HIPAA enhancements to improve emergency department security

The Health Insurance Portability and Accountability Act (HIPAA) seems to be as useful as is capitalism to the medically uninsured (or perhaps, as necessary as another leukotriene inhibitor for asthma). Is the emergency medical community doing enough? Can we improve on HIPAA to increase privacy in the emergency department? HIPAA regulations are reviewed in all their wondrous complexity and simplified so that even your medical director can understand them.