Sunday, September 8

Digital India cannot be achieved without Health Insurance Portability and Accountability Act

Let me begin by reiterating the subject line - Digital India cannot be achieved without Health Insurance Portability and Accountability Act. America revolutionized is Healthcare with computers and when it noticed there was a need for a law to ensure compliance it passed  Health Insurance Portability and Accountability Act that also defines the requirement of Digital America and Digital Healthcare for America. If Indian government wants successful Ayushmaan Bharat which is similar to Obama Care of USA it cannot be achieved without2 important foundations
1) Data Protection Law to protect the healthcare and private data of every individual
2) Health Care Accountability Law that mandates certain standard of healthcare in every hospital

For an ordinary man 'Going Digital' means primarily storing information in 'Digital Format'. For government 'Going Digital' also means guaranteeing protection of privacy for its citizen and allowing use of healthcare data in such a manner that the data is Secure, Restricted to authorized entities, ensuring data privacy and should be made available to authorized entities over secured internet with minimal efforts.

When you go to a hospital for a medical test the test reports and your personal data are stored on some hospital computer system. The hospital gives you a print of your report and maintains your medical records
for a undisclosed period of time which could be infinite.

When you go to 2nd hospital to take a 2nd opinion you have to share your paper reports with doctor because your 1st hospital does not give you access to your report over internet in more than 99% of hospitals in #India. The 2nd hospital , he may ask you do another round of test and again give your reports in paper format.

After years a person has hundreds of pages of paper report and the report format varies from hospital to hospital because India does not mandate hospitals to have a standard format for medical records - a major failure of the Indian Medical Association, Government of India and other bodies who are responsible for implementing standards in healthcare.

USA government signed the Health Insurance Portability and Accountability Act of 1996.  The HIPAA Privacy Rule is composed of national regulations for the use and disclosure of Protected Health Information (PHI) in healthcare treatment, payment and operations by covered entities. HIPPA was created primarily to
  1. modernize the flow of healthcare information, 
  2. stipulate how Personally Identifiable Information maintained by the healthcare and healthcare insurance industries should be protected from fraud and theft, 
  3. and address limitations on healthcare insurance coverage.


HIPAA was created to “improve the portability and accountability of health insurance coverage” for employees between jobs to combat waste, fraud and abuse in health insurance and healthcare delivery. The act also contained passages to promote the use of medical savings accounts by introducing tax breaks, provides coverage for employees with pre-existing medical conditions and simplifies the administration of health insurance. The procedures for simplifying the administration of health insurance became a vehicle to encourage the healthcare industry to computerize patients´ medical records. This particular part of the Act spawned the Health Information Technology for Economic and Clinical Health Act (HITECH) in 2009, which in turn lead to the introduction of the Meaningful Use incentive program – described by leaders in the healthcare industry as “the most important piece of healthcare legislation to be passed in the last 20 to 30 years”


https://www.hipaajournal.com/hipaa-history/

https://en.wikipedia.org/wiki/Health_Insurance_Portability_and_Accountability_Act

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