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Proceedings Paper

HIPAA and the military health system: organizing technological and organizational reform in large enterprises
Author(s): Jeff R. Collmann
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Paper Abstract

The global scale, multiple units, diverse operating scenarios and complex authority structure of the Department of Defense Military Health System (MHS) create social boundaries that tend to reduce communication and collaboration about data security. Under auspices of the Defense Health Information Assurance Program (DHIAP), the Telemedicine and Advanced Technology Research Center (TATRC) is contributing to the MHS's efforts to prepare for and comply with the Health Insurance Portability and Accountability Act (HIPAA) of 1996 through organizational and technological innovations that bridge such boundaries. Building interdisciplinary (clinical, administrative and information technology) medical information security readiness teams (MISRT) at each military treatment facility (MTF) constitutes the heart of this process. DHIAP is equipping and training MISRTs to use new tools including 'OCTAVE', a self-directed risk assessment instrument and 'RIMR', a web-enabled Risk Information Management Resource. DHIAP sponsors an interdisciplinary, triservice workgroup for review and revision of relevant DoD and service policies and participates in formal DoD health information assurance activities. These activities help promote a community of proponents across the MHS supportive of improved health information assurance. The MHS HIPAA-compliance effort teaches important general lessons about organizational reform in large civilian or military enterprises.

Paper Details

Date Published: 7 August 2001
PDF: 6 pages
Proc. SPIE 4323, Medical Imaging 2001: PACS and Integrated Medical Information Systems: Design and Evaluation, (7 August 2001); doi: 10.1117/12.435465
Show Author Affiliations
Jeff R. Collmann, Georgetown Univ. Medical Ctr. and Telemedicine and Advanced Technology Research Ctr. (United States)


Published in SPIE Proceedings Vol. 4323:
Medical Imaging 2001: PACS and Integrated Medical Information Systems: Design and Evaluation
Eliot L. Siegel; H. K. Huang, Editor(s)

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