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