THIRD ANNUAL REPORT TO CONGRESS
ON THE IMPLEMENTATION OF HIPAA

CONTENTS

Cover Letter to Congress

Cover Letter to Secretary Shalala

Executive Summary

I. Introduction

A. Background

B. Purpose and Content of the Report

C. Statutory Requirements

II. Implementation Process

A. DHHS Implementation Strategy

B. Guiding Principles

C. Private Sector Consultation

D. NCVHS HIPAA-Related Hearings

E. Outreach to Public Health and Health Services Research

F. NCVHS Comments on NPRMs

G. NCVHS Liaison with HHS

III. Progress to Date

A. Transaction Standards and Code Sets

B. Standard Identifiers

C. Standards for Security and Electronic Signatures

D. Claims Attachment Standards

E. Standards for Privacy Protection

F. Standards for Patient Medical Record Information

G. Plans for Outreach, Education and Industry Partnerships

IV. Implementation Issues

A. Assessing Industry Readiness

B. Monitoring Implementation

C. Assuring the Security of Individually Identifiable Information

D. Identifying and Resolving Standards Implementation Issues

E. Addressing Enforcement Issues

F. Learning from Early Implementors

G. Identifying Need for New and Revised Standards

V. Conclusions