Not exact matches
Similar to the Company, Dignity
Health is subject to significant regulatory
oversight,
which provides Mr. Dean with additional insight in analyzing and advising on complex regulatory issues affecting the Company.
This risk is overlooked when considering safe outcomes for birth based on birth site,
which is an incredible
oversight considering the U.S. Department of
Health and Human Services» has recently concluded that 9.5 % of all deaths each year in the U.S. stems from a medical error.
Her former position as the State Breastfeeding Coordinator supported and promoted breastfeeding endeavors for all of the Commonwealth of Virginia,
which includes the development of public policy and media campaigns, curricula, publications and training;
oversight of the Virginia WIC Breastfeeding Peer Counselor Program; and service as the Virginia Department of
Health liaison to the Virginia Breastfeeding Advisory Committee.
Worse, most
health and sex education classes don't cover the basics of lactation when teaching about reproduction
which, you know, is a glaring
oversight.
· In 2014, the jail's Special Housing Unit (a disciplinary block) was reviewed by the New York State Commission of Correction, the
oversight agency for jails statewide, and earned a «merited commendation» from the commission,
which noted mental
health operations in particular.
That was the unexpected outcome of a meeting convened last week in Geneva, Switzerland, by the World
Health Organization (WHO),
which also promised to create a more rigorous
oversight system for such research.
The
health crisis,
which has led to more than 200 infections, could lead to shift from state to federal
oversight of compounding pharmacies.
While the tritium spikes don't represent a
health threat, I agree with Lochbaum on the need for significant changes in
oversight,
which he characterizes this way below: «The N.R.C. should enforce its regulations or change its name to N.C.»
Medical malpractice may involve a variety of errors and
oversights which prove detrimental to the patient's
health:
(H) There are adequate written assurances that the protected
health Start Printed Page 82817information will not be reused or disclosed to any other person or entity, except as required by law, for authorized
oversight of the research project, or for other research for
which the use or disclosure of protected
health information would be permitted by this subpart.
However, we believe that requiring covered entities to obtain extensive documentation of
health oversight information needs could compromise
health oversight agencies» ability to complete investigations, particularly when an
oversight agency is investigating the covered entity from
which it is seeking information.
When a covered entity was also an
oversight agency, it also would have been permitted to use protected
health information in all cases in
which it would have been allowed to disclose such information for
health oversight purposes.
In the final rule, we include a waiver criterion requiring «there are adequate written assurances that the protected
health information will not be re-used or disclosed to any other person or entity, except as required by law, for authorized
oversight of the research project, or for other research for
which the use or disclosure of protected
health information would be permitted by this subpart.»
We reviewed the important purposes for
which some commenters said government agencies needed protected
health information, and we believe that most of those needs can be met through the other categories of permitted uses and disclosures without authorization allowed under the final rule, including provisions permitting covered entities to disclose information (subject to certain limitations) to government agencies for public
health,
health oversight, law enforcement, and otherwise as required by law.
Health oversight agency means an agency or authority of the United States, a State, a territory, a political subdivision of a State or territory, or an Indian tribe, or a person or entity acting under a grant of authority from or contract with such public agency, including the employees or agents of such public agency or its contractors or persons or entities to whom it has granted authority, that is authorized by law to oversee the health care system (whether public or private) or government programs in which health information is necessary to determine eligibility or compliance, or to enforce civil rights laws for which health information is rel
Health oversight agency means an agency or authority of the United States, a State, a territory, a political subdivision of a State or territory, or an Indian tribe, or a person or entity acting under a grant of authority from or contract with such public agency, including the employees or agents of such public agency or its contractors or persons or entities to whom it has granted authority, that is authorized by law to oversee the
health care system (whether public or private) or government programs in which health information is necessary to determine eligibility or compliance, or to enforce civil rights laws for which health information is rel
health care system (whether public or private) or government programs in
which health information is necessary to determine eligibility or compliance, or to enforce civil rights laws for which health information is rel
health information is necessary to determine eligibility or compliance, or to enforce civil rights laws for
which health information is rel
health information is relevant.
To clarify further that
health oversight disclosure rules apply generally in
health care fraud investigations (subject to the exception described above), in the final rule, we eliminate proposed § 164.510 (f)(5)(i),
which would have established requirements for disclosure related to
health fraud for law enforcement purposes.
For example, if a state insurance department is acting as a
health plan in operating the state's Medicaid managed care program, the final rule allows the insurance department to use protected
health information in all cases for
which the plan can disclose the protected
health information for
health oversight purposes.
The proposed rule listed the Social Security Administration and the Department of Education as examples of
health oversight agencies that conduct
oversight of government benefit programs for
which health information is relevant to beneficiary eligibility.
In addition, in the final rule, we add «licensure or disciplinary actions» to the list of
oversight activities authorized by law for
which covered entities may disclose protected
health information to
health oversight agencies.
Thus, the final rule includes agencies that are authorized by law to «enforce civil rights laws for
which health information is relevant» in the definition of «
health oversight agency» at § 164.501.
We make this change in the regulation text of the final rule to conform to the NPRM's definition of
health oversight agency and to reflect the full range of activities for
which we intend to allow covered entities to disclose protected
health information to
health oversight agencies.
This section indicates that
health oversight activities do not include an investigation or activity in
which the individual is the subject of the investigation or activity and the investigation or activity does not arise out of and is not directly related to
health care fraud.
The proposed rule listed the Occupational
Health and Safety Administration and the Environmental Protection Agency as examples of oversight agencies that conduct oversight of government regulatory programs for which health information is necessary for determining compliance with program stan
Health and Safety Administration and the Environmental Protection Agency as examples of
oversight agencies that conduct
oversight of government regulatory programs for
which health information is necessary for determining compliance with program stan
health information is necessary for determining compliance with program standards.
To clarify further that
health oversight disclosure rules apply generally in
health care fraud investigations (subject to the exception described above), in the final rule, we eliminate proposed § 164.510 (f)(5)(i),
which would have established requirements for disclosure related to
health care fraud for law enforcement purposes.
Response: In the final rule, we have added an additional waiver criteria to require that there are adequate written assurances from the researcher that protected
health information will not be re-used or disclosed to any other person or entity, except as required by law, for authorized
oversight of the research project, or for other research for
which the use or disclosure of protected
health information would be permitted by this subpart.
In the final rule, we add new language (§ 164.512 (d)(3)-RRB- to address situations in
which health oversight activities are conducted in conjunction with an investigation regarding a claim for public benefits not related to
health (e.g., claims for Food Stamps).
In describing «other activities necessary for
oversight» of particular entities, we add the phrase «entities subject to civil rights laws for
which health information is necessary for determining compliance.»
«Overseeing the
health care system,»
which is included in the definition of
health oversight, encompasses activities such as:
oversight of
health care plans;
oversight of
health benefit plans;
oversight of
health care providers;
oversight of
health care and
health care delivery;
oversight activities that involve resolution of consumer complaints;
oversight of pharmaceuticals, medical products and devices, and dietary supplements; and a
health oversight agency's analysis of trends in
health care costs, quality,
health care delivery, access to care, and
health insurance coverage for
health oversight purposes.
For the purpose of the disclosures permitted by paragraph (d)(1) of this section, a
health oversight activity does not include an investigation or other activity in
which the individual is the subject of the investigation or activity and such investigation or other activity does not arise out of and is not directly related to:
Comment: Many commenters noted that proposed § 164.510 (f)(5)(i),
which covered disclosures for investigations and prosecutions of
health care fraud, overlapped with proposed § 164.510 (c)
which covered disclosures for
health oversight activities.
The new § 164.512 includes paragraphs on: Uses and disclosures required by law; uses and disclosures for public
health activities; disclosures about victims of abuse, neglect, or domestic violence; uses and disclosures for
health oversight activities; disclosures for judicial and administrative proceedings; disclosures for law enforcement purposes; uses and disclosures about decedents; uses and disclosures for cadaveric donation of organs, eyes, or tissues; uses and disclosures for research purposes; uses and disclosures to avert a serious threat to
health or safety (
which we had called «emergency circumstances» in the NPRM); uses and disclosures for specialized government functions (referred to as «specialized classes» in the NPRM); and disclosures to comply with workers» compensation laws.
The proposed rule would have defined «
health oversight agency» as «an agency, person, or entity, including the employees or agents thereof, (1) That is: (i) A public agency; or (ii) A person or entity acting under grant of authority from or contract with a public agency; and (2)
Which performs or oversees the performance of any audit; investigation; inspection; licensure or discipline; civil, criminal, or administrative proceeding or action; or other activity necessary for appropriate oversight of the health care system, of government benefit programs for which health information is relevant to beneficiary eligibility, or of government regulatory programs for which health information is necessary for determining compliance with program standards.&r
Which performs or oversees the performance of any audit; investigation; inspection; licensure or discipline; civil, criminal, or administrative proceeding or action; or other activity necessary for appropriate
oversight of the
health care system, of government benefit programs for
which health information is relevant to beneficiary eligibility, or of government regulatory programs for which health information is necessary for determining compliance with program standards.&r
which health information is relevant to beneficiary eligibility, or of government regulatory programs for
which health information is necessary for determining compliance with program standards.&r
which health information is necessary for determining compliance with program standards.»
The final rule requires that the covered entity obtain written agreement from the person or entity receiving protected
health information under § 164.512 (i) not to re-use or disclose protected
health information to any other person or entity, except: (1) As required by law, (2) for authorized
oversight of the research project, or (3) for other research for
which the use or disclosure of protected
health information would be permitted by this subpart.
Government contractors such as coding committees,
which provide data to HCFA to support payment processes, are not thereby
health oversight agencies under this rule.
We apply more extensive procedural requirements to law enforcement disclosures than to disclosures for
health oversight because we believe that law enforcement investigations more often involve situations in
which the individual is the subject of the investigation (and thus could suffer adverse consequences), and we believe that it is appropriate to provide greater protection to individuals in such cases.
As in the NPRM, the final rule provides that when a covered entity is also an
oversight agency, it is allowed to use protected
health information in all cases in
which it is allowed to disclose such information for
health oversight purposes.
This includes: (1) Involvement with multiple drug distribution functions (inclusive of computerized physician order entry and / or prospective review and verification of physicians» orders, IV admixture preparation, etc.)(2) Defined clinical activities to optimize therapeutic outcomes under the guidance of the departmental and corporate directives (
which include active communication with physicians, nurses, and other healthcare staff about the need to clarify and / or change an order along with documentation of intervention outcomes)(3) Educational activities with pharmacist colleagues and other
health care professionals (e.g., physicians, nurses, etc.) to maintain and advance clinical competencies (4) Supervise and provide
oversight and direction of technicians» drug preparation and distribution activities to assure safe and expedient provision of pharmaceutical care to patients and staff.
The National Evaluation of the Court Improvement Program U.S. Department of
Health and Human Services, Children's Bureau, & Planning and Learning Technologies (Pal - Tech)(2006) Provides information on the National Evaluation of the Court Improvement Program,
which describes how State courts improve their
oversight of foster care and adoption cases and analyze the outcomes achieved.
The state's premier professional association for LMHCs and RMHCIs is the Florida Mental
Health Counselors Association,
which seeks to «provide education, legislative
oversight, and networking» for the field.