

This paper by the National Governor's Association outlines the strategies that States are using to structure their efforts to meet HIPAA requirements.

www.healthprivacy.org/info-url_nocat2304/info-url_nocat.htm (Not a Federal Government Site) -- Provides a general overview of statutory health privacy protections under State law.  Has a summary prepared for each State.

http://www.hipaagives.org Forum for state government agencies to discuss HIPPA issues.

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