Answer for BHA-FPX4006 Assessment 1: Compliance Program Implementation and Ethical Decision Making Background 

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Answer for BHA-FPX4006 Assessment 1: Compliance Program Implementation and Ethical Decision Making Background 

  

Problem Summary:  Privacy Breach—HIPAA Violation 

  Briefly Explain the Law, Regulation, Standard, et cetera*  Briefly Explain How the Law, Regulation, Standard, et cetera Applies to the Privacy Breach/HIPAA Violation 
Applicable Law(s)  Health Information Technology for Economic and Clinical Health Act (HITECH) act dealing with the online sharing of patient data (Chen & Benusa, 2017).   The hospital violated this law to the point where the clinic shared the electronic medical information with the insurance provider without written patient consent. HIPPA rules and the HITECH act align with the data confidentiality of patients in health care organizations. These rules have widely been applied in the healthcare sector to improve care efficiency and enhance patient outcomes through better decision support systems.  
Applicable Specific Regulation(s)  Two major regulations violated in this scenario were 45FR164.504 and 164.506. These regulations state that healthcare organizations do not have the authority to share medical information with the plan sponsor without written consent from the patient (Moore & Frye, 2020).   The act of sharing the medical information of the mentioned patient without written consent violated these regulations. As noted earlier, HIPPA rules are critical for ensuring that patients’ medical records are safe, accurate, and transparent. Various key information is also needed for the database to attain the utmost security. Accessing client medical data require authorized personnel as it will increase information security on the health data. However, in this case, surgical data was shared without the patient’s written consent.  
Disclosure  HIPPA regulations hold that it is illegal to disclose private patient information without their consent in written form (Moore & Frye, 2020).   Critical patient information includes imaging reports, laboratory results, social security numbers, immunization history, vital signs, past and current medications, past medical and surgical history, current medical issues, and patient demographics. In this case, the clinic employee shared the information without gaining written consent from the patient. This is violating HIPPA privacy rules.   
Applicable Human Resource Law(s)  The employees at Villa Heath are part health data security system and are responsible for observing the HIPPA regulations. The law prohibits healthcare employees from unauthorized sharing of patient information (Chen & Benusa, 2017).   This law was violated to the point that the employee shared information without gaining the patient’s consent. This appeared like a violation of the privacy rights of the patient. The cultural difference among employees might affect HIPPA policies as some employees would not adhere to the new policy ratified in the organization. The reception of the message on the limitation of the data sharing protocol might send the employees feeling that the management feels the client data is not safe for them. However, educating employees on the policy must be educated before forming part of the organizational culture.  
Applicable Industry Accrediting Body Standards  HIPPA violation rules apply in this scenario (Chen & Benusa, 2017).   The employee breached HIPPA regulations by sharing the patient information without gaining their consent. This action violated the privacy rights of the patient. 

Seven Essential Elements of an Effective Compliance Program 

Number  Element of an Effective Compliance Program (Federal Register)*  How Does This Element Apply to the Privacy Breach/HIPAA Violation? 
1.  Training and educating employees on HIPPA privacy laws (Gajwani et al., 2022).   This measure would apply to Villa health because the employee who shared the information did not have information on the regulations about sharing medical information. If the employee could have been subjected to effective training on these issues, they could not have violated the policy. The design and implementation

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