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HIPAA COMPLIANCE. PROTECT INFORMATION INCREASE RECYCLING SAVE MONEY. HIPAA. SWEEPING REQUIREMENTS AFFECTS SEVERAL MAJOR BUSINESS SECTORS HEALTH CARE IMPACTS MANY ASPECTS OF OPERATIONS ASSESSMENT OF RISK FOR RELEASE OF INFORMATION. WASTE MANAGEMENT ISSUES.
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HIPAA COMPLIANCE PROTECT INFORMATION INCREASE RECYCLING SAVE MONEY
HIPAA • SWEEPING REQUIREMENTS • AFFECTS SEVERAL MAJOR BUSINESS SECTORS • HEALTH CARE • IMPACTS MANY ASPECTS OF OPERATIONS • ASSESSMENT OF RISK FOR RELEASE OF INFORMATION
WASTE MANAGEMENT ISSUES • VAST MAJORITY OF PAPER GENERATED IN HEALTH CARE CONTAINS CONFIDENTIAL INFORMATION • LEGALLY PROTECTED PATIENT INFORMATION • CONFIDENTIAL ORGANIZATIONAL INFORMATION • PERSONAL/EMPLOYEE INFORMATION
HIPAA INTERPRETATIONS • NO GUIDANCE FROM HIPAA • WIDE VARIATION IN INTERPRETATION • “REASONABLE AND PRUDENT”
AVAILABLE OPTIONS • DEPARTMENTAL SHREDDING • ON SITE CENTRAL SHREDDING • DOCUMENT DESTRUCTION/MOBILE SHREDDING CONTRACTORS • OFF SITE SHREDDING • CONFIDENTIAL RECYCLING PROGRAMS • SECURE CHAIN OF CUSTODY
DRIVER FOR POSITIVE CHANGE • REGULATORY REASON TO COLLECT OFFICE PAPER • USE EXISTING STRUCTURES AND PROCESSES • BUILD ON EXISTING PAPER RECYCLING PROGRAM • DEVELOP POLICY AND PROCEDURES
PROCESS FOR CHANGE • ASSESSMENT • REVIEW CURRENT PROCESSES AND PROCEDURES • IDENTIFY VULNERABILITIES • INCLUDE APPROPRIATE PERSONS AND DEPARTMENTS IN PLANNING • EMPLOYEE CONFIDENTIALITY STATEMENTS • CONTRACTED SERVICES
COLLECTION PROCESSES • CONTAINERS • LOCKED VS. UNLOCKED? • FIRE CODE PROVISIONS • COLOR CODE BAGS • IN HOUSE TRANSPORT
“TO SHRED OR NOT TO SHRED… THAT IS THE QUESTION!” • ULTRA SECURE DOCUMENTS • DOCUMENT SHREDDING CONTRACTOR • ITEMS ANOTHER EMPLOYEE SHOULD NEVER SEE • SHRED IN THE DEPARTMENT • BASKET TOP SHREDDERS
SECURE CHAIN OF CUSTODY • KNOW YOUR VENDOR • FACILITY AUDIT/TOUR • PROCESSES AND PROCEDURES • VENDOR EQUIPMENT • CONTAINERS • OFFSITE OPTIONS • CONFIDENTAILITY AGREEMENTS AND CONTRACTS LANGUAGE • LEGAL REVIEW • PRIVACY OFFICER? • INDEMNIFICATION • INSURANCE
TRAINING • NEW EMPLOYEE ORIENTATION • ANNUAL TRAINING • HIPAA REQUIREMENTS • EOC HAZARDOUS MATERIALS AND WASTE PROGRAM
COST SAVINGS • DIVERSION • COST AVOIDANCE • REBATES
OTHER ISSUES • RECORDS PURGES • CONTAMINATING MATERIALS • PATIENT CARDS • IV BAGS • MEDICINE BOTTLES • OTHER MISC CONFIDENTIAL MATERIALS IN THE WASTE STREAM
NEXT STEPS • CONTINUE DEVELOPMENT OF POLICY AND PROCEDURE • CONTINUE CONNECTING COMPLIANCE TO OPPORTUNITY FOR MATERIAL RECOVERY • IDENTIFY PROBLEMS AND CORRECTIVE MEASURES • WASTE STREAM AUDITS/RECORDKEEPING • INORMATION SHARING