I would say yes in as far as security is concerned. You need to make sure that only 
the people that need to access that information, access that information. One of the 
ways to do that is to Audit the users, the times the system was accessed, etc. 
Although you are not responsible to account for disclosures prior to April, 2003, You 
would still need to account for anyone that is accessing those old records via this 
software,(after April, 2003) if it is for purposes other than TPO.

Hope this makes sense.

Make it a great day!

Cathy Skinkis
ISO
St. Mary's Hospital
Green Bay, WI   

-----Original Message-----
From: Mimi Hart [mailto:[EMAIL PROTECTED]
Sent: Tuesday, August 26, 2003 1:34 PM
To: WEDI SNIP Security Workgroup List
Cc: [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: Re: HIPAA Security - Unique Access


I probably sound like I am trying to parse on a thin line, but here goes
(bear with me).

I don't believe that patient's rights under Privacy & Security are
retroactive - that is they can't ask us to run an audit trail or produce
a disclosure log for data that accessed or disclosed before April 14,
2003.

However, if I am buying an application that is ONLY going to contain
data that was PRODUCED before April 14, 2003 (such as microfilm pull-up
software for medical records produced in 1999-2000) must I have the
ability to audit, use unique sign-ins, etc for when that data is
accessed by staff as part of treatment, payment or healthcare
operations? 

Mimi Hart Ó¿Õ*
Research Analyst, HIPAA
Iowa Health System
319-739-2430 (phone)
319-739-2594 (fax)
319-490-0637 (pager)
[EMAIL PROTECTED]

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The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions 
on this listserv therefore represent the views of the individual participants, and do 
not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If 
you wish to receive an official opinion, post your question to the WEDI SNIP Issues 
Database at http://snip.wedi.org/tracking/.   These listservs should not be used for 
commercial marketing purposes or discussion of specific vendor products and services.  
They also are not intended to be used as a forum for personal disagreements or 
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