Are You Prepared for a HIPAA Audit? 7 Steps to Security Readiness GUIDE BOOK
|
|
- Charla Davidson
- 8 years ago
- Views:
Transcription
1 Are You Prepared for a HIPAA Audit? 7 Steps to Security Readiness GUIDE BOOK
2 Are You Ready? For nearly four years, official HIPAA compliance audits have been on hold. The Department of Human Services (HHS) Office for Civil Rights (OCR) conducted pilot audits from 2009 when the audits became part of the HITECH Act, until 2012 when that program ended. Since then, OCR has been silent. That all changed recently when the OCR released an updated protocol for use in phase two HIPAA compliance audits beginning this year. According to the OCR website, the revised audit protocol covers nearly 180 target areas including: Privacy rule requirements for: Notice of privacy practices for PHI Rights to request privacy protection for PHI Access of individuals to PHI Administrative requirements Uses and disclosures of PHI Amendment of PHI Accounting of disclosure Security rule requirements for administrative, physical, and technical safeguards Breach notification rule requirements 1 In an interview during the HIMSS 2016 conference, Deputy Director of Health Information Privacy Deven McGraw revealed the OCR will be conducting 200 remote desk audits focused on a subset of HIPAA mandates along with 10 to 25 full scale on-site audits. 2 Should you be one of the selected entities, are you prepared for the intense scrutiny of an OCR HIPAA audit? Whether gearing up for an official audit or simply looking to upgrade your organizational security program, preparing for a potential OCR investigation can provide an effective security roadmap. 1 HHS.gov Health Information Privacy web page 2 OCR Releases New HIPAA Audit Protocol, by Marianne Kolbasuk McGee, Healthcare Info Security, ISMG Network, April 5,
3 Here are seven steps you can take to enhance your preparedness: 1. Develop Your Strategy Most organizations have a Compliance Department that s responsible for HIPAA policies and processes involving PHI access and usage. In order to guide this group, your organization should start with an overall corporate strategy that addresses every aspect of compliance. The strategy should center on securing and encrypting PHI at three stages: data sending, data receiving, and data at rest. You need to be able to prove to auditors that you have effective firewalls surrounding all EMR systems during all three phases. A comprehensive strategy provides the framework to build your overall compliance program. 2. Implement a Monitoring Program To ensure security of PHI, many organizations have implemented surveillance of all information moving in and out of the organization. Setting up filters for key phrases can capture communication that contains or refers to PHI and alert the compliance group to private information that may be going outside your organization s walls. Compliance can then follow up with the individuals involved to investigate and resolve the issue. 3
4 3. Tighten Your User Account Management During any review, auditors will look at every application that contains PHI and how that information is accessed. Questions they will ask include: Does the person have rights to get to the records they are accessing? Do they require a user name and password? Do they have a reason to be in that record? - Are they providing direct patient care, consultation services, or are they doing billing? Does each user have an assigned security level based on job type and responsibilities that determines how far and how much information they can get to? There should be a time stamp system that documents who has accessed the system at every point. Limit access on an as needed basis and be able to prove those controls to the auditor. There should be very few people with access to the entire system. You also need to be able to show that you are expiring accounts appropriately. Implement a process for deactivating accounts of terminated employees and ensuring the account privileges of contract employees get terminated at the end of their engagement. To ensure audit compliance for system access, run reports daily on system access activity. Managers should receive a report yearly detailing all employees that have access to clinical information and be required to validate whether each individual still needs access to the system. If they can t prove that they need access, they should be removed from the list. Auditors want to see that there is constant surveillance of access protocol so you need to put systems in place to make sure that is happening on a regular basis. 4
5 4. Protect Your Desktops Auditors understand that one of the most vulnerable points of any security system is the desktop so that should be a particular security focus area. Every desktop computer that has a hard drive should be encrypted and every USB port must be blocked. Any clinical workstation that might have PHI must be protected. Other ways to secure your desktops include deploying virtualization to eliminate all hard drives, instituting strong password requirements, using dual authentication, and utilizing obscure screen, auto logoff, step down PINs, and re-authentication windows. Implementing single sign on (SSO) allows you to mitigate multiple applications and the passwords behind the scenes so you re not exposing them to anyone. 5. Implement an Internal Auditing Program An effective way to ensure you are ready for a third party audit is to implement a multi-level internal audit program. The Compliance team will conduct audits on a real-time interval basis. Network and Desktop services groups should regularly audit their IT systems to ensure all passwords are appropriate and all patches are up to date to protect against both internal and external attacks or viruses. Performing unannounced internal audits is one of the best ways to ensure that your organizational processes are documented and being followed. Conducting annual intrusion testing is another effective way to determine that you are ready for an external audit. Some organizations have security teams that hire hackers to come in and see how far they can get into the system to evaluate whether they are appropriately handling system security. 5
6 6. Highlight Exceptions A key element of your internal audits is to highlight exceptions that you uncover. Run reports on activity in every environment to confirm that all the security measures you ve implemented are in place. Exceptions or findings should be listed and investigated so you can initiate appropriate corrective actions. Develop a monthly security dashboard to share active security projects, as well as discovered vulnerabilities and how they are being addressed. This information should be reported to senior management and the board of directors. Showing external auditors that you re being completely transparent when it comes to security is an important step in successfully passing an audit. 7. Stay Vigilant Preparing for a HIPAA audit is not a static, one time event. There needs to be an ongoing process of checking and follow up. In today s environment where security has taken on such prominence, your organization must be in a constant state of surveillance. The number of attacks on healthcare systems has increased to a level where you can t lower your guard at any time. You need to constantly evaluate your system to make sure all vulnerabilities are secured. Being ever vigilant will not only help you prepare for a HIPAA audit, but more importantly, will ensure that your PHI is protected and secure. Aventura s Sympatica is a flexible, situational awareness platform for highly secure, personalized clinical desktops. Sympatica provides stand alone computer access security through two factor authentication or Pin and go capability and is an ideal solution for organizations that use control/alt/del open desktops or open desktops with no other security. Contact us to learn how we can help you improve your security program. 6
7 7 About Aventura Aventura leverages situational awareness to deliver a highly secure, personalized clinical desktop. With security, personalized desktop and interoperability functionality, Aventura s Sympatica platform is a flexible, modular offering that fits every operational need and budget. Choose from three levels of functionality to solve a specific issue or leverage all three for a complete, integrated clinical desktop solution.
8 CONTACT US Office: 1641 California Street, Suite 400 Denver, CO Phone:
Welcome to part 2 of the HIPAA Security Administrative Safeguards presentation. This presentation covers information access management, security
Welcome to part 2 of the HIPAA Security Administrative Safeguards presentation. This presentation covers information access management, security awareness training, and security incident procedures. The
More informationThe OCR Audit Protocol a first look
The OCR Audit Protocol a first look On June 26, 2012, the Office for Civil Rights published its Audit Protocols for HIPAA Security, HIPAA Breach and Privacy at http://ocrnotifications.hhs.gov/hipaa.html.
More informationOverview of the HIPAA Security Rule
Office of the Secretary Office for Civil Rights () Overview of the HIPAA Security Rule Office for Civil Rights Region IX Alicia Cornish, EOS Sheila Fischer, Supervisory EOS Topics Upon completion of this
More informationCan Your Diocese Afford to Fail a HIPAA Audit?
Can Your Diocese Afford to Fail a HIPAA Audit? PETULA WORKMAN & PHIL BUSHNELL MAY 2016 2016 ARTHUR J. GALLAGHER & CO. BUSINESS WITHOUT BARRIERS Agenda Overview Privacy Security Breach Notification Miscellaneous
More information2016 OCR AUDIT E-BOOK
!! 2016 OCR AUDIT E-BOOK About BlueOrange Compliance: We specialize in healthcare information privacy and security solutions. We understand that each organization is busy running its business and that
More informationHIPAA Audits Are Here!
HIPAA Audits Are Here! How to prepare for and what to expect when OCR comes knocking May 12, 2016 James B. Wieland, Principal, Ober Kaler Emily H. Wein, Principal, Ober Kaler David Holtzman, VP of Compliance,
More informationNine Network Considerations in the New HIPAA Landscape
Guide Nine Network Considerations in the New HIPAA Landscape The Health Insurance Portability and Accountability Act of 1996 (HIPAA) Omnibus Final Rule, released January 2013, introduced some significant
More informationAre You Ready for an OCR Audit? Tom Walsh, CISSP Tom Walsh Consulting, LLC Overland Park, KS. What would you do? Session Objectives
Are You Ready for an OCR Audit? Tom Walsh, CISSP Tom Walsh Consulting, LLC Overland Park, KS What would you do? Your organization received a certified letter sent from the Office for Civil Rights (OCR)
More informationOCR HIPAA Security Audit Protocol a second look
OCR HIPAA Security Audit Protocol a second look On June 26, 2012, the Office for Civil Rights published its Audit Protocols for HIPAA Security, HIPAA Breach and Privacy at http://ocrnotifications.hhs.gov/hipaa.html.
More informationREMOTE ACCESS TO A HEALTHCARE FACILITY AND THE IT PROFESSIONAL S OBLIGATIONS UNDER HIPAA AND THE HITECH ACT
REMOTE ACCESS TO A HEALTHCARE FACILITY AND THE IT PROFESSIONAL S OBLIGATIONS UNDER HIPAA AND THE HITECH ACT ARE YOUR AUTHENTICATION, ACCESS, AND AUDIT PARADIGMS UP TO DATE? BY KERRY ARMSTRONG, PRIVACY,
More informationPrivacy and Security Meaningful Use Requirement HIPAA Readiness Review
Privacy and Security Meaningful Use Requirement HIPAA Readiness Review REACH - Achieving - Achieving meaningful meaningful use of your use EHR of your EHR Patti Kritzberger, RHIT, CHPS ND e-health Summit
More informationTop Ten Technology Risks Facing Colleges and Universities
Top Ten Technology Risks Facing Colleges and Universities Chris Watson, MBA, CISA, CRISC Manager, Internal Audit and Risk Advisory Services cwatson@schneiderdowns.com April 23, 2012 Overview Technology
More information2011 2012 Aug. Sept. Oct. Nov. Dec. Jan. Feb. March April May-Dec.
The OCR Auditors are coming - Are you next? What to Expect and How to Prepare On June 10, 2011, the U.S. Department of Health and Human Services Office for Civil Rights ( OCR ) awarded KPMG a $9.2 million
More informationLessons Learned from Recent HIPAA and Big Data Breaches. Briar Andresen Katie Ilten Ann Ladd
Lessons Learned from Recent HIPAA and Big Data Breaches Briar Andresen Katie Ilten Ann Ladd Recent health care breaches Breach reports to OCR as of February 2015 1,144 breaches involving 500 or more individual
More informationPrivacy Officer Job Description 4/28/2014. HIPAA Privacy Officer Orientation. Cathy Montgomery, RN. Presented by:
HIPAA Privacy Officer Orientation Presented by: Cathy Montgomery, RN Privacy Officer Job Description Serve as leader Develop Policies and Procedures Train staff Monitor activities Manage Business Associates
More informationA HIPAA Security Incident and Investigation. It Can Happen to You.
A HIPAA Security Incident and Investigation. It Can Happen to You. Sandra L. Sessoms, RN, CPHQ, CHC Director, System Compliance Robert R. Michalski, CHC Chief Compliance Officer Baylor Health Care System
More informationOur Commitment to Information Security
Our Commitment to Information Security What is HIPPA? Health Insurance Portability and Accountability Act 1996 The HIPAA Privacy regulations require health care providers and organizations, as well as
More informationThe Impact of HIPAA and HITECH
The Health Insurance Portability & Accountability Act (HIPAA), enacted 8/21/96, was created to protect the use, storage and transmission of patients healthcare information. This protects all forms of patients
More informationHIPAA and Mental Health Privacy:
HIPAA and Mental Health Privacy: What Social Workers Need to Know Presenter: Sherri Morgan, JD, MSW Associate Counsel, NASW Legal Defense Fund and Office of Ethics & Professional Review 2010 National Association
More informationHow to use the Alertsec Service to Achieve HIPAA Compliance for Your Organization
How to use the Alertsec Service to Achieve HIPAA Compliance for Your Organization Alertsec offers Cloud Managed - Policy Controlled - Security Modules for Ensuring Compliance at the Endpoints Contents
More informationCHIS, Inc. Privacy General Guidelines
CHIS, Inc. and HIPAA CHIS, Inc. provides services to healthcare facilities and uses certain protected health information (PHI) in connection with performing these services. Therefore, CHIS, Inc. is classified
More informationITECH Net Monitor. Standards Compliance
If you rely on your IT infrastructure to maintain data integrity and protect your business from financial losses, it s a good idea to invest in a full fledged network monitoring program and achieve compliance
More informationTexas Medical Records Privacy Act
A COALFIRE PERSPECTIVE Texas Medical Records Privacy Act Texas House Bill 300 (HB 300) Rick Dakin, CEO & Co-Founder Rick Link, Director Andrew Hicks, Director Overview The State of Texas has pushed ahead
More informationReady for an OCR Audit? Will you pass or fail an OCR security audit? Tom Walsh, CISSP
Ready for an OCR Audit? Will you pass or fail an OCR security audit? Tom Walsh, CISSP Tom Walsh Consulting, LLC Overland Park, KS What would you do? You receive a phone call from your CEO. They just received
More informationCybersecurity Health Check At A Glance
This cybersecurity health check provides a quick view of compliance gaps and is not intended to replace a professional HIPAA Security Risk Analysis. Failing to have more than five security measures not
More informationRetention & Destruction
Last Updated: March 28, 2014 This document sets forth the security policies and procedures for WealthEngine, Inc. ( WealthEngine or the Company ). A. Retention & Destruction Retention & Destruction of
More informationAgenda. OCR Audits of HIPAA Privacy, Security and Breach Notification, Phase 2. Linda Sanches, MPH Senior Advisor, Health Information Privacy 4/1/2014
OCR Audits of HIPAA Privacy, Security and Breach Notification, Phase 2 Linda Sanches, MPH Senior Advisor, Health Information Privacy HCCA Compliance Institute March 31, 2014 Agenda Background Audit Phase
More informationHIPAA SECURITY RULES FOR IT: WHAT ARE THEY?
HIPAA SECURITY RULES FOR IT: WHAT ARE THEY? HIPAA is a huge piece of legislation. Only a small portion of it applies to IT providers in healthcare; mostly the Security Rule. The HIPAA Security Rule outlines
More informationYOUR HIPAA RISK ANALYSIS IN FIVE STEPS
Ebook YOUR HIPAA RISK ANALYSIS IN FIVE STEPS A HOW-TO GUIDE FOR YOUR HIPAA RISK ANALYSIS AND MANAGEMENT PLAN 2015 SecurityMetrics YOUR HIPAA RISK ANALYSIS IN FIVE STEPS 1 YOUR HIPAA RISK ANALYSIS IN FIVE
More informationHIPAA PRIVACY AND SECURITY AWARENESS
HIPAA PRIVACY AND SECURITY AWARENESS Introduction The Health Insurance Portability and Accountability Act (known as HIPAA) was enacted by Congress in 1996. HIPAA serves three main purposes: To protect
More informationGoodData Corporation Security White Paper
GoodData Corporation Security White Paper May 2016 Executive Overview The GoodData Analytics Distribution Platform is designed to help Enterprises and Independent Software Vendors (ISVs) securely share
More informationHIPAA and HITECH Compliance for Cloud Applications
What Is HIPAA? The healthcare industry is rapidly moving towards increasing use of electronic information systems - including public and private cloud services - to provide electronic protected health
More informationThe Panoptix Building Efficiency Solution: Ensuring a Secure Delivery of Building Efficiency
logo The Panoptix Building Efficiency Solution: Ensuring a Secure Delivery of Building Efficiency Understanding the Multiple Levels of Security Built Into the Panoptix Solution Published: October 2011
More informationHIPAA: MANAGING ACCESS TO SYSTEMS STORING ephi WITH SECRET SERVER
HIPAA: MANAGING ACCESS TO SYSTEMS STORING ephi WITH SECRET SERVER With technology everywhere we look, the technical safeguards required by HIPAA are extremely important in ensuring that our information
More informationHIPAA Omnibus Rule Overview. Presented by: Crystal Stanton MicroMD Marketing Communication Specialist
HIPAA Omnibus Rule Overview Presented by: Crystal Stanton MicroMD Marketing Communication Specialist 1 HIPAA Omnibus Rule - Agenda History of the Omnibus Rule What is the HIPAA Omnibus Rule and its various
More informationDecrypting the Security Risk Assessment (SRA) Requirement for Meaningful Use
Click to edit Master title style Decrypting the Security Risk Assessment (SRA) Requirement for Meaningful Use Andy Petrovich, MHSA, MPH M-CEITA / Altarum Institute April 8, 2015 4/8/2015 1 1 Who is M-CEITA?
More informationUsing the HITRUST CSF to Assess Cybersecurity Preparedness 1 of 6
to Assess Cybersecurity Preparedness 1 of 6 Introduction Long before the signing in February 2013 of the White House Executive Order Improving Critical Infrastructure Cybersecurity, HITRUST recognized
More informationPolicies and Procedures Audit Checklist for HIPAA Privacy, Security, and Breach Notification
Policies and Procedures Audit Checklist for HIPAA Privacy, Security, and Breach Notification Type of Policy and Procedure Comments Completed Privacy Policy to Maintain and Update Notice of Privacy Practices
More informationAnatomy of a Healthcare Data Breach
BUSINESS WHITE PAPER Anatomy of a Healthcare Data Breach Prevention and remediation strategies Anatomy of a Healthcare Data Breach Table of Contents 2 Increased risk 3 Mitigation costs 3 An Industry unprepared
More informationThe HIPAA Audit Program
The HIPAA Audit Program Anna C. Watterson Davis Wright Tremaine LLP The U.S. Department of Health and Human Services (HHS) was given authority, and a mandate, to conduct periodic audits of HIPAA 1 compliance
More informationHIPAA 203: Security. An Introduction to the Draft HIPAA Security Regulations
HIPAA 203: Security An Introduction to the Draft HIPAA Security Regulations Presentation Agenda Security Introduction Security Component Requirements and Impacts Administrative Procedures Physical Safeguards
More informationHIPAA Audits: How to Be Prepared. Lindsey Wiley, MHA, CHTS-IM, CHTS-TS HIT Manager Oklahoma Foundation for Medical Quality
HIPAA Audits: How to Be Prepared Lindsey Wiley, MHA, CHTS-IM, CHTS-TS HIT Manager Oklahoma Foundation for Medical Quality An Important Reminder For audio, you must use your phone: Step 1: Call (866) 906-0123.
More informationUnderstanding HIPAA Privacy and Security Helping Your Practice Select a HIPAA- Compliant IT Provider A White Paper by CMIT Solutions
Understanding HIPAA Privacy and Security Helping Your Practice Select a HIPAA- Compliant IT Provider A White Paper by CMIT Solutions Table of Contents Understanding HIPAA Privacy and Security... 1 What
More informationHealth Insurance Portability and Accountability Act (HIPAA) and Health Information Technology for Economic and Clinical Health Act (HITECH)
Health Insurance Portability and Accountability Act (HIPAA) and Health Information Technology for Economic and Clinical Health Act (HITECH) Table of Contents Introduction... 1 1. Administrative Safeguards...
More informationInformation Technology General Controls And Best Practices
Paul M. Perry, FHFMA, CITP, CPA Alabama CyberNow Conference April 5, 2016 Information Technology General Controls And Best Practices 1. IT General Controls - Why? 2. IT General Control Objectives 3. Documentation
More informationHow to prepare your organization for an OCR HIPAA audit
How to prepare your organization for an OCR HIPAA audit Presented By: Mac McMillan, FHIMSS, CISM CEO, CynergisTek, Inc. Technical Assistance: 978-674-8121 or Amanda.Howell@iatric.com Audio Options: Telephone
More informationLessons Learned from HIPAA Audits
Lessons Learned from HIPAA Audits October 29, 2012 Tony Brooks, CISA, CRISC Partner - IT Assurance and Risk Services HORNE LLP AGENDA HIPAA/HITECH Regulations Breaches and Fines OCR HIPAA/HITECH Compliance
More informationCybersecurity in the Health Care Sector: HIPAA Responsibilities from a Legal and Compliance Perspective
Cybersecurity in the Health Care Sector: HIPAA Responsibilities from a Legal and Compliance Perspective July 23, 2013 Gerry Hinkley, Pillsbury Allen Briskin, Pillsbury Pillsbury Winthrop Shaw Pittman LLP
More informationInternet Security Protecting Your Business. Hayden Johnston & Rik Perry WYSCOM
Internet Security Protecting Your Business Hayden Johnston & Rik Perry WYSCOM Introduction Protecting Your Network Securing Your Information Standards & Best Practices Tools & Options Into The Future Creating
More informationUnified Security Anywhere HIPAA COMPLIANCE ACHIEVING HIPAA COMPLIANCE WITH MASERGY PROFESSIONAL SERVICES
Unified Security Anywhere HIPAA COMPLIANCE ACHIEVING HIPAA COMPLIANCE WITH MASERGY PROFESSIONAL SERVICES HIPAA COMPLIANCE Achieving HIPAA Compliance with Security Professional Services The Health Insurance
More informationHIPAA SECURITY RISK ASSESSMENT SMALL PHYSICIAN PRACTICE
HIPAA SECURITY RISK ASSESSMENT SMALL PHYSICIAN PRACTICE How to Use this Assessment The following risk assessment provides you with a series of questions to help you prioritize the development and implementation
More information2/9/2012. 2012 HIPAA Privacy and Security Audit Readiness. Table of contents
2012 HIPAA Privacy and Security Audit Readiness Mark M. Johnson National HIPAA Services Director Table of contents Page Background 2 Regulatory Background and HITECH Impacts 3 Office of Civil Rights (OCR)
More informationExecutive Order 13636: The Healthcare Sector and the Cybersecurity Framework. September 23, 2014
Executive Order 13636: The Healthcare Sector and the Cybersecurity Framework September 23, 2014 Executive Order: Improving Critical Infrastructure Cybersecurity It is the policy of the United States to
More informationHIPAA for HIT and EHRs. Latest on Meaningful Use and EHR Certification: For Privacy and Security Professionals
HIPAA for HIT and EHRs Latest on Meaningful Use and EHR Certification: For Privacy and Security Professionals Donald Bechtel, CHP Siemens Health Services Patient Privacy Officer Fair Information Practices
More informationHeather L. Hughes, J.D. HIPAA Privacy Officer U.S. Legal Support, Inc. hhughes@uslegalsupport.com www.uslegalsupport.com
Heather L. Hughes, J.D. HIPAA Privacy Officer U.S. Legal Support, Inc. hhughes@uslegalsupport.com www.uslegalsupport.com HIPAA Privacy Rule Sets standards for confidentiality and privacy of individually
More informationPrivacy for Healthcare Data in the Cloud - Challenges and Best Practices
Privacy for Healthcare Data in the Cloud - Challenges and Best Practices Dr. Sarbari Gupta sarbari@electrosoft-inc.com 703-437-9451 ext 12 Cloud Standards Customer Council (CSCC) Cloud Privacy Summit Electrosoft
More informationOCR HIPAA Audit Readiness. ISACA - North Texas Chapter April 11, 2013
ISACA - North Texas Chapter April 11, 2013 Introduction 1 2 Basic components of HIPAA and HITECH legislation HITECH and rising breaches 3 4 OCR HIPAA audits Key findings of the pilot audits 5 Approaches
More informationTelemedicine HIPAA/HITECH Privacy and Security
Telemedicine HIPAA/HITECH Privacy and Security 1 Access Control Role Based Access The organization shall provide secure rolebased account management. Privileges granted utilizing the principle of least
More informationReady or Not: OCR s Second Round of HIPAA Audits Are Just Around the Corner
Ready or Not: OCR s Second Round of HIPAA Audits Are Just Around the Corner OPRA 2015 Fall Conference November 4, 2015 Presented By: Lisa Pierce Reisz Vorys, Sater, Seymour and Pease LLP 614.464.8353 lpreisz@vorys.com
More informationRemote Access to a Healthcare Facility and the IT professional s obligations under HIPAA and the HITECH Act
Remote Access to a Healthcare Facility and the IT professional s obligations under HIPAA and the HITECH Act Are your authentication, access, and audit paradigms up to date? Table of Contents Synopsis...1
More informationIT Best Practices Audit TCS offers a wide range of IT Best Practices Audit content covering 15 subjects and over 2200 topics, including:
IT Best Practices Audit TCS offers a wide range of IT Best Practices Audit content covering 15 subjects and over 2200 topics, including: 1. IT Cost Containment 84 topics 2. Cloud Computing Readiness 225
More informationOrbograph HIPAA/HITECH Compliance, Resiliency and Security
Orbograph HIPAA/HITECH Compliance, Resiliency and Security Version 1.0 August 2013 Legal Notice This document is delivered subject to the following conditions and restrictions: The document contains proprietary
More informationData Security and Integrity of e-phi. MLCHC Annual Clinical Conference Worcester, MA Wednesday, November 12, 2014 2:15pm 3:30pm
Electronic Health Records: Data Security and Integrity of e-phi Worcester, MA Wednesday, 2:15pm 3:30pm Agenda Introduction Learning Objectives Overview of HIPAA HIPAA: Privacy and Security HIPAA: The Security
More informationTrust 9/10/2015. Why Does Privacy and Security Matter? Who Must Comply with HIPAA Rules? HIPAA Breaches, Security Risk Analysis, and Audits
HIPAA Breaches, Security Risk Analysis, and Audits Derrick Hill Senior Health IT Advisor Kentucky REC Why Does Privacy and Security Matter? Trust Who Must Comply with HIPAA Rules? Covered Entities (CE)
More informationAGENDA HIP Ho AA w i rivacy d The B reach Happen? I P nc AA Secu dent R rit esp y o nse Corrective Action Plan What We Learned ACRONYMS USED
Michael Almvig Skagit County Information Services Director 1 AGENDA 1 2 HIPAA How Did Privacy The Breach Happen? HIPAA Incident Security Response 3 Corrective Action Plan 4 What We Learned Questions? ACRONYMS
More informationHIPAA Security Alert
Shipman & Goodwin LLP HIPAA Security Alert July 2008 EXECUTIVE GUIDANCE HIPAA SECURITY COMPLIANCE How would your organization s senior management respond to CMS or OIG inquiries about health information
More informationAppendix 4-2: Sample HIPAA Security Risk Assessment For a Small Physician Practice
Appendix 4-2: Administrative, Physical, and Technical Safeguards Breach Notification Rule How Use this Assessment The following sample risk assessment provides you with a series of sample questions help
More informationOCR/HHS HIPAA/HITECH Audit Preparation
OCR/HHS HIPAA/HITECH Audit Preparation 1 Who are we EHR 2.0 Mission: To assist healthcare organizations develop and implement practices to secure IT systems and comply with HIPAA/HITECH regulations. Education
More informationLaptops, Tablets, Smartphones and HIPAA: An Action Plan to Protect your Practice
Laptops, Tablets, Smartphones and HIPAA: An Action Plan to Protect your Practice Agenda Learning objectives for this session Fundamentals of Mobile device use and correlation to HIPAA compliance HIPAA
More informationHIPAA MYTHS: DON T ALWAYS BELIEVE WHAT YOU HEAR. Chris Apgar, CISSP
HIPAA MYTHS: DON T ALWAYS BELIEVE WHAT YOU HEAR Chris Apgar, CISSP 2015 OVERVIEW Missed Regulatory Requirements Common HIPAA Privacy Myths Common HIPAA Security Myths Other Related Myths Finding the Right
More informationChecklist for Breach Readiness. Ali Pabrai, MSEE, CISSP (ISSMP, ISSAP) For Daily Compliance & Security Tips, Follow ecfirst @
Checklist for Breach Readiness Enabling a Resilient Organization Ali Pabrai, MSEE, CISSP (ISSMP, ISSAP) For Daily Compliance & Security Tips, Follow ecfirst @ Agenda Facts about breach violation impact
More informationBig Data, Big Risk, Big Rewards. Hussein Syed
Big Data, Big Risk, Big Rewards Hussein Syed Discussion Topics Information Security in healthcare Cyber Security Big Data Security Security and Privacy concerns Security and Privacy Governance Big Data
More informationMIT s Information Security Program for Protecting Personal Information Requiring Notification. (Revision date: 2/26/10)
MIT s Information Security Program for Protecting Personal Information Requiring Notification (Revision date: 2/26/10) Table of Contents 1. Program Summary... 3 2. Definitions... 4 2.1 Identity Theft...
More informationAUDITING TECHNIQUES TO ASSESS FRAUD RISKS IN ELECTRONIC HEALTH RECORDS
AUDITING TECHNIQUES TO ASSESS FRAUD RISKS IN ELECTRONIC HEALTH RECORDS OBJECTIVE Increase your IT vocab so that you can assess the risks related to your audits of EHRs and/or EHR related data AGENDA What
More informationCIP- 005 R2: Understanding the Security Requirements for Secure Remote Access to the Bulk Energy System
CIP- 005 R2: Understanding the Security Requirements for Secure Remote Access to the Bulk Energy System Purpose CIP-005-5 R2 is focused on ensuring that the security of the Bulk Energy System is not compromised
More informationHOW TO REALLY IMPLEMENT HIPAA. Presented by: Melissa Skaggs Provider Resources Group
HOW TO REALLY IMPLEMENT HIPAA Presented by: Melissa Skaggs Provider Resources Group WHAT IS HIPAA The Health Insurance Portability and Accountability Act of 1996 (HIPAA; Pub.L. 104 191, 110 Stat. 1936,
More informationEXPERT STRATEGIES FOR LOG COLLECTION, ROOT CAUSE ANALYSIS, AND COMPLIANCE
EXPERT STRATEGIES FOR LOG COLLECTION, ROOT CAUSE ANALYSIS, AND COMPLIANCE A reliable, high-performance network is critical to your IT infrastructure and organization. Equally important to network performance
More informationTASK -040. TDSP Web Portal Project Cyber Security Standards Best Practices
Page 1 of 10 TSK- 040 Determine what PCI, NERC CIP cyber security standards are, which are applicable, and what requirements are around them. Find out what TRE thinks about the NERC CIP cyber security
More informationALERT LOGIC FOR HIPAA COMPLIANCE
SOLUTION OVERVIEW: ALERT LOGIC FOR HIPAA COMPLIANCE AN OUNCE OF PREVENTION IS WORTH A POUND OF CURE Alert Logic provides organizations with the most advanced and cost-effective means to secure their healthcare
More informationHIPAA Security Overview of the Regulations
HIPAA Security Overview of the Regulations Presenter: Anna Drachenberg Anna Drachenberg has been assisting healthcare providers and hospitals comply with HIPAA and other federal regulations since 2008.
More informationHIPAA Omnibus Rule Practice Impact. Kristen Heffernan MicroMD Director of Prod Mgt and Marketing
HIPAA Omnibus Rule Practice Impact Kristen Heffernan MicroMD Director of Prod Mgt and Marketing 1 HIPAA Omnibus Rule Agenda History of the Rule HIPAA Stats Rule Overview Use of Personal Health Information
More informationHIPAA Compliance Review Analysis and Summary of Results
HIPAA Compliance Review Analysis and Summary of Results Centers for Medicare & Medicaid Services (CMS) Office of E-Health Standards and Services (OESS) Reviews 2008 Table of Contents Introduction 1 Risk
More informationFACT SHEET: Ransomware and HIPAA
FACT SHEET: Ransomware and HIPAA A recent U.S. Government interagency report indicates that, on average, there have been 4,000 daily ransomware attacks since early 2016 (a 300% increase over the 1,000
More informationDell Mobile Clinical Computing
Dell Mobile Clinical Computing Healthcare Technology Solutions that Deliver Greater Security, IT Productivity and Clinician Efficiency Today s healthcare environment relies heavily on the latest technology
More informationSupplier Information Security Addendum for GE Restricted Data
Supplier Information Security Addendum for GE Restricted Data This Supplier Information Security Addendum lists the security controls that GE Suppliers are required to adopt when accessing, processing,
More informationNetwork Detective. HIPAA Compliance Module. 2015 RapidFire Tools, Inc. All rights reserved V20150201
Network Detective 2015 RapidFire Tools, Inc. All rights reserved V20150201 Contents Purpose of this Guide... 3 About Network Detective... 3 Overview... 4 Creating a Site... 5 Starting a HIPAA Assessment...
More informationHIPAA PRIVACY AND SECURITY AWARENESS. Covering Kids and Families of Indiana April 10, 2014
HIPAA PRIVACY AND SECURITY AWARENESS Covering Kids and Families of Indiana April 10, 2014 GOALS AND OBJECTIVES The goal is to provide information to you to promote personal responsibility and behaviors
More informationFive Ways to Use Security Intelligence to Pass Your HIPAA Audit
e-book Five Ways to Use Security Intelligence to Pass Your HIPAA Audit HIPAA audits on the way 2012 is shaping up to be a busy year for auditors. Reports indicate that the Department of Health and Human
More informationGuided HIPAA Compliance
Guided HIPAA Compliance HIPAA Solutions for Office Managers and Practitioners SecurityMetrics We protect business Since its founding in 2000, privately-held SecurityMetrics has grown from a small security
More informationMobile Medical Devices and BYOD: Latest Legal Threat for Providers
Presenting a live 90-minute webinar with interactive Q&A Mobile Medical Devices and BYOD: Latest Legal Threat for Providers Developing a Comprehensive Usage Strategy to Safeguard Health Information and
More informationPRIVACY POLICIES AND FORMS FOR BUSINESS ASSOCIATES
PRIVACY POLICIES AND FORMS FOR BUSINESS ASSOCIATES TABLE OF CONTENTS A. Overview of HIPAA Compliance Program B. General Policies 1. Glossary of Defined Terms Used in HIPAA Policies and Procedures 2. Privacy
More informationHIPAA Compliance Evaluation Report
Jun29,2016 HIPAA Compliance Evaluation Report Custom HIPAA Risk Evaluation provided for: OF Date of Report 10/13/2014 Findings Each section of the pie chart represents the HIPAA compliance risk determinations
More informationWEST LOTHIAN COUNCIL INFORMATION SECURITY POLICY
WEST LOTHIAN COUNCIL INFORMATION SECURITY POLICY DATA LABEL: PUBLIC INFORMATION SECURITY POLICY CONTENTS 1. INTRODUCTION... 3 2. MAIN OBJECTIVES... 3 3. LEGISLATION... 4 4. SCOPE... 4 5. STANDARDS... 4
More informationPreparing for and Responding to an OCR HIPAA Audit
Preparing for and Responding to Carole Klove Carole.Klove@ucsfmedctr.or g Gerry Hinkley gerry.hinkley@pillsburylaw.com SIXTH NATIONAL HIPAA SUMMIT WEST October 10-12, 2012 Overview Background What to expect
More informationHIPAA Compliance: Efficient Tools to Follow the Rules
Bank of America Merrill Lynch White Paper HIPAA Compliance: Efficient Tools to Follow the Rules Executive summary Contents The stakes have never been higher for compliance with the Health Insurance Portability
More informationSustainable Compliance: A System for Ongoing Audit Readiness
View the Replay on YouTube Sustainable Compliance: A System for Ongoing Audit Readiness FairWarning Executive Webinar Series November 14, 2013 Agenda Sustainable Compliance at St. Charles Health System
More informationOCR HIPAA AUDITS THEY RE BACK!
OCR HIPAA AUDITS THEY RE BACK! Chris Apgar, CISSP 2016 OVERVIEW OCR Audit Program Overview What to Expect if OCR s Auditors Show Up Potential Penalties and Other OCR Actions How to Prepare for an Audit
More informationSolution Brief for HIPAA HIPAA. Publication Date: Jan 27, 2015. EventTracker 8815 Centre Park Drive, Columbia MD 21045
Publication Date: Jan 27, 2015 8815 Centre Park Drive, Columbia MD 21045 HIPAA About delivers business critical software and services that transform high-volume cryptic log data into actionable, prioritized
More informationAchieving HIPAA Security Rule Compliance with Lumension Solutions
Achieving HIPAA Security Rule Compliance with Lumension Solutions Healthcare organizations face a host of HIPAA Security Rule compliance challenges with the move to put patient medical records online.
More informationOCR s Anatomy: HIPAA Breaches, Investigations, and Enforcement
OCR s Anatomy: HIPAA Breaches, Investigations, and Enforcement Clinton Mikel The Health Law Partners, P.C. Alessandra Swanson U.S. Department of Health and Human Services - Office for Civil Rights Disclosure
More information