1

County Departmental

Issues

© HIPAA Pros 2002 All rights reserved

2

Central Point of Coordination (CPC)

Burden of HIPAA 

Role Based Access to Protected Health Information (PHI)

3

Law Enforcement / Jail

HIPAA Rights

Claims Submission

Hospital Bills

Suicide Risks

Health Assessment

Mental Health Warrants

4

Law Enforcement / Jail

PHISOURCE OF

CONFIDENTIALITY

Inmate health files 201 IAC section

50.15(8)

5

Case Management

Inhouse or Contracted

Megellan / MBC and Counseltec

Referrals (i.e., Goodwill)

6

Public Health

Clinics

Senior Health

Hospice

Jail Visits

Flu Shots

Maternal Care / WIC

Family Care

Payment

Wellmark

7

Public Health

PHISOURCE OF

CONFIDENTIALITY

Nursing, venereal disease, HIV records

Ch. 139A.3, .30

141A.9

8

Recorder

Registrar of Vital Records

Birth CertificateDeath CertificateMarriage Record

9

Recorder

PHISOURCE OF

CONFIDENTIALITY

Vital Statistics

Paternity

144.12A(4)

10

Auditors

Detailed Bills

Business Associates

Legal Settlements / Financial Responsibility Between Counties

11

Auditors

PHISOURCE OF

CONFIDENTIALITY

Mental health records Ch 229, 230Ch. 228

Health info. to support eligibility and other uses

252.25

Health information 35B.10

Legal Settlement 252.25217.30

12

Emergency Response

Written Acknowledgement

Communication Systems

13

Mental Health

Business Associates

Accounts Payable

Tax Abatement

Written Acknowledgement

14

Attorneys

Records

ProsecutionSexual AssaultPhysical Assault

Hospital Emergency Department

15

Attorneys

Medical Examiner Reports

Autopsy

Mental Health Files

16

Attorneys

PHISOURCE OF

CONFIDENTIALITY

Crime Victim Medical Records

Ch. 915, 915.90, 915.204

Dependent Adult Abuse Files

235B.6