HIPPA:  A clinician's perspective



"Understanding Some of HIPAA’s Permitted Uses and Disclosures

Information is essential fuel for the engine of health care.  Physicians, medical professionals, hospitals and other clinical institutions generate, use and share it to provide good care to individuals, to evaluate the quality of care they are providing, and to assure they receive proper payment from health plans. " 1


The main reason for this bill is to fuel the information highway

to enable insurance agents information in which to approve/deny medical services.

While professionals have used information to provide good care,

using it to generate "proper payment" constitutes a new use of medical information

not part of the medical curricula on therapeutics and management.

New laws enforcing security and privacy are in the service of data transmission.

By agreeing to provide treatment to insured individuals, you accept that you are acting as part of this arrangement. Otherwise known as covered entity or business associate.





For as long as there has been doctor-patient relationship,  

confidentiality has always been in force.

Noncovered entities afforded privacy and security include:  clergy-parishioner, man-wife, lawyer-client.

HIPPA is  the voyeur outside the couples' bedroom window,  the attorney-client conference that takes place in a cubicle.




Health data has been portable through verbal interviews and written means.







By agreeing to use electronic medical records, bill electronically, and accept insurance

providers accept  HIPPA.

Other words that dilute the sanctions include:  flexible, permitted, and business associate.



Consider going to Direct patient care model  if able.2