This is the third and final presentation on HIPAA Security Administrative Safeguards. This presentation focuses on the last 2 standards under the
|
|
- Laureen Banks
- 8 years ago
- Views:
Transcription
1 This is the third and final presentation on HIPAA Security Administrative Safeguards. This presentation focuses on the last 2 standards under the HIPAA Security rule: Contingency planning and evaluation.
2 Contingency planning is a large standard within the administrative safeguards. This standard focuses on covered entity establishing policies and procedures for responding to an emergency or other occurrence where there is damage to a system that contain ephi. This standard has 3 required standards and 2 addressable standards. The required standards are data back up plan, disaster recovery plan, and emergency mode operation plan. The two addressable standards are testing and revision procedures and application and data criticality analysis.
3 The first required specification is a data back up plan. The goal of this specification is to get covered entities to establish and implement procedures to create and maintain retrievable exact copies of ephi. The specification doesn t state the media to create the back up with, the frequency of the back up or any other specific details. It is recommended that policies and procedures address: Create policies and procedures that addresses: How/When/Where systems with ephi are being backed up (e.g. EHR, Accounting Systems, case management, digital images, etc.) The medium being used to store the back up Safeguards around the data back ups to protect information Frequency of back ups
4 The next required specification is disaster recovery plan. This specification is focused on having covered entities establish and implement as needed procedures to restore any loss of data. The goal of this requirement is to create a disaster recovery plan for the entire organization in the event of the unforeseen disasters. For this specification, organizations should establish Policies for when a disaster happens (data back up included) Processes for when a disaster happens (downtime and recovery, staffing) Technologies impacted and available during a disaster (critical applications, downtime technologies)
5 The last required specification under this standard is emergency mode operation plan. This specification is focused on a covered entity establishing and implementing procedures to enable continuation of critical business processes for protection of the security of electronic protected health information while operating in emergency mode. Implementation recommendations are: Create policies and procedures that address how the business will run and operate in an emergency Address how the data will be protected in emergency mode Address how security protections will be used in emergency mode Include telephone numbers and contact names for key people to notify in an emergency
6 Testing and revision is the first addressable specification under contingency planning. This specification is often overlook as it is found to be confusing. This specification focuses on covered entities implementing procedures for periodic testing and revision of contingency plans. Just as fire drills are practiced, a covered entity should test and revise their contingency plan on a regular basis to make sure employees are aware of the process and allow for the plan to be updated if appropriate. Here are some implementation recommendations: Create and address a plan to test the entire contingency plan on a regular basis through downtime practice and drills Address how documentation will be collected and maintained from the practice and drills Address where the information will go and who will own updating the plan as needed Drills should be done as often as the organization sees fit
7 The last addressable specification under contingency planning is application and data criticality analysis. For this specification, a covered entity needs to assess the relative criticality of specific applications and data in support of other contingency plan components. This allows for an organization to understand what systems and data are critical for business functions. Some implementation specifications are: Create a system inventory of all hardware, software, and other media at the organization that contains ephi Understand how each of the above is backed up, where it is backed up to, and the criticality to business operations Create a prioritized list for recovery from emergency mode or downtime mode
8 In 2013, the American Health Information Management Association published the Disaster Planning and Recovery Toolkit. This toolkit recommends three main areas in the contingency planning: Planning, Operations, and Recovery. Each of the main areas has steps that should be followed to create an effective and robust contingency plan for the organization. Under planning, a covered entity should Create the Business Continuity Plan (BCP) Create a plan for Education and Training Create a plan for Practicing and Drills of the BCP Create a plan for volunteers Create a plan for Patient Advocacy For operations, a covered entity should: Create a Communication Plan Create an Interim Management Plan Create a plan for maintaining the confidentiality of protected health information Create a plan for uses and disclosures of protected health information and release of information For the recovery phase, a covered entity should:
9 Create a plan for Evaluation, Inventory, and Technical Recovery Create a plan for debriefing Create a plan for counseling for staff, if needed Create a plan matching and tracking tests Create a plan for Record Preservation Create a plan audit, control, and maintenance
10 If a healthcare organization is using a cloud based vendor for their EHR or back up process, it is important not to rely 100% on the vendor. A few basic considerations for a covered entity to consider in order to effectively manage the contingency plan are: Understand the Contingency and Back Up Process Test it Out! Understand your responsibility in the process Assure you have direct contacts for when an emergency happens
11 The last required standard is evaluation. This required standard is intended for covered entities to perform a periodic technical and nontechnical evaluation, based initially upon the standards implemented under this rule and subsequently, in response to environmental or operational changes affecting the security of ephi, that establishes the extent to which an entity s security policies and procedures meet the requirements of the Security Rule. The purpose of this standard is to: Review and maintain a reasonable level of security and security measures in order to comply as well as protect ephi. Reviews should be completed on a regularly, scheduled timeframe to assure compliance Reviews should also be completed when there is an environmental or operational change that may affect the security of ephi Reviews can be completed internally or externally
12
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
More informationHIPAA 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 informationHIPAA Compliance and the Protection of Patient Health Information
HIPAA Compliance and the Protection of Patient Health Information WHITE PAPER By Swift Systems Inc. April 2015 Swift Systems Inc. 7340 Executive Way, Ste M Frederick MD 21704 1 Contents HIPAA Compliance
More informationHIPAA 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
More informationHIPAA COMPLIANCE AND DATA PROTECTION. sales@eaglenetworks.it +39 030 201.08.25 Page 1
HIPAA COMPLIANCE AND DATA PROTECTION sales@eaglenetworks.it +39 030 201.08.25 Page 1 CONTENTS Introduction..... 3 The HIPAA Security Rule... 4 The HIPAA Omnibus Rule... 6 HIPAA Compliance and EagleHeaps
More informationVMware 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
More informationWHITE PAPER. HIPPA Compliance and Secure Online Data Backup and Disaster Recovery
WHITE PAPER HIPPA Compliance and Secure Online Data Backup and Disaster Recovery January 2006 HIPAA Compliance and the IT Portfolio Online Backup Service Introduction October 2004 In 1996, Congress passed
More informationHIPAA 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
More informationHIPAA 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
More informationThe second section of the HIPAA Security Rule is related to physical safeguards. Physical safeguards are physical measures, policies and procedures
The second section of the HIPAA Security Rule is related to physical safeguards. Physical safeguards are physical measures, policies and procedures to protect and secure a covered entity s electronic information
More informationHealthcare and IT Working Together. 2013 KY HFMA Spring Institute
Healthcare and IT Working Together 2013 KY HFMA Spring Institute Introduction Michael R Gilliam Over 7 Years Experience in Cyber Security BA Telecommunications Network Security CISSP, GHIC, CCFE, SnortCP,
More informationHIPAA Security Alert
Shipman & Goodwin LLP HIPAA Security Alert July 2008 EXECUTIVE GUIDANCE HIPAA SECURITY COMPLIANCE How would your organization s senior management respond to CMS or OIG inquiries about health information
More informationHIPAA and Mental Health Privacy:
HIPAA and Mental Health Privacy: What Social Workers Need to Know Presenter: Sherri Morgan, JD, MSW Associate Counsel, NASW Legal Defense Fund and Office of Ethics & Professional Review 2010 National Association
More informationEnsuring HIPAA Compliance with eztechdirect Online Backup and Archiving Services
Ensuring HIPAA Compliance with eztechdirect Online Backup and Archiving Services Introduction Patient privacy continues to be a chief topic of concern as technology continues to evolve. Now that the majority
More informationHealth Insurance Portability and Accountability Act (HIPAA) and Health Information Technology for Economic and Clinical Health Act (HITECH)
Health Insurance Portability and Accountability Act (HIPAA) and Health Information Technology for Economic and Clinical Health Act (HITECH) Table of Contents Introduction... 1 1. Administrative Safeguards...
More informationHIPAA COMPLIANCE AND
INTRONIS CLOUD BACKUP & RECOVERY HIPAA COMPLIANCE AND DATA PROTECTION CONTENTS Introduction 3 The HIPAA Security Rule 4 The HIPAA Omnibus Rule 6 HIPAA Compliance and Intronis Cloud Backup and Recovery
More informationHIPAA/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
More informationHIPAA 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
More informationHIPAA 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
More informationPolicies and Procedures Audit Checklist for HIPAA Privacy, Security, and Breach Notification
Policies and Procedures Audit Checklist for HIPAA Privacy, Security, and Breach Notification Type of Policy and Procedure Comments Completed Privacy Policy to Maintain and Update Notice of Privacy Practices
More informationHIPAA 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
More informationWelcome to the Privacy and Security PowerPoint presentation in the Data Analytics Toolkit. This presentation will provide introductory information
Welcome to the Privacy and Security PowerPoint presentation in the Data Analytics Toolkit. This presentation will provide introductory information about HIPAA, the HITECH-HIPAA Omnibus Privacy Act, how
More informationHeather L. Hughes, J.D. HIPAA Privacy Officer U.S. Legal Support, Inc. hhughes@uslegalsupport.com www.uslegalsupport.com
Heather L. Hughes, J.D. HIPAA Privacy Officer U.S. Legal Support, Inc. hhughes@uslegalsupport.com www.uslegalsupport.com HIPAA Privacy Rule Sets standards for confidentiality and privacy of individually
More informationDouble-Take in a HIPAA Regulated Health Care Industry
Double-Take in a HIPAA Regulated Health Care Industry Abstract: This document addresses the contingency plan and physical access control requirements of the Administrative Simplification security provision
More informationWHITE PAPER. HIPAA-Compliant Data Backup and Disaster Recovery
WHITE PAPER HIPAA-Compliant Data Backup and Disaster Recovery DOCUMENT INFORMATION HIPAA-Compliant Data Backup and Disaster Recovery PRINTED March 2011 COPYRIGHT Copyright 2011 VaultLogix, LLC. All Rights
More informationHealthcare Compliance Solutions
Privacy Compliance Healthcare Compliance Solutions Trust and privacy are essential for building meaningful human relationships. Let Protected Trust be your Safe Harbor The U.S. Department of Health and
More informationITS 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
More informationDatto Compliance 101 1
Datto Compliance 101 1 Overview Overview This document provides a general overview of the Health Insurance Portability and Accounting Act (HIPAA) compliance requirements for Managed Service Providers (MSPs)
More informationPolicy 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:
More informationHealthcare Compliance Solutions
Healthcare Compliance Solutions Let Protected Trust be your Safe Harbor In the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH), the U.S. Department of Health and Human
More informationPreparing for the HIPAA Security Rule
A White Paper for Health Care Professionals Preparing for the HIPAA Security Rule Introduction The Health Insurance Portability and Accountability Act (HIPAA) comprises three sets of standards transactions
More informationUniversity of Illinois at Chicago Health Sciences Colleges Information Technology Group Security Policies Summary
University of Illinois at Chicago Health Sciences Colleges Information Technology Group Security Policies Summary This Summary was prepared March 2009 by Ian Huggins prior to HSC adoption of the most recent
More informationProcedure 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
More informationEnsuring HIPAA Compliance with Pros 4 Technology Online Backup and Archiving Services
Ensuring HIPAA Compliance with Pros 4 Technology Online Backup and Archiving Services Introduction Patient privacy has become a major topic of concern over the past several years. With the majority of
More informationData Security and Integrity of e-phi. MLCHC Annual Clinical Conference Worcester, MA Wednesday, November 12, 2014 2:15pm 3:30pm
Electronic Health Records: Data Security and Integrity of e-phi Worcester, MA Wednesday, 2:15pm 3:30pm Agenda Introduction Learning Objectives Overview of HIPAA HIPAA: Privacy and Security HIPAA: The Security
More informationHIPAA SECURITY RISK ASSESSMENT SMALL PHYSICIAN PRACTICE
HIPAA SECURITY RISK ASSESSMENT SMALL PHYSICIAN PRACTICE How to Use this Assessment The following risk assessment provides you with a series of questions to help you prioritize the development and implementation
More informationPlease Read. Apgar & Associates, LLC apgarandassoc.com P. O. Box 80278 Portland, OR 97280 503-384-2538 877-376-1981 503-384-2539 Fax
Please Read This business associate audit questionnaire is part of Apgar & Associates, LLC s healthcare compliance resources, Copyright 2014. This questionnaire should be viewed as a tool to aid in evaluating
More informationHIPAA 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
More informationUnderstanding HIPAA Privacy and Security Helping Your Practice Select a HIPAA- Compliant IT Provider A White Paper by CMIT Solutions
Understanding HIPAA Privacy and Security Helping Your Practice Select a HIPAA- Compliant IT Provider A White Paper by CMIT Solutions Table of Contents Understanding HIPAA Privacy and Security... 1 What
More informationGetting Your Practice Ahead
Volume 4: Data Backup Essentials For Physicians Edited By : Vinod Venugopal Disclaimer: The following document was created for free distribution by Technical Doctor Inc. The document contains reference
More informationVirginia Commonwealth University School of Medicine Information Security Standard
Virginia Commonwealth University School of Medicine Information Security Standard Title: Scope: Business Continuity Management Standard for IT Systems This standard is applicable to all VCU School of Medicine
More informationSecuring 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 informationHIPAA: 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.
More informationBridging the HIPAA/HITECH Compliance Gap
CyberSheath Healthcare Compliance Paper www.cybersheath.com -65 Bridging the HIPAA/HITECH Compliance Gap Security insights that help covered entities and business associates achieve compliance According
More informationAn Effective MSP Approach Towards HIPAA Compliance
MAX Insight Whitepaper An Effective MSP Approach Towards HIPAA Compliance An independent review of HIPAA requirements, detailed recommendations and vital resources to aid in achieving compliance. Table
More informationHIPAA 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 informationBusiness Continuity Plan
Business Continuity Plan October 2007 Agenda Business continuity plan definition Evolution of the business continuity plan Business continuity plan life cycle FFIEC & Business continuity plan Questions
More informationSUBJECT: 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 informationBusiness Continuity Planning. Presentation and. Direction
Business Continuity Planning Presentation and Direction Thomas Bronack, president Data Center Assistance Group, Inc. 15180 20 th Avenue Whitestone, NY 11357 Phone: (718) 591-5553 Email: bronackt@dcag.com
More informationEnsuring HIPAA Compliance with AcclaimVault Online Backup and Archiving Services
Ensuring HIPAA Compliance with AcclaimVault Online Backup and Archiving Services 1 Contents 3 Introduction 5 The HIPAA Security Rule 7 HIPAA Compliance & AcclaimVault Backup 8 AcclaimVault Security and
More informationEnsuring HIPAA Compliance with Computer BYTES Online Backup and Archiving Services
Ensuring HIPAA Compliance with Computer BYTES Online Backup and Archiving Services Page 2 of 8 Introduction Patient privacy has become a major topic of concern over the past several years. With the majority
More informationSAMPLE HIPAA/HITECH POLICIES AND PROCEDURES MANUAL FOR THE SECURITY OF ELECTRONIC PROTECTED HEALTH INFORMATION
SAMPLE HIPAA/HITECH POLICIES AND PROCEDURES MANUAL FOR THE SECURITY OF ELECTRONIC PROTECTED HEALTH INFORMATION Please Note: 1. THIS IS NOT A ONE-SIZE-FITS-ALL OR A FILL-IN-THE BLANK COMPLIANCE PROGRAM.
More informationHIPAA Privacy and Security Requirements
600 East Superior Street, Suite 404 I Duluth, MN 55802 I Ph. 800.997.6685 or 218.727.9390 I www.ruralcenter.org HIPAA Privacy and Security Requirements Joe Wivoda CIO and HIT Consultant June 19, 2013 Purpose
More informationAccelerating HIPAA Compliance with EMC Healthcare Solutions
Accelerating HIPAA Compliance with EMC Healthcare Solutions A HealthCIO White Paper Sponsored by the EMC Corporation by Jonathan Bogen 2003 E-mail: Info@HealthCIO.com www.healthcio.com Accelerating HIPAA
More informationServices Providers. Ivan Soto
SOP s for Managing Application Services Providers Ivan Soto Learning Objectives At the end of this session we will have covered: Types of Managed Services Outsourcing process Quality expectations for Managed
More informationMontclair 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 informationVendor Management. Outsourcing Technology Services
Vendor Management Outsourcing Technology Services Objectives Board and Senior Management Responsibilities Risk Management Program Risk Assessment Service Provider Selection Contracts Ongoing Monitoring
More informationPRIVACY POLICIES AND FORMS FOR BUSINESS ASSOCIATES
PRIVACY POLICIES AND FORMS FOR BUSINESS ASSOCIATES TABLE OF CONTENTS A. Overview of HIPAA Compliance Program B. General Policies 1. Glossary of Defined Terms Used in HIPAA Policies and Procedures 2. Privacy
More informationHealth Insurance Portability and Accountability Act (HIPAA) Compliance Audit Final Report
Health Insurance Portability and Accountability Act (HIPAA) Compliance Audit Final Report April 2009 promoting efficient & effective local government Background The Health Insurance Portability and Accountability
More informationProtecting Official Records as Evidence in the Cloud Environment. Anne Thurston
Protecting Official Records as Evidence in the Cloud Environment Anne Thurston Introduction In a cloud computing environment, government records are held in virtual storage. A service provider looks after
More informationHealthcare Management Service Organization Accreditation Program (MSOAP)
ELECTRONIC HEALTHCARE NETWORK ACCREDITATION COMMISSION (EHNAC) Healthcare Management Service Organization Accreditation Program (MSOAP) For The HEALTHCARE INDUSTRY Version 1.0 Released: January 2011 Lee
More informationHow to Plan for Disaster Recovery and Business Continuity
A TAMP Systems White Paper TAMP Systems 1-516-623-2038 www.drsbytamp.com How to Plan for Disaster Recovery and Business Continuity By Tom Abruzzo, President and CEO Contents Introduction 1 Definitions
More informationCreating a Business Continuity Plan for your Health Center
Creating a Business Continuity Plan for your Health Center 1 Page Left Intentionally Blank 2 About This Manual This tool is the result of collaboration between the Primary Care Development Corporation
More informationProtecting Patient Information in an Electronic Environment- New HIPAA Requirements
Protecting Patient Information in an Electronic Environment- New HIPAA Requirements SD Dental Association Holly Arends, RHIT Clinical Program Manager Meet the Speaker TRUST OBJECTIVES Overview of HIPAA
More informationSECURITY RISK ASSESSMENT SUMMARY
Providers Business Name: Providers Business Address: City, State, Zip Acronyms NIST FIPS PHI EPHI BA CE EHR HHS IS National Institute of Standards and Technology Federal Information Process Standards Protected
More informationTechnology Recovery Plan Instructions
State of California California Information Security Office Technology Recovery Plan Instructions SIMM 5325-A (Formerly SIMM 65A) September 2013 REVISION HISTORY REVISION DATE OF RELEASE OWNER SUMMARY OF
More informationDisaster Recovery Plan Documentation for Agencies Instructions
California Office of Information Security Disaster Recovery Plan Documentation for Agencies Instructions () November 2009 SCOPE AND PURPOSE The requirements included in this document are applicable to
More informationHosting for Healthcare: ADDRESSING THE UNIQUE ISSUES OF HEALTH IT & ACHIEVING END-TO-END COMPLIANCE
Hosting for Healthcare: ADDRESSING THE UNIQUE ISSUES OF HEALTH IT & ACHIEVING END-TO-END COMPLIANCE [ Hosting for Healthcare: Addressing the Unique Issues of Health IT & Achieving End-to-End Compliance
More informationUNIVERSITY OF CALIFORNIA, SANTA CRUZ 2015 HIPAA Security Rule Compliance Workbook
Introduction Per UCSC's HIPAA Security Rule Compliance Policy 1, all UCSC entities subject to the HIPAA Security Rule ( HIPAA entities ) must implement the UCSC Practices for HIPAA Security Rule Compliance
More informationInformation Protection Framework: Data Security Compliance and Today s Healthcare Industry
Information Protection Framework: Data Security Compliance and Today s Healthcare Industry Executive Summary Today s Healthcare industry is facing complex privacy and data security requirements. The movement
More informationTechnical Safeguards is the third area of safeguard defined by the HIPAA Security Rule. The technical safeguards are intended to create policies and
Technical Safeguards is the third area of safeguard defined by the HIPAA Security Rule. The technical safeguards are intended to create policies and procedures to govern who has access to electronic protected
More informationDISASTER RECOVERY AND CONTINGENCY PLANNING CHECKLIST FOR ICT SYSTEMS
Appendix L DISASTER RECOVERY AND CONTINGENCY PLANNING CHECKLIST FOR ICT SYSTEMS I. GETTING READY A. Obtain written commitment from top management of support for contingency planning objectives. B. Assemble
More informationPrivacy and Security Meaningful Use Requirement HIPAA Readiness Review
Privacy and Security Meaningful Use Requirement HIPAA Readiness Review REACH - Achieving - Achieving meaningful meaningful use of your use EHR of your EHR Patti Kritzberger, RHIT, CHPS ND e-health Summit
More informationYOUR HIPAA RISK ANALYSIS IN FIVE STEPS
Ebook YOUR HIPAA RISK ANALYSIS IN FIVE STEPS A HOW-TO GUIDE FOR YOUR HIPAA RISK ANALYSIS AND MANAGEMENT PLAN 2015 SecurityMetrics YOUR HIPAA RISK ANALYSIS IN FIVE STEPS 1 YOUR HIPAA RISK ANALYSIS IN FIVE
More informationAOA HIPAA SECURITY REGULATION COMPLIANCE MANUAL
AOA HIPAA SECURITY REGULATION COMPLIANCE MANUAL August, 2013 HIPAA SECURITY REGULATION COMPLIANCE DOCUMENTS For (Practice name) (Street Address) (City, State, ZIP) Adopted (Date) 2 INTRODUCTION The federal
More informationMHA Consulting. Business Continuity Management 101
0 MHA Consulting Business Continuity Management 101 Presented by: Michael Herrera Brandon Magestro MHA Consulting Agenda MHA Consulting Introduction Business Continuity Management (BCM) Defined 2013 Trends
More informationCHIS, Inc. Privacy General Guidelines
CHIS, Inc. and HIPAA CHIS, Inc. provides services to healthcare facilities and uses certain protected health information (PHI) in connection with performing these services. Therefore, CHIS, Inc. is classified
More informationLegal Issues in Implementation of an Electronic Health Record System
Legal Issues in Implementation of an Electronic Health Record System Presented by: Barry S. Herrin, JD, CHPS, FACHE Smith Moore Leatherwood LLP Atlanta GA 404-962-1027 barry.herrin@smithmoorelaw.com Overview
More informationCan Your Diocese Afford to Fail a HIPAA Audit?
Can Your Diocese Afford to Fail a HIPAA Audit? PETULA WORKMAN & PHIL BUSHNELL MAY 2016 2016 ARTHUR J. GALLAGHER & CO. BUSINESS WITHOUT BARRIERS Agenda Overview Privacy Security Breach Notification Miscellaneous
More informationAudit of. District s Information Technology Disaster Recovery Plan
Audit of District s Information Technology Disaster Recovery Plan April 11, 2014 Report #2014-03 MISSION STATEMENT The School Board of Palm Beach County is committed to providing a world class education
More informationRUTGERS POLICY. Section Title: Legacy UMDNJ policies associated with Information Technology
RUTGERS POLICY Section: 70.2.22 Section Title: Legacy UMDNJ policies associated with Information Technology Policy Name: Information Security: Electronic Information and Information Systems Access Control
More informationHIPAA and HITECH Compliance for Cloud Applications
What Is HIPAA? The healthcare industry is rapidly moving towards increasing use of electronic information systems - including public and private cloud services - to provide electronic protected health
More informationIBM 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
More informationPAPER-6 PART-4 OF 5 CA A.RAFEQ, FCA
1 Chapter-4: Business Continuity Planning and Disaster Recovery Planning PAPER-6 PART-4 OF 5 CA A.RAFEQ, FCA Learning Objectives 2 To understand the concept of Business Continuity Management To understand
More informationAppendix 4-2: Sample HIPAA Security Risk Assessment For a Small Physician Practice
Appendix 4-2: Administrative, Physical, and Technical Safeguards Breach Notification Rule How Use this Assessment The following sample risk assessment provides you with a series of sample questions help
More informationHow to Use the NYeC Privacy and Security Toolkit V 1.1
How to Use the NYeC Privacy and Security Toolkit V 1.1 Scope of the Privacy and Security Toolkit The tools included in the Privacy and Security Toolkit serve as guidance for educating stakeholders about
More informationOverview of how to test a. Business Continuity Plan
Overview of how to test a Business Continuity Plan Prepared by: Thomas Bronack Phone: (718) 591-5553 Email: bronackt@dcag.com BRP/DRP Test Plan Creation and Exercise Page: 1 Table of Contents BCP/DRP Test
More informationHIPAA/HITECH Compliance Using VMware vcloud Air
Last Updated: September 23, 2014 White paper Introduction This paper is intended for security, privacy, and compliance officers whose organizations must comply with the Privacy and Security Rules of the
More informationBEFORE 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 informationHIPAA Audits: How to Be Prepared. Lindsey Wiley, MHA, CHTS-IM, CHTS-TS HIT Manager Oklahoma Foundation for Medical Quality
HIPAA Audits: How to Be Prepared Lindsey Wiley, MHA, CHTS-IM, CHTS-TS HIT Manager Oklahoma Foundation for Medical Quality An Important Reminder For audio, you must use your phone: Step 1: Call (866) 906-0123.
More informationHIPAA Privacy & Security White Paper
HIPAA Privacy & Security White Paper Sabrina Patel, JD +1.718.683.6577 sabrina@captureproof.com Compliance TABLE OF CONTENTS Overview 2 Security Frameworks & Standards 3 Key Security & Privacy Elements
More informationHIPAA Security Series
7 Security Standards: Implementation for the Small Provider What is the Security Series? The security series of papers provides guidance from the Centers for Medicare & Medicaid Services (CMS) on the rule
More informationState 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.
More informationThe University of Iowa. Enterprise Information Technology Disaster Plan. Version 3.1
Version 3.1 November 22, 2004 TABLE OF CONTENTS PART 1: DISASTER RECOVERY EXPECTATIONS... 3 OVERVIEW...3 EXPECTATIONS PRIOR TO AN INCIDENT OCCURRENCE...3 EXPECTATIONS PRIOR TO A DISASTER OCCURRENCE...4
More informationBUSINESS ASSOCIATE AGREEMENT. Recitals
BUSINESS ASSOCIATE AGREEMENT This Agreement is executed this 8 th day of February, 2013, by BETA Healthcare Group. Recitals BETA Healthcare Group consists of BETA Risk Management Authority (BETARMA) and
More informationHIPAA in the Cloud. How to Effectively Collaborate with Cloud Providers
How to Effectively Collaborate with Cloud Providers Speaker Bio Chad Kissinger Chad Kissinger Founder OnRamp Chad Kissinger is the Founder of OnRamp, an industry leading high security and hybrid hosting
More informationPreparing for the HIPAA Security Rule Again; now, with Teeth from the HITECH Act!
A White Paper for Health Care Professionals Preparing for the HIPAA Security Rule Again; now, with Teeth from the HITECH Act! Introduction Several years ago we first published A White Paper for Health
More informationUnified Security Anywhere HIPAA COMPLIANCE ACHIEVING HIPAA COMPLIANCE WITH MASERGY PROFESSIONAL SERVICES
Unified Security Anywhere HIPAA COMPLIANCE ACHIEVING HIPAA COMPLIANCE WITH MASERGY PROFESSIONAL SERVICES HIPAA COMPLIANCE Achieving HIPAA Compliance with Security Professional Services The Health Insurance
More informationHIPAA Security. 6 Basics of Risk Analysis and Risk Management. Security Topics
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
More information