Transcript Privacy/Security Vendor Relations

Privacy/Security
Vendor Relations
House Staff Orientation
2009
Leon Goldman, MD
Chief Compliance and
Privacy Officer
Specific Issues
Documentation and Coding
 Confidentiality and Privacy.
 Conflicts, Inducements, and Gifts.
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Documentation
Records clinical story and course.
 Basis for payment and adjudication.
 Required as a CoP and basis for some
CoP’s.
 Legal evidence in litigation.
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Medical Charting
 Physician documents during patient’s stay
 Physician writes Discharge Summary
 Chart goes to Medical Records for coding
 Codes go to Patient Accounts for billing
 Codes convert to Diagnostic Related Groups
 Payment made based on DRG
Documentation and Coding
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Should be clear.
Should be legible.
Dated and TIMED.
Available to many including the PATIENT.
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Be careful what you say and how you say it!
Needs to be worded correctly to satisfy payers.
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Clinically accurate
Confidentiality and Privacy
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Federal Regulations:
 HIPAA:
Privacy and Security
 HITECH
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Unsecured information
Massachusetts Regulations:
 Special
protections:
HIV/AIDS
 Alcohol and Drug Abuse
 Mental Health Records
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Confidentiality and Privacy
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Dispose of information properly.
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Be aware of your surroundings.
Guard your computer key.
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Don’t share it!
Log off workstations when done.
PDA’s and laptops computers.
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Be careful with paper documents
Recycle bins or shred (tear up)
Password protect
Consider encryption
Use biometrics if you have them (fingerprint
scanner)
Careful how you send/receive information
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Email
Patient Privacy
 Protecting the privacy of our patients is the
responsibility of EVERYBODY AT BIDMC
 All members of workforce must complete
2 mandatory training programs
1) Patient Privacy
2) Electronic Security
Conflicts, Inducements, & Gifts
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Reciprocity
Marketing Data
Federal and State Law
Professional Codes/Public
Expectation
Conflicts, Inducements, & Gifts
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Medical Center Gifts Policy.
AMA Opinions of the Council on Ethical and
Judicial Affairs.
 E 8.00 Practice Matters.
HMS Conflict of Interest Policy.
AAMC Resident Physician and Medical Industry
Interactions: GUIDING PRINCIPLES .
ACGME Principles
Office of Business Conduct
 OBC Mission: To help BIDMC employees
follow the many laws and regulations that
cover patient care, education, and research.
 When in doubt, ask for help!
 Call us at 617-667-1897
 Let us know when you
think there is a problem
that needs to be fixed.