Tuesday, October 21, 2014

HIPAA Compliance: A Document Management Approach

Key Healthcare Challenge:
To comply with Compliance for the Health Insurance Portability and Accountability Act (HIPAA).

HIPAA Background:
The Health Insurance Portability and Accountability Act (HIPAA), and its enabling regulations, ensures patient information and records are protected and maintain their integrity.

This requires healthcare organizations to control the use and access to a patient’s private identity and medical information.

HIPAA defines regulations for:
  • Electronic healthcare transactions
  • Health information privacy
  • Security requirements
  • Unique identification for providers
  • Unique identification for health plans
  • Enforcement procedures 
Document Management for Electronic Medical Records

  • Simple and easy to implement
  • Replaces paper patient records and archives with immediate ROI
  • Enables physicians to maintain current work practices:
    • Does NOT require any menu-driven patient information input workflows
    • Can use current paper-based note taking during office visits
    • Provides flexibility to access patient charts immediately at remote locations
  • Can also be implemented in concert with a formal EMR system
    • Link external information (lab reports, correspondence from specialists, signed consent forms) to EMR records
  • Security
  • Audit trail
  • Reporting
  • Electronic Payment Standardization

  • Access and quality of care: users report very significant gains in fast access to patient information.  
  • Reduce costs associated with copying and retrieving health information. 
  • Ensure aspects of system are compliant. 
  • Health information is more tightly controlled, while at the same time more accessible to those who need it. 
  • Data is protected. 
  • Flexible and Scalable
    • Small Medical Practice Applications:
      • Electronic patient records
      • Billing, insurance EOB
    • Personnel records
    • Hospital Applications:
      • Patient records and consent forms linked to EMR system
      • Accounts Payable
      • Billing
      • HR and credentialing
      • Purchasing and supply chain

What does it mean to all healthcare organizations?
Regardless of where patient information originates - scanned from hard copy, faxed, e-mailed, PC-based or mainframe-based - Document Management Software solutions provides a secure repository that can track all aspects of patient information.

Ritesh Sujir is a Delivery Manager in the Testing Practice at Prolifics. He is an accomplished project management professional with 14+ years of experience working with Fortune 500 clients. Ritesh specializes in all aspects across project management and is accountable for the development and maintenance of project plans, risk assessments, and status reports. His recent experience includes clients in the Banking, Retail, and Healthcare verticals.