Something in the world of floating have you stumped?
Show Highlights
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) required the Secretary of the U.S. Department of Health and Human Services (HHS) to develop regulations protecting the privacy and security of certain health information. This means that most medical information recorded by healthcare providers has to be stored based on a certain standard of security.
This is only just now becoming an issue in the float industry as centers are starting to accept insurance and medical referrals. However, this is still extremely rare. If this is something that may affect you personally, definitely research additional resources to make sure you’re in compliance.
Show Resources
Listen to Just the Audio
Transcription of this episode… (in case you prefer reading)
Graham: Alright, hello everybody.
Ashkahn: Welcome.
Graham: I’m Graham.
Ashkahn: I’m Ashkahn and let slam it up. That’s what we say, that’s our new catch phrase.
Graham: Today’s question is …
Ashkahn: That’s our old catch phrase, “today’s question is”, so we’re replacing that now.
Graham: We’re just combining-
Ashkahn: Slam it up.
Graham: Both of them yes.
Ashkahn: Slam that question up, Graham.
Graham: Today’s question is, “how would you recommend working or complying with hippos?” Sorry, “HIPAA”. HIPAA. H-I-P-A-A.
Ashkahn: Interesting.
Graham: Yeah.
Ashkahn: I know a lot less about HIPAA than I do about hippos.
Graham: Oh yeah? Do you want to give us some hippo facts?
Ashkahn: They’re very dangerous.
Graham: That’s true.
Ashkahn: And very hungry from what I learned as a child.
Graham: For marbles. They just can’t get enough.
Ashkahn: Yeah. They’re hungry, hungry.
Graham: So if you have any more questions you’d like to hear answered.
Cool, so HIPAA, if you’re in the medical world or have patients in the medical kind of sense, then HIPAA compliance is something that you’re probably very familiar with. Maybe you could come on the show and answer this question for us.
Ashkahn: Because we don’t really know.
Graham: So for our float tank business, we don’t take insurance as many float tank places do not right now. It’s not really covered by a distinct code in the healthcare industry. So we’re not billing insurance for our floats. We don’t have big intake forms where we’re collecting personal information from people. We don’t have session notes where we’re tracking progress on the course of issues that they have over time. So, we don’t keep medical files and as a result, we’re not really worried about HIPAA compliance.
I guess let’s start with what the heck HIPAA even means before we get into this for those who aren’t familiar. It stands for the Health Insurance Portability and Accountability Act. It’s basically just designed to make sure that people who are forced to give, or not forced, who are asked to give personal or private medical information can trust that and not feel like their information is going to end out there in the general public or be abused by someone. So kind of patient provider confidentiality.
As a result, they came up with all these guidelines for what that means and what levels are applicable and correct for medical files. This can even apply to people like massage therapists or practitioners who are in even lower scale, I guess, of general health providers than for instance medical doctors, or something. It just sort of depends on what information you’re asking from people, what you’re collecting.
Any thoughts on that, Ashkahn?
Ashkahn: I mean, so here’s the main thing I know about HIPAA is it seems really intense.
Graham: It’s very hungry.
Ashkahn: You hear it has birds on its heads.
I seems like when I encounter it or when I’ve seen a facility that’s like meeting HIPAA standards or something like that, it’s pretty hardcore. There’s just a lot that goes into it, from if you have physical documents, like how you’re storing them. There’s even like, I’m pretty sure there’s like a HIPAA compliant way of shredding things. Like you can’t just shred, you have to shred your documents to a certain level.
Graham: For sure. Yeah, ripping them in half is not good enough, right? Like there’s a specific number of rips you need to do before-
Ashkahn: Cross dimensional rips. Not like it’s going to go to a different dimension, but you know.
Graham: Yeah, trans dimensional ripping. Yeah. I understand.
Ashkahn: Cross directional. That’s what I was trying to say.
Graham: That’s also, I mean, I think it’s just a big checklist and it’s a robust checklist, but it’s not necessarily the hardest things to meet once you do it. You just have to make sure that you’re actually going through this. I mean single provider massage therapists do this all the time, so obviously, this isn’t something where you need a whole designated office and a secretary in order to accomplish it. It’s just being really careful with people’s information in again, a very detailed documented way.
Ashkahn: Do you think, are there like different levels? We probably should have looked this up. Are there like different levels of HIPAA? What’s your guess.
Graham: Sure, I mean, there definitely are depending on what you’re doing, right? You can be a software company who’s providing HIPAA compliant document storage for your clients and then you have to meet kind of higher levels of what you’re doing to ensure that hackers aren’t getting in and getting access to hundreds of thousands of medical files as opposed to something that you just have maybe on paper in a filing cabinets somewhere that’s locked.
And I don’t even know if that’s enough. It could be a locked filing cabinet inside a locked room. These are all details that because we don’t have to comply with this, we don’t specifically know. But it is really important and I do know also that you can stumble into this inadvertently, right?
Like you might think that on your intake form that you have at your float center, you want to find out why people are coming in and what kinds of preexisting medical conditions they’re coming in to treat with the act of floating. That can inadvertently put you into a place where you need to make sure that you’re meeting HIPAA compliance for those intake forms because now all of the sudden you have this history of medical data that people are providing you. Just keeping it in a filing cabinet along with you know a waiver or something like that is not going to cut it anymore. Maybe, right?
Again, we’re not lawyers, so definitely consult with people who are trained in this before you start asking anyone any medical related question or certainly anything about conditions that they’re going through. Stuff that feels like they would normally tell their doctor is probably stuff that you shouldn’t be handling without some care.
There’s some training that you can go through, too. Just doing a quick search online, there’s a lot of private programs that will train you up on what HIPAA compliance is and what you’re likely to have to do to meet it as either a float center or if you’re incorporating massage therapy into your practice. Things like that.
There’s also just great government resources. One is just going to healthit.gov and that has a lot of templates and kind of beginners guides that’ll get you started with understanding what HIPAA is. I think the most basic guide they link over to is like 60 pages long, so it give you some sense of how not simple a lot of this stuff is, but education and again, making sure you do more than listen to like a 10 minute podcast by float tank guys on this is probably the best way to actually educate yourself and make sure that this is something that you want to delve into with your practice.
Ashkahn: Why are you? Like you should ask that question first. If you’re just running a float center and you’re getting people into float tanks, I’m not sure if it’s worth the trouble to what, get a little bit of data on your intake form about maybe some health reasons people are coming in or something?
Graham: Or if you want to track progress over time, I guess, and kind of move on to more of this you know health practitioner kind of status.
Ashkahn: I feel like if you were doing that, it’s not just like being HIPAA compliant. You probably want some sort of training in dealing with people’s health in a more serious way. I wouldn’t feel comfortable like having our customers come in, tell us medical conditions and then see if they’re improving or talking to the about it.
Graham: No, I mean certainly that would be something to figure out exactly what we’re stumbling into from a bureaucratic, red tape standpoint, you know?
Ashkahn: Some of those float centers are not, I mean the reason why this is not a big thing in the float industry is there’s like not a great reason or an easy low level reason for gathering this type of information in the first place.
Graham: So, I guess, be careful. Take the time to educate yourself kind of for anything new that you’re going into like this, especially where the ramifications can be really serious where you’re not in compliance for federal law. They will have the potential to be able to slam a huge fee into you if you’re actually collecting this medical information and not meeting HIPAA standards. So educate yourself. Again, take some free online courses. Go check out some resources and consider actually enrolling in even a local HIPAA compliance class where you can go in person and have an instructor to actually ask questions to.
From my understanding, that can be as simple as a two day course, something like that, and really give you the ins and outs, again, in a way that kind of stumbling through this question on our podcast is not nearly enough for you to go forward with.
Ashkahn: If you feel overwhelmed, you can just look at some pictures of hippos and that will calm you down.
Graham: Alright, if you have other questions, especially ones that we know nothing about-
Ashkahn: And very unqualified to answer.
Graham: Go over to floattanksolutions.com.
Ashkahn: Slash.
Graham: Podcast.
Ashkahn: And yeah, that’s the spot.
Graham: Alright. Bye, everyone.
Recent Podcast Episodes
Should Float Centers use Light or Heavy Gauge Studs? – DSP 269
Still no Ashkahn today. He’s taking a couple of post-conference days to himself.
Jake and Graham are on the scene though to answer construction questions, though. Even the straight forward ones, like today. Jake informs us which to choose when doing construction, light or heavy gauge studs when constructing a float center, while getting a little sidetracked when comparing wooden and metal studs.
Construction to Make Your Life Easier – DSP 268
Graham and Jake cover a wide range of construction tips to make running a float center easier. Everything from making sure you have extra storage to installing mop closets with sinks in them for dealing with heavy duty chemicals.
The advice is pretty much a shotgun approach of tips, tricks, and hard lessons learned throughout the years.
Draining Float Tanks into Septic Systems – DSP 267
Graham and Jake tackle the difficulties of draining float tanks and how that process can differ based on different municipalities, different water treatment systems, or whether you’re using a septic system or not.
Water treatment typically involves whole contained ecosystems and highly concentrated epsom salt water can impact that pretty drastically. The guys provide good tips for each type of system and what to be prepared for if you’re operating in a rural area with a septic system.
The Difference Between STC and Decibels – DSP 266
Post-Conference Ashkahn is still out of the recording studio, but fortunately Jake is keeping Graham company in there.
Graham and Jake break down the differences between decibels and STC ratings, two very important to understand when figuring out soundproofing. There’s a lot to digest in this episode, but fortunately the guys keep it easy to understand by providing a broad level overview of the different concepts.
Should I Wire my Float Tanks into the Wall? – DSP 265
Ashkahn is currently recovering from his talk and the after-party last night, but Jake and Graham have gracefully taken the time to answer a construction question again today.
On the docket today is a question about wiring a float tank directly into the wall. Graham and Jake provide an overview of why some people may prefer this (it’s much easier to keep waterproof, e.g.), and why at Float On they use the twist lock for their outlets and how to properly utilize them.
Latest Blog Posts
The Float Tour Blog – Issue #28
Home sweet home! After so many months on the road, it was strange being back here in Portland. We were exhausted, excited, and a little travel weary. The first night back, I slept in my own bed for the first time in three months and the world just melted away.
Having travelled across the United States, I’m reminded of how insular Portland is. We are aggressively fixated on keeping things local. Local beer, ketchup, bikes, pet food, pillows, phone cases… it’s part of our charm. We want to reward people for living here and being a part of the community. It’s so pervasive that, after living here for so long, I kind of forgot that Secret Aardvark hot-sauce isn’t available everywhere, and that most cities don’t even recycle, let alone compost.
The Float Tour Blog – Issue #27
Our northern neighbor – a sister city, of sorts – Seattle is the largest metropolitan area in the Pacific Northwest. It’s the land of Microsoft and Kurt Cobain, and the culture here embraces both simultaneously. It’s tech business professional in the front and rock n’ roll grunge in the back. This blend creates a perfect storm of high energy business life and high energy nightlife, making relaxation a valuable commodity. Floating helps fill the void left by nightmarish traffic and overcrowded restaurants.
Given that it’s so close to home, the float centers in Seattle are a lot more familiar to us. Our visits here were more like a high school reunion than they were like the first day of school. During some of our visits, we were picking up conversations right where we left them.
The Float Tour Blog Issue #26
Vancouver is the largest metropolitan area in Canada, and third largest on the West Coast. It’s a major hub for international trade, with one of the largest ports in the world, giving it a large migrant population, mainly from Asia, the Middle East, and Australia. It’s also been a long-time home to the Canadian film industry, and has even been nicknamed “North Hollywood.” Dozens of film and television productions from major studios film here every year.
Vancouver is very much an international city. It has large boroughs dedicated to varying cultures, including one of the largest Chinatowns in the world. The society here is more receptive to new ideas, always looking for the next big thing; it’s not surprising that floating has blown up in Vancouver as much as it has.
In the last 3 years, 10 float centers have opened up, most of them being larger 4–6 tank centers. The really interesting thing is how they all opened within the same short amount of time about 1 ½ to 2 years ago, within months of each other.
The Float Tour Blog – Issue #25
We finally made it back to the West Coast! We went through the Canadian Rockies and were overwhelmed by the beauty of it all. We drove through hours and hours of winding mountain roads, fertile valleys, and tiny towns so picturesque they looked like movie sets. It was so captivating, in fact, I suspect Graham and Ashkahn may have secretly replaced themselves with robotic doppelgängers to hike throughout Banff.
This post will focus on the smaller communities in B.C. that are bringing floating to new people every day. We also get to visit Canadian manufacturer Pro Float. They’re relatively new to the scene, just opening up earlier this year – another exciting sign of the growth in the industry.
