HIPAA PRIVACY AND SECURITY AWARENESS. Covering Kids and Families of Indiana April 10, 2014

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "HIPAA PRIVACY AND SECURITY AWARENESS. Covering Kids and Families of Indiana April 10, 2014"

Transcription

1 HIPAA PRIVACY AND SECURITY AWARENESS Covering Kids and Families of Indiana April 10, 2014

2 GOALS AND OBJECTIVES The goal is to provide information to you to promote personal responsibility and behaviors to ensure the privacy, security, and integrity of sensitive information is maintained. The objectives are to: Increase your awareness of HIPAA privacy and security Define HIPAA requirements Identify sensitive information Identify privacy and security vulnerabilities Identify privacy and security safeguards Identify social media safeguards

3 WHAT IS HIPAA HIPAA stands for Health Insurance Portability and Accountability Act of 1996 It s not hippo, it s HIPAA

4 WHAT IS HIPAA? HIPAA establishes national standards and regulations for protecting an individual s health information. Two components of HIPAA are: The HIPAA Privacy Rule Defines how patient information is used, protected and disclosed. The HIPAA Security Rule Establishes how patient information is protected electronically.

5 HOW DO ARRA AND HITECH PROVISIONS AFFECT HIPAA COMPLIANCE? ARRA (American Recovery and Reinvestment Act of 2009) ARRA is a stimulus program designed to provide incentives for healthcare information technology and to accelerate adoption of electronic health record systems compliant with HIPAA provisions. HITECH (Health Information Technology for Economic and Clinical Health Act) The HITECH Act was created as a sub-part of ARRA It imposes additional requirements to existing HIPAA rules to: Increase civil and criminal penalties for HIPAA violations. Provide notification to patients of breach of their personal health information. Provide patients access to their electronic health record. Require Business Associates to be in compliance with privacy and security rules.

6 BREACH HITECH definition: The acquisition, access, use or disclosure of protected health information (PHI) in a manner not permitted under the HIPAA Privacy Rule that compromises the security or privacy of the PHI. A disclosure is presumed to be a breach unless the covered entity or business associate can demonstrate, based on a risk assessment, that there is a low probability the PHI has been compromised. Federal Trade Commission (FTC): The Federal Trade Commission (FTC), the nation s consumer protection agency, has issued the Health Breach Notification Rule to require certain businesses not covered by HIPAA to notify their customers and others if there s a breach of unsecured, individually identifiable electronic health information. FTC enforcement began on February 22, 2010.

7 WHAT IS PATIENT SENSITIVE INFORMATION? PII (Personally Identifiable Information) Any data about a patient that could potentially identify them, such as: Name Address Driver license number Payment information Date of birth Social security number Photographic images Other private information that one would generally want to protect from public disclosure PHI (Protected Health Information) Any information about a patient s health, such as: Demographic information or other PII Medical history Data collected by a healthcare professional to identify an individual and determine appropriate care Insurance information

8 PATIENT S RIGHT OF PRIVACY Sensitive information may be disclosed: To treat a patient To receive payment for services provided to a patient To perform daily healthcare operations Patients have the right to: Inspect and request a copy of their health information Request an amendment to their record Request restrictions to their health information Request confidential or alternative means of communication Never view sensitive patient, family or employee information without a business need-to-know or a provider relationship which allows for such an action.

9 HIPAA S MINIMUM NECESSARY STANDARD Requires covered entities to limit the protected health information (PHI) to the minimum necessary information to perform an assigned duty or to accomplish a stated purpose. Disclose only the information that is minimally necessary in each situation to achieve the purpose of the disclosure.

10 Turn monitors away from public view Allow plenty of room between computers at enrollment events Safeguards Place consumer files in a locked cabinet when not using them Lower your voice at enrollment events Shred unnecessary information

11 TELECOMMUNICATION Be cautious when faxing information. Always call prior to faxing confidential information. Always use a fax cover sheet. Verify fax numbers are accurate. Periodically ensure pre-programmed fax numbers have not changed. When calling other offices or patients: Use a lowered voice Limit discussion in public areas Only provide what is necessary Only provide your name, contact information and a message for a callback on voic s or answering machines.

12 Do not PII. If you do, send a secure . It is risky to use personal systems such as: Yahoo, G-Mail, mobileme, etc. Identify suspicious s: Unusual subject lines asking you to confirm, verify, or upgrade From an unknown sender Using all CAPITAL letters Grammatical errors, misspellings, misplaced spaces or highly technical terms. Do not open suspicious attachments or respond/forward the message.

13 SECURING SENSITIVE INFORMATION De-identify information used in presentations or for reporting purposes if it is not necessary. If confidential information is used for a success story, commercial, etc., obtain consent from the client. Only provide or compile data which is required to fulfill its purpose. Password protect and/or encrypt all data files containing sensitive information.

14 PRIVACY AND SECURITY VULNERABILITIES Passwords DO NOT share system passwords with ANYONE! Change your passwords on a regular basis. Select passwords that cannot be easily guessed by others. DO NOT tape passwords to ID badges, computer keyboards, in desk drawers, etc. Log-off after you have completed your work, so someone cannot access the system with your log-on.

15 PRIVACY AND SECURITY VULNERABILITIES Portable Storage Devices Password protect, encrypt and keep portable storage devices out of public view. Dispose of storage media in a safe and secure manner

16 PRIVACY AND SECURITY VULNERABILITIES Laptops and Tablets Laptops/Tablets should be password protected and encrypted. Make sure timeout precautions are active. Always log-off applications or lock your computer if you are going away from your workstation or computer. Turn or block computer screens from public view as much as possible. Save information on secure network drives.

17 PRIVACY AND SECURITY VULNERABILITIES Cell Phones Mobile phones should be password protected or require authentication to protect information on the device. Never save e-phi on a cell phone device unless it is encrypted

18 PRIVACY AND SECURITY VULNERABILITIES Unattended Items Be conscious of the information you are carrying with you (electronic or on paper). Do not leave sensitive information unattended where the information could be viewed or taken by others. If collecting PII at a community event, put it in a locked box.

19 PRIVACY AND SECURITY VULNERABILITIES Hallway, Floor or Office Space Always dispose of old papers with potentially sensitive information into shred bins. All electronic media should be physically destroyed or sanitized when being disposed or transferred to another for use.

20 SOCIAL MEDIA SITES All workers have an obligation to protect the privacy and confidentiality of patients, their families and employees even when not at work. Social Media sites like Facebook, Twitter, YouTube, LinkedIn, etc., require extra care to prevent privacy breaches. Sharing any private or confidential information on the Internet is a breach of confidentiality. Client consent is required prior to posting information about them.

21

22 SUSPECT A BREACH? When there is a breach or potential breach (i.e. when equipment or data is lost or stolen), prompt action is critical. Notify Management immediately and follow your facility breach notification procedures. The faster the breach or vulnerability is investigated and understood, the faster it can be mitigated. Some incidents are legally required to be reported to regulatory agencies and to those impacted by the data breach.

23 RISK ASSOCIATED WITH A BREACH Damage to the facility, departments and/or clinics reputation Loss of a client Approximately $400 per involved individual to send notification and credit monitoring Media exposure Corrective action

24 CONCLUSION Protecting client privacy and maintaining a secure information environment is everyone s job. It is your responsibility to report information privacy and security concerns to Management.

HIPAA Privacy & Security Rules

HIPAA Privacy & Security Rules HIPAA Privacy & Security Rules HITECH Act Applicability If you are part of any of the HIPAA Affected Areas, this training is required under the IU HIPAA Privacy and Security Compliance Plan pursuant to

More information

The Basics of HIPAA Privacy and Security and HITECH

The Basics of HIPAA Privacy and Security and HITECH The Basics of HIPAA Privacy and Security and HITECH Protecting Patient Privacy Disclaimer The content of this webinar is to introduce the principles associated with HIPAA and HITECH regulations and is

More information

HIPAA Training for Hospice Staff and Volunteers

HIPAA Training for Hospice Staff and Volunteers HIPAA Training for Hospice Staff and Volunteers Hospice Education Network Objectives Explain the purpose of the HIPAA privacy and security regulations Name three patient privacy rights Discuss what you

More information

HIPAA Training for Staff and Volunteers

HIPAA Training for Staff and Volunteers HIPAA Training for Staff and Volunteers Objectives Explain the purpose of the HIPAA privacy, security and breach notification regulations Name three patient privacy rights Discuss what you can do to help

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

HIPAA and the HITECH Act Privacy and Security of Health Information in 2009

HIPAA and the HITECH Act Privacy and Security of Health Information in 2009 HIPAA and the HITECH Act Privacy and Security of Health Information in 2009 What is HIPAA? Health Insurance Portability & Accountability Act of 1996 Effective April 13, 2003 Federal Law HIPAA Purpose:

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

Page 1. NAOP HIPAA and Privacy Risks 3/11/2014. Privacy means being able to have control over how your information is collected, used, or shared;

Page 1. NAOP HIPAA and Privacy Risks 3/11/2014. Privacy means being able to have control over how your information is collected, used, or shared; Page 1 National Organization of Alternative Programs 2014 NOAP Educational Conference HIPAA and Privacy Risks Ira J Rothman, CPHIMS, CIPP/US/IT/E/G Senior Vice President - Privacy Official March 26, 2014

More information

My Docs Online HIPAA Compliance

My Docs Online HIPAA Compliance My Docs Online HIPAA Compliance Updated 10/02/2013 Using My Docs Online in a HIPAA compliant fashion depends on following proper usage guidelines, which can vary based on a particular use, but have several

More information

HIPAA Privacy & Security Health Insurance Portability and Accountability Act

HIPAA Privacy & Security Health Insurance Portability and Accountability Act HIPAA Privacy & Security Health Insurance Portability and Accountability Act ASSOCIATE EDUCATION St. Elizabeth Medical Center Origin and Purpose of HIPAA In 2003, Congress enacted new rules that would

More information

CREATIVE SOLUTIONS IN HEALTHCARE, INC. Privacy Policy

CREATIVE SOLUTIONS IN HEALTHCARE, INC. Privacy Policy CREATIVE SOLUTIONS IN HEALTHCARE, INC. Privacy Policy Amended as of February 12, 2010 on the authority of the HIPAA Privacy Officer for Creative Solutions in Healthcare, Inc. TABLE OF CONTENTS ARTICLE

More information

HIPAA: Privacy/Info Security

HIPAA: Privacy/Info Security HIPAA: Privacy/Info Security Jeff Jones HIPAA Privacy Officer HIPAA Information Security Officer KY Region What you should know Discussion Topics Protected Health Security Awareness Information(PHI) Disclosure

More information

Authorized. User Agreement

Authorized. User Agreement Authorized User Agreement CareAccord Health Information Exchange (HIE) Table of Contents Authorized User Agreement... 3 CareAccord Health Information Exchange (HIE) Polices and Procedures... 5 SECTION

More information

Data Security and Integrity of e-phi. MLCHC Annual Clinical Conference Worcester, MA Wednesday, November 12, 2014 2:15pm 3:30pm

Data 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 information

HIPAA Compliance (DSHS and HCA) Preamble: This section of the Contract is the Business Associate Agreement as

HIPAA Compliance (DSHS and HCA) Preamble: This section of the Contract is the Business Associate Agreement as HIPAA Compliance (DSHS and HCA) Preamble: This section of the Contract is the Business Associate Agreement as required by HIPAA. 1. Definitions. a. Business Associate, as used in this Contract, means the

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

BUSINESS ASSOCIATE AGREEMENT. Business Associate. Business Associate shall mean.

BUSINESS ASSOCIATE AGREEMENT. Business Associate. Business Associate shall mean. BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement is made as of the day of, 2010, by and between Methodist Lebonheur Healthcare, on behalf of itself and all of its affiliates ( Covered Entity

More information

HIPAA 101: Privacy and Security Basics

HIPAA 101: Privacy and Security Basics HIPAA 101: Privacy and Security Basics Purpose This document provides important information about Kaiser Permanente policies and state and federal laws for protecting the privacy and security of individually

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

HIPAA and Mental Health Privacy:

HIPAA 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 information

HIPAA Self-Study Module Patient Privacy at Unity Health Care, Inc hipaa@unityhealthcare.org 202-667-0016 - HIPAA Hotline

HIPAA Self-Study Module Patient Privacy at Unity Health Care, Inc hipaa@unityhealthcare.org 202-667-0016 - HIPAA Hotline HIPAA Self-Study Module Patient Privacy at Unity Health Care, Inc hipaa@unityhealthcare.org 202-667-0016 - HIPAA Hotline Self-Study Module Requirements Read all program slides and complete test. Complete

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

White Paper THE HIPAA FINAL OMNIBUS RULE: NEW CHANGES IMPACTING BUSINESS ASSOCIATES

White Paper THE HIPAA FINAL OMNIBUS RULE: NEW CHANGES IMPACTING BUSINESS ASSOCIATES White Paper THE HIPAA FINAL OMNIBUS RULE: NEW CHANGES IMPACTING BUSINESS ASSOCIATES CONTENTS Introduction 3 Brief Overview of HIPPA Final Omnibus Rule 3 Changes to the Definition of Business Associate

More information

BUSINESS ASSOCIATE AGREEMENT

BUSINESS ASSOCIATE AGREEMENT BUSINESS ASSOCIATE AGREEMENT 1. DEFINITIONS: 1.1 Undefined Terms: Terms used, but not otherwise defined, in this Agreement shall have the same meaning as those terms defined by the Health Insurance Portability

More information

This presentation focuses on the Healthcare Breach Notification Rule. First published in 2009, the final breach notification rule was finalized in

This presentation focuses on the Healthcare Breach Notification Rule. First published in 2009, the final breach notification rule was finalized in This presentation focuses on the Healthcare Breach Notification Rule. First published in 2009, the final breach notification rule was finalized in the HIPAA Omnibus Rule of 2013. As part of the American

More information

Implementing Electronic Medical Records (EMR): Mitigate Security Risks and Create Peace of Mind

Implementing Electronic Medical Records (EMR): Mitigate Security Risks and Create Peace of Mind Page1 Implementing Electronic Medical Records (EMR): Mitigate Security Risks and Create Peace of Mind The use of electronic medical records (EMRs) to maintain patient information is encouraged today and

More information

HIPPA Goes HITECH. Data Protection for Agents

HIPPA Goes HITECH. Data Protection for Agents HIPPA Goes HITECH Data Protection for Agents For agent information only. this material should not be distributed to the public or used in any solicitation. 13-0127 Course objectives Agents will be able

More information

Health 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) 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 information

HIPAA BUSINESS ASSOCIATE AGREEMENT

HIPAA BUSINESS ASSOCIATE AGREEMENT HIPAA BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement ( BAA ) is effective ( Effective Date ) by and between ( Covered Entity ) and Egnyte, Inc. ( Egnyte or Business Associate ). RECITALS

More information

HIPAA Compliance. 2013 Annual Mandatory Education

HIPAA Compliance. 2013 Annual Mandatory Education HIPAA Compliance 2013 Annual Mandatory Education What is HIPAA? Health Insurance Portability and Accountability Act Federal Law enacted in 1996 that mandates adoption of Privacy protections for health

More information

HIPAA and Health Information Privacy and Security

HIPAA and Health Information Privacy and Security HIPAA and Health Information Privacy and Security Revised 7/2014 What Is HIPAA? H Health I Insurance P Portability & A Accountability A - Act HIPAA Privacy and Security Rules were passed to protect patient

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

HIPAA PRIVACY AND SECURITY RULES BUSINESS ASSOCIATE AGREEMENT BETWEEN. Stewart C. Miller & Co., Inc. (Business Associate) AND

HIPAA PRIVACY AND SECURITY RULES BUSINESS ASSOCIATE AGREEMENT BETWEEN. Stewart C. Miller & Co., Inc. (Business Associate) AND HIPAA PRIVACY AND SECURITY RULES BUSINESS ASSOCIATE AGREEMENT BETWEEN Stewart C. Miller & Co., Inc. (Business Associate) AND City of West Lafayette Flexible Spending Plan (Covered Entity) TABLE OF CONTENTS

More information

PROTECTING PATIENT PRIVACY and INFORMATION SECURITY

PROTECTING PATIENT PRIVACY and INFORMATION SECURITY PROTECTING PATIENT PRIVACY and INFORMATION SECURITY 2 PROTECTING PATIENT PRIVACY AND INFORMATION SECURITY PROTECTING PATIENT PRIVACY AND INFORMATION SECURITY 3 INTRODUCTION As an agency employee, student,

More information

HIPAA PRIVACY AND SECURITY TRAINING P I E D M O N T COMMUNITY H EA LT H P L A N

HIPAA PRIVACY AND SECURITY TRAINING P I E D M O N T COMMUNITY H EA LT H P L A N HIPAA PRIVACY AND SECURITY TRAINING P I E D M O N T COMMUNITY H EA LT H P L A N 1 COURSE OVERVIEW This course is broken down into 4 modules: Module 1: HIPAA Omnibus Rule - What you need to know to remain

More information

BUSINESS ASSOCIATE AGREEMENT

BUSINESS ASSOCIATE AGREEMENT BUSINESS ASSOCIATE AGREEMENT THIS BUSINESS ASSOCIATE AGREEMENT (this Agreement ), effective as of May 1, 2014 (the Effective Date ), by and between ( Covered Entity ) and Orchard Software Corporation,

More information

Guide to INFORMATION SECURITY FOR THE HEALTH CARE SECTOR

Guide to INFORMATION SECURITY FOR THE HEALTH CARE SECTOR Guide to INFORMATION SECURITY FOR THE HEALTH CARE SECTOR Information and Resources for Small Medical Offices Introduction The Personal Health Information Protection Act, 2004 (PHIPA) is Ontario s health-specific

More information

BREVIUM HIPAA BUSINESS ASSOCIATE TERMS AND CONDITIONS

BREVIUM HIPAA BUSINESS ASSOCIATE TERMS AND CONDITIONS BREVIUM HIPAA BUSINESS ASSOCIATE TERMS AND CONDITIONS The following HIPAA Business Associate Terms and Conditions (referred to hereafter as the HIPAA Agreement ) are part of the Brevium Software License

More information

Appendix 4-2: Sample HIPAA Security Risk Assessment For a Small Physician Practice

Appendix 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 information

BUSINESS ASSOCIATE ADDENDUM

BUSINESS ASSOCIATE ADDENDUM BUSINESS ASSOCIATE ADDENDUM This Business Associate Addendum ( Addendum ) adds to and is made a part of the Q- global Subscription and License Agreement by and between NCS Pearson, Inc. ( Business Associate

More information

HIPAA Happenings in Hospital Systems. Donna J Brock, RHIT System HIM Audit & Privacy Coordinator

HIPAA Happenings in Hospital Systems. Donna J Brock, RHIT System HIM Audit & Privacy Coordinator HIPAA Happenings in Hospital Systems Donna J Brock, RHIT System HIM Audit & Privacy Coordinator HIPAA Health Insurance Portability and Accountability Act of 1996 Title 1 Title II Title III Title IV Title

More information

ACRONYMS: HIPAA: Health Insurance Portability and Accountability Act PHI: Protected Health Information

ACRONYMS: HIPAA: Health Insurance Portability and Accountability Act PHI: Protected Health Information NAMI EASTSIDE - 13 POLICY: Privacy and Security of Protected Health Information (HIPAA Policies and Procedures) DATE APPROVED: Pending INTENT: (At present, none of the activities that NAMI Eastside provides

More information

HIPAA Compliance: Are you prepared for the new regulatory changes?

HIPAA Compliance: Are you prepared for the new regulatory changes? HIPAA Compliance: Are you prepared for the new regulatory changes? Baker Tilly CARIS Innovation, Inc. April 30, 2013 Baker Tilly refers to Baker Tilly Virchow Krause, LLP, an independently owned and managed

More information

Community First Health Plans Breach Notification for Unsecured PHI

Community First Health Plans Breach Notification for Unsecured PHI Community First Health Plans Breach Notification for Unsecured PHI The presentation is for informational purposes only. It is the responsibility of the Business Associate to ensure awareness and compliance

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

MONTSERRAT COLLEGE OF ART WRITTEN INFORMATION SECURITY POLICY (WISP)

MONTSERRAT COLLEGE OF ART WRITTEN INFORMATION SECURITY POLICY (WISP) MONTSERRAT COLLEGE OF ART WRITTEN INFORMATION SECURITY POLICY (WISP) 201 CMR 17.00 Standards for the Protection of Personal Information Of Residents of the Commonwealth of Massachusetts Revised April 28,

More information

The benefits you need... from the name you know and trust

The benefits you need... from the name you know and trust The benefits you need... Privacy and Security Best at Practices the price you can afford... Guide from the name you know and trust The Independence Blue Cross (IBC) Privacy and Security Best Practices

More information

MCCP Online Orientation

MCCP Online Orientation Objectives At the conclusion of this presentation, students will be able to: Describe the federal requirements of the HIPAA/HITECH regulations that protect the privacy and security of confidential data.

More information

BUSINESS ASSOCIATE AGREEMENT TERMS

BUSINESS ASSOCIATE AGREEMENT TERMS BUSINESS ASSOCIATE AGREEMENT TERMS This Addendum ( Addendum ) is incorporated into and made part of the Agreement between SIGNATURE HEALTHCARE CORPORATION ("Covered Entity ) and ( Business Associate"),

More information

University Healthcare Physicians Compliance and Privacy Policy

University Healthcare Physicians Compliance and Privacy Policy Page 1 of 11 POLICY University Healthcare Physicians (UHP) will enter into business associate agreements in compliance with the provisions of the Health Insurance Portability and Accountability Act of

More information

Annual Compliance Training. HITECH/HIPAA Refresher

Annual Compliance Training. HITECH/HIPAA Refresher Annual Compliance Training HITECH/HIPAA Refresher January 2015 Sisters of Charity of Leavenworth Health System, Inc. All rights reserved. 1 Annual Refresher Training Welcome to the SCL Health System Compliance

More information

SaaS. Business Associate Agreement

SaaS. Business Associate Agreement SaaS Business Associate Agreement This Business Associate Agreement ( BA Agreement ) becomes effective pursuant to the terms of Section 5 of the End User Service Agreement ( EUSA ) between Customer ( Covered

More information

INFORMATION SECURITY & HIPAA COMPLIANCE MPCA

INFORMATION SECURITY & HIPAA COMPLIANCE MPCA INFORMATION SECURITY & HIPAA COMPLIANCE MPCA Annual Conference August 5, 201 Agenda 1 HIPAA 2 The New Healthcare Paradigm Internal Compliance 4 Conclusion 2 1 HIPAA 1 Earning Their Trust 4 HIPAA 5 Health

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

Welcome to ChiroCare s Fourth Annual Fall Business Summit. October 3, 2013

Welcome to ChiroCare s Fourth Annual Fall Business Summit. October 3, 2013 Welcome to ChiroCare s Fourth Annual Fall Business Summit October 3, 2013 HIPAA Compliance Regulatory Overview & Implementation Tips for Providers Agenda Green packet Overview of general HIPAA terms and

More information

HEALTH INSURANCE PORTABILITY & ACCOUNTABILITY ACT OF 1996 HIPAA

HEALTH INSURANCE PORTABILITY & ACCOUNTABILITY ACT OF 1996 HIPAA TRAINING MANUAL HEALTH INSURANCE PORTABILITY & ACCOUNTABILITY ACT OF 1996 HIPAA Table of Contents INTRODUCTION 3 What is HIPAA? Privacy Security Transactions and Code Sets What is covered ADMINISTRATIVE

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/ HITECH HEALTH INSURANCE PORTABILITY ACCOUNTABILITY ACT. and. Health Information Technology for Economic and Clinical Health Act.

HIPAA/ HITECH HEALTH INSURANCE PORTABILITY ACCOUNTABILITY ACT. and. Health Information Technology for Economic and Clinical Health Act. HIPAA/ HITECH HEALTH INSURANCE PORTABILITY and ACCOUNTABILITY ACT Health Information Technology for Economic and Clinical Health Act Revised 4/4/14 1 Your Accountability Quality Care Compliance Reputation

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

BUSINESS ASSOCIATE AGREEMENT First Choice Community Healthcare, Inc.

BUSINESS ASSOCIATE AGREEMENT First Choice Community Healthcare, Inc. BUSINESS ASSOCIATE AGREEMENT First Choice Community Healthcare, Inc. THIS BUSINESS ASSOCIATE AGREEMENT (BAA) is entered into by and between First Choice Community Healthcare, with a principal place of

More information

Protecting the Information of Clients, Donors, the Organization, Oh MY! Stacey Keegan November 14, 2012

Protecting the Information of Clients, Donors, the Organization, Oh MY! Stacey Keegan November 14, 2012 Protecting the Information of Clients, Donors, the Organization, Oh MY! Stacey Keegan November 14, 2012 Mission of Pro Bono Partnership of Atlanta: To maximize the impact of pro bono engagement by connecting

More information

BUSINESS ASSOCIATE AGREEMENT BETWEEN AND COMMISSION ON ACCREDITATION, AMERICAN PSYCHOLOGICAL ASSOCIATION

BUSINESS ASSOCIATE AGREEMENT BETWEEN AND COMMISSION ON ACCREDITATION, AMERICAN PSYCHOLOGICAL ASSOCIATION BUSINESS ASSOCIATE AGREEMENT BETWEEN AND COMMISSION ON ACCREDITATION, AMERICAN PSYCHOLOGICAL ASSOCIATION This Agreement governs the provision of Protected Health Information ("PHI") (as defined in 45 C.F.R.

More information

HIPAA SECURITY RISK ASSESSMENT SMALL PHYSICIAN PRACTICE

HIPAA 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 information

Road to Recovery Fact Sheet

Road to Recovery Fact Sheet Road to Recovery Fact Sheet What is the American Cancer Society s Road to Recovery program? Road to Recovery is an American Cancer Society program designed to ensure that cancer patients have transportation

More information

HIPAA and Privacy Policy Training

HIPAA and Privacy Policy Training HIPAA and Privacy Policy Training July 2015 1 This training addresses the requirements for maintaining the privacy of confidential information received from HFS and DHS (the Agencies). During this training

More information

SHS Annual Information Security Training

SHS Annual Information Security Training SHS Annual Information Security Training Information Security: What is It? The mission of the SHS Information Security Program is to Protect Valuable SHS Resources Information Security is Everyone s Responsibility

More information

BUSINESS ASSOCIATE AGREEMENT. (Contractor name and address), hereinafter referred to as Business Associate;

BUSINESS ASSOCIATE AGREEMENT. (Contractor name and address), hereinafter referred to as Business Associate; BUSINESS ASSOCIATE AGREEMENT (Agreement #) THIS DOCUMENT CONSTITUTES AN AGREEMENT BETWEEN: AND (Contractor name and address), hereinafter referred to as Business Associate; The Department of Behavioral

More information

Privacy & Information Security Training. For Health Science Workforce Members

Privacy & Information Security Training. For Health Science Workforce Members Privacy & Information Security Training For Health Science Workforce Members Privacy Program, 4/6/2015 Objectives Understand what information must be protected under state and federal privacy laws Understand

More information

Guadalupe Regional Medical Center

Guadalupe Regional Medical Center Guadalupe Regional Medical Center Health Insurance Portability & Accountability Act (HIPAA) By Debby Hernandez, Compliance/HIPAA Officer HIPAA Privacy & Security Training Module 1 This module will address

More information

HIPAA Compliance The Time is Now Changes on the Horizon: The Final Regulations on Privacy and Security. May 7, 2013

HIPAA Compliance The Time is Now Changes on the Horizon: The Final Regulations on Privacy and Security. May 7, 2013 HIPAA Compliance The Time is Now Changes on the Horizon: The Final Regulations on Privacy and Security May 7, 2013 Presenters James Clay President Employee Benefits & HR Consulting The Miller Group jimc@millercares.com

More information

Statement of Policy. Reason for Policy

Statement of Policy. Reason for Policy Table of Contents Statement of Policy 2 Reason for Policy 2 HIPAA Liaison 2 Individuals and Entities Affected by Policy 2 Who Should Know Policy 3 Exclusions 3 Website Address for Policy 3 Definitions

More information

Department of Health and Human Services Policy ADMN 004, Attachment A

Department of Health and Human Services Policy ADMN 004, Attachment A WASHINGTON COUNTY Department of Health and Human Services Policy ADMN 004, Attachment A HHS Confidentiality Agreement Including HIPAA (Health Information Portability and Accessibility Act of 1996) OREGON

More information

HFS DATA SECURITY TRAINING WITH TECHNOLOGY COMES RESPONSIBILITY

HFS DATA SECURITY TRAINING WITH TECHNOLOGY COMES RESPONSIBILITY HFS DATA SECURITY TRAINING WITH TECHNOLOGY COMES RESPONSIBILITY Illinois Department of Healthcare and Family Services Training Outline: Training Goals What is the HIPAA Security Rule? What is the HFS Identity

More information

Career Connection, Inc. Data Privacy. Bringing Talent Together With Opportunity

Career Connection, Inc. Data Privacy. Bringing Talent Together With Opportunity Career Connection, Inc. Data Privacy Objectives This course is intended for CCI employees. The course gives guidance on data privacy concepts and describes how data privacy is relevant when delivering

More information

SUBJECT: SECURITY OF ELECTRONIC MEDICAL RECORDS COMPLIANCE WITH THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996 (HIPAA)

SUBJECT: SECURITY OF ELECTRONIC MEDICAL RECORDS COMPLIANCE WITH THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996 (HIPAA) UNIVERSITY OF PITTSBURGH POLICY SUBJECT: SECURITY OF ELECTRONIC MEDICAL RECORDS COMPLIANCE WITH THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996 (HIPAA) DATE: March 18, 2005 I. SCOPE This

More information

Reporting of HIPAA Privacy/Security Breaches. The Breach Notification Rule

Reporting of HIPAA Privacy/Security Breaches. The Breach Notification Rule Reporting of HIPAA Privacy/Security Breaches The Breach Notification Rule Objectives What is the HITECH Act? An overview-what is Protected Health Information (PHI) and can I protect patient s PHI? What

More information

Must score 89% or above. If you score below 89%, we will be contacting you to go over the material individually.

Must score 89% or above. If you score below 89%, we will be contacting you to go over the material individually. April 23, 2014 Must score 89% or above. If you score below 89%, we will be contacting you to go over the material individually. What is it? Electronic Protected Health Information There are 18 specific

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

Policies and Procedures for Electronic Protected Health Information (ephi) and Personally Identifiable Information (PII)

Policies and Procedures for Electronic Protected Health Information (ephi) and Personally Identifiable Information (PII) Policies and Procedures for Electronic Protected Health Information (ephi) and Personally Identifiable Information (PII) Effective Date: April 10, 2012 Prepared by: Joe Raschke (IT) Table of Contents Purpose

More information

HIPAA Education Level One For Volunteers & Observers

HIPAA Education Level One For Volunteers & Observers UK HealthCare HIPAA Education Page 1 September 1, 2009 HIPAA Education Level One For Volunteers & Observers ~ What does HIPAA stand for? H Health I Insurance P Portability A And Accountability A - Act

More information

HIPAA TRAINING. A training course for Shiawassee County Community Mental Health Authority Employees

HIPAA TRAINING. A training course for Shiawassee County Community Mental Health Authority Employees HIPAA TRAINING A training course for Shiawassee County Community Mental Health Authority Employees WHAT IS HIPAA? HIPAA is an acronym that stands for Health Insurance Portability and Accountability Act.

More information

8.03 Health Insurance Portability and Accountability Act (HIPAA)

8.03 Health Insurance Portability and Accountability Act (HIPAA) Human Resource/Miscellaneous Page 1 of 5 8.03 Health Insurance Portability and Accountability Act (HIPAA) Policy: It is the policy of Licking/Knox Goodwill Industries, Inc., to maintain the privacy of

More information

BEFORE THE BOARD OF COUNTY COMMISSIONERS FOR MULTNOMAH COUNTY, OREGON RESOLUTION NO. 05-050

BEFORE THE BOARD OF COUNTY COMMISSIONERS FOR MULTNOMAH COUNTY, OREGON RESOLUTION NO. 05-050 BEFORE THE BOARD OF COUNTY COMMISSIONERS FOR MULTNOMAH COUNTY, OREGON RESOLUTION NO. 05-050 Adopting Multnomah County HIPAA Security Policies and Directing the Appointment of Information System Security

More information

New HIPAA Breach Notification Rule: Know Your Responsibilities. Loudoun Medical Group Spring 2010

New HIPAA Breach Notification Rule: Know Your Responsibilities. Loudoun Medical Group Spring 2010 New HIPAA Breach Notification Rule: Know Your Responsibilities Loudoun Medical Group Spring 2010 Health Information Technology for Economic and Clinical Health Act (HITECH) As part of the Recovery Act,

More information

Securing the FOSS VistA Stack HIPAA Baseline Discussion. Jack L. Shaffer, Jr. Chief Operations Officer

Securing the FOSS VistA Stack HIPAA Baseline Discussion. Jack L. Shaffer, Jr. Chief Operations Officer Securing the FOSS VistA Stack HIPAA Baseline Discussion Jack L. Shaffer, Jr. Chief Operations Officer HIPAA as Baseline of security: To secure any stack which contains ephi (electonic Protected Health

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

HIPAA PRIVACY AND SECURITY FOR EMPLOYERS

HIPAA PRIVACY AND SECURITY FOR EMPLOYERS HIPAA PRIVACY AND SECURITY FOR EMPLOYERS Agenda Background and Enforcement HIPAA Privacy and Security Rules Breach Notification Rules HPID Number Why Does it Matter HIPAA History HIPAA Title II Administrative

More information

6/17/2013 PRESENTED BY: Updates on HIPAA, Data, IT and Security Technology. June 25, 2013

6/17/2013 PRESENTED BY: Updates on HIPAA, Data, IT and Security Technology. June 25, 2013 Updates on HIPAA, Data, IT and Security Technology June 25, 2013 1 The material appearing in this presentation is for informational purposes only and should not be construed as advice of any kind, including,

More information

Privacy and Security For Managers

Privacy and Security For Managers Privacy and Security For Managers This self directed learning module contains information all CHS Teammates are expected to know in order to protect our patients, our guests, and ourselves. Target Audience:

More information

Audit Report. University Medical Center HIPAA Compliance. June 2013. Angela M. Darragh, CPA, CISA, CFE Audit Director AUDIT DEPARTMENT

Audit Report. University Medical Center HIPAA Compliance. June 2013. Angela M. Darragh, CPA, CISA, CFE Audit Director AUDIT DEPARTMENT Audit Report AUDIT DEPARTMENT University Medical Center HIPAA Compliance June 2013 Angela M. Darragh, CPA, CISA, CFE Audit Director AUDIT COMMITTEE: Commissioner Steve Sisolak Commissioner Chris Giunchigliani

More information

HIPAA PRIVACY AND SECURITY AWARENESS

HIPAA 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 information

Data Security Breaches: Learn more about two new regulations and how to help reduce your risks

Data Security Breaches: Learn more about two new regulations and how to help reduce your risks Data Security Breaches: Learn more about two new regulations and how to help reduce your risks By Susan Salpeter, Vice President, Zurich Healthcare Risk Management News stories about data security breaches

More information

St. Elizabeth Healthcare

St. Elizabeth Healthcare St. Elizabeth Healthcare Information Security and Privacy Netlearning Module Intended audience: All St. Elizabeth associates and people of interest exposed to corporate or patient information. Author:

More information

HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) BUSINESS ASSOCIATE AGREEMENT

HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) BUSINESS ASSOCIATE AGREEMENT HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) BUSINESS ASSOCIATE AGREEMENT This HIPAA Business Associate Agreement ( BAA ) is by and between the National Association of Boards of Pharmacy

More information

Shipman & Goodwin LLP. HIPAA Alert STIMULUS PACKAGE SIGNIFICANTLY EXPANDS HIPAA REQUIREMENTS

Shipman & Goodwin LLP. HIPAA Alert STIMULUS PACKAGE SIGNIFICANTLY EXPANDS HIPAA REQUIREMENTS Shipman & Goodwin LLP HIPAA Alert March 2009 STIMULUS PACKAGE SIGNIFICANTLY EXPANDS HIPAA REQUIREMENTS The economic stimulus package, officially named the American Recovery and Reinvestment Act of 2009

More information

HIPAA BUSINESS ASSOCIATE ADDENDUM (Privacy & Security) I. Definitions

HIPAA BUSINESS ASSOCIATE ADDENDUM (Privacy & Security) I. Definitions HIPAA BUSINESS ASSOCIATE ADDENDUM (Privacy & Security) I. Definitions A. Business Associate. Business Associate shall have the meaning given to such term under the Privacy and Security Rules, including,

More information

Please use your cell phone to access this website: pollev.com/ucsfprivacy

Please use your cell phone to access this website: pollev.com/ucsfprivacy Please use your cell phone to access this website: pollev.com/ucsfprivacy 1 Privacy and Confidentiality Residents and Fellows Orientation 2015 Deborah Yano-Fong, RN, MS, CHPC Chief Privacy Officer June

More information

What Health Care Entities Need to Know about HIPAA and the American Recovery and Reinvestment Act

What Health Care Entities Need to Know about HIPAA and the American Recovery and Reinvestment Act What Health Care Entities Need to Know about HIPAA and the American Recovery and Reinvestment Act by Lane W. Staines and Cheri D. Green On February 17, 2009, The American Recovery and Reinvestment Act

More information

Please print the attached document, sign and return to privacy@covermymeds.com or contact Erica Van Treese, Account Manager, Provider Relations &

Please print the attached document, sign and return to privacy@covermymeds.com or contact Erica Van Treese, Account Manager, Provider Relations & Please print the attached document, sign and return to privacy@covermymeds.com or contact Erica Van Treese, Account Manager, Provider Relations & Solutions. Office: 866-452-5017, Fax: 615-379-2541, evantreese@covermymeds.com

More information

Montclair State University. HIPAA Security Policy

Montclair State University. HIPAA Security Policy Montclair State University HIPAA Security Policy Effective: June 25, 2015 HIPAA Security Policy and Procedures Montclair State University is a hybrid entity and has designated Healthcare Components that

More information