Developers building healthcare applications for mobile devices, wearables and the desktop need to understand HIPAA requirements in order to build apps that are in compliance. This deck gives application developers an overview of the HIPAA rules and what it means for their software development.
Application Developers Guide to HIPAA ComplianceTrueVault
Software developers building mobile health applications need to be HIPAA compliant if their application will be collecting and sharing protected health information. This free plain language guide gives developers everything they need to know about mobile health app development and HIPAA.
Not every mHealth app needs to be HIPAA compliant. Not sure whether your mHealth application needs to be HIPAA compliant or not? Read the guide to find out!
Have you ever felt confused by HIPAA’s complex regulations? Even if you are well versed in the laws, there are still many headache inducing intricacies. In this webinar, an experienced HIPAA auditor will highlight the basics of HIPAA, its regulations, what you need to know about it, and how it may affect you, especially with a new wave of HHS audits looming. The webinar is designed for HIPAA novices and experts alike, and all questions are encouraged in this interactive session.
While the Health Insurance Portability and Accountability Act (HIPAA) is best known for its multitude of requirements that govern the way health care providers can use, disclose, and safeguard protected health information (PHI), its reach goes far beyond that to health plans and business associates that only handle PHI on a limited basis. HIPAA implementation in these environments creates unique challenges—for example, which provisions actually need to be addressed—but with 2016 marking an all-time high for HIPAA enforcement cases, it may be more important now than ever to address HIPAA compliance.
A brief introduction to hipaa compliancePrince George
As you can imagine, complying with federal regulations around privacy and healthcare data is no small task. This presentation is to help you wade through what you need to know about HIPAA compliance as it relates to your application and what steps you’ll need to take to ensure you don’t end up in violation of the law.
There is plenty to research about HIPAA guidelines. This presentation is not meant to be comprehensive, but rather give you a framework and reference to help you understand the major portions of the law.
Application Developers Guide to HIPAA ComplianceTrueVault
Software developers building mobile health applications need to be HIPAA compliant if their application will be collecting and sharing protected health information. This free plain language guide gives developers everything they need to know about mobile health app development and HIPAA.
Not every mHealth app needs to be HIPAA compliant. Not sure whether your mHealth application needs to be HIPAA compliant or not? Read the guide to find out!
Have you ever felt confused by HIPAA’s complex regulations? Even if you are well versed in the laws, there are still many headache inducing intricacies. In this webinar, an experienced HIPAA auditor will highlight the basics of HIPAA, its regulations, what you need to know about it, and how it may affect you, especially with a new wave of HHS audits looming. The webinar is designed for HIPAA novices and experts alike, and all questions are encouraged in this interactive session.
While the Health Insurance Portability and Accountability Act (HIPAA) is best known for its multitude of requirements that govern the way health care providers can use, disclose, and safeguard protected health information (PHI), its reach goes far beyond that to health plans and business associates that only handle PHI on a limited basis. HIPAA implementation in these environments creates unique challenges—for example, which provisions actually need to be addressed—but with 2016 marking an all-time high for HIPAA enforcement cases, it may be more important now than ever to address HIPAA compliance.
A brief introduction to hipaa compliancePrince George
As you can imagine, complying with federal regulations around privacy and healthcare data is no small task. This presentation is to help you wade through what you need to know about HIPAA compliance as it relates to your application and what steps you’ll need to take to ensure you don’t end up in violation of the law.
There is plenty to research about HIPAA guidelines. This presentation is not meant to be comprehensive, but rather give you a framework and reference to help you understand the major portions of the law.
Interoperability is one of the most critical issues facing the health care industry today. A universal exchange language is needed to assist health care providers in sharing health information in order to coordinate diagnosis and treatment, while maintaining privacy and security of personal data. Health Information Exchanges (HIE) allow for the movement of clinical data between disparate systems; they enable providers to electronically share health records through a network. This presentation provides an overview of HIE and the Meaningful Use requirement related to the exchange of clinical information as well as information about standards of exchange and the recommended "next steps" for providers.
An overview of the interoperability standard - Health Level 7
In partial fulfillment of the requirements for
MI 224: Coding, Classification, and Terminology in Medicine
MS Health Informatics
UP Manila College of Medicine
Full lecture with narration: https://www.youtube.com/watch?v=hjUy6k328gk
HIPAA applies to “PHI” (Protected Health Information).
PHI Information’s are those information that identifies who the health-related information belongs to. I.e. names, email addresses, phone numbers, medical record numbers, photos, driver’s license numbers, etc.
For an example if you have something that can identify a user together with health information of any kind (from an appointment, to a list of prescriptions, to test results, to a list of doctors) you have PHI that needs to be protected as per HIPAA regulations.
5 Reasons Why Healthcare Data is Unique and Difficult to MeasureHealth Catalyst
Healthcare data is not linear. It is a complex, diverse beast unlike the data of any other industry. There are five ways in particular that make healthcare data unique:
1. Much of the data is in multiple places.
2. The data is structured and unstructured.
3. It has inconsistent and variable definitions; evidence-based practice and new research is coming out every day. 4. The data is complex.
5. Changing regulatory requirements.
The answer for this unpredictability and complexity is the agility of a late-binding Data Warehouse.
This presentation discusses how to comply with HIPAA and HITECH privacy laws. Learn key terms such as Protected Health Information, the Privacy Rule and the Security Rule as well as major changes brought by HIPAA and HITECH.
The Health Insurance Portability and Accountability Act (HIPAA) was created primarily to modernize the flow of healthcare information, stipulate how Personally Identifiable Information maintained by the healthcare and healthcare insurance industries should be protected from fraud and theft, and address limitations on healthcare insurance coverage – such as portability and the coverage of individuals with pre-existing conditions.
https://www.hipaajournal.com/hipaa-training-requirements/
EHR Implementation project: Addressing problems with the current EHR system in Star Health and proferring Hypothetic solutions.
Case study of YNHHS EHR implementation strategy.
Presented at the Health Informatics and Health Information Technology Course, Doctor of Philosophy and Master of Science Programs in Data Science for Health Care (International Program), Faculty of Medicine Ramathibodi Hospital, Mahidol University on October 17, 2017
The increase level of awareness and training is also very important as is the culture impact of the CE’s environment. How you proceed to successfully train and change the culture depends on the choice of an external HIPAA-HITECH privacy and security auditor. Simply stated, your external auditor should possess the skills and knowledge to comprehensively evaluate all aspect of the HIPAA-HITECH impact on your practice. Upon completion of an audit each area should address its findings, impact and corrective action plan. The action plan should incorporate the training requirements and a training plan to address the specific requirements of each staff member’s relevance to their job function within the practice.
Interoperability is one of the most critical issues facing the health care industry today. A universal exchange language is needed to assist health care providers in sharing health information in order to coordinate diagnosis and treatment, while maintaining privacy and security of personal data. Health Information Exchanges (HIE) allow for the movement of clinical data between disparate systems; they enable providers to electronically share health records through a network. This presentation provides an overview of HIE and the Meaningful Use requirement related to the exchange of clinical information as well as information about standards of exchange and the recommended "next steps" for providers.
An overview of the interoperability standard - Health Level 7
In partial fulfillment of the requirements for
MI 224: Coding, Classification, and Terminology in Medicine
MS Health Informatics
UP Manila College of Medicine
Full lecture with narration: https://www.youtube.com/watch?v=hjUy6k328gk
HIPAA applies to “PHI” (Protected Health Information).
PHI Information’s are those information that identifies who the health-related information belongs to. I.e. names, email addresses, phone numbers, medical record numbers, photos, driver’s license numbers, etc.
For an example if you have something that can identify a user together with health information of any kind (from an appointment, to a list of prescriptions, to test results, to a list of doctors) you have PHI that needs to be protected as per HIPAA regulations.
5 Reasons Why Healthcare Data is Unique and Difficult to MeasureHealth Catalyst
Healthcare data is not linear. It is a complex, diverse beast unlike the data of any other industry. There are five ways in particular that make healthcare data unique:
1. Much of the data is in multiple places.
2. The data is structured and unstructured.
3. It has inconsistent and variable definitions; evidence-based practice and new research is coming out every day. 4. The data is complex.
5. Changing regulatory requirements.
The answer for this unpredictability and complexity is the agility of a late-binding Data Warehouse.
This presentation discusses how to comply with HIPAA and HITECH privacy laws. Learn key terms such as Protected Health Information, the Privacy Rule and the Security Rule as well as major changes brought by HIPAA and HITECH.
The Health Insurance Portability and Accountability Act (HIPAA) was created primarily to modernize the flow of healthcare information, stipulate how Personally Identifiable Information maintained by the healthcare and healthcare insurance industries should be protected from fraud and theft, and address limitations on healthcare insurance coverage – such as portability and the coverage of individuals with pre-existing conditions.
https://www.hipaajournal.com/hipaa-training-requirements/
EHR Implementation project: Addressing problems with the current EHR system in Star Health and proferring Hypothetic solutions.
Case study of YNHHS EHR implementation strategy.
Presented at the Health Informatics and Health Information Technology Course, Doctor of Philosophy and Master of Science Programs in Data Science for Health Care (International Program), Faculty of Medicine Ramathibodi Hospital, Mahidol University on October 17, 2017
The increase level of awareness and training is also very important as is the culture impact of the CE’s environment. How you proceed to successfully train and change the culture depends on the choice of an external HIPAA-HITECH privacy and security auditor. Simply stated, your external auditor should possess the skills and knowledge to comprehensively evaluate all aspect of the HIPAA-HITECH impact on your practice. Upon completion of an audit each area should address its findings, impact and corrective action plan. The action plan should incorporate the training requirements and a training plan to address the specific requirements of each staff member’s relevance to their job function within the practice.
What is HIPAA?
HIPAA: Health Insurance Portability and Accountability Act
It was passed by Congress in 1996
It includes requirements for:
Transfer and continuation of health insurance coverage for millions of American workers and their families when they change or lose their jobs
Reducing healthcare fraud and waste
The protection and confidential handling of protected health information
HIPAA Security Rule
Establishes national standards to protect individuals’ electronic personal health information that is created, received, used, or maintained by a covered entity.
Requires appropriate safeguards to ensure the confidentiality, integrity, and security of electronic protected health information.
Safeguards include:
Administrative
Physical
Technical
Administrative Safeguards
HIPAA security rule requires covered entities to implement the following administrative safeguards:
Security Management Process
Security Personnel
Information Access Management
Workforce Training
Evaluation
Physical Safeguards
The security rule requires covered entities to implement physical safeguards such as:
Facility Access and Control
Access can be restricted through use of access cards, biometric scanners, keys, pass codes and so on
Workstation and Device Security
Develop and implement policies for workstation and device security
Implement unique password/user ids for each user
Proper user logs and records should be maintained
Technical Safeguards
The security rule requires a covered entity to implement technical safeguards such as:
Access Controls
Audit Controls
Integrity Controls
Transmission Security
Want to learn more about HIPAA, HIPAA Privacy and Security Rule, its requirements and best practices to comply with them? ComplianceOnline webinars and seminars are a great training resource. Check out the following links:
How to examine security policies, practices, and risk issues to comply with HIPAA
How to use social media and texting without breaking HIPAA rules
How to Conduct risk analysis to comply with HIPAA
HIPAA/HITECH Assessment for Healthcare Business Associates
How to comply with HIPAA Omnibus Rule
Understanding new rules and responsibilities of Privacy Officer under HIPAA
HIPAA Security and Breach Rule Compliance
For more details Visit us at:http://www.complianceonline.com/the-new-hipaa-audit-program-focus-webinar-training-703180-prdw?channel=ppt-slideshare
Healthcare Compliance: HIPAA and HITRUSTControlCase
ControlCase discusses the following:
•Healthcare compliance in general
•What is HIPAA
•What is HITRUST
•How do they relate?
•Advantages of being HITRUST certified
HIPAA Compliance For Small Practices: According to the American Health Information Management System (AHIMA), an average of 150 people from nursing staff to x-ray technicians, to billing clerks, have access to patient’s medical records during the course of typical hospitalization.
Presentation designed to explain Business Associates the basics of HIPAA and real-life examples of cases that failed to implement and follow HIPAA requirements on a timely basis.
Explain the security implications of HIPPA requirements for hospital.pdfarjunenterprises1978
Explain the security implications of HIPPA requirements for hospital networks.
your responce should be 300 words
Solution
HIPAAstands for Health Insurance Portability and Accountability Act.
Passed in 1996 HIPAA is a federal law that sets a national standard to protect medical records
and other personal health information. The rule defines \"protected health information\" as health
information that:
1. Identifies an individual and
2. Is maintained or exchanged electronically or in hard copy.
If the information has any components that could be used to identify a person, it would be
protected. The protection would stay with the information as long as the information is in the
hands of a covered entity or a business associate.
HIPAA Security Rules
The portion of the HIPAA law that most impacts technology interests is the section on
Administrative Simplification (Title II, Subtitle F). Administrative Simplification seeks to force
uniform standards in the electronic interchange of health information (through the Transaction
Rule) and also mandates guidelines for the security (Security rules) and privacy (Privacy rules)
of that information whether in transit or stored. The HIPAA Security regulations apply to that
protected health information that is electronically maintained or used in an electronic
transmission1
. Administrative Simplification is divided in to Transaction, Security and Privacy Rules.
The HIPAA Security rules are divided into four sections:
· Administrative Safeguards
· Physical Safeguards
· Security Services
· Security Mechanisms
Administrative safeguards deal with those administrative policies, procedures and practices that
are used by a covered entity to handle protected health information. These generally take the
form of written policies and procedures that are practiced in normal day-to-day operations.
Physical safeguards deal with physical access to data and facilities within that contain protected
health information. Security services and security mechanisms specifically address technical
systems, networks and applications that possess or transmit protected
health information.
The HIPAA Security rules mandate that if healthcare information (also referred to in the HIPAA
text as protected health information) is stored or processed electronically, then the security rule
applies to that covered entity. This would seem to exempt pure paper-based operations from the
Security rules, but even
these organizations likely use fax technology, which is covered by the HIPAA security rule.
Accordingly, there are very few healthcare organizations that will escape the grasp of the HIPAA
regulations as very few are entirely paper-based.
HIPAA Security rules essentially resemble a collection of the recommended best practices for
security management and operations. For this reason, if the healthcare organization has already
adopted sound security practices, the HIPAA-compliance effort should be minimal. Given that
Security is not a prime conc.
ControlCase will discusses the following:
- Healthcare compliance in general
- What is HIPAA
- What is HITRUST
- How do they relate?
- Advantages of being HITRUST certified
HIPAA Compliance Testing In Software Applications.pdfZoe Gilbert
Read this article to gain a basic understanding of the significance of HIPPA compliance for the healthcare industry.
Our healthcare testing services acknowledges the challenges, consider ways to give patients more control over their health information, and implement security measures to guarantee that the privacy of patient information is safeguarded by healthcare practitioners and others.
ControlCases discusses the following:
– Healthcare compliance in general
– What is HIPAA
– What is HITRUST
– How do they relate?
– Advantages of being HITRUST certified
HIPAA Compliant Salesforce Health Cloud – Why Healthcare Organizations Must C...Ajeet Singh
With this fast paced world, healthcare consumers want their personalised information at a great speed. 71% of millennials want doctors to provide mobile applications for actively managing their health information which Salesforce health cloud does very well. Salesforce Health Cloud is fabricated to combine power and security of cloud with social and mobile technologies.
Let us first see what is HIPAA’s story and then move forward how Salesforce Health Cloud meet HIPAA guidelines.
Dental Compliance for Dentists and Business Associatesgppcpa
This presentation will discuss covered entities, protected health information (PHI) as it relates to dental practices and business associates of those practices.It will update you on major legislation relating to patient privacy laws and explain why PHI Information is important and the consequences for non-compliance with state and federal laws.
Importance of HIPAA Compliance for Small Healthcare Clinics.pptxIT in DFW
HIPAA stands for Health Insurance Portability and Accountability Act. It acts as a national standard to protect sensitive patient health information from getting disclosed.
The top 3 HIPAA violations could be happening under your watch.
1. Inadequate Tracking of Media
2. Inadequate Security
3. Inadequate Policies
If you deal with ePHI, you must comply. Find out how to remain compliant with our tips.
What Covered Entities Need to Know about OCR HIPAA AuditsIatric Systems
Learn how to be better prepared to comply with today's patient privacy rules and regulations.
Hosted by HealthITSecurity.com, you'll get insight directly from HIPAA officer Iliana L. Peters, J.D., LL.M. As senior advisor for HIPAA Compliance and Enforcement, she is today's leading source for understanding HIPAA requirements.
Ms. Peters presents OCR’s 2017 to 2018 goals and objectives and tells you how you can:
-Uncover the patient privacy risks and vulnerabilities in your healthcare organization
-Determine where you can use technology to assist in and encourage consistent compliance
-Manage risk when vendors have access to your patient data
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
2. HIPAA Compliance is a
Brutal Time Suck!
!
“[Building our own HIPAA compliant infrastructure] took upwards of
1,000 person-hours to figure out HIPAA-compliance issues. This will
continue to be an ongoing cost for us, because HIPAA is an ongoing law
and it changes sometimes. It takes substantial auditing time and money.
TrueVault would save us all that.”
Posted on Hacker News by jph
(Unsolicited comment. Not a customer.)
HIPAA compliant database-as-a-service
3. First off, What is HIPAA?
Health Insurance Portability and Accountability Act
• HIPAA sets the standard for protecting sensitive patient data.
• Covered Entities and their Business Associates need to protect
the privacy and security of protected health information (PHI).
• Developed in 1996. HIPAA was initially created to help the public
with insurance portability. In addition, they built a series of privacy
tools to protect healthcare data.
HIPAA compliant database-as-a-service
4. What Does HIPAA Require?
1.Put safeguards in place to protect patient health information.
2.Reasonably limit use and sharing to the minimum necessary to
accomplish your intended purpose.
3.Have agreements in place with service providers that perform covered
functions. These agreements (BAAs) ensure that service providers
(Business Associates) use, safeguard and disclose patient information
properly.
4.Procedures to limit who can access patient health information, and
training programs about how to protect patient health information.
HIPAA compliant database-as-a-service
5. The Four Rules of HIPAA
Like the four horsemen, these are the major pieces that govern what you do
and how you do it.
1.HIPAA Privacy Rule
2.HIPAA Security Rule
3.HIPAA Enforcement Rule
4.HIPAA Breach Notification Rule
HIPAA compliant database-as-a-service
Developers need to focus on the Technical and Physical
safeguards outlined in the Security Rule.
6. The Privacy Rule
HIPAA compliant database-as-a-service
Addresses the saving, accessing and sharing of
medical and personal information of an individual,
including a patient’s own right to access.
7. The Security Rule
HIPAA compliant database-as-a-service
Outlines national security standards intended to
protect health data created, received, maintained,
or transmitted electronically.
8. The Security Rule
HIPAA compliant database-as-a-service
September 23, 2013
Before Sept 23. Rules applied to hospitals, doctors, clinics, etc. After Sept 23. The rules now apply to anyone
that touches PHI.
(e.g. an IT company or a mHealth
application that provides secure photo-
sharing for physicians).
Any company that deals with protected health information (PHI) must
ensure that all the required physical, network, and process security
measures are in place and followed.
10. HIPAA compliant database-as-a-service
“Do I need to be
HIPAA compliant?”
If you handle PHI then you need to be HIPAA compliant.
The HIPAA rules apply to both Covered Entities
and their Business Associates
11. What is Protected Health
Information (PHI)?
• PHI is any information in a medical record that can be used to
identify an individual, and that was created, used, or disclosed in
the course of providing a healthcare service.
• Includes:
• Medical records
• Billing information
• Health insurance information
• Any individually identifiable health information
HIPAA compliant database-as-a-service
12. Electronic Protected Health
Information (EPHI)
HIPAA compliant database-as-a-service
All individually identifiable health information that
is created, maintained, or transmitted
electronically.
13. Covered Entity (CE)
HIPAA compliant database-as-a-service
• Anyone who provides treatment, payment and operations in
healthcare.
• Includes:
• Doctor’s office, dental offices, clinics, psychologists,
• Nursing home, pharmacy, hospital or home healthcare agency
• Health plans, insurance companies, HMOs
• Government programs that pay for healthcare
• Health clearing houses
14. Business Associate (BA)
HIPAA compliant database-as-a-service
• Anyone who has access to patient information, whether directly, indirectly,
physically or virtually.
• Any organization that provides support in the treatment, payment or operations
• Includes:
• IT providers, health applications
• Telephone service provider, document management and destruction
• Accountant, lawyer or other service provider
Business associates have the responsibility to achieve and maintain HIPAA
compliance in terms of all of the internal, administrative, and technical safeguards.
15. Exceptions
HIPAA compliant database-as-a-service
• Entities providing data transmission services, including services that
involve temporary storage of PHI that is incident to the
transmission (e.g. courier services and their electronic equivalents,
such as ISPs or telecoms).
While entities that are “mere conduits” for PHI are not Business Associates, the
rules emphasize that this exception is narrow.
18. Who certifies HIPAA
compliance?
• Unlike PCI, there is no one that can “certify” that an organization is HIPAA
compliant.
• The Office for Civil Rights (OCR) from the Department of Health and Human
Services (HHS) is the federal governing body. HHS does not endorse or
recognize the “certifications” made by private organizations.
• The evaluation standard in the Security Rule § 164.308(a)(8) requires you to
perform a periodic technical and non-technical evaluation to make sure your
security policies and procedures meet security requirements.
• But, HHS doesn’t care if the evaluation is performed internally or by an external
organization.
HIPAA compliant database-as-a-service
19. Penalties & Fines
• Violations are expensive, to put it mildly.
HIPAA compliant database-as-a-service
21. HIPAA compliant database-as-a-service
“How do I become
HIPAA compliant?”
The HIPAA Security Rule requires appropriate Administrative,
Physical, and Technical Safeguards to ensure the confidentiality,
integrity, and security of protected health information (PHI).
22. 3 Parts to the Security Rule
1.Administrative Safeguards
2.Technical Safeguards
3.Physical Safeguards
HIPAA compliant database-as-a-service
23. “required” vs. “addressable”
• Some implementation specifications are “required” and others are
“addressable.” Required implementation specifications must be
implemented.
• Addressable implementation specifications must be implemented if it is
reasonable and appropriate to do so; your choice must be documented.
• It is important to remember that an addressable implementation
specification is not optional.
HIPAA compliant database-as-a-service
When in doubt, you should just implement the addressable implementation
specifications. Most of them are best practices anyway.
24. Administrative Safeguards
The administrative components are really important when
implementing a HIPAA compliance program; you are required to:
1.Assign a privacy officer
2.Complete a risk assessment annually
3.Implement employee training
4.Review policies and procedures
5.Execute Business Associate Agreements (BAAs) with all partners
who handle protected health information (PHI)
HIPAA compliant database-as-a-service
25. Administrative Safeguards
Companies who can help with the administrative components of a
compliance program:
• Accountable -- http://accountablehq.com
• Compliance Helper -- http://www.compliancehelper.com
• Compliancy Group -- http://compliancy-group.com
HIPAA compliant database-as-a-service
26. Technical Safeguards
1.Access Control - Unique User Identification (required): Assign a unique
name and/or number for identifying and tracking user identity.
2.Access Control - Emergency Access Procedure (required): Establish (and
implement as needed) procedures for obtaining necessary ePHI during an
emergency.
3.Access Control - Automatic Logoff (addressable): Implement electronic
procedures that terminate an electronic session after a predetermined time of
inactivity.
4.Access Control - Encryption and Decryption (addressable): Implement a
mechanism to encrypt and decrypt ePHI.
HIPAA compliant database-as-a-service
27. Technical Safeguards
5.Audit Controls (required): Implement hardware, software, and/or procedural mechanisms that
record and examine activity in information systems that contain or use ePHI.
6.Integrity - Mechanism to Authenticate ePHI (addressable): Implement electronic mechanisms
to corroborate that ePHI has not been altered or destroyed in an unauthorized manner.
7.Authentication (required): Implement procedures to verify that a person or entity seeking
access to ePHI is the one claimed.
8.Transmission Security - Integrity Controls (addressable): Implement security measures to
ensure that electronically transmitted ePHI is not improperly modified without detection until
disposed of.
9.Transmission Security - Encryption (addressable): Implement a mechanism to encrypt ePHI
whenever deemed appropriate.
HIPAA compliant database-as-a-service
28. Physical Safeguards
1.Facility Access Controls - Contingency Operations (addressable): Establish (and implement as needed) procedures that allow facility
access in support of restoration of lost data under the disaster recovery plan and emergency mode operations plan in the event of an
emergency.
2.Facility Access Controls - Facility Security Plan (addressable): Implement policies and procedures to safeguard the facility and the
equipment therein from unauthorized physical access, tampering, and theft.
3.Facility Access Controls - Access Control and Validation Procedures (addressable): Implement procedures to control and validate
a person’s access to facilities based on their role or function, including visitor control, and control of access to software programs for
testing and revision.
4.Facility Access Controls - Maintenance Records (addressable): Implement policies and procedures to document repairs and
modifications to the physical components of a facility which are related to security (e.g. hardware, walls, doors, and locks).
5.Workstation Use (required): Implement policies and procedures that specify the proper functions to be performed, the manner in
which those functions are to be performed, and the physical attributes of the surroundings of a specific workstation or class of
workstation that can access ePHI.
HIPAA compliant database-as-a-service
HIPAA Compliant Hosting Providers can take care of some of the Physical
Safeguards for you.
29. Physical Safeguards
6.Workstation Security (required): Implement physical safeguards for all workstations that
access ePHI, to restrict access to authorized users.
7.Device and Media Controls - Disposal (required): Implement policies and procedures to
address the final disposition of ePHI, and/or the hardware or electronic media on which it is
stored.
8.Device and Media Controls - Media Re-Use (required): Implement procedures for removal of
ePHI from electronic media before the media are made available for re-use.
9.Device and Media Controls - Accountability (addressable): Maintain a record of the
movements of hardware and electronic media and any person responsible therefore.
10.Device and Media Controls - Data Backup and Storage (addressable): Create a
retrievable, exact copy of ePHI, when needed, before movement of equipment.
HIPAA compliant database-as-a-service
30. TrueVault Handles All
Technical Requirements
HIPAA compliant database-as-a-service
Administrative Safeguards
Technical Safeguards
Encryption and Decryption, Key Management,
Key Rotation, Access Control, Unique User
Identification, Emergency Access, Automatic
Logoff, Audit Controls, Mechanism to
Authenticate Electronic PHI, Person or Entity
Authentication, Transmission Security, Integrity
Controls
Physical Safeguards
Facility Access Ctrl, Workstation Use and
Security, Devices and Media Controls
HIPAA Compliant
Hosting
TrueVault
• TrueVault handles both
Technical and Physical
Safeguards.
!
• Develop a healthcare
application without building a
HIPAA compliant infrastructure.
!
• FireHost and AWS have high
minimum charges ($1,115 and
$1,500) and offer no help with
the Technical Safeguards.
31. How Does TrueVault Fit In?
HIPAA compliant database-as-a-service
!
• Developers access TrueVault
via a RESTful API and native
clients.
!
• Typical integration takes days.
TrueVault works just like any
other API services.
!
• TrueVault provides all client-
side and server-side
functionalities required by
HIPAA.
Customer)Backend)Web)
Services))
Standard)Database)
TrueVault)
(HIPAA)Compliant))
non@PHI)Data)
PHI)Data)
(REST)API))
32. TrueVault Features
HIPAA compliant database-as-a-service
JSON Store
The TrueVault JSON Store is a lightweight, document-oriented
storage system, and enables persistent HIPAA compliant storage of
JSON documents.
BLOB Store
The TrueVault BLOB (binary large object) Store offers HIPAA compliant
binary storage for any file format. This includes DICOM files (e.g. X-Rays,
CT Scans, MRIs), PDFs, scanned medical records, images, and videos.
Encrypted Search
Search encrypted data stored in TrueVault. Query (GET) documents
by any field, not just the documentId.
33. TrueVault Features
HIPAA compliant database-as-a-service
Browser-to-TrueVault Upload
Browser-to-TrueVault direct file upload and download web form. You
can upload binary files directly to TrueVault’s BLOB Store using
HTML forms.
User Management and Authentication
User Management console. You can create and manage users, groups,
and permissions via TrueVault so that PHI never touches your stack.
TrueVault provides identity and access management, plus 2-factor
authentication out of the box. Use our identity API for custom access
flows or add Sign-In, Sign-Up, and My Account pages in seconds with
our JavaScript user controls.
Encryption and Decryption
TrueVault encrypts all at-rest data with AES-256 and stores keys
securely. Our infrastructure for healthcare data storage and
transmission runs in a separate hosting environment inaccessible by
our primary services.
34. TrueVault Features
HIPAA compliant database-as-a-service
Audit Control
Every user action and API call is automatically recorded for
compliance. An audit log can be searched and retrieved via our API.
Automatic Logoff
Configure the automatic user session timeout window via our API or the
Management Console.
Emergency Access
Easily add an Emergency Access Request page to your app with a
CNAME record. We’ll handle the authentication flow for you, and
track activities for compliance. Single-user credentials can also be
created via the API for custom emergency workflows.
35. TrueVault Features
HIPAA compliant database-as-a-service
Proactive Monitoring
TrueVault’s proprietary anomaly-based detection algorithm will alert
you, or your customer, when abnormal user activity is detected.
At-Rest Data Integrity
A checksum is computed for every at-rest record, and the integrity of
the data is continuously checked.
Integrity Control and Encryption
TrueVault regularly audits the details of our implementation: the
certificates we serve, our certificate authorities, and our ciphers. We
ensure that browsers and API clients interact with TrueVault over
HTTPS only.
36. HIPAA compliant database-as-a-service
"Becoming HIPAA compliant as an early stage organization was a
daunting task, until we found TrueVault! Their turn-key API has
allowed us to check this box and get back to focusing on our core
product and offering."
Edith Elliott
CEO Noora Health
37. Try TrueVault for Free
HIPAA compliant database-as-a-service
$0.001 / API call / monthFree for Development
• No credit card required.
• No time limit on the free trial period.
• Unlimited API calls and storage.
• But, no BAA and no insurance.
API Calls Monthly Cost
0 -100,000 $100
101,000 $101
250,000 $250
1,000,000 $1,000
• Unlimited JSON documents
• Unlimited BLOB objects
• Business Associated Agreement
• Privacy/Data Breach Insurance
• Service Level Agreement
Get Started