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AMC/HIPAA Workgroup
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tableofcontents.htm   start.htm   securitysectiontwo.htm   securitysectionthree.htm   securitysectionone.htm   securitycategories.htm   references.htm   privacysectiontwo.htm   privacysectionthree.htm   privacysectionone.htm   privacysectionfour.htm   privacysectionfive.htm   privacycategories.htm   jobdescriptions.htm   introduction.htm   index.htm   hipaatrifold.htm   hipaasuppliment.htm   hipaaresources.htm   hipaaexecsummary.htm   guidelinesorganization.htm   generalpolicyguidelines.htm   generalcategories.htm   definitions.htm   contractsandpolicies.htm   contact.htm   amchipaasecurityandprivacyguidelines.htm   acronyms.htm   acknowledgements.htm  
Introduction
The privacy and security regulations mandated by the Health Insurance Portability and
Accountability Act of 1996 (HIPAA) are of great importance to the healthcare community. In an
effort to assist Academic Medical Centers in addressing the new regulations, a series of
workshops were conducted to analyze current health information security and privacy polices, to
make recommendations, and to develop a resource of best practices for healthcare security and
privacy. This document,
Guidelines for Academic Medical Centers on Security and Privacy
, is
the result of a collaborative effort by multiple teaching hospitals and medical schools to address
their unique concerns in this area.
How are Academic Medical Centers different from other health care providers?
The tripartite mission of Academic Medical Centers (AMCs) - education, research, and patient
care - distinguishes them from peer institutions which are concerned primarily with patient
care. In the past two decades, the ability of AMCs to sustain these multiple missions has been
severely tested by changes in health care financing and regulation. Their history, governance,
constituency base, and position in society present unique challenges to successfully navigating
change. Implementation of the HIPAA security and privacy regulations, too, will face unique
barriers. Yet AMCs also have characteristics that give them advantages over other health care
provider organizations in this area, and provide an opportunity for AMCs to lead the effort to
ensure the privacy, security, and confidentiality of patient information. The following lists
summarize these potential barriers and opportunities.
AMCs: Unique Opportunities to Lead HIPAA Compliance
Well-educated, hard-working membership;
Traditionally innovators in health care;
Strong technology and information systems culture;
Active role in national health care policy development.
AMCs: Unique Barriers to HIPAA Compliance
Complex organizational and governance structure:
Multiple entities with a single name;
Unclear or non-existent reporting lines;
Governed by boards with a variable level of understanding of medical center issues.
University affiliation:
Decentralized organization, an inability to act quickly, and decisions by committee;
Academic culture tends to reward individual vs. organizational action;
Non-employee system users (students, trainees);
Often beholden to central university administration, which may have to sign off on
some aspects of compliance activities.
Multiple missions:
Confusion and disagreement about priorities;
Cross-subsidization of non-profitable missions.