Discover and read the best of Twitter Threads about #HIPAA

Most recents (24)

@ePatientDave @janoldenburg @MightyCasey @HealthPrivacy Been stewing on this actually @ePatientDave .
It's the same problem @claudiawilliams and @HITpolicywonk raised.
In sum, a state can require certain behavior of a #licensed #professional that may be inconsistent with #HIPAA right of #access, or #CLIA rules, or (1/several)
@ePatientDave @janoldenburg @MightyCasey @HealthPrivacy @claudiawilliams @HITpolicywonk Or even @ONC_HealthIT. The issue is which rules win?
The first principle is that accessing your own health info is a privacy right.
There's a clear rule about state laws that give fewer rights, like making it cost more than #HIPAA says it should. Those are preempted 2/
@ePatientDave @janoldenburg @MightyCasey @HealthPrivacy @claudiawilliams @HITpolicywonk @ONC_HealthIT The second principle is that legislatures dictate license terms to keep patients "safe."
So here, some states are adding physician requirements about labs to keep patients safe. It's a theoretically different line of law entirely, but it's crashing into the first principle 3/
Read 10 tweets
🧵 Before I say this I want to be very clear that Lizelle is NOT at all to blame for what is being done to her. Full stop.

But for others in the future, there are some things you can do to reduce (not eliminate) the risk of criminalization with a miscarriage or abortion at home:
1. Leave no online footprint of searches or purchases. Digital Defense Fund's privacy guide is your go-to. Private browsing, 2-factor authentication, encrypted messaging, etc. are critical: digitaldefensefund.org/ddf-guides/abo…
2. Medical complications are very uncommon with abortion pills but not impossible. If it's not an emergency but you need expert health advice, use a service like Google Voice to call or text the Miscarriage + Abortion Hotline at 1-833-246-2632. mahotline.org
Read 11 tweets
The USPS will send you 4 covid tests free if you complete a form that asks for your name and address. This is @Cigna's reimbursement form. It's three pages long and must be completed, printed, and mailed or faxed (a process that involves inventing a time machine).

1/
A third of US health care spending is gobbled up by administrative costs, and that's only the part that gets paid for. Far more admin work is done for free, by patients.

2/
As Fipi Lele quipped: "after 3 months processing, Cigna will deny these via a 36 page letter that is mostly 'this page intentionally left blank' in 9 languages."

Former Cigna customer here, can confirm.

3/
Read 40 tweets
I work in a small, rural hospital. Stayed extra after my shift yesterday to shuffle beds, grab call lights, and answer phones while the ER dealt with 3 traumas and a full house after dozens of COVIDs all day. At one point the ER was bringing beds with people to clear bays..
in anticipation of the 3 rigs bringing people in. I never got the full situation, but when I walked out over an hour after my shift ended there were still several law enforcement vehicles there. At one point, the ER had asked my unit to prep a room for a body just for family to..
say goodbye. Meanwhile, that same ER staff had had dozens of COVID patients, way too young, they were trying to admit but I kept telling them we don't have beds or staff (we don't). I could hear the breathlessness and exhaustion in the ER staff when they called to say, "we'll...
Read 17 tweets
1/ Take care to not run afoul of #HIPAA. Lest you risk penalties and jeopardize the patient-physician relationship.

“Protecting information gathered in association with the care of the patient is a core value in health care.” tinyurl.com/45rk8hr4 ama-assn.org/practice-manag…
2/ The Code of Medical #Ethics also states, “However, respecting patient #privacy in other forms is also fundamental, as an expression of respect for patient autonomy and a prerequisite for trust.”
3/ Physicians and hospitals may share patient information without explicit patient consent for treatment, payment, business operations.

@HHSOCR enforces #HIPAA. Voluntary compliance and corrective action without a fine is a goal, but penalties are steep for “willful neglect.”
Read 8 tweets
#SPARS 🦠 Pandemic
(2025-2028)

Remember #Event201 stimulating #COVID19 💉 just weeks before the "outbreak"?

Welcome to the next simulation from Johns Hopkins brought to you by @gatesfoundation

Written in 2017, it's difficult to determine if it's COVID or something "new"...
/1 ImageImageImageImage
SPARS outbreak begins in Minnesota with 3 deaths in one week from a mission trip to the Philippines and returning back home.

Suspected to be the seasonal flu at first due to similar symptoms.
/2 Image
The CDC runs the familiar #PCR test and determines it's not the flu but a "novel coronavirus" dubbed St. Paul Acute Respitory Syndrome (#SPARS) after the city where it was first discovered.

Even stimulated tweets from 2025 with hashtags like #VampireCough 🤧 are presented.
/3 ImageImage
Read 17 tweets
This is the #DemPartyPlatform for 2020. Expanding Access to Mental Health and Substance Use Treatment/Only one party has a specific plan for ensuring EVERY American will be able access affordable care to treat the mind, body and soul.. the other party has no platform at all 1/10
Every American who needs it should be able to access mental health care or substance use disorder treatment, no matter where they live. 2/12 #DemPartyPlatform #healthcare #HealthcareEquity
#Democrats will aggressively enforce the federal mental health and substance use disorder parity law and ensure that health insurers adequately cover mental health and substance use treatment. 3/12 #DemPartyPlatform #healthcare #HealthcareForAll
Read 12 tweets
Next up @RBP0612 talking about "Maximizing your conference presence using your Social Media" Image
#ASNC2019 had close to 20 million impressions! Image
Global reach of conferences using #SoMe is impressive Image
Read 17 tweets
Next up is @FarrisTimimi talking about "To tweet or not to tweet". Image
He starts with talking about risk mitigation in #HCSM

You need to recognize risk in order to mitigate it. Image
Need to have effective onboarding of the new staff

Meaningful training

Actionable and comprehensible of #SoMe Guidelines! Image
Read 11 tweets
4.5 months ago I told a "HIPAA compliant" telemedicine company they were vulnerable to cross-site scripting. if a user is authenticated; + session hijacking. telemed is interesting in COVID times.
Can you guess if they fixed either vuln yet?

#appsec #infosec #HIPAA #nobodycares
So, it's been more than six months now. This is why CVEs and reporting directly to vendors is pointless and soul crushing. @Bugcrowd is pointless too if you're not interested in money for reports. Reference this current thread and
Here are some fun prints of what
#infosec is. Note, the second DM was really fast and did follow through to put me in contact with the right person. thank you twitter person #2. It fizzled out though after that at no fault of person #2. ImageImageImage
Read 18 tweets
In the early days of the pandemic, the term "contact tracing" vaulted into the public consciousness: that's the shoe-leather- and labor-intensive process whereby skilled heath experts establish a personal rapport with infected people to establish who they had contact with.

1/ Image
For both good reasons (the scale of the pandemic) and bad ones (tech's epistemological blindness, which insists that all social factors can be ignored in favor of quantifiable ones), there was interest in automating this process and "exposure notification" was born.

2/
The difference is that exposure notification tells you whether your device was near another device whose owner is sick. It doesn't tell you about the circumstances - like, was it one of the people at that eyeball-licking party? Or someone in the next car in a traffic jam?

3/
Read 24 tweets
It is likely not a coincidence that Verizon #DBIR chose CIS Controls for mapping safeguards associated with breach patterns. enterprise.verizon.com/resources/repo…
@CISecurity demonstrates how the controls map to the all important ATT&CK that is as relevant/actionable to security risk management as anything out there. cisecurity.org/controls/cis-c…
(Image recreated)
It is certainly not a coincidence that this letter calling for an overhaul of #HIPAA #Security #regulation and #enforcement recommends CIS Controls as the guidance framework. bit.ly/2JZPHe6
Read 5 tweets
"Privacy should be a basic right for everyone, & we should all demand that our govts support that right in a post-pandemic world." - @Robert_Beens_, Startpage CEO
Read Robert's @Forbes article on longterm dangers to privacy rights. forbes.com/sites/forbeste… @ForbesTechCncl
One danger is the collection of health data: Health organizations and governments are looking at applying technology such as contact tracing apps. It's vital to protect your #HIPAA rights and demand your medical providers protect your right to privacy. #PrivacyPlease
Another danger is the threat of surveillance on your internet activity: Very recently, we've seen take the US Senate and House question of whether to allow the #PatriotAct to continue to allow the warrantees surveillance of your browsing history. #PrivacyPlease
Read 5 tweets
1/ COVID (@UCSanDiego) Chronicles - with support from @UCSDHealth CEO Patty Maysent and @UofCAHealth EVP @carrie_byington, now sharing daily #COVID19 insights: 21 COVID patients in our hospitals, with 5 on vents - reflecting trend since federal emergency declaration on March 13
2/ Now 1209 #COVID patients in @SanDiegoCounty with 228 hospitalizations and 89 patients requiring intensive care - shout out to our colleagues @ScrippsHealth @sharphealthcare @KPSanDiego and elsewhere #HealthcareHeroes sandiegocounty.gov/content/sdc/hh…
3/ We are still on the upswing, but it could be much worse - credit to our elected officials who were early to mandate #ShelterInPlace, and all of our @SanDiegoCounty neighbors for #PhysicalDistancing to #FlattenTheCurveTogether sandiegouniontribune.com/opinion/steve-…
Read 4 tweets
Well, @TheCurbsiders, it’s been over a week since I’ve posted here… but it seems like it’s been mere days. #COVID19 has not necessarily overwhelmed our hospital system, but has absorbed our lives.

Resources will be included in this "Tweetorial"

covid19toolbox.com
Our colleages at @SCCM has put out some excellent resources for treating #COVID19 patients. I've asked all our staff to review the modules at:

sccm.org/Disaster/COVID…
Furthermore, @SCCM released some guidelines that can be helpful; however, as this information is ridiculously fast moving, these guidelines may be approaching obsolescence as time goes on.

sccm.org/getattachment/…
Read 25 tweets
#psychologist - what does the CMS
#telehealth waiver means for you, your practice, and #Medicare Patients? An @APAPractice thread...

apaservices.org/practice/legal…
Great news = #Medicare patients can now receive telehealth care in their homes or ANY health care facility during the #coronavirus emergency.
2/
#psychologist practice location was not restricted. We expect this means that psychologists can practice telehealth out of their homes, and we have contacted @CMSGov to confirm.
3/
Read 21 tweets
Thinking about a low cost easy to manufacture home test kit for #Coronavirus. Outline: #Nasal_swab (Q-tip) w/ freeze dried reagents for isothermal #DNA amplification with #COVID19 primers. Colorimetric readout by #iOS or #Android #App w/ #geolocation & #HIPPA compliant reporting. Image
Read-out would be in minutes - timer in App - read by camera in your smart phone. No other machines. Links to telemedicine groups for positive results. Built in positive control - e.g. no color = improper test, green NEGATIVE, red POSITIVE.
I’ve done my best creating when faced by a challenge. Next gen sequencing when my son went to new born intensive care - #454 @iontorrent. Ultrasound on a chip @ButterflyNetInc when wanted to monitor my daughter’s kidneys.
Read 31 tweets
1/13
Following last week’s #ASC2020 Panel on How to Master the Digital Age from @mkitano7 @LillianErdahlMD @heatheryeomd #SundeepKeswani and myself, I received many requests to share my tips/tricks on Digital Tools to Support Your Research Program.
@mkitano7 @LillianErdahlMD @heatheryeomd @UnivSurg @AcademicSurgery @AsianAcadSurg @SurgeryUTHSC @UTHSCResearch 2/13
Caveats: a) My first tweetorial, be gentle. b) Recognize that this is not comprehensive and only highlights the tools that are currently working for me & my team. If you have suggestions, I’m always looking for ways to improve.
@mkitano7 @LillianErdahlMD @heatheryeomd @UnivSurg @AcademicSurgery @AsianAcadSurg @SurgeryUTHSC @UTHSCResearch 3/13
Centralized task management 1. We are all super-busy and it is east to lose track of things or prioritize incorrectly. Pick a task management system, learn it, use it. I use GTD @gtdguy but others exist (MYN, Kanban, etc.)
Read 13 tweets
For a Friday, here is my best attempt at a tweet-thread capturing some of the best thinking on where we've come since @chrissyfarr reported on 1/22 about opposition to the new @ONC_HealthIT API & Info Blocking regs (items listed below in no particular order)...
From @mandl @zakkohane "Epic’s call to block a proposed data rule is wrong for many reasons" statnews.com/2020/01/27/epi…
From @hmkyale "An ‘Epic’ pushback as U.S. prepares for new era of empowering patient health data" statnews.com/2020/01/27/epi…
Read 12 tweets
Agree wholeheartedly w/ @Jonathan_Bush, @EPIC_eHealth objections to HHS' interoperability rule is entirely cyclical & quite indefensible #HIPAA beckershospitalreview.com/ehrs/jonathan-…
Image
Ouuuchhh! Holding #patientdata “hostage” Image
Read 3 tweets
The feedback collected by a Customer Support Executive and UX has a notable difference. It is a checklist task for a #CustomerSupport #Executive to collect 50 feedbacks by the end of the day. #UX would be keen on collecting context and may not be compelled to complete x number of Image
calls. UX further may choose to do Observational Studies of certain scenarios to explore the Think Aloud aspect. This is significant in the field like #Healthcare.

uxmatters.com/mt/archives/20…

#helpdesk #customerexpereince #customerresearch #customersupport #userresearch
Read 3 tweets
21 state AGs now have a big ass #HIPAA lawsuit to prosecute
If state AGs have no recourse then you know exactly how and why US privacy law is a garbage fire and we’re all naked in the rain.
Read 3 tweets
Butler Woman to Serve a Year in Prison for Maliciously Disclosing Personally Identifiable Health Information justice.gov/usao-wdpa/pr/b…
“United States District Judge Arthur J. Schwab imposed the sentence on Linda Sue Kalina, 62, of Butler, PA. The court further ordered that Kalina have no contact with any of the individuals she victimized during the imposed terms of imprisonment and supervised release.”
“In imposing the maximum sentence called for under the Federal Sentencing Guidelines, the Court offered that Kalina’s conduct was the most egregious of its kind.”
She accessed health records and disclosed protected health information in order to embarrass/distress people.
#HIPAA
Read 3 tweets
Because I think it is important that those of us working in healthcare remember the practical consequences of the regs we advise clients on, I am going to live tweet my own attempt to obtain a copy of the record of a single clinic visit a few months ago . . . #HIPAA #Really?
Clinic visit happened in January, and now I have a need for a copy of the record. Doctor was at a clinic that isn't convenient to walk into personally, so I called and asked the process. Told that I need to access the patient portal to get the authorization form. So far so good.
Need to set up a patient account to get into the portal. There's another password to remember, of course, but I can deal with that.
Read 14 tweets

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