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HR Update; December 19, 2008

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New California Medical Privacy Laws Create Personal Liability of up to $250,000 per Violation

In response to recent privacy violations in California involving medical records, the Governor signed two new laws to protect patient privacy, AB 211 and SB 541, effective January 1, 2009. These two laws work together in making health care providers -- that is, both hospitals and individual health care professionals, as well as University staff -- accountable for maintaining the confidentiality of patient medical information. Individuals will face fines and penalties, for which they will be personally responsible, criminal sanctions, as well as disciplinary action by licensing boards for unauthorized access/disclosure of medical information. In addition, hospitals will incur fines for failure to prevent or report unauthorized access/disclosure of medical information. The table below highlights each law.

The new laws define unauthorized access such as:

"The inappropriate review or viewing of patient medical information without a direct need for diagnosis, treatment, or other lawful use as permitted by the California Medical Information Act."

Both the University of California and UCSF have existing privacy policies that are consistent with these new laws. Current privacy policies provide that unauthorized access, use, disclosure and viewing of medical information are unlawful and subject to sanctions and disciplinary actions up to and including termination of employment.

If you access Protected Health Information (PHI) or Personally Identifiable Information (PII), you are personally responsible for ensuring the confidentiality, privacy, and security of the data entrusted to you, and you could be personally subject to statutory fines and penalties for failure to comply. You are expected to:

It is critical that you report incidents immediately (due to the new 5-day reporting requirement). Report suspected privacy violations to the UCSF Privacy Office. Report lost or stolen computers promptly to the UCSF Police (415-476-1414), and if PHI is involved, call the UCSF Privacy Office (415-353-2750) as well.

Going forward, UCSF will enhance encryption activities on the campus; enhance controls on clinical systems; and implement more robust monitoring and surveillance of electronic records to detect for unauthorized access.

For questions concerning privacy or data security, call any of the following:


Highlights of the New Medical Privacy Laws Effective January 1, 2009

AB 211 SB 541
Key Requirements

Mandates the confidentiality of medical information. Requires implementation of appropriate administrative, technical and physical safeguards to protect the privacy of a patient’s medical information, and implementation of reasonable safeguards to prevent unauthorized access, use, or disclosure.

Mandates prevention of unlawful or unauthorized access to or use or disclosure of patient medical information.

Reporting obligations: Providers must report incidents of unlawful access, use, or disclosure of a patient’s medical information within 5 days of detection of the breach to CDPH and the affected patient(s)/ legal representative.

Authorizes

Fines and civil penalties against any individual that negligently discloses or knowingly and willfully obtains, discloses, or uses medical information in violation of state / federal laws.

Fines to the institution for failure to prevent or report for unauthorized access, use, disclosure of medical information.
Oversight Agency

Calif. Office of Health Information Integrity (Cal-OHII)

Calif. Department of Public Health (CDPH)
Fines & Penalties; Civil/Criminal Actions

Individual Fines/ Penalties:

$2,500 - $25,000 per violation

$250,000 – maximum penalty per violation

Misdemeanor if patient suffers economic loss or personal injury

Potential for civil action by patient with statutory damages ($1000) in addition to actual damages

Cal-OHI may notify licensing board for further investigation/ discipline of individual providers.

Institutional Fines for failure to prevent or report:

$25,000 – initial violation (per patient)

$17,500 – subsequent occurrence

$250,000 – maximum penalty

$100 per day for late reporting

Refer to the State’s websites to review the new privacy laws: AB-211 and SB-541

For more information, visit http://hipaa.ucsf.edu

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Fingerprinting Now Required for Individuals with Unescorted Access to Certain Radioactive Materials

The United States Nuclear Regulatory Commission (USNRC) and the State of California have implemented new requirements for background checks for individuals who have unescorted access to certain radioactive materials. Specifically, it will now be required to submit an individual’s fingerprints to access his/her criminal history records.

As a licensee of the state authorized to possess radioactive material in quantities of concern, the University must comply with the new order. Absent a successful background check, a position may continue to have access to certain radioactive materials, but that access may not be unescorted. In an effort to comply with the regulations, UCSF's critical position guidelines have been updated. Environmental Health and Safety has identified all current employees with unescorted access to certain radioactive materials and fingerprints have been submitted. Effective immediately, for all new hires or employees that assume these critical responsibilities, contact the Environmental Health and Safety department at 476-1300 to ensure that individuals are fingerprinted in accordance with these requirements.

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Resolve to Improve Job Performance in the New Year

How comfortable are you in exercising your management authority when challenged by an employee’s non-compliance or insubordination? Is someone on your staff struggling with basic grammar, punctuation and sentence construction? In January, Development and Training offers courses that directly address these issues.

Empowering the Supervisor: Jan. 14, 8:30 a.m. – 10:30 a.m., $35

Write Right! Baseline Business Writing Skills: Jan. 20, 8:30 a.m. – 4:30 p.m., $35

See Below for a Full List of January Courses

Simply click the course names below to learn more and to register for January training. Please share this article with coworkers and those you supervise. View a complete listing of all Development and Training classes.

Career & Self Development

Administrative Support Essentials: Jan 28, 8:30 a.m. – 12:30 p.m., $35

Business and Administrative Processes

OLPPS WebLinks – Payroll Personnel Reporting: Jan 12, 9:00 a.m. – 12:30 p.m., $0

Cash Deposit Basics: Jan 15, 8:30 – 11:30 a.m., $35

General Ledger / Fund Accounting using OLFS Weblinks – Part I: Jan 6, 8:30 a.m. – 12:00 p.m., $35

General Ledger / Fund Accounting using OLFS Weblinks - Part II: Jan 15, 8:30 a.m. – 12:00 noon, $35

Communications

Write Right! Baseline Business Writing Skills: Jan. 20, 8:30 a.m. – 4:30 p.m., $35

Management & Leadership

Empowering the Supervisor: Jan 14, 8:30 a.m. – 10:30 a.m., $35

Working with Integrity: Ethics for the UCSF Community: Jan 15, 1:00 – 3:00 p.m., $35

Research Administration

PAM of EMF - Award Closeouts and FSRs: Jan 9, 8:30 a.m. – 12:00 noon, $35

Pam of EMF – Advanced OLFS WebLinks for Sponsored Projects: Jan 9, 8:30 a.m. – 12:00 noon, $35

Technical Support Partnership

Information Security Fundamentals: Jan 14, 1:30 – 3:30 p.m., $0

Computer Training eLearning (Live on Line)

Managing & Organizing Your Inbox in Outlook (Live on Line): Jan 13, 9:30 a.m. – 11:00 a.m., $49

Total Organization (Live on Line): Jan 27, 9:30 – 11:00 a.m.

Computer Training – Downtown San Francisco

Development & Training offers a full range of computer training (Microsoft, Adobe, Web, and programming) in downtown San Francisco at the office of our computer training provider, AcademyX. To learn more, visit Class Catalog and Enrollments. Then use Search Class Catalog to find a course topic or click the big green button, Choose Classes, and Enroll Online.

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UC Retirement Savings Programs & Upcoming Workshops

Maximum Annual Contribution limits increase for 2009:

Social Security/Medicare Taxes/Wage Base for 2009

Keep Retirement Readiness on Your Radar

Are your ducks all in a row? Start to plan now—it’s never too early. Happy holidays—more workshops to come in 2009 so stay tuned!

Please pass this on to your colleagues, circulate invitations, post the actual scheduled workshops happening near your location, or otherwise re-broadcast these weekly reminders about our valuable (free) education programs for faculty and staff. Bring your lunch, your questions, your spouse/partner ...

Usually there can be at least one (or more) workshop(s) per week scheduled at various UCSF locations around town. For more details and listings for upcoming scheduled presentations, please refer to our Workshops and Presentations Schedules menus found at our local UCSF HR/Benefits website.

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UCSF Farmers Market Holiday Closure

The UCSF Farmers Market will be closed from Wednesday, December 24 through Wednesday, January 7 and will reopen on Wednesday, January 14.

The market brings healthy, seasonal, and convenient food options to the UCSF community. Help support local farmers along with UCSF’s mission of promoting health worldwide. The weekly market is held every Wednesday from 10 a.m. – 3 p.m. in the ACC Breezeway between Millberry Union and the Ambulatory Care Center on the Parnassus Campus.

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