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Health Care Financing Administration. Privacy Act of 1974; report of new system. Notice of new system of records.

This notice describes a new system of records, The Evaluation of the Long-Term Home Health Care Program, HCFA No. 09--70--0025, in accordance with the requirements of the Privacy Act of 1974. The purpose of this system is to provide a valid and reliable research base which is essential for an accurate evaluation of this program. The new system of records will contain patient-specific information about the health status and the service utilization and cost of Long-Term Home Health Care Program (LTHHCP) participants. In addition, the system will contain information necessary to evaluate the health status and service utilization and costs of a selected comparison group of patients who meet the eligibility requirements for the LTHHCP but are not enrolled in the program. There is a more detailed explanation of both the evaluation and the records system under the section entitled "Supplementary Information." HCFA invites public comments by June 15, 1981, with respect to routine uses of the system.

Confidentiality↗

Privacy Act of 1974; report of new system--HCFA. Notice of new system of records.

In accordance with the requirements of the Privacy Act of 1974 we are proposing to establish a new system of records. National Long-term Care Survey Follow-up, HHS/HCFA/ORD, No. 09-70-0030. This system will provide a nationally valid data base on dependency among elderly persons, the services they use, and their resources for providing for their long-term care in their communities and in institutions. The data will be used for developing long-term care policies for those who will require such care.

Activities of Daily Living↗

Privacy Act of 1974; new system of records--Public Health Service. Notification of a new system of records: 09-30-0045, "Respondents in a validity/reliability study of self-reported drinking".

In accordance with the requirements of the Privacy Act, the Public Health Service (PHS) is publishing a notice of a new system of records entitled, "Respondents in a Validity/Reliability Study of Self-Reported Drinking." HHS/ADAMHA/NIAAA, in the Alcohol, Drug Abuse, and Mental health Administration (ADAMHA). The system notice establishes two routine uses. PHS invites interested persons to submit comments on the proposed routine uses on or before June 28, 1982.

Alcohol Drinking↗

Privacy Act of 1974; annual publication of systems of records--CDC.

The Centers for Disease Control (CDC) is publishing this document to meet the requirement of the Privacy Act, as amended by the Congressional Reports Elimination Act (Pub. L. 97-375), to republish the notices of systems of records which have been revised. This publication provides a table of contents which contains the numerical designations and titles of all systems of records maintained by CDC and its organizational components, including the National Institute for Occupational Safety and Health (NIOSH). In addition, the notices of systems of records which have been revised following a comprehensive review are indicated by an asterisk in the Table of Contents and are published below in their entirety. CDC's system notices were last published in the Federal Register, Vol. 47, No. 198, pp. 45469-45513, October 13, 1982. One additional new system of records: 09-20-0161, "Records of Health Professional in Disease Prevention and Control Training Programs," HHS/CD/CPS, has been published in the Federal Register Vol. 48, No. 127, pp. 30187-30188, June 30, 1983. Twenty-five of the forty-two notices which were published in the 1982 annual compilation have been modified to clarify the descriptions and to ensure that they are complete, accurate, and timely. None of these changes requires a report of altered system to be sent to the Congress and the Office of Management and Budget. The notices are complete and accurate as of August 15, 1983.

Centers for Disease Control and Prevention, U.S.↗

Privacy Act of 1974; altered system of records--PHS. Notification of altered system of records: 09-30-0036, "Alcohol, Drug Abuse, and Mental Health Epidemiologic and Biometric Research Data, HHS/ADAMHA/OA".

In accordance with the requirements of the Privacy Act, the Public Health Service (OHS) is publishing a notice of proposal to alter the system of records in the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA), National Institute of Mental Health (NIMH), entitled, "Mental Health Epidemiologic and Biometric Research Data, HHS/ADAMHA/NIMH," to create an umbrella system of records to include epidemiologic and biometric research data in the areas of alcohol and drug abuse in addition to data already collected and maintained for mental health research. The system is to be retitled, "Alcohol, Drug Abuse, and Mental Health Epidemiologic and Biometric Research Data, HHS/ADAMHA/OA." PHS invites interested persons to submit comments on the proposed alteration on or before November 23, 1984.

Civil Rights↗

Privacy Act of 1974; system of records--PHS. Notification of an altered system of records: 09-30-0014, "Saint Elizabeths Hospital Financial System, HHS/ADAMHA/NIMH".

In accordance with the requirements of the Privacy Act and the Debt Collection Act of 1982 (Pub. L. 97-365), the Public Health Service (PHS) is publishing notice of a proposal to alter an established system of records 09-30-0014, "Saint Elizabeths Hospital Financial System, HHS/ADAMHA/NIMH." PHS also proposes to add a contractor routine use and to revise and expand an existing routine use concerning debt collection disclosures. PHS invites interested persons to submit comments on the alteration and the proposed new/revised routine uses on or before July 18, 1985.

Civil Rights↗

Privacy Act; notification of a new system of records. Public Health Service. Notification of a new system of records: 09-30-0039, "Drug Abuse Treatment Outcome Prospective Study (TOPS)".

In accordance with the requirements of the Privacy Act, the Public Health Service (PHS) is publishing a notice of a new system of records entitled "Drug Abuse Treatment Outcome Prospective Study (TOPS," HHS/ADAMHA/NIDA, in the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA), National Institute on Drug Abuse (NIDA). We are also proposing routine uses for this system of records. The purpose of the system is to compile information (data base) for a long-term, large-scale followup study of clients entering drug abuse treatment programs. NIDA will analyze aggregate data to assess the effectiveness of drug abuse treatment programs and to obtain data on drug abusers' behavior and characteristics subsequent to their contacts with the programs.

Confidentiality↗

Privacy Act of 1974; proposed major alteration to existing system of records--PHS. Notification of proposed major alteration to an existing system of records: 09-30-0041.

In accordance with the requirements of the Privacy Act, the Public Health Service (PHS) is publishing a notice of a proposed altered system of records, to be renamed "Participants in Drug Abuse Research Studies Supporting New Drug Applications," HHS/ADAMHA/NIDA, in the Alcohol, Drug Abuse and Mental Health Administration (ADAMHA), national Institute on Drug Abuse (NIDA). The system is currently entitled "Subject-Participants in a Drug Abuse Research Study on Naltrexone." We propose to alter the existing system to incorporate a second study with a narcotic agonist, LAAM (levo-alpha-acetylmethadol), thus creating an umbrella system. PHS invites interested parties to submit comments on the proposed alteration on or before July 11, 1983. We are not proposing changes to the nature of the routine use for this system of records but are rewording it to accommodate the LAAM study. This technical revision, in and of itself, does not require a public comment period. Additional technical changes to accommodate the LAAM study also appear elsewhere in the system notice.

Civil Rights↗

Privacy Act of 1974; addition to routine use--PHS. Notification of a proposal to add a routine use to an existing system of records; 09-30-0034.

In accordance with the requirements of the Privacy Act, the Public Health Service (PHS) is publishing a notice of a proposal to add a routine use to the system of records 09-30-0034, "Professional Development Program Registries of the National Training System for Substance Abuse Services," HHS/ADAMHA/NIDA, in the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA), National Institute on Drug Abuse (NIDA). This new routine use will permit ADAMHA to transfer the records now in NIDA's possession to a non-Federal successor organization, the American Council on Education (ACE). ACE will assume all responsibility for the operation of the registries. PHS invites interested parties to submit comments on the proposed routine use on or before July 11, 1983.

Civil Rights↗

Employee testing raises workplace privacy issues.

With increasing frequency, employers are considering mandatory screening for substance abuse and AIDS. These tests are focusing attention on an area of growing concern for hospitals--employees' right to privacy in the workplace--and prompting trustees to define an institutional philosophy for their hospital.

Acquired Immunodeficiency Syndrome↗

Privacy Act of 1974; addition of routine use to existing system of records--PHS.

The pending transfer of Saint Elizabeths Hospital from the Federal Government to the District of Columbia Government on October 1, 1987, requires certain transition procedures. This statement notifies the public of the addition of a new routine use to 19 Privacy Act systems of records maintained at Saint Elizabeths Hospital in the National Institute of Mental Health (NIMH), of the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA).

District of Columbia↗

Non-nominal HIV surveillance: preserving privacy while tracking an epidemic.

OBJECTIVE: To enhance HIV surveillance within a non-nominal provincial testing system. METHODS: Confirmatory HIV tests from a provincial laboratory were analyzed during 1995 and 1996. Enhancements included elimination of repeat positive tests for the same individual using automated matching of non-nominal identifiers and nurse call-back of health care providers, completion of missing information through call-back and connection of providers with resources for patient care. RESULTS: Forty-seven percent of 2,683 reactive HIV tests were identified as duplicates for the same individual, meaning that 1,401 people tested positive for the first time. From laboratory test data to enhanced unduplicated data after call-back, the proportion of tests for which risk and ethnic information was unknown dropped from 37% to 11% and from 64% to 18% respectively (p < 0.0001). CONCLUSIONS: Enhanced non-nominal surveillance for HIV is a practical means of marrying the needs of public health for epidemiological information and the rights of patients to privacy.

AIDS Serodiagnosis↗

The new privacy officer's game plan.

The HIPAA-mandated privacy officer role offers a new opportunity for HIM professionals. What skills are required, and what needs to be done first? This article answers these questions.

Computer Security↗

Final privacy rules create more questions.

Buried in the final patient privacy regulations released by the Clinton administration are a host of changes from the proposed regulations that will directly affect quality assurance managers, according to experts who have been sifting through the 1,500-page document since it was released Dec. 21.

Communication↗

HIPAA Creating privacy protection that works.

All health care providers, clearinghouses, and health plans that transmit health information electronically in connection with a standard transaction (e.g., claims, coordinating benefits, payment and remittance advice, claims status, etc.) are subject to compliance under the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The effective date of the regulations was April 14, 2001, and all health providers must be in full compliance by April 2003. It is extremely important that you and your organization understand HIPPA and the final privacy rule and begin working toward compliance now.

Computer Communication Networks↗

Final HIPAA privacy rules: "How do we get started?".

This article provides a general overview of the HIPAA privacy standards established by the Final Rules. It also discusses organizational approaches health care providers, more specifically hospitals and health systems, can use to "get started" with their HIPAA compliance effort. It also explores the corresponding human and financial resources that such providers will need to develop and implement the program. While the needs and approaches identified and discussed in this article may also apply to some extent to Covered Entities other than health care providers, this article does not specifically address those considerations in the context of health plans (including employer-sponsored plans), health care clearinghouses, or retail pharmacies.

Confidentiality↗

Privacy rules under the Gramm-Leach-Bliley Act and HIPAA.

The intense scrutiny given to the privacy implications of the Gramm-Leach-Bliley Act and the Health Insurance Portability and Accountability Act has led to much confusion regarding which applies to specific entities. The authors attempt to clarify when these Acts would define how confidential medical data are used.

Computer Security↗