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Overview
HIPAA Breach NotificationRule - What you must
do to comply
Date: Wednesday, November 9th, 2016, Time: 01:00 PM EDT | 10:00 AM PDT
Duration: 60 Minutes
Speaker: Paul R. Hales
Final regulations for the new HIPAA Security Breach require much more than notifying
individuals affected by a Breach of their Protected Health Information. Covered Entities
and Business Associates first must follow and document a very specific process to
determine if a Breach occurred.
If no Breach occurred documentary proof must be kept for six years. If a Breach did
occur timely notifications and other actions must be undertaken and documented.
Why should you attend?
 Breaches and incidents that might be Breaches happen all the time!
 More than 173,000 separate breaches of Protected Health Information (PHI)
affecting less than 500 individuals were reported to the U. S. Department of Health
and Human Services between September, 2009 and May 31, 2015 and in the
same period HHS received approximately 1240 reports of PHI breaches that
affected 500 or more individuals
 An acquisition, access, use, or disclosure of PHI not permitted by the Privacy Rule
is presumed to be a Breach unless it falls within an exception or the Covered Entity
or Business Associate can demonstrate a low probability that the PHI was
compromised
 Not all suspected Breaches are Breaches - but you must know the rules to assess
each incident and - when appropriate - prove it was not a Breach
 A Covered Entityor Business Associate has the burden to prove an acquisition,
access, use, or disclosure of PHI was not a Breach or, if a Breach occurred, that it
made all required notifications
 Prominent media outlets in the region must be notified of Breaches affecting 500 or
more individuals
Register Now
 To preserve your organization's reputation and limit its financial loss you must be
prepared to assess a suspected Breach and to respond properly and perhaps
publicly when a Breach does occur
Phishers, Hackers and Burglars are actively trying to get PHI - the FBI reported in 2014
that medical identity sells for $50 on the black market compared to $1 for a credit card or
Social Security Number.
Areas covered in the webinar
This webinar will explain:
 What Covered Entities and Business Associates must do to comply with the Breach
Notification Rule
 What is and is not a Breach
o Three exceptions - when an acquisition, access, use, or disclosure of PHI not
permitted by the Privacy Rule is not a Breach
o How to perform a Risk Assessment process to determine if you can
demonstrate a low probability that the PHI was compromised
 Who must be notified in case of a Breach
 When notifications must be provided
 What information must be contained in each notification
 Other requirements in case of a Breach
o Investigate
o Mitigate harm to affected individuals
o Protect against further Breaches
o Document everything
 Planning and preparation for the worst - public relations and mitigation strategies to
limit damage to the organization's reputation and financial well-being
Learning objective
 Breach Notification Rule Compliance Requirements
 What is defined as a Breach
 How to determine if a Breach occurred
 How to investigate and analyze the facts of an incident that is a Potential Breach
 How to do a Breach Risk Assessment to determine if there is a low probability of
compromise to PHI
 In case of a breach
o Who to notify
o When notification must be made
o What information must be in each notification
 Other things that must be done if a Breach occurred
 Documentation that must be kept of all activities associate with the Breach
Notification Rule
Who will benefit
 HIPAA Compliance Officials
 Top Management
 Health Care Providers
 Practice Managers
 Risk Managers
 Compliance Managers
 Information Systems Managers
 Legal Counsel
 Health Care Public Relations Consultants
Speaker profile
Paul R. Hales, J.D. is an attorney at law in St. Louis, Missouri whose practice has
included specialization in the HIPAA Privacy and Security Rules from the dates they
became effective. He provides assistance and counseling on the new, more demanding
compliance requirements of the HITECH modifications to HIPAA. Mr. Hales is licensed to
practice before the Supreme Court of the United States, Federal Appellate and District
Courts, the State Courts of Missouri and is a graduate of Columbia University Law
School.
For more information, contact support @complianceglobal.us

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HIPAA Breach Notification Compliance

  • 1. Overview HIPAA Breach NotificationRule - What you must do to comply Date: Wednesday, November 9th, 2016, Time: 01:00 PM EDT | 10:00 AM PDT Duration: 60 Minutes Speaker: Paul R. Hales Final regulations for the new HIPAA Security Breach require much more than notifying individuals affected by a Breach of their Protected Health Information. Covered Entities and Business Associates first must follow and document a very specific process to determine if a Breach occurred. If no Breach occurred documentary proof must be kept for six years. If a Breach did occur timely notifications and other actions must be undertaken and documented. Why should you attend?  Breaches and incidents that might be Breaches happen all the time!  More than 173,000 separate breaches of Protected Health Information (PHI) affecting less than 500 individuals were reported to the U. S. Department of Health and Human Services between September, 2009 and May 31, 2015 and in the same period HHS received approximately 1240 reports of PHI breaches that affected 500 or more individuals  An acquisition, access, use, or disclosure of PHI not permitted by the Privacy Rule is presumed to be a Breach unless it falls within an exception or the Covered Entity or Business Associate can demonstrate a low probability that the PHI was compromised  Not all suspected Breaches are Breaches - but you must know the rules to assess each incident and - when appropriate - prove it was not a Breach  A Covered Entityor Business Associate has the burden to prove an acquisition, access, use, or disclosure of PHI was not a Breach or, if a Breach occurred, that it made all required notifications  Prominent media outlets in the region must be notified of Breaches affecting 500 or more individuals Register Now
  • 2.  To preserve your organization's reputation and limit its financial loss you must be prepared to assess a suspected Breach and to respond properly and perhaps publicly when a Breach does occur Phishers, Hackers and Burglars are actively trying to get PHI - the FBI reported in 2014 that medical identity sells for $50 on the black market compared to $1 for a credit card or Social Security Number. Areas covered in the webinar This webinar will explain:  What Covered Entities and Business Associates must do to comply with the Breach Notification Rule  What is and is not a Breach o Three exceptions - when an acquisition, access, use, or disclosure of PHI not permitted by the Privacy Rule is not a Breach o How to perform a Risk Assessment process to determine if you can demonstrate a low probability that the PHI was compromised  Who must be notified in case of a Breach  When notifications must be provided  What information must be contained in each notification  Other requirements in case of a Breach o Investigate o Mitigate harm to affected individuals o Protect against further Breaches o Document everything  Planning and preparation for the worst - public relations and mitigation strategies to limit damage to the organization's reputation and financial well-being Learning objective  Breach Notification Rule Compliance Requirements  What is defined as a Breach  How to determine if a Breach occurred  How to investigate and analyze the facts of an incident that is a Potential Breach  How to do a Breach Risk Assessment to determine if there is a low probability of compromise to PHI  In case of a breach o Who to notify o When notification must be made o What information must be in each notification
  • 3.  Other things that must be done if a Breach occurred  Documentation that must be kept of all activities associate with the Breach Notification Rule Who will benefit  HIPAA Compliance Officials  Top Management  Health Care Providers  Practice Managers  Risk Managers  Compliance Managers  Information Systems Managers  Legal Counsel  Health Care Public Relations Consultants Speaker profile Paul R. Hales, J.D. is an attorney at law in St. Louis, Missouri whose practice has included specialization in the HIPAA Privacy and Security Rules from the dates they became effective. He provides assistance and counseling on the new, more demanding compliance requirements of the HITECH modifications to HIPAA. Mr. Hales is licensed to practice before the Supreme Court of the United States, Federal Appellate and District Courts, the State Courts of Missouri and is a graduate of Columbia University Law School. For more information, contact support @complianceglobal.us