HIPAA and Mandated Reporters


HIPAA is an acronym for the Health Insurances Portability andAccountability Act. In summary, the Privacy Rule seeks to address thedisclosure and use of individual’s health information, which isalso known as Protected Health Information attested in the PrivacyRule of any organization. The Privacy Rule’s major goal is toguarantee that the health information of a person is protected at thesame time to allow easy flow of the health information required inorder to promote and provide high quality healthcare that alsoprotect the public’s welfare (United States, 2003).

HIPAA Security Rule is involved with EPHI which stands forElectronic Protected Health Information. It is important because itsintentions and purpose is a codification of a certain standards oninformation technology and best practices. HIPPA rules define acovered entity as healthcare clearinghouses, health plans, and healthproviders who are responsible for any transmission of any otherhealth information in attachment with any transactions that HHS isresponsible with (United States, 2003).

Under the Privacy Rule, those covered are individuals and groupsthat offer to pay for the cost of medical expenses. PHI (ProtectedHealth Information) is protected by the Privacy Rule that is held ortransmitted by its business associate or of covered entity. On theother hand, IIHI (Individually Identifiable Health Information) is akind of information, which includes demographic data that isassociated with a person’s present, past or the future.

Privacy Rule’s main purpose is to come up with the least Federalstandards to be used for safeguarding individually identifiablehealth information’s privacy. A covered entity may is oftendisclosed or may be used to protect health information in order tocarry out treatment procedures of every health care provider. TPO isan acronym for Treatment, Payment and Operations (United States,2003).

In other situations, a covered entity opts to disclose PHI for anyhealthcare provider’s treatment activities, payment activities orhealthcare activities of a different covered entity. Each coveredentity that has certain exceptions, should give a notice of anindividual’s private practices. The notice must explain ways inwhich this entity is used and disclose it to protected healthresults. The notice should also explain the rights of an individual,which include the right to complain to HHS (United States, 2003).

The Privacy Rule gives individuals certain rights to theirconfidentiality. When HIPAA conditions are breached, it may result tocriminal and civil penalties where by an individual has a high chanceof being subjected to criminal charges or is asked to pay the victim.

A mandate reporter is a person who, due to their profession, is morelikely to be well informed of an abuse or neglect of people withdisabilities. People considered to be mandate reporters are thosewhose law disintegrates certain professions that are needed torespond to cases of child neglect or abuse (United States, 2003).

According to United States (2003), confidentiality refers to theprotection of a person’s information. It also means protecting aclient’s information from other clients, co-workers, and family.

In any situation that involves disclosure of information withconsent, the consequences would be damaging to all parties concerned.For instance, giving out medical records of a patient without theirconsent may lead to a negative result, possibly loss of income orwork. Additionally, the victim may seek justice in a court of law,which could be very damaging, a process that more often than notextends the damage to both parties (United States, 2003).


United States. (2003). Summary of the HIPAA privacy rule: HIPAAcompliance assistance. Washington, D.C.: U.S. Dept. of Health andHuman Services.

Related Posts

© All Right Reserved