Overview: Day One: Research of Your Operations - How do you use PHI and what policies and procedures do you have for Privacy, Security, and Breach Notification? Understand your operations and information flows, and the ways you use or disclose PHI.
Day Two: Limitations on Uses and Disclosures - Establish the proper limitations according to the Privacy Rule, including requirements for Business Associates, handling authorizations, and required processes for uses and disclosures of PHI under HIPAA.
Day Three: Patient Rights under HIPAA - Make sure the processes are defined and in place for providing opportunities to access, amend, and restrict uses of PHI, to ask for an accounting of disclosures of PHI, to request alternative means or methods of communication, and to receive a Notice of Privacy Practices.
Day Four: HIPAA Risk Analysis - Look at how you handle information, identify the risk issues, and decide their priority for mitigation.
Day Five: HIPAA Security Safeguards - Decide what safeguards you will use to address the various Security issues and start implementing physical, technical, and administrative safeguards.
Day Six: HIPAA Security and Breach Notification Policies and Procedures - Adopt a thorough process for managing, evaluating, and acting on any incidents involving PHI and breaches of PHI.
Day Seven: Documentation of Policies and Procedures - All the things you’ve been doing need to be properly documented so you can show compliance. Just creating documentation alone is easily a day’s work.
Day Eight: Training in Policies and Procedures Related to HIPAA - Once you have your HIPAA policies and procedures ready, you can begin training staff on your own policies and procedures relating to privacy, security, and breach notification.
Day Nine: Verification and Audits of Compliance - Implementation of HIPAA Privacy, Security, and Breach Notification compliance should be regularly evaluated to ensure that policies are being followed and systems are secured.
Day Ten: Long Term Compliance Planning and Risk Management - To establish and maintain compliance, it is essential to implement one-time actions, to schedule compliance activities that should take place regularly, and to identify that which can trigger the need for security maintenance and risk management activities.
Why should you attend: It is essential today to regularly review your HIPAA compliance to make sure you are staying up with rule changes and are prepared to answer questions from inspectors or investigators. This 90-minute session will step through the basics of HIPAA compliance and identify current compliance issues that should be addressed to ensure a clean report in any reviews.
The topic of HIPAA compliance will be covered in a format of “10 Days to HIPAA Compliance” wherein focusing the work to be done according to 10 topic areas helps ensure the essential issues are considered. While compliance may take more than 10 days of effort depending on the organization, the 10 topic areas focus the work of the HIPAA Privacy or Security Officer so that progress in compliance can be made and documented.
Being in compliance with HIPAA involves not only ensuring you provide the appropriate patient rights and controls on your uses and disclosures, but also that you ensure you have the right policies, procedures, and documentation, and have performed the appropriate analysis of the risks to the confidentiality, integrity, and availability of electronic Protected Health Information. Doing so is essential to protect your PHI from exposure through accidental acts, such as a loss of a device holding data, or intentional acts, including the recent increases in attacks of health information by hackers.
The session will include a discussion of the various HIPAA-defined safeguards that must be considered, and the kinds of policies and procedures that must me implemented, in order to properly comply with the rules and protect the privacy and security of PHI from accidental or intentional exposure, misuse, or improper disclosure.
Areas Covered in the Session:
Who Will Benefit:
Jim Sheldon-Dean is the founder and director of compliance services at Lewis Creek Systems, LLC, a Vermont-based consulting firm founded in 1982, providing information privacy and security regulatory compliance services to a wide variety of health care entities.
Sheldon-Dean serves on the HIMSS Information Systems Security Workgroup, has co-chaired the Workgroup for Electronic Data Interchange Privacy and Security Workgroup, and is a recipient of the WEDI 2011 Award of Merit. He is a frequent speaker regarding HIPAA and information privacy and security compliance issues at seminars and conferences, including speaking engagements at numerous regional and national healthcare association conferences and conventions and the annual NIST/OCR HIPAA Security Conference in Washington, D.C.
Sheldon-Dean has more than 30 years of experience in policy analysis and implementation, business process analysis, information systems and software development. His experience includes leading the development of health care related Web sites; award-winning, best-selling commercial utility software; and mission-critical, fault-tolerant communications satellite control systems. In addition, he has eight years of experience doing hands-on medical work as a Vermont certified volunteer emergency medical technician. Sheldon-Dean received his B.S. degree, summa cum laude, from the University of Vermont and his master’s degree from the Massachusetts Institute of Technology.