man pointing his finger during daytime

Aug 16, 2024 / By

Lessons Learned from Real Time vs. PointClickCare: Mind your Information Blocking Ps and Qs

A federal district judge has granted preliminary injunctive relief to Real Time Medical Systems, Inc. (“Real Time”) barring the defendant, PointClickCare (“PCC”), from deploying unsolvable CAPTCHAs that interfered with Real Time’s ability to access the data of its skilled nursing facility customers that utilized PCC. As Judge Xinis wrote in the opinion, "No evidence supports that PCC had any legitimate good faith use for wholly inscrutable CAPTCHAs which, by definition, blocked Real Time from getting the very records it needs to exist....But even more damning is the timing of such deployments, which support that PCC used those CAPTCHAs as a device to hamstring or eliminate Real Time as a competitor." Keep reading for additional details regarding Real Time's complaints against PointClickCare.

Update: On August 19, 2024, PointClickCare filed a Motion to Expedite Appeal with the United States Court of Appeals for the Fourth Circuit.

Jun 26, 2024 / By

HIPAA Reproductive Health Care Privacy – Attestation Template, Policy Samples, updated HIPAA policies, a HIPAA-New Jersey Reproductive Health Care Law crosswalk, and more!

June 25, 2024 has arrived! This means that the Final Rule for HIPAA Privacy to Support Reproductive Health Care Privacy is officially in effect, and HIPAA covered entities and business associates may now begin implementing its new requirements! But there are still many questions about how some of the new requirements should be implemented. Among those giving covered entities and business associates the most angst is the new Attestation requirement.

Jun 12, 2024 / By

Who’s On First? Confusion Continues About Who Should be Reporting the Change Healthcare PHI Breaches (UPDATED)

What should covered entity healthcare providers be considering and doing, especially where Change Healthcare has yet to take any affirmative breach notification actions? In this post, I take a deeper dive into key issues and share suggestions on steps covered entities may wish to take in order to manage ongoing uncertainties and risks that continue to simmer as a result of the Change Healthcare incident.

Are We Getting Closer to Alignment of 42 CFR Part 2 & HIPAA?

Are We Getting Closer to Alignment of 42 CFR Part 2 & HIPAA?

SAMHSA finally fulfilled its duty under the CARES Act & releases a Proposed Rule “Confidentiality of Substance Use Disorder (SUD) Patient Records” amending the Part 2 rules in line with the CARES Act’s requirements. This is the 4th overhaul of the Part 2 Rule in 5 years…

Information Blocking is No Longer Limited to USCDI

Information Blocking is No Longer Limited to USCDI

Today, the Information Blocking spigot has officially opened. The Content & Manner Exception no longer applies; now, all electronic health information (EHI) cannot “blocked” if requested (unless another exception applies).

Summary List Update of COVID19-related Federal Actions Relevant to Healthcare

Summary List Update of COVID19-related Federal Actions Relevant to Healthcare

As efforts at the federal and individual states level evolve every day at almost a breakneck pace to address challenges and needs related to the COVID-19 outbreak, here is a updated running list of some of the top actions taken at the federal level that we thought would be helpful to the healthcare industry (Caveat, this is not an exhaustive list): 

CMS Releases Hospital COP Event Notification FAQs; Interpretive Guidance

CMS Releases Hospital COP Event Notification FAQs; Interpretive Guidance

On May 1, modifications to the Medicare Conditions of Participation (“CoPs”) went into effect, requiring certain electronic event notifications for admissions, discharges and transfers (“ADTs”) to and from hospitals, critical access hospitals and psychiatric hospitals. To provide guidance to hospitals and state surveyors, CMS released several FAQs as well as interpretive guidance last week to be published in the State Operations Manual.

Hospitals are required to make a “reasonable effort” to ensure that notifications are sent to post-acute care services providers and suppliers, and other practitioners and entities, which need such notifications for treatment, care coordination or quality improvement. Under the new CoP, ADT notifications must be sent for all emergency department and inpatient patients where the hospital, critical access hospital or psychiatric hospital maintains an electronic medical record or administrative system.

When Does a Health Care Provider Wear an HIE/HIN Hat for Purposes of the Info Blocking Rule?

When Does a Health Care Provider Wear an HIE/HIN Hat for Purposes of the Info Blocking Rule?

Under the Information Blocking Rule (IBR), a health information network (HIN) or health information exchange (HIE) type actor is one that “determines,” “controls,” or has the “discretion to administer” access, exchange or use of EHI between two or more unaffiliated entities. ONC has said that a separate entity is not necessary to trigger the IBR HIN/HIE definition of an Actor. Additionally, ONC has specifically pointed out that a health care system, for example, could wear two IBR actor hats: (1) as a health care provider, and (2) as a HIN/HIE.

What Information Must be Made Available on Patient Portals?

What Information Must be Made Available on Patient Portals?

Well folks, the Information Blocking Rule (IBR) April 5th compliance deadline is behind us at this point.  However, I know that many of you are continuing to work through your top IBR challenges and questions one at a time.  At this point, I have worked through many thorny IBR issues with numerous health care providers and health information exchanges (HIE), so I thought it might be interesting for me to share what is the main topic that I see Actors are focused on. And the winner is …..

Is Your Organization Ready for an OCR HIPAA Compliance Review re: Use of Online Tracking Technology?

Is Your Organization Ready for an OCR HIPAA Compliance Review re: Use of Online Tracking Technology?

On December 1, 2022, OCR released a “guidance” Bulletin re: “Use of Online Tracking Technologies by HIPAA Covered Entities and Business Associates.” From it, we learned (among other things) that OCR believes that an individual’s IP addresses and geo location, collected by a regulated entity’s website, is protected by HIPAA. Now, we have come to learn that HIPAA compliance investigations by OCR are already underway concerning this topic. Are you ready?

HAPPY NEW YEAR!  A LOT will be happening in 2023!

HAPPY NEW YEAR! A LOT will be happening in 2023!

The New Year is finally here, and I believe that there will be a LOT going on in 2023!  Here are just a few of the things that Legal HIE is looking to stay on top of for our readers this year . . .

Are We Getting Closer to Alignment of 42 CFR Part 2 & HIPAA?

Are We Getting Closer to Alignment of 42 CFR Part 2 & HIPAA?

SAMHSA finally fulfilled its duty under the CARES Act & releases a Proposed Rule “Confidentiality of Substance Use Disorder (SUD) Patient Records” amending the Part 2 rules in line with the CARES Act’s requirements. This is the 4th overhaul of the Part 2 Rule in 5 years…

Information Blocking is No Longer Limited to USCDI

Information Blocking is No Longer Limited to USCDI

Today, the Information Blocking spigot has officially opened. The Content & Manner Exception no longer applies; now, all electronic health information (EHI) cannot “blocked” if requested (unless another exception applies).

Summary List Update of COVID19-related Federal Actions Relevant to Healthcare

Summary List Update of COVID19-related Federal Actions Relevant to Healthcare

As efforts at the federal and individual states level evolve every day at almost a breakneck pace to address challenges and needs related to the COVID-19 outbreak, here is a updated running list of some of the top actions taken at the federal level that we thought would be helpful to the healthcare industry (Caveat, this is not an exhaustive list): 

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