040203HIPAA_COHEN - National Governors Association
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Transcript 040203HIPAA_COHEN - National Governors Association
HIPAA Progress
in the
State of California
National Governors Association
Burt Cohen, Acting Director
Office of HIPAA Implementation
Health & Human Services Agency
April 3, 2003
Unique State and County Issues
HIPAA is written in
the vocabulary of the
private sector.
Governmental
programs do not fit
neatly into these
concepts.
There will be
problems – it’s not
you!
And Then There’s Cost
Substantial public
sector costs with little
offsetting savings.
NGA has requested
federal funding, but….
Compliance is
required before all the
rules are known.
Sanctions
The Scope Is Broader Than One
Might Think
HIPAA doesn’t mean just Medicaid.
Governors must think of health broadly:
mental health, developmental services,
alcohol and drug services, veterans, AIDS
programs, corrections, state employee
health plans, other health services programs.
Trading partner, data content, or other
impact to still more departments: SDI,
Workers’ Compensation, Emergency Srvcs.
Some Issues on What’s Covered
Social Services – are Children’s Services a
health plan; what about special services
financed under Medicaid?
Corrections – Division of Health Services;
some unique applications in Privacy; 33
institutions, 38 camps, 60 parole offices.
Youth Corrections – Not automated (yet).
Multiple institutions in Mental Health,
Developmental Services, and Vets Affairs.
Coverage Issues (continued)
Mental Health – county funded but state
operated hospitals.
Public Health – Cancer detection, breast and
cervical cancer treatment, AIDS, Calif.
children’s services/genetically handicapped
persons program, CHDP (EPSDT), genetic
disease, and family planning.
CalPERS – for its own health plans.
University of Calif. – provider and research.
In Case You Haven’t Noticed
Complex simultaneous
changes to interfacing
business practices and
systems.
In an uncertain
environment due to
sequential rules, breadth
and depth of changes.
And time marches on.
This Requires a Strategic
Approach To Implementation
Perform a statewide assessment to see
where and what the HIPAA impacts are.
Develop a common terminology so that
comparisons can be made across programs
and departments.
Build tools collaboratively to improve
quality, save money, and promote
standardization.
Strategic Approach (continued)
Identify leaders.
Require executive
sponsorship and
involvement.
Build a policy and
administrative
infrastructure both at the
statewide and the
departmental levels.
Reward initiative.
Some California Solutions
CalOHI Statutorily Established
Website
Statewide Work Group
Policy and Information Memos
Contracting Process
Schedules, Plans, Reports, Field Reviews
Advisory Group, Communication
Legislation, preemption
Beware of the Five Stages of
HIPAA Shock
Denial
Stalling
Whining
Trying to pass it off
Panic
The Stages to HIPAA Results
Awareness
Commitment
Building a Team
Productivity
Communication
Five Standard Steps of a Project
Initiation (awareness)
Initial assessment
(inventory)
Project plan
Detailed assessment
(gap analysis)
Implementation
(remediation) and
testing