This document contains the regulation text for the HIPAA Administrative Simplification rules established by the U.S. Department of Health and Human Services. It includes definitions for over 50 key terms related to HIPAA, outlines the general administrative requirements for covered entities, and addresses preemption of state law and compliance/enforcement procedures.
This document provides an overview and analysis of the 2017 global monitoring report on progress toward universal health coverage. It discusses key concepts around measuring coverage of essential health services, equity, and financial protection. The report introduces the index of essential health services as an approach to operationalizing measurement of service coverage for SDG indicator 3.8.1. Initial findings show gaps in coverage globally and trends over time. It also examines measures of financial protection, how they are defined and calculated, and issues around data and missing information.
This document is Harris County Appraisal District's 2016 Mass Appraisal Report. It provides an overview of the district's responsibilities, general assumptions, and scope of work. It describes the properties appraised, determination of highest and best use, and appraisal performance tests. It then provides more detailed reports by appraisal divisions, including residential, commercial, agricultural, and business personal property. Each division section describes scope of work, data collection and validation, modeling approaches, and review processes. The report aims to provide transparency into the district's mass appraisal methods and ensure compliance with appraisal standards.
MTM Certification - Candidate handbook - BCMTMS - 2020
Visit www.nbmtm.org for details.
The National Board of Medication Therapy Management (NBMTM) is a pharmacist-led, 501(c)(3) nonprofit and independent evaluation organization whose purpose is to advance the profession of pharmacy and empower pharmacists specifically focusing on medication therapy management (MTM). Our accountability is both to the profession of pharmacy and to the public.
NBMTM is the first and only organization to offer MTM certification to pharmacists. The mission of the NBMTM is to serve the public by improving the quality of pharmaceutical care through a valid and reliable process of certification and maintenance of certification in medication therapy management.
This document is the 2021 Board Certified Medication Therapy Management Specialist (BCMTMS) Handbook published by the National Board of Medication Therapy Management (NBMTM). It provides information on NBMTM and the certification process, including eligibility requirements, the application process, exam structure and administration. Key details include that the exam is developed through a rigorous question review and selection process to ensure validity. The handbook also outlines the code of ethics, application sections, post-application procedures, testing windows, and scheduling exams for approved applicants.
This document provides an overview of ethical hacking concepts and techniques, including footprinting, scanning, enumeration, and common tools used. It discusses the goals and processes of attackers, as well as important legal and ethical considerations. Footprinting involves passively gathering open-source information on a target organization like domain names, IP addresses, and technology used. Scanning uses tools like ping sweeps, port scanning with Nmap, and banner grabbing to identify active devices and services on a network. Enumeration discovers additional details about the target through techniques such as NetBIOS sessions, Active Directory information gathering, and SNMP scans. The document stresses the importance of only using these techniques with authorization and for legitimate security evaluation purposes.
The Guide to Medicare Preventative Services for Physicans, Providers and Supp...Tim Boucher
This guide was prepared as a service to the public and is not intended to grant rights or impose obligations. This guide may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations, and other interpretive materials for a full and accurate statement of their contents. Read more..
Impact Assessment of the Community Animal Health System in Mandera West Distr...copppldsecretariat
The pastoralist communities in Kenya’s arid lands rely on their livestock for food and income, and basic veterinary care is one of the best ways to protect livestock assets and pastoralist livelihoods in these areas. This report examines the impact of a privatized, community-based veterinary service in the far northeast of Kenya, and focuses on the outcomes of clinical services provided by community-based animal health workers (CAHWs). Fatality rates in herds in treated by CAHWs using medicines from rural pharmacies were significantly lower than in herds where treatments were provided by untrained livestock keepers. The report adds to the substantial body of evidence already collected in Kenya on the impact and financial rationale for CAHW systems. Although many other countries have now legalized these systems and developed national guidelines for CAHW training, Kenya has yet to officially recognize CAHWs and overall, veterinary services in pastoralist areas often remain in the hands of untrained workers and unlicensed drug vendors.
[ Originally posted on http://www.cop-ppld.net/cop_knowledge_base ]
This systematic literature review examined the economic implications of chemotherapy-induced diarrhea (CID) and its impact on quality of life. The review identified 22 studies, including 17 that assessed health-related quality of life and 5 that evaluated healthcare resource utilization. Only 2 studies specifically examined quality of life in patients experiencing CID. The cost studies found that CID episodes are expensive and could be avoided with earlier diagnosis and treatment. Overall, better management of CID could reduce costs and improve patient quality of life, though more large-scale studies are needed to fully understand the economic and humanistic burden of CID.
This document provides an overview and analysis of the 2017 global monitoring report on progress toward universal health coverage. It discusses key concepts around measuring coverage of essential health services, equity, and financial protection. The report introduces the index of essential health services as an approach to operationalizing measurement of service coverage for SDG indicator 3.8.1. Initial findings show gaps in coverage globally and trends over time. It also examines measures of financial protection, how they are defined and calculated, and issues around data and missing information.
This document is Harris County Appraisal District's 2016 Mass Appraisal Report. It provides an overview of the district's responsibilities, general assumptions, and scope of work. It describes the properties appraised, determination of highest and best use, and appraisal performance tests. It then provides more detailed reports by appraisal divisions, including residential, commercial, agricultural, and business personal property. Each division section describes scope of work, data collection and validation, modeling approaches, and review processes. The report aims to provide transparency into the district's mass appraisal methods and ensure compliance with appraisal standards.
MTM Certification - Candidate handbook - BCMTMS - 2020
Visit www.nbmtm.org for details.
The National Board of Medication Therapy Management (NBMTM) is a pharmacist-led, 501(c)(3) nonprofit and independent evaluation organization whose purpose is to advance the profession of pharmacy and empower pharmacists specifically focusing on medication therapy management (MTM). Our accountability is both to the profession of pharmacy and to the public.
NBMTM is the first and only organization to offer MTM certification to pharmacists. The mission of the NBMTM is to serve the public by improving the quality of pharmaceutical care through a valid and reliable process of certification and maintenance of certification in medication therapy management.
This document is the 2021 Board Certified Medication Therapy Management Specialist (BCMTMS) Handbook published by the National Board of Medication Therapy Management (NBMTM). It provides information on NBMTM and the certification process, including eligibility requirements, the application process, exam structure and administration. Key details include that the exam is developed through a rigorous question review and selection process to ensure validity. The handbook also outlines the code of ethics, application sections, post-application procedures, testing windows, and scheduling exams for approved applicants.
This document provides an overview of ethical hacking concepts and techniques, including footprinting, scanning, enumeration, and common tools used. It discusses the goals and processes of attackers, as well as important legal and ethical considerations. Footprinting involves passively gathering open-source information on a target organization like domain names, IP addresses, and technology used. Scanning uses tools like ping sweeps, port scanning with Nmap, and banner grabbing to identify active devices and services on a network. Enumeration discovers additional details about the target through techniques such as NetBIOS sessions, Active Directory information gathering, and SNMP scans. The document stresses the importance of only using these techniques with authorization and for legitimate security evaluation purposes.
The Guide to Medicare Preventative Services for Physicans, Providers and Supp...Tim Boucher
This guide was prepared as a service to the public and is not intended to grant rights or impose obligations. This guide may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations, and other interpretive materials for a full and accurate statement of their contents. Read more..
Impact Assessment of the Community Animal Health System in Mandera West Distr...copppldsecretariat
The pastoralist communities in Kenya’s arid lands rely on their livestock for food and income, and basic veterinary care is one of the best ways to protect livestock assets and pastoralist livelihoods in these areas. This report examines the impact of a privatized, community-based veterinary service in the far northeast of Kenya, and focuses on the outcomes of clinical services provided by community-based animal health workers (CAHWs). Fatality rates in herds in treated by CAHWs using medicines from rural pharmacies were significantly lower than in herds where treatments were provided by untrained livestock keepers. The report adds to the substantial body of evidence already collected in Kenya on the impact and financial rationale for CAHW systems. Although many other countries have now legalized these systems and developed national guidelines for CAHW training, Kenya has yet to officially recognize CAHWs and overall, veterinary services in pastoralist areas often remain in the hands of untrained workers and unlicensed drug vendors.
[ Originally posted on http://www.cop-ppld.net/cop_knowledge_base ]
This systematic literature review examined the economic implications of chemotherapy-induced diarrhea (CID) and its impact on quality of life. The review identified 22 studies, including 17 that assessed health-related quality of life and 5 that evaluated healthcare resource utilization. Only 2 studies specifically examined quality of life in patients experiencing CID. The cost studies found that CID episodes are expensive and could be avoided with earlier diagnosis and treatment. Overall, better management of CID could reduce costs and improve patient quality of life, though more large-scale studies are needed to fully understand the economic and humanistic burden of CID.
The document provides a case study of the primary health care system in Thailand. It details the development of Thailand's PHC system over time, from establishment of the "village health volunteer" program in the 1960s to recent universal health coverage reforms. The study examines Thailand's PHC-related governance, financing, human resources, planning and implementation processes. It finds that Thailand has achieved universal health coverage through a mixed single-payer and social health insurance system that relies on primary care services as the foundation of care. However, ongoing challenges include physician shortages in rural areas and a need to strengthen regulatory and monitoring systems to better support PHC delivery.
This document is an investor guide published by Entergy Corporation that provides statistics and financial information over the past 5 years to support analysis of Entergy's performance. Some key details:
- Entergy is an integrated energy company engaged in electric power production and retail distribution with over 30,000 megawatts of generating capacity. It serves over 2.7 million utility customers across 4 states.
- The report provides 5 years of financial metrics and operating data for Entergy Corporation as well as its major subsidiaries. It includes statistics on revenues, expenses, assets, liabilities and other financial details.
- Entergy owns and operates nuclear power plants, with over 30,000 megawatts of electric generating capacity making
This document provides a workbook to guide mentoring programs through the process of self-evaluation. The workbook contains 10 chapters that walk programs through getting started with evaluation, developing a logic model, determining what and when to measure, collecting and analyzing data, and applying lessons learned. The workbook includes worksheets, examples, and references to help mentoring programs understand and complete the self-evaluation process. The goal is for programs to learn what aspects of their work are effective and how they can continually improve services for their clients.
Principios de epidemiologia en salud publicaTere Franco
This document provides an introduction to a self-study course on principles of epidemiology in public health practice. The course consists of 6 lessons that cover topics such as descriptive and analytic epidemiology, summarizing data, measures of risk, displaying public health data, public health surveillance, and investigating an outbreak. Each lesson includes reading assignments, exercises, and a self-assessment quiz. The goal of the course is for students to learn epidemiological concepts and procedures useful for disease surveillance and investigation. Continuing education credits are available by completing an online evaluation and examination after finishing the self-study materials.
This document provides an overview and requirements for a hotel reservation system. It includes sections on version control, system scope and rationale, functional and non-functional requirements, use cases, interaction diagrams, software architecture, and object design. The system will allow guests to make, view, and cancel reservations online and will enable hotel staff to check guests in/out, manage cleaning status, and maintain user and room data.
The document describes indicators and methodology to measure the role of livestock in livelihoods and gender dynamics. It outlines 6 indicators related to: 1) livestock ownership and importance as an asset; 2) access to technologies and services; 3) livestock production and productivity; 4) labor use in livestock systems; 5) contribution of livestock to income; and 6) role of livestock in food security. For each indicator, it provides the rationale and describes the data needed and calculations. The focus is on collecting sex-disaggregated data on livestock ownership, use of inputs/services, and roles/work to understand gender dynamics within livestock systems.
The United States Military Retired Handbook is designed to help all U.S. Military personnel who have retired – or who are planning to retire. This unique guide covers everything from the nuts and bolts of computing your Retirement Pay to the detailed explanations of retired military Healthcare, TRICARE, Social Security, VA, SBP, taxes, insurance, travel, survivor benefits and much more!
This document provides information about the Graduate Aptitude Test in Engineering (GATE) 2014 examination. It outlines the application process, exam structure and format, eligibility requirements, important dates, and post-exam details such as results and scoring. New changes for GATE 2014 are highlighted, including the continuation of changes introduced in GATE 2013. Comprehensive syllabi are provided for the various subject papers, along with frequently asked questions about the application, admission card, and exam. Authorities empowered to issue certificates for scheduled caste/tribe and persons with disabilities are listed in appendices.
This document outlines the rules for Zambia's Central Securities Depository (CSD) system. Some key points:
1. The CSD is operated by the Bank of Zambia and maintains records of ownership and settles transactions for securities issued by the Zambian government and other eligible issuers.
2. Eligible securities include government bonds, treasury bills, and other instruments issued through the CSD system. The CSD record serves as the primary register of ownership.
3. Transactions can settle on a delivery-versus-payment basis through a link to the national payments system. This ensures final settlement of transactions.
This document is a guide to services for people experiencing homelessness in Toronto. It provides contact information for over 50 services across various categories including housing help, meals, healthcare, addiction support, shelters, outreach programs, and more. It encourages readers to call ahead to confirm details of service operations.
This document describes the process of revising the 2000 CDC growth charts for children in the United States. It outlines concerns with the previous 1977 growth charts, data sources and methods used to create the revised charts, and key differences and improvements in the new charts. The revision incorporated recent growth data from multiple national health surveys, excluded implausible records, and used statistical smoothing procedures to create the new growth percentile curves. The 2000 CDC growth charts provide an updated standard to assess growth in U.S. children.
This document discusses improving infection prevention and control in Ethiopian health facilities through supportive supervision visits. It provides background on previous technical assistance to Ethiopia on injection safety and healthcare waste management. It then describes the approach taken, which involved conducting supportive supervision visits to assess infection prevention practices, equipment/supplies, and provide recommendations. Key findings included need for improved IPC program management, adherence to standard practices, and ensuring adequate equipment/supplies. Recommendations focused on addressing challenges, continuing supportive supervision, and prioritizing IPC program strengthening.
This document provides a summary of a 2012-2013 community needs assessment for Lincoln County, Oregon conducted on behalf of Head Start of Lincoln County. Key findings include:
1) Lincoln County faces high rates of poverty, food insecurity, unemployment, lack of affordable housing and healthcare access.
2) The county's population is growing older and more diverse, with many families struggling to afford basic needs like housing, childcare, transportation and healthcare.
3) The assessment identifies gaps in early childhood education, healthcare services, transportation, and affordable housing in Lincoln County and provides recommendations to address community needs.
This document is a manual on removable partial dentures. It covers topics such as components of partial dentures, classification systems, abutment preparation including rests and guiding planes, major connectors, minor connectors, direct and indirect retainers, denture bases and teeth. The table of contents outlines over 20 sections that will be covered in the manual related to the design, fabrication and use of removable partial dentures.
Handbook explains the very latest information on federal appointments including temporary, term, career and career-conditional appointments, probationary period, performance appraisals, transferring to other federal jobs, reinstatement rights, reductions in force (RIF) rules, the rights of military personnel, employment of Military retirees, Senior Executive Service, workers’ compensation, ethics regulations, and more!
This document outlines competencies for federal librarians across several domains, including:
- Foundational competencies like cognitive analysis, communication, emotional intelligence, leadership, professional knowledge, and technology application.
- Functional competencies including collection management, content organization, knowledge management, library leadership and advocacy, library technology management, and reference and research.
- It provides descriptions and examples of the knowledge and skills needed in each competency area.
The document is intended to define the competencies expected of federal librarians and help them evaluate their own skills.
This document is an investor guide published by Entergy Corporation that provides statistics and financial information for the years 2001-2005 to support analysis of the company's performance. Entergy is an integrated energy company involved in electric power production and distribution with over $10 billion in annual revenues and approximately 14,500 employees across operations in several states. The guide includes select financial data, metrics, plant statistics, and other information for both Entergy Corporation as a whole and its individual business segments to help investors understand and evaluate the company's operations and results.
AIDSTAR-One Assessment of Infection Prevention and Patient Safety Commodities...AIDSTAROne
In Ethiopia, ensuring a sufficient and sustainable supply of infection prevention and patient safety (IPPS) commodities is an important strategy to combat the high risk of transmission of health care–associated infections. However, there is a lack of awareness on the proper utilization of IPPS commodities by health care workers, and a lack of accurate data on the quantity of essential IPPS commodities needed by the health care system to adequately protect workers, patients, and the community from health care-associated infections. This assessment used a consultative approach to develop a national standardized and prioritized list of IPPS commodities for all levels of health care facilities, and quantified the annual need of IPPS commodities for the four levels of health care facilities in Ethiopia. This report summarizes the findings of the assessment.
www.aidstar-one.com/focus_areas/prevention/resources/reports/ethiopia_ipps
This document provides instructions on making preliminary impressions for complete dentures using an irreversible hydrocolloid (alginate) syringe technique. It emphasizes the importance of custom trays and border molding to accurately capture critical anatomical details like the vestibular tissues. This helps prevent distortion and ensures an effective denture seal for retention. The syringe technique is recommended to ensure alginate captures anatomy sometimes missed using simple tray impressions. Diagnostic casts poured from the preliminary impressions allow for custom tray fabrication.
This document provides the Product Disclosure Statement and policy wording for an insurance policy designed for child care facilities. It includes 14 sections that provide coverage for property damage, loss of income, crime, glass breakage, equipment breakdown, general liability, professional liability, liability of officials, employment practices liability, and other coverage. Key benefits include property and income protection, liability coverage, funding for claims expenses, and various extensions of coverage. Requirements include paying premiums and adhering to applicable limits, exclusions, conditions and the insurer's terms.
How to Effectively Negotiate a Business Associate Agreement: What’s Importan...Compliancy Group
At some point, nearly all HIPAA covered entities and business associates must enter into business associate agreements (BAAs). Far too often though, entities commit one of two errors when doing so - they either sign a BAA “as is” without careful consideration of its terms or they negotiate each and every item in the agreement. The first error may result in significant costs and liability, and the second wastes time and money. This webinar will address the terms and conditions of BAAs that require your attention, and which ones you shouldn’t lose any sleep over. The webinar will give both covered entities and business associates the tools they need to identify and address BAA risks, while protecting their business and saving time and money.
Shipman & Goodwin LLP attorneys have negotiated thousands of BAAs for small providers, Fortune 500 companies and everyone in between.
This document outlines a 7 step checklist for covered entities to update their policies and procedures to comply with new HIPAA guidelines established by the HITECH Act. The steps include: 1) reviewing business associate agreements, 2) preparing breach notification plans, 3) revising policies for PHI restrictions, 4) handling requests for EHR records, 5) updating marketing guidelines, 6) accounting for disclosures of PHI, and 7) revising privacy notices to address the new requirements. Completing this checklist will help covered entities meet their obligations under the expanded HIPAA rules.
The document provides a case study of the primary health care system in Thailand. It details the development of Thailand's PHC system over time, from establishment of the "village health volunteer" program in the 1960s to recent universal health coverage reforms. The study examines Thailand's PHC-related governance, financing, human resources, planning and implementation processes. It finds that Thailand has achieved universal health coverage through a mixed single-payer and social health insurance system that relies on primary care services as the foundation of care. However, ongoing challenges include physician shortages in rural areas and a need to strengthen regulatory and monitoring systems to better support PHC delivery.
This document is an investor guide published by Entergy Corporation that provides statistics and financial information over the past 5 years to support analysis of Entergy's performance. Some key details:
- Entergy is an integrated energy company engaged in electric power production and retail distribution with over 30,000 megawatts of generating capacity. It serves over 2.7 million utility customers across 4 states.
- The report provides 5 years of financial metrics and operating data for Entergy Corporation as well as its major subsidiaries. It includes statistics on revenues, expenses, assets, liabilities and other financial details.
- Entergy owns and operates nuclear power plants, with over 30,000 megawatts of electric generating capacity making
This document provides a workbook to guide mentoring programs through the process of self-evaluation. The workbook contains 10 chapters that walk programs through getting started with evaluation, developing a logic model, determining what and when to measure, collecting and analyzing data, and applying lessons learned. The workbook includes worksheets, examples, and references to help mentoring programs understand and complete the self-evaluation process. The goal is for programs to learn what aspects of their work are effective and how they can continually improve services for their clients.
Principios de epidemiologia en salud publicaTere Franco
This document provides an introduction to a self-study course on principles of epidemiology in public health practice. The course consists of 6 lessons that cover topics such as descriptive and analytic epidemiology, summarizing data, measures of risk, displaying public health data, public health surveillance, and investigating an outbreak. Each lesson includes reading assignments, exercises, and a self-assessment quiz. The goal of the course is for students to learn epidemiological concepts and procedures useful for disease surveillance and investigation. Continuing education credits are available by completing an online evaluation and examination after finishing the self-study materials.
This document provides an overview and requirements for a hotel reservation system. It includes sections on version control, system scope and rationale, functional and non-functional requirements, use cases, interaction diagrams, software architecture, and object design. The system will allow guests to make, view, and cancel reservations online and will enable hotel staff to check guests in/out, manage cleaning status, and maintain user and room data.
The document describes indicators and methodology to measure the role of livestock in livelihoods and gender dynamics. It outlines 6 indicators related to: 1) livestock ownership and importance as an asset; 2) access to technologies and services; 3) livestock production and productivity; 4) labor use in livestock systems; 5) contribution of livestock to income; and 6) role of livestock in food security. For each indicator, it provides the rationale and describes the data needed and calculations. The focus is on collecting sex-disaggregated data on livestock ownership, use of inputs/services, and roles/work to understand gender dynamics within livestock systems.
The United States Military Retired Handbook is designed to help all U.S. Military personnel who have retired – or who are planning to retire. This unique guide covers everything from the nuts and bolts of computing your Retirement Pay to the detailed explanations of retired military Healthcare, TRICARE, Social Security, VA, SBP, taxes, insurance, travel, survivor benefits and much more!
This document provides information about the Graduate Aptitude Test in Engineering (GATE) 2014 examination. It outlines the application process, exam structure and format, eligibility requirements, important dates, and post-exam details such as results and scoring. New changes for GATE 2014 are highlighted, including the continuation of changes introduced in GATE 2013. Comprehensive syllabi are provided for the various subject papers, along with frequently asked questions about the application, admission card, and exam. Authorities empowered to issue certificates for scheduled caste/tribe and persons with disabilities are listed in appendices.
This document outlines the rules for Zambia's Central Securities Depository (CSD) system. Some key points:
1. The CSD is operated by the Bank of Zambia and maintains records of ownership and settles transactions for securities issued by the Zambian government and other eligible issuers.
2. Eligible securities include government bonds, treasury bills, and other instruments issued through the CSD system. The CSD record serves as the primary register of ownership.
3. Transactions can settle on a delivery-versus-payment basis through a link to the national payments system. This ensures final settlement of transactions.
This document is a guide to services for people experiencing homelessness in Toronto. It provides contact information for over 50 services across various categories including housing help, meals, healthcare, addiction support, shelters, outreach programs, and more. It encourages readers to call ahead to confirm details of service operations.
This document describes the process of revising the 2000 CDC growth charts for children in the United States. It outlines concerns with the previous 1977 growth charts, data sources and methods used to create the revised charts, and key differences and improvements in the new charts. The revision incorporated recent growth data from multiple national health surveys, excluded implausible records, and used statistical smoothing procedures to create the new growth percentile curves. The 2000 CDC growth charts provide an updated standard to assess growth in U.S. children.
This document discusses improving infection prevention and control in Ethiopian health facilities through supportive supervision visits. It provides background on previous technical assistance to Ethiopia on injection safety and healthcare waste management. It then describes the approach taken, which involved conducting supportive supervision visits to assess infection prevention practices, equipment/supplies, and provide recommendations. Key findings included need for improved IPC program management, adherence to standard practices, and ensuring adequate equipment/supplies. Recommendations focused on addressing challenges, continuing supportive supervision, and prioritizing IPC program strengthening.
This document provides a summary of a 2012-2013 community needs assessment for Lincoln County, Oregon conducted on behalf of Head Start of Lincoln County. Key findings include:
1) Lincoln County faces high rates of poverty, food insecurity, unemployment, lack of affordable housing and healthcare access.
2) The county's population is growing older and more diverse, with many families struggling to afford basic needs like housing, childcare, transportation and healthcare.
3) The assessment identifies gaps in early childhood education, healthcare services, transportation, and affordable housing in Lincoln County and provides recommendations to address community needs.
This document is a manual on removable partial dentures. It covers topics such as components of partial dentures, classification systems, abutment preparation including rests and guiding planes, major connectors, minor connectors, direct and indirect retainers, denture bases and teeth. The table of contents outlines over 20 sections that will be covered in the manual related to the design, fabrication and use of removable partial dentures.
Handbook explains the very latest information on federal appointments including temporary, term, career and career-conditional appointments, probationary period, performance appraisals, transferring to other federal jobs, reinstatement rights, reductions in force (RIF) rules, the rights of military personnel, employment of Military retirees, Senior Executive Service, workers’ compensation, ethics regulations, and more!
This document outlines competencies for federal librarians across several domains, including:
- Foundational competencies like cognitive analysis, communication, emotional intelligence, leadership, professional knowledge, and technology application.
- Functional competencies including collection management, content organization, knowledge management, library leadership and advocacy, library technology management, and reference and research.
- It provides descriptions and examples of the knowledge and skills needed in each competency area.
The document is intended to define the competencies expected of federal librarians and help them evaluate their own skills.
This document is an investor guide published by Entergy Corporation that provides statistics and financial information for the years 2001-2005 to support analysis of the company's performance. Entergy is an integrated energy company involved in electric power production and distribution with over $10 billion in annual revenues and approximately 14,500 employees across operations in several states. The guide includes select financial data, metrics, plant statistics, and other information for both Entergy Corporation as a whole and its individual business segments to help investors understand and evaluate the company's operations and results.
AIDSTAR-One Assessment of Infection Prevention and Patient Safety Commodities...AIDSTAROne
In Ethiopia, ensuring a sufficient and sustainable supply of infection prevention and patient safety (IPPS) commodities is an important strategy to combat the high risk of transmission of health care–associated infections. However, there is a lack of awareness on the proper utilization of IPPS commodities by health care workers, and a lack of accurate data on the quantity of essential IPPS commodities needed by the health care system to adequately protect workers, patients, and the community from health care-associated infections. This assessment used a consultative approach to develop a national standardized and prioritized list of IPPS commodities for all levels of health care facilities, and quantified the annual need of IPPS commodities for the four levels of health care facilities in Ethiopia. This report summarizes the findings of the assessment.
www.aidstar-one.com/focus_areas/prevention/resources/reports/ethiopia_ipps
This document provides instructions on making preliminary impressions for complete dentures using an irreversible hydrocolloid (alginate) syringe technique. It emphasizes the importance of custom trays and border molding to accurately capture critical anatomical details like the vestibular tissues. This helps prevent distortion and ensures an effective denture seal for retention. The syringe technique is recommended to ensure alginate captures anatomy sometimes missed using simple tray impressions. Diagnostic casts poured from the preliminary impressions allow for custom tray fabrication.
This document provides the Product Disclosure Statement and policy wording for an insurance policy designed for child care facilities. It includes 14 sections that provide coverage for property damage, loss of income, crime, glass breakage, equipment breakdown, general liability, professional liability, liability of officials, employment practices liability, and other coverage. Key benefits include property and income protection, liability coverage, funding for claims expenses, and various extensions of coverage. Requirements include paying premiums and adhering to applicable limits, exclusions, conditions and the insurer's terms.
How to Effectively Negotiate a Business Associate Agreement: What’s Importan...Compliancy Group
At some point, nearly all HIPAA covered entities and business associates must enter into business associate agreements (BAAs). Far too often though, entities commit one of two errors when doing so - they either sign a BAA “as is” without careful consideration of its terms or they negotiate each and every item in the agreement. The first error may result in significant costs and liability, and the second wastes time and money. This webinar will address the terms and conditions of BAAs that require your attention, and which ones you shouldn’t lose any sleep over. The webinar will give both covered entities and business associates the tools they need to identify and address BAA risks, while protecting their business and saving time and money.
Shipman & Goodwin LLP attorneys have negotiated thousands of BAAs for small providers, Fortune 500 companies and everyone in between.
This document outlines a 7 step checklist for covered entities to update their policies and procedures to comply with new HIPAA guidelines established by the HITECH Act. The steps include: 1) reviewing business associate agreements, 2) preparing breach notification plans, 3) revising policies for PHI restrictions, 4) handling requests for EHR records, 5) updating marketing guidelines, 6) accounting for disclosures of PHI, and 7) revising privacy notices to address the new requirements. Completing this checklist will help covered entities meet their obligations under the expanded HIPAA rules.
1) This document is a business associate agreement between a covered entity and business associate to comply with HIPAA regulations regarding protected health information.
2) It defines key terms like protected health information and electronic protected health information.
3) It outlines the responsibilities of both parties to only use and disclose PHI as permitted and to implement security measures to safeguard electronic PHI. The business associate must also report any unauthorized uses/disclosures or security incidents of PHI to the covered entity.
HIPAA establishes standards to protect private health information and electronic health information. It covers protected health information, which is individually identifiable health information that is created or received by a covered entity. HIPAA applies to forms, spoken communication, emails, faxes and other media. It gives patients rights over their private health information and requires covered entities to have security measures, compliance policies, and penalties for violations or noncompliance.
HIPAA Training: Preventing Employees from Violating HIPAAjbhicks
This document discusses the importance of continuous HIPAA training for healthcare organization employees to prevent violations of patient privacy. It recommends addressing specific issues through repeated training on HIPAA rules at hire, annually, and during staff meetings using various active learning methods like exercises, simulations, and discussions. Proper training programs clearly identify HIPAA guidelines, laws, and potential consequences of non-compliance to help employees embrace privacy protocols.
This document provides an overview of HIPAA compliance training. It defines key HIPAA terms like protected health information and covered entities. It explains how to properly use and disclose PHI according to HIPAA's minimum necessary standard. The document also analyzes 4 scenarios involving common HIPAA violations and proposes solutions, such as implementing access controls and security awareness training. It closes by noting the penalties for noncompliance with HIPAA privacy rules.
This document provides an overview of the Health Insurance Portability and Accountability Act (HIPAA). It discusses the background and objectives of HIPAA in ensuring privacy of health information. It describes the key aspects of HIPAA including the Privacy Rule, Security Rule, and definitions of protected health information. It also outlines enforcement measures for non-compliance and additional regulations like HITECH that have expanded HIPAA's requirements. Challenges of ensuring HIPAA compliance are discussed as well.
This document provides an overview of HIPAA regulations regarding protected health information and identifies which campus entities may be covered. It explains that health plans, health care providers that conduct electronic transactions, and health care clearinghouses are covered. It evaluates examples of health plans and providers on campuses to determine if they would be covered, such as employee insurance plans but not an on-campus student health clinic. It emphasizes analyzing the specific definitions of covered transactions and entities to accurately assess a campus's exposure and compliance requirements under HIPAA.
This document provides an overview of HIPAA privacy and security training for employees at a covered entity. It discusses key topics including what constitutes protected health information (PHI) under HIPAA, how PHI can be used and disclosed, minimum necessary standards, security safeguards, breach notification requirements, and penalties for noncompliance. Employees are informed that strict compliance with HIPAA privacy and security policies is required to protect patient information.
The document discusses HIPAA regulations regarding patient privacy. It explains that HIPAA was passed in 1996 to set national standards for protecting patients' medical records and personal health information. Key aspects of HIPAA include defining protected health information, requiring facilities to implement privacy policies and provide privacy training, and giving patients rights over their health information including access and confidentiality. Facilities and individuals can face penalties for HIPAA violations.
This document provides an overview of the Health Insurance Portability and Accountability Act (HIPAA) for employees at Central Michigan University who have access to protected health information (PHI). It explains that HIPAA training is required to familiarize employees with regulations, policies, and procedures regarding PHI to ensure compliance. Key points covered include what information is considered PHI and protected under HIPAA, who is subject to HIPAA requirements, how PHI may be used and disclosed, and safeguards for handling PHI. Non-compliance with HIPAA can result in penalties including disciplinary action, civil penalties up to $1.5 million per violation, and criminal penalties up to $250,000 and imprisonment.
HIPAA 101 Privacy and Security Training by University of Californa San FranciscoAtlantic Training, LLC.
This document provides an overview of privacy and security training at the University of California, San Francisco (UCSF). It explains that the training covers requirements under laws like HIPAA, HITECH, and California state privacy laws to protect patient information. The training is required for faculty, staff, students and other workforce members at UCSF. It aims to educate about protecting confidential data, permissible uses of information, computer security practices, and how to report any privacy breaches. Failure to comply with these privacy rules and policies can result in civil and criminal penalties including large fines and imprisonment.
HIPAA Workforce Training by Wayne-Holmes Mental Health Recovery BoardAtlantic Training, LLC.
This document provides an overview and summary of HIPAA privacy and security training for board members. It begins by stating that completion of HIPAA training is mandatory. It then defines what HIPAA is and its two primary purposes of providing continuous health insurance and reducing costs through electronic data transmission. The document outlines what HIPAA requires of covered entities like the MHRB, including creating policies and procedures. It provides questions the training will answer about HIPAA and what it does. The rest of the document summarizes key HIPAA concepts like what is protected health information, who must follow HIPAA, how it impacts transactions and privacy, and rules around use and disclosure of PHI.
The document provides an introduction to the Health Insurance Portability and Accountability Act (HIPAA) for health care professionals. It discusses key aspects of HIPAA including protecting patient health information, permitted uses and disclosures of protected health information, and patients' rights to control their health information. The document emphasizes the importance of keeping patient information private and only accessing it when necessary to perform one's job. Violations can result in civil and criminal penalties.
This document outlines the policy wording for Zurich Business Insurance. It includes information about Zurich as the insurer, the insured's legal agreement with Zurich, general information and exclusions that apply to the policy, procedures for claims, and coverage details for various types of business insurance like property, business interruption, theft, money, machinery, electronic equipment, liability and more. Key terms are defined.
This document outlines the policy wording for Zurich Business Insurance. It includes information about Zurich as the insurer, the insured's legal agreement with Zurich, general information and exclusions that apply to the policy, procedures for claims, and coverage details for various types of business insurance policies (e.g. property, business interruption, theft, money, machinery). It provides the terms and conditions of the insurance contracts between Zurich and its business customers.
This document is the policy wording for a Zurich Steadfast General and Products Liability Insurance policy. It includes definitions of key terms used in the policy such as advertising injury, bodily injury, occurrence, named insured, and products liability. It also outlines important information for policyholders regarding cooling-off periods, complaints handling, and claims procedures. The document provides the detailed terms and conditions of the general liability and products liability coverage provided by the insurance policy.
A Patient's Guide to Hip Replacement Surgery: St. Agnes HospitalAgnesian HealthCare
Thank you for choosing the Agnesian Center for Bone & Joint Health for your joint replacement surgery. We
hope our mission of providing compassionate care that brings hope, health and wellness to all we serve is
evident in the care you receive. We trust that our associates and your surgeon provided you with the educational
opportunity to prepare yourself adequately for your joint replacement surgery.
A Patient's Guide to Hip Replacement Surgery: Waupun Memorial HospitalAgnesian HealthCare
Thank you for choosing the Agnesian Center for Bone & Joint Health for your joint replacement surgery. We
hope our mission of providing compassionate care that brings hope, health and wellness to all we serve is
evident in the care you receive. We trust that our associates and your surgeon provided you with the educational
opportunity to prepare yourself adequately for your joint replacement surgery.
2008 Annual Report Wasso Hospital, Ngorongoro, TanzaniaChristian van Rij
2008 Annual Report of Wasso Hospital: Ngorongoro's District Designated Hospital.
In this report you will find some background information of our hospital and a summery of our achievements and challenges in 2008.
A Patient's Guide to Knee Replacement Surgery: Ripon Medical CenterAgnesian HealthCare
Thank you for choosing the Agnesian Center for Bone & Joint Health for your joint replacement surgery. We hope our mission of providing compassionate care that brings hope, health and wellness to all we serve is evident in the care you receive. We trust that our associates and your surgeon provided you with the educational opportunity to prepare yourself adequately for your joint replacement surgery.
This document is a product disclosure statement that describes Zurich's Taxi Insurance Composite Cover. It outlines what the policy covers, including own damage to the taxi and third party liability. It also describes how premiums are calculated, how to make a claim, privacy policies, and complaint procedures. The policy provides insurance protection for taxis and taxi drivers.
A Patient's Guide to Knee Replacement Surgery: Waupun Memorial HospitalAgnesian HealthCare
Thank you for choosing the Agnesian Center for Bone & Joint Health for your joint replacement surgery. We hope our mission of providing compassionate care that brings hope, health and wellness to all we serve is evident in the care you receive. We trust that our associates and your surgeon provided you with the educational opportunity to prepare yourself adequately for your joint replacement surgery.
The Vermont Department of Health and key stakeholders conducted this Health Impact Assessment of the possible effects that could result from regulating and taxing adult marijuana use on the health of Vermonters.
Vermont has a long history with Drugs, Alcohol, Prescription Drugs and Medicinal Marijuana. Can Vermont afford recreational Marijuana? Will there be Drug Free, Drug Tested Jobs and Jobs for people that partake?
Annual Report and Accounts 2012-13 FINAL(including Quality&Accounts)Kevin-Alan Pugh
The annual report summarizes the activities of Mid Staffordshire NHS Foundation Trust for the period of April 2012 to March 2013. Key events included Monitor appointing a Contingency Planning Team to review clinical services due to sustainability concerns, publication of the Francis Report on failings at the Trust, and Monitor subsequently appointing Trust Special Administrators in April 2013 due to ongoing sustainability issues. The report outlines improvements made in patient care and clinical outcomes over the past year, but acknowledges further work is still needed.
Analysis of Financial Condition and Dividend Pattern of Beximco Pharmaceutica...Pantho Sarker
In this report, we discussed about the financial performance of the Beximco Pharmaceuticals Limited. Firstly, the corporate goal of this firm has been stated. Secondly, the market value and book value of the firm has been showed with calculation. Relative valuation gives us a picture of what the value of Beximco pharmaceuticals should be relative to its peers. Using the P/E and EV/EBITDA we found out Beximco pharmaceuticals to be undervalued.
The capital structure of the company is not at the optimum level. Both peer analysis and quantitative analysis has been used to analyze and identify an optimal capital structure to maximize the value of the firm
Beximco follows a Stable dividend policy as it pays stable dividends regardless of earnings and free cash flows and the managers of the firms are making the best use of the retained earnings as it is generating better ROE and ROC.
This document summarizes strategies for achieving a high-performance revenue cycle based on research conducted by the Patient Friendly Billing project. The research identified common characteristics of hospitals with successful revenue cycles through analyzing data from over 5,000 hospitals and conducting site visits with 14 high-performing hospitals. It discusses strategies in the areas of people, processes, technology, metrics, communication, and culture that are important for revenue cycle performance. The goal is to provide hospitals with practical guidance to improve their revenue cycles.
The Code of Ethics for Healthcare Practitioners, published by the Saudi Commission for Health Specialties, Department of Medical Education & Postgraduate Studies.
The book was translated by me and edited and formatted by Vittoriana Crisera.
This document is the operator's manual for the DP-6900/DP-6800 Digital Ultrasonic Diagnostic Imaging System. It contains information about safety precautions, system specifications, setup and use instructions, image optimization, and other functions. The manual is divided into basic sections covering an overview of the system, preparing the system for use, performing exams, optimizing images, annotating images, auxiliary functions, file management, presets, cleaning and maintenance, acoustic output safety, and appendices.
The Military Compensation and Retirement Modernization Commission (MCRMC) retirement
reform plan is a blended approach that includes a defined benefit (DB), a defined contribution
(DC) plan, and higher current compensation in the form of continuation pay at year
of service (YOS) 12. In addition, the plan allows active component (AC) service members—at
the time of their retirement from the military—a choice regarding the DB annuity receivable
from the time of retirement to age 67.1 The member may choose a full DB annuity, a full
lump-sum payment in lieu of the annuity, or partial DB annuity and partial lump sum. The
DB is like today’s DB, except with a multiplier of 2.0 percent instead of 2.5 percent in today’s
system. Reserve component (RC) retirees could elect to receive (1) a full DB annuity starting
at age 60; (2) a lump sum paid at the time of retirement from the RC in lieu of the annuity to
age 67; or (3) a partial DB annuity from ages 60 to 67 and a partial lump sum paid at the time
of retirement from the RC, then receive the full annuity starting at age 67. The DC plan vests
at YOS 3, the Department of Defense (DoD) makes an automatic contribution of 1 percent of
basic pay from years 1 to 20, and DoD matches the member’s contribution up to 5 percent of
basic pay over years 3–20.
This document presents the first report of the National Emergency Laparotomy Audit (NELA) in the UK. It summarizes data from over 5000 emergency abdominal surgery patients collected from 178 hospitals across England and Wales between December 2013 and November 2014. The report finds considerable variation in care processes and outcomes between hospitals. It identifies several areas for improvement, such as increasing the percentage of patients receiving consultant review within 12 hours and those having their risk documented preoperatively. The report concludes with recommendations to standardize and improve care for emergency laparotomy patients.
This document summarizes the proceedings of the 1994 Joint FAO/WHO Meeting on Pesticide Residues (JMPR). It discusses general considerations regarding the evaluation of pesticide residues including modifications to the agenda, definitions of residues, and the JMPR's approach to estimating guidance values and limits. It then evaluates the data for 35 individual pesticides/chemicals and makes recommendations for acceptable daily intakes and maximum residue limits for each. The document concludes with recommendations for future work and annexes providing additional data.
This document provides an overview of primary health care organizations (PHCOs) in British Columbia. It discusses the blended funding model used by PHCOs, which includes both fee-for-service payments and population-based funding. The document also outlines the benefits of PHCOs for both patients and providers, such as improved access to care, interdisciplinary teams, and a focus on health promotion.
This document proposes modifications to regulations under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) to implement recent amendments made by the Health Information Technology for Economic and Clinical Health Act (HITECH Act). Key proposals include extending certain privacy and security protections of protected health information to business associates of covered entities, requiring notification of breaches of unsecured protected health information, and strengthening individual rights to access and restrict use of their health information. Public comments are solicited on the proposed changes.
This 3 sentence summary provides the high-level information from the document:
The document is a slide show produced by Patrick Notley, a German photographer who is autistic, to share beauty with the world and help overcome stigma by sending the slide show around the globe.
The document discusses the evolution of information security solutions from individual point solutions addressing single external threats to unified solutions. It argues that future solutions need to address growing internal threats through an all-in-one insider threat prevention platform. The solution proposed is Awareness Technologies' Interguard product, which provides a complete, unified internal threat solution delivered as a software-as-a-service to effectively address data loss, laptop theft, and employee productivity issues through endpoint monitoring and controls.
1) MOBOTIX AG is a leading pioneer in network camera technology known for its decentralized concept that has made high-resolution video systems more cost efficient.
2) The MOBOTIX concept involves building a high-speed computer and digital memory into each camera for long-term recording without needing a central PC.
3) This decentralized approach requires significantly fewer cameras, PCs, and network bandwidth than traditional centralized systems.
Eastern European organized criminal group hacked a database server to steal payment card data and intellectual property using SQL injection and stolen credentials. They installed malware like packet sniffers and backdoors on the server to extract the data over time. The 2010 Data Breach Investigations Report from Verizon and the United States Secret Service analyzed hundreds of data breaches from the previous year and found hacking by external actors to be the most common cause, with malware and stolen credentials frequently used to compromise servers and steal confidential information.
The document describes the transport of a sister rig called the Nautilus on a Heavy-Lift vessel. It also includes several photos documenting the deterioration of the Deepwater Horizon rig over the first two days after it caught fire, including the drilling mast toppling over, the rig developing a list, a hole burning through the helideck, and the rig settling low in the water.
This document discusses where returns on investment from cloud computing come from. It identifies the five key areas of cloud computing cost savings as: hardware, software, automated provisioning, productivity improvements, and system administration. For each area, it explains how cost savings are achieved and provides metrics to measure savings. The document is intended to help organizations understand how cloud computing can lower IT expenses and calculate the payback period of a cloud investment. Sample ROI projections from an IBM study show payback periods ranging from 4 to 18 months depending on the size of the environment and savings achieved across the five cost areas.
This document summarizes the key findings of a study on data security practices commissioned by Microsoft and RSA. The study found that while compliance-related data like customer information is important for companies to protect, proprietary company secrets and intellectual property are actually twice as valuable on average. However, companies devote equal portions of their security budgets to compliance as they do to protecting sensitive corporate information. Additionally, while accidental data leaks caused by employees are more common, intentional theft of secrets by employees or other parties can cost companies much more financially. The report recommends companies focus more on protecting their most valuable proprietary information rather than just compliance-related data.
This document summarizes data breach notification laws in the United States, focusing on requirements in Alaska, Arizona, Arkansas, and California. Key elements discussed include: timing of notification (e.g. without unreasonable delay); form of disclosure (e.g. written, electronic); entities required to notify (e.g. those that own personal data); and exemptions (e.g. no likelihood of harm). Health-related requirements are also covered, such as notifying the state department of public health about breaches of medical information.
This document summarizes a presentation about new HIPAA privacy and security requirements under the HITECH Act. It includes:
1) An agenda that covers HITECH Act requirements, new privacy and security provisions, breach notification rules, and resources.
2) An overview of key sections of the HITECH Act that apply security rules and penalties to business associates, require breach notification, improve privacy enforcement, and restrict certain disclosures of protected health information.
3) Details on new breach notification rules under the HITECH Act that require notification of breaches of unsecured health information within 60 days.
The document discusses the challenges mid-tier organizations face in achieving effective IT service management due to a lack of integrated tools. It finds that over 80% of surveyed IT professionals are not confident in their tools' ability to monitor networks and applications. Current tools focus more on individual components rather than overall services. The document argues this inhibits visibility, control, and optimization needed to improve service delivery and reduce costs. It concludes mid-tier companies require more holistic solutions to better manage infrastructure changes, ensure compliance, and monitor service levels across physical and virtual environments.
Given infrastructure changes and complexities, managing IT as a service seems a daunting task. By breaking down management silos and automating the discovery, mapping, analytics, monitoring and reporting functions, AccelOps has made datacenter and IT service management tangible, effective and maintainable. Our service-oriented approach links the infrastructure directly to business and business services. AccelOps empowers organizations to readily monitor, achieve and continuously improve service availability, performance and security objectives.
This webinar provided an overview of the latest changes to healthcare data security and what technologies are needed to comply. Major changes discussed included expanded obligations for business associates under HIPAA, new requirements for breach notification, and increased enforcement and penalties. The webinar emphasized the importance of a defense-in-depth security approach using integrated technologies like encryption, access controls, and intrusion prevention to deliver a secure and compliant healthcare environment.
Title XIII of ARRA, also known as the Health Information Technology for Economic and Clinical Health Act (HITECH Act), reserves $22 billion to "advance the use of health information technology" -- in large part so the U.S. will be able to move to e-health records by President Obama\'s 2014 deadline.
This document presents opposing viewpoints on whether doctors should purchase an electronic medical record (EMR) system now. On the "point" side, Dr. Gregory Hood argues that now is not the time for an EMR purchase, as it requires significant time and resources to implement properly. Adopting an EMR solely for financial incentives may not be worthwhile. On the "counterpoint" side, Dr. Joseph Scherger argues that now is the time for doctors to purchase an EMR to take advantage of government stimulus funds, improved affordability, and the need to adopt EMRs as the new standard of care.
Sourcefire provides intrusion prevention systems (IPS) that use the Snort detection engine to analyze network traffic and prevent threats. Their IPS offerings include appliances of varying throughput levels, from 5Mbps up to 10Gbps. The IPS provides out-of-the-box protection policies and the ability to customize rules. Sourcefire's Adaptive IPS uses passive network monitoring to provide real-time network awareness and automatically tune the IPS based on the monitored network environment. This helps optimize IPS protection and reduce manual analysis of security events. The Defense Center provides centralized management of sensors and event analysis across the Sourcefire 3D system.
The document summarizes key points from a webinar on improving communication between clinical and IT staff. The presenter, an emergency physician and IT consultant, discusses how clinicians and IT professionals have different cultures and languages. He emphasizes the importance of understanding the clinical perspective and priorities, such as saving time, making work easier, and helping patients. The presenter also provides tips for IT staff to effectively engage with clinicians, such as using respected doctors to advocate, providing food at meetings, and communicating messages simply and concisely. He warns that failing to properly communicate and align goals can undermine projects and damage credibility.
The document discusses implementing the ISO 27001 standard for information security management. It notes that many organizations take a siloed approach to complying with various regulations, which increases costs and complexity. ISO 27001 provides a single, comprehensive framework that can help organizations reduce redundant efforts by covering controls required by multiple regulations. Implementing ISO 27001 can help balance security, compliance, and cost by establishing a strategic, holistic approach rather than addressing each compliance individually.
285 MILLION RECORDS WERE COMPROMISED IN 2008. The 2009 Data Breach Investigations Report (DBIR) covers this chaotic period in history from the viewpoint of our forensic investigators. The 90 confirmed breaches within our 2008 caseload encompass an astounding 285 million compromised records. These records have a compelling story to tell, and the pages of this report are dedicated to relaying it. As with last year, our goal is that the data and analysis presented in this report prove helpful to the planning and security efforts of our
readers
This document analyzes the total economic impact of deploying VMware Virtual Desktop Infrastructure (VDI) for a healthcare customer. Key findings include:
- The customer achieved a 122% ROI over 4 years, with an 8 month payback period, through savings from reduced PC and support costs, increased productivity, and electricity savings.
- Benefits were quantified for PC replacement savings, reduced IT support staff needs, improved worker productivity, and electricity savings from thin clients. Additional qualitative benefits included improved security, user experience, and business continuity.
- Over 4 years, the total benefits were $3.8 million compared to total costs of $1.7 million, for a net savings of over $2 million
1. U.S. Department of Health and Human Services
Office for Civil Rights
HIPAA Administrative Simplification
Regulation Text
45 CFR Parts 160, 162, and 164
(Unofficial Version, as amended through February 16, 2006)
18. HIPAA Administrative Simplification Regulation Text
March 2006
PART 160 – GENERAL ADMINISTRATIVE 160.502 Definitions.
REQUIREMENTS 160.504 Hearing before an ALJ.
160.506 Rights of the parties.
Subpart A – General Provisions 160.508 Authority of the ALJ.
160.101 Statutory basis and purpose.
160.510 Ex parte contacts.
160.102 Applicability.
160.512 Prehearing conferences.
160.103 Definitions.
160.514 Authority to settle.
160.104 Modifications.
160.516 Discovery.
160.518 Exchange of witness lists, witness
Subpart B – Preemption of State Law statements, and exhibits.
160.201 Applicability.
160.520 Subpoenas for attendance at hearing.
160.202 Definitions.
160.522 Fees.
160.203 General rule and exceptions.
160.524 Form, filing, and service of papers.
160.204 Process for requesting exception
160.526 Computation of time.
determinations.
160.528 Motions.
160.205 Duration of effectiveness of exception
160.530 Sanctions.
determinations.
160.532 Collateral estoppel.
160.534 The hearing.
Subpart C - Compliance and Investigations 160.536 Statistical sampling.
160.300 Applicability.
160.538 Witnesses.
160.302 Definitions.
160.540 Evidence.
160.304 Principles for achieving compliance.
160.542 The record.
160.306 Complaints to the Secretary.
160.544 Post hearing briefs.
160.308 Compliance reviews.
160.546 ALJ’s decision.
160.310 Responsibilities of covered entities.
160.548 Appeal of the ALJ’s decision.
160.312 Secretarial action regarding complaints and
160.550 Stay of the Secretary’s decision.
compliance reviews.
160.552 Harmless error.
160.314 Investigational subpoenas and inquiries.
160.316 Refraining from intimidation or retaliation.
Authority: 42 U.S.C. 1302(a), 42 U.S.C. 1320d
1320d-8, and sec. 264 of Pub. L. 104-191, 110 Stat.
Subpart D—Imposition of Civil Money Penalties 2033-2034 (42 U.S.C. 1320d-2(note)) and 5 U.S.C.
160.400 Applicability.
552.
160.402 Basis for a civil money penalty.
160.404 Amount of a civil money penalty.
Subpart A—General Provisions
160.406 Violations of an identical requirement or
prohibition.
§ 160.101 Statutory basis and purpose.
160.408 Factors considered in determining the
The requirements of this subchapter implement
amount of a civil money penalty.
sections 1171 through 1179 of the Social Security Act
160.410 Affirmative defenses.
(the Act), as added by section 262 of Public Law
160.412 Waiver.
104–191, and section 264 of Public Law 104–191.
160.414 Limitations.
160.416 Authority to settle.
§ 160.102 Applicability.
160.418 Penalty not exclusive.
(a) Except as otherwise provided, the standards,
160.420 Notice of proposed determination.
requirements, and implementation specifications
160.422 Failure to request a hearing.
adopted under this subchapter apply to the following
160.424 Collection of penalty.
entities:
160.426 Notification of the public and other agencies.
(1) A health plan.
(2) A health care clearinghouse.
Subpart E—Procedures for Hearings (3) A health care provider who transmits any
160.500 Applicability.
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19. HIPAA Administrative Simplification Regulation Text
March 2006
health information in electronic form in connection or from another business associate of such covered
with a transaction covered by this subchapter. entity or arrangement, to the person.
(b) To the extent required under the Social (2) A covered entity participating in an organized
Security Act, 42 U.S.C. 1320a–7c(a)(5), nothing in health care arrangement that performs a function or
this subchapter shall be construed to diminish the activity as described by paragraph (1)(i) of this
authority of any Inspector General, including such definition for or on behalf of such organized health
authority as provided in the Inspector General Act of care arrangement, or that provides a service as
1978, as amended (5 U.S.C. App.). described in paragraph (1)(ii) of this definition to or
for such organized health care arrangement, does not,
[65 FR 82798, Dec. 28, 2000, as amended at 67 FR simply through the performance of such function or
53266, Aug. 14, 2002] activity or the provision of such service, become a
business associate of other covered entities
§ 160.103 Definitions. participating in such organized health care
Except as otherwise provided, the following arrangement.
definitions apply to this subchapter: (3) A covered entity may be a business associate
Act means the Social Security Act. of another covered entity.
ANSI stands for the American National Standards CMS stands for Centers for Medicare & Medicaid
Institute. Services within the Department of Health and Human
Business associate: Services.
(1) Except as provided in paragraph (2) of this Compliance date means the date by which a
definition, business associate means, with respect to a covered entity must comply with a standard,
covered entity, a person who: implementation specification, requirement, or
(i) On behalf of such covered entity or of an modification adopted under this subchapter.
organized health care arrangement (as defined in Covered entity means:
§164.501 of this subchapter) in which the covered (1) A health plan.
entity participates, but other than in the capacity of a (2) A health care clearinghouse.
member of the workforce of such covered entity or (3) A health care provider who transmits any
arrangement, performs, or assists in the performance health information in electronic form in connection
of: with a transaction covered by this subchapter.
(A) A function or activity involving the use or Disclosure means the release, transfer, provision
disclosure of individually identifiable health of, access to, or divulging in any other manner of
information, including claims processing or information outside the entity holding the
administration, data analysis, processing or information.
administration, utilization review, quality assurance, EIN stands for the employer identification number
billing, benefit management, practice management, assigned by the Internal Revenue Service, U.S.
and repricing; or Department of the Treasury. The EIN is the taxpayer
(B) Any other function or activity regulated by identifying number of an individual or other entity
this subchapter; or (whether or not an employer) assigned under one of
(ii) Provides, other than in the capacity of a the following:
member of the workforce of such covered entity, (1) 26 U.S.C. 6011(b), which is the portion of the
legal, actuarial, accounting, consulting, data Internal Revenue Code dealing with identifying the
aggregation (as defined in §164.501 of this taxpayer in tax returns and statements, or
subchapter), management, administrative, corresponding provisions of prior law.
accreditation, or financial services to or for such (2) 26 U.S.C. 6109, which is the portion of the
covered entity, or to or for an organized health care Internal Revenue Code dealing with identifying
arrangement in which the covered entity participates, numbers in tax returns, statements, and other required
where the provision of the service involves the documents.
disclosure of individually identifiable health Electronic media means:
information from such covered entity or arrangement, (1) Electronic storage media including memory
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20. HIPAA Administrative Simplification Regulation Text
March 2006
devices in computers (hard drives) and any (2) Sale or dispensing of a drug, device,
removable/transportable digital memory medium, equipment, or other item in accordance with a
such as magnetic tape or disk, optical disk, or digital prescription.
memory card; or Health care clearinghouse means a public or
(2) Transmission media used to exchange private entity, including a billing service, repricing
information already in electronic storage media. company, community health management information
Transmission media include, for example, the internet system or community health information system, and
(wide-open), extranet (using internet technology to “value-added” networks and switches, that does either
link a business with information accessible only to of the following functions:
collaborating parties), leased lines, dial-up lines, (1) Processes or facilitates the processing of
private networks, and the physical movement of health information received from another entity in a
removable/transportable electronic storage media. nonstandard format or containing nonstandard data
Certain transmissions, including of paper, via content into standard data elements or a standard
facsimile, and of voice, via telephone, are not transaction.
considered to be transmissions via electronic media, (2) Receives a standard transaction from another
because the information being exchanged did not entity and processes or facilitates the processing of
exist in electronic form before the transmission. health information into nonstandard format or
Electronic protected health information means nonstandard data content for the receiving entity.
information that comes within paragraphs (1)(i) or Health care provider means a provider of services
(1)(ii) of the definition of protected health (as defined in section 1861(u) of the Act, 42 U.S.C.
information as specified in this section. 1395x(u)), a provider of medical or health services
Employer is defined as it is in 26 U.S.C. 3401(d). (as defined in section 1861(s) of the Act, 42 U.S.C.
Group health plan (also see definition of health 1395x(s)), and any other person or organization who
plan in this section) means an employee welfare furnishes, bills, or is paid for health care in the
benefit plan (as defined in section 3(1) of the normal course of business.
Employee Retirement Income and Security Act of Health information means any information,
1974 (ERISA), 29 U.S.C. 1002(1)), including insured whether oral or recorded in any form or medium, that:
and self-insured plans, to the extent that the plan (1) Is created or received by a health care
provides medical care (as defined in section provider, health plan, public health authority,
2791(a)(2) of the Public Health Service Act (PHS employer, life insurer, school or university, or health
Act), 42 U.S.C. 300gg–91(a)(2)), including items and care clearinghouse; and
services paid for as medical care, to employees or (2) Relates to the past, present, or future physical
their dependents directly or through insurance, or mental health or condition of an individual; the
reimbursement, or otherwise, that: provision of health care to an individual; or the past,
(1) Has 50 or more participants (as defined in present, or future payment for the provision of health
section 3(7) of ERISA, 29 U.S.C. 1002(7)); or care to an individual.
(2) Is administered by an entity other than the Health insurance issuer (as defined in section
employer that established and maintains the plan. 2791(b)(2) of the PHS Act, 42 U.S.C.
HHS stands for the Department of Health and 300gg–91(b)(2) and used in the definition of health
Human Services. plan in this section) means an insurance company,
Health care means care, services, or supplies insurance service, or insurance organization
related to the health of an individual. Health care (including an HMO) that is licensed to engage in the
includes, but is not limited to, the following: business of insurance in a State and is subject to State
(1) Preventive, diagnostic, therapeutic, law that regulates insurance. Such term does not
rehabilitative, maintenance, or palliative care, and include a group health plan.
counseling, service, assessment, or procedure with Health maintenance organization (HMO) (as
respect to the physical or mental condition, or defined in section 2791(b)(3) of the PHS Act, 42
functional status, of an individual or that affects the U.S.C. 300gg–91(b)(3) and used in the definition of
structure or function of the body; and health plan in this section) means a federally qualified
-3