scholarly journals Changes in the office for civil rights enforcement policy on telehealth remote communications in response to COVID-19

2020 ◽  
Vol 13 (3) ◽  
pp. 389-392
Author(s):  
Thomas J. Mortell ◽  
Austin T. Strobel

The novel coronavirus, the cause of COVID-19, has sent shockwaves throughout the world, shuttered many businesses essentially overnight, and has left billions living worldwide in quarantine. Not surprisingly, the health care industry has been significantly affected by the COVID-19 pandemic. This article focuses on how COVID-19 has influenced the Office for Civil Rights’ (OCR’s) enforcement of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy and Security Rules as they relate to telehealth remote communications, and opines about whether the COVID-19-related changes to HIPAA Privacy Rule and Security Rule enforcement might last beyond the current crisis.

2020 ◽  
Vol 74 (1) ◽  
pp. 45-50
Author(s):  
Jinyan Zeng

FQ board member and contributor Chris Berry translates a conversation between the independent female filmmakers Ai Xiaoming and Zeng Jinyan. Although of different generations, Xiaoming and Zeng are both outliers in China's male-dominated film industry. The most prominent women filmmaker among the first generation of independent documentarians, Ai Xiaoming has lived under virtual house arrest since Xi Jinping's rise to power in 2012. Zeng Jinyan came to public attention in 2006, when she documented the disappearance of her husband, civil rights activist Hu Jia, in a protest blog; she later completed a PhD on the work of Ai Xiaoming while in exile in Hong Kong. Both women have recently reentered public life, Ai Xiaoming writing about her experiences of the novel coronavirus lockdown in her hometown of Wuhan and Zeng releasing a new film, Hanjiao yu eryu (Outcry and Whisper), focusing on the special pressures placed on women who dare to speak out in public in China.


2020 ◽  
Vol 10 (2) ◽  
pp. 97-106 ◽  
Author(s):  
Reuben Rose-Redwood ◽  
Rob Kitchin ◽  
Elia Apostolopoulou ◽  
Lauren Rickards ◽  
Tyler Blackman ◽  
...  

The spread of the novel coronavirus (SARS-CoV-2) has resulted in the most devastating global public health crisis in over a century. At present, over 10 million people from around the world have contracted the Coronavirus Disease 2019 (COVID-19), leading to more than 500,000 deaths globally. The global health crisis unleashed by the COVID-19 pandemic has been compounded by political, economic, and social crises that have exacerbated existing inequalities and disproportionately affected the most vulnerable segments of society. The global pandemic has had profoundly geographical consequences, and as the current crisis continues to unfold, there is a pressing need for geographers and other scholars to critically examine its fallout. This introductory article provides an overview of the current special issue on the geographies of the COVID-19 pandemic, which includes 42 commentaries written by contributors from across the globe. Collectively, the contributions in this special issue highlight the diverse theoretical perspectives, methodological approaches, and thematic foci that geographical scholarship can offer to better understand the uneven geographies of the Coronavirus/COVID-19.


2016 ◽  
Vol 26 (2) ◽  
pp. 111-123
Author(s):  
Ian Cummins

This article is based on a comparative thematic analysis of two novels that explore the experiences of institutional psychiatric care. Ken Kesey’s 1962 novel One Flew Over the Cuckoo’s Nest is a classic of modern U.S. literature. It is argued here that Kesey’s representation of the “psychiatric patient” as rebel was not only a reflection of some the changing societal attitudes in postwar America, but it also helped to shape them. The challenge to the asylum system was thus cast in terms of questions of the civil rights of a marginalized group. The main themes of the novel reflect those of protesters against the abuses of the asylum system—the poor physical conditions, the social isolation of the patients, poor physical care and abuse, and the use of ECT and psychosurgery. The rebellious spirit of Kesey’s work is contrasted with a recent novel—Nathan Filer’s 2012 award-winning The Shock of the Fall. In Filer’s work, the optimism and challenge to authority has dissipated to be replaced by a resigned fatalism reflecting the current crisis in mental health services.


2020 ◽  
pp. 192-197
Author(s):  
GIORGI BENASHVILI

In the history of world development, side to formation of the economic and financial systems, temporary crashes are not new. At different times, crises have always been experienced in different countries. However, within the rise of globalization and economic interdependence, modern crises are gaining much huge effects on social and economic systems. More than half a year passed since the novel Coronavirus declared as a pandemic and virus already killed more than 900 000 people, while bringing the total number of infections to more than 28 million. Aside from widen spread of the virus, it can already be boldly said that virus has become the biggest challenge of modern reality since the World War II. The Coronomic crisis, which became actual shortly since the outbreak of COVID-19 virus pandemic, is characterized by a different anatomy due to its nature. Unlike the previous crises, which experienced well-established financial and economic basis, the current crisis is significantly different. This time, the cause the crisis haven›t financial of economic source, but the roots come from medicine. The current situation makes the economy a hostage of medicine (Papava, 2020) which is a dramatically different phenomenon from the previous crashes. Unlike the economic crises over the last decade and century, the Coronomic crisis affects many sectors of the economy. While it puts into the agenda necessity of rethinking existing policy on international trade, production chain and generally structure of the economy. This requires in depth research, which is the aim of this article. Without vaccine and effective clinical treatments agains the virus, social distancing remains the only recommended tool agains the virus. The latter is a significant challenge for the modern economy. The current situation, in addition to the necessity of rethink economic policy also puts into the agenda the issue of establishing new trends in the international trade and economy. The reality in the post-pandemic period, which may lead to changes in the international supply chain and a new dealing out of the supply market, will lead to significant changes in the international economy that requires in-depth research and analysis. The aim of the paper is to analyze some of the above issues, which will be presented on the based of existing empirical data.


2020 ◽  
Vol 5 ◽  
pp. 130 ◽  
Author(s):  
Martin D. Moore

Despite the first case of the novel coronavirus only being reported to the WHO at the end of December 2019, humanities and social science scholars have been quick to subject local, national and international responses to COVID-19 to critique. Through television and radio, blogs, social media and other outlets, historians in particular have situated the ongoing outbreak in relation to previous epidemics and historicised cultural and political responses. This paper furthers these historical considerations of the current pandemic by examining the way the National Health Service (NHS) and discourses of risk have figured in public and policy responses. It suggests that appeals to protect the NHS are based on longer-term anxieties about the service’s capacity to care and endure in the face of growing demand, as well as building on the attachment that has developed as a result of this persistence in the face of existential threats. Similarly, the position of elderly, vulnerable and “at risk” patients relates to complex histories in which their place in social and medical hierarchies have been ambiguous. It thus argues that the ways in which time appears as both a threat and a possibility of management in the current crisis form part of a longer trajectory of political and cultural thinking.


2020 ◽  
Vol 8 (2) ◽  
pp. 53 ◽  
Author(s):  
Poyan Barabari ◽  
Keyvan Moharamzadeh

The novel coronavirus (COVID-19) pandemic has become a real challenge for healthcare providers around the world and has significantly affected the dental professionals in practices, universities and research institutions. The aim of this article was to review the available literature on the relevant aspects of dentistry in relation to COVID-19 and to discuss potential impacts of COVID-19 outbreak on clinical dentistry, dental education and research. Although the coronavirus pandemic has caused many difficulties for provision of clinical dentistry, there would be an opportunity for the dental educators to modernize their teaching approaches using novel digital concepts in teaching of clinical skills and by enhancement of online communication and learning platforms. This pandemic has also highlighted some of the major gaps in dental research and the need for new relevant knowledge to manage the current crisis and minimize the impact of such outbreaks on dentistry in the future. In conclusion, COVID-19 has had many immediate complications for dentistry of which some may have further long-term impacts on clinical practice, dental education and dental research.


2017 ◽  
Vol 9 (1) ◽  
pp. 3-14
Author(s):  
Harold Takyi ◽  
Valerie Watzlaf ◽  
Judith Talbot Matthews ◽  
Leming Zhou ◽  
Dilhari DeAlmeida

Enforcement of the Health Insurance Portability and Accountability Act (HIPAA) and the Health Information Technology for Economic and Clinical Health Act (HITECH) has gotten stricter and penalties have become more severe in response to a significant increase in computer-related information breaches in recent years. With health information said to be worth twice as much as other forms of information on the underground market, making preservation of privacy and security an integral part of health technology development, rather than an afterthought, not only mitigates risks but also helps to ensure HIPAA and HITECH compliance. This paper provides a guide, based on the Office for Civil Rights (OCR) audit protocol, for creating and maintaining an audit checklist for multi-user health kiosks. Implementation of selected audit elements for a multi-user health kiosk designed for use by community-residing older adults illustrates how the guide can be applied. 


2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Sharon Bassan

Abstract The COVID-19 emergency poses particularly high infection risks in a clinical setting, where patients and health care providers are placed in the same room. Due to these risks, patients are encouraged to avoid clinics and instead use Telemedicine for safer consultations and diagnoses. In March, the Office for Civil Rights (OCR) at the U.S. Department for Health and Human Services (HHS) issued a notice titled Notification of Enforcement Discretion for Telehealth Remote Communications During the COVID-19 Nationwide Public Health Emergency (the ‘Notification’). The Notification relaxes the enforcement of privacy and security safeguards established by the Health Insurance Portability and Accountability Act (HIPAA) until further notice, in order to facilitate the transition to telehealth services for the broader purpose of promoting public health during the pandemic. Specifically, covered healthcare providers can use telehealth to provide all services that, in their professional judgment, they believe can be provided through telehealth. If providers make good faith efforts to provide the most timely and accessible care possible, they will not be subject to penalties for breaching the HIPAA Privacy, Security, and Breach Notification Rules. This paper examines the implications of the Notification on patients’ health information privacy. It recommends that patients should undertake a careful reading of provider privacy policies to make sure their protected health information (PHI) is not at risk before switching to telehealth consultation. Acknowledging the limitations of patient self-protection from bad privacy practices when in need for medical treatment during pandemic, the paper proposes that consumers’ data privacy should be protected through one of two alternative regulatory interventions: the FTC’s authority under §5, or HIPAA’s business associates agreements.


2020 ◽  
Author(s):  
Micael Davi Lima de Oliveira ◽  
Kelson Mota Teixeira de Oliveira

According to the World Health Organisation, until 16 June, 2020, the number of confirmed and notified cases of COVID-19 has already exceeded 7.9 million with approximately 434 thousand deaths worldwide. This research aimed to find repurposing antagonists, that may inhibit the activity of the main protease (Mpro) of the SARS-CoV-2 virus, as well as partially modulate the ACE2 receptors largely found in lung cells, and reduce viral replication by inhibiting Nsp12 RNA polymerase. Docking molecular simulations were performed among a total of 60 structures, most of all, published in the literature against the novel coronavirus. The theoretical results indicated that, in comparative terms, paritaprevir, ivermectin, ledipasvir, and simeprevir, are among the most theoretical promising drugs in remission of symptoms from the disease. Furthermore, also corroborate indinavir to the high modulation in viral receptors. The second group of promising drugs includes remdesivir and azithromycin. The repurposing drugs HCQ and chloroquine were not effective in comparative terms to other drugs, as monotherapies, against SARS-CoV-2 infection.


2020 ◽  
Vol 11 (SPL1) ◽  
pp. 977-982
Author(s):  
Mohamed J. Saadh ◽  
Bashar Haj Rashid M ◽  
Roa’a Matar ◽  
Sajeda Riyad Aldibs ◽  
Hala Sbaih ◽  
...  

SARS-COV2 virus causes Coronavirus disease (COVID-19) and represents the causative agent of a potentially fatal disease that is of great global public health concern. The novel coronavirus (2019) was discovered in 2019 in Wuhan, the market of the wet animal, China with viral pneumonia cases and is life-threatening. Today, WHO announces COVID-19 outbreak as a pandemic. COVID-19 is likely to be zoonotic. It is transmitted from bats as intermediary animals to human. Also, the virus is transmitted from human to human who is in close contact with others. The computerized tomographic chest scan is usually abnormal even in those with no symptoms or mild disease. Treatment is nearly supportive; the role of antiviral agents is yet to be established. The SARS-COV2 virus spreads faster than its two ancestors, the SARS-CoV and Middle East respiratory syndrome coronavirus (MERS-CoV), but has lower fatality. In this article, we aimed to summarize the transmission, symptoms, pathogenesis, diagnosis, treatment, and vaccine to control the spread of this fatal disease.


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