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The document discusses the HIPAA Security Rule and its requirements for ensuring the confidentiality, integrity and availability of protected health information. It outlines the three main safeguards - technical, physical and administrative controls - that healthcare providers must implement. Technical controls include access controls, encryption, auditing and monitoring systems access. Physical controls involve protecting hardware and restricting physical access. Administrative controls consist of security policies, procedures, risk analysis, training and designating a security officer.

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The HIPAA Security Rule establishes national standards to protect individuals’ electronic personal health information that is created, received, used, or maintained by a covered entity. The Security Rule requires appropriate administrative, physical and technical safeguards to ensure the confidentiality, integrity, and security of electronic protected health information. The Security Rule is located at 45 CFR Part 160 and Subparts A and C of Part 164. HIPAA Security Rule list 28 adminstrative safeguards, 12 Physical safeguards, 12 technical safeguards along with specific organization and policies and procedures requirements. EHR 2.0 HIPAA security assessment services help covered entities to discover the gap areas based on the required and addressable requirements. There are two main rules for HIPAA. One is a rule on privacy and the other on Security. The HIPAA Privacy Rule establishes national standards to protect individuals’ medical records and other personal health information and applies to health plans, health care clearinghouses, and those health care providers that conduct certain health care transactions electronically. The Rule requires appropriate safeguards to protect the privacy of personal health information, and sets limits and conditions on the uses and disclosures that may be made of such information without patient authorization. The Rule also gives patients rights over their health information, including rights to examine and obtain a copy of their health records, and to request corrections. The Privacy Rule is located at 45 CFR Part 160 and Subparts A and E of Part 164. How often the security should be reviewed? Security standard mentioned under HIPAA should be reviewed and modified as needed to continue provision of reasonable and appropriate protection of electronic protected health information. Confidentiality Limiting information access and disclosure to authorized users (the right people) Integrity Trustworthiness of information resources (no inappropriate changes) Availability Availability of information resources (at the right time) http://ehr20.com/services/hipaa-security-assessment/

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Under the HIPAA Privacy and Security Rule, business associates are required to perform active risk prevention and safeguarding of patient information that are very important to patient privacy. The HITECH act allows only minimum necessary to be disclosed when handling protected health information (PHI). This security risk assessment exercise has been performed to support the requirements of the Department of Health and Human Services (HHS), Office for the Civil Rights (OCR) and other applicable state data privacy laws and regulations. Upon completion of this risk assessment, a detail risk management plan need to be developed based on the gaps identified from the risk analysis. The gaps identified and recommendations provided are based on the input provided by the staff, budget, scope and other practical considerations

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This 90-minute webinar will detail your practice (or business) information technology and how it relates to the HIPAA/HITECH Security Rule and securing PHI in transmission – what is required and what is myth… I will review multiple examples and specific scenarios and offer simple, common-sense solutions. I will also discuss the do's and don'ts relating to encryption and updated bulletins provided by the Office for Civil Rights. Areas covered will be texting, email, encryption, medical messaging, voice data, personal devices, and risk factors. I will uncover myths versus reality as they relate to this enigmatic law based on over 1000 risk assessments performed and years of experience in dealing directly with the Office for Civil Rights HIPAA auditors. I will speak on specific experiences from over 18 years of experience working as an outsourced compliance auditor and expert witness on multiple HIPAA cases in state law and thoroughly explain how patients can now get cash remedies for wrongful disclosures of private health information. More importantly, I will show you how to limit those risks by taking proactive steps and utilizing best practices. Don't always believe what you read online about HIPAA, especially regarding encryption and IT; many groups sell more than necessary. Register Now, https://conferencepanel.com/conference/2024-hipaa-texting-and-emailing-dos-and-donts

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Chapter 5 HIPAA and HITECH Learning Objectives Understand HIPAA Privacy and Security Rules “Covered entity” and “business associate” Permitted and prohibited disclosure of PHI Individuals’ rights to own PHI Application of Breach Notification Rule Safeguards, standards, and specifications of the Security Rule Civil and criminal penalties under HIPAA Introduction HIPAA protects against threats to security and privacy of personal health information (PHI) HIPAA expanded by HITECH Act Under HIPAA authority, DHHS issued the Privacy and Security Rules Who Is Covered By HIPAA “Covered entities’ and “business associates” Covered entities – health care providers, health plans, and health care clearinghouses. Business associate – persons or organizations doing work for covered entities involving use of individually identifiable health information (e.g., claims processing, utilization review). Covered entities may be held liable for violations by their business associates. HIPAA Privacy Rule Balance the protection and the free flow of personal health information. Use and disclosure of PHI by covered entities. Patients’ rights to understand and control their PHI is used. Implemented and enforced by Office for Civil Rights within DHHS. Information Protected By Privacy Rule All “individually identifiable health information” held or transmitted by a covered entity or its business associate, in any form or media, whether electronic, paper, or oral. This is called “protected health information” (PHI). No restrictions on use or disclosure of information that does not identify an individual. What the Privacy Rule Prohibits A covered entity may use or disclose PHI only when the Privacy Rule requires or permits it, or when the affected individual has given his or her written authorization. Example: AUTHORIZATION FOR RELEASE OF (PHI) PROTECTED HEALTH INFORMATION http://www.uclahealth.org/workfiles/documents/privacy/release-of-health-info-english.pdf 7 Required Disclosure of PHI #1 When the affected individual specifically requests access to or disclosure of his or her PHI. #2 When the DHHS seeks access in the course of a compliance investigation or review, or an enforcement action. Permitted Disclosure of PHI Disclosure to the subject of the information. For use in treatment and payment activities. When individual can agree with or object to the disclosure. Disclosure is incidental, “minimum necessary”, and privacy safeguards exist. For “national priority purposes”. In the form of a “limited data set”. “Minimum Necessary” Principle Whether disclosure is required, permitted, or authorized, a covered entity must make reasonable efforts to use, disclose, and request only the minimum amount of PHI needed to accomplish its intended purpose. Notice of Privacy Practices Each covered entity must provide a notice of its privacy practices, including …. ways in which the entity may use or disclose the PHI entity’s d ...

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