Health Insurance Portability and Accountability Act

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Related to Health Insurance Portability and Accountability Act: Health Insurance Portability and Accountability Act of 1996


a relative state in which one is able to function well physically, mentally, socially, and spiritually in order to express the full range of one's unique potentialities within the environment in which one is living. In the words of René Dubos, “health is primarily a measure of each person's ability to do and become what he wants to become.” 

Current views of health and illness recognize health as more than the absence of disease. Realizing that humans are dynamic beings whose state of health can change from day to day or even from hour to hour, leaders in the health field suggest that it is better to think of each person as being located on a graduated scale or continuous spectrum (continuum) ranging from obvious dire illness through the absence of discernible disease to a state of optimal functioning in every aspect of one's life. High-level wellness is described as a dynamic process in which the individual is actively engaged in moving toward fulfillment of his or her potential.
A common concept of health as a continuum ranging from optimal wellness at one end to illness culminating in death at the other end.
allied health see allied health.
health education.
1. in the nursing interventions classification, a nursing intervention defined as developing and providing instruction and learning experiences to facilitate voluntary adaptation of behavior conducive to health in individuals, families, groups, or communities.
2. See Window on Health Education.
health as expanding consciousness a conceptual model of nursing formulated by Margaret A. newman which offers a paradigm based on the view of health as the undivided wholeness of the person in interaction with the environment. The four key concepts of her model are consciousness, movement, space, and time. Consciousness is defined as the informational capacity of the human system, or the capacity of the system to interact with the environment. Movement is the manifestation of consciousness, viewed as waves of energy and energy transformation in the space and time of a person's life.

Person and environment are defined as co-extensive, open energy fields. The two evolve together and move toward increasing complexity and diversity, manifested in patterns of interaction that occur along continua of time and space. Person is also defined as a specific pattern of consciousness.

Health is a process of expanding consciousness that synthesizes disease and non-disease and is recognized by patterns of person-environment interaction. An understanding of pattern is basic to an understanding of health, and involves the movement from looking at parts to looking at the whole. Pattern is defined as information that depicts the whole, and gives an understanding of the meaning of relationships.

Nursing is an integrative force within the new paradigm of health seen as the undivided wholeness of the person in interaction and as a process of evolving consciousness. The nursing process is modified by Newman and encompasses nursing diagnosis/intervention based on the unique configuration of each person-environment interaction. Intervention is broadly intepreted as the recognition and augmentation of person-environment patterns, where the nurse and the client evolve together toward expanding consciousness.
health care system an organized plan of health services. The term usually is used to refer to the system or program by which health care is made available to the population and financed by government, private enterprise, or both. In a larger sense, the elements of a health care system embrace the following: (1) personal health care services for individuals and families, available at hospitals, clinics, neighborhood centers, and similar agencies, in physicians' offices, and in the clients' own homes; (2) the public health services needed to maintain a healthy environment, such as control of water and food supplies, regulation of drugs, and safety regulations intended to protect a given population; (3) teaching and research activities related to the prevention, detection, and treatment of disease; and (4) third party (health insurance) coverage of system services.

In the United States, the spectrum of health care has been defined by the Department of Health and Human Services as encompassing six levels of health care. The first level of care is preventive care, which is primarily provided by school health education courses and community and public health services.

Primary care is the usual point at which an individual enters the health care system. Its major task is the early detection and prevention of disease and the maintenance of health. This level of care also encompasses the routine care of individuals with common health problems and chronic illnesses that can be managed in the home or through periodic visits to an outpatient facility. Providers of care at the primary level include family members as well as the professionals and paraprofessionals who staff community and neighborhood health centers, hospital outpatient departments, physicians' offices, industrial health units, and school and college health units.

Secondary or acute care is concerned with emergency treatment and critical care involving intense and elaborate measures for the diagnosis and treatment of a specified range of illness or pathology. Entry into the system at this level is either by direct admission to a health care facility or by referral. Provider groups for secondary care include both acute- and long-term care hospitals and their staffs.

Tertiary care includes highly technical services for the treatment of individuals and families with complex or complicated health needs. Providers of tertiary care are health professionals who are specialists in a particular clinical area and are competent to work in such specialty agencies as psychiatric hospitals and clinics, chronic disease centers, and the highly specialized units of general hospitals; for example, a coronary care unit. Entry into the health care system at this level is gained by referral from either the primary or secondary level.

Respite care is that provided by an agency or institution for long-term care patients on a short-term basis to give the primary caretaker(s) at home a period of relief.

Restorative care comprises routine follow-up care and rehabilitation in such facilities as nursing homes, halfway houses, inpatient facilities for alcohol and drug abusers, and in the homes of patients served by home health care units of hospitals or community-based agencies.

Continuing care is provided on an ongoing basis to support those persons who are physically or mentally handicapped, elderly and suffering from a chronic and incapacitating illness, mentally retarded, or otherwise unable to cope unassisted with daily living. Such care is available in personal care homes, domiciliary homes, inpatient health facilities, nursing homes, geriatric day care centers, and various other types of facilities. See also home health care.
holistic health a system of preventive care that takes into account the whole individual, one's own responsibility for one's well-being, and the total influences—social, psychological, environmental—that affect health, including nutrition, exercise, and mental relaxation.
health Insurance Portability and Accountability Act an act of Congress, passed in 1996, that affords certain protections to persons covered by health care plans, including continuity of coverage when changing jobs, standards for electronic health care transactions, and privacy safeguards for individually identifiable patient information.
health maintenance organization (HMO) any of a variety of health care delivery systems with structures ranging from group practice through independent practice models or independent practice associations (IPAs). They provide alternatives to the fee-for-service private practice of medicine and other allied health professions. Although the type of organizational pattern, membership, and ownership of the organization may vary among HMOs, all have the major goal of allowing for investment in and incentives to use a prepaid, organized, comprehensive health care system that serves a defined population. The enrolled population enters into a contract with the organization, agreeing to pay, or have paid on their behalf, a fixed sum, in return for which the HMO makes available the health care personnel, facilities, and services that the population may require. The services are available on a 24-hour-a-day, 7-day-a- week basis. Some HMOs may provide directly the entire range of health services, including rehabilitation, dental, and mental health care. Others may agree to provide directly or arrange to pay only for physicians' services, in-hospital care, and outpatient emergency and preventive medical services. The kinds of services available are stipulated in the contract between the organization and its enrolled population. The emphasis of a health maintenance organization is on preventive rather than crisis-oriented medical care.
public health see public health.
health seeking behaviors a nursing diagnosis accepted by the North American Nursing Diagnosis Association, defined as a state in which a person in stable health is actively seeking ways to alter his or her personal habits or environment in order to move toward a higher level of health. “Stable health” is defined as the achieving of age-appropriate illness prevention measures, with reporting of good or excellent health, and signs or symptoms of disease, when present, being controlled.
sexual health see sexual health.
Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. © 2003 by Saunders, an imprint of Elsevier, Inc. All rights reserved.

Health Insurance Portability and Accountability Act (HIPAA),

U.S. federal legislation designed to preserve health insurance coverage for workers and their families when they change or lose their jobs. Includes security and privacy standards to protect personal health information and avoid misuse or inappropriate disclosure. It was established in 1996 and is administered by the U.S. Department of Health and Human Services.

The nature of the relationship between the patient and the health care provider demands that all information obtained from the patient in the course of diagnostic evaluation and treatment be held in strictest confidence. Preserving the confidentiality of medical information has traditionally been a part of medical, nursing, and hospital ethics, and policies and procedures have been established to safeguard the privacy of medical information and medical records. HIPAA established a national standard for the protection of all individually identifiable health information. Although its primary intent is to protect medical information that is electronically transmitted, the law as enacted applies to individually identifiable health information in all forms-electronic, written, oral, and any other. The HIPAA Privacy Rule requires each provider of health care to adopt specific policies and procedures, including physical safeguards such as locked file cabinets and computer passwords, to protect the confidentiality of all medical information in its keeping, to ensure that staff members understand these policies and procedures, and to provide information to patients about their privacy rights and how their medical information can be used and transmitted. No personally identifiable information about a patient, and no part of any patient's medical record, may be revealed or transmitted to, or discussed with, any person without the patient's written authorization, except under clearly specified circumstances. Under the Privacy Rule, health care workers may exchange or discuss medical information about patients among themselves as needed to provide medical, nursing and other services. They may impart information from a patient's record to other health care providers (including ambulance attendants; emergency department staff; pharmacy, laboratory, and x-ray personnel; and specialists or consultants) who are involved in the care of that patient. However, this rule requires health care providers to make reasonable efforts to limit the disclosure and use of personal health information to the minimum extent necessary to accomplish the intended purpose. Disclosure and use of information may be permitted without prior consent in an emergency or when substantial communication barriers exist. This rule also gives patients the right to examine their own health records, obtain copies, and request corrections, and prescribes civil and criminal penalties for health care workers who violate patients' privacy rights.

Farlex Partner Medical Dictionary © Farlex 2012

Health In·sur·ance Por·ta·bil·i·ty and Ac·count·a·bil·i·ty Act

(HIPAA) (helth in-shŭr'ăns pōr'tă-bil'i-tē ă-kownt'ă-bil'i-tē akt)
U.S. federal legislation designed to preserve health insurance coverage for workers and their families when they change or lose their jobs. Includes security and privacy standards to protect personal health information and avoid misuse or inappropriate disclosure. It was established in 1996 and is administered by the U.S. Department of Health and Human Services.
Medical Dictionary for the Health Professions and Nursing © Farlex 2012

Health In·sur·ance Por·ta·bil·i·ty and Ac·count·a·bil·i·ty Act

(HIPAA) (helth in-shŭr'ăns pōr'tă-bil'i-tē ă-kownt'ă-bil'i-tē akt)
U.S. federal legislation designed to preserve health insurance coverage for workers and their families when they change or lose their jobs. Includes security and privacy standards to protect personal health information and avoid misuse or inappropriate disclosure.
Medical Dictionary for the Dental Professions © Farlex 2012
References in periodicals archive ?
This site for the Office of the Assistant Secretary for Planning and Evaluation includes Disability, Aging and Long Term Care Policy, which handles developing, analyzing, evaluating and coordinating HHS policies and programs which support the independence, productivity, health and long term care needs of children, working age adults and older persons with disabilities; and the Health Insurance Portability and Accountability Act (HIPAA).
The Health Insurance Portability and Accountability Act also provides patients with access to their medical records, control over how their health information is used and disclosed, and avenues of recourse if their medical privacy is compromised, among other privacy rights.
* CPAs SHOULD FAMILIARIZE THEMSELVES with the provisions of major federal privacy legislation, including the Health Insurance Portability and Accountability Act of 1996, the Gramm-Leach-Bliley Act of 1999 and the Children's Online Privacy Protection Act of 1998.
The Health Insurance Portability and Accountability Act (HIPAA) requires that all covered entities (most nursing facilities meet the definition of covered entity) provide a notice to patients (or residents) detailing the ways in which the covered entity will use or disclose the patient's protected healthcare information (PHI).
The privacy provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which take effect April 14, 2003, protect medical records and other personal health information created or maintained by health care providers, health insurers and others who engage in certain electronic transactions.
AHIMA's 2002 convention will feature presentation sessions, tutorials and seminars to educate the healthcare industry on issues ranging from the Health Insurance Portability and Accountability Act (HIPAA) and data quality management to ambulatory payment classifications.
The AMA will study the federal privacy regulations associated with the Health Insurance Portability and Accountability Act and propose that the government delay further enacting the regulations if they are found to be too burdensome.
She says the usual approach of using scare tactics to market a new newsletter covering new legislation-in this case, the Health Insurance Portability and Accountability Act (HIPAA)--"no longer works!"
The regulations lay out penalties emanating from the Health Insurance Portability and Accountability Act, a law passed by Congress in 1996 that sets rules for health insurance portability and outlines penalties for health care fraud.
While motivated by the need to allow revocations and elections consistent with the provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), the provisions of more universal concern are those defining which status changes may permit revocations and elections in accident, health and group-term life.
The three Federal agencies responsible for regulating the new Health Insurance Portability and Accountability Act of 1996 (HIPAA), have requested public comment on all issues regarding the portability provisions.
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