DATA SECURITY HACKS, HIPAA AND HUMAN RISKS

Size: px
Start display at page:

Download "DATA SECURITY HACKS, HIPAA AND HUMAN RISKS"

Transcription

1 DATA SECURITY HACKS, HIPAA AND HUMAN RISKS MSCPA HEALTH CARE SERVICES SEMINAR Ken Miller, CPA, CIA, CRMA, CHC, CISA Senior Manager, Healthcare HORNE LLP September 25, 2015

2 AGENDA 2015 The Year of the Healthcare Breach The Human Risk Social Engineering Resistance Technical Controls OCR Enforcement - What s Next? Settlements and Fines The Rest of the Story Priority Action Steps Questions 2

3 The Year of the Healthcare Breach 2015 The Year of Healthcare Data Breaches Anthem Blue Cross January 80 million records Premera Blue Cross March 11 million records CareFirst Blue Cross Blue Shield - May million records UCLA Health System July- 4.5 million records Excellus Blue Cross Blue Shield - September 10 million records Who will be next? 3

4 The Year of the Healthcare Breach Why? Value of medical information is worth 10 to 20 times the value of a stolen credit card. Credit card numbers can be had for a dollar or two, healthcare billing data can go for $10 some sites even offer records for up to hundreds of dollars. What s the difference? Banks have developed sophisticated antifraud technology and credit card life span post theft is limited. A Medicare number may yield more payback before it can be stopped. 4

5 The Year of the Healthcare Breach How? Sophisticated hacking techniques. This terminology is commonly used in the aftermath of a hack. This seems to imply that resistance was futile. The hackers armed with advanced technology and persistence would eventually crack any defenses. Or did they just get the house key out from under the rug? 5

6 The Human Risk Many sophisticated hacks are not aimed at the network defenses trying to break through firewalls or sneak in open ports. They are aimed at employees a perceived soft target. Sophisticated fake websites and scams are targeted at employees to steal credentials. Hackers can research targets on LinkedIn, Facebook target IT staff with privileged access. If they take the bait and give up their credentials, the hackers can just log right in. 6

7 The Human Risk Chinese Hacking Group Deep Panda is a suspect group based on prior similar attacks. Hackers are behind the registration of websites such as: ( A play on Anthem s former name Wellpoint) (A play on Premera) These websites are then used in social engineering attacks to create fake portals to try and lure employees to give up their network or application credentials. 7

8 Social Engineering Resistance What is Phishing? An attempt to acquire sensitive information such as credit card or bank information or user ID and passwords to systems for malicious reasons by creating the illusion of trust May be May be website May be a combination of both 8

9 Social Engineering Resistance 9

10 Social Engineering Resistance What does a phishing message look like? Logos Source: Microsoft Safety and Security Center: 10

11 Social Engineering Resistance 5 most dangerous subjects: 1. Invitation to connect on LinkedIn 2. Mail delivery failed: returning message to sender 3. Dear <insert bank name here> Customer 4. Comunicazione importante 5. Undelivered Mail Returned to Sender Source: McAfee Security: https://blogs.mcafee.com/consumer/top-5-dangerous- -subject-lines/ 11

12 Social Engineering Resistance What is Baiting? An attempt to infiltrate networks by using a person s curiosity against them by means of a bait device (a USB drive or CD/DVD) that contains malicious software ( malware ). When devices are plugged in they will attempt to load their files onto the PC and network. Hot Hot Hot Hacked Celebrity Cellphone Pics 12

13 Social Engineering Resistance What is Pretexting? A scam or hack using a lie as a basis of gaining trust or to be perceived as having authority to influence someone to divulge information or take an action beneficial to the scammer or hacker. Hi, this is Bob in IT, we are doing an update and I need you to authorize a remote session and log in to this portal using your ID and password -Spoken in a heavy accent calling from a unknown caller ID 3 13

14 Social Engineering Resistance What to do? Security Awareness Training Make sure content is thorough Tell workforce what to watch for, who to contact when in doubt Tell workforce what the company will and won t do Make the workforce a hard target Accountants this is not just for your healthcare clients if you have signed a BAA with a client, HIPAA expects you to have security training, too. 14

15 Technical Controls Technical controls for hack resistance Firewalls have hardware based firewalls that are kept patched with current firmware versions and are currently supported by the vendor. Intrusion Prevention Systems some firewalls have intrusion prevention features and others do not. Additional tools and appliances may be needed for full protection. Configure alerts and monitoring on the network traffic. Pre-hack conduct scans and vulnerability reviews and mitigate findings. 15

16 Federal HIPAA Oversight Enforcement U.S. Department of Health and Human Services (HHS) Office of Civil Rights (OCR) is the enforcement agency for HIPAA. Performs investigations of reported breaches Levies civil money penalties for failures to comply with HIPAA provisions OCR HIPAA Compliance Audit Program Phase 2 It is still coming, has been lingering but 2016 appears to be the year Contracts have been let with audit firm FCi Federal Business Associates will be included in this Phase 16

17 Federal HIPAA Oversight OCR HIPAA Compliance Audit Program Phase 2 More defined scope than Phase 1 Business Associates Phase 2 Focus Areas Risk Analysis & Risk Management Breach reporting to covered entities Covered Entity Phase 2 Focus Areas Notice of Privacy Practices, individual access, breaches Risk Analysis & Risk Management Training programs Device and media controls Transmission security 17

18 Federal HIPAA Oversight OCR HIPAA Compliance Audit Program Phase 2 Later focus areas mentioned maybe 2017 and beyond Covered Entity Phase 2 Focus Areas Encryption and decryption Facility access controls Breach notification reports and complaints Policies Poor Audit results could result in referrals for investigations,which can lead to settlements and penalties, such as 18

19 $150,000 Dollar Settlement Anchorage Community Mental Health Services Settlement released in December 2014 Incident occurred in 2012 What Happened? Malware infiltrated the providers network and compromised the data of 2,743 patients. What Were the Findings? Failed to implement appropriate technical safeguards to ensure data security, specifically firewalls and patching of systems Failed to properly perform a Security Risk Assessment, failed to fully implement sample policy set 19

20 $218,400 Settlement St. Elizabeth Medical Center Settlement released in July 2015 Initial incident occurred in June 2012, another in August 2014 What Happened? A complaint in 2012 stated that 498 patients data was being stored improperly on internet sharing sites. In 2014 SEMC reported a breach of 595 patients who were on a former employees personal laptop and USB drive. What Were the Findings? Failed to implement appropriate security measures on transmission and storage of PHI Failed to properly respond to a known security incident SEMC must assess awareness and compliance with policies that means you cardiology. 20

21 $750,000 Settlement Cancer Care Group, P.C. Settlement released in September 2015 Incident occurred in August 2015 What Happened? A laptop bag was stolen from an employee s car. Good news - the laptop did not contain PHI. Bad news the unencrypted back up of the server that was in the bag had all past and present patients PHI, around 55,000 patients. What Were the Findings? Failed to conduct a security risk assessment from 2005 to 2012, no policy for removal of hardware and media Disclosed 55,000 patients data to an unauthorized person for an impermissible purpose when it failed to secure the backup media CCG must complete a risk assessment, implement a risk management plan and review and revise policies and training program. 21

22 Large Breaches to Date in Mississippi As noted in the OCR large breach database: MS has only 7 breaches reported since theft of desktop computer 1,104 patients 1 loss of laptop 500 patients 1 hacking or IT Incident 1,489 patients 1 theft of an other device 3,750 patients (X rays stolen for silver content) 1 theft of paper/films 1,797 patients 1 improper disposal of paper/films - 19,000 patients 1 theft of electronic medical record 846 patients 22

23 PRIORITY ACTION STEPS

24 Action Steps Conduct and keep current a Security Risk Assessment covered entities and business associates Develop a security risk management program Use encryption tools when needed - laptops, , storage devices Develop a Security Training Program that covers social engineering resistance (on top of basic security content passwords, etc.) Conduct technical reviews such as vulnerability scans Evaluate current use or need for intrusion prevention tools, data leakage prevention tools as part of technical defenses 23

25 QUESTIONS AND COMMENTS?

26 HOW CAN HORNE HELP? HORNE can assist with: Security Risk Assessments HIPAA Program Compliance Gap Analysis (Privacy & Security Rule) Policy and Procedure Implementation or Review Technical Reviews For more information on this content, please contact: Ken Miller, CPA, CIA, CRMA, CHC, CISA HORNE LLP Telephone:

Lessons 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 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 information

Art Gross President & CEO HIPAA Secure Now! How to Prepare for the 2015 HIPAA Audits and Avoid Data Breaches

Art Gross President & CEO HIPAA Secure Now! How to Prepare for the 2015 HIPAA Audits and Avoid Data Breaches Art Gross President & CEO HIPAA Secure Now! How to Prepare for the 2015 HIPAA Audits and Avoid Data Breaches Speakers Phillip Long CEO at Business Information Solutions Art Gross President & CEO of HIPAA

More information

What s New with HIPAA? Policy and Enforcement Update

What s New with HIPAA? Policy and Enforcement Update What s New with HIPAA? Policy and Enforcement Update HHS Office for Civil Rights New Initiatives Precision Medicine Initiative (PMI), including Access Guidance Cybersecurity Developer portal NICS Final

More information

How 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 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 information

The Security Rule of The Health Insurance Portability and Accountability Act (HIPAA) Security Training

The Security Rule of The Health Insurance Portability and Accountability Act (HIPAA) Security Training The Security Rule of The Health Insurance Portability and Accountability Act (HIPAA) Security Training Introduction The HIPAA Security Rule specifically requires training of all members of the workforce.

More information

Are 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? 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 information

Data Breach Response Planning: Laying the Right Foundation

Data Breach Response Planning: Laying the Right Foundation Data Breach Response Planning: Laying the Right Foundation September 16, 2015 Presented by Paige M. Boshell and Amy S. Leopard babc.com ALABAMA I DISTRICT OF COLUMBIA I FLORIDA I MISSISSIPPI I NORTH CAROLINA

More information

HIPAA Security Alert

HIPAA 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 information

Medical Information Breaches: Are Your Records Safe?

Medical Information Breaches: Are Your Records Safe? Medical Information Breaches: Are Your Records Safe? Learning Objectives At the conclusion of this presentation the learner will be able to: Recognize the growing risk of data breaches Assess the potential

More information

Why Lawyers? Why Now?

Why Lawyers? Why Now? TODAY S PRESENTERS Why Lawyers? Why Now? New HIPAA regulations go into effect September 23, 2013 Expands HIPAA safeguarding and breach liabilities for business associates (BAs) Lawyer is considered a business

More information

HIPAA Security & Compliance

HIPAA Security & Compliance Creative Mind. Creative Heart. Creative Care. 2014 WALA Spring Conference HIPAA Security & Compliance Jeff Grady Thursday, March 27 10:30 am HIPAA Security & Compliance A TIME FOR ACTION Jeff Grady, Senior

More information

HIPAA Security Overview of the Regulations

HIPAA 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 information

2011 2012 Aug. Sept. Oct. Nov. Dec. Jan. Feb. March April May-Dec.

2011 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 information

What do you need to know?

What do you need to know? What do you need to know? DISCLAIMER Please note that the information provided is to inform our clients and friends of recent HIPAA and HITECH act developments. It is not intended, nor should it be used,

More information

8/3/2015. Integrating Behavioral Health and HIV Into Electronic Health Records Communities of Practice

8/3/2015. Integrating Behavioral Health and HIV Into Electronic Health Records Communities of Practice Integrating Behavioral Health and HIV Into Electronic Health Records Communities of Practice Monday, August 3, 2015 1 How to ask a question during the webinar If you dialed in to this webinar on your phone

More information

Understanding 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 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 information

HIPAA Security Risk Analysis for Meaningful Use

HIPAA Security Risk Analysis for Meaningful Use HIPAA Security Risk Analysis for Meaningful Use NOTE: Make sure your computer speakers are turned ON. Audio will be streaming through your speakers. If you do not have computer speakers, call the ACCMA

More information

Nationwide Review of CMS s HIPAA Oversight. Brian C. Johnson, CPA, CISA. Wednesday, January 19, 2011

Nationwide Review of CMS s HIPAA Oversight. Brian C. Johnson, CPA, CISA. Wednesday, January 19, 2011 Nationwide Review of CMS s HIPAA Oversight Brian C. Johnson, CPA, CISA Wednesday, January 19, 2011 1 WHAT I DO Manage Region IV IT Audit and Advance Audit Technique Staff (AATS) IT Audit consists of 8

More information

Decrypting the Security Risk Assessment (SRA) Requirement for Meaningful Use

Decrypting 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 information

HIPAA Secure Now! HIPAA Security and Omnibus Rules Overview

HIPAA Secure Now! HIPAA Security and Omnibus Rules Overview HIPAA Secure Now! HIPAA Security and Omnibus Rules Overview HIPAA Risk Assessment The HIPAA Security Rule requires that a Risk Assessment be completed. The purpose of a Risk Assessment is to: identify

More information

INFORMATION SECURITY FOR YOUR AGENCY

INFORMATION SECURITY FOR YOUR AGENCY INFORMATION SECURITY FOR YOUR AGENCY Presenter: Chad Knutson Secure Banking Solutions, LLC CONTACT INFORMATION Dr. Kevin Streff Professor at Dakota State University Director - National Center for the Protection

More information

What s New with HIPAA? Enforcement Update. HHS Office for Civil Rights

What s New with HIPAA? Enforcement Update. HHS Office for Civil Rights What s New with HIPAA? Enforcement Update HHS Office for Civil Rights Access Guidance Precision Medicine and Access Guidance OCR provided guidance on individuals access to their protected health information

More information

Internet threats: steps to security for your small business

Internet threats: steps to security for your small business Internet threats: 7 steps to security for your small business Proactive solutions for small businesses A restaurant offers free WiFi to its patrons. The controller of an accounting firm receives a confidential

More information

Belmont Savings Bank. Are there Hackers at the gate? 2013 Wolf & Company, P.C.

Belmont Savings Bank. Are there Hackers at the gate? 2013 Wolf & Company, P.C. Belmont Savings Bank Are there Hackers at the gate? 2013 Wolf & Company, P.C. MEMBER OF PKF NORTH AMERICA, AN ASSOCIATION OF LEGALLY INDEPENDENT FIRMS 2013 Wolf & Company, P.C. About Wolf & Company, P.C.

More information

OCR Reports on the Enforcement. Learning Objectives 4/1/2013. HIPAA Compliance/Enforcement (As of December 31, 2012) HCCA Compliance Institute

OCR Reports on the Enforcement. Learning Objectives 4/1/2013. HIPAA Compliance/Enforcement (As of December 31, 2012) HCCA Compliance Institute OCR Reports on the Enforcement of the HIPAA Rules HCCA Compliance Institute April 22, 2013 David Holtzman Sr. Health IT & Privacy Specialist U.S. Department of Health and Human Services Office for Civil

More information

OCR Reports on the Enforcement. Learning Objectives

OCR Reports on the Enforcement. Learning Objectives OCR Reports on the Enforcement of the HIPAA Rules HCCA Compliance Institute April 22, 2013 David Holtzman Sr. Health IT & Privacy Specialist U.S. Department of Health and Human Services Office for Civil

More information

HOW TO REALLY IMPLEMENT HIPAA. Presented by: Melissa Skaggs Provider Resources Group

HOW 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 information

Real World Healthcare Security Exposures. Brian Selfridge, Partner, Meditology Services

Real World Healthcare Security Exposures. Brian Selfridge, Partner, Meditology Services Real World Healthcare Security Exposures Brian Selfridge, Partner, Meditology Services 2 Agenda Introduction Background and Industry Context Anatomy of a Pen Test Top 10 Healthcare Security Exposures Lessons

More information

Privacy & Security: Fundamentals of a Security Risk Analysis. Preparing for Meaningful Use Measure 15

Privacy & Security: Fundamentals of a Security Risk Analysis. Preparing for Meaningful Use Measure 15 Privacy & Security: Fundamentals of a Security Risk Analysis Preparing for Meaningful Use Measure 15 1/18/2012 Why Are We Here? Privacy and Security is a priority for ONC Consistency among Regional Extension

More information

YOUR HIPAA RISK ANALYSIS IN FIVE STEPS

YOUR 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 information

ITAR Compliance Best Practices Guide

ITAR Compliance Best Practices Guide ITAR Compliance Best Practices Guide 1 Table of Contents Executive Summary & Overview 3 Data Security Best Practices 4 About Aurora 10 2 Executive Summary & Overview: International Traffic in Arms Regulations

More information

8/10/2009. Chris Watson Internal Audit & Risk Advisory Services. State of Ohio Data Breach Laws and Penalties. HITECH Act of 2009.

8/10/2009. Chris Watson Internal Audit & Risk Advisory Services. State of Ohio Data Breach Laws and Penalties. HITECH Act of 2009. How Much a Data Breach Can Cost Your Organization Chris Watson Internal Audit & Risk Advisory Services Protecting Sensitive Information: How much could a data breach cost your organization? State of Ohio

More information

Lessons Learned from Recent HIPAA Enforcement Actions, Breaches, and Pilot Audits

Lessons Learned from Recent HIPAA Enforcement Actions, Breaches, and Pilot Audits Lessons Learned from Recent HIPAA Enforcement Actions, Breaches, and Pilot Audits Iliana L. Peters, J.D., LL.M. Senior Advisor for HIPAA Compliance and Enforcement OCR RULEMAKING UPDATE What s Done? What

More information

ACCOUNTABLE HEALTHCARE IPA HIPAA PRIVACY AND SECURITY TRAINING. By: Jerry Jackson Compliance and Privacy Officer

ACCOUNTABLE HEALTHCARE IPA HIPAA PRIVACY AND SECURITY TRAINING. By: Jerry Jackson Compliance and Privacy Officer ACCOUNTABLE HEALTHCARE IPA HIPAA PRIVACY AND SECURITY TRAINING By: Jerry Jackson Compliance and Privacy Officer 1 1 Introduction Welcome to Privacy and Security Training course. This course will help you

More information

Donna S. Sheperis, PhD, LPC, NCC, CCMHC, ACS Sue Sadik, PhD, LPC, NCC, BC-HSP Carl Sheperis, PhD, LPC, NCC, MAC, ACS

Donna S. Sheperis, PhD, LPC, NCC, CCMHC, ACS Sue Sadik, PhD, LPC, NCC, BC-HSP Carl Sheperis, PhD, LPC, NCC, MAC, ACS Donna S. Sheperis, PhD, LPC, NCC, CCMHC, ACS Sue Sadik, PhD, LPC, NCC, BC-HSP Carl Sheperis, PhD, LPC, NCC, MAC, ACS 1 DISCLAIMER Please review your own documentation with your attorney. This information

More information

Trust 9/10/2015. Why Does Privacy and Security Matter? Who Must Comply with HIPAA Rules? HIPAA Breaches, Security Risk Analysis, and Audits

Trust 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 information

Lessons Learned from HIPAA Audits

Lessons 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 information

Security Is Everyone s Concern:

Security Is Everyone s Concern: Security Is Everyone s Concern: What a Practice Needs to Know About ephi Security Mert Gambito Hawaii HIE Compliance and Privacy Officer July 26, 2014 E Komo Mai! This session s presenter is Mert Gambito

More information

SOOKASA WHITEPAPER HIPAA COMPLIANCE. www.sookasa.com

SOOKASA WHITEPAPER HIPAA COMPLIANCE. www.sookasa.com SOOKASA WHITEPAPER HIPAA COMPLIANCE www.sookasa.com Demystifying HIPAA Compliance in the Cloud Healthcare s challenges There s no shortage of signals that the healthcare industry is under pressure: To

More information

Proofpoint HIPAA Breach Report:

Proofpoint HIPAA Breach Report: Proofpoint HIPAA Breach Report: An Analysis of HITECH Breach Notifications and Settlements, Q1 2013 Healthcare Industry Update threat protection compliance archiving & governance secure communication Contents

More information

Overview of the HIPAA Security Rule

Overview 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 information

HIPAA Privacy and Information Security Management Briefing

HIPAA Privacy and Information Security Management Briefing HIPAA Privacy and Information Security Management Briefing Karen Pagliaro-Meyer Privacy Officer kpagliaro@columbia.edu (212) 305-7315 Soumitra Sengupta Information Security Officer sen@columbia.edu (212)

More information

HIPAA Omnibus Rule Overview. Presented by: Crystal Stanton MicroMD Marketing Communication Specialist

HIPAA 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 information

HIPAA 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 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 information

Intro. Tod Ferran, CISSP, QSA. SecurityMetrics. 2 years PCI and HIPAA security consulting, performing entity compliance audits

Intro. Tod Ferran, CISSP, QSA. SecurityMetrics. 2 years PCI and HIPAA security consulting, performing entity compliance audits HIPAA Security Rule & Live Hack Tod Ferran, CISSP, QSA Intro Tod Ferran, CISSP, QSA 25 years working with IT and physical security 2 years PCI and HIPAA security consulting, performing entity compliance

More information

Healthcare IT Compliance Service. Services > Overview MaaS360 Healthcare IT Compliance Service

Healthcare IT Compliance Service. Services > Overview MaaS360 Healthcare IT Compliance Service Services > Overview MaaS360 Ensure Technical Safeguards for EPHI are Working Monitor firewalls, anti-virus packages, data encryption solutions, VPN clients and other security applications to ensure that

More information

HIPAA LIAISON MEETING PRESENTAITON. August 11, 2015 Leslie J. Pfeffer, BS, CHP University HIPAA Privacy Officer

HIPAA LIAISON MEETING PRESENTAITON. August 11, 2015 Leslie J. Pfeffer, BS, CHP University HIPAA Privacy Officer HIPAA LIAISON MEETING PRESENTAITON August 11, 2015 Leslie J. Pfeffer, BS, CHP University HIPAA Privacy Officer Current State of HIPAA Enforcement Content Contributor Abby Bonjean, Investigator Office for

More information

Mobile Medical Devices and BYOD: Latest Legal Threat for Providers

Mobile 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 information

HIPAA Compliance in the Event of a Data Breach

HIPAA Compliance in the Event of a Data Breach HIPAA Compliance in the Event of a Data Breach November 5, 2015 Lucie Huger Officer, Greensfelder, Hemker & Gale, P.C. Information is the New Oil! Hospitals are collecting and storing mass amounts of data

More information

Checklist for HIPAA/HITECH Compliance Best Practices for Healthcare Information Security

Checklist for HIPAA/HITECH Compliance Best Practices for Healthcare Information Security Checklist for HIPAA/HITECH Compliance Best Practices for Healthcare Information Security Ali Pabrai, MSEE, CISSP (ISSMP, ISSAP) For Daily Compliance & Security Tips, Follow ecfirst @ Agenda Review the

More information

What Are The Odds Of a HIPAA Audit?

What Are The Odds Of a HIPAA Audit? What Are The Odds Of a HIPAA Audit? 1 Random Odds The law Outline Why is enforcement up? What types of audits and what causes them Examples of enforcement What can you do to avoid audits and fines 2 3

More information

HIPAA Myths. WEDI Regional Affiliates. Chris Apgar, CISSP Apgar & Associates

HIPAA Myths. WEDI Regional Affiliates. Chris Apgar, CISSP Apgar & Associates HIPAA Myths WEDI Regional Affiliates Chris Apgar, CISSP Apgar & Associates Overview Missed Regulatory Requirements Common HIPAA Privacy Myths Common HIPAA Security Myths Other Related Myths Finding the

More information

HIPAA Compliance: Efficient Tools to Follow the Rules

HIPAA 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 information

OCR Reports on the Enforcement

OCR Reports on the Enforcement OCR Reports on the Enforcement of the HIPAA Rules HCCA Compliance Institute April 22, 2013 David Holtzman Sr. Health IT & Privacy Specialist U.S. Department of Health and Human Services Office for Civil

More information

HIPAA 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 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 information

Network Security & Privacy Landscape

Network Security & Privacy Landscape Network Security & Privacy Landscape Presented By: Greg Garijanian Senior Underwriter Professional Liability 1 Agenda Network Security Overview -Latest Threats - Exposure Trends - Regulations Case Studies

More information

HIPAA Security Education. Updated May 2016

HIPAA Security Education. Updated May 2016 HIPAA Security Education Updated May 2016 Course Objectives v This computer-based learning course covers the HIPAA, HITECH, and MSHA Privacy and Security Program which includes relevant Information Technology(IT)

More information

HIPAA 203: Security. An Introduction to the Draft HIPAA Security Regulations

HIPAA 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 information

Franchise Data Compromise Trends and Cardholder. December, 2010

Franchise Data Compromise Trends and Cardholder. December, 2010 Franchise Data Compromise Trends and Cardholder Security Best Practices December, 2010 Franchise Data Security Agenda Cardholder Data Compromise Overview Breach Commonalities Hacking Techniques Franchisee

More information

HIPAA Omnibus Compliance How A Data Loss Prevention Solution Can Help

HIPAA Omnibus Compliance How A Data Loss Prevention Solution Can Help HIPAA Omnibus Compliance How A Data Loss Prevention Solution Can Help The Health Information Portability and Accountability Act (HIPAA) Omnibus Rule which will begin to be enforced September 23, 2013,

More information

TNAAP 8TH ANNUAL PEDIATRIC PRACTICE MANAGERS CONFERENCE FREDERICK SCHOLL,PHD MONARCH INFORMATION NETWORKS ELIZABETH PIERCE, MD RIVERGATE PEDIATRICS

TNAAP 8TH ANNUAL PEDIATRIC PRACTICE MANAGERS CONFERENCE FREDERICK SCHOLL,PHD MONARCH INFORMATION NETWORKS ELIZABETH PIERCE, MD RIVERGATE PEDIATRICS TNAAP 8TH ANNUAL PEDIATRIC PRACTICE MANAGERS CONFERENCE FREDERICK SCHOLL,PHD MONARCH INFORMATION NETWORKS ELIZABETH PIERCE, MD RIVERGATE PEDIATRICS SUMMARY OUTLINE ESSENTIAL SECURITY PRACTICES THAT WILL

More information

HIPAA Violations Incur Multi-Million Dollar Penalties

HIPAA Violations Incur Multi-Million Dollar Penalties HIPAA Violations Incur Multi-Million Dollar Penalties Whitepaper HIPAA Violations Incur Multi-Million Dollar Penalties Have you noticed how many expensive Health Insurance Portability and Accountability

More information

Heather 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 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 information

OCR UPDATE Breach Notification Rule & Business Associates (BA)

OCR UPDATE Breach Notification Rule & Business Associates (BA) OCR UPDATE Breach Notification Rule & Business Associates (BA) Alicia Galan Supervisory Equal Opportunity Specialist March 7, 2014 HITECH OMNIBUS A Reminder of What s Included: Final Modifications of the

More information

Information Security Addressing Your Advanced Threats

Information Security Addressing Your Advanced Threats Information Security Addressing Your Advanced Threats Where We are Going Information Security Landscape The Threats You Face How To Protect Yourself This Will Not Be Boring What Is Information Security?

More information

HIPAA Update. Presented by: Melissa M. Zambri. June 25, 2014

HIPAA Update. Presented by: Melissa M. Zambri. June 25, 2014 HIPAA Update Presented by: Melissa M. Zambri June 25, 2014 Timeline of New Rules 2/17/09 - Stimulus Package Enacted 8/24/09 - Interim Final Rule on Breach Notification 10/7/09 - Proposed Rule Regarding

More information

Nine Network Considerations in the New HIPAA Landscape

Nine 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 information

Security Management. Keeping the IT Security Administrator Busy

Security Management. Keeping the IT Security Administrator Busy Security Management Keeping the IT Security Administrator Busy Dr. Jane LeClair Chief Operating Officer National Cybersecurity Institute, Excelsior College James L. Antonakos SUNY Distinguished Teaching

More information

Information Security and Privacy. WHAT is to be done? HOW is it to be done? WHY is it done?

Information Security and Privacy. WHAT is to be done? HOW is it to be done? WHY is it done? Information Security and Privacy WHAT is to be done? HOW is it to be done? WHY is it done? 1 WHAT is to be done? O Be in compliance of Federal/State Laws O Federal: O HIPAA O HITECH O State: O WIC 4514

More information

OCR s Anatomy: HIPAA Breaches, Investigations, and Enforcement

OCR 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

Part 14: USB Port Security 2015

Part 14: USB Port Security 2015 Part 14: USB Port Security This article is part of an information series provided by the American Institute of Healthcare Compliance in response to questions we receive related to Meaningful Use and CEHRT

More information

Healthcare Information Security Today

Healthcare Information Security Today Healthcare Information Security Today 2015 Survey Analysis: Evolving Threats and Health Info Security Efforts WHITE PAPER SURVEY BACKGROUND The Information Security Media Group conducts an annual Healthcare

More information

Cyber Security An Exercise in Predicting the Future

Cyber Security An Exercise in Predicting the Future Cyber Security An Exercise in Predicting the Future Paul Douglas, August 25, 2014 AUDIT & ACCOUNTING + CONSULTING + TAX SERVICES + TECHNOLOGY I www.pncpa.com I www.pntech.net What is Cyber Security? Measures

More information

HIPAA Security. 2 Security Standards: Administrative Safeguards. Security Topics

HIPAA Security. 2 Security Standards: Administrative Safeguards. Security Topics HIPAA Security SERIES Security Topics 1. Security 101 for Covered Entities 5. 2. Security Standards - Organizational, Security Policies Standards & Procedures, - Administrative and Documentation Safeguards

More information

HIPAA Privacy, Security, Breach, and Meaningful Use. CHUG October 2012

HIPAA Privacy, Security, Breach, and Meaningful Use. CHUG October 2012 HIPAA Privacy, Security, Breach, and Meaningful Use Practice Requirements for 2012 CHUG October 2012 The Health Insurance Portability and Accountability Act of 1996 (HIPAA) Standards for Privacy of Individually

More information

Cyber Crime. Protect your children online. Use Strong Passwords

Cyber Crime. Protect your children online. Use Strong Passwords Cyber Crime Cybercrime is defined as the use of a computer as an instrument to further illegal ends, such as committing fraud, trafficking in child pornography and intellectual property, stealing identities,

More information

Compromising Remote Access: A Live Hack Demonstration

Compromising Remote Access: A Live Hack Demonstration Compromising Remote Access: A Live Hack Demonstration Gary Glover, Sr. Director of Security Assessments About SecurityMetrics Helping organizations comply with mandates, avoid security breaches, and prevent

More information

I ve been breached! Now what?

I ve been breached! Now what? I ve been breached! Now what? THE AFTERMATH OF A BREACH & STEPS TO REDUCE RISK The number of data breaches in the United States in 2014 hit a record high. And 2015 is not looking any better. There have

More information

ERP Software HIPAA Concerns for Health Care Providers

ERP Software HIPAA Concerns for Health Care Providers Research Paper ERP Software HIPAA Concerns for Health Care Providers December 17, 2014 Updated 12/21/2014 Prepared by Tad W. Remington 1, CMA 1 LinkedIn, Tad W. Remington profile, http://www.linkedin.com/pub/tad

More information

Jumpstarting Your Security Awareness Program

Jumpstarting Your Security Awareness Program Jumpstarting Your Security Awareness Program Michael Holcomb Director, Information Security HO20110473 1 Jumpstarting Your Security Awareness Program Classification: Confidential Owner: Michael Holcomb

More information

AVOIDING THE BREACH 5 Common Ways Technology Vendors Put Their Healthcare Customer's PHI at Risk

AVOIDING THE BREACH 5 Common Ways Technology Vendors Put Their Healthcare Customer's PHI at Risk AVOIDING THE BREACH 5 Common Ways Technology Vendors Put Their Healthcare Customer's PHI at Risk Chris Bowen, MBA, CISSP, CIPP/US, CIPT Founder, Chief Privacy & Security Officer The majority of breaches

More information

OCRA Spring Convention ~ 2014 Phyllis Craver Lykken, RPR, CLR, CCR 2463. Court Reporters and HIPAA

OCRA Spring Convention ~ 2014 Phyllis Craver Lykken, RPR, CLR, CCR 2463. Court Reporters and HIPAA Court Reporters and HIPAA OCRA Spring Convention ~ 2014 Phyllis Craver Lykken, RPR, CLR, CCR 2463 1 What Exactly is HIPAA? HIPAA is an acronym for the Health Insurance Portability and Accountability Act

More information

2014 Core Training 1

2014 Core Training 1 2014 Core Training 1 Course Agenda Review of Key Privacy Laws/Regulations: Federal HIPAA/HITECH regulations State privacy laws Privacy & Security Policies & Procedures Huntsville Hospital Health System

More information

Lessons Learned from Recent HIPAA Enforcement Actions, Breaches, and Audit. Iliana L. Peters, J.D., LL.M. April 23, 2014

Lessons Learned from Recent HIPAA Enforcement Actions, Breaches, and Audit. Iliana L. Peters, J.D., LL.M. April 23, 2014 Lessons Learned from Recent HIPAA Enforcement Actions, Breaches, and Audit Iliana L. Peters, J.D., LL.M. April 23, 2014 OCR RULEMAKING UPDATE What s Done? What s to Come? What s Done: Interim Final Rules

More information

Privacy Officer Job Description 4/28/2014. HIPAA Privacy Officer Orientation. Cathy Montgomery, RN. Presented by:

Privacy 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 information

Checklist for Breach Readiness. Ali Pabrai, MSEE, CISSP (ISSMP, ISSAP) For Daily Compliance & Security Tips, Follow ecfirst @

Checklist 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 information

Are You Still HIPAA Compliant? Staying Protected in the Wake of the Omnibus Final Rule Click to edit Master title style.

Are You Still HIPAA Compliant? Staying Protected in the Wake of the Omnibus Final Rule Click to edit Master title style. Are You Still HIPAA Compliant? Staying Protected in the Wake of the Omnibus Final Rule Click to edit Master title style March 27, 2013 www.mcguirewoods.com Introductions Holly Carnell McGuireWoods LLP

More information

PHI- Protected Health Information

PHI- Protected Health Information HIPAA Policy 2014 The Health Insurance Portability and Accountability Act is a federal law that protects the privacy and security of patients health information and grants certain rights to patients. Clarkson

More information

Healthcare IT (HIT) Strategic Planning & Budgeting MARCH 26, 2014

Healthcare IT (HIT) Strategic Planning & Budgeting MARCH 26, 2014 Healthcare IT (HIT) Strategic Planning & Budgeting MARCH 26, 2014 Agenda Introduction / Session Overview HIT Budgeting 101 Security and Compliance EHR budgeting HIT Where Are We Going Q & A 2 Copyright

More information

Ready 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 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 information

An Independent Member of Baker Tilly International

An Independent Member of Baker Tilly International Healthcare Security and Compliance July 23, 2015 Presenters Kelley Miller, CISA, CISM - Principal Kelley.Miller@mcmcpa.com Barbie Thomas, MBA, CHC Barbie.Thomas@mcmcpa.com 2 Agenda Introductions Cybersecurity

More information

HIPAA 101. March 18, 2015 Webinar

HIPAA 101. March 18, 2015 Webinar HIPAA 101 March 18, 2015 Webinar Agenda Acronyms to Know HIPAA Basics What is HIPAA and to whom does it apply? What is protected by HIPAA? Privacy Rule Security Rule HITECH Basics Breaches and Responses

More information

COMPLIANCE ALERT 10-12

COMPLIANCE ALERT 10-12 HAWAII HEALTH SYSTEMS C O R P O R A T I O N "Touching Lives Every Day COMPLIANCE ALERT 10-12 HIPAA Expansion under the American Recovery and Reinvestment Act of 2009 The American Recovery and Reinvestment

More information

Enforcement of Health Information Privacy & Security Standards Federal Enforcement Through Recent Cases and Tools to Measure Regulatory Compliance

Enforcement of Health Information Privacy & Security Standards Federal Enforcement Through Recent Cases and Tools to Measure Regulatory Compliance Enforcement of Health Information Privacy & Security Standards Federal Enforcement Through Recent Cases and Tools to Measure Regulatory Compliance Iliana Peters, JD, LLM, HHS Office for Civil Rights Kevin

More information

AB 1149 Compliance: Data Security Best Practices

AB 1149 Compliance: Data Security Best Practices AB 1149 Compliance: Data Security Best Practices 1 Table of Contents Executive Summary & Overview 3 Data Security Best Practices 4 About Aurora 10 2 Executive Summary & Overview: AB 1149 is a new California

More information

KEY STEPS FOLLOWING A DATA BREACH

KEY STEPS FOLLOWING A DATA BREACH KEY STEPS FOLLOWING A DATA BREACH Introduction This document provides key recommended steps to be taken following the discovery of a data breach. The document does not constitute an exhaustive guideline,

More information

Network Security for End Users in Health Care

Network Security for End Users in Health Care Network Security for End Users in Health Care Virginia Health Information Technology Regional Extension Center is funded by grant #90RC0022/01 from the Office of the National Coordinator for Health Information

More information

SECURITY REQUIREMENTS UNDER HIPAA AND STATE LAWS

SECURITY REQUIREMENTS UNDER HIPAA AND STATE LAWS SECURITY REQUIREMENTS UNDER HIPAA AND STATE LAWS Bart A. Lazar, Seyfarth Shaw, LLP The HIPAA Security Rule Standards and Implementation Specifications establish security guidelines for treating Protected

More information

SECURING YOUR SMALL BUSINESS. Principles of information security and risk management

SECURING YOUR SMALL BUSINESS. Principles of information security and risk management SECURING YOUR SMALL BUSINESS Principles of information security and risk management The challenge Information is one of the most valuable assets of any organization public or private, large or small and

More information

Presentation for : The New England Board of Higher Education. Hot Topics in IT Security and Data Privacy

Presentation for : The New England Board of Higher Education. Hot Topics in IT Security and Data Privacy Presentation for : The New England Board of Higher Education Hot Topics in IT Security and Data Privacy October 22, 2010 Rocco Grillo, CISSP Managing Director Protiviti Inc. Quote of the Day "It takes

More information