This resolution agreement resolves a complaint against Hospice of North Idaho (HONI) regarding violations of HIPAA privacy and security rules. Key points:
1) HONI agrees to pay HHS $50,000 for covered conduct including failure to conduct risk analyses of electronic PHI and implement security measures for portable devices.
2) HONI agrees to a corrective action plan to comply with HIPAA privacy and security rules for 2 years, including reporting any additional incidents of non-compliance.
3) In exchange, HHS agrees not to impose penalties for the covered conduct if HONI complies with the resolution agreement and corrective action plan. Breach of
Adult & Pediatric Dermatology, P.C., of Concord, Mass., has agreed to settle potential violations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy, Security, and Breach Notification Rules with the Department of Health and Human Services, agreeing to a $150,000 payment. The practice will also be required to implement a corrective action plan to correct deficiencies in its HIPAA compliance program. Adult and Pediatric Dermatology is a private practice that delivers dermatology services in four locations in Massachusetts and two in New Hampshire. This case marks the first settlement with a covered entity for not having policies and procedures in place to address the breach notification provisions of the Health Information Technology for Economic and Clinical Health (HITECH) Act, passed as part of American Recovery and Reinvestment Act of 2009 (ARRA).
The HHS Office for Civil Rights (OCR) opened an investigation of Adult and Pediatric Dermatology upon receiving a report that an unencrypted thumb drive containing the electronic protected health information (ePHI) of approximately 2,200 individuals was stolen from a vehicle of one its staff members. The thumb drive was never recovered. The investigation revealed that Adult and Pediatric Dermatology had not conducted an accurate and thorough analysis of the potential risks and vulnerabilities to the confidentiality of ePHI as part of its security management process. Further, Adult and Pediatric Dermatology did not fully comply with requirements of the Breach Notification Rule to have in place written policies and procedures and train workforce members.
In addition to a $150,000 resolution amount, the settlement includes a corrective action plan requiring Adult and Pediatric Dermatology to develop a risk analysis and risk management plan to address and mitigate any security risks and vulnerabilities, as well as to provide an implementation report to OCR.
Download the Corrective Action Plan(CAP) here >>
Tips s to providers: Almost all of the HIPAA/HITECH violations identified in the last few years is due to insufficient security risk analysis conducted by the providers or business associates.
OCR received a breach notice in February 2012 from QCA Health Plan, Inc. of Arkansas reporting that an unencrypted laptop computer containing the ePHI of 148 individuals was stolen from a workforce member’s car. While QCA encrypted their devices following discovery of the breach, OCR’s investigation revealed that QCA failed to comply with multiple requirements of the HIPAA Privacy and Security Rules, beginning from the compliance date of the Security Rule in April 2005 and ending in June 2012. QCA agreed to a $250,000 monetary settlement and is required to provide HHS with an updated risk analysis and corresponding risk management plan that includes specific security measures to reduce the risks to and vulnerabilities of its ePHI. QCA is also required to retrain its workforce and document its ongoing compliance efforts.
Catholic Health Care Services Resolution Agreement and Corrective Action PlanAlex Slaney
Catholic Health Care Services of the Archdiocese of Philadelphia settlement, Resolution Agreement and Corrective Action Plan as a result of violating the HIPAA Security Rule for ePHI
Resolution Agreement: On January 6, 2012, HHS notified SRMC of its initiation of a compliance review of its facility to determine whether there was a failure to comply with the requirements of the Privacy Rule. HHS’s compliance review was prompted by an article in the Los Angeles Times published on January 4, 2012. The article indicated that two of SRMC’s senior leaders met with the media to discuss the medical services provided to a patient (the Affected Party) without a valid written authorization.
Adult & Pediatric Dermatology, P.C., of Concord, Mass., has agreed to settle potential violations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy, Security, and Breach Notification Rules with the Department of Health and Human Services, agreeing to a $150,000 payment. The practice will also be required to implement a corrective action plan to correct deficiencies in its HIPAA compliance program. Adult and Pediatric Dermatology is a private practice that delivers dermatology services in four locations in Massachusetts and two in New Hampshire. This case marks the first settlement with a covered entity for not having policies and procedures in place to address the breach notification provisions of the Health Information Technology for Economic and Clinical Health (HITECH) Act, passed as part of American Recovery and Reinvestment Act of 2009 (ARRA).
The HHS Office for Civil Rights (OCR) opened an investigation of Adult and Pediatric Dermatology upon receiving a report that an unencrypted thumb drive containing the electronic protected health information (ePHI) of approximately 2,200 individuals was stolen from a vehicle of one its staff members. The thumb drive was never recovered. The investigation revealed that Adult and Pediatric Dermatology had not conducted an accurate and thorough analysis of the potential risks and vulnerabilities to the confidentiality of ePHI as part of its security management process. Further, Adult and Pediatric Dermatology did not fully comply with requirements of the Breach Notification Rule to have in place written policies and procedures and train workforce members.
In addition to a $150,000 resolution amount, the settlement includes a corrective action plan requiring Adult and Pediatric Dermatology to develop a risk analysis and risk management plan to address and mitigate any security risks and vulnerabilities, as well as to provide an implementation report to OCR.
Download the Corrective Action Plan(CAP) here >>
Tips s to providers: Almost all of the HIPAA/HITECH violations identified in the last few years is due to insufficient security risk analysis conducted by the providers or business associates.
OCR received a breach notice in February 2012 from QCA Health Plan, Inc. of Arkansas reporting that an unencrypted laptop computer containing the ePHI of 148 individuals was stolen from a workforce member’s car. While QCA encrypted their devices following discovery of the breach, OCR’s investigation revealed that QCA failed to comply with multiple requirements of the HIPAA Privacy and Security Rules, beginning from the compliance date of the Security Rule in April 2005 and ending in June 2012. QCA agreed to a $250,000 monetary settlement and is required to provide HHS with an updated risk analysis and corresponding risk management plan that includes specific security measures to reduce the risks to and vulnerabilities of its ePHI. QCA is also required to retrain its workforce and document its ongoing compliance efforts.
Catholic Health Care Services Resolution Agreement and Corrective Action PlanAlex Slaney
Catholic Health Care Services of the Archdiocese of Philadelphia settlement, Resolution Agreement and Corrective Action Plan as a result of violating the HIPAA Security Rule for ePHI
Resolution Agreement: On January 6, 2012, HHS notified SRMC of its initiation of a compliance review of its facility to determine whether there was a failure to comply with the requirements of the Privacy Rule. HHS’s compliance review was prompted by an article in the Los Angeles Times published on January 4, 2012. The article indicated that two of SRMC’s senior leaders met with the media to discuss the medical services provided to a patient (the Affected Party) without a valid written authorization.
Parkview Health System, Inc. (Parkview) has agreed to settle potential violations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule with the Department of Health and Human Services (HHS) Office for Civil Rights (OCR). Parkview will pay $800,000 and adopt a corrective action plan to correct deficiencies in its HIPAA compliance program.
Raleigh Orthopedic RA and CAP April 2016Alex Slaney
Resolution Agreement and CAP put in place after Raleigh Orthopedic violated The Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule
Cancer Care Group HIPAA Settlement Agreementdata brackets
Cancer Care has taken corrective action with regard to the specific requirements of the Privacy and Security Rules that are at the core of this enforcement action, as well as actions to come into compliance with the other provisions of the HIPAA Rules. The Resolution Agreement and Corrective Action Plan (CAP) can be found on the OCR website at: http://www.hhs.gov/ocr/privacy/hipaa/enforcement/examples/cancercare.html
OCR opened a compliance review of Concentra Health Services (Concentra) upon receiving a breach report that an unencrypted laptop was stolen from one of its facilities, the Springfield Missouri Physical Therapy Center. OCR’s investigation revealed that Concentra had previously recognized in multiple risk analyses that a lack of encryption on its laptops, desktop computers, medical equipment, tablets and other devices containing electronic protected health information (ePHI) was a critical risk. While steps were taken to begin encryption, Concentra’s efforts were incomplete and inconsistent over time leaving patient PHI vulnerable throughout the organization. OCR’s investigation further found Concentra had insufficient security management processes in place to safeguard patient information. Concentra has agreed to pay OCR $1,725,220 to settle potential violations and will adopt a corrective action plan to evidence their remediation of these findings.
Raleigh Orthopedic RA and CAP April 2016data brackets
Raleigh Orthopedics's Resolution Agreement and CAP resulting from Raleigh Orthopedic violating the Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy and Security Rules
Parkview Health System, Inc. (Parkview) has agreed to settle potential violations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule with the Department of Health and Human Services (HHS) Office for Civil Rights (OCR). Parkview will pay $800,000 and adopt a corrective action plan to correct deficiencies in its HIPAA compliance program.
Raleigh Orthopedic RA and CAP April 2016Alex Slaney
Resolution Agreement and CAP put in place after Raleigh Orthopedic violated The Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule
Cancer Care Group HIPAA Settlement Agreementdata brackets
Cancer Care has taken corrective action with regard to the specific requirements of the Privacy and Security Rules that are at the core of this enforcement action, as well as actions to come into compliance with the other provisions of the HIPAA Rules. The Resolution Agreement and Corrective Action Plan (CAP) can be found on the OCR website at: http://www.hhs.gov/ocr/privacy/hipaa/enforcement/examples/cancercare.html
OCR opened a compliance review of Concentra Health Services (Concentra) upon receiving a breach report that an unencrypted laptop was stolen from one of its facilities, the Springfield Missouri Physical Therapy Center. OCR’s investigation revealed that Concentra had previously recognized in multiple risk analyses that a lack of encryption on its laptops, desktop computers, medical equipment, tablets and other devices containing electronic protected health information (ePHI) was a critical risk. While steps were taken to begin encryption, Concentra’s efforts were incomplete and inconsistent over time leaving patient PHI vulnerable throughout the organization. OCR’s investigation further found Concentra had insufficient security management processes in place to safeguard patient information. Concentra has agreed to pay OCR $1,725,220 to settle potential violations and will adopt a corrective action plan to evidence their remediation of these findings.
Raleigh Orthopedic RA and CAP April 2016data brackets
Raleigh Orthopedics's Resolution Agreement and CAP resulting from Raleigh Orthopedic violating the Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy and Security Rules
Presence Health Resolution Agreement with OCRdata brackets
The U.S. Department of Health and Human Services, Office for Civil Rights (OCR), has announced the first Health Insurance Portability and Accountability Act (HIPAA) settlement based on the untimely reporting of a breach of unsecured protected health information (PHI). Presence Health has agreed to settle potential violations of the HIPAA Breach Notification Rule by paying $475,000 and implementing a corrective action plan. Presence Health is one of the largest health care networks serving Illinois and consists of approximately 150 locations, including 11 hospitals and 27 long-term care and senior living facilities. Presence Health also has multiple physicians’ offices and health care centers in its system and offers home care, hospice care, and behavioral health services. With this settlement amount, OCR balanced the need to emphasize the importance of timely breach reporting with the desire not to disincentive breach reporting altogether.
On January 31, 2014, OCR received a breach notification report from Presence indicating that on October 22, 2013, Presence discovered that paper-based operating room schedules, which contained the PHI of 836 individuals, were missing from the Presence Surgery Center at the Presence St. Joseph Medical Center in Joliet, Illinois. The information consisted of the affected individuals’ names, dates of birth, medical record numbers, dates of procedures, types of procedures, surgeon names, and types of anesthesia. OCR’s investigation revealed that Presence Health failed to notify, without unreasonable delay and within 60 days of discovering the breach, each of the 836 individuals affected by the breach, prominent media outlets (as required for breaches affecting 500 or more individuals), and OCR.
“Covered entities need to have a clear policy and procedures in place to respond to the Breach Notification Rule’s timeliness requirements” said OCR Director Jocelyn Samuels. “Individuals need prompt notice of a breach of their unsecured PHI so they can take action that could help mitigate any potential harm caused by the breach.”
The Resolution Agreement and Corrective Action Plan may be found on the OCR website at http://www.hhs.gov/hipaa/for-professionals/compliance-enforcement/agreements/presence
OCR’s guidance on breach notification may be found at http://www.hhs.gov/hipaa/for-professionals/breach-notification/index.html
To learn more about non-discrimination and health information privacy laws, your civil rights, and privacy rights in health care and human service settings, and to find information on filing a complaint, visit us at http://www.hhs.gov/hipaa/index.html
Follow OCR on Twitter at http://twitter.com/HHSOCR
First HIPAA enforcement action for lack of timely breach notification settles...David Sweigert
First HIPAA enforcement action for lack of timely breach notification settles for $475,000
The U.S. Department of Health and Human Services, Office for Civil Rights (OCR), has announced the first Health Insurance Portability and Accountability Act (HIPAA) settlement based on the untimely reporting of a breach of unsecured protected health information (PHI). Presence Health has agreed to settle potential violations of the HIPAA Breach Notification Rule by paying $475,000 and implementing a corrective action plan. Presence Health is one of the largest health care networks serving Illinois and consists of approximately 150 locations, including 11 hospitals and 27 long-term care and senior living facilities. Presence also has multiple physicians’ offices and health care centers in its system and offers home care, hospice care, and behavioral health services. With this settlement amount, OCR balanced the need to emphasize the importance of timely breach reporting with the desire not to disincentive breach reporting altogether.
On January 31, 2014, OCR received a breach notification report from Presence indicating that on October 22, 2013, Presence discovered that paper-based operating room schedules, which contained the PHI of 836 individuals, were missing from the Presence Surgery Center at the Presence St. Joseph Medical Center in Joliet, Illinois. The information consisted of the affected individuals’ names, dates of birth, medical record numbers, dates of procedures, types of procedures, surgeon names, and types of anesthesia. OCR’s investigation revealed that Presence Health failed to notify, without unreasonable delay and within 60 days of discovering the breach, each of the 836 individuals affected by the breach, prominent media outlets (as required for breaches affecting 500 or more individuals), and OCR.
Massachusetts Eye and Ear Infirmary HIPAA Violationdata brackets
Massachusetts Eye and Ear Infirmary and Massachusetts Eye and Ear Associates, Inc. (collectively referred to as “MEEI”) has agreed to pay the U.S. Department of Health and Human Services (HHS) $1.5 million to settle potential violations of the HIPAA Privacy and Security Rules. MEEI has also agreed to take corrective action to improve policies and procedures to safeguard the privacy and security of their patients’ protected health information and retain an independent monitor to report on MEEI’s compliance efforts. OCR’s investigation followed a breach report submitted by MEEI, as required by the HIPAA Breach Notification Rule, reporting the theft of an unencrypted personal laptop containing the electronic protected health information (ePHI) of MEEI patients and research subjects. The information contained on the laptop included patient prescriptions and clinical information. OCR’s investigation indicated that while MEEI’s management was aware of the Security Rule, MEEI failed to take necessary steps to comply with the requirements of the Rule, such as such as conducting a thorough analysis of the risk to the confidentiality of ePHI maintained on portable devices, implementing security measures sufficient to ensure the confidentiality of ePHI that MEEI created, maintained, and transmitted using portable devices, adopting and implementing policies and procedures to restrict access to ePHI to authorized users of portable devices, and adopting and implementing policies and procedures to address security incident identification, reporting, and response.
FCS 3450 HOMEWORK #41.Thomas Franklin arrived at the following t.docxmydrynan
FCS 3450 HOMEWORK #4
1.
Thomas Franklin arrived at the following tax information:
Gross salary, $46,660
Interest earnings, $225
Dividend income, $80
One personal exemption, $3,400
Itemized deductions, $7,820
Adjustments to income, $1,150
What amount would Thomas report as taxable income?
2.
If Lola Harper had the following itemized deductions, should she use Schedule A or the standard deduction? The standard deduction for her tax situation is $5,450.
Donations to church and other charities, $1,980
Medical and dental expenses that exceed 7.5 percent of adjusted gross income, $430
State income tax, $690
Job-related expenses that exceed 2 percent of adjusted gross income, $1,610
3.
What would be the average tax rate for a person who paid taxes of $4,864.14 on a taxable income of $39,870?
4.
Based on the following data, would Ann and Carl Wilton receive a refund or owe additional taxes?
Adjusted gross income, $46,186
Itemized deductions, $11,420
Child care tax credit, $80
Federal income tax withheld, $4,784
Amount for personal exemptions, $6,800
Average tax rate on taxable income, 15%
5. Would you prefer a fully taxable investment earning 10.7 percent or a tax-exempt investment earning 8.1 percent? Why? (Assume a 28 percent tax rate.)
6. On December 30, you decide to make a $1,000 charitable donation. If you are in a 28 percent tax bracket, how much would you save in taxes for the current year? If that tax savings was deposited in a savings account for the next five years at 6 percent, what would be the future value of that account?
1
Assignment 2: JPMorgan Chase
Strayer University
LEG 100
Discuss how administrative agencies like the Securities and Exchange Commission (SEC) or the Commodities Futures Trading Commission (CFTC) take action in order to be effective in preventing high-risk gambles in securities / banking, a foundation of the economy.
On January 11, 2012, the Commodity Futures Trading Commission (CFTC) voted 3-2 to propose regulations to implement Section 619 of the Dodd-Frank Wall Street Reform and Consumer Protection Act of 2010 (Dodd-Frank Act), commonly referred to as the “Volcker Rule.” The proposal specifically prohibits a bank or institution that owns a bank from engaging in proprietary trading that is not at the behest of its clients, and from owning or investing in a hedge fund or private equity fund, and also limits the liabilities that the largest banks can hold .Under discussion is the possibility of restrictions on the way market making activities are compensated; traders would be paid on the basis of the spread of the transactions rather than any profit that the trader made for the client.
Determine the elements of a valid contract, and discuss how consumers and banks each have a duty of good faith and fair ...
Skagit county- HIPAA violation settlement agreement with HHSdata brackets
Skagit County, Washington, has agreed to settle potential violations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy, Security, and Breach Notification Rules. Skagit County agreed to a $215,000 monetary settlement and to work closely with the Department of Health and Human Services (HHS) to correct deficiencies in its HIPAA compliance program. Skagit County is located in Northwest Washington, and is home to approximately 118,000 residents. The Skagit County Public Health Department provides essential services to many individuals who would otherwise not be able to afford health care.
OCR opened an investigation of Skagit County upon receiving a breach report that money receipts with electronic protected health information (ePHI) of seven individuals were accessed by unknown parties after the ePHI had been inadvertently moved to a publicly accessible server maintained by the County. OCR's investigation revealed a broader exposure of protected health information involved in the incident, which included the ePHI of 1,581 individuals. Many of the accessible files involved sensitive information, including protected health information concerning the testing and treatment of infectious diseases. OCR's investigation further uncovered general and widespread non-compliance by Skagit County with the HIPAA Privacy, Security, and Breach Notification Rules.
Skagit County continues to cooperate with OCR through a corrective action plan to ensure it has in place written policies and procedures, documentation requirements, training, and other measures to comply with the HIPAA Rules. This corrective action plan also requires Skagit County to provide regular status reports to OCR.
Office of Inspector General Study on OCR's HIPAA audit programdata brackets
Office of Inspector General: OCR should strengthen its oversight of covered entities' compliance with the HIPAA privacy standards.
OIG has recently completed a study of OCR's HIPAA audit program and published the following recommendations:
(1) OCR should fully implement a permanent audit program
(2) OCR should maintain complete documentation of corrective action
(3) OCR should develop an efficient method in its case-tracking system to search for and track covered entities
(4) OCR should develop a policy requiring OCR staff to check whether covered entities have been previously investigated
(5) OCR should continue to expand outreach and education efforts to covered entities. OCR concurred with all five recommendations and described its activities to address them.
OCR's chief Jocelyn Samuels has concurred with all the recommendations of OIG.
For the complete report please visit our slideshare page:
EHR meaningful use security risk assessment sample documentdata brackets
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
The HITECH Act authorizes Health and Human Services(HHS) to conduct periodic audits to ensure that covered entities and business associates are complying with the HIPAA/HITECH Privacy, Security and Breach rules. As a result, Office for Civil Rights(OCR), through the use of KPMG audit services, has begun to develop a pilot audit program.
EHR 2.0 HIPAA/HITECH compliance assurance services help healthcare organizations to discover the gap areas based on the required and addressable requirements. Our privacy, security and breach compliance assessment includes all of requirements listed in the act.
Trends and Career Opportunities in Health ITdata brackets
According to the Bureau of Labor Statistics, healthcare and social services jobs are expected to grow 24 percent from 2008 through 2018, faster than the average for all occupations. Growth in the healthcare IT industry can be attributed to many factors: Long term care of a large aging population, the need for technology to provide greater accountability for two thirds of the population at risk for heart disease due to being overweight or obese, more emphasis on preventive care and the use of technology and data to increase the quality of patient care and overall accountability. Additionally, American Recovery and Reinvestment Act of 2009 (ARRA) bill included a section known as HITECH where entitlement funds are available (+/-$34 billion) to Medicare and Medicaid participating providers (hospitals, physicians and other providers) as an incentive to develop and improve their health information technology (HIT) capabilities, primarily in the area of electronic health records (EHRs).
The problem that many hospitals and other providers encounter in filling these jobs is the shortage of qualified, experienced health IT staff. While the federally funded training programs in 82 community colleges may help meet some of the demand, the majority of the available positions are not entry level, say consultants and CIOs.
This presentation will focus on these trends and career opportunities in health IT for professionals based on job roles, vendors technology and market transition.
Guest Speaker: Tommy Fowler, Healthcare Services at TEK Systems
Mobile devices and applications in healthcare: Security and Compliance Risksdata brackets
Recent HHS analysis of reported breaches indicates that almost 40% of large breaches involve lost or stolen devices.” Majority of these devices are laptops, smart phones, etc., This 50-minute webinar will focus on how to effectively comply and secure mobile devices in healthcare industry.
Business Associate Assurance: What Covered Entities Need to Knowdata brackets
Business Associate Assurance: What covered entities need to know
Have you identified your key business associates handling e-PHI that you create, receive, maintain or transmit?
Do you review your contract periodically with your key business associates?
Do you have the right to audit clause or require your business associate to follow certain minimum security controls and best practices?
One of the most challenging issues for health care organizations is ensuring business associates can be trusted with ePHI (electronic Protected Health Information). Of the 11 million people affected by reportable data breaches between September 2009 and June 2011, 6 million, or 55%, were affected by data breaches involving business associates, according to the federal government. This 50-minute webinar helps the audience to learn assessment strategies a covered entity needs to institute to manage business associates.
Learn more about business associate assessment and engagement best practices by attending our webinar.
Learn more at http://ehr20.com/services/business-associate-assessment/
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/
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
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Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
1. RESOLUTION AGREEMENT
I. Recitals
1. Parties.
The Parties to this Resolution Agreement (“Agreement”) are the United States
Department of Health and Human Services, Office for Civil Rights (“HHS”), and Hospice of
North Idaho (hereinafter referred to as “HONI”), a nonprofit corporation organized under the
laws of and operating in the State of Idaho. HHS and HONI shall together be referred to herein
as the “Parties.”
2. Authority of HHS
HHS enforces the Federal standards that govern the privacy of individually identifiable
health information (45 C.F.R. Part 160 and Subparts A and E of Part 164, the “Privacy Rule”)
and the Federal standards that govern the security of electronic individually identifiable health
information (45 C.F.R. Part 160 and Subparts A and C of Part 164, the “Security Rule”). HHS
has the authority to conduct investigations of complaints alleging violations of the Privacy and
Security Rules by covered entities, and covered entities must cooperate with HHS’ investigation.
45 C.F.R. §160.306(c) and §160.310(b).
3. Factual Background and Covered Conduct
On February 16, 2011, the HHS Office for Civil Rights (OCR) received notification from
HONI regarding the theft of a laptop computer containing the electronic protected health
information (ePHI) of 441 individuals. On July 22, 2011, OCR notified HONI of OCR’s
investigation regarding HONI’s compliance with the Privacy, Security, and Breach Notification
Rules.
OCR’s investigation indicated that the following conduct occurred (“Covered Conduct”):
(A) HONI did not conduct an accurate and thorough analysis of the risk to the
confidentiality of ePHI on an on-going basis as part of its security
management process from the compliance date of the Security Rule to January
17, 2012. In particular, HONI did not evaluate the likelihood and impact of
potential risks to the confidentiality of electronic PHI maintained in and
transmitted using portable devices, implement appropriate security measures
to address such potential risks, document the chosen security measures and the
rationale for adopting those measures, and maintain on an on-going basis
reasonable and appropriate security measures.
(B) HONI did not adequately adopt or implement security measures sufficient to
ensure the confidentiality of ePHI that it created, maintained, and transmitted
using portable devices to a reasonable and appropriate level from the
compliance date of the Security Rule to May 1, 2011.
2. 4. No Admission. This Agreement is not an admission of liability by HONI.
5. No Concession. This Agreement is not a concession by HHS that HONI is not in
violation of the Privacy or Security Rules and that HONI is not liable for civil money penalties.
6. Intention of Parties to Effect Resolution. This Agreement is intended to resolve the
OCR Complaint No. 11-127819, and any violations of the HIPAA Privacy and Security Rules
related to the Covered Conduct specified in paragraph I.3 of this Agreement. In consideration of
the Parties’ interest in avoiding the uncertainty, burden and expense of further investigation and
formal proceedings, and in consideration of HONI’s voluntary corrective actions following the
breach of ePHI, the Parties agree to resolve this matter according to the Terms and Conditions
below.
II. Terms and Conditions
7. Payment. HONI agrees to pay HHS the amount of $50,000 (the “Resolution
Amount”). HONI agrees to pay the Resolution Amount by electronic funds transfer pursuant to
written instructions to be provided by HHS. HONI agrees to make this payment on or before the
Effective Date of this Agreement.
8. Corrective Action Plan. HONI has entered into and agrees to comply with the
Corrective Action Plan (CAP) attached hereto as Exhibit A, which is incorporated into this
Agreement by reference. If HONI breaches the CAP, then HONI will be in breach of this
Agreement and HHS will not be subject to the terms and conditions in the Release set forth in
Paragraph 9 of the Agreement.
9. Release by HHS. In consideration of and conditioned upon HONI’s performance of
its obligations under this Agreement, HHS releases HONI from any actions it has or may have
against HONI under the Privacy and Security Rules arising out of or related to the Covered
Conduct specified in paragraph I.3 of this Agreement. HHS does not release HONI from, nor
waive any rights, obligations, or causes of action other than those arising out of or related to the
Covered Conduct and referred to in this paragraph. This release does not extend to actions that
may be brought under section 1177 of the Social Security Act, 42 U.S.C. § 1320d-6.
10. Agreement by Released Party. HONI shall not contest the validity of its obligation to
pay, nor the amount of, the Resolution Amount or any other obligations agreed to under this
Agreement. HONI waives all procedural rights granted under Section 1128A of the Social
Security Act (42 U.S.C. § 1320a-7a), 45 C.F.R. Part 160, Subpart E; and HHS Claims Collection
provisions, 45 C.F.R. Part 30, including, but not limited to, notice, hearing, and appeal with
respect to the Resolution Amount.
11. Binding on Successors. This Agreement is binding on HONI and its successors, heirs,
transferees, and assigns.
12. Costs. Each Party to this Agreement shall bear its own legal and other costs incurred
in connection with this matter, including the preparation and performance of this Agreement.
3. 13. No Additional Releases. This Agreement is intended to be for the benefit of the
Parties only, and by this instrument the Parties do not release any claims against any other person
or entity.
14. Effect of Agreement. This Agreement constitutes the complete agreement between
the Parties. All material representations, understandings, and promises of the Parties are
contained in this Agreement. Any modifications to this Agreement must be set forth in writing
and signed by both Parties.
15. Execution of Agreement and Effective Date. The Agreement shall become effective
(i.e., final and binding) on the date that HHS signs this Agreement (“Effective Date”).
16. Tolling of Statute of Limitations. Pursuant to 42 U.S.C. § 1320a-7a(c)(1), a civil
money penalty (“CMP”) must be imposed within six years from the date of the occurrence of the
violation. To ensure that this six-year period does not expire during the term of this Agreement,
HONI agrees that the time between the Effective Date of this Agreement and the date this
Resolution Agreement may be terminated by reason of HONI’s breach, plus one-year thereafter,
will not be included in calculating the six (6) year statute of limitations applicable to the
violations which are the subject of this Agreement. HONI waives and will not plead any statute
of limitations, laches, or similar defenses to any administrative action relating to the Covered
Conduct specified in paragraph I.3 that is filed by HHS within the time period set forth above,
except to the extent that such defenses would have been available had an administrative action
been filed on the Effective Date of this Agreement.
17. Disclosure. HHS places no restriction on the publication of the Agreement. This
Agreement and information related to this Agreement may be made public by either party. In
addition, HHS may be required to disclose this Agreement and related material to any person
upon request consistent with the applicable provisions of the Freedom of Information Act, 5
U.S.C. § 552, and its implementing regulations, 45 C.F.R. Part 5.
18. Execution in Counterparts. This Agreement may be executed in counterparts, each of
which constitutes an original, and all of which shall constitute one and the same agreement.
19. Authorizations. The individual(s) signing this Agreement on behalf of HONI
represent and warrant that they are authorized by HONI to execute this Agreement. The
individual(s) signing this Agreement on behalf of HHS represent and warrants that they are
signing this Agreement in their official capacities and that they are authorized to execute this
Agreement.
For Hospice of North Idaho
Date: 12-17-2012
4. For the United States Department of Health and Human Services
Date: 12-28-2012
5. Appendix A
CORRECTIVE ACTION PLAN
BETWEEN THE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
AND
HOSPICE OF NORTH IDAHO
I. Preamble
Hospice of North Idaho (hereinafter referred to as “HONI”) hereby enters into this
Corrective Action Plan (“CAP”) with the United States Department of Health and Human
Services, Office for Civil Rights (“HHS”). Contemporaneously with this CAP, HONI is entering
into a Resolution Agreement (“Agreement”) with HHS, and this CAP is incorporated by
reference into the Agreement as Appendix A. HONI enters into this CAP as part of the
consideration for the release set forth in paragraph 9 of the Agreement.
II. Contact Persons and Submissions
A. Contact Persons
HONI has identified the following individual as its authorized representative and contact
person regarding the implementation of this CAP and for receipt and submission of notifications
and reports:
Kim Ransier, Interim Executive Director
Hospice of North Idaho
9493 North Government Way
Hayden, ID 83835
Telephone: 208-772-7994
Fax: 208-209-8509
HHS has identified the following individual as its contact person with whom HONI is to
report information regarding the implementation of this CAP:
Linda Yuu Connor, Regional Manager
Office for Civil Rights, Region X
Department of Health and Human Services
2201 Sixth Avenue, M/S RX-11
Seattle, WA 98121
Sarah.Brown@hhs.gov
6. Telephone: 206-615-2290
Facsimile: 206-615-2297
HONI and HHS agree to promptly notify each other of any changes in the contact
persons or the other information provided above.
B. Proof of Submissions. Unless otherwise specified, all notifications and reports
required by this CAP may be made by any means, including certified mail, overnight mail, or
hand delivery, provided that there is proof that such notification was received. For purposes of
this requirement, internal facsimile confirmation sheets do not constitute proof of receipt.
III. Effective Date and Term of CAP
The Effective Date for this CAP shall be calculated in accordance with paragraph 15 of
the Agreement (“Effective Date”). The period for compliance with the obligations assumed by
HONI under this CAP shall begin on the Effective Date of this CAP and end two (2) years from
the Effective Date (“Compliance Term”). Except that after the Compliance Term ends, HONI
shall still be obligated to comply with the Reportable Events requirement in section V below and
document retention requirement set forth in section VI below.
IV. Time
In computing any period of time prescribed or allowed by this CAP, all days referred to
shall be calendar days. The day of the act, event, or default from which the designated period of
time begins to run shall not be included. The last day of the period so computed shall be
included, unless it is a Saturday, a Sunday, or a legal holiday, in which event the period runs
until the end of the next day that is not one of the aforementioned days.
V. Corrective Action Obligations
HONI agrees to the following:
Reportable Events.
1. For a period of two (2) years from the Effective Date of this Agreement (the
“Reporting Period”), HONI shall, upon receiving information that a workforce member may
have failed to comply with its Privacy and Security policies and procedures, promptly investigate
the matter. If HONI, after review and investigation, determines that a member of its workforce
has failed to comply with its Privacy and Security policies and procedures, HONI shall notify
HHS in writing within 30 days. Such violations shall be known as “Reportable Events.” The
report to HHS shall include the following:
a. A complete description of the event, including the relevant facts, the persons
involved, and the provision(s) of HONI’s Privacy and Security policies and
procedures implicated; and
b. A description of the actions taken and any further steps HONI plans to take to
address the matter, to mitigate any harm, and to prevent it from recurring,
7. including the application of appropriate sanctions against workforce members
who failed to comply with its Privacy and Security policies and procedures.
2. If no Reportable Events have occurred within the two (2) year Reporting Period,
HONI shall so inform OCR in writing within thirty (30) days of the conclusion of the Reporting
Period.
VI. Document Retention
HONI shall maintain for inspection and copying all documents and records relating to
compliance with this CAP for 6 years from the Effective Date.
VII. Breach Provisions
HONI is expected to fully and timely comply with all provisions contained in this CAP.
A. Timely Written Requests for Extensions. HONI may, in advance of any due date set
forth in this CAP, submit a timely written request for an extension of time to perform any act
required by this CAP. A “timely written request” is defined as a request in writing received by
HHS at least 5 days prior to the date such an act is required or due to be performed.
B. Notice of Breach and Intent to Impose CMP. The Parties agree that a breach of this
CAP by HONI constitutes a breach of the Agreement. Upon a determination by HHS that HONI
has breached this CAP, HHS may notify HONI of (1) HONI’s breach; and (2) HHS’ intent to
impose a civil monetary penalty (CMP), pursuant to 45 C.F.R. Part 160, for the Covered Conduct
set forth in paragraph I.3 of the Agreement and for any other conduct that constitutes a violation
of the HIPAA Privacy and Security Rules (“Notice of Breach and Intent to Impose CMP”).
C. HONI Response. HONI shall have 30 days from the date of receipt of the Notice of
Breach and Intent to Impose CMP to demonstrate to HHS’ satisfaction that:
1. HONI is in compliance with the obligations of this CAP that HHS cited as the
basis for the breach;
2. the alleged breach has been cured; or
3. the alleged breach cannot be cured within the 30-day period, but that: (a) HONI
has begun to take action to cure the breach; (b) HONI is pursuing such action with due diligence;
and (c) HONI has provided to HHS a reasonable timetable for curing the breach.
D. Imposition of CMP. If at the conclusion of the 30-day period, HONI fails to meet the
requirements of section VII.C of this CAP to HHS’ satisfaction, HHS may proceed with the
imposition of the CMP against HONI pursuant to 45 C.F.R. Part 160 for any violations of the
Privacy and Security Rules related to the Covered Conduct set forth in paragraph I.3 of the
Agreement and for any other act or failure to act that constitutes a violation of the HIPAA
Privacy or Security Rules. HHS shall notify HONI in writing of its determination to proceed with
the imposition of a CMP.
8. For Hospice of North Idaho
Date: 12-17-2012
For the United States Department of Health and Human Services
Date: 12-28-2012