To access the ETO HIPAA Compliance document click here or read the FAQs below.
What is HIPAA?
The Health Insurance Portability and Accountability Act (HIPAA) was signed into law in August 1996 and is designed to improve the effectiveness and efficiency of the U.S. healthcare system and mandates national standards in several areas.
Among HIPAA regulations are two important provisions:
- Title I Cobra (portability) – designed to protect workers and families from the loss of health insurance coverage as the result of a job change or termination i.e. the Security Rule
- Title II Administrative Simplification (AS) – designed to simplify the administration of healthcare and to protect the privacy of individually identifiable health information i.e. the Privacy Rule
Who must comply with HIPAA?
HIPAA regulations apply to two groups - Covered Entities and their Business Associates.
There are three (3) types of Covered Entities:
- Health Plans
- Healthcare Providers (who transmit any health information or conduct electronic health transactions)
- Healthcare Clearinghouses (that facilitate electronic transactions between health plans and providers)
Covered entities must ensure that Business Associates protect patient privacy and therefore each covered entity is required to enter into a formal "business associate agreement" before sharing Protected Health Information (PHI) with a business associate. This "agreement" extends accountability for protection of PHI.
What is "PHI?"
Protected Health Information includes any information relating to an individual's health or which can be used to identify the individual. PHI is not limited to written medical files, i.e. the term covers verbal communication, billing records, information written on notice boards or conference room boards etc. HIPAA requires that this information is kept secure, accurate and only available to authorized persons and for authorized uses.
Are there any restrictions on use or disclosure of de-identified Health Information?
There are no restrictions on the use or disclosure of de-identified health information. De-identified health information neither identifies nor provides a reasonable basis to identify the individual.
What is a Business Associate?
A Business Associate performs services for (or acts on behalf of) a covered entity. Social Solutions is a Business Associate of our covered entity. As a Business Associate to these parties, Social Solutions services may involve the use or disclosure of PHI and therefore Social Solutions is accountable for the protection of this PHI.
What is a Business Associate Agreement?
Our Business Associate status to our covered entities required us to execute a BAA Agreement with Covered entities. Social Solutions provided Agreements to those Customers who identified themselves as Covered Entities for execution. Copies of signed agreements are uploaded to NetSuite and those Customers can be identified in the Contract Details tab of the Customer record.
Does Social Solutions have a Security Plan which is HIPAA compliant?
YES, Social Solutions has a Security Plan which is available by contacting the Human Resources Department or Contracts Department. This plan covers the definition of roles related to Information Security, Management of internal risks, employee/User responsibilities for protecting information, the accessing and use of information, and penalties for violation of Policy.
How does Social Solutions track disclosures of PHI?
A disclosure log report is kept by the Human Resources Department. Any disclosures of PHI by Social Solutions are logged on the report.
Is Social Solutions HIPAA compliant?
As a Business Associate of Covered Entities, Social Solutions is compliant with all requirements of the HIPAA act signed into law in 1996. It is important to note that in addition to the Act, there were many suggested changes which were not included in the Act but may be added at a later date. Those changes have been reviewed by Social Solutions and are being considered in the long term plans of system enhancements. SSG is committed to maintaining the highest levels of information security.
Is there a resource for HIPAA questions from Customers?
Yes, In addition to this FAQ, please have them email any questions to HIPAAQUESTIONS@SOCIALSOLUTIONS.COM. A response will be provided within 48-hours. Please feel free to also refer customers to David Parks in the Contracts Department.