Module 1: Introduction to HIPAA
Module 2: Fundamentals of PHI
Module 3: The Privacy Rule – Uses, Disclosures, and Compliance
Module 4: The Security Rule – Uses, Disclosures, and Compliance
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4.2 History of the HIPAA Security Rule

In the early 1990s, discussions about the effectiveness of computerized medical records had begun. The healthcare industry required effective ways to protect, store, and disclose the PHI of an individual, and it had become apparent that electronic PHI was needed.

Concerns were raised regarding a patient’s right to medical privacy. Another concern was that people should be able to keep their healthcare coverage once they leave their jobs. So, HIPAA was created to address these issues.

Soon after, the U.S. Department of Health and Human Services (HHS) created the HIPAA Privacy Rule, and it came into effect on April 14, 2003. The Rule issued instructions for how PHI should be handled and disclosed. Patients also received a right to withhold any information regarding their healthcare.

Two years after the Privacy Rule was enacted, the HIPAA Security Rule came into force. It dealt specifically with the ePHI of an individual. Administrative, physical, and technical safeguards were laid down by the Rule to ensure the protection of ePHI.

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