Health Insurance Portability and
Accountability Act (HIPAA)
قانون أمريكي صدر عام 1996 يحدد معايير حماية سرية وأمن المعلومات
الصحية ومعايير تبادل المعلومات بشكل إلكتروني، بالإضافة إلى أمور
أخرى.
HIPAA
= Health Insurance Portability
and Accountability Act
Also known as Kassebaum-Kennedy Act, after the two
senators who spearheaded the bill.
Passed in 1996 to help people buy and keep health
insurance, even when they have serious health
conditions.
It is the federal law which establishes standards for the privacy and security of health information, as well
as standards for electronic data interchange (EDI)
of health information.
The
Administrative Simplification (AS) provisions of
HIPAA are intended to reduce the costs and
administrative burdens of health care by making
possible the standardized, electronic transmission
of many administrative and financial transactions
that are currently carried out manually on paper.
HIPAA has two
main goals:
To make health
insurance more portable when persons change
employers.
To make the
health care system more accountable for costs
- To reduce waste and fraud.
It is the second goal that
is of special interest to health care informatics
professionals.
HIPAA: Administrative Simplification (A/S)
HIPAA aims to improve
accountability in part through what it calls
administrative simplification (A/S) - a term that
translates, roughly, as "promoting efficiency".
The general aim of A/S
is to promote efficiency - through the use of
information technology.
A/S is Title II,
Subtitle F, of HIPAA, which gives
HHS the authority:
To
mandate the use of standards for the electronic
exchange of health care data (EDI);
To
specify what medical and administrative
code sets
should be used within those standards;
To
require the use of national identification
systems for health care patients, providers,
payers (or plans), and employers (or sponsors); and
To
specify the types of measures required to protect
the security and
privacy of personally
identifiable health care information.
Broader use of
computer systems increased concerns about misuse of
patient's health information, hence the inclusion of
privacy and security provisions as part of HIPAA along
with EDI standards.
HIPPA Overview: (07:45) - HIPPA Overview for Healthcare Workers
HIPAA Implementing the Administrative Simplifications:
(01:06:09) Video created by the Centers for Medicare and Medicaid Services