{"id":8593,"date":"2020-03-16T00:00:00","date_gmt":"2020-03-16T05:00:00","guid":{"rendered":"https:\/\/test.tulsa-health.org\/hipaa-and-public-health-responses\/"},"modified":"2020-03-16T00:00:00","modified_gmt":"2020-03-16T05:00:00","slug":"hipaa-and-public-health-responses","status":"publish","type":"post","link":"https:\/\/tulsa-health.org\/vi\/hipaa-and-public-health-responses\/","title":{"rendered":"HIPAA v\u00e0 Ph\u1ea3n h\u1ed3i c\u1ee7a Y t\u1ebf C\u00f4ng c\u1ed9ng"},"content":{"rendered":"

Tr\u01b0\u1edbc s\u1ef1 b\u00f9ng ph\u00e1t c\u1ee7a COVID-19, V\u0103n ph\u00f2ng D\u00e2n quy\u1ec1n (OCR) t\u1ea1i B\u1ed9 Y t\u1ebf v\u00e0 D\u1ecbch v\u1ee5 Nh\u00e2n sinh Hoa K\u1ef3 (HHS) \u0111\u1ea3m b\u1ea3o r\u1eb1ng c\u00e1c t\u1ed5 ch\u1ee9c \u0111\u01b0\u1ee3c HIPAA chi tr\u1ea3 v\u00e0 c\u00e1c \u0111\u1ed1i t\u00e1c kinh doanh c\u1ee7a h\u1ecd bi\u1ebft v\u1ec1 c\u00e1c c\u00e1ch c\u00f3 th\u1ec3 chia s\u1ebb th\u00f4ng tin b\u1ec7nh nh\u00e2n theo Quy t\u1eafc quy\u1ec1n ri\u00eang t\u01b0 c\u1ee7a HIPAA khi b\u00f9ng ph\u00e1t b\u1ec7nh truy\u1ec1n nhi\u1ec5m ho\u1eb7c t\u00ecnh hu\u1ed1ng kh\u1ea9n c\u1ea5p kh\u00e1c v\u00e0 nh\u1eb1m m\u1ee5c \u0111\u00edch nh\u1eafc nh\u1edf r\u1eb1ng c\u00e1c bi\u1ec7n ph\u00e1p b\u1ea3o v\u1ec7 c\u1ee7a Quy t\u1eafc quy\u1ec1n ri\u00eang t\u01b0 kh\u00f4ng \u0111\u01b0\u1ee3c b\u1ecf qua trong tr\u01b0\u1eddng h\u1ee3p kh\u1ea9n c\u1ea5p.
\nL\u00fd l\u1ecbch<\/p>\n

Quy t\u1eafc v\u1ec1 quy\u1ec1n ri\u00eang t\u01b0 c\u1ee7a \u0110\u1ea1o lu\u1eadt v\u1ec1 tr\u00e1ch nhi\u1ec7m gi\u1ea3i tr\u00ecnh v\u00e0 cung c\u1ea5p th\u00f4ng tin b\u1ea3o hi\u1ec3m y t\u1ebf n\u0103m 1996 (HIPAA) b\u1ea3o v\u1ec7 quy\u1ec1n ri\u00eang t\u01b0 v\u1ec1 th\u00f4ng tin s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n (th\u00f4ng tin s\u1ee9c kh\u1ecfe \u0111\u01b0\u1ee3c b\u1ea3o v\u1ec7) nh\u01b0ng \u0111\u01b0\u1ee3c c\u00e2n b\u1eb1ng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng vi\u1ec7c s\u1eed d\u1ee5ng v\u00e0 ti\u1ebft l\u1ed9 th\u00f4ng tin ph\u00f9 h\u1ee3p v\u1eabn c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n khi c\u1ea7n thi\u1ebft \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n , \u0111\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe c\u1ed9ng \u0111\u1ed3ng c\u1ee7a qu\u1ed1c gia v\u00e0 cho c\u00e1c m\u1ee5c \u0111\u00edch quan tr\u1ecdng kh\u00e1c.<\/p>\n

HIPAA v\u00e0 Y t\u1ebf C\u00f4ng c\u1ed9ng<\/p>\n

Quy t\u1eafc v\u1ec1 quy\u1ec1n ri\u00eang t\u01b0 c\u1ee7a HIPAA th\u1eeba nh\u1eadn nhu c\u1ea7u ch\u00ednh \u0111\u00e1ng \u0111\u1ed1i v\u1edbi c\u00e1c c\u01a1 quan y t\u1ebf c\u00f4ng c\u1ed9ng v\u00e0 nh\u1eefng ng\u01b0\u1eddi kh\u00e1c ch\u1ecbu tr\u00e1ch nhi\u1ec7m \u0111\u1ea3m b\u1ea3o s\u1ee9c kh\u1ecfe v\u00e0 an to\u00e0n c\u00f4ng c\u1ed9ng c\u00f3 quy\u1ec1n truy c\u1eadp v\u00e0o th\u00f4ng tin s\u1ee9c kh\u1ecfe \u0111\u01b0\u1ee3c b\u1ea3o v\u1ec7 c\u1ea7n thi\u1ebft \u0111\u1ec3 th\u1ef1c hi\u1ec7n s\u1ee9 m\u1ec7nh y t\u1ebf c\u00f4ng c\u1ed9ng c\u1ee7a h\u1ecd. Do \u0111\u00f3, Quy t\u1eafc quy\u1ec1n ri\u00eang t\u01b0 cho ph\u00e9p c\u00e1c t\u1ed5 ch\u1ee9c \u0111\u01b0\u1ee3c ti\u1ebft l\u1ed9 th\u00f4ng tin s\u1ee9c kh\u1ecfe \u0111\u01b0\u1ee3c b\u1ea3o v\u1ec7 c\u1ea7n thi\u1ebft m\u00e0 kh\u00f4ng c\u1ea7n s\u1ef1 cho ph\u00e9p c\u1ee7a c\u00e1 nh\u00e2n:
\n\u00a0 \u00a0 \u00a0 \u00a0
\n\u00a0 \u00a0 \u00a0 \u00a0 Cho c\u01a1 quan y t\u1ebf c\u00f4ng c\u1ed9ng, ch\u1eb3ng h\u1ea1n nh\u01b0 CDC ho\u1eb7c s\u1edf y t\u1ebf ti\u1ec3u bang ho\u1eb7c \u0111\u1ecba ph\u01b0\u01a1ng, nh\u01b0 S\u1edf Y t\u1ebf Tulsa, \u0111\u01b0\u1ee3c ph\u00e1p lu\u1eadt cho ph\u00e9p thu th\u1eadp ho\u1eb7c nh\u1eadn th\u00f4ng tin \u0111\u00f3 nh\u1eb1m m\u1ee5c \u0111\u00edch ng\u0103n ng\u1eeba ho\u1eb7c ki\u1ec3m so\u00e1t b\u1ec7nh t\u1eadt, th\u01b0\u01a1ng t\u00edch ho\u1eb7c khuy\u1ebft t\u1eadt. V\u00ed d\u1ee5, \u0111i\u1ec1u n\u00e0y s\u1ebd bao g\u1ed3m vi\u1ec7c b\u00e1o c\u00e1o v\u1ec1 b\u1ec7nh t\u1eadt ho\u1eb7c th\u01b0\u01a1ng t\u00edch; b\u00e1o c\u00e1o c\u00e1c s\u1ef1 ki\u1ec7n quan tr\u1ecdng, ch\u1eb3ng h\u1ea1n nh\u01b0 sinh ho\u1eb7c t\u1eed; v\u00e0 ti\u1ebfn h\u00e0nh gi\u00e1m s\u00e1t, \u0111i\u1ec1u tra ho\u1eb7c can thi\u1ec7p v\u1ec1 s\u1ee9c kh\u1ecfe c\u1ed9ng \u0111\u1ed3ng. \u201cC\u01a1 quan y t\u1ebf c\u00f4ng c\u1ed9ng\u201d l\u00e0 m\u1ed9t c\u01a1 quan ho\u1eb7c c\u01a1 quan c\u00f3 th\u1ea9m quy\u1ec1n c\u1ee7a ch\u00ednh ph\u1ee7 Hoa K\u1ef3, m\u1ed9t Ti\u1ec3u bang, m\u1ed9t l\u00e3nh th\u1ed5, m\u1ed9t ph\u00e2n khu ch\u00ednh tr\u1ecb c\u1ee7a m\u1ed9t Ti\u1ec3u bang ho\u1eb7c l\u00e3nh th\u1ed5 ho\u1eb7c b\u1ed9 l\u1ea1c Da \u0110\u1ecf ch\u1ecbu tr\u00e1ch nhi\u1ec7m v\u1ec1 c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe c\u1ed9ng \u0111\u1ed3ng nh\u01b0 m\u1ed9t ph\u1ea7n nhi\u1ec7m v\u1ee5 ch\u00ednh th\u1ee9c c\u1ee7a m\u00ecnh, nh\u01b0 c\u0169ng nh\u01b0 m\u1ed9t c\u00e1 nh\u00e2n ho\u1eb7c t\u1ed5 ch\u1ee9c ho\u1ea1t \u0111\u1ed9ng d\u01b0\u1edbi s\u1ef1 \u1ee7y quy\u1ec1n t\u1eeb ho\u1eb7c theo h\u1ee3p \u0111\u1ed3ng v\u1edbi m\u1ed9t c\u01a1 quan y t\u1ebf c\u00f4ng c\u1ed9ng. Xem 45 CFR \u00a7\u00a7 164.501 v\u00e0 164.512(b)(1)(i). V\u00ed d\u1ee5: m\u1ed9t t\u1ed5 ch\u1ee9c thu\u1ed9c ph\u1ea1m vi \u0111i\u1ec1u ch\u1ec9nh c\u1ee7a quy \u0111\u1ecbnh c\u00f3 th\u1ec3 li\u00ean t\u1ee5c ti\u1ebft l\u1ed9 cho CDC th\u00f4ng tin s\u1ee9c kh\u1ecfe \u0111\u01b0\u1ee3c b\u1ea3o v\u1ec7 khi c\u1ea7n \u0111\u1ec3 b\u00e1o c\u00e1o t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p tr\u01b0\u1edbc \u0111\u00e2y v\u00e0 t\u01b0\u01a1ng lai c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u00e3 ph\u01a1i nhi\u1ec5m ho\u1eb7c nghi ng\u1edd ho\u1eb7c \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn nhi\u1ec5m vi-r\u00fat Corona m\u1edbi (2019-nCoV).\u00a0<\/p>\n

Ti\u1ebft l\u1ed9<\/p>\n

Ti\u1ebft l\u1ed9 cho Ph\u01b0\u01a1ng ti\u1ec7n Truy\u1ec1n th\u00f4ng ho\u1eb7c Ng\u01b0\u1eddi kh\u00e1c Kh\u00f4ng Li\u00ean quan \u0111\u1ebfn vi\u1ec7c Ch\u0103m s\u00f3c B\u1ec7nh nh\u00e2n\/Th\u00f4ng b\u00e1o: N\u00f3i chung, ngo\u1ea1i tr\u1eeb m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p h\u1ea1n ch\u1ebf \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 \u1edf ph\u1ea7n kh\u00e1c trong B\u1ea3n tin n\u00e0y, b\u00e1o c\u00e1o kh\u1eb3ng \u0111\u1ecbnh cho ph\u01b0\u01a1ng ti\u1ec7n truy\u1ec1n th\u00f4ng ho\u1eb7c c\u00f4ng ch\u00fang n\u00f3i chung v\u1ec1 m\u1ed9t b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 nh\u1eadn d\u1ea1ng \u0111\u01b0\u1ee3c ho\u1eb7c ti\u1ebft l\u1ed9 cho c\u00f4ng ch\u00fang ho\u1eb7c ph\u01b0\u01a1ng ti\u1ec7n truy\u1ec1n th\u00f4ng cung c\u1ea5p th\u00f4ng tin c\u1ee5 th\u1ec3 v\u1ec1 vi\u1ec7c \u0111i\u1ec1u tr\u1ecb cho m\u1ed9t b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 nh\u1eadn d\u1ea1ng, ch\u1eb3ng h\u1ea1n nh\u01b0 x\u00e9t nghi\u1ec7m c\u1ee5 th\u1ec3, k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m ho\u1eb7c chi ti\u1ebft v\u1ec1 b\u1ec7nh c\u1ee7a b\u1ec7nh nh\u00e2n, kh\u00f4ng th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n n\u1ebfu kh\u00f4ng c\u00f3 s\u1ef1 cho ph\u00e9p b\u1eb1ng v\u0103n b\u1ea3n c\u1ee7a b\u1ec7nh nh\u00e2n (ho\u1eb7c v\u0103n b\u1ea3n \u1ee7y quy\u1ec1n c\u1ee7a ng\u01b0\u1eddi \u0111\u1ea1i di\u1ec7n c\u00e1 nh\u00e2n l\u00e0 c\u00e1 nh\u00e2n). \u0111\u01b0\u1ee3c \u1ee7y quy\u1ec1n h\u1ee3p ph\u00e1p \u0111\u1ec3 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe cho b\u1ec7nh nh\u00e2n). Xem 45 CFR 164.508 \u0111\u1ec3 bi\u1ebft c\u00e1c y\u00eau c\u1ea7u c\u1ea5p ph\u00e9p HIPAA. Trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n kh\u00f4ng ph\u1ea3n \u0111\u1ed1i ho\u1eb7c h\u1ea1n ch\u1ebf ti\u1ebft l\u1ed9 th\u00f4ng tin s\u1ee9c kh\u1ecfe \u0111\u01b0\u1ee3c b\u1ea3o v\u1ec7, b\u1ec7nh vi\u1ec7n \u0111\u01b0\u1ee3c b\u1ea3o hi\u1ec3m ho\u1eb7c c\u01a1 s\u1edf ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe kh\u00e1c c\u00f3 th\u1ec3, theo y\u00eau c\u1ea7u, ti\u1ebft l\u1ed9 th\u00f4ng tin v\u1ec1 m\u1ed9t b\u1ec7nh nh\u00e2n c\u1ee5 th\u1ec3 theo t\u00ean, c\u00f3 th\u1ec3 ti\u1ebft l\u1ed9 th\u00f4ng tin th\u01b0 m\u1ee5c c\u01a1 s\u1edf c\u00f3 gi\u1edbi h\u1ea1n \u0111\u1ec3 th\u1eeba nh\u1eadn m\u1ed9t c\u00e1 nh\u00e2n l\u00e0 m\u1ed9t b\u1ec7nh nh\u00e2n t\u1ea1i c\u01a1 s\u1edf v\u00e0 c\u00f3 th\u1ec3 cung c\u1ea5p th\u00f4ng tin c\u01a1 b\u1ea3n v\u1ec1 t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n theo thu\u1eadt ng\u1eef chung (v\u00ed d\u1ee5: nguy k\u1ecbch ho\u1eb7c \u1ed5n \u0111\u1ecbnh, \u0111\u00e3 ch\u1ebft ho\u1eb7c \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u00e0 xu\u1ea5t vi\u1ec7n). C\u00e1c t\u1ed5 ch\u1ee9c thu\u1ed9c ph\u1ea1m vi \u0111i\u1ec1u ch\u1ec9nh c\u1ee7a quy \u0111\u1ecbnh c\u0169ng c\u00f3 th\u1ec3 ti\u1ebft l\u1ed9 th\u00f4ng tin n\u1ebfu b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u1ee7 n\u0103ng l\u1ef1c v\u00e0 n\u1ebfu vi\u1ec7c ti\u1ebft l\u1ed9 \u0111\u01b0\u1ee3c cho l\u00e0 c\u00f3 l\u1ee3i nh\u1ea5t cho b\u1ec7nh nh\u00e2n v\u00e0 ph\u00f9 h\u1ee3p v\u1edbi m\u1ecdi mong mu\u1ed1n \u0111\u00e3 b\u00e0y t\u1ecf tr\u01b0\u1edbc \u0111\u00f3 c\u1ee7a b\u1ec7nh nh\u00e2n. Xem 45 CFR 164.510(a).<\/p>\n

\u0110\u1ed1i v\u1edbi h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p ti\u1ebft l\u1ed9, t\u1ed5 ch\u1ee9c \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh ph\u1ea3i th\u1ef1c hi\u1ec7n nh\u1eefng n\u1ed7 l\u1ef1c h\u1ee3p l\u00fd \u0111\u1ec3 h\u1ea1n ch\u1ebf th\u00f4ng tin \u0111\u01b0\u1ee3c ti\u1ebft l\u1ed9 \u1edf m\u1ee9c \u201cc\u1ea7n thi\u1ebft t\u1ed1i thi\u1ec3u\u201d \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c m\u1ee5c \u0111\u00edch. (C\u00e1c y\u00eau c\u1ea7u c\u1ea7n thi\u1ebft t\u1ed1i thi\u1ec3u kh\u00f4ng \u00e1p d\u1ee5ng cho vi\u1ec7c ti\u1ebft l\u1ed9 th\u00f4ng tin cho nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe v\u00ec m\u1ee5c \u0111\u00edch \u0111i\u1ec1u tr\u1ecb.) C\u00e1c t\u1ed5 ch\u1ee9c thu\u1ed9c ph\u1ea1m vi \u0111i\u1ec1u ch\u1ec9nh c\u1ee7a quy \u0111\u1ecbnh c\u00f3 th\u1ec3 d\u1ef1a v\u00e0o tuy\u00ean b\u1ed1 c\u1ee7a c\u01a1 quan y t\u1ebf c\u00f4ng c\u1ed9ng ho\u1eb7c quan ch\u1ee9c c\u00f4ng quy\u1ec1n kh\u00e1c r\u1eb1ng th\u00f4ng tin \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u l\u00e0 th\u00f4ng tin c\u1ea7n thi\u1ebft t\u1ed1i thi\u1ec3u cho m\u1ee5c \u0111\u00edch \u0111\u00f3, khi s\u1ef1 tin c\u1eady \u0111\u00f3 l\u00e0 h\u1ee3p l\u00fd trong ho\u00e0n c\u1ea3nh. V\u00ed d\u1ee5: m\u1ed9t t\u1ed5 ch\u1ee9c thu\u1ed9c ph\u1ea1m vi \u0111i\u1ec1u ch\u1ec9nh c\u1ee7a quy \u0111\u1ecbnh c\u00f3 th\u1ec3 d\u1ef1a v\u00e0o c\u00e1c tuy\u00ean b\u1ed1 c\u1ee7a CDC r\u1eb1ng th\u00f4ng tin s\u1ee9c kh\u1ecfe \u0111\u01b0\u1ee3c b\u1ea3o v\u1ec7 m\u00e0 CDC y\u00eau c\u1ea7u v\u1ec1 t\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh nh\u00e2n \u0111\u00e3 ph\u01a1i nhi\u1ec5m ho\u1eb7c nghi ng\u1edd ho\u1eb7c \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn nhi\u1ec5m vi-r\u00fat Corona m\u1edbi (2019-nCoV) l\u00e0 th\u00f4ng tin c\u1ea7n thi\u1ebft t\u1ed1i thi\u1ec3u cho m\u1ee5c \u0111\u00edch y t\u1ebf c\u00f4ng c\u1ed9ng. Ngo\u00e0i ra, trong n\u1ed9i b\u1ed9, c\u00e1c th\u1ef1c th\u1ec3 \u0111\u01b0\u1ee3c b\u1ea3o hi\u1ec3m n\u00ean ti\u1ebfp t\u1ee5c \u00e1p d\u1ee5ng c\u00e1c ch\u00ednh s\u00e1ch truy c\u1eadp d\u1ef1a tr\u00ean vai tr\u00f2 c\u1ee7a m\u00ecnh \u0111\u1ec3 h\u1ea1n ch\u1ebf quy\u1ec1n truy c\u1eadp v\u00e0o th\u00f4ng tin s\u1ee9c kh\u1ecfe \u0111\u01b0\u1ee3c b\u1ea3o v\u1ec7 ch\u1ec9 cho nh\u1eefng th\u00e0nh vi\u00ean l\u1ef1c l\u01b0\u1ee3ng lao \u0111\u1ed9ng c\u1ea7n th\u00f4ng tin \u0111\u00f3 \u0111\u1ec3 th\u1ef1c hi\u1ec7n nhi\u1ec7m v\u1ee5 c\u1ee7a h\u1ecd. Xem 45 CFR \u00a7\u00a7 164.502(b), 164.514(d).<\/p>","protected":false},"excerpt":{"rendered":"

In light of the COVID-19 outbreak, the Office for Civil Rights (OCR) at the U.S. Department of Health and Human Services (HHS) ensures that HIPAA-covered entities and their business associates are aware of the ways that patient information may be shared under the HIPAA Privacy Rule in an outbreak of infectious disease or other emergency […]<\/p>\n","protected":false},"author":1,"featured_media":8594,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[24],"tags":[],"class_list":["post-8593","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"acf":[],"yoast_head":"\nHIPAA and Public Health Responses - Tulsa Health Department<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/tulsa-health.org\/vi\/hipaa-and-public-health-responses\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"HIPAA and Public Health Responses - 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