Good point Michael, a tougher question to James, though.  I'm struggling with the 
concept of placing demographic info in one 'bucket' and what is apparently 
de-identified health info in another without a discernable link (logical or physical) 
between the two.  I'm assuming that the demographic data represents those elements you 
consider PHI.  If that is the case, what value and uses of the de-identified health 
data do you perceive to be available?  Don't want to start a holy war, I'm just trying 
to jump start my imagination - thx- b

Bill Bernath
Blue Cross Blue Shield of North Carolina 
Privacy Office
(919) 765-7006
[EMAIL PROTECTED]


>>> ORTENBERG Michael <[EMAIL PROTECTED]> 02/14/02 10:01AM >>>
Health information that is not identifiable is not protected under HIPAA.
So, if you can truly de-identify information, you do not need to worry about
protecting the information from a HIPAA perspective.

"The requirements of [HIPAA] do not apply to information that has been
de-identified..." 164.502(d)(2)

Michael A Ortenberg, Esq.


-----Original Message-----
From: McNamee, James [mailto:[EMAIL PROTECTED]] 
Sent: Thursday, February 14, 2002 9:36 AM
To: [EMAIL PROTECTED] 
Subject: De-identified PHI


When a patient's health information is "connected" to their demographic
information (and other specifically enumerated identifying data) it is
defined to be PHI and it's privacy and security is governed under HIPAA.
When it is "disconnected" from their demographic information (and other
specifically enumerated identifying data) it becomes de-identified (so long
as it can pass certain tests) and can be treated differently.

Suppose in the process of de-identifying PHI we place patient health
information into Bit Bucket A and patient demographic information (and other
specifically enumerated identifying data) into Bit Bucket B. So long as
there's no way to connect the information in Bit Buckets A and B, do we need
to treat the contents of Bit Bucket B under HIPAA and differently than we
treat the contents of Bit Bucket A?

Jim
________________________________________
James E. McNamee, PhD
Associate Dean of Information Services and CIO
School of Medicine
University of Maryland, Baltimore
Information Services, Room 214
100 N. Greene St.
Baltimore, MD 21201

voice:  410-706-2881
fax:    410-706-4871
e-mail: [EMAIL PROTECTED] 

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