Map Your Way to a Successful Patient Privacy Program

Written by Bill Leonard, Director Patient Privacy Solutions

Protect Patient Privacy

I have had many conversations with our customers regarding patient privacy monitoring, including the importance of capturing and mapping key data elements such as Guarantor/Subscriber, Next of Kin, and High Profile Patients. These sites varied greatly in size — hospitals, critical access hospitals, HIE organizations, clinics, and providers. Each of these patient privacy monitoring implementations came with unique challenges. I have to say that it’s always interesting to learn what data customers want to include in their treasure chest, to deem their implementation successful.

Capturing Guarantor and Subscriber

Some customers consider the Guarantor and Subscriber information gold and require that information as part of their patient privacy monitoring solution. It was explained to me that the guarantor and subscriber data would catch a lot of insider snooping that the standard "Same Last Name" report won’t catch.

Apparently, these customers have a fair share of love triangles, so being able to match the name of the user against that of the Guarantor / Subscriber listed for the patient produces more actionable results. On my ship, a love traingle would be considered mutiny!

Additional trinkets in the treasure chest of data are the Person to Notify and Next of Kin.

Again, it was imperative that these customers capture this data as part of the solution, because these reports are going to serve as the initial step toward proactive auditing with Security Audit Manager™ and will ensure that their end users are respecting patient privacy. The penalties for inappropriate access can be harsh, but I doubt anyone will make you walk the plank.

Capturing High Profile Patients

Another organization that has been using Security Audit Manager for many years approached us about the ability to audit High Profile Patients (HPP). While their source system allows them to flag a patient as confidential or VIP, the High Profile Patient notation was used separately from the confidential flags. They capture this information at the time of registration on a custom registration screen. We were able to see where in the database that X marked the spot for the HPP field and include the HPP value in their audits. They will soon be able to run the Confidential/VIP Patient Match Report specifically for their High Profile Patient accesses.

One important takeaway here is that the one size fits all approach to patient privacy monitoring implementations will not work for every site. We can’t be rigid and require that all data and fields from every HIS vendor match a single specification. Another important takeaway is that we understand that your policies and procedures may change over time. We will change with them. We are going to take time to understand your needs and build your treasure chest of data accordingly so that you’re getting the most value from Security Audit Manager. It’s one of the reasons Security Audit Manager has been ranked KLAS Category Leader for Patient Privacy Monitoring two years in a row.

Topics: patient privacy, patient privacy monitoring, Risk Based auditing, Protecting Patient Trust, Guarantor/Subscriber

Subscribe to the Patient Privacy blog.

Receive the latest articles directly in your inbox.
Enter your email address and click SUBSCRIBE:

Comments

0 COMMENTS

Are you monitoring user reporting in MEDITECH’s Data Repository?

In my experience, hospitals typically don't add any kind of PHI access logging to their Data Repository reports. This seems like a gap in PHI monitoring. It may be true that HIPAA provides an...Read More

How Beaufort Memorial Hospital Handles Vendor Risk Management

Recently, Ed Ricks, CIO at Beaufort Memorial Hospital had an interview with Marianne Kolbasuk McGee with HealthcareInfo Security. It is a very relevant and timely discussion since The Department of...Read More

Use Patient Trust as a Competitive Advantage

I recently read this article from HealthData Management — Privacy, security issues cause consumers to distrust HIT — published on January 9th, 2017. With all the news going on today...Read More

Do Your Partners Handle PHI With Care? Not Sure?

A great deal of your hospital’s patient information is now handled by outside partners — physician practices, outside labs, insurance companies, and many others. In an ideal world, you could trust...Read More

OCR to Expand Compliance Reviews of Small Healthcare Breaches

The Health and Human Services (HHS) Office for Civil Rights (OCR) announced in August, that it has launched a new initiative to more widely investigate HIPAA breaches of protected health information...Read More

Security app helps hospital pass CMS risk assessment, HIPAA audit

Iatric Systems customer, Ed Ricks, CIO of Beaufort Memorial, shares that “technology can produce useful details to further prove your privacy compliance efforts to federal auditors.” In this recent...Read More

Healthcare — today's biggest ransomware target

It's no surprise to me that healthcare is now a prime target of cyber-criminals using ransomware to extort money. They want to go after a business that cannot function without access to its data and...Read More

OCR is doing a good thing by making us “Eat our Vegetables”

Healthcare is, at its core, based on relationships. And, as with any relationship, trust is foundational to building and maintaining a strong relationship. Trust can be fragile and fleeting. It can...Read More

Why You Should Embrace an OCR Audit

News that your organization could be facing an audit is usually cause for anxiety and much gnashing of teeth. At best, it means scrambling to assemble the required information before the deadline...Read More

Reducing Improper Access of Patient Records by 98%

When hospital clinicians are accessing patient records thousands of times daily, how do you spot the access that’s questionable or worse? Trying to comply with privacy rules can tie a hospital’s IT...Read More

4 Ways To Reduce the Number of Patient Privacy Audits

We all know that as EMRs replace paper records, it is impossible to manually review millions of audit logs to check for potential patient privacy breaches. As a result, in the past, most...Read More

Map Your Way to a Successful Patient Privacy Program

I have had many conversations with our customers regarding patient privacy monitoring, including the importance of capturing and mapping key data elements such as Guarantor/Subscriber, Next of Kin,...Read More

Risk Based Patient Privacy Monitoring

Healthcare Privacy and Information Security programs have evolved substantially in recent years. This is due not only to the requirements of Meaningful Use, HIPAA, and HITECH, but due to the growing...Read More

My Trip to the Clinic and Protecting Patient Privacy

One internal value that has always been strong at Iatric Systems is that our Founder and CEO, Joel Berman, cares for his “family” by providing the best healthcare insurance and wellness plans...Read More

Could Your Organization Demonstrate HIPAA Compliance?

On September 30th, CynergisTek and Iatric Systems teamed up to host a complimentary webinar, “How to Prepare Your Organization for an OCR HIPAA Audit.” In this informative session, industry...Read More

Are You Ready for the Return of OCR’s HIPAA Audit Program?

One thing is for sure…you don’t want to wait until you get a notification letter from the Office for Civil Rights (OCR) to start preparing for a HIPAA compliance audit. Organizations that are going...Read More

Privacy breaches cost $5.6 billion a year

$5.6 billion.  $5,600,000,000.  Seeing the amount, instead of just reading the amount, gives it more meaning — at least to me it does. That rather large number is how much privacy breaches...Read More

Riding the Magic Omnibus

Every day I want to cry (too much Omnibus)How can I protect your PHI (too much Omnibus)I'm confused and at a loss (too much Omnibus)So can you please explain Omnibus (too much Omnibus) I may be...Read More

How To Justify Your Patient Privacy Program

When I talk to the privacy staff at healthcare organizations, they tell me that they understand the benefits of using technology for their patient privacy program, but they’re having a difficult time...Read More

What is Reasonable and Appropriate under the HIPAA Security Rule?

I am often faced with the following question from customers: "Can you tell me specifically what we need to do to comply with HIPAA’s information system activity review requirement…What is ‘reasonable...Read More

Let’s face it, protecting patient privacy has never been healthcare’s strong suit

In a recent report, "2015 Data Breach Investigations Report," conducted by Verizon, analysts put healthcare security under the microscope and identified that insider snooping (think employee snooping...Read More