Clinical Passport

Clinical Passport Content

- Proof of Vaccinations and Immunizations * MMR (Measles, Mumps, Rubella) * Tdap (Tetanus-Diphtheria-Acelluar-Pertussis) every 10 yrs. * Varicella (vaccination or serological) * Influenza (available now) * Hepatitis B (three immunizations) * Hepatitis B Surface Antibody Titer - Proof must be copies of original documents or serological (blood test)

Clinical passport content

* Background Check - JCAHO requirement for individuals involved in patient care activities - Required for all fieldwork at Rockhurst - Included in fee for OT 5450 * Includes SSN Trace; Criminal records in all county jurisdictions - 7 year history; Sex offender registry; KCPD ALERT II criminal history; Combined OIG/GSA report

Clinical passport content

* Background Check Link https://www.validityacademics.com/ - Enter the Username and Password - Follow the instructions on the screens - Make sure you check box stating you want results emailed to you * Employment Disqualification List Permission Form - requires social security number, submitted to State of Missouri

PHI

* Certificate/License Number * Vehicle numbers and license plate number * Biometric identifiers such as finger prints or voice prints * Full Face Photographic Images & other comparable images

Clinical Passport Content (CPC)

* Confidentiality Agreement - signed and witnessed agreement to honor confidentiality - The most common breach of confidentiality is loose talk. - Where have you seen confidentiality breached? - Where do you expect Occupational Therapy practice would be vulnerable? - What confidentiality issues could come up on fieldwork?

HIPAA & Fieldwork

* Confidentiality is nothing new to occupational therapy * Legally enforced protection of all communication related to client care at all stages of healthcare delivery * HIPAA training is stipulated in all fieldwork contracts * Learn HIPAA specifics for fieldwork site

HIPAA Privacy Rule

* Creates national standards to protect an individual's records and other personal health information. * Founded on two basic principles - Health information belongs to patient - Patients should be informed about all the uses and disclosures of their health information

Penalties - Failure to Comply

* HIPAA Privacy Rule contains severe penalties for non-compliance: - Fines of $100 for each accidental violation - up to $25,000 per year * Leaving work that contains PHI in locations where others can see it. * Sharing information with unauthorized individuals.

Protected Health Information

* HIPAA requires that safeguards be put in place to protect patient privacy and confidentiality. * Protected Health Information (PHI) is an important term that refers to oral, written, or electronic forms that relate to health care or payment for care.

CPC

* HIPAA, Bloodborne Pathogen, & MRSA - Webinar format - 40-60 minutes - Training then test - Print certificate of completion - Release date to be announced

Clinical passport content

* Health Insurance - provide copy of insurance information with contact numbers, group policy information * Healthcare Provider CPR - provide copy of CPR card; dates of coverage must extend over fieldwork dates (August 2014)

Protected Health Information

* Name * Location-includes anything smaller than a state such as street address, city * All elements of dates (except year) related to an individual: - Birthdate - Admission date - Discharge date - Date of death

Clinical Passport Content

* Proof of Bi-Annual TB Test Results - if past positive test then x-ray clearance required; dual TB test can be scheduled back to back (most sites prefer gap of two weeks) * Medical Clearance - cleared for fieldwork (work responsibilities) by any medical doctor or nurse practitioner

PHI

* Telephone Numbers * Fax Numbers * E-mail Addresses * Social Security Number * Medical Records Number * Health Plan Beneficiary Numbers * Account Numbers

HIPAA Privacy Rule

* Under the Privacy Rule we must: - Administer new patient rights - Use and disclose patient information only as permitted by law - Follow new rules when using patient information for research* - Maintain good computer security - Protect patient privacy in daily activities

Penalties - Wrongful disclosure

* Up to $50,000 fine & 1 year imprisonment * False pretenses - up to $100,000 fine and five years in prison * Federal criminal penalties of up to $250,000 and ten years in prison can be issued for using PHI for commercial advantage, personal gain, or malicious harm.

Clinical passport

- Record of required documents for fieldwork participation - Required documents is compiled from requests of fieldwork sites, state agencies, and national organizations - Record maintenance by student & fieldwork office: physical copy, electronic copy

Confidentiality Safeguards

- Avoid discussing patients in public areas. - Use a low voice when communicating if there is a risk of being overheard. - Use only the patient's name on sign-in lists. - Locate printers/fax machines in secure areas. - Verify the receiver of any data you transmit. - Shred old documents containing PHI.

Allowable Disclosures

- Disclosures to a healthcare provider for treatment purposes - Disclosure made to a parent of their child's medical record if child is a minor - Disclosures made to individual who is the subject of information - Disclosure made pursuant to an individual's authorization

HIPAA & Fieldwork

Additional HIPAA May Be Requested: - Sites may send video for students to watch prior to beginning fieldwork - Sites may accept HIPAA training conducted as part of academic course - Sites may require HIPAA training on-site

HIPAA and HITECH

H - Health I - Insurance P - Portability and A - Accountability A - Act H - Health I - Information T - Technology for E - Economic and C - Clinical H - Health Act