HIPAA Privacy and Security
|
|
- Ezra Willis
- 8 years ago
- Views:
Transcription
1 HIPAA Privacy and Security Cindy Cummings, RHIT February,
2 HIPAA Privacy and Security The regulation is designed to safeguard Protected Health Information referred to PHI AND electronic Protected Health Information referred to as ephi. 2
3 Authorization Facilities must obtain authorization from patients before using or sharing their PHI or ephi for reasons other than treatment, payment, or health care operations. 3
4 What is Confidential? Medical Record # Name Address Telephone Number Age Social Security # address Medical History Diagnosis Medications Observations And More 4
5 Breach Notification Requirements Individual Notices Media Notices Notice to the Secretary Notification of a Business Associate 5
6 Individual Notice Covered entities That s HOB Must notify affected individuals once we discover a breach of unsecured protected health information. Must provide this individual notice in writing by first-class mail, or alternatively, by if the affected individual has agreed to receive that way. If HOB has insufficient/ out-of-date contact information for 10 or more individuals, we must provide substitute individual notice Post the notice on the home page of its web site Or provide the notice in major print/ broadcast media to where the affected individuals likely reside. Must include a toll-free number for individuals to contact HOB to determine if their protected health information was involved in the breach. If fewer than 10 individuals, HOB may provide substitute notice by an alternative form of written, telephone, or other means. 6
7 Individual Notice The individual notifications must be provided without unreasonable delay No later than 60 days following the discovery of a breach Must include, to the extent possible, a description of the breach, a description of the types of information that were involved in the breach, the steps affected individuals should take to protect themselves from potential harm, a brief description of what the HOB is doing to investigate the breach, mitigate the harm, and prevent further breaches, contact information for the HOB 7
8 Media Notice IF HOB has a breach affecting more than 500 residents of a State/ jurisdiction/area.. Besides notifying the affected individuals, HOB is required to.. Provide notice to prominent media outlets serving the State or jurisdiction. HOB would likely provide this notification in the form of a press release to appropriate media outlets serving the affected area Like individual notice, this media notification must be provided without unreasonable delay No case later than 60 days following the discovery of a breach Must include the same information required for the individual notice Notify the Secretary 8
9 Notice to the Secretary HHS In addition to notifying affected individuals and the media (where appropriate), HOB must notify the Secretary of breaches of unsecured protected health information. HOB notifies the Secretary by visiting the HHS web site and filling out and electronically submitting a breach report form. If a breach affects 500 or more individuals, covered entities must notify the Secretary without unreasonable delay and in no case later than 60 days following a breach. If, however, a breach affects fewer than 500 individuals, the covered entity may notify the Secretary of such breaches on an annual basis. Reports of breaches affecting fewer than 500 individuals are due to the Secretary no later than 60 days after the end of the calendar year in which the breaches occurred. 9
10 Notification by a Business Associate If a breach of unsecured protected health information occurs at or by a business associate, the business associate must notify HOB following the discovery of the breach. A business associate must provide notice to HOB without unreasonable delay and no later than 60 days from the discovery of the breach. To the extent possible, the business associate should provide HOB with the identification of each individual affected by the breach as well as any information required to be provided by HOB in its notification to affected individuals. 10
11 No Big Deal Right? Wrong!!!!! 11
12 Violations HIPAA Violation Minimum Penalty Maximum Penalty Individual did not know (and by exercising reasonable diligence would not have known) that he/she violated HIPAA HIPAA violation due to reasonable cause and not due to willful neglect $100 per violation, with an annual maximum of $25,000 for repeat violations (Note: maximum that can be imposed by State Attorneys General regardless of the type of violation) $1,000 per violation, with an annual maximum of $100,000 for repeat violations $50,000 per violation, with an annual maximum of $1.5 million $50,000 per violation, with an annual maximum of $1.5 million HIPAA violation due to willful neglect but violation is corrected within the required time period $10,000 per violation, with an annual maximum of $250,000 for repeat violations $50,000 per violation, with an annual maximum of $1.5 million HIPAA violation is due to willful neglect and is not corrected $50,000 per violation, with an annual maximum of $1.5 million $50,000 per violation, with an annual maximum of $1.5 million 12
13 They Mean Business: Since the compliance date in April 2003, HHS has received over 83,681 HIPAA complaints. Status of All Complaints Complaints Remaining Open 7,102 8% Total Complaints Resolved 76,579 92% Total Complaints Received 83,861 13
14 They Mean Business: Incident: A Massachusetts General Hospital employee took some work home, but accidentally left 192 paper billing records containing detailed protected health information on the subway. Penalties: Even though it appears to have been an accident, severe penalties have been imposed on the hospital: $1-million fine Three-year corrective action plan of unprecedented oversight and intervention by the OCR, including the appointment of a designated OCR representative on premises to conduct audits and inspections and additional and frequent reporting to OCR on the hospital s HIPAA compliance. Requirements to develop comprehensive policies and procedures on laptop and USB encryption, even though the breach involved paper records. The hospital must also implement a comprehensive training program on HIPAA policies and provide written certification that all staff have received and understand the policies. 14
15 They Mean Business: Incident: Thirteen staff members at UCLA accessed Britney Spears medical records without authorization. Penalty: UCLA fired the 13 individuals and suspended another 6. 15
16 How to Protect Patient Privacy 16
17 What is Information Security? All the protections put into place to ensure ephi is: Kept confidential Is not improperly altered or destroyed And readily available to those who are authorized 17
18 Protect Patients Privacy Do not discuss patients in public areas such as elevators and cafeteria lines Do not leave information about a patient s health on an answering machine 18
19 Protect Patients Privacy Always close curtains and speak softly when discussing treatments in semi-private rooms Always log off the computer when you re finished Always dispose of patient information only in locked containers 19
20 Protecting Patient Information Keep your computer login and passwords a secret. 20
21 Protecting Patient Information Rules for Using Computers Do not log into the system using someone else s password Only access patient information that you need to do your job Keep computer screens pointed away from the public Do not copy ephi onto a removable device such as a thumb drive, disc, etc. 21
22 How do I send a secure ? It is relatively simple = the word Secure followed by a colon : must appear in the subject line somewhere! Examples are: Subject: Secure: Conversation from yesterday Subject: RE: conversation from yesterday Secure: Subject: secure: RE: conversation from yesterday Subject: Secure RE: conversation from yesterday Subject: :Secure Conversation from yesterday 22
23 23
24 Physical Security Practice Common Sense Security Keep Laptops and other portable devices locked when not in use Keep cell phones and pagers on your person at all times. Make sure doors and desks are locked as appropriate 24
25 Physical Security The most frequent risk to using PDAs and laptops is theft. When transporting laptops (or any patient information) it should be stored in the floorboard area or in the trunk. Keep your car locked at all times. X 25
26 Sanctions Hospice of the Bluegrass takes seriously the responsibility of privacy/security of all PHI in its care. Failure to adequately ensure the privacy/security of PHI can result in disciplinary action against you, up to and including: Dismissal Termination of Business Contract Reporting the violation to licensing agencies and law enforcement officials. 26
27 Scenarios What Would You 1. You are having lunch at a restaurant when someone notices your Hospice of the Bluegrass nametag. Their neighbor is a hospice patient and they want to know how the neighbor is doing. How do you handle that? Do??? 27
28 Scenarios What Would You Do??? A. Ignore them; they will go away eventually B. Tell them what they want to know C. Say you are sorry, but all patient information is confidential and therefore you cannot confirm or deny the person is a hospice patient. The Answer is C 28
29 Scenarios What Would You Do??? 2. A patient has a Cancer Policy that pays them $ per day that they were at HCC; they want you to complete the claim form. What do you do? 29
30 Scenarios What Would You Do??? A. Throw the form away; they will forget about it. B. Notify the Medical Record Department; they handle all release of information requests. C. Give the family the information and let them complete the form themselves. The Answer is B 30
31 Scenarios What Would You Do??? You are at the nursing home visiting a Hospice patient. You have a screen open on your laptop that has your schedule for the day. That schedule includes the names of patients you are planning to visit at another nursing home. You stop at the nurses station to give a report of your visit without closing your screen. Is this a HIPAA violation? 31
32 Scenarios What Would You Do??? Yes, that could be a HIPAA violation. Patient names are considered confidential and should be protected from disclosure. 32
STANDARD ADMINISTRATIVE PROCEDURE
STANDARD ADMINISTRATIVE PROCEDURE 16.99.99.M0.26 Investigation and Response to Breach of Unsecured Protected Health Information (HITECH) Approved October 27, 2014 Next scheduled review: October 27, 2019
More informationNew 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 informationHIPPA and HITECH NOTIFICATION Effective Date: September 23, 2013
HIPPA and HITECH NOTIFICATION Effective Date: September 23, 2013 Orchard Creek Health Care is required by law to maintain the privacy of protected health information (PHI) of our residents. If you feel
More informationHIPAA 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 informationCommunity 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 informationAVE MARIA UNIVERSITY HIPAA PRIVACY NOTICE
AVE MARIA UNIVERSITY HIPAA PRIVACY NOTICE This Notice of Privacy Practices describes the legal obligations of Ave Maria University, Inc. (the plan ) and your legal rights regarding your protected health
More informationWhat 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 informationEverett School Employee Benefit Trust. Reportable Breach Notification Policy HIPAA HITECH Rules and Washington State Law
Everett School Employee Benefit Trust Reportable Breach Notification Policy HIPAA HITECH Rules and Washington State Law Introduction The Everett School Employee Benefit Trust ( Trust ) adopts this policy
More informationViolation Become a Privacy Breach? Agenda
How Does a HIPAA Violation Become a Privacy Breach? Karen Voiles, MBA, CHC, CHPC, CHRC Senior Managing Consultant, Compliance Agenda Differentiating between HIPAA violation and reportable breach Best practices
More informationCOMPLIANCE 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 informationHow To Notify Of A Security Breach In Health Care Records
CHART YOUR HIPAA COURSE... HHS ISSUES SECURITY BREACH NOTIFICATION RULES PUBLISHED IN FEDERAL REGISTER 8/24/09 EFFECTIVE 9/23/09 The Department of Health and Human Services ( HHS ) has issued interim final
More information12/19/2014. HIPAA More Important Than You Realize. Administrative Simplification Privacy Rule Security Rule
HIPAA More Important Than You Realize J. Ira Bedenbaugh Consulting Shareholder February 20, 2015 This material was used by Elliott Davis Decosimo during an oral presentation; it is not a complete record
More informationWhat 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 informationHIPAA 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 informationChecklist for HITECH Breach Readiness
Checklist for HITECH Breach Readiness Checklist for HITECH Breach Readiness Figure 1 describes a checklist that may be used to assess for breach preparedness for the organization. It is based on published
More informationADMINISTRATIVE REGULATION EFFECTIVE DATE: 1/1/2016
Page 1 of 9 CITY OF CHESAPEAKE, VIRGINIA NUMBER: 2.62 ADMINISTRATIVE REGULATION EFFECTIVE DATE: 1/1/2016 SUPERCEDES: N/A SUBJECT: HUMAN RESOURCES DEPARTMENT CITY OF CHESAPEAKE EMPLOYEE/RETIREE GROUP HEALTH
More informationIDAHO STATE UNIVERSITY POLICIES AND PROCEDURES (ISUPP) HIPAA Privacy - Data Breach Notification Policy 10240
IDAHO STATE UNIVERSITY POLICIES AND PROCEDURES (ISUPP) HIPAA Privacy - Data Breach Notification Policy 10240 POLICY INFORMATION Major Functional Area (MFA): MFA X - Office of General Counsel & Compliance
More informationCREATIVE 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 informationUpdated HIPAA Regulations What Optometrists Need to Know Now. HIPAA Overview
Updated HIPAA Regulations What Optometrists Need to Know Now The U.S. Department of Health & Human Services Office for Civil Rights recently released updated regulations regarding the Health Insurance
More informationAre 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 informationReporting 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 informationThe ReHabilitation Center. 1439 Buffalo Street. Olean. NY. 14760
Procedure Name: HITECH Breach Notification The ReHabilitation Center 1439 Buffalo Street. Olean. NY. 14760 Purpose To amend The ReHabilitation Center s HIPAA Policy and Procedure to include mandatory breach
More informationHIPAA 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 informationThis 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 informationHIPAA Hot Topics. Audits, the Latest on Enforcement and the Impact of Breaches. September 2012. Nashville Knoxville Memphis Washington, D.C.
HIPAA Hot Topics Audits, the Latest on Enforcement and the Impact of Breaches September 2012 Nashville Knoxville Memphis Washington, D.C. Overview HITECH Act HIPAA Audit Program: update and initial results
More informationHIPAA Privacy Breach Notification Regulations
Technical Bulletin Issue 8 2009 HIPAA Privacy Breach Notification Regulations On August 24, 2009 Health and Human Services (HHS) issued interim final regulations implementing the HIPAA Privacy Breach Notification
More informationHIPAA 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 informationFive Rivers Medical Center, Inc. 2801 Medical Center Drive Pocahontas, AR 72455. Notification of Security Breach Policy
Five Rivers Medical Center, Inc. 2801 Medical Center Drive Pocahontas, AR 72455 Notification of Security Breach Policy Purpose: This policy has been adopted for the purpose of complying with the Health
More informationPage 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 informationOverview of the HIPAA Security Rule
Office of the Secretary Office for Civil Rights () Overview of the HIPAA Security Rule Office for Civil Rights Region IX Alicia Cornish, EOS Sheila Fischer, Supervisory EOS Topics Upon completion of this
More informationThe 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 informationMCCP 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 informationHIPAA 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 informationPOLICY AND PROCEDURE MANUAL
Pennington Biomedical POLICY NO. 412.22 POLICY AND PROCEDURE MANUAL Origin Date: 02/04/2013 Impacts: ALL PERSONNEL Effective Date: 03/17/2014 Subject: HIPAA BREACH NOTIFICATION Last Revised: Source: LEGAL
More informationProtecting Privacy & Security in the Health Care Setting
2013 Compliance Training for Contractors and Vendors Module 3 Protecting Privacy & Security in the Health Care Setting For Internal Training Purposes Only. After completing this training, learners will
More informationHIPAA Privacy & Security Training for Clinicians
HIPAA Privacy & Security Training for Clinicians Agenda This training will cover the following information: Overview of Privacy Rule and Security Rules Using and disclosing Protected Health Information
More informationHIPAA Policy, Protection, and Pitfalls ARTHUR J. GALLAGHER & CO. BUSINESS WITHOUT BARRIERS
HIPAA Policy, Protection, and Pitfalls Overview HIPAA Privacy Basics What s covered by HIPAA privacy rules, and what isn t? Interlude on the Hands-Off Group Health Plan When does this exception apply,
More informationREPRODUCTIVE ASSOCIATES OF DELAWARE (RAD) NOTICE OF PRIVACY PRACTICES PLEASE REVIEW IT CAREFULLY.
REPRODUCTIVE ASSOCIATES OF DELAWARE (RAD) NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW PROTECTED HEALTH INFORMATION (PHI) ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS
More informationInformation Privacy and Security Program. Title: EC.PS.01.02
Page: 1 of 9 I. PURPOSE: The purpose of this standard is to ensure that affected individuals, the media, and the Secretary of Health and Human Services (HHS) are appropriately notified of any Breach of
More informationHIPAA 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 informationACCOUNTABLE 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 informationHealth Insurance Portability and Accountability Act (HIPAA)
Health Insurance Portability and Accountability Act (HIPAA) General Education Presented by: Bureau of Personnel Department of Health Department of Human Services Department of Social Services Bureau of
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 informationSCHOOL DISTRICT OF BLACK RIVER FALLS HIPAA PRIVACY AND SECURITY POLICY
SCHOOL DISTRICT OF BLACK RIVER FALLS HIPAA PRIVACY AND SECURITY POLICY 1 School Board Policy 523.5 The School District of Black River Falls ( District ) is committed to compliance with the health information
More informationChris Bennington, Esq., INCompliance Consulting Shannon DeBra, Esq., Bricker & Eckler LLP Victoria Norton, R.N., J.D., M.B.A.
Chris Bennington, Esq., INCompliance Consulting Shannon DeBra, Esq., Bricker & Eckler LLP Victoria Norton, R.N., J.D., M.B.A., UC Health 7093020v1 Examples from the News Review of HIPAA Breach Regulations
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 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 informationHIPAA NOTICE OF PRIVACY PRACTICES
HIPAA NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW YOUR MEDICAL INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. This HIPAA Notice
More informationBREACH NOTIFICATION FOR UNSECURED PROTECTED HEALTH INFORMATION
BREACH NOTIFICATION FOR UNSECURED PROTECTED HEALTH INFORMATION Summary November 2009 On August 24, 2009, the Department of Health and Human Services (HHS) published an interim final rule (the Rule ) that
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 informationHIPAA Omnibus Rule Overview. Presented by: Crystal Stanton MicroMD Marketing Communication Specialist
HIPAA Omnibus Rule Overview Presented by: Crystal Stanton MicroMD Marketing Communication Specialist 1 HIPAA Omnibus Rule - Agenda History of the Omnibus Rule What is the HIPAA Omnibus Rule and its various
More informationGUIDE TO PATIENT PRIVACY AND SECURITY RULES
AMERICAN ASSOCIATION OF ORTHODONTISTS GUIDE TO PATIENT PRIVACY AND SECURITY RULES I. INTRODUCTION The American Association of Orthodontists ( AAO ) has prepared this Guide and the attachment to assist
More informationInformation Security and Privacy. WHAT is to be done? HOW is it to be done? WHY is it done?
Information Security and Privacy WHAT is to be done? HOW is it to be done? WHY is it done? 1 WHAT is to be done? O Be in compliance of Federal/State Laws O Federal: O HIPAA O HITECH O State: O WIC 4514
More informationBreach Notification Policy
1. Breach Notification Team. Breach Notification Policy Ferris State University ( Ferris State ), a hybrid entity with health care components, has established a Breach Notification Team, which consists
More informationHealth Insurance Portability and Accountability Act (HIPAA) Overview
Health Insurance Portability and Accountability Act (HIPAA) Overview Agency, Contract and Temporary Staff Orientation Initiated: 5/04, Reviewed: 7/10, Revised: 10/10 Prepared by SHS Administration & Samaritan
More informationHIPAA Refresher. HIPAA Health Insurance Portability & Accountability Act
HIPAA Health Insurance Portability & Accountability Act This presentation and materials provided are for informational purposes only. Please seek legal advisor assistance when dealing with privacy and
More informationUniversity 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 informationHIPAA Omnibus Rule Practice Impact. Kristen Heffernan MicroMD Director of Prod Mgt and Marketing
HIPAA Omnibus Rule Practice Impact Kristen Heffernan MicroMD Director of Prod Mgt and Marketing 1 HIPAA Omnibus Rule Agenda History of the Rule HIPAA Stats Rule Overview Use of Personal Health Information
More informationHIPAA in an Omnibus World. Presented by
HIPAA in an Omnibus World Presented by HITECH COMPLIANCE ASSOCIATES IS NOT A LAW FIRM The information given is not intended to be a substitute for legal advice or consultation. As always in legal matters
More informationWhy 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 informationBusiness Associates and HIPAA
Business Associates and HIPAA What BAs need to know to comply with HIPAA privacy and security rules by Dom Nicastro White paper The lax days of complying with privacy and security laws are over for business
More informationHIPAA Privacy and Security. Rochelle Steimel, HIPAA Privacy Official Judy Smith, Staff Development January 2012
HIPAA Privacy and Security Rochelle Steimel, HIPAA Privacy Official Judy Smith, Staff Development January 2012 Goals and Objectives Course Goal: To introduce the staff of Munson Healthcare to the concepts
More informationSecurity Is Everyone s Concern:
Security Is Everyone s Concern: What a Practice Needs to Know About ephi Security Mert Gambito Hawaii HIE Compliance and Privacy Officer July 26, 2014 E Komo Mai! This session s presenter is Mert Gambito
More informationHIPAA PRIVACY POLICIES & PROCEDURES. Department of Behavioral Health and Developmental Services DBHHDS GENERAL AWARENESS TRAINING
HIPAA PRIVACY POLICIES & PROCEDURES Department of Behavioral Health and Developmental Services DBHHDS GENERAL AWARENESS TRAINING March 2012 HIPAA Humor (North Dakota Dept of Health) 2 HIPAA-Ectomy - the
More informationBarnes & Thornburg LLP HIPAA Update: HITECH Act Breach Notification Rule
HEALTHCARE October 2009 Barnes & Thornburg LLP HIPAA Update: HITECH Act Breach Notification Rule This HIPAA Update provides a detailed description of the new breach notification requirements for HIPAA
More informationHIPAA Security Overview of the Regulations
HIPAA Security Overview of the Regulations Presenter: Anna Drachenberg Anna Drachenberg has been assisting healthcare providers and hospitals comply with HIPAA and other federal regulations since 2008.
More informationShipman & 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 informationWhen HHS Calls, Will Your Plan Be HIPAA Compliant?
When HHS Calls, Will Your Plan Be HIPAA Compliant? Petula Workman, J.D., CEBS Division Vice President Compliance Counsel Gallagher Benefit Services, Inc., Sugar Land, Texas The opinions expressed in this
More informationGuadalupe 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 informationNACHC Issue Brief Changes to the Health Insurance Portability and Accountability Act Included in ARRA. March 2010
NACHC Issue Brief Changes to the Health Insurance Portability and Accountability Act Included in ARRA March 2010 Prepared By: Marisa Guevara and Marcie H. Zakheim Feldesman Tucker Leifer Fidell, LLP 2001
More informationHIPAA 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 informationHIPAA/ 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 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 informationHealth Information Privacy Refresher Training. March 2013
Health Information Privacy Refresher Training March 2013 1 Disclosure There are no significant or relevant financial relationships to disclose. 2 Topics for Today State health information privacy law Federal
More informationThe Impact of HIPAA and HITECH
The Health Insurance Portability & Accountability Act (HIPAA), enacted 8/21/96, was created to protect the use, storage and transmission of patients healthcare information. This protects all forms of patients
More informationUNDERSTANDING THE HIPAA/HITECH BREACH NOTIFICATION RULE 2/25/14
UNDERSTANDING THE HIPAA/HITECH BREACH NOTIFICATION RULE 2/25/14 RULES Issued August 19, 2009 Requires Covered Entities to notify individuals of a breach as well as HHS without reasonable delay or within
More informationBreaches. Complying with the HIPAA Omnibus Final Rule. Important Definitions. Protected Health Information Includes HIPAA PRIVACY 3/2/2014
Breaches Complying with the HIPAA Omnibus Final Rule You Can Be Successful! Advocate Medical Group in Chicago had 4 desktop computers taken in a burglary that contained the personal information of over
More informationFEDERAL AND STATE BREACH NOTIFICATION LAWS FOR CALIFORNIA
APPENDIX PR 12-A FEDERAL AND STATE BREACH NOTIFICATION LAWS FOR CALIFORNIA LEGAL CITATION California Civil Code Section 1798.82 California Health and Safety (H&S) Code Section 1280.15 42 U.S.C. Section
More informationNew HIPAA Rules and EHRs: ARRA & Breach Notification
New HIPAA Rules and EHRs: ARRA & Breach Notification Jim Sheldon-Dean Director of Compliance Services Lewis Creek Systems, LLC www.lewiscreeksystems.com and Raj Goel Chief Technology Officer Brainlink
More informationWelcome 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 informationHIPAA BREACH NOTIFICATION REQUIREMENTS. Heman A. Marshall, III July 25, 2014
1 HIPAA BREACH NOTIFICATION REQUIREMENTS Heman A. Marshall, III July 25, 2014 2 SCENARIO FOR VBA SUMMER MEETING The Medical Marijuana Growers Association (MMGA) Health Plan, which is a self-fund plan,
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 informationWill the Feds Really Buy Me an EHR?
Steven Waldren, MD, David C. Kibbe, MD, MBA, and Jason Mitchell, MD Will the Feds Really Buy Me an EHR? and Other Commonly Asked Questions About the HITECH Act The economic stimulus package offers $19
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 informationPrivacy for Beginners: What Every Healthcare Worker Needs to Know About HIPAA and Privacy
Privacy for Beginners: What Every Healthcare Worker Needs to Know About HIPAA and Privacy What is HIPAA? Health Insurance Portability and Accountability Act (HIPAA) is broad federal legislation that includes
More informationHackers, Slackers & Packers: Preventing Data Loss & Dealing with the Inevitable. Data Breaches Are All Too Common
Hackers, Slackers & Packers: Preventing Data Loss & Dealing with the Inevitable Steven J. Fox (sjfox@postschell.com) Peter D. Hardy (phardy@postschell.com) Robert Brandfass (BrandfassR@wvuh.com) (Mr. Brandfass
More information2014 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 informationHIPAA Breach Notification Policy
HIPAA Breach Notification Policy Purpose: To ensure compliance with applicable laws and regulations governing the privacy and security of protected health information, and to ensure that appropriate notice
More informationData Breach, Electronic Health Records and Healthcare Reform
Data Breach, Electronic Health Records and Healthcare Reform (This presentation is for informational purposes only and it is not intended, and should not be relied upon, as legal advice.) Overview of HIPAA
More informationPrivacy Officer Job Description 4/28/2014. HIPAA Privacy Officer Orientation. Cathy Montgomery, RN. Presented by:
HIPAA Privacy Officer Orientation Presented by: Cathy Montgomery, RN Privacy Officer Job Description Serve as leader Develop Policies and Procedures Train staff Monitor activities Manage Business Associates
More informationHIPAA Privacy & Breach Notification Training for System Administration Business Associates
HIPAA Privacy & Breach Notification Training for System Administration Business Associates Barbara M. Holthaus privacyofficer@utsystem.edu Office of General Counsel University of Texas System April 10,
More informationNotice of Privacy Practices
Notice of Privacy Practices This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully. This practice uses
More informationYou Probably Don t Even Know
You Probably Don t Even Know That You Need To Comply With HIPAA In Collaboration With: About ERM About The Speaker Stephen Siegel, Esq., Of Counsel, Broad and Cassel Board Certified Health Law Over 25
More informationHIPAA 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
More informationPatient Privacy and HIPAA/HITECH
Patient Privacy and HIPAA/HITECH What is HIPAA? Health Insurance Portability and Accountability Act of 1996 Implemented in 2003 Title II Administrative Simplification It s a federal law HIPAA is mandatory,
More informationHIPAA Privacy, Security, Breach, and Meaningful Use. CHUG October 2012
HIPAA Privacy, Security, Breach, and Meaningful Use Practice Requirements for 2012 CHUG October 2012 The Health Insurance Portability and Accountability Act of 1996 (HIPAA) Standards for Privacy of Individually
More informationLessons Learned from Recent HIPAA and Big Data Breaches. Briar Andresen Katie Ilten Ann Ladd
Lessons Learned from Recent HIPAA and Big Data Breaches Briar Andresen Katie Ilten Ann Ladd Recent health care breaches Breach reports to OCR as of February 2015 1,144 breaches involving 500 or more individual
More 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 informationBUSINESS ASSOCIATE AGREEMENT
BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement ( Agreement ) between Inphonite, LLC ( Business Associate and you, as our Customer ( Covered Entity ) (each individually, a Party, and collectively,
More informationThe Institute of Professional Practice, Inc. Business Associate Agreement
The Institute of Professional Practice, Inc. Business Associate Agreement This Business Associate Agreement ( Agreement ) effective on (the Effective Date ) is entered into by and between The Institute
More information