The 5 Step HIPAA Risk Analysis
•
0 likes•58 views
Putting together a risk analysis is the foundation of your patient security strategy. Learn how to make a thorough risk analysis through these five steps.
Report
Share
Report
Share
Download to read offline
Recommended
Firehost Webinar: Getting Hipaa Compliant 
An in-depth look at how to become HIPAA Compliant. Join us as we discuss: risk assessment, prioritization and the 3 approaches to risk.
The Fundamentals of HIPAA Privacy & Security Risk Management
The Fundamentals of HIPAA Privacy & Security Risk Management
Meaningful Use and Security Risk Analysis
Presentation delivered by FRSecure president, Evan Francen to the 100+ Iowa CPSI User Group attendees on October 18th, 2011.
Meaningful Use Core Requirement "Security Risk Analysis"
The Top 10 Steps to a Successful HIPAA Risk Assessment in 2023
The HIPAA Security Rule mandates Covered Entities and Business Associates to conduct a HIPAA Security Risk Assessment to ensure compliance and protect patients' sensitive information. Conducting this assessment can be overwhelming, but it is vital to maintain confidentiality and privacy in the healthcare industry.
The process involves a comprehensive evaluation of an organization's security controls and processes related to Protected Health Information (PHI) to identify potential risks and vulnerabilities. By performing a risk assessment, covered entities and business associates can proactively manage potential threats to PHI, comply with HIPAA regulations, and establish a robust information security program.
It's important to understand that a HIPAA risk assessment is not just a compliance requirement but also a critical component of protecting patients' privacy and confidentiality. With the help of this article, you can gain a better understanding of the HIPAA risk assessment process and fulfill your most important HIPAA compliance obligations while safeguarding patient information.
In summary, conducting a HIPAA risk assessment is crucial to protect PHI from potential threats and vulnerabilities. Following these ten steps can help organizations identify risks, develop an effective risk management plan, and implement measures to safeguard PHI.
Visit the link to learn more,
https://conferencepanel.com/blog/10-steps-to-conduct-a-hipaa-risk-assessment-2023-/28
Redspin Webinar - Prepare for a HIPAA Security Risk Analysis
Learn how to prepare your organization for a HIPAA Risk Analysis. In this webinar, we'll cover a few easy pro-active steps that you can do to speed the process, improve the outcome and lower the potential mitigation costs of performing a HIPAA Security Risk Analysis and achieving the meaningful use core objectives around safeguarding electronic protected health information.
Simple Steps to HIPAA Compliance
Want to be HIPAA Compliant start here. 7 Simple Steps to Become HIPAA Compliant.
The Ultimate Guide to HIPAA Compliance - Strategies and Security Risk Assessm...
The Ultimate Guide to HIPAA Compliance - Strategies and Security Risk Assessm...Colington Consulting
In the ever-evolving landscape of healthcare, ensuring HIPAA compliance is not just a regulatory requirement but a moral and legal obligation. The Health Insurance Portability and Accountability Act (HIPAA) serves as the guardian of patient data, guaranteeing its confidentiality, integrity, and availability. In this article, we will explore the world of HIPAA compliance Strategies, focusing on essential strategies and the significance of the HIPAA security risk assessment.
Mbm Hipaa Hitech Ss Compliance Risk Assessment
The increase level of awareness and training is also very important as is the culture impact of the CE’s environment. How you proceed to successfully train and change the culture depends on the choice of an external HIPAA-HITECH privacy and security auditor. Simply stated, your external auditor should possess the skills and knowledge to comprehensively evaluate all aspect of the HIPAA-HITECH impact on your practice. Upon completion of an audit each area should address its findings, impact and corrective action plan. The action plan should incorporate the training requirements and a training plan to address the specific requirements of each staff member’s relevance to their job function within the practice.
Recommended
Firehost Webinar: Getting Hipaa Compliant
An in-depth look at how to become HIPAA Compliant. Join us as we discuss: risk assessment, prioritization and the 3 approaches to risk.
The Fundamentals of HIPAA Privacy & Security Risk Management
The Fundamentals of HIPAA Privacy & Security Risk Management
Meaningful Use and Security Risk Analysis
Presentation delivered by FRSecure president, Evan Francen to the 100+ Iowa CPSI User Group attendees on October 18th, 2011.
Meaningful Use Core Requirement "Security Risk Analysis"
The Top 10 Steps to a Successful HIPAA Risk Assessment in 2023
The HIPAA Security Rule mandates Covered Entities and Business Associates to conduct a HIPAA Security Risk Assessment to ensure compliance and protect patients' sensitive information. Conducting this assessment can be overwhelming, but it is vital to maintain confidentiality and privacy in the healthcare industry.
The process involves a comprehensive evaluation of an organization's security controls and processes related to Protected Health Information (PHI) to identify potential risks and vulnerabilities. By performing a risk assessment, covered entities and business associates can proactively manage potential threats to PHI, comply with HIPAA regulations, and establish a robust information security program.
It's important to understand that a HIPAA risk assessment is not just a compliance requirement but also a critical component of protecting patients' privacy and confidentiality. With the help of this article, you can gain a better understanding of the HIPAA risk assessment process and fulfill your most important HIPAA compliance obligations while safeguarding patient information.
In summary, conducting a HIPAA risk assessment is crucial to protect PHI from potential threats and vulnerabilities. Following these ten steps can help organizations identify risks, develop an effective risk management plan, and implement measures to safeguard PHI.
Visit the link to learn more,
https://conferencepanel.com/blog/10-steps-to-conduct-a-hipaa-risk-assessment-2023-/28
Redspin Webinar - Prepare for a HIPAA Security Risk Analysis
Learn how to prepare your organization for a HIPAA Risk Analysis. In this webinar, we'll cover a few easy pro-active steps that you can do to speed the process, improve the outcome and lower the potential mitigation costs of performing a HIPAA Security Risk Analysis and achieving the meaningful use core objectives around safeguarding electronic protected health information.
Simple Steps to HIPAA Compliance
Want to be HIPAA Compliant start here. 7 Simple Steps to Become HIPAA Compliant.
The Ultimate Guide to HIPAA Compliance - Strategies and Security Risk Assessm...
The Ultimate Guide to HIPAA Compliance - Strategies and Security Risk Assessm...Colington Consulting
In the ever-evolving landscape of healthcare, ensuring HIPAA compliance is not just a regulatory requirement but a moral and legal obligation. The Health Insurance Portability and Accountability Act (HIPAA) serves as the guardian of patient data, guaranteeing its confidentiality, integrity, and availability. In this article, we will explore the world of HIPAA compliance Strategies, focusing on essential strategies and the significance of the HIPAA security risk assessment.
Mbm Hipaa Hitech Ss Compliance Risk Assessment
The increase level of awareness and training is also very important as is the culture impact of the CE’s environment. How you proceed to successfully train and change the culture depends on the choice of an external HIPAA-HITECH privacy and security auditor. Simply stated, your external auditor should possess the skills and knowledge to comprehensively evaluate all aspect of the HIPAA-HITECH impact on your practice. Upon completion of an audit each area should address its findings, impact and corrective action plan. The action plan should incorporate the training requirements and a training plan to address the specific requirements of each staff member’s relevance to their job function within the practice.
Data and Network Security: What You Need to Know
PYA Principal Barry Mathis served on a panel discussion at the American Medical Informatics Association iHealth 2017 Clinical Informatics Conference.
The panel explored the state of cybersecurity in healthcare organizations and related legal considerations, including the HIPAA privacy and security rules. It considered institutional preparedness, provided examples, and offered preventive measures. The panel also discussed ransomware attacks, including tactics for negotiating with hackers, and provided best practices for organizations to avoid such attacks.
MBM eHealthCare Solutions HIPAA-HITECH & Meaningful Use Risk Analysis
An overview of MBM eHealthCare Solutions HIPAA-HITECH & Meaningful Use Risk Analysis
Chapter 5HIPAA and HITECHLearning ObjectivesUnde
Chapter 5
HIPAA and HITECH
Learning Objectives
Understand HIPAA Privacy and Security Rules
“Covered entity” and “business associate”
Permitted and prohibited disclosure of PHI
Individuals’ rights to own PHI
Application of Breach Notification Rule
Safeguards, standards, and specifications of the Security Rule
Civil and criminal penalties under HIPAA
Introduction
HIPAA protects against threats to security and privacy of personal health information (PHI)
HIPAA expanded by HITECH Act
Under HIPAA authority, DHHS issued the Privacy and Security Rules
Who Is Covered By HIPAA
“Covered entities’ and “business associates”
Covered entities – health care providers, health plans, and health care clearinghouses.
Business associate – persons or organizations doing work for covered entities involving use of individually identifiable health information (e.g., claims processing, utilization review).
Covered entities may be held liable for violations by their business associates.
HIPAA Privacy Rule
Balance the protection and the free flow of personal health information.
Use and disclosure of PHI by covered entities.
Patients’ rights to understand and control their PHI is used.
Implemented and enforced by Office for Civil Rights within DHHS.
Information Protected By Privacy Rule
All “individually identifiable health information” held or transmitted by a covered entity or its business associate, in any form or media, whether electronic, paper, or oral. This is called “protected health information” (PHI).
No restrictions on use or disclosure of information that does not identify an individual.
What the Privacy Rule Prohibits
A covered entity may use or disclose PHI only when the Privacy Rule requires or permits it, or when the affected individual has given his or her written authorization.
Example: AUTHORIZATION FOR RELEASE OF (PHI) PROTECTED HEALTH INFORMATION
http://www.uclahealth.org/workfiles/documents/privacy/release-of-health-info-english.pdf
7
Required Disclosure of PHI
#1 When the affected individual specifically requests access to or disclosure of his or her PHI.
#2 When the DHHS seeks access in the course of a compliance investigation or review, or an enforcement action.
Permitted Disclosure of PHI
Disclosure to the subject of the information.
For use in treatment and payment activities.
When individual can agree with or object to the disclosure.
Disclosure is incidental, “minimum necessary”, and privacy safeguards exist.
For “national priority purposes”.
In the form of a “limited data set”.
“Minimum Necessary” Principle
Whether disclosure is required, permitted, or authorized, a covered entity must make reasonable efforts to use, disclose, and request only the minimum amount of PHI needed to accomplish its intended purpose.
Notice of Privacy Practices
Each covered entity must provide a notice of its privacy practices, including ….
ways in which the entity may use or disclose the PHI
entity’s d ...
5 Documents to Prepare for a HIPAA Audit
HIPAA documentation isn’t something you can create overnight. Here are the top 5 pieces of documentation auditors look for.
Achieving HIPAA Compliance: The Roadmap to Certification Success
Achieving HIPAA compliance is crucial for any organization handling protected health information (PHI) to ensure the privacy and security of patient data.
Here's a roadmap to certification success:
Understand HIPAA Requirements: Familiarize yourself with the Health Insurance Portability and Accountability Act (HIPAA) and its requirements, including the Privacy Rule, Security Rule, and Breach Notification Rule.
Mandatory requirements for physical security 2
What are the Mandatory requirements for Physical Security by any organization?
Essential Components of an Effective HIPAA Safeguard Program
Implementing an effective HIPAA safeguard program is essential for healthcare organizations to protect patient privacy and maintain compliance with HIPAA regulations. By incorporating the essential components discussed in this blog post, including risk assessment, policies and procedures, training and education, access control, and physical security, healthcare organizations can establish a robust safeguard program to prevent data breaches and safeguard the confidentiality of patient information. Prioritizing HIPAA safeguards not only ensures legal compliance but also enhances patient trust and confidence in the security of their sensitive information.
Navigating Healthcare Compliance: A Guide to HIPAA Certification
In the ever-evolving landscape of healthcare, protecting patient information is paramount. The Health Insurance Portability and Accountability Act (HIPAA) was enacted to safeguard the confidentiality and security of individuals' health data. As healthcare organizations strive to uphold these standards, many are exploring the concept of HIPAA certification. In this blog post, we will delve into the importance of HIPAA compliance, the role of certification, and how organizations can navigate the certification process.
MindLeaf - HIPAA privacy and cybersecurity insurance
It is now more important than ever to ensure your breach security is on par or better than the rest of the industry. Review these slides to ensure you understand the regulations surrounding patient privacy and how to prevent future breaches.
How to assess and manage cyber risk
A basic introduction to risk analysis and assessment with pointers to additional resources.
Risk comms measurement april 2018
Katie Paine's Measurement Hour presentation on How to Measure Public Awareness and Risk Communications
You and HIPAA - Get the Facts
The HIPAA Security Rule - An overview and preview for 2014, from Summit Security Group. Summit Security Group is a business partner to Resource One, managed IT services provider for over 15 years to small and mid-sized businesses in the Portland Metro and Southwest Washington area.
Write a 3-4 page risk management policy and procedure for a health c.docx
Write a 3-4 page risk management policy and procedure for a health care organization. Analyze a specific issue that occurred in a health care organization and apply risk management best practices to it for the purpose of early risk identification and risk reduction or elimination in the future.
Health care organizations have always searched for ways to identify and reduce risks. An organization's ability to identify and analyze its risk exposure is a determining factor in the effectiveness of its risk management program (Hoarle, 2015). Early identification and analysis are essential.
Current health care risk management practices developed in the mid-1970s as a result of a surge in malpractice suits. These suits caused rapid increases in claims costs for the industry and later in insurance premiums. Today, health care delivery systems and organizations realize the value of risk management and have developed formalized programs (Hoarle, 2015). In addition, organizations have established mechanisms to review potential incidents of risk and safety concerns (Pelletier & Beaudin, 2018). While risk management programs are responsible for daily management and risk operations, all health care stakeholders are responsible to participate in activities that will reduce unnecessary risks and improve safety and quality (Hoarle, 2015).
This second course assessment consists of two parts. You are to assume the role of a new risk manager within your organization's risk management department. According to your director, employees lack awareness of the organization's risk management program. Likewise, departments inconsistently apply risk management principles. As a result of these deficiencies, your director has given you your first assignment.
Part One: Risk Management Policy and Procedure
Your director has asked you to write a formal risk management policy and procedure for the organization.
Part Two: Application of Risk Management Principles to a Specific Incident
In addition to the policy and procedure, your director has asked you to apply your knowledge of risk management principles to a specific organizational risk that has occurred. Based on
Vila Health: Patient Safety
media piece from Assessment 1 for HIPAA/privacy violation.
Your director believes that the organization's newly written risk management policy and procedure, coupled with your analysis from a risk management standpoint of a recent, specific incident that occurred, will help employees (and the organization) recognize how the hospital's risk management program contributes to the overall organization's safety and quality improvement efforts.
References
Hoarle, K. (2015). Risk management poised to grow as healthcare evolves.
Biomedical Instrumentation & Technology
,
49
(6), 433–435.
Pelletier, L. R., & Beaudin, C. L. (2018).
HQ solutions: Resource for the healthcare quality professional
(4th ed.). Philadelphia, PA: Wolters Kluwer.
Demonstration of Proficiency
By succe.
Week 3 Health Data Breach Response Plan A Managed Care Organizat.docx
Week 3: Health Data Breach Response Plan: A Managed Care Organization’s Comprehensive Plan
As the Chief Privacy Officer (CPO) of a competitive managed care organization, you have been advised of a breach in the privacy, security and confidentiality of sensitive patient data that occurred at the hands of an employee who was a willing participant in a large identify theft ring. After a tip received from the FBI, a six (6) month investigation was conducted. The employee sold hundreds of health records over the span of three (3) years for an undisclosed amount of money. After immediate termination and prosecution, the next step is to develop a comprehensive HealthData Breach Response Plan, a project assigned to you by the CEO.
Deliverables: The final product to submit is a comprehensive plan that includes the following:
· Propose a data response plan that address the following:
· Step One: The organization’s response to the notification of a breach
· Step Two: Identify those responsible parties (by titles) to respond to the notification of breach and explain each of their roles in the process
· Step Three: Procedure(s) to confirm the occurrence of a breach & identify the involved scope/type of data involved
· Step Four: A three (3)-point system measure, to impact of the data breach & the action(s) taken for each level of impact
· Step Five: Data breach response and corrective practices
· Step Six: Monitor/test effectiveness of response and corrective practices
· Step Seven: Notification (public and customer (specify whether all customers are notified or just those impacted)
· Proposed annual schedule of conducted risk analysis (frequency) to access the organization’s susceptibility of data security risks and identify the identified person(s) to conduct the scheduled risks analysis
· Create a risk analysis data security checklist to identify human, technical, environmental, and natural threats
· Required checklist categories: identified threat, contributing factors, example of threat, the likeliness of occurrence and the potential impact to the organization (negative impacts)
· Determine a system to determine/rate the likeliness of occurrence and the potential impact to the managed care organization
· A list of specific resources in place to respond to a data breach
· Identification and the incorporation Health Insurance Portability and Accountability Act (HIPAA) security standards safeguards within the data response plan:
· Administrative Safeguards
· Physical Safeguards
· Technical Safeguards
Create an agenda of topics to present in an organization-wide employee training on the topic “What is My Role in the Prevention of an Organization’s Breach of Data
.
FSMA Intentional Adulteration (IA) Rule with Rod Wheeler - Feb. 2019
Join special guest Rod Wheeler, CEO of The
Global Food Defense Institute, as he clarifies FSMA’s IA rule
requirements and serves up tools that help large food
manufacturers and processors identify their vulnerabilities in
two days or less.
Food companies will gain a clear understanding of IA compliance requirements and the knowledge they need to write their food security and defense plans including:
- How to conduct your own vulnerability assessment in 2 days
or less
- Using the FDA’s Food Defense Mitigation Strategies
database...It’s easy!
- What security countermeasures are available to consider to
mitigate the risk of intentional tampering at a food plant
- Using your vulnerability assessment to help build your Food
Defense Plans
About the Presenter, Rod Wheeler
Rod Wheeler Global Food Defense Institute
Rod Wheeler is the Founder and CEO of The Global Food
Defense Institute, the only global firm that focuses solely on
food defense, intentional adulteration (IA), tampering, and
intelligence. As a former Crime Analyst for the Fox News
Channel and frequent guest on several national and
international news outlets, he is a leading expert on food
security, terrorism and crime.
Hipaa Reality Check
In this webinar SecurityMetrics HCISPP, CISSP, QSA, Brand Barney, covers:
Top healthcare misconceptions
How to find and minimize your organization's risks
Best practices to overcome HIPAA challenges
To listen to this presentation, follow this link: https://securitymetrics.wistia.com/medias/kidewvcbob
www.securitymetrics.com | 801.705.5656
Understanding the New PCI DSS Scoping Supplement
In this presentation SecurityMetrics' Bruce Bogdan, Principal Security Analyst, QSA, PA-QSA, CISSP, covers:
How the scoping supplement impacts you
Clarification on the scoping supplement
De-scoping principles and examples
To listen to this presentation, follow this link: https://securitymetrics.wistia.com/medias/lbm0o1e2mu
www.securitymetrics.com | 801.705.5656
More Related Content
Similar to The 5 Step HIPAA Risk Analysis
Data and Network Security: What You Need to Know
PYA Principal Barry Mathis served on a panel discussion at the American Medical Informatics Association iHealth 2017 Clinical Informatics Conference.
The panel explored the state of cybersecurity in healthcare organizations and related legal considerations, including the HIPAA privacy and security rules. It considered institutional preparedness, provided examples, and offered preventive measures. The panel also discussed ransomware attacks, including tactics for negotiating with hackers, and provided best practices for organizations to avoid such attacks.
MBM eHealthCare Solutions HIPAA-HITECH & Meaningful Use Risk Analysis
An overview of MBM eHealthCare Solutions HIPAA-HITECH & Meaningful Use Risk Analysis
Chapter 5HIPAA and HITECHLearning ObjectivesUnde
Chapter 5
HIPAA and HITECH
Learning Objectives
Understand HIPAA Privacy and Security Rules
“Covered entity” and “business associate”
Permitted and prohibited disclosure of PHI
Individuals’ rights to own PHI
Application of Breach Notification Rule
Safeguards, standards, and specifications of the Security Rule
Civil and criminal penalties under HIPAA
Introduction
HIPAA protects against threats to security and privacy of personal health information (PHI)
HIPAA expanded by HITECH Act
Under HIPAA authority, DHHS issued the Privacy and Security Rules
Who Is Covered By HIPAA
“Covered entities’ and “business associates”
Covered entities – health care providers, health plans, and health care clearinghouses.
Business associate – persons or organizations doing work for covered entities involving use of individually identifiable health information (e.g., claims processing, utilization review).
Covered entities may be held liable for violations by their business associates.
HIPAA Privacy Rule
Balance the protection and the free flow of personal health information.
Use and disclosure of PHI by covered entities.
Patients’ rights to understand and control their PHI is used.
Implemented and enforced by Office for Civil Rights within DHHS.
Information Protected By Privacy Rule
All “individually identifiable health information” held or transmitted by a covered entity or its business associate, in any form or media, whether electronic, paper, or oral. This is called “protected health information” (PHI).
No restrictions on use or disclosure of information that does not identify an individual.
What the Privacy Rule Prohibits
A covered entity may use or disclose PHI only when the Privacy Rule requires or permits it, or when the affected individual has given his or her written authorization.
Example: AUTHORIZATION FOR RELEASE OF (PHI) PROTECTED HEALTH INFORMATION
http://www.uclahealth.org/workfiles/documents/privacy/release-of-health-info-english.pdf
7
Required Disclosure of PHI
#1 When the affected individual specifically requests access to or disclosure of his or her PHI.
#2 When the DHHS seeks access in the course of a compliance investigation or review, or an enforcement action.
Permitted Disclosure of PHI
Disclosure to the subject of the information.
For use in treatment and payment activities.
When individual can agree with or object to the disclosure.
Disclosure is incidental, “minimum necessary”, and privacy safeguards exist.
For “national priority purposes”.
In the form of a “limited data set”.
“Minimum Necessary” Principle
Whether disclosure is required, permitted, or authorized, a covered entity must make reasonable efforts to use, disclose, and request only the minimum amount of PHI needed to accomplish its intended purpose.
Notice of Privacy Practices
Each covered entity must provide a notice of its privacy practices, including ….
ways in which the entity may use or disclose the PHI
entity’s d ...
5 Documents to Prepare for a HIPAA Audit
HIPAA documentation isn’t something you can create overnight. Here are the top 5 pieces of documentation auditors look for.
Achieving HIPAA Compliance: The Roadmap to Certification Success
Achieving HIPAA compliance is crucial for any organization handling protected health information (PHI) to ensure the privacy and security of patient data.
Here's a roadmap to certification success:
Understand HIPAA Requirements: Familiarize yourself with the Health Insurance Portability and Accountability Act (HIPAA) and its requirements, including the Privacy Rule, Security Rule, and Breach Notification Rule.
Mandatory requirements for physical security 2
What are the Mandatory requirements for Physical Security by any organization?
Essential Components of an Effective HIPAA Safeguard Program
Implementing an effective HIPAA safeguard program is essential for healthcare organizations to protect patient privacy and maintain compliance with HIPAA regulations. By incorporating the essential components discussed in this blog post, including risk assessment, policies and procedures, training and education, access control, and physical security, healthcare organizations can establish a robust safeguard program to prevent data breaches and safeguard the confidentiality of patient information. Prioritizing HIPAA safeguards not only ensures legal compliance but also enhances patient trust and confidence in the security of their sensitive information.
Navigating Healthcare Compliance: A Guide to HIPAA Certification
In the ever-evolving landscape of healthcare, protecting patient information is paramount. The Health Insurance Portability and Accountability Act (HIPAA) was enacted to safeguard the confidentiality and security of individuals' health data. As healthcare organizations strive to uphold these standards, many are exploring the concept of HIPAA certification. In this blog post, we will delve into the importance of HIPAA compliance, the role of certification, and how organizations can navigate the certification process.
MindLeaf - HIPAA privacy and cybersecurity insurance
It is now more important than ever to ensure your breach security is on par or better than the rest of the industry. Review these slides to ensure you understand the regulations surrounding patient privacy and how to prevent future breaches.
How to assess and manage cyber risk
A basic introduction to risk analysis and assessment with pointers to additional resources.
Risk comms measurement april 2018
Katie Paine's Measurement Hour presentation on How to Measure Public Awareness and Risk Communications
You and HIPAA - Get the Facts
The HIPAA Security Rule - An overview and preview for 2014, from Summit Security Group. Summit Security Group is a business partner to Resource One, managed IT services provider for over 15 years to small and mid-sized businesses in the Portland Metro and Southwest Washington area.
Write a 3-4 page risk management policy and procedure for a health c.docx
Write a 3-4 page risk management policy and procedure for a health care organization. Analyze a specific issue that occurred in a health care organization and apply risk management best practices to it for the purpose of early risk identification and risk reduction or elimination in the future.
Health care organizations have always searched for ways to identify and reduce risks. An organization's ability to identify and analyze its risk exposure is a determining factor in the effectiveness of its risk management program (Hoarle, 2015). Early identification and analysis are essential.
Current health care risk management practices developed in the mid-1970s as a result of a surge in malpractice suits. These suits caused rapid increases in claims costs for the industry and later in insurance premiums. Today, health care delivery systems and organizations realize the value of risk management and have developed formalized programs (Hoarle, 2015). In addition, organizations have established mechanisms to review potential incidents of risk and safety concerns (Pelletier & Beaudin, 2018). While risk management programs are responsible for daily management and risk operations, all health care stakeholders are responsible to participate in activities that will reduce unnecessary risks and improve safety and quality (Hoarle, 2015).
This second course assessment consists of two parts. You are to assume the role of a new risk manager within your organization's risk management department. According to your director, employees lack awareness of the organization's risk management program. Likewise, departments inconsistently apply risk management principles. As a result of these deficiencies, your director has given you your first assignment.
Part One: Risk Management Policy and Procedure
Your director has asked you to write a formal risk management policy and procedure for the organization.
Part Two: Application of Risk Management Principles to a Specific Incident
In addition to the policy and procedure, your director has asked you to apply your knowledge of risk management principles to a specific organizational risk that has occurred. Based on
Vila Health: Patient Safety
media piece from Assessment 1 for HIPAA/privacy violation.
Your director believes that the organization's newly written risk management policy and procedure, coupled with your analysis from a risk management standpoint of a recent, specific incident that occurred, will help employees (and the organization) recognize how the hospital's risk management program contributes to the overall organization's safety and quality improvement efforts.
References
Hoarle, K. (2015). Risk management poised to grow as healthcare evolves.
Biomedical Instrumentation & Technology
,
49
(6), 433–435.
Pelletier, L. R., & Beaudin, C. L. (2018).
HQ solutions: Resource for the healthcare quality professional
(4th ed.). Philadelphia, PA: Wolters Kluwer.
Demonstration of Proficiency
By succe.
Week 3 Health Data Breach Response Plan A Managed Care Organizat.docx
Week 3: Health Data Breach Response Plan: A Managed Care Organization’s Comprehensive Plan
As the Chief Privacy Officer (CPO) of a competitive managed care organization, you have been advised of a breach in the privacy, security and confidentiality of sensitive patient data that occurred at the hands of an employee who was a willing participant in a large identify theft ring. After a tip received from the FBI, a six (6) month investigation was conducted. The employee sold hundreds of health records over the span of three (3) years for an undisclosed amount of money. After immediate termination and prosecution, the next step is to develop a comprehensive HealthData Breach Response Plan, a project assigned to you by the CEO.
Deliverables: The final product to submit is a comprehensive plan that includes the following:
· Propose a data response plan that address the following:
· Step One: The organization’s response to the notification of a breach
· Step Two: Identify those responsible parties (by titles) to respond to the notification of breach and explain each of their roles in the process
· Step Three: Procedure(s) to confirm the occurrence of a breach & identify the involved scope/type of data involved
· Step Four: A three (3)-point system measure, to impact of the data breach & the action(s) taken for each level of impact
· Step Five: Data breach response and corrective practices
· Step Six: Monitor/test effectiveness of response and corrective practices
· Step Seven: Notification (public and customer (specify whether all customers are notified or just those impacted)
· Proposed annual schedule of conducted risk analysis (frequency) to access the organization’s susceptibility of data security risks and identify the identified person(s) to conduct the scheduled risks analysis
· Create a risk analysis data security checklist to identify human, technical, environmental, and natural threats
· Required checklist categories: identified threat, contributing factors, example of threat, the likeliness of occurrence and the potential impact to the organization (negative impacts)
· Determine a system to determine/rate the likeliness of occurrence and the potential impact to the managed care organization
· A list of specific resources in place to respond to a data breach
· Identification and the incorporation Health Insurance Portability and Accountability Act (HIPAA) security standards safeguards within the data response plan:
· Administrative Safeguards
· Physical Safeguards
· Technical Safeguards
Create an agenda of topics to present in an organization-wide employee training on the topic “What is My Role in the Prevention of an Organization’s Breach of Data
.
FSMA Intentional Adulteration (IA) Rule with Rod Wheeler - Feb. 2019
Join special guest Rod Wheeler, CEO of The
Global Food Defense Institute, as he clarifies FSMA’s IA rule
requirements and serves up tools that help large food
manufacturers and processors identify their vulnerabilities in
two days or less.
Food companies will gain a clear understanding of IA compliance requirements and the knowledge they need to write their food security and defense plans including:
- How to conduct your own vulnerability assessment in 2 days
or less
- Using the FDA’s Food Defense Mitigation Strategies
database...It’s easy!
- What security countermeasures are available to consider to
mitigate the risk of intentional tampering at a food plant
- Using your vulnerability assessment to help build your Food
Defense Plans
About the Presenter, Rod Wheeler
Rod Wheeler Global Food Defense Institute
Rod Wheeler is the Founder and CEO of The Global Food
Defense Institute, the only global firm that focuses solely on
food defense, intentional adulteration (IA), tampering, and
intelligence. As a former Crime Analyst for the Fox News
Channel and frequent guest on several national and
international news outlets, he is a leading expert on food
security, terrorism and crime.
Similar to The 5 Step HIPAA Risk Analysis (20)
MBM eHealthCare Solutions HIPAA-HITECH & Meaningful Use Risk Analysis
MBM eHealthCare Solutions HIPAA-HITECH & Meaningful Use Risk Analysis
Achieving HIPAA Compliance: The Roadmap to Certification Success
Achieving HIPAA Compliance: The Roadmap to Certification Success
Essential Components of an Effective HIPAA Safeguard Program
Essential Components of an Effective HIPAA Safeguard Program
Navigating Healthcare Compliance: A Guide to HIPAA Certification
Navigating Healthcare Compliance: A Guide to HIPAA Certification
MindLeaf - HIPAA privacy and cybersecurity insurance
MindLeaf - HIPAA privacy and cybersecurity insurance
Write a 3-4 page risk management policy and procedure for a health c.docx
Write a 3-4 page risk management policy and procedure for a health c.docx
Week 3 Health Data Breach Response Plan A Managed Care Organizat.docx
Week 3 Health Data Breach Response Plan A Managed Care Organizat.docx
FSMA Intentional Adulteration (IA) Rule with Rod Wheeler - Feb. 2019
FSMA Intentional Adulteration (IA) Rule with Rod Wheeler - Feb. 2019
More from SecurityMetrics
Hipaa Reality Check
In this webinar SecurityMetrics HCISPP, CISSP, QSA, Brand Barney, covers:
Top healthcare misconceptions
How to find and minimize your organization's risks
Best practices to overcome HIPAA challenges
To listen to this presentation, follow this link: https://securitymetrics.wistia.com/medias/kidewvcbob
www.securitymetrics.com | 801.705.5656
Understanding the New PCI DSS Scoping Supplement
In this presentation SecurityMetrics' Bruce Bogdan, Principal Security Analyst, QSA, PA-QSA, CISSP, covers:
How the scoping supplement impacts you
Clarification on the scoping supplement
De-scoping principles and examples
To listen to this presentation, follow this link: https://securitymetrics.wistia.com/medias/lbm0o1e2mu
www.securitymetrics.com | 801.705.5656
How to Effectively Manage a Data Breach
No business wants to face a data breach, but you should be prepared should it happen. Here are 5 steps to protect your organization after a data breach.
How to Secure Your Medical Devices
Did you know your organization's medical devices could potentially be hacked? Learn how you can secure your medical devices and protect your data.
How to Prepare for a PCI DSS Audit
PCI audits can be terrifying, especially if you're not prepared. See these 8 tips from QSAs on preparing for your next audit.
Medical Data Encryption 101
Is your organization securing your patients' information? Learn how to safely encrypt your protected health information.
Securing Your Remote Access Desktop Connection
Many businesses use remote access software for more convenience, but it poses some data security risks. Learn how to properly secure your remote access.
Window of Compromise
There's a certain amount of time your business is vulnerable before a breach happens. Limit the damage caused to your cardholder environment.
HIPAA PHI Protection: Where is Your PHI Stored?
Protected health information (PHI) isn’t just stored in your Electronic Health Record system (EHR). It’s everywhere! HIPAA compliance law mandates that you protect PHI, in all its forms, wherever it resides.
Don't Let Phishing Emails Hook Your Empolyees
Employees who click on phishing emails could introduce malware to your organization. Learn how to spot a phishing scam.
What's Causing You to Store Unencrypted Payment Cards?
Since 2010, SecurityMetrics PANscan® has searched business networks for unencrypted payment card data. Storage of unencrypted payment card data increases your business's risk and liability. This infographic examines the scans run in 2015 and compares results to years past.
5 Steps to Manage a Data Breach
If you suspect a data breach, your goal is clear: stop information from being stolen, and repair your systems so it won’t happen again. The following 5 steps will help you successfully stop information from being stolen, mitigate further damage, and restore franchise operations as quickly as possible.
Auditing Archives: The Case of the File Sharing Franchisee
An unfortunate franchisee with hundreds of restaurant locations hired an IT company with little security skills to configure their restaurant POS systems across multiple locations. By allowing every restaurant access to the same programs and files back at corporate HQ, it promoted process consistency across each restaurant management system, making information exchange easy, but also opening security holes.
Auditing Archives: The Case of the Evil Java Script
Virtually all ecommerce sites add or include third party scripts to their website. The problem comes when a web developer includes third party script on pages that accept sensitive information (e.g., payment page, login page).
Auditing Archives: The Case of the Overly Helpful Front Desk Clerk
Font desk clerks are friendly…sometimes to a fault, but friendly doesn’t necessarily equal secure. A front desk clerk that helps you print off your afternoon boarding pass on the same computer that was just used to run your credit card violates a serious security protocol.
What Does the End of Windows XP Mean For Businesses?
According to NetMarketShare, nearly one in three computers are supported by Windows XP operating system. Now that Microsoft has stopped providing support for Windows XP, security updates and patches will no longer be available. View this presentation to learn what this could mean for your business security and compliance.
For more information:
https://www.pcisecuritystandards.org/docs/PCI-WindowsXPV4_(1).pdf
https://www.microsoft.com/en-us/windows/enterprise/end-of-support.aspx
How Ethical Hacking is Healthy for Business
The easiest and most accurate way to discover if a business is protected enough to withstand a hack is to test it through the eyes of an (ethical) hacker. Ethical hackers, or penetration testers, act as computer detectives who manually examine a business environment for exploitable weaknesses. This presentation will discuss the importance of ensuring a business network receives the security check-ups it requires to maintain a healthy security posture.
More from SecurityMetrics (20)
What's Causing You to Store Unencrypted Payment Cards?
What's Causing You to Store Unencrypted Payment Cards?
Auditing Archives: The Case of the File Sharing Franchisee
Auditing Archives: The Case of the File Sharing Franchisee
Auditing Archives: The Case of the Evil Java Script
Auditing Archives: The Case of the Evil Java Script
Auditing Archives: The Case of the Overly Helpful Front Desk Clerk
Auditing Archives: The Case of the Overly Helpful Front Desk Clerk
The Case of the Suspiciously Flawless Investigation
The Case of the Suspiciously Flawless Investigation
What Does the End of Windows XP Mean For Businesses?
What Does the End of Windows XP Mean For Businesses?
Recently uploaded
Cold Sores: Causes, Treatments, and Prevention Strategies | The Lifesciences ...
Cold Sores: Causes, Treatments, and Prevention Strategies | The Lifesciences ...The Lifesciences Magazine
Cold Sores, medically known as herpes labialis, are caused by the herpes simplex virus (HSV). HSV-1 is primarily responsible for cold sores, although HSV-2 can also contribute in some cases.LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to Care
This webinar helps clinicians understand the unique healthcare needs of the LGBTQ+ community, primarily in relation to end-of-life care. Topics include social and cultural background and challenges, healthcare disparities, advanced care planning, and strategies for reaching the community and improving quality of care.
How Effective is Homeopathic Medicine for Anxiety and Stress Relief.pdf
Have you ever wondered how effective is homeopathic medicine for anxiety and stress relief? Let’s dive into this fascinating topic.
KEY Points of Leicester travel clinic In London doc.docx
In order to protect visitors' safety and wellbeing, Travel Clinic Leicester offers a wide range of travel-related health treatments, including individualized counseling and vaccines. Our team of medical experts specializes in getting people ready for international travel, with a particular emphasis on vaccines and health consultations to prevent travel-related illnesses. We provide a range of travel-related services, such as health concerns unique to a trip, prevention of malaria, and travel-related medical supplies. Our clinic is dedicated to providing top-notch care, keeping abreast of the most recent recommendations for vaccinations and travel health precautions. The goal of Travel Clinic Leicester is to keep you safe and well-rested no matter what kind of travel you choose—business, pleasure, or adventure.
Luxurious Spa In Ajman Chandrima Massage Center
Chandrima Spa Ajman is one of the leading Massage Center in Ajman, which is open 24 hours exclusively for men. Being one of the most affordable Spa in Ajman, we offer Body to Body massage, Kerala Massage, Malayali Massage, Indian Massage, Pakistani Massage Russian massage, Thai massage, Swedish massage, Hot Stone Massage, Deep Tissue Massage, and many more. Indulge in the ultimate massage experience and book your appointment today. We are confident that you will leave our Massage spa feeling refreshed, rejuvenated, and ready to take on the world.
Visit : https://massagespaajman.com/
Call : 052 987 1315
Champions of Health Spotlight On Leaders Shaping Germany's Healthcare.pdf
This edition features a handful of Champions of Health: Spotlight On Leaders Shaping Germany's Healthcare that are leading us into a better future.
Letter to MREC - application to conduct study
Application to conduct study on research title 'Awareness and knowledge of oral cancer and precancer among dental outpatient in Klinik Pergigian Merlimau, Melaka'
Dr. David Greene R3 stem cell Breakthroughs: Stem Cell Therapy in Cardiology
Dr. David Greene, founder and CEO of R3 Stem Cell, is at the forefront of groundbreaking research in the field of cardiology, focusing on the transformative potential of stem cell therapy. His latest work emphasizes innovative approaches to treating heart disease, aiming to repair damaged heart tissue and improve heart function through the use of advanced stem cell techniques. This research promises not only to enhance the quality of life for patients with chronic heart conditions but also to pave the way for new, more effective treatments. Dr. Greene's work is notable for its focus on safety, efficacy, and the potential to significantly reduce the need for invasive surgeries and long-term medication, positioning stem cell therapy as a key player in the future of cardiac care.
DRAFT Ventilator Rapid Reference version 2.4.pdf
Ventilator rapid reference for the Zoll Z cvent. Presented for educational purposes only.
The positive impact of SGRT – The Berkshire Cancer Centre experience
SGRT Europe 2023
Victoria Hammond-Turner
Technical and Development Lead Therapeutic Radiographer
Royal Berkshire NHS Foundation Trust, UK
Nursing education curriculum development.pptx
curriculum development in nursing education based on INC syllabus for M.sc nursing.
CANSA support - Caring for Cancer Patients' Caregivers
International Cancer Survivors Day is celebrated during June, placing the spotlight not only on cancer survivors, but also their caregivers.
CANSA has compiled a list of tips and guidelines of support:
https://cansa.org.za/who-cares-for-cancer-patients-caregivers/
Child Welfare Clinic and Well baby clinicin Sri Lanka.ppsx
This document is designed as an introductory to medical students,nursing students,midwives or other healthcare trainees to improve their understanding about how health system in Sri Lanka cares children health.
Under Pressure : Kenneth Kruk's Strategy
Kenneth Kruk's story of transforming challenges into opportunities by leading successful medical record transitions and bridging scientific knowledge gaps during COVID-19.
Dimensions of Healthcare Quality
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
PET CT beginners Guide covers some of the underrepresented topics in PET CT
This lecture briefly covers some of the underrepresented topics in Molecular imaging with cases , such as:
- Primary pleural tumors and pleural metastases.
- Distinguishing between MPM and Talc Pleurodesis.
- Urological tumors.
- The role of FDG PET in NET.
Recently uploaded (20)
Cold Sores: Causes, Treatments, and Prevention Strategies | The Lifesciences ...
Cold Sores: Causes, Treatments, and Prevention Strategies | The Lifesciences ...
LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to Care
LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to Care
How Effective is Homeopathic Medicine for Anxiety and Stress Relief.pdf
How Effective is Homeopathic Medicine for Anxiety and Stress Relief.pdf
KEY Points of Leicester travel clinic In London doc.docx
KEY Points of Leicester travel clinic In London doc.docx
Champions of Health Spotlight On Leaders Shaping Germany's Healthcare.pdf
Champions of Health Spotlight On Leaders Shaping Germany's Healthcare.pdf
Dr. David Greene R3 stem cell Breakthroughs: Stem Cell Therapy in Cardiology
Dr. David Greene R3 stem cell Breakthroughs: Stem Cell Therapy in Cardiology
The positive impact of SGRT – The Berkshire Cancer Centre experience
The positive impact of SGRT – The Berkshire Cancer Centre experience
CANSA support - Caring for Cancer Patients' Caregivers
CANSA support - Caring for Cancer Patients' Caregivers
Bringing AI into a Mid-Sized Company: A structured Approach
Bringing AI into a Mid-Sized Company: A structured Approach
Child Welfare Clinic and Well baby clinicin Sri Lanka.ppsx
Child Welfare Clinic and Well baby clinicin Sri Lanka.ppsx
PET CT beginners Guide covers some of the underrepresented topics in PET CT
PET CT beginners Guide covers some of the underrepresented topics in PET CT
The 5 Step HIPAA Risk Analysis
- 1. THE 5-STEP HIPAA RISK ANALYSIS The foundation of your patient security strategy Define scope by defining protected health information (PHI) flow Identify where PHI enters your environment. Identify what happens to PHI as it resides in your environment. Identify what happens to PHI when it leaves your environment. STEP 1: Identify top security measures based on top HIPAA risks Implement security measures. Identify the security measures that fix each problem. Look at your top-ranked risks. STEP 4: Rinse and repeat That’s how to conduct a HIPAA risk analysis! Repeat this process periodically (at least annually). Document steps 1-4 to prove you’ve completed a thorough HIPAA risk analysis. After identifying top-ranked risks, repeat step 4 for medium and low risks. STEP 5: Need help with your HIPAA risk analysis? HIPAA@securitymetrics.com | 877.364.9183 © 2015 SecurityMetrics Identify vulnerabilities, threats, and risks to your patient data Identify risks (combination of threats+vulnerabilities that could impact your organization). Identify threats (potential for a person or thing to trigger a vulnerability). Identify vulnerabilities (flaws in components, procedures, design, implementation). STEP 2: Analyze HIPAA risk level and potential impact to your organization Assign each vulnerability and associated threat a high, medium, or low risk level. Determine potential impact to your organization. Determine likelihood of risk occuring at your organization. STEP 3: