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AHIMA: Proposed HIPAA Access Requirement a 'Significant Burden'

Dom Nicastro, for HealthLeaders Media, July 28, 2011

Because many entities do not have the ability to meet the technical requirements, OCR should delay its proposed compliance dates, AHIMA says. Currently compliance with the access reports provision is January 1, 2013, for electronic DRS systems acquired after January 1, 2009, and beginning January 1, 2014, for electronic DRS systems acquired prior to 2009.

Further, access reports should carry only identifiers for the work force members rather than actual names, AHIMA says. Patients asking who viewed their medical records often have a specific individual in mind, such as a former spouse, AHIMA says.

HIM professionals have reported to AHIMA several situations where employees have been stalked after their names are released to patients.

"While we fully support the requirement allowing an individual to have knowledge of access, we also want to protect the workplace staff of the covered entity," AHIMA states in its comments. "AHIMA supports narrowing the requests to specific individuals when possible. In some treatment environments (e.g., emergency departments and psychiatric facilities), providers are permitted to use pseudonyms to avoid patients stalking or contacting them outside the workplace. Access accounting would require facilities to share the legal names of their providers which defeat the protections that have been in place for long periods of time."

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2 comments on "AHIMA: Proposed HIPAA Access Requirement a 'Significant Burden'"


LindaJoyAdams (8/2/2011 at 1:54 PM)
Conflicts of interest can exist. In my case, the same company that has control of my federal workers compensation claim and refusing to set up my computer files, etc. now has subsidiary doing the billing for a mega medical university clinics and I lost medical care over it as they had to ' bill themselves, even refusing to code the claims to my employer group health plan and medicare as' w/c related so their govt contractor could send out recovery letters' The nature of IT is that often companies are financially interlocked with each other and nations are finding themselves under the control of these few interlocking companies. In 2014 ' everyone' will be under the 'federal plan' in control of this company's interlocking conglomerate as the office of personnel contractors. Those under the federal plan' already find constitutional abuses are rampant and deaths have resulted from obstruction of medical care. The privatizing of state and federal civil services to govt contractors that Congress made immune from criminal prosecutions and even internal audits and IRS can't collect taxes from either; has resulted a coup d'etat of most federal and state agencies and our govt. ( My w/c is an established case, ' they' just decided should not exist and have refused to process 11 years of oxygen claims in a real, documented death panel decision when owcp put me on it for life. The bills got dumped onto medicare and even their appellate judge's decisions that these are w/c's bills and wants monies back is met with throwing the request away as judge's orders are irrelevant to those ' out of control ' contractors. Doctor's should be in charge of patient health care and its become impossible for many to care for their patients in this system as their training and knowledge are replaced by profit motives. Linda Joy Adams injured 1/10/89, yet tried to work multiple times after that.

C. Anderson (8/1/2011 at 1:55 PM)
I doubt the veracity of concerns. One would thing, the health care providers should have procedures and resources in place for data integrity and security as well as handling special cases such as providing copies in for subpoena response. This measure would also bring the level of data integrity in line with the stronger European standards.