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HIPAA's effects on US healthcare
Sameer Kumar1, Anne Henseler, David Haukaas
1Opus College of Business, University of St Thomas, Minneapolis, Minnesota, USA. skumar@stthomas.edu
International Journal of Health Care Quality Assurance
|June 20, 2009
Summary
The Health Insurance Portability and Accountability Act (HIPAA) has outdated IT capabilities and vague wording, complicating US healthcare documentation and patient care. Updating HIPAA is crucial for a less frustrating healthcare system.
Area of Science:
- Healthcare Policy
- Information Management
- Medical Informatics
Background:
- The Health Insurance Portability and Accountability Act (HIPAA) significantly impacted US medical documentation, storage, flow, and access.
- While aiming to protect patient information, HIPAA's implementation has inadvertently slowed research and complicated healthcare delivery.
Purpose of the Study:
- To discuss the effects of HIPAA on medical documentation and patient care in the USA.
- To analyze future healthcare options in light of HIPAA's influence.
Main Methods:
- A chronological approach was used to detail HIPAA's effects.
- Process flow maps analyzed pre- and post-HIPAA environments to identify process differences.
- A critique of the post-HIPAA environment informed recommendations for government and industry action.
Main Results:
- HIPAA's IT management capabilities were outdated upon its passage.
- Vague wording in the Act created compliance uncertainty among healthcare staff.
- Simple revisions to wording and updates could significantly improve the Act.
Conclusions:
- HIPAA is characterized by its outdated nature and ambiguous language, causing confusion even among experts.
- The Act's complexity and fragmentation make it difficult to address effectively.
- Reforming and clarifying HIPAA is essential for a more efficient and less frustrating US healthcare system.
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