Discover and read the best of Twitter Threads about #hipaa

Most recents (7)

Clinicians, asking for consent isn't that hard. I'm not talking informed consent forms. I'm not even talking consent to touching for procedures (which is alarmingly low). I'm talking consent to share information - which at this point means asking consent to upload forms to an EHR
My trust feels far too violated on too many levels because of actions taken without my consent. Actions healthcare providers & policy makers & IT vendors take for granted. They call it interoperability & say transferring our info without consent will help us...
I give information freely & openly on many occasions. But that's MY CHOICE. When info is uploaded to an EHR, I have no choice. I then face discrimination & biases and harm because I trusted someone to read something I wrote and they decided every other doctor should have access.
Read 9 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
@realDonaldTrump #Tuesdaythoughts on #healthcare (tangent style):

You, President Trump, have clearly made some progress in understanding some of the issues with the ACA (despite your failure to realize it was originally a plan devised by the Federalist Society ie Barr/Kavanaugh types). 1/
@realDonaldTrump Nonetheless, you have correctly identified (a) #premiums (b) #deductibles and (c) coverage for pre existing conditions as key issues to address. Indeed.
2/
@realDonaldTrump Plus, the kicker for me at least is to make #PPO plans available to everyone not just for those who get their health plans through their employer (in sum, #HMO/EPO/POS = πŸ‘Ž; PPO = πŸ‘ ....
3/
Read 12 tweets
1/

An interesting wrinkle of #CuresAct

Adhering to contractual requirements is *not* one of the 7 exceptions to information blocking.

Tagging the smartest health policy lawyers I know:

@HealthPrivacy @JodiDaniel @SavageLucia

(Joy Pritts has no Twitter handle?)
2/

Historically, when BAA terms or other contractual terms conflicted with rights possible under #HIPAA, BAA terms have been deemed to hold.

E.g., famously, even though a clearinghouse is a HIPAA CE & has all the rights and obligations of a CE...
3/

...Clearinghouses *also* act as BAs and receive data under a BAA.

Other #HealthIT entities are pure BAs but are also deemed #HealthIT by Cures and this NPRM
Read 8 tweets
OK. So there's a piece (no paywall) on @JAMA_current today by Freddy Abnousi (head of #healthcare @facebook), @hmkyale, +@DrJRums "Social Determinants of Health in the Digital Age: Determining the Source Code for Nurture." jamanetwork.com/journals/jama/… #cyberwoke /1
Before you think this is any kind of good news, remember that @Facebook has successfully incinerated democracy in several places, in the process turning all of us into meat puppet data cash machines (we don't get the cash) and now ... #cyberwoke /2
In addition to knowing where we are, who we're with, what we like, and what we think, they want our health data? How big of a FUCK NO, NO WAY, OMFG HAVE YOU LOST YOUR EVERLOVIN' MIND will we have to raise to kill this? #cyberwoke /3
Read 9 tweets
#VaxPusher Dr. Paul Offit leaks president's son Barron's medical information to the public.

Trump has never confirmed to the public that Barron is on the spectrum.

How does Paul Offit have this information and why is he sharing it with the public?

#MAGA #HIPAA #PaulOffit
Offit makes unconvincing apology about his comments made on Barron Trump's medical information.
Dr. Zubin Damania is Paul Offit's loyal little 🐴😘er.
Read 4 tweets
Friction is the enemy of #compliance. Before you conduct security awareness training for topics like third-party security, make sure you understand and FEEL the friction in the end-to-end experience for employees who have to follow those processes and policies. #UX matters. 1/
Sit with your sales team to understand the #UX of getting an NDA in place with a prospective customer or partner. Try to understand the pain and confusion when it comes to delays, manual steps, confusion, approval workflows, or lack of integration with things like #CRM. 2/
Ask yourself: do the right people have access to the #ContractManagement or e-signature systems, or do they need to REQUEST access and wait for approval? Do the systems support #SSO? Do people have to manually print and scan docs (in 2018!), and if so - do they know how? 3/
Read 8 tweets

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