...the Time of HIPAA Margaret M. Richards Cleveland Clinic Children’s Hospital With the application of the Health Insurance Portability and Accountability Act (HIPAA) in the medical community, new issues arise for psychologists in keeping documented records of patient visits. Confidentiality limits have broadened, making use of the electronic medical record more complicated for the psychologist practitioner, particularly when serving as part of a multidisciplinary team. As the electronic medical record (EMR) has become more prevalent in multiple settings, various researchers have examined the effectiveness of this record keeping system, with a focus on improving patient outcomes. The risks and benefits of implementing an EMR will be discussed, focusing on specific considerations for psychologists in regard to confidentiality and interdisciplinary collaboration. Keywords: Health Insurance Portability and Accountability Act (HIPAA), electronic medical record (EMR), confidentiality How much information is appropriate to place in an electronic medical record (EMR), especially when that record is accessible to professionals throughout an organization (i.e., a hospital setting)? This question has become an important topic of discussion and research as EMRs become more prevalent in larger institutions, such as academic medical centers and community mental health centers. With the implementation of the Health Insurance Portability and Accountability Act (HIPAA), psychologists...
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...Exercise 1. Identify all the users of the health record AND explain how each uses the record. (Complete for all that are listed in Abdelhak under the “health data users and uses” section. - Patient: uses their medical data to understand their health care and to become more active partners in maintain or improving their health. - Health care practitioners: uses it as a primary means of communications among themselves. - Health Care providers and Administrators: uses the data to evaluate care, monitor the use of resources, and receive payment for services rendered. Administrators analyze financial and patient case mix information for business planning and marketing activities - Third party payers: the data become the basis for determining the appropriate payment to be made. - Utilization and case managers: uses it to coordinate care so that the patient is cared for in the most clinically cost-effective manner. - Quality of care committees: use the information as a basis for analysis, study, and evaluation of the quality of care given to the patient. - Accrediting, licensing, and certifying agencies: use the record to provide public assurance that quality health care is being provided. - Governmental agencies and public health: to determine the appropriate use of the governmental financial resources for health care facilities and educational and correctional institutions - Health information exchanges: provides patient centered...
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...established laws that state clearly the individual has to give consent and without consent these medical tests violates their medical privacy’s rights. “There are three major types of genetic tests: biochemical, cytogenetic, and molecular.” (Beery, 2014, p. 71) In this case study, the two types of genetic tests were biochemical and molecular. Biochemical test uses enzymes in the blood to see if the enzyme reacts to a certain subject and if does shows what the genetic dispose for that disease. The molecular genetic testing is looking more at the DNA of the person and having to see which DNA sequence leads to the medical disorder. The benefits for Reiger is knowing that what in his body are the cause of the newly discovered condition of Huntington’s disease (HD) and having the correct medical advice on his condition. However, there are more drawbacks for Reiger knowing about his condition from the genetic testing. Scuffham and MacMillan (2014) researched this disease and stated that once patients found out their results mental distress happened because they the knowledge of their children’s risk of getting this condition and having to find more specialized medical doctors that require better health care insurance. Reiger already witness his father’s condition and wanted to fight this condition so it did not dictate his life like his...
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...Final Project Report for Media Tracking System Version 2.0 approved [pic] Table of Contents Table of Contents i Revision History iii Group Members iii 1. Final Project Summary i 1.1. Content Summary i 1.2. Lessons Learned ii 1.3. Learning Outcomes Summary ii 1.3.1 Communications iii 1.3.2 Critical Thinking v 1.3.3 Network Design v 1.3.4 Management Information Systems v 1.3.5 Systems Administration and Scripting vi 1.3.6 Security vi 1.3.7 Employability vi 2. Future directions vii 3. Annotated Bibliography viii 4. Appendix A: Vision and Scope viii 5. Appendix B: Status Report 1 15 6. Appendix D: Presentation Slides 27 7. Appendix E: Other Deliverables/Artifacts 27 Revision History |Name |Date |Reason For Changes |Version | |Kenneth Wright |07/01/2010 |Initial Draft |1.0 | |Kenneth Wright, et al |07/15/2010 |With contributions and edits from all team members, we |1.5 | | | |refined the document | | |Kenneth Wright, et al |07/23/2010 |Style, editing, additional information from all team |1.6 ...
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...Saiful Islam | 104821 | 02 | Lenin Azad Polash | 104831 | 03 | Md. Whahiduzzaman Robin | 104865 | 04 | Rafiul Islam Chowdhury | 104965 | 05 | Md. Nazmul Hasan | 105043 | Letter of Transmission April 28, 2013 Md. Mosharraf Hossain Chairman Department of management studies Jagannath University, Dhaka. Sub: Submission of Assignment in “Employee Benefits of Walton (company)”. Dear Sir, We are very happy that we have been able to submit the assignment you have assigned to us. The assignment was to prepare the “Employee Benefits of Walton (company)” on the course named “Human Resource Management” as part of our academic activities. For the purpose of preparing the assignment we had to have an in-depth knowledge on Employee Benefits and the company Walton as well. This was the first ever opportunity for us to gain proper understanding to Employee Benefits and working on it over a company ever as such practical knowledge. Thank you for giving us the opportunity to learn the real life practice & increase the knowledge on Employee Benefit on the course “Human Resource Management”. Sincerely Yours Group Name : The Corporate (A) Section : A Department of Management Studies Jagannath University, Dhaka Table of Content Title | Subtitle | Page | Introduction | | vi | Background | Background of Bangladesh Small and Cottage Industry | vii | Definition | Definition of SME given by BSCIC | x | Area of concern | Developing and Expansionary activities...
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...unsustainable growth in health care costs, there is general agreement on the need to eliminate unnecessary spending in health care--and among the leading candidates are fraud and abuse. Despite ongoing, concerted efforts, making meaningful inroads has not been easy."Fraud" refers to illegal activities in which someone gets something of value without having to pay for it or earn it, such as kickbacks or billing for services that were not provided. "Abuse" occurs when a provider or supplier bends rules or doesn't follow good medical practices, resulting in unnecessary costs or improper payments. Examples include the over-use of services or the providing of unnecessary tests. (Another area, "waste," refers to health care that is not effective, and will be the subject of a separate Health Policy Brief.)Endowed with new powers under the Affordable Care Act and the Small Business Jobs Act of 2010, the Centers for Medicare and Medicaid Services (CMS) has been adopting new tools to curb fraud and abuse in the Medicare and Medicaid programs. The new approach amounts to a paradigm shift from the earlier model, in which CMS paid providers first, then sought to chase down fraud and abuse after the fact--a process known as "pay and chase."This policy brief focuses on eliminating fraud and abuse in Medicare and Medicaid and explores the challenges involved in putting the new tools into place. | What's the background? | The true annual cost of fraud and abuse in health care is not known. In...
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...TEMPLATE FOR CHILD HEALTH PLAN UNDER TITLE XXI OF THE SOCIAL SECURITY ACT CHILDREN’S HEALTH INSURANCE PROGRAM (Required under 4901 of the Balanced Budget Act of 1997 (New section 2101(b))) State/Territory:___________________________________________________________ (Name of State/Territory) As a condition for receipt of Federal funds under Title XXI of the Social Security Act, (42 CFR, 457.40(b)) ________________________________________________________________________ (Signature of Governor, or designee, of State/Territory, Date Signed) submits the following Child Health Plan for the Children’s Health Insurance Program and hereby agrees to administer the program in accordance with the provisions of the approved Child Health Plan, the requirements of Title XXI and XIX of the Act (as appropriate) and all applicable Federal regulations and other official issuances of the Department. The following State officials are responsible for program administration and financial oversight (42 CFR 457.40(c)): Name: Position/Title: Name: Position/Title: Name: Position/Title: *Disclosure. According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 09380707. The time required to complete this information collection is estimated to average 160 hours per response, including the time...
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...#1…Public health IN THE United States, primary care remains a medical model. This is in contrast to much of the world, where the 1978 Declaration of Alma-At a which recognized that attaining health for all also requires interaction from social and economic sectors - is considered standard. Today, there is much buzz about patient-centered medical homes, a concept that promises to transform the practice of American medicine. There is much to praise about this most recent iteration of the medical home. But the missing ingrethent in all these definitions and models remains public health. A population focus that addresses the social determinants of health is an essential component of primary health care. In the United States, such a comprehensive approach has been labeled community-oriented primary care. This model is built firmly on the Alma-Ata principles and incorporates a public health approach to health services. Community-oriented primary care organizes the delivery of health services, around a population, not simply a collection of individuals. It identifies a population - most frequently a geographically defined community - and uses epidemiology and interventions to improve community and individual health and well-being. In this model, both individual patients and the community are the foci of the delivery of health services. Primary health care stands at the intersection of personal and population health services. It requires integrating medical models of primary care...
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...Office of the National Coordinator for Health Information Technology (ONC) Federal Health Information Technology Strategic Plan 2011 – 2015 Table of Contents Introduction Federal Health IT Vision and Mission Federal Health IT Principles Goal I: Achieve Adoption and Information Exchange through Meaningful Use of Health IT Goal II: Improve Care, Improve Population Health, and Reduce Health Care Costs through the Use of Health IT Goal III: Inspire Confidence and Trust in Health IT Goal IV: Empower Individuals with Health IT to Improve their Health and the Health Care System Appendix A: Performance Measures Appendix B: Programs, Initiatives, and Federal Engagement Appendix C: HIT Standards and HIT Policy Committees Information Flow Appendix E: Statutes and Regulations Appendix F: Goals, Objectives, and Strategies Appendix G: Acronyms ONC Acknowledgements Notes 3 6 7 8 21 28 36 49 51 65 67 70 74 77 77 78 Goal V: Achieve Rapid Learning and Technological Advancement 43 Federal Health IT Strategic Plan 3 Introduction he technologies collectively known as health information technology (health IT) share a common attribute: they enable the secure collection and exchange of vast amounts of health data about individuals. The collection and movement of this data will power the health care of the future. Health IT has the potential to empower individuals and increase transparency; enhance the ability to study care delivery and payment systems; and ultimately achieve...
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...LIFE INSURANCE 3 CHAPTER 2: REGULATION OF THE INSURANCE INDUSTRY 5 CHAPTER 3: INTRODUCTION TO RISK AND INSURANCE 9 CHAPTER 4: MEETING NEEDS FOR LIFE INSURANCE 15 CHAPTER 5: THE INSURANCE POLICY 19 CHARTER 6: PRICING LIFE INSURANCE. 22 CHAPTER 7: TERM LIFE INSURANCE 26 CHAPTER 8: PERMANENT LIFE INSURANCE AND ENDOWMENT INSURANCE 30 CHAPTER 9: SUPPLEMENTARY BENEFITS 37 CHAPTER 10: LIFE INSURANCE POLICY PROVISIONS 44 CHAPTER 11: LIFE INSURANCE BENEFICIARY POLICIES 50 CHAPTER 12: ADDITIONAL OWNERSHIP RIGHTS 52 CHAPTER 13: PAYING LIFE INSURANCE POLICY PROCEEDS. 59 CHAPTER 14: PRINCIPLES OF GROUP INSURANCE POLICY 63 CHAPTER 15: GROUP LIFE INSURANCE. 68 CHAPTER 16: ANNUITIES AND INDIVIDUAL RETIREMENT SAVINGS PLANS 73 CHAPTER 17: GROUP RETIREMENT AND SAVINGS PLAN. 84 CHAPTER 18: MEDICAL EXPENSE COVERAGE 90 CHAPTER 19: DISABILITY INCOME COVERAGE. 94 CHAPTER 20:TRADITIONAL GROUP HEALTH INSURANCE PLANS 98 CHAPTER 21: TRADITIONAL INDIVIDUAL HEALTH INSURANCE POLICIES 104 CHAPTER 22: MANAGED CARE PLANS 109 CHAPTER 23: REGULATION OF HEALTH INSURANCE 113 CHAPTER 1: INTRODUCTION AND INDIVIDUAL LIFE INSURANCE Insurance companies are organized as either • Stock Insurance companies Company has stock that is bought by shareholders. So company is owned by shareholders. These share holders get dividends. No. of companies: 1604 Income from Premium: 226 billion Dollar amount of Life Insurance in force: 9.8 trillion • Mutual Insurance companies ...
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...Current FMLA Policy is not Enough? Annette Fininen Prof. Davenport ENG 215 May 26, 2013 Why the Current FMLA policy is not Enough? The dynamics of the American family have changed. No longer is a working father, stay at home mother, and kids considered the norm. Even the definition of “family” has changed dramatically. Changes in the American “norm” raise an important question, “Should the Family and Medical Leave Act be changed?” to meet our communities evolving needs. In the United States, the current Family and Medical Leave Act (FMLA) only provides up to twelve weeks of unpaid leave, but compared to other counties with similar policies the act does not have enough coverage to protect the average worker and should be changed. A woman walks into her human resources office crying, asking to speak to someone. She is currently on FMLA leave to care for her sick child who has been diagnosed with leukemia. She is a single parent with two other children at home to care for as well. Even with insurance coverage, the bills are mounting because FMLA is unpaid and she has exhausted all of her personal time off (PTO). With her steady income cut-off, she is concerned how she will pay her bills. She has no close family to turn to for support and does not qualify for government assistance. Her story is just one example. According to the United State Census, in 2010 single parent households comprised about 9.6 percent of the total U.S. household...
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...universal health insurance. Over the years the inequities in access to care, quality, and the rising cost has led many Americans to be uninsured or underinsured. During 2007 and 2008, one out of three Americans under 65 was without health insurance. 86.7 million Americans were uninsured from 2007 to 2008 (Pifer-Bixler, 2009). The Foundation of Medical Relief, Inc. FMR was developed to be 501(c)(3) non-profit organization. Our goal is to ensure every community member in the greater Kansas City Metro area is compliant with the ACA health insurance coverage mandate by January 2014. We try to keep the uninsured and underinsured healthy by providing access to high quality, affordable health insurance for uninsured and underinsured in the greater Kansas City, Missouri area. Kansas City saw an increase in the number of uninsured children. As U.S. poverty rate grew in 2009, 20 percent more people need health care help. The number of uninsured Americans was 49.9 million in 2010 (Stafford, 2011). Everyone is at risk of being uninsured (Families USA, 2009). Therefore, we developed Foundation for Medical Relief, Inc. (FMR) with the vision as to foster and promote collaborative relationships; will develop partnerships with public and private health services agencies and the community in general enhance the administration of the health care act. The Affordable Care Act (ACA) was made into law in March of 2010, provides better health security by putting in place comprehensive health insurance...
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...FDA regulations & definitions, FDA/HHS similarities & differences, applicability (Kathy & Sandy) Reportables: Adverse Events, Unanticipated Problems Involving Risks to Subjects or Others (Darcy) HSPP/IRB Organizational & Administration International Research (Kristin, Sandy) Vulnerable Populations (Frances Richmond) Week 2 (6/23/08) Week 3 (6/30/08) Week 4 (7/7/08) Week 5 (7/14/08) Week 6 (7/21/08) Updated 6/19/08 1 of 2 Week 7 (7/28/08) Revisit FDA & OHRP ICH & GCP (Kathy & Kristin or Sandy) HIPAA, COI, State Law (Marlene) *Pre-post practice test, Q&A, CIP Discussion, Test Strategies (Sandy Jean) Week 8 (8/4/08) Week 9 (8/11/08) *Pre-post practice test (Sandy) TBD Notes: We want to have people teach their expertise and don’t want to overburden anyone. The OPRS office will confirm attendance, handle logistics, etc… Course materials will be provided by OPRS: IRB Management and Function (Bankert & Amdur), Protecting Study Volunteers in...
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...Health Inquiry, Global Health Inequities Introduction: The Millennium Development Goals (or MDG) are a set of 8 goals set by the world’s nations in hope of reducing poverty by 2015. These 8 goals address poverty, education, equality, disease and the environment. Each goal has a targets and indicators we are aiming to achieve by 2015. The purpose of this report is to report on the history, objectives and constitution of the MDG’s and the success and effectiveness of the MDGs. History of MDGs: In the 1990’s the United Nation (UN) member states went through a historically extraordinary UN press conference process. This conference was aimed at building consensus on development priorities for the 21st century. However, at the end of the 1990’s the governments of the conference experienced conference fatigue and feared the process launched by the conferences was losing steam. In September 2000 in New York there was a large gathering of world leaders called the Millennium Summit. This was the largest gathering of world leaders in history including 189 UN member-states. At the Millennium Summit the United Nation Millennium Declaration was adopted as a result of a series of global conferences held during the 1990’s. The UN saw the Millennium Summit as an opportunity to bring back the development of priorities for the 21st century. It was at this Millennium Summit that the Millennium Declaration set in motion a global partnership and was signed by 147 heads of states....
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...Establishing Security Risks and Countermeasures for Large Scale Businesses Stephen Yopp 23 May 2014 ISSC-361 American Military University Establishing risks and countermeasures can be a complex procedure, even more so when protecting hundreds of systems from internal and external threats. Many tools exist to assist in implementing and scaling security operations. There are many assets that represent risks to businesses ranging from information systems to the data which is stored on them and therefore almost as many existing threats (Smith, 2013). The National Institute of Standards and Technology (NIST) describes 11 types of assets; people, organizations, systems, software, databases, networks, services, data, computing devices, circuits, and websites (Halberdier, Waltermire, and Wunder, 2011). This list is more extensive than the categories discussed, for the sake of brevity, but it might be helpful to enterprise employees seeking to identify different assets. Hardware represents a large investment for businesses. Servers, network devices, cables, workstations, and mobile devices can cost enterprise businesses millions of dollars up front. Because information systems are such an integral part of modern business, companies cannot afford to be without access to file and print servers or internet access. This means that the loss of hardware would represent setbacks in productivity, potential negative impacts to the organization’s reputation, and necessary additional...
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