Izinhlawulo Zokuphulwa Kwe-HIPAA Nokuphoqelela
| Ukwephulwa kwe-HIPAA | Ubuncane Benhlawulo | Isijeziso Esiphezulu |
|---|---|---|
| Ukungazi | $ 100 ngamunye ukwephulwa, nenani elilinganiselwe lonyaka elingu-$25,000 ngokuphula umthetho ngokuphindaphindiwe (Qaphela: ubuningi obungabekwa Abameli Bamazwe Omhlaba kungakhathaliseki ukuthi hlobo luni lokwephula) | $50,000 ngokwephulwa ngakunye, nenani eliphakeme lonyaka lama-$1.5 million |
| Imbangela Enengqondo | $1,000 ngokwephulwa ngakunye, nenani eliphakeme laminyaka yonke elingu-$100,000 ngokuphindaphinda ukwephula | $50,000 ngokwephulwa ngakunye, nenani eliphakeme lonyaka lama-$1.5 million |
| Ukunganakwa ngamabomu | $ 10,000 ngamunye ukwephulwa, nenani eliphakeme laminyaka yonke elingu-$250,000 ngokuphindaphinda ukwephula | $50,000 ngokwephulwa ngakunye, nenani eliphakeme lonyaka lama-$1.5 million |
| Ukunganaki ngamabomu futhi akulungiswa | $50,000 ngokwephulwa ngakunye, ngenani elilinganiselwe lonyaka lama-$1.5 wezigidi | $50,000 ngokwephulwa ngakunye, nenani eliphakeme laminyaka yonke le-$1.5 million |
Izinhlawulo Zokuphulwa Kwe-HIPAA Nokuphoqelela
UMnyango wase-U.S Impilo Nemisebenzi Yabantu (HHS) Ihhovisi Lamalungelo Abantu (OCR) liphoqelela umthetho Ubumfihlo be-HIPAA kanye Nemithetho Yezokuphepha.
I-OCR isebenzisa Imithetho Yobumfihlo Nezokuphepha ngezindlela ezimbalwa:
- Ukuphenya ngezikhalazo ezifakwe kuyo
- Ukwenza ukubuyekezwa kokuthobelana ukuze kunqunywe ukuthi amabhizinisi akhaviwe ayathobela yini
- Ukwenza izifundo kanye nokufinyelela ukuze ukhuthaze ukulandelwa nezidingo zemithetho
I-OCR ibuyekeza ulwazi eluqoqayo. Kwezinye izimo, ingase inqume ukuthi ibhizinisi elikhavwe alizange liphule umthetho Ubumfihlo nokuphepha izidingo zemithetho. Esimeni sokungathobeli, i-OCR izozama ukuxazulula icala nebhizinisi elikhavwe ngokuthola:
- Ukuthobela ngokuzithandela
- Isenzo sokulungisa kanye
- Isivumelwano sesinqumo
Ukwehluleka ukuthobela i-HIPAA nakho kungaholela ezijezisweni zomphakathi nezobugebengu. Uma isikhalazo sichaza isenzo esingahle sephule ukuhlinzekwa okungekho emthethweni kwe-HIPAA, i-OCR ingase idlulisele isikhalazo kuMnyango Wezobulungiswa (DOJ) ukuze siphenywe.
Ukwephulwa komthetho
Ezimeni zokungathobeli umthetho lapho ibhizinisi elikhaviwe lingaluxazululi ngendlela egculisayo udaba, i-OCR ingase inqume ukuphoqelela izinhlawulo zemali ye-civil money (CMPs) ebhizinisini elikhavwe.
Ama-CMP we Ukwephulwa kwe-HIPAA zinqunywa ngokusekelwe esakhiweni esinezigaba zesijeziso somphakathi. Unobhala we-HHS unokuzikhethela ekunqumeni inani lenhlawulo ngokusekelwe kuhlobo kanye nezinga le- ukwephulwa kanye nemvelo kanye nezinga lokulimala okubangelwa ukwephulwa. Unobhala wenqatshelwe ukuthi akhiphe izinhlawulo zomphakathi (ngaphandle kwalapho okudebeselele khona ngamabomu) uma ukwephulwa komthetho kulungiswa zingakapheli izinsuku ezingu-30 (lesi sikhathi singanwetshwa ngokubona kwe-HHS).
| Ukwephulwa kwe-HIPAA | Ubuncane Benhlawulo | Isijeziso Esiphezulu |
|---|---|---|
| Ukungazi | I-$100 ngokwephulwa ngakunye, nesilinganiso esiphezulu sonyaka esingu-$25,000 ngokuphinda ukwephulwa (Qaphela: ubuningi obungabekwa Abameli Bamazwe Omhlaba ngokunganaki uhlobo lokwephula) | $50,000 ngokwephulwa ngakunye, nenani eliphakeme lonyaka lama-$1.5 million |
| Imbangela Enengqondo | $1,000 ngokwephulwa ngakunye, nenani eliphakeme laminyaka yonke elingu-$100,000 ngokuphinda ukwephulwa komthetho | $50,000 ngokwephulwa ngakunye, nenani eliphakeme lonyaka lama-$1.5 million |
| Ukunganakwa ngamabomu | $10,000 ngokwephulwa ngakunye, nenani eliphakeme laminyaka yonke elingu-$250,000 ngokuphinda ukwephulwa komthetho | $50,000 ngokwephulwa ngakunye, nenani eliphakeme lonyaka lama-$1.5 million |
| Ukunganaki ngamabomu futhi akulungiswa | $50,000 ngokwephulwa ngakunye, nenani eliphakeme laminyaka yonke le-$1.5 million | $50,000 ngokwephulwa ngakunye, nenani eliphakeme lonyaka lama-$1.5 million |
Izijeziso Zobugebengu
I-DOJ iphatha ukuphulwa kobugebengu kwe-HIPAA. Njengoba kunjalo Izijeziso ze-HIPAA zomphakathi, kunamazinga ahlukene obunzima bokwephulwa kobugebengu.
Njengoba kuchaziwe ngezansi, izinhlangano ezihlanganisiwe futhi abantu abathile “bazi” abathola noma abadalule ulwazi lwezempilo olukhonjwa ngabanye ngokwephula Imithethonqubo Yokuqondisa Ukwenza Lula babhekane nenhlawulo efika ku-$50,000 kanye nokuboshwa isikhathi esingafika onyakeni ongu-1.
Amacala enziwe ngaphansi kokuzenzisa avumela izinhlawulo ukuthi zinyuswe zibe inhlawulo engu-$100,000, kuze kube yiminyaka emihlanu ejele.
Okokugcina, amacala enziwe ngenhloso yokuthengisa, ukudlulisa, noma ukusebenzisa ulwazi lwezempilo olukhonjwa ngazinye ukuze kuzuze ukuhweba, ukuzuza komuntu siqu, noma ukulimala okunonya avumela inhlawulo engu-$250,000 kanye nokuvalelwa ejele okufika eminyakeni eyi-10.
Amabhizinisi Akhaviwe
Izijeziso zobugebengu ze Ukwephulwa kwe-HIPAA zisebenza ngokuqondile ezinkampanini ezikhavwe (CE), okuhlanganisa:
- Izinhlelo zezempilo
- Izindawo zokunakekelwa kwezempilo
- Abahlinzeki bezempilo abadlulisa izimangalo nge-elekthronikhi
- Abaxhasi bekhadi lezidakamizwa ze-Medicare
Abantu abafana nabaqondisi be-CE, abasebenzi, noma izikhulu (lapho i-CE ingeyena umuntu) nabo bangase babe nesibopho sobugebengu ngokuqondile ngaphansi kwe-HIPAA "ngecala lobugebengu lebhizinisi." Lapho umuntu we-CE engenasibopho ngokuqondile ngaphansi kwe-HIPAA, usengabekwa icala lokwakha uzungu noma ukusiza nokusiza.
Ukuvula Ukwephulwa kwe-HIPAA: Odinga Ukukwazi Ngenhlawulo nokuthi Ungahlala Kanjani Uthobela
Ingabe ungumhlinzeki wezempilo noma ibhizinisi eliphatha ulwazi olubucayi lwesiguli? Uma kunjalo, kufanele wazi kahle imithetho ye-HIPAA ukuze uvikele inhlangano yakho ezinhlawulweni. Lesi sihloko sizodalula ukwephulwa kwe-HIPAA, sikhanyisele izinhlawulo ezingaba khona, futhi sinikeze namathiphu abalulekile wokugcina imisebenzi yakho ithobelana.
I-HIPAA, emele uMthetho Wokuphatheka Komshuwalense Wezempilo Nokuziphendulela, ibeka izindinganiso zokuvikela ulwazi lwezempilo oluvikelwe (PHI). Ukwephula le mithetho kungaholela ezijezisweni ezinzima ezingabeka inhlangano yakho engozini enkulu yezezimali.
Ukuqonda izinhlobo ezahlukene ze Ukwephulwa kwe-HIPAA futhi izinhlawulo ezihambisanayo zibalulekile ekuqinisekiseni ukuthi imizamo yakho yokuthobela imithetho isezingeni. Kusukela ekudaluleni okungagunyaziwe kuya ekuhlulekeni ukuhlola ubungozi, sizohlola izizathu ezijwayelekile izinhlangano ezizithola zephula.
Ukwengeza, sizokwabelana ngamasu asebenzayo wokukusiza uhambisane nemithetho ye-HIPAA. Ungakwazi ukuvikela idatha yeziguli zakho futhi ugweme izinhlawulo ezibizayo ngokusebenzisa ukuqeqeshwa okufanele, ukusebenzisa ubuchwepheshe obuvikelekile, kanye nokwenza ukuhlola okuvamile.
Hlala ubukele ukuze ufunde konke odinga ukukwazi mayelana nokwephulwa kwe-HIPAA, izinhlawulo, kanye nendlela yokugcina ukuthobela enkathini yedijithali yanamuhla.
Iyini i-HIPAA, futhi kungani ibalulekile?
I-HIPAA, emele uMthetho Wokuphatheka Komshuwalense Wezempilo Nokuziphendulela, ibeka izindinganiso zokuvikela ulwazi lwezempilo oluvikelwe (PHI). Yasungulwa ngo-1996 ukuze kusungulwe imihlahlandlela yokuvikela nokudlulisa ulwazi lomuntu siqu lwezempilo. I-HIPAA ibalulekile ngoba iqinisekisa ubumfihlo nokuvikeleka kwedatha ebucayi yeziguli, ikhuthaza ukushintshana nge-elekthronikhi kolwazi lwezempilo futhi yenza abantu ngabanye babe nokulawula okukhulu kulwazi lwabo lokunakekelwa kwezempilo.
Izinhlangano kufanele zisebenzisa izivikelo zokuphatha, zezobuchwepheshe, nezomzimba ukuze zithobele imithetho ye-HIPAA ukuze zivikele i-PHI. Lokhu kuhlanganisa ukusebenzisa izinqubomgomo nezinqubo, ukuqeqesha abasebenzi, ukuvikela amasistimu kagesi, kanye nokuhlola ubungozi okuvamile.
Ukwephulwa okuvamile kwe-HIPAA nemiphumela yako
Ukuqonda izinhlobo ezahlukene zokwephulwa kwe-HIPAA kanye nezinhlawulo ezihambisanayo kubalulekile ukuze uqinisekise ukuthi imizamo yakho yokuthobela imithetho isezingeni. Ukwephulwa kwemithetho kungenzeka ngezindlela ezihlukahlukene, okuhlanganisa ukudalulwa okungagunyaziwe, izivikelo ezinganele, ukuntuleka kokuqeqeshwa, nokwehluleka ukwenza ukuhlola ubungozi. Ake sibhekisise okunye ukwephulwa okuvamile kanye nemiphumela yako engaba khona.
1. Ukudalulwa Okungagunyaziwe: Lokhu kwenzeka lapho i-PHI yabelwa ngaphandle kokugunyazwa okufanele okuvela esigulini. Lokhu kungenzeka ngokwephula ngephutha, njengokuthumela i-imeyili enolwazi olubucayi kumamukeli ongalungile, noma ukwephulwa kwesinqumo ngamabomu, njengokwabelana ngolwazi lwesiguli ngaphandle kwemvume evumelekile. Ukudalulwa okungagunyaziwe kungaholela ekulimaleni kwesithunzi, ukulahlekelwa ukwethenjwa, kanye nezinhlawulo ezinkulu zezezimali.
2. Ukuvikela Okunganele: I-HIPAA idinga ukuthi izinhlangano zenze izinyathelo ezifanele zokuphepha ukuze zivikele i-PHI. Ukwehluleka ukwenza kanjalo kungaholela emiphumeleni emibi kakhulu. Isibonelo, uma umhlinzeki wezokunakekelwa kwempilo kungenakho ukubethela okufanele endaweni futhi ahlangabezane nokuphulwa kwedatha, angabhekana nezinhlawulo ezinkulu, izinyathelo zomthetho, nokulimala kwesithunzi sakhe.
3. Ukuntuleka Kokuqeqeshwa: I-HIPAA igunyaza ukuthi bonke abasebenzi bathole ukuqeqeshwa mayelana nezinqubo zobumfihlo nezokuphepha. Ukwehluleka ukunikeza ukuqeqeshwa okwanele kungase kubangele ukwephulwa kwephutha noma ngamabomu. Isibonelo, isisebenzi esiqeqeshwe ngokungafanele singadalula imininingwane yesiguli singahlosile kubantu abangagunyaziwe, okuholela ekwephuleni okungaba khona kanye nezijeziso.
4. Ukwehluleka Yenza Ukuhlola Ubungozi: I-HIPAA idinga izinhlangano ukuthi zenze ukuhlolwa kwengozi okujwayelekile ukuze zibone isistimu futhi zicubungule ubungozi. Ukwehluleka ukwenza lokhu kuhlola kungashiya izinhlangano zingazi ngezingozi ezingaba khona zokuphepha futhi kwandise amathuba okuphulwa komthetho. Ekwephuleni umthetho, inhlangano ingase ibhekane nezijeziso eziphezulu ngenxa yobudedengu.
Izinhlawulo ze-HIPAA nezijeziso
Ukwephula imithetho ye-HIPAA kungaholela ezijezisweni ezinzima ezingabeka inhlangano yakho engozini enkulu yezezimali. Umnyango Wezempilo Nezinsizakalo Zabantu (i-HHS) Ihhovisi Lamalungelo Abantu (OCR) liphoqelela ukuthotshelwa kwe-HIPAA. Ingakhokhisa izinhlawulo ngokusekelwe ebucayini bokwephulwa komthetho. Ake sihlole izinhlawulo nezijeziso ezingaba khona ezihlobene nokwephulwa kwe-HIPAA.
1. Isigaba 1: Izinga eliphansi kakhulu lezinhlawulo lisebenza lapho inhlangano ibingazi ngokuphulwa komthetho futhi ibingeke yazi ngisho nangokukhuthala okuphusile. Izinhlawulo zisuka ku-$100 ziye ku-$50,000 ngokwephulwa ngakunye, nenani eliphakeme lonyaka lika-$1.5 million.
2. Isigaba sesi-2: Leli zinga lisebenza lapho inhlangano yazi ngokwephulwa komthetho kodwa ingenzi ngokunganaki ngamabomu. Izinhlawulo zisukela ku-$1,000 ziye ku-$50,000 ngokwephula umthetho ngamunye, nenani elilinganiselwe lonyaka lama-$1.5 million.
3. Isigaba sesi-3: Izijeziso eziphezulu ziyasebenza lapho inhlangano yenze ngokunganaki ngamabomu futhi yehluleka ukulungisa ukwephulwa komthetho ngesikhathi esifanele. Izinhlawulo zisuka ku-$10,000 ziye ku-$50,000 ngokwephula umthetho ngamunye, nenani elilinganiselwe lonyaka lama-$1.5 million.
Ngaphezu kwezijeziso zezezimali, izinhlangano ezephula imithetho ye-HIPAA zingase zibhekane namacala obugebengu, amacala omphakathi, kanye nokulimala kwesithunzi. Imiphumela ingaba mibi kakhulu, okwenza kuphoqeleke ukuthi abahlinzeki bezempilo namabhizinisi babeke phambili ukuthobela kwe-HIPAA.
Izinyathelo okufanele uzithathe ngemuva kokwephulwa kwe-HIPAA
Ukuthola ukwephulwa kwe-HIPAA kungaba nzima, kodwa isinyathelo esisheshayo sibalulekile ukunciphisa umonakalo ongase ube khona. Nazi izinyathelo ezibalulekile okufanele uzilandele uma inhlangano yakho ihlangabezana noku Ukwephulwa kwe-HIPAA:
1. Khomba Futhi Uqukathe Ukuphulwa: Thola izinga lokwephulwa futhi uthathe izinyathelo ezisheshayo zokukunqanda. Lokhu kungase kuhlanganise ukuhlukanisa amasistimu athintekile, ukukhawulela ukufinyelela, nokwazisa abantu abafanelekile.
2. Hlola Umthelela: Hlola izingozi ezingaba khona kanye nokulimala okubangelwa ukwephulwa kwemithetho. Lokhu kuhlanganisa ukunquma uhlobo nenani le-PHI ehilelekile, amathuba okulimala kubantu ngabanye, kanye nemiphumela engase ibe khona yesithunzi neyezezimali.
3. Yazisa Abantu Ngabodwa Abathintekayo: I-HIPAA idinga izinhlangano ukuthi zazise abantu abathintwe ukwephulwa komthetho. Nikeza ulwazi olucacile nolufushane mayelana nesigameko, izinyathelo zokubhekana naso, nanoma yiziphi izinyathelo zokuvikela abantu abangazithatha.
4. Bika Iziphathimandla Ezifanelekile: Ezimweni ezithile, izinhlangano kufanele zibike ukwephulwa komthetho ku-OCR, izikhungo zombuso, noma ezinye izindikimba ezilawulayo. Zijwayeze nezidingo zokubika ukuze uqinisekise ukuthobela.
5. Yenza Uphenyo Oluphelele: Phenya imbangela yokwephulwa komthetho futhi uhlonze noma yibuphi ubungozi kumasistimu noma ezinqubweni zakho. Lokhu kuzosiza ukuvimbela izigameko ezifanayo futhi kubonise ukuzibophezela kwakho ekuxazululeni inkinga.
6. Sebenzisa Izinyathelo Zokulungisa: Thatha izinyathelo zokubhekana nomsuka wokwephulwa komthetho futhi uvimbele ukwenzeka esikhathini esizayo. Lokhu kungase kuhlanganise ukubuyekeza izinqubomgomo nezinqubo, ukuthuthukisa ukuqeqeshwa kwabasebenzi, nokusebenzisa izinyathelo zokuphepha ezengeziwe.
7. Funda Kokuhlangenwe nakho: Sebenzisa ukuphulwa ukuze uthuthukise ukuma kwenhlangano yakho yezokuphepha. Buyekeza njalo futhi ubuyekeze eyakho Uhlelo lokuhambisana ne-HIPAA, hlala unolwazi mayelana nezinqubo ezingcono kakhulu zemboni, futhi ufundise abasebenzi bakho ngokuqhubekayo.
Ngokulandela lezi zinyathelo, ungakwazi ukuphatha ngempumelelo ukwephulwa kwe-HIPAA futhi unciphise umonakalo ongase ube khona enhlanganweni yakho.
Ungakuvimbela kanjani ukwephulwa kwe-HIPAA enhlanganweni yakho
Ukuvimbela kuhlale kungcono kunokubhekana nemiphumela yokwephulwa kwe-HIPAA. Nawa amasu athile asebenzayo wokukusiza ukuthi uhlale uthobela imithetho ye-HIPAA futhi uvikele inhlangano yakho ezijezisweni:
1. I-HIPAA Ukuqeqeshwa Nokuhambisana Nemfundo: Qinisekisa ukuthi zonke izisebenzi zithola ukuqeqeshwa okuphelele mayelana nemithetho ye-HIPAA, izinqubo zobumfihlo, nezinqubo zokuphepha. Hlala ubuyekeza izinto zokuqeqesha ukuze zibonise noma yimiphi imithetho noma izinguquko kumazinga omkhakha.
2. Izixazululo Zobuchwepheshe Ezivumelana Ne-HIPAA: Sebenzisa ubuchwepheshe obuvikelekile obubethela idatha, buvikele ekufinyeleleni okungagunyaziwe, futhi bunike amandla ukuxhumana okuphephile nokugcinwa kwe-PHI. Lokhu kungase kuhlanganise amasistimu e-imeyili avikelekile, izinkundla ezibethelwe zokwabelana ngamafayela, nama-firewall aqinile.
3. Iqhaza Lokuhlola Ubungozi Ekuthobeleni kwe-HIPAA: Yenza ukuhlolwa okujwayelekile kobungozi ukuze uhlonze ubungozi kanye nezikhala ezinhlelweni zakho nezinqubo. Le ndlela yokusebenza ikuvumela ukuthi ubhekane nezingozi ezingaba khona ngaphambi kokuthi ziphumele ekwephuleni umthetho.
4. Izilawuli Zokufinyelela Eziqinile: Sebenzisa izilawuli zokufinyelela eziqinile ukuze uqinisekise ukuthi abantu abagunyaziwe kuphela abakwazi ukufinyelela i-PHI. Lokhu kufaka phakathi ama-ID omsebenzisi ahlukile, amaphasiwedi, ukuqinisekiswa kwezinto ezimbili, nezibuyekezo zokufinyelela ezivamile.
5. Ukuziphendulela Kwezisebenzi: Yenza abasebenzi baphendule ngezenzo zabo ngokusungula izinqubomgomo nezinqubo ezicacile, ukuphoqelela imiphumela yokwephulwa, nokuhlola njalo ukuthobela kwabo imithetho ye-HIPAA.
6. Uhlelo Lwempendulo Yesigameko: Yenza uhlelo oluphelele lokuphendula isigameko oluchaza izinyathelo okufanele uzithathe ngesikhathi sokwephulwa komthetho. Lokhu kuzosiza inhlangano yakho ukuthi iphendule ngokushesha nangempumelelo, inciphise umonakalo ongaba khona.
7. Ukucwaningwa Kwamabhuku Okuvamile Nokuqapha: Yenza ukuhlolwa kwangaphakathi okujwayelekile kanye nokuqapha ukuze kuqinisekiswe ukuhambisana okuqhubekayo nemithetho ye-HIPAA. Lokhu kuhlanganisa ukubuyekeza amalogi wokufinyelela, ukuqapha umsebenzi wesistimu, nokubhekana nobungozi obuhlonziwe.
Ngokusebenzisa lawa maqhinga, ungakha isiko lokuthobela ngaphakathi kwenhlangano yakho futhi unciphise ubungozi bokwephulwa kwe-HIPAA.
Ukuqeqeshwa kokuhambisana ne-HIPAA kanye nemfundo
Ukuze uqonde kangcono umthelela womhlaba wangempela wokuphulwa kwe-HIPAA, ake sihlole izibonelo ezimbalwa eziphawulekayo:
1. I-Anthem Inc. Ukuphulwa Kwedatha: Ngo-2015, i-Anthem Inc., enye yezinkampani ezinkulu zomshwalense wezempilo e-United States, yahlangabezana nokuphulwa kwedatha okukhulu okuthinta cishe abantu abayizigidi ezingu-78.8. Ukwephulwa kwesivumelwano senzeke ngenxa ye-imeyili yobugebengu bokweba imininingwane ebucayi ethunyelwe isisebenzi, okuvumela abagebengu be-inthanethi ukuthi bafinyelele idatha ebucayi. I-Anthem Inc. ixazulule icala nge-$115 million, okungenye yezindawo zokuhlala ezinkulu kakhulu emlandweni we-HIPAA.
2. Ukuphulwa Kwesistimu Yezempilo E-Cottage: Ngo-2013, i-Cottage Health System, umhlinzeki wokunakekelwa kwezempilo ozinze e-California, wehlelwa ukuphulwa kwedatha okudalule ulwazi lomuntu siqu lweziguli ezingaba ngu-55,000. Ukwephulwa komthetho kwenzeke ngenxa yokuntuleka kwezinyathelo zokuphepha ezifanele, okuhlanganisa nokwehluleka ukusebenzisa ukubethela. I-Cottage Health System ihlawule icala nge-$2 million.
Lezi zifundo zecala zigqamisa imiphumela ebalulekile yezezimali kanye nezinhlangano zokulimala kwesithunzi ezingabhekana nazo ngenxa yokwephulwa kwe-HIPAA. Isebenza njengesikhumbuzo sokubaluleka kokubeka phambili ukuthobela kwe-HIPAA ukuze kuvikelwe idatha yesiguli nokugwema izinhlawulo ezibizayo.
Izixazululo zobuchwepheshe ezihambisana ne-HIPAA
Ukugcina ukuthobela kwe-HIPAA kubalulekile kubahlinzeki bezempilo kanye namabhizinisi aphatha ulwazi olubucayi lwesiguli. Ukwephula imithetho ye-HIPAA kungaholela ezijezisweni ezinzima, ukulimala kwesithunzi, nemiphumela yezomthetho. Izinhlangano zingazivikela zona kanye nedatha yeziguli zazo ngokuqonda ukwephulwa okuvamile kwe-HIPAA kanye nezinhlawulo ezihlobene nokusebenzisa izinyathelo zokuvimbela.
Khumbula ukubeka phambili ukuqeqeshwa kwezisebenzi, ukusebenzisa ubuchwepheshe obuvikelekile, ukuhlola ubungozi okuvamile, futhi uphendule ngokushesha nangempumelelo uma kwenzeka kwephulwa. Ngokwenza kanjalo, ungazulazula endaweni eyinkimbinkimbi yemithetho ye-HIPAA futhi uqinisekise ubumfihlo nokuvikeleka kolwazi lwesiguli esikhathini samanje sedijithali. Hlala uthobela, hlala uvikelekile, futhi uvikele ukwethenjwa kwalabo obasebenzelayo.
Indima yokuhlola ubungozi ekuthotshelweni kwe-HIPAA
Lapho ukuvikela kuvikelwe ulwazi lwezempilo (PHI), ukusebenzisa izixazululo zobuchwepheshe ezithobela i-HIPAA kubalulekile. Lezi zixazululo ziklanyelwe ukuhlangabezana nezidingo eziqinile zokuphepha nezobumfihlo ze-HIPAA. Ngokusebenzisa la mathuluzi, abahlinzeki bezempilo namabhizinisi bangaqinisekisa ukuthi idatha yesiguli ihlala ivikelekile futhi ithobela.
Isixazululo esinjalo sobuchwepheshe izinkundla zemiyalezo ezibethelwe. Lezi zinkundla zivumela ochwepheshe bezempilo ukuthi baxhumane ngokuphephile futhi babelane ngolwazi lwesiguli ngaphandle kokubeka engcupheni ukufinyelela okungagunyaziwe. Ukubethela kuqinisekisa ukuthi idatha ihlala ivikelekile, ngisho noma iwela ezandleni ezingalungile.
Esinye isixazululo sobuchwepheshe esibalulekile ingosi yesiguli evikelekile. Le nkundla ye-inthanethi ivumela iziguli ukuthi zifinyelele amarekhodi azo ezempilo, zihlele ama-aphoyintimenti, futhi zixhumane nabahlinzeki bezempilo ngokuphephile. Izinhlangano zingakwazi ukwenza lula ukuhamba komsebenzi ngokusebenzisa a ingosi yesiguli ngenkathi igcina ukuthobela kwe-HIPAA.
Ngaphezu kwalokho, izixazululo zesitoreji samafu ezihlangabezana nezimfuneko ze-HIPAA zinikeza indlela evikelekile yokugcina nokufinyelela idatha yesiguli. Lezi zixazululo ngokuvamile zinikeza ukubethela, izilawuli zokufinyelela, nezipele ezivamile ukuze zivikeleke ekuphulweni kwedatha noma ekulahlekeni.
Ngokutshala imali kuzixazululo zobuchwepheshe ezihambisana ne-HIPAA, abahlinzeki bezempilo namabhizinisi bangathuthukisa izinyathelo zabo zokuphepha futhi banciphise ingozi yokwephulwa kwe-HIPAA. Kubalulekile ukucwaninga ngokucophelela bese ukhetha izixazululo ezihambisana nezidingo nezidingo zenhlangano yakho.
Izifundo zecala lokwephulwa kwe-HIPAA
Ukuhlola ubungozi okuvamile kuyisici esibalulekile sokugcina ukuthobela kwe-HIPAA. Ukuhlola ubungozi kusiza izinhlangano ukuthi zibone ubungozi kanye nobuthakathaka ezinhlelweni zazo, izinqubo, nezinqubomgomo ezingaholela ekwephuleni kwe-HIPAA.
Ngesikhathi sokuhlolwa kobungozi, izinhlangano zihlola izindlela zazo zokuphepha futhi zithole izikhala noma izindawo okufanele zithuthukiswe. Lokhu kubandakanya ukuhlola ukuphepha komzimba, izivikelo zobuchwepheshe, izilawuli zokuphatha, nezinhlelo zokuqeqesha abasebenzi.
Izinyathelo zokuphepha ngokomzimba zihlanganisa ukuthola ukufinyelela ngokomzimba ezindaweni lapho ulwazi lwesiguli lugcinwa khona noma lucutshungulwa khona. Lokhu kungabandakanya ukufaka amakhamera okuqapha, ukusebenzisa amasistimu okulawula ukufinyelela, nokulahla kahle amarekhodi aphathekayo.
Izivikelo zobuchwepheshe zihlanganisa izinyathelo zokuphepha ezivikela i-PHI ye-elekthronikhi. Lokhu kufaka phakathi ukusebenzisa izinqamuleli zokuvikela, ukubethela, imininingwane yokungena evikelekile, nezibuyekezo zesofthiwe ezivamile ukuvimbela ukufinyelela okungagunyaziwe noma ukwephulwa kwedatha.
Ukulawulwa kokuphatha kubandakanya ukusungula izinqubomgomo nezinqubo zokuphatha ulwazi lwesiguli. Lokhu kuhlanganisa ukuqeqesha abasebenzi ngemithetho ye-HIPAA, ukwakha izinhlelo zokuphendula izigameko, kanye nokwenza ucwaningo lwamabhuku okuvamile ukuze kuqinisekiswe ukuthotshelwa kwemithetho.
Ukuqeqeshwa kwabasebenzi kuyisici esibalulekile sokuthobela i-HIPAA. Ukufundisa abasebenzi ngezibopho zabo ekuvikeleni ulwazi lwesiguli, ukuqaphela izinsongo zokuphepha ezingaba khona, kanye nokulandela izinqubo ezifanele zokuphatha i-PHI kubalulekile.
Ngokwenza ukuhlolwa okujwayelekile kwezingcuphe nokubhekana nokuba sengozini okuhlonziwe, izinhlangano zinganciphisa ngokuqhubekayo ubungozi bokwephulwa kwe-HIPAA futhi zibonise ukuzibophezela kwazo kubumfihlo besiguli nokuvikeleka.
10: Isiphetho
Ake singene kwezinye izifundo zezehlakalo zangempela ukuze siqonde kangcono imiphumela yokwephulwa kwe-HIPAA kanye nezinhlawulo ezihlobene. Lezi zibonelo zigqamisa izimo ezivamile lapho izinhlangano zehlulekile ukuthobela imithetho ye-HIPAA, okuholela ezijezisweni ezibalulekile.
Isifundo 1: I-ABC Healthcare
I-ABC Healthcare, inethiwekhi ebanzi yesibhedlela, ihlangabezane nokuphulwa kwedatha ngesikhathi isisebenzi sihlaselwa umkhonyovu wobugebengu bokweba imininingwane ebucayi. Umgebengu wafinyelela ohlelweni lwesibhedlela, wabeka engcupheni i-PHI yezinkulungwane zeziguli. Ukwephulwa komthetho kubangele ukuthi isisebenzi sihluleke ukubona ngokushesha futhi sibike umzamo wobugebengu bokweba imininingwane ebucayi.
Ngenxa yokuphula umthetho, i-ABC Healthcare ibhekane nenhlawulo ka-$4.3 million. IHhovisi Lamalungelo Abantu (OCR) linqume ukuthi isibhedlela sehlulekile ukusebenzisa izindlela zokuphepha ezanele nokunikeza ukuqeqeshwa okufanele kwezisebenzi ukuze kuvinjelwe izigameko ezinjalo. Inhlawulo isebenze njengesikhumbuzo sokubaluleka kwezinqubo zokuphepha ku-inthanethi eziqinile nokuqeqeshwa okuqhubekayo.
Isifundo 2: I-XYZ Medical Clinic
I-XYZ Medical Clinic, encane indawo yokunakekelwa kwezempilo, ibhekane nezijeziso ezinzima ngenxa yokwephulwa kwe-HIPAA okuningi. Umtholampilo wehlulekile ukwenza njalo ukuhlola ubungozi, awunazo izindlela zokubethela ezifanele, futhi awubanga nenqubo yokwazisa ngokuphulwa komthetho. Lokhu kwephulwa kwemithetho kwavela obala lapho owayeyisisebenzi ebika ukungalandeli komtholampilo kwe-OCR.
Ngenxa yalokho, i-XYZ Medical Clinic yathola inhlawulo yezigidi ezingu-2.5 zamaRandi. I-OCR ithole ukuthi umtholampilo wawudebeselele izibopho zawo zokuvikela ulwazi lwesiguli, obeka ubumfihlo nokuvikeleka kwezinkulungwane zabantu engcupheni. Leli cala ligcizelela ukubaluleka kokucwaningwa kwamabhuku okugcinwa komthetho kanye nesidingo sezinqubomgomo nezinqubo eziphelele.
Lezi zifundo zecala zibonisa umthelela omkhulu wezezimali wokuphulwa kwe-HIPAA. Abahlinzeki bezempilo kanye namabhizinisi kufanele babeke phambili imizamo yokuthobela imithetho futhi batshale imali ezindleleni zokuphepha eziqinile ukuze kugwenywe izinhlawulo ezibizayo.
Ukutolika “Ngokwazi”
I-DOJ ihumushe ingxenye “ngokwazi” yomthetho we-HIPAA wecala lobugebengu njengokudinga ulwazi kuphela lwezenzo eziyicala. Ulwazi oluqondile lwesenzo esiphula umthetho we-HIPAA aludingeki.
Ukukhishwa Kusuka ku-Medicare
I-HHS inegunya lokungabandakanyi ekubambeni iqhaza ku-Medicare noma iyiphi i-CE eyayingathobelanga umsebenzi kanye namazinga asethwe ngekhodi ngo-Oct. 16, 2003 (lapho kutholwe khona isandiso, futhi i-CE ingencane) (68 FR 48805).
Isixhumanisi se-athikili:
https://www.ama-assn.org/practice-management/hipaa-violations-enforcement
