HIPAA & TRAINING. Web-Based Strategies for Compliance
|
|
|
- Noreen Marsh
- 8 years ago
- Views:
Transcription
1 HIPAA & TRAINING Web-Based Strategies for Compliance Dion P. Sheidy, CPA PricewaterhouseCoopers LLP Partner National Leader Compliance and Operational Control (412) M. Kevin McMahon Complient Vice President, Education (440)
2 HIPAA Training Requirements Two Of The Proposed Regulations Specifically Require Training: - Privacy (section ) - Security and Electronic Signatures (section )
3 HIPAA Training Requirements Privacy Who Must Be Trained: - All members of an entity s workforce who, by virtue of their position, are likely to obtain access to protected health information -Employees - Volunteers - Trainees - Others under direct control of persons working on behalf of covered entity, but not a business partner
4 HIPAA Training Requirements Privacy Who Must Be Trained: (continued) - While training of Business Partner workforces is not specifically mandated, covered entities are required to ensure that Business Partners have appropriate safeguards in place for protected health information.
5 HIPAA Training Requirements Privacy What Must The Training Include? - The workforce must receive training on an entity s policies and procedures relating to protected health information.
6 HIPAA Training Requirements Privacy When Is The Training To Be Completed? - The entire affected workforce must have received training by the date on which the regulations become effective. - New members of the workforce must be trained within a reasonable period.
7 HIPAA Training Requirements Privacy When Is The Training To Be Completed? (continued) - Members of the workforce who are affected by any material changes in the privacy policies and procedures must be retrained in those changes. The proposed regulation is silent as to how promptly this retraining must be accomplished.
8 HIPAA Training Requirements Privacy When Are Certifications Required? - Each trained member of the workforce must sign a statement certifying: - Date of training; and - Willingness to honor the privacy policies and procedures - Every three years each member of the workforce must re-certify.
9 HIPPA Training Requirements Security The proposed Security and Electronic Signature rule under section (12) requires security training regarding the vulnerabilities of the health information in an entity s possession and procedures, which must be followed to ensure the protection of that information.
10 HIPAA Training Requirements Security The Implementation Features Required Are As Follows: - Awareness training for all personnel, including management, agents and contractors - Based on job responsibilities, customized education programs that focus on issues regarding use of health information and responsibilities regarding confidentiality and security
11 HIPAA Training Requirements Security The Implementation Features Required Are As Follows: (continued) - Periodic security reminders - User education concerning virus protection - User education in importance of monitoring login success/failure, and how to report discrepancies - User education in password management
12 HIPAA Training Requirements Security Awareness Training: - Required for all personnel, including management personnel, agents and contractors - Security awareness is defined as -- but not limited to -- password maintenance, incident reporting and viruses and other forms of malicious software
13 HIPAA Training Requirements Security Customized Training: - Based on job responsibility, customized education that focuses on the use of health information and responsibilities regarding confidentiality. - This area also includes education on physical safeguards (i.e. verifying access authorizations to health information, maintenance of records, need-to-know procedures, secure workstation areas)
14 HIPAA Training Requirements Security Periodic Security Reminders: - Employees, agents and contractors are made aware of security concerns on an ongoing basis.
15 HIPAA Training Requirements Security Virus Protection: - Training relative to user awareness of the potential harm that can be caused by a virus, how to prevent the introduction of a virus to a computer system and what to do if a virus is detected.
16 HIPAA Training Requirements Security Login Success/Failure - User education in the importance of monitoring log-in success or failure and how to report discrepancies - Training in the user s responsibility to ensure the security of health care information
17 HIPAA Training Requirements Security Password Management: - User education in password management. - Rules to be followed in creating and changing passwords and the need to keep them confidential.
18 ROLLING HIPAA OUT Maintenance & Refinement Implementation Assessment Awareness 01/ /2002
19 01/ /2002 EDUCATION IN A HIPAA ROLLOUT Maintenance Refinement Implementation Assessment
20 HIPAA EDUCATION CHALLENGES Content Volume Audience Size Awareness Implementation Planning Implementation Maintenance
21 ISSUES/CHALLENGES/REQUIREMENTS Issue Challenge Requirement Content Volume Central Management Content Detail Customized Consistency Logistics Large Audiences Local Management Delivery Dispersed Audiences Diverse Audiences Limited Availability Costs Direct Costs including Content Development Delivery Scalable, Flexible Infrastructure Indirect including time lost from work travel and lost productivity Management Process Definition evolving content and audience turnover Flexible Content & Repository Tracking Reporting To Senior Management status/effectiveness/cost Robust Reporting Functionality To Regulatory Agency status/compliance/incidents From Partners and Suppliers status/compliance/incidents Measurable Effects Reduced costs percentage compliance Enterprise Systems Orientation Reduced incidents Business Planning Greater operating efficiency Robust Reporting Tools
22 TYPICAL e-learning e CAPABILITIES Requirement Management Education Limited Reporting
23 ISSUES/CHALLENGES/REQUIREMENTS Issue Challenge Requirement Content Volume Central Management Content Detail Customized Consistency Logistics Large Audiences Local Management Delivery Dispersed Audiences Diverse Audiences Limited Availability Costs Direct Costs including Content Development Delivery Scalable, Flexible Infrastructure Indirect including time lost from work travel and lost productivity Management Process Definition evolving content and audience turnover Flexible Content & Repository Tracking Reporting To Senior Management status/effectiveness/cost Robust Reporting Functionality To Regulatory Agency status/compliance/incidents From Partners and Suppliers status/compliance/incidents Measurable Effects Reduced costs percentage compliance Enterprise Systems Orientation Reduced incidents Business Planning Greater operating efficiency Robust Reporting Tools
24 e-learning CAPABILITIES IN A COMPLIANCE MANAGEMENT ENVIRONMENT INCIDENT MANAGEMENT Organization Modeling Audience Definition Requirement Managemen t Expert Systems Policies Plans Procedures Knowledge Managemen t Education Record Keeping & Follow-up INCIDENT MANAGEMENT
25 MODELING YOUR ORGANIZATION CORPORATE DIVISION 1 DIVISION 2 DIVISION 3 DIVISION 4 SITE SITE SITE SITE FUNCTION 1 FUNCTION 2 FUNCTION 3
26 MODELING YOUR ORGANIZATION CORPORATE DIVISION 1 DIVISION 2 DIVISION 3 DIVISION 4 SITE SITE SITE SITE FUNCTION 1 FUNCTION 2 FUNCTION 3
27 MODELING YOUR ORGANIZATION CORPORATE DIVISION 1 DIVISION 2 DIVISION 3 DIVISION 4 SITE SITE SITE SITE FUNCTION 1 FUNCTION 2 FUNCTION 3 REQUIREMENT 1 REQUIREMENT 2 REQUIREMENT 3
28 MANAGING CONTENT Overview Concept Detailed concept Reference Application F1 F2 F3 F4 Information
29 ASSEMBLING CONTENT Function Level Function Function Function Level Task Resp #1 Level Level Task Resp #2
30 TARGET CONTENT Employee Senior Manager Functional Manager Employee
31 TRACKING & REQUIREMENTS Administration Requirements Assembly Audience Track, Automated, Follow-up & Report
32 MAINTENANCE Ongoing Knowledge Management Tracking Reporting Incident Management
33 ISSUES/CHALLENGES/REQUIREMENTS Issue Challenge Requirement Content Volume Central Management Content Detail Customized Consistency Logistics Large Audiences Local Management Delivery Dispersed Audiences Diverse Audiences Limited Availability Costs Direct Costs including Content Development Delivery Scalable, Flexible Infrastructure Indirect including time lost from work travel and lost productivity Management Process Definition evolving content and audience turnover Flexible Content & Repository Tracking Reporting To Senior Management status/effectiveness/cost Robust Reporting Functionality To Regulatory Agency status/compliance/incidents From Partners and Suppliers status/compliance/incidents Measurable Effects Reduced costs percentage compliance Enterprise Systems Orientation Reduced incidents Business Planning Greater operating efficiency Robust Reporting Tools
34 EDUCATION IN A HIPAA ROLLOUT Maintenance Refinement Implementation Assessment 01/ /2002
REQUEST FOR BOARD ACTION
REQUEST FOR BOARD ACTION HENDERSON COUNTY BOARD OF COMMISSIONERS MEETING DATE: 23 March 2005 SUBJECT: ATTACHMENT(S): HIPAA 1. Proposed Resolution adopting policies 2. Proposed policies SUMMARY OF REQUEST:
HIPAA FOR HUMAN RESOURCE EXECUTIVES. Stuart Miller, Esq. Gerry Hinkley, Esq. Davis Wright Tremaine LLP
HIPAA FOR HUMAN RESOURCE EXECUTIVES Stuart Miller, Esq. Gerry Hinkley, Esq. Davis Wright Tremaine LLP 1 COVERED ENTITY ANALYSIS Determine if employer is a Covered Entity (health care provider, health plan
Welcome to part 2 of the HIPAA Security Administrative Safeguards presentation. This presentation covers information access management, security
Welcome to part 2 of the HIPAA Security Administrative Safeguards presentation. This presentation covers information access management, security awareness training, and security incident procedures. The
HIPAA Information Security Overview
HIPAA Information Security Overview Security Overview HIPAA Security Regulations establish safeguards for protected health information (PHI) in electronic format. The security rules apply to PHI that is
HIPAA Security Training Manual
HIPAA Security Training Manual The final HIPAA Security Rule for Montrose Memorial Hospital went into effect in February 2005. The Security Rule includes 3 categories of compliance; Administrative Safeguards,
Huseman Health Law Group 3733 University Blvd. West, Suite 305-A Jacksonville, Florida 32217 Telephone (904) 448-5552 Facsimile (904) 448-5653
Huseman Health Law Group 3733 University Blvd. West, Suite 305-A Jacksonville, Florida 32217 Telephone (904) 448-5552 Facsimile (904) 448-5653 rusty@husemanhealthlaw.com use e Health care law firm fighting
Policy Title: HIPAA Security Awareness and Training
Policy Title: HIPAA Security Awareness and Training Number: TD-QMP-7011 Subject: HIPAA Security Awareness and Training Primary Department: TennDent/Quality Monitoring/Improvement Effective Date of Policy:
DEPARTMENT OF MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES
DEPARTMENT OF MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES POLICIES AND PROCEDURES Subject: ADMINISTRATION OF HIPAA Effective Date: 12/15/03 Review Date: 6/8/06 Revision Date: 11/21/06 (All legal citations
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
It is anticipated that the following individuals may become an Authorized User:
POLICIES AND PROCEDURES TOPIC: User Authentication DOCUMENT NUMBER: 400 EFFECTIVE DATE: January 30, 2014 I. BACKGROUND AND PURPOSE The purpose of this policy is to describe the process of proving, confirming,
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
HIPAA BUSINESS ASSOCIATE AGREEMENT
HIPAA BUSINESS ASSOCIATE AGREEMENT This HIPAA Business Associate Agreement ( Agreement ) is by and between ( Covered Entity ) and Xelex Digital, LLC ( Business Associate ), and is effective as of. WHEREAS,
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...
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
How To Protect Your Health Care From Being Hacked
HIPAA SECURITY COMPLIANCE GUIDE May 9, 2005 FOR PIONEER EDUCATORS HEALTH TRUST. PIONEER EDUCATORS HEALTH TRUST HIPAA Security Introduction Various sponsoring employers (referred to collectively as the
Guide: Meeting HIPAA Security Rules
Networks Guide: Meeting HIPAA Security Rules Intelligent Network Security 100 West Harrison North Tower, Suite 300 Seattle, WA 98119 T 206. 285. 8080 F 206. 285. 8081 w w w. l ockdow nnet w o r k s. com
Unified Security Anywhere HIPAA COMPLIANCE ACHIEVING HIPAA COMPLIANCE WITH MASERGY PROFESSIONAL SERVICES
Unified Security Anywhere HIPAA COMPLIANCE ACHIEVING HIPAA COMPLIANCE WITH MASERGY PROFESSIONAL SERVICES HIPAA COMPLIANCE Achieving HIPAA Compliance with Security Professional Services The Health Insurance
HIPAA Security. 1 Security 101 for Covered Entities. Security Topics
HIPAA SERIES Topics 1. 101 for Covered Entities 2. Standards - Administrative Safeguards 3. Standards - Physical Safeguards 4. Standards - Technical Safeguards 5. Standards - Organizational, Policies &
Seven Requirements for Successfully Implementing Information Security Policies and Standards
Seven Requirements for Successfully Implementing and Standards A guide for executives Stan Stahl, Ph.D., President, Citadel Information Group Kimberly A. Pease, CISSP, Vice President, Citadel Information
ensure prompt restart of critical applications and business activities in a timely manner following an emergency or disaster
Security Standards Symantec shall maintain administrative, technical, and physical safeguards for the Symantec Network designed to (i) protect the security and integrity of the Symantec Network, and (ii)
VMware vcloud Air HIPAA Matrix
goes to great lengths to ensure the security and availability of vcloud Air services. In this effort VMware has completed an independent third party examination of vcloud Air against applicable regulatory
STATE OF NEVADA DEPARTMENT OF HEALTH AND HUMAN SERVICES BUSINESS ASSOCIATE ADDENDUM
STATE OF NEVADA DEPARTMENT OF HEALTH AND HUMAN SERVICES BUSINESS ASSOCIATE ADDENDUM BETWEEN The Division of Health Care Financing and Policy Herein after referred to as the Covered Entity and (Enter Business
CMA BUSINESS ASSOCIATE AGREEMENT WITH CMA MEMBERS
CMA BUSINESS ASSOCIATE AGREEMENT WITH CMA MEMBERS Dear Physician Member: Thank you for contacting the California Medical Association and thank you for your membership. In order to advocate on your behalf,
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
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
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
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
Protection of Clients' Personal Health Information G & G LIVING CENTERS, INC.'s Privacy Practices
Protection of Clients' Personal Health Information G & G LIVING CENTERS, INC.'s Privacy Practices G & G Living Centers, Inc. has had a longstanding commitment to protecting the privacy of its clients'
Policies and Procedures Audit Checklist for HIPAA Privacy, Security, and Breach Notification
Policies and Procedures Audit Checklist for HIPAA Privacy, Security, and Breach Notification Type of Policy and Procedure Comments Completed Privacy Policy to Maintain and Update Notice of Privacy Practices
IBM Internet Security Systems. The IBM Internet Security Systems approach for Health Insurance Portability and Accountability Act compliance overview
IBM Internet Security Systems The IBM Internet Security Systems approach for Health Insurance Portability and Accountability Act compliance overview Health Insurance Portability and Accountability Act
Information Security Plan May 24, 2011
Information Security Plan May 24, 2011 REVISION CONTROL Document Title: Author: HSU Information Security Plan John McBrearty Revision History Revision Date Revised By Summary of Revisions Sections Revised
HIPAA Security. 4 Security Standards: Technical Safeguards. Security Topics
HIPAA Security S E R I E S Security Topics 1. Security 101 for Covered Entities 2. Security Standards - Administrative Safeguards 3. Security Standards - Physical Safeguards 4. Security Standards - Technical
HIPAA Audit Processes HIPAA Audit Processes. Erik Hafkey Rainer Waedlich
HIPAA Audit Processes Erik Hafkey Rainer Waedlich 1 Policies for all HIPAA relevant Requirements and Regulations Checklist for an internal Audit Process Documentation of the compliance as Preparation for
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
An Oracle White Paper December 2010. Leveraging Oracle Enterprise Single Sign-On Suite Plus to Achieve HIPAA Compliance
An Oracle White Paper December 2010 Leveraging Oracle Enterprise Single Sign-On Suite Plus to Achieve HIPAA Compliance Executive Overview... 1 Health Information Portability and Accountability Act Security
CHIS, Inc. Privacy General Guidelines
CHIS, Inc. and HIPAA CHIS, Inc. provides services to healthcare facilities and uses certain protected health information (PHI) in connection with performing these services. Therefore, CHIS, Inc. is classified
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
HIPAA 100 Training Manual Table of Contents. V. A Word About Business Associate Agreements 10
HIPAA 100 Training Manual Table of Contents I. Introduction 1 II. Definitions 2 III. Privacy Rule 5 IV. Security Rule 8 V. A Word About Business Associate Agreements 10 CHICAGO DEPARTMENT OF PUBIC HEALTH
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 & Proc - A edures, dministrativ and e Documentation Safeguards
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
The HIPAA Security Rule Primer Compliance Date: April 20, 2005
AMERICAN PSYCHOLOGICAL ASSOCIATION PRACTICE ORGANIZATION Practice Working for You The HIPAA Security Rule Primer Compliance Date: April 20, 2005 Printer-friendly PDF 1 Contents Click on any title below
Solution Brief for HIPAA HIPAA. Publication Date: Jan 27, 2015. EventTracker 8815 Centre Park Drive, Columbia MD 21045
Publication Date: Jan 27, 2015 8815 Centre Park Drive, Columbia MD 21045 HIPAA About delivers business critical software and services that transform high-volume cryptic log data into actionable, prioritized
ELKIN & ASSOCIATES, LLC. HIPAA Privacy Policy and Procedures INTRODUCTION
ELKIN & ASSOCIATES, LLC HIPAA Privacy Policy and Procedures INTRODUCTION The Health Insurance Portability and Accountability Act of 1996 (HIPAA) and its implementing regulations restrict a Covered Entity
BUSINESS ASSOCIATE AGREEMENT ( BAA )
BUSINESS ASSOCIATE AGREEMENT ( BAA ) Pursuant to the terms and conditions specified in Exhibit B of the Agreement (as defined in Section 1.1 below) between EMC (as defined in the Agreement) and Subcontractor
BUSINESS ASSOCIATE AGREEMENT
BUSINESS ASSOCIATE AGREEMENT This Agreement ( Agreement ) is made and entered into this day of [Month], [Year] by and between [Business Name] ( Covered Entity ), [Type of Entity], whose business address
SARASOTA COUNTY GOVERNMENT EMPLOYEE MEDICAL BENEFIT PLAN HIPAA PRIVACY POLICY
SARASOTA COUNTY GOVERNMENT EMPLOYEE MEDICAL BENEFIT PLAN HIPAA PRIVACY POLICY Purpose: The following privacy policy is adopted to ensure that the Sarasota County Government Employee Medical Benefit Plan
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
State HIPAA Security Policy State of Connecticut
Health Insurance Portability and Accountability Act State HIPAA Security Policy State of Connecticut Release 2.0 November 30 th, 2004 Table of Contents Executive Summary... 1 Policy Definitions... 3 1.
An Introduction to HIPAA and how it relates to docstar
Disclaimer An Introduction to HIPAA and how it relates to docstar This document is provided by docstar to our partners and customers in an attempt to answer some of the questions and clear up some of the
HomeCare Rehab and Nursing, LLC (HCRN) (DBA - Baker Rehab Group) Notice of Privacy Practice
HomeCare Rehab and Nursing, LLC (HCRN) (DBA - Baker Rehab Group) Notice of Privacy Practice THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS
Our Commitment to Information Security
Our Commitment to Information Security What is HIPPA? Health Insurance Portability and Accountability Act 1996 The HIPAA Privacy regulations require health care providers and organizations, as well as
HIPAA Security Rule Compliance
HIPAA Security Rule Compliance Caryn Reiker MAXIS360 HIPAA Security Rule Compliance what is it and why you should be concerned about it Table of Contents About HIPAA... 2 Who Must Comply... 2 The HIPAA
Information Security Policy and Handbook Overview. ITSS Information Security June 2015
Information Security Policy and Handbook Overview ITSS Information Security June 2015 Information Security Policy Control Hierarchy System and Campus Information Security Policies UNT System Information
The George Washington University Hospital
GWUH INFORMATION ACCESS MANAGEMENT and CLINICAL RESEARCH December 14, 2011 The George Washington University Hospital Information Access Management to support clinical Research Protocol Specification Effective
Guidelines Relating to Implementation of the Privacy Regulations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
HUMAN RESOURCES Index No. VI-35 PROCEDURES MEMORANDUMS TO: FROM: SUBJECT: MCC Personnel Office of the President Guidelines Relating to Implementation of the Privacy Regulations of the Health Insurance
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
HIPAA Security COMPLIANCE Checklist For Employers
Compliance HIPAA Security COMPLIANCE Checklist For Employers All of the following steps must be completed by April 20, 2006 (April 14, 2005 for Large Health Plans) Broadly speaking, there are three major
Joseph Suchocki HIPAA Compliance 2015
Joseph Suchocki HIPAA Compliance 2015 Sponsored by Eagle Associates, Inc. Eagle Associates provides compliance services for over 1,200 practices nation wide. Services provided by Eagle Associates address
PRIVACY AND INFORMATION SECURITY WORKFORCE TRAINING
PRIVACY AND INFORMATION SECURITY WORKFORCE TRAINING PURPOSE The federal Health Insurance Portability and Accountability Act (referred to as HIPAA or the Privacy Rule ) requires that a covered entity must
HIPAA: Understanding The Omnibus Rule and Keeping Your Business Compliant
1 HIPAA: Understanding The Omnibus Rule and Keeping Your Business Compliant Introduction U.S. healthcare laws intended to protect patient information (Protected Health Information or PHI) and the myriad
The HIPAA Security Rule Primer A Guide For Mental Health Practitioners
The HIPAA Security Rule Primer A Guide For Mental Health Practitioners Distributed by NASW Printer-friendly PDF 2006 APAPO 1 Contents Click on any title below to jump to that page. 1 What is HIPAA? 3 2
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
Document Title: System Administrator Policy
Document Title: System REVISION HISTORY Effective Date:15-Nov-2015 Page 1 of 5 Revision No. Revision Date Author Description of Changes 01 15-Oct-2015 Terry Butcher Populate into Standard Template Updated
BUSINESS ASSOCIATE AGREEMENT
BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement (the BAA ) is made and entered into as of the day of, 20, by and between Delta Dental of California (the Covered Entity ) and (the Business
SCDA and SCDA Member Benefits Group
SCDA and SCDA Member Benefits Group HIPAA Privacy Policy 1. PURPOSE The purpose of this policy is to protect personal health information (PHI) and other personally identifiable information for all individuals
HIPAA Security Checklist
HIPAA Security Checklist The following checklist summarizes HIPAA Security Rule requirements that should be implemented by covered entities and business associates. The citations are to 45 CFR 164.300
IDAHO STATE UNIVERSITY POLICIES AND PROCEDURES (ISUPP) HIPAA Privacy & Security - Sanctions 10210
IDAHO STATE UNIVERSITY POLICIES AND PROCEDURES (ISUPP) HIPAA Privacy & Security - Sanctions 10210 POLICY INFORMATION Major Functional Area (MFA): MFA X - Office of General Counsel & Compliance Policy Title:
Procedure Title: TennDent HIPAA Security Awareness and Training
Procedure Title: TennDent HIPAA Security Awareness and Training Number: TD-QMP-P-7011 Subject: Security Awareness and Training Primary Department: TennDent Effective Date of Procedure: 9/23/2011 Secondary
ITS HIPAA Security Compliance Recommendations
ITS HIPAA Security Compliance Recommendations October 24, 2005 Updated May 31, 2010 http://its.uncg.edu/hipaa/security/ Table of Contents Introduction...1 Purpose of this Document...1 Important Terms...1
FirstCarolinaCare Insurance Company Business Associate Agreement
FirstCarolinaCare Insurance Company Business Associate Agreement THIS BUSINESS ASSOCIATE AGREEMENT ("Agreement"), is made and entered into as of, 20 (the "Effective Date") between FirstCarolinaCare Insurance
BUSINESS ASSOCIATE AGREEMENT
BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement ( Agreement ) is effective as of, 200 ( Effective Date ), and entered into by and between, whose address is ( Business Associate ) and THE
HIPAA Security. 5 Security Standards: Organizational, Policies. Security Topics. and Procedures and Documentation Requirements
HIPAA Security S E R I E S Security Topics 1. Security 101 for Covered Entities 2. Security Standards - Administrative Safeguards 3. Security Standards - Physical Safeguards 4. Security Standards - Technical
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
HEALTH CARE ADVISORY
HEALTH CARE ADVISORY March 2003 FINAL HIPAA SECURITY REGULATIONS RELEASED AT LAST On February 20, 2003, the Department of Health and Human Services (HHS) published the Final Security Rule under the Health
University of Wisconsin-Madison Policy and Procedure
Page 1 of 14 I. Policy II. A. The, the units of the UW-Madison Health Care Component and each individual or unit within UW-Madison that is a Business Associate of a covered entity (hereafter collectively
HIPAA Security. assistance with implementation of the. security standards. This series aims to
HIPAA Security SERIES Security Topics 1. Security 101 for Covered Entities 2. Security Standards - Administrative Safeguards 3. Security Standards - Physical Safeguards 4. Security Standards - Technical
OFFICE OF CONTRACT ADMINISTRATION 60400 PURCHASING DIVISION. Appendix A HEALTHCARE INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPPA)
Appendix A HEALTHCARE INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPPA) BUSINESS ASSOCIATE ADDENDUM This Business Associate Addendum ( Addendum ) supplements and is made a part of the contract ( Contract
HIPAA/HITECH PRIVACY & SECURITY CHECKLIST SELF ASSESSMENT INSTRUCTIONS
HIPAA/HITECH PRIVACY & SECURITY CHECKLIST SELF ASSESSMENT INSTRUCTIONS Thank you for taking the time to fill out the privacy & security checklist. Once completed, this checklist will help us get a better
Privacy and Security Awareness, Education and Training Policy
Privacy and Security Awareness, Education and Training Policy Version Approval Date Owner 1.0 June 4, 2015 Pam Clarke 1. Purpose HealthShare Exchange of Southeastern Pennsylvania, Inc. (HSX) is committed
This form may not be modified without prior approval from the Department of Justice.
This form may not be modified without prior approval from the Department of Justice. Delete this header in execution (signature) version of agreement. HIPAA BUSINESS ASSOCIATE AGREEMENT This Business Associate
Health Insurance Portability and Accountability Act Enterprise Compliance Auditing & Reporting ECAR for HIPAA Technical Product Overview Whitepaper
Regulatory Compliance Solutions for Microsoft Windows IT Security Controls Supporting DHS HIPAA Final Security Rules Health Insurance Portability and Accountability Act Enterprise Compliance Auditing &
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
HIPAA: In Plain English
HIPAA: In Plain English Material derived from a presentation by Kris K. Hughes, Esq. Posted with permission from the author. The Health Insurance Portability and Accountability Act of 1996 (HIPAA), Pub.
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
HIPAA Security Rule Compliance and Health Care Information Protection
HIPAA Security Rule Compliance and Health Care Information Protection How SEA s Solution Suite Ensures HIPAA Security Rule Compliance Legal Notice: This document reflects the understanding of Software
ADDENDUM TO ADMINISTRATIVE SERVICES AGREEMENT FOR HIPAA PRIVACY/SECURITY RULES
ADDENDUM TO ADMINISTRATIVE SERVICES AGREEMENT FOR HIPAA PRIVACY/SECURITY RULES This Addendum is entered into effective as of, by and among Delta Dental of Virginia ("Business Associate"), and ( Covered
SAMPLE BUSINESS ASSOCIATE AGREEMENT
SAMPLE BUSINESS ASSOCIATE AGREEMENT This is a draft business associate agreement based on the template provided by HHS. It is not intended to be used as is and you should only use the agreement after you
HIPAA HANDBOOK. Keeping your backup HIPAA-compliant
The federal Health Insurance Portability and Accountability Act (HIPAA) spells out strict regulations for protecting health information. HIPAA is expansive and can be a challenge to navigate. Use this
HIPAA Compliance Guide
HIPAA Compliance Guide Important Terms Covered Entities (CAs) The HIPAA Privacy Rule refers to three specific groups as covered entities, including health plans, healthcare clearinghouses, and health care
Compliance and Industry Regulations
Compliance and Industry Regulations Table of Contents Introduction...1 Executive Summary...1 General Federal Regulations and Oversight Agencies...1 Agency or Industry Specific Regulations...2 Hierarchy
Security Awareness Training Policy
Security Awareness Training Policy I. PURPOSE This policy is intended to set the training standard for several key audiences in Salem State University, including, but not limited to: University executives,
MMA SAMPLE FORM *REVIEW CAREFULLY & ADAPT TO YOUR PRACTICE*
This is only sample language. The language should be changed to accurately reflect business arrangements between a covered entity and business associate or business associate and subcontractor. In addition,
Iowa Health Information Network BUSINESS ASSOCIATE AGREEMENT
Iowa Health Information Network BUSINESS ASSOCIATE AGREEMENT THIS BUSINESS ASSOCIATE AGREEMENT (the Agreement ) is made entered into and effective on the day of, 201_ ( Effective Date ) by and between
HIPAA BUSINESS ASSOCIATE SUBCONTRACTOR AGREEMENT
This HIPAA Sub Business Associate Agreement ("Sub Agreement") is entered into by and between HR Simplified, Inc. ( Business Associate ) and [Vendor Name] on behalf of itself and its Affiliates ( Subcontractor
HIPAA SECURITY RULES FOR IT: WHAT ARE THEY?
HIPAA SECURITY RULES FOR IT: WHAT ARE THEY? HIPAA is a huge piece of legislation. Only a small portion of it applies to IT providers in healthcare; mostly the Security Rule. The HIPAA Security Rule outlines
www.pwc.com Third Party Risk Management 12 April 2012
www.pwc.com Third Party Risk Management 12 April 2012 Agenda 1. Introductions 2. Drivers of Increased Focus on Third Parties 3. Governance 4. Third Party Risks and Scope 5. Third Party Risk Profiling 6.
A Technical Template for HIPAA Security Compliance
A Technical Template for HIPAA Security Compliance Peter J. Haigh, FHIMSS peter.haigh@verizon.com Thomas Welch, CISSP, CPP twelch@sendsecure.com Reproduction of this material is permitted, with attribution,
BUSINESS ASSOCIATE AGREEMENT HIPAA Omnibus Rule (Final Rule)
BUSINESS ASSOCIATE AGREEMENT HIPAA Omnibus Rule (Final Rule) This Business Associate Agreement (the Agreement ), dated September 9, 2013, is entered into by and between ( Covered Entity ) and Schuster