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Electronic Health Information Exchange and HIPAA

Electronic Health Information Exchange and HIPAA | DRUGS | Scoop.it

Under the HIPAA Privacy Rule, the use or disclosure of protected health information (PHI) is permitted for treatment purposes. Electronic health information exchange – a method of data transmission allowing healthcare professionals and patients to access and secure PHI electronically – facilitates quality treatment, without running afoul of the HIPAA Privacy Rule or the HIPAA Security Rule.

What is Electronic Health Information Exchange?

Electronic health information exchange (HIE) is a method of secure electronic data transfer. The data that is transferred is ePHI, or electronic protected health information. ePHI of patients may, consistently with the HIPAA Security Rule and the HIPAA Privacy Rule, be shared among covered entities.

 

Electronic health information exchange (HIE) allows medical professionals and staff to securely share patients’ vital information electronically. This secure sharing improves the speed, quality, safety, and cost of patient care. 

 

Electronic health information exchange can:

  • Improve the completeness of patient records. Past history, current medications, and other information can be shared between patients and providers; between covered entities; and between covered entities and medical staff.
  • Better-informed decision making at the point of care, thereby allowing providers to:
    • Avoid readmissions, thereby saving costs.
    • Avoid prescribing errors, thereby improving the quality of care.
    • Improve the accuracy of diagnoses.
    • Decrease duplicate testing, thereby saving costs and reducing expenses.

 

Perhaps the chief benefit of electronic health information exchange is that it allows for standardization of data. Standardization allows the data that is transferred to seamlessly integrate into a recipient’s Electronic Health Record (EHR), further improving patient care.

 

For example:

  • If laboratory results are received electronically and incorporated into a provider’s EHR, a list of patients with diabetes can be generated. The provider can then determine which of these patients have uncontrolled blood sugar and schedule necessary follow-up appointments.

 

There are currently three key forms of health information exchange:

 

  • Directed Exchange: ability to send and receive secure information electronically between care providers to support coordinated care
  • Query-based Exchange: ability for providers to find and/or request information on a patient from other providers, often used for unplanned care
  • Consumer Mediated Exchange: ability for patients to aggregate and control the use of their health information among providers

 

The foundation of standards, policies and technology required to initiate all three forms of health information exchange are complete, tested, and available today. 


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Rescooped by mark from HIPAA Compliance for Medical Practices
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Are You Feeling Confident About Your HIPAA Compliance? 

Are You Feeling Confident About Your HIPAA Compliance?  | DRUGS | Scoop.it

A friendly reminder that, with the recent HHS Office of Civil Rights announcement, covered entities may soon be facing some unwelcome audits. Now’s the time to review compliance.

 

HIPAA compliance can sometimes feel like changing the oil in your car: inarguably necessary, a serious problem when left unchecked, yet tedious enough that some are willing to let the task slide. The difference, of course, is that one is bad for your engine while the other is a federally mandated and legally enforceable standard.

Friendly reminder: the HHS Office of Civil Rights (OCR) recently announced the Phase II launch of its HIPAA audit program, part of the 2009 HITECH Act. And with their finalized Audit Protocol published on April 8th, all signs point to the OCR soon getting down to brass tacks.

 

This needn’t be cause for alarm. But if covered entities or their business associates haven’t recently ensured that their compliance is watertight — especially regarding the measurement of referral and appointment activity — there’s definitely no time like the present.

There’s No Reason for Panic — Just Preparation

Audits are tentatively set to begin sometime in May, according to OCR official Devin McGraw via Politico, at which point randomly selected covered entities will receive an email announcing their fates (they recommend checking spam folders).

Business associates, who are also subject to individual audits, will be subject to audits in June or July. The agency plans to conduct roughly 200 remote desk audits, to be completed by December 2016, and anywhere from 10-25 “full scale” field audits thereafter, according to Healthcare Info Security. If you’re uncomfortable with the vagueness of this plan, you’re not alone.

The good news is that the majority of organizations will not be audited. However, if selected, entities will have a mere ten business days to prepare and submit all relevant documents via a secure online portal. Desk audits may (or may not) entail just a review of policies, or pertain to only one of the three HIPAA Rules: Privacy, Security, or Breach Notification. However, certain charmed organizations may, in fact, get to experience the unique joy of both desk and on-site audits.

Possibility for Consequences?

Officially, Phase II OCR audits are relatively benign, designed to “develop tools and guidance to assist the industry in compliance self-evaluation and in preventing breaches.” Nevertheless, they will open a formal investigation, should they find a “serious compliance issue,” however defined. And while OCR won’t publish the audit results (or even list which companies are audited), the whole process is subject to the Freedom of Information Act (FOIA), which means that journalists or other public agents can legally publish results. 

 

You may recall that 115 covered entities were audited in 2011 during Phase 1 of program, unearthing major compliance breaches; 89% were found to have compliance issues, and smaller organizations tended to struggle in multiple areas. 

Given the involvement of business associates — many of whom are not primarily dedicated to healthcare — one of the most difficult compliance aspects to cover will be Protected Health Information (PHI) and ePHI (electronic PHI). For instance, if your marketing agency measures referral and appointment activity, they’re likely in the domain of PHI and will need to be in solid compliance.

 

The bottom line is that if you haven’t implemented HIPAA privacy and security policies and procedures, recently conducted an inventory of relevant assets, or regularly completed risk assessments, then now is probably your last chance to do so before the audit process begins.

 

In the end, however, integrating a comprehensive HIPAA compliance program will keep you from running afoul of any regulatory standards that may come down the pipeline. The HHS is only conducting these audits in order to better enforce compliance standards in the future. So while you may or may not be audited this year, you and your digital marketing vendors must be prepared to stand up to scrutiny at any time.


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Rescooped by mark from HIPAA Compliance for Medical Practices
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HIPAA Compliance Keeping Medical Records Private 

HIPAA Compliance Keeping Medical Records Private  | DRUGS | Scoop.it

HIPAA (the Health Insurance Portability and Accountability Act) became law in 1996 and revolutionized requirements and practices ensuring patient rights, privacy, and security. Instead of laws that were unclear or insufficient in some cases, HIPAAbecame federally mandated and regulated. However, the healthcare businesses that must comply have to navigate complex rules and make sure regulations are being followed. 

Who needs to follow HIPAA?

The first question is, do you need to comply with HIPAA? A “Covered Entity” under HIPAA includes any person or company that provides medical, dental, or other healthcare services that transmit the protected health information (PHI) of patients electronically. That could mean sending prescriptions to pharmacies, bills to insurance companies, or emails to patients. It also includes any vendors that create, transmit, receive or store PHI for a Covered Entity.  These vendors are known as “Business Associates” and include services like EMR/EHR, information technology support, data analytics, health app developers, and in some cases, website hosting companies. Those organizations that interact or send PHI in electronic form must comply with HIPAA.

What steps do I need to take?

If you or your company is a covered entity or a business associate under HIPAA, it is your responsibility to keep protected health information secure following the HIPAA Security Standards and Implementation Specifications.  These include:

·       Developing written privacy policies – or even before this step, become familiar with the laws so that comprehensive privacy and security policies can be developed.

·       Designating a privacy and security officer – no matter how small the organization, these officers must be appointed and are responsible for HIPAA compliance.

·       Annual risk assessments – conduct a risk assessment each year and record findings. Assessments must be documented, accurate, and comprehensive in identifying vulnerabilities and threats to PHI.

·       Developing information assurance policies regarding electronic transmission of communications. This includes email and the use of mobile devices with access to PHI.

·       If you are a covered health care provider, distribute a notice of privacy practices to all new patients.

·       Using Business Associate Agreements with any outside company that will have access to PHI.

·       Developing and implementing steps to take in case of a data breach, including how to determine the timing and extent.

Demonstrating HIPAA compliance

Your organization must be able to provide proof that you and your employees are following the rules outlined by HIPAA. If there is a breach of security and PHI is improperly handled or disclosed, the investigation may determine that a penalty could be assessed or the need to enter into a settlement agreement which will include a required corrective action plan. It is important to understand the burden to demonstrate compliance will the responsibility of the organization to prove. 

You will have to show that your organization has conducted a HIPAA risk assessment, provided annual training for the whole workforce, and have a policy and procedures for protecting PHI in writing.


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Rescooped by mark from HIPAA Compliance for Medical Practices
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HIPAA Compliance Tips for Mobile Data Security 

HIPAA Compliance Tips for Mobile Data Security  | DRUGS | Scoop.it

HIPAA Compliance Tips for Mobile Data Security

Nearly 4 out of 5 healthcare providers use a mobile device for professional purposes. These numbers continue to rise as healthcare organizations place an increased focus on efficiency and productivity. (1) Although mobile devices are incredibly efficient and convenient, they also harbor measurable risks for data breach and the exposure of protected health information (PHI).

 

Mobile devices are often more susceptible to theft because they lack the appropriate security controls. In fact, mobile device malware infections have surged 96% from 2015 to 2016. (2)  To avoid hefty penalties and the risk of a data breach, healthcare organizations must develop and implement mobile device procedures and policies that will protect the patient’s health information.

 

Below are five recommendations from HHS (The Department of Health and Human Services) that organizations can take to help manage mobile devices in the healthcare setting:

 

  1. Understand the risks before allowing the use of mobile devices- Decide whether healthcare providers or medical staff will be permitted to use mobile devices to access, receive, transmit, or store patients’ health information or if they will be used as part of the organization’s internal network or systems, such as an electronic health record system.
  2. Conduct a risk analysis to identify threats and vulnerabilities- Consider the risks to your organization when permitting the use of mobile devices to transmit health information Solo providers may conduct the risk analysis on their practice, however, those working for a large provider, the organization may conduct it.
  3. Identify a mobile device risk management strategy, including privacy and security safeguards- A risk management strategy will help healthcare organizations develop and implement mobile device safeguards to reduce risks identified in the risk analysis. Include the evaluation and regular maintenance of the mobile device safeguards put in place.
  4. Develop, document, and implement mobile device policies and procedures to safeguard health information. Some topics to consider when developing mobile device policies and procedures are:
    1. Mobile device management
    2. Using your own device
    3. Restrictions on mobile device use
    4. Security or configuration settings for mobile devices
  5. Conduct mobile device privacy and security awareness and ongoing training/education for providers and professionals.

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Rescooped by mark from HIPAA Compliance for Medical Practices
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Important HIPAA Compliance Issues in 2018

Important HIPAA Compliance Issues in 2018 | DRUGS | Scoop.it

As 2018 gets underway, experts offer advice on some important issues related to HIPAA compliance. One issue is patient access to medical records. Kathy Downing, vice president of information governance and standards at the American Health Information Management Association, said her organization receives many complaints from patients who have issues receiving medical information even though right of access has been in place since 2003.This area is what Downing calls “super low-hanging fruit on the HIPAA tree.” If patients request records, there is no need to make them wait 30 days. If the records are stored electronically, practices should allow patients to receive their information in that format.

 

“The reason this is important is because in a lot of the cases, patients may be seeing multiple providers for chronic conditions, and having their chart allows them to be more engaged in their care,” she said. “It's an important patient right, and important for population health and patient engagement.”

 

By giving patients their records, providers are also allowing them to do a quality review to ensure their information is correct. Electronic medical records commonly contain errors, mainly because of copying and pasting of data, Downing said.

 

If physicians are uncomfortable talking with patients about information in their charts, she recommends that practices appoint a nurse who can deal with patient queries. Portals can also be a good resource to guide patients through their information. If someone has been diagnosed with prediabetes, for instance, a portal can provide links to trusted online sources that can answer patient questions.

 

Increased enforcement?


Another HIPAA-related question facing medical practices this year is the Office for Civil Rights (OCR) approach to HIPAA enforcement. Michael Bossenbroek, a partner at Wachler & Associates, P.C. in Royal Oak, Michigan, listened to remarks at a HIPAA conference last fall from the new OCR director. OCR might be striking a different tone as a new administration takes the reins. “How they balance the objectives of education and compliance with enforcement remains to be seen,” Bossenbroek said.

 

The OCR director gave no specifics, Bossenbroek said. Whatever approach emerges from OCR, as before, providers need to ensure they have the basics completed, with a risk analysis performed and solid policies and procedures in place.

 

Chris Apgar, CEO and president of Apgar & Associates LLC, in Portland, Oregon, said OCR has made it clear there will be continued enforcement activity in the coming years. No one is immune from them, he said. He recently worked with a small entity that had their wrists slapped by OCR. He helped them prepare a response, and when they failed to follow through with their plan, he had to mediate between the organization and OCR.

 

“If you respond to OCR in an appropriate and timely manner and follow through, they go away,” he said. “If you don't, they stick around. They are not going away.”

 

Shortage of security talent


Health care organizations will continue to face a shortage of information technology (IT) security talent in 2018, Apgar said. A report released this past summer by the US Department of Health and Human Services found that 3 out of 4 hospitals do not have a designated information technology (IT) security professional.

 

Larger organizations are better able than small groups to afford hiring IT talent, which can be expensive, Apgar said. But smaller organizations, which often delegate IT security to office staff who are already busy with other tasks, have options. Apgar recommends looking for students graduating from information security programs and bringing them on board as interns. Small groups do not require the same kinds of security setup that a Cleveland Clinic or Kaiser might need, and young individuals can help build and run systems. Organizations can grow a position with them when they are new in the field, although these individuals could leave when they become seasoned and expect a higher salary.


Vendors


With OCR increasingly scrutinizing and auditing business associates, it is important for practitioners to ensure their vendors are compliant. Apgar said the vendors he works with are increasingly motivated to do this for fear of losing customers. These customers – health care practitioners – are demanding proof of compliance.

 

To better understand a vendor's compliance, providers can request policies and procedures and ask to see their risk analysis and any other pertinent documentation. Some ask that vendors fill out a security questionnaire. Others go even further. Groups like Apgar's company can act as a third party to conduct a risk assessment, then attest in writing that a vendor has either mitigated or accepted risks found in the analysis.

 

New tools


It used to cost anywhere from $75,000 to $100,000 for a tool that would automatically monitor audit logs and send alerts if an anomaly is found for a hospital or larger clinic, Apgar said. Over the past couple of years, new options have hit the market that lowered the cost to $35,000 or less, which is a game changer for HIPAA compliance, he said.

 

“As more technology becomes affordable, there is a higher likelihood that regulatory bodies will push back and say providers have to use it,” Agar said. “If a hospital is generating and not regularly reviewing audit logs, they will look negligent to regulators.”

 

Technology tends to move with the needs of the market. For instance, as cyber crime has become increasingly prevalent, tools have been developed and marketed to prevent attacks. Some tools look both internally and externally in a network to see if unusual behavior is occurring, and sends an alert if any anomaly is found.

 

Keeping track of technology as it becomes more affordable is not always simple. Apgar said providers can look at IT newsletters and check with their state associations to stay atop of new and affordable tools coming on the market.


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Staff Nurse Faces Jail Time for HIPAA Violations

Staff Nurse Faces Jail Time for HIPAA Violations | DRUGS | Scoop.it

Her breach of a patient's privacy jeopardized the clinic from which she was subsequently fired.

 

What began as routine file maintenance ended in arrest and possible jail time for a licensed practical nurse who shared a patient's medical information with her spouse.

 

Ms. A, 29, had been employed by a midsize regional clinic for five years. While she enjoyed her job and got on well with her supervisor, Dr. P, she was known to bemoan what she saw as low pay and the financial strain it created for herself and her husband. That strain intensified when her husband was in an auto accident and then sued by people in the other car seeking compensation for their injuries.

 

One day, as Ms. A was flipping through charts to straighten up the files, she saw the plaintiff's name. Reading the chart with great interest, she jotted some notes, stuck them in her bag, and replaced the file. That night, as her husband complained about the impending lawsuit and its potential financial consequences, Ms. A smiled and reached into her bag for the notes she'd taken earlier. “I think this will help,” she said.

 

The next day, Mr. A phoned the patient. During the conversation, he made it known that he had medical information which he believed weakened the man's case. Mr. A suggested that he consider dropping the lawsuit.

 

After hanging up with Mr. A, the patient made two phone calls. First he called the clinic where Ms. A worked. Then he called the district attorney.

 

The next morning, Ms. A was summarily fired. “You may very well have put this whole clinic in jeopardy,” Dr. P told her.

 

After Ms. A left the building, Dr. P called a meeting of all the nurses, physician assistants, and support staff and explained why Ms. A had been fired. Outlining the laws on patient privacy, he informed them that no breach of these laws would be tolerated under any circumstances.

 

Meanwhile, Ms. A's problems were just beginning. The district attorney forwarded the patient's complaint to a federal prosecutor, and within a month, both Ms. A and her husband were indicted. Ms. A was charged with violating the Health Insurance Portability and Accountability Act (HIPAA) and with “conspiracy to wrongfully disclose individual health information for personal gain with maliciously harmful intent in a personal dispute.” Her husband was charged with witness tampering. The couple hired a criminal defense attorney, who negotiated a plea agreement with the federal prosecutor. Ms. A pleaded guilty to one count of wrongful disclosure of individual health information for personal gain. In exchange for her plea, the charges against her husband were dismissed.

 

Ms. A is awaiting sentencing. She faces up to 10 years in prison, a fine of as much as $250,000, and up to three years of supervised probation. The state nursing board is seeking to revoke her license.


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Texas Expands HIPAA Privacy Laws to Bolster EHR Security

Texas Expands HIPAA Privacy Laws to Bolster EHR Security | DRUGS | Scoop.it

Governor of Texas, Rick Perry, has signed a new law to give Texas residents even greater protection than required by the Health Insurance Portability and Accountability Act and has increased penalties for healthcare organizations that fail to implement the appropriate security measures to protect the health data of patients.

 

Under the Health Information Technology for Economic and Clinical Health Act (HITECH), covered entities have a number of responsibilities including reporting data breaches to the Office for Civil Rights (OCR). Data breaches are reportable to the OCR, either in an end of year report or after an investigation, depending on the number of individuals affected.

 

HIPAA places a number of restrictions on how ePHI is used and stored, and all covered entities are required to conduct a full risk analysis to assess systems for security vulnerabilities to allow risk to be managed. It also lays down the procedures that must be followed after a data breach, such as notifying potential victims. Covered organizations are also required to conduct an investigation into how a breach occurred as well as a risk of harm analysis.

 

One of the main aims of HIPAA has been to improve the standard of data security and protect the privacy of patients. HIPAA and HITECH can be seen as minimum standards that must be followed, and states are allowed to increase data security rules, provided that all HIPAA requirements are met.

 

Texas has now exercised the right to tighten state privacy laws to ensure electronic Protected Health Information is kept private and confidential.

 

Greater Protection for Texas Residents
The new Texas law follows HITECH, although it makes a number of amendments to further restrict the use of ePHI. The penalties have been increased for wrongful disclosure, breach notifications have been updated and healthcare organizations must provide more training to staff. A new requirement is that data privacy and security training must now be provided to employees every two years. Training courses must be documented and all attendees must sign to confirm that they have received training. A 60-day time restriction has also now applies for providing new employees with training.

 

According to the new law, “an individual’s PHI may not be disclosed without the patient’s authorization, except for purposes of treatment, payment, healthcare operations, insurance purposes, and as otherwise authorized by state or federal law”

 

Harsher Penalties for Wrongful Disclosure of ePHI
Failure to comply with the new legislation will result in increased financial penalties and possibly criminal penalties – the theft of ePHI is now considered a felony – being applied for the wrongful disclosure of ePHI. The state is also able to revoke both professional and institutional licenses. Financial penalties have been increased to a maximum of $250,000 for intentional disclosure of ePHI for financial gain, $25,000 for intentional or knowing violation and $5,000 for each individual negligent violation, although the maximum penalty for repeat offenders is $1.5 million and enforced withdrawal from Medicaid, the Children’s Health Insurance Program and other state funded healthcare initiatives is also a possibility.

 

When assessing violations, the seriousness of the data breach will be considered along with significant risk of harm, past history of the organization, certification, the efforts made to mitigate any damage caused and the amount necessary to deter the organization from allowing further violations to occur. Failure to issue breach notifications to affected individuals will also be penalized at a rate of $100 per day, per individual, up to a maximum fine of $250,000.

 

HIPAA regulations require employers to provide training on data Privacy and Security Rules, although this is only required within a short time frame of the commencement of employment and after a material change in Privacy and security policies. Under the new Texas law there is a requirement for ongoing training to be provided to staff and this must also be tailored to the employee’s position within the company. Rules have also changed on breach notifications to include all HIPAA covered entities including business associates, as well as non HIPAA-covered entities that wrongfully disclose ePHI.


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Technical Dr. Inc.'s curator insight, November 24, 2018 3:38 AM
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Few Things Physicians are Not Doing to Comply with HIPAA.

Few Things Physicians are Not Doing to Comply with HIPAA. | DRUGS | Scoop.it

Shortly after the Health Insurance Portability and Accountability Act (HIPAA) was implemented, David Zetter was at a doctor's office helping the group build a compliance plan. He was in the back of the practice training some of the staff when the receptionist walked in and handed him a piece of paper.

 

The note was from a patient saying she could see everyone's names and files at the front desk and she knew that was a HIPAA violation.

 

More than a decade later, HIPAA compliance has become ingrained: Files are not left out in the open, patient information is not improperly disclosed, and doctors do not leave health-related messages on answering machines. It is routine to have every patient sign a HIPAA release and go about your business.

 

But compliance is not a one-and-done activity as much as an evolution of rules and procedures. Compliance gurus bet there are at least a few things physicians are not doing to comply with HIPAA.

 

Make a plan
One main thing that practices should have is a compliance plan, but many do not, said Zetter, founder of Zetter Healthcare Management Consultants. “They buy a cheap manual off of the internet and think that works,” he said. “But it cannot be implemented that way; it wasn't set up for your practice.”

 

Even state medical societies sell how-to manuals, but Zetter said this is only a document meant to guide you through creating a compliance plan, not the plan itself.

 

Sample HIPAA compliance plans and instructions for completing one can be found online. The Massachusetts Medical Society provides a document with a checklist and tips to help doctors develop their own documents.

 

Analyzing compliance
The second thing that needs to be completed is a gap analysis. These are used to determine what the organization is doing and what they should be doing. Zetter said an office needs to take each section of the regulation, see what is required and compare it with what is being done. Detailed information on creating a gap analysis can be found at the North Carolina Department of Health and Human Services Website.

 

Once gaps are identified, it is important to find ways to mitigate the potential problem areas. Physicians can do this by performing a risk analysis, which provides the basis for developing ways to cover themselves if an information breach should occur.

 

A risk analysis can arrive at whether there is a low, medium, or high risk of a HIPAA violation occurring, Zetter said. The greater the risk, the more resources are needed for prevention. All of this should be documented.


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Technical Dr. Inc.'s curator insight, November 23, 2018 6:09 AM
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Fax Sent to Wrong Number Results in HIPAA Violation

Fax Sent to Wrong Number Results in HIPAA Violation | DRUGS | Scoop.it

One morning, the office manager got a call from one of the practice's patients, Mr. M, a 52-year-old, HIV-positive man who had been seeing Dr. G for a decade. Although he was happy with the treatment he had been receiving, Mr. M's company was promoting him and he was relocating to another town. He called to ask Dr. G to fax his medical records to his new urologist.

 

The office manager was juggling numerous tasks, but managed to send the fax out later that day. The office did not have personalized fax cover sheets, just sheets that the office manager printed off once a week which had spaces to fill in the “to” and “from” sections. She hurriedly filled them in and shot off the fax, one of several she had to do before checking in the next patient.

 

At the end of the day she told Dr. G that it had been done. He thought nothing of it until the following Monday when the office manager came into the back office to speak to him. She was pale and looked shaken, and the physician immediately asked if she was okay.

 

“It's Mr. M,” the office manager said. “He just called – absolutely furious. He says that we faxed his medical records to his employer rather than his new doctor, and that now his company is aware of his HIV status. He is extremely upset.”

 

“I'm so sorry,” the office manager said tearfully. “I was the one who sent that fax out. I must have accidentally grabbed the wrong number from his file. What should we do?” She looked at Dr. G for guidance.

 

Dr. G was holding his forehead, and trying to figure out how to remedy the situation. “The first thing we're going to do is to call Mr. M and apologize. Then we'll take it from there.”

 

The office manager and Dr. G called Mr. M and apologized profusely for the mix-up. Mr. M understood that it had not been done maliciously, but he was still not satisfied and reported the incident to the U.S. Department of Health and Human Services' (HHS) Office for Civil Rights (OCR).

 

An initial investigation indicated that the incident was not criminal and so it was not referred to the Department of Justice.

 

Rather, it was handled by the OCR. OCR officials appeared at Dr. G's office to look into the matter, and after a thorough investigation, the OCR issued a letter of warning to the office manager, referred the office staff for HIPAA privacy training, and had the office revise the fax cover sheets to underscore that they contain a confidential communication for the intended recipient only.

 

Legal Background
The Health Insurance Portability and Accountability Act, commonly known as HIPAA, protects personally identifiable health information of patients, and specifies to providers how such information may be used. HIPAA has been in effect for about a decade, and in that time, the HHS has received a total of almost 80,000 complaints.

 

Of those, more than 44,000 were dismissed, 19,000 were investigated and resolved with changes to privacy practice, and 9,000 were investigated but no violations were found. According to HHS, private medical practices were the ones most often required to take corrective action as a result of enforcement.

 

The top two compliance issues most frequently investigated are impermissible use and disclosure of protected health information and lack of safeguards for protected health information.

 

When a HIPAA complaint is filed with the HHS, the first determination made is whether there was a possible privacy violation and whether it was of a criminal nature. If it was determined to be criminal, the case is referred to the Department of Justice for investigation and possible prosecution.

 

If it was determined that it was not a criminal issue (as in this case) the violation is investigated by the OCR. If it is determined that a HIPAA violation did, in fact, take place, the OCR can either obtain voluntary compliance, corrective action or some other voluntary agreement with the offender, or the OCR can issue a formal finding of violation and force the offender to change its practices.

 

In this particular case, the office manager and Dr. G recognized the mistake and immediately tried to take corrective action by apologizing to the patient. Dr. G's office also voluntarily agreed to extra compliance training for the staff and to a change in their faxing procedures to indicate that the faxed materials are confidential.

 

Protecting Yourself
This particular scenario was the result of a careless error. While a careless error can happen to anyone, one such as this could cause irreparable harm to the patient if his employer now views or treats him differently because of the new knowledge of his HIV-positive status.

 

Confidential patient records must be treated with the greatest of care as they contain information of an extremely personal nature. Many HIPAA cases have involved the unintentional divulging of the HIV or AIDS status of a patient.

 

In a similar case, a dental practice was reported for using red stickers and the word AIDS on the outside of patient folders. And in a case that took place in a hospital, a nurse and orderly lost their jobs for discussing a patient's HIV status within earshot of other patients.

 

A good rule of thumb is to treat a patient's confidential information as you would want yours to be treated, and then add a little extra security for good measure.


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WE OFFER MONEY BACK GUARANTEE TO EVERYONE PURCHASING MEDICINES FROM US YOU CAN LOOK AT SOME FEW QUESTIONS THAT HAVE BEEN ANSWERED TO BACK THIS POINT HERE

If your package is not delivered to you because of our error, we will offer you a reshipment. We will ship a similar request for nothing out of your pocket. Inform us quickly in that regard so we solve the issue.

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Technical Dr. Inc.'s curator insight, November 23, 2018 6:18 AM
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HIPAA Privacy Complaint Results in Federal Criminal Prosecution for First Time

HIPAA Privacy Complaint Results in Federal Criminal Prosecution for First Time | DRUGS | Scoop.it

For the first time, a HIPAA privacy complaint filed with the Department of Health and Human Services’ Office for Civil Rights (OCR) has resulted in federal criminal prosecution.

 

A complaint was filed with OCR over an impermissible disclosure of a patient’s protected health information by a doctor. The doctor, Richard Alan Kaye of Suffolk, Va., was alleged to have shared PHI with the patient’s employer without consent from the patient – A violation of the HIPAA Privacy Rule.

 

The case against Kaye has been referred to the Department of Justice, which has pressed charges. While OCR has referred more than 500 HIPAA violation cases in the past, this if the first time that an investigation of a privacy complaint has resulted in criminal prosecution.

 

Kaye had previously worked at Sentara Obici Hospital in Suffolk, Va., as Medical Director of its Psychiatric Care Center. The patient had been enrolled in a mental health treatment program at the hospital and Kaye treated and subsequently discharged the patient. On discharge, Kaye stated that the patient was not a threat to the public.

 

Federal prosecutors allege Kaye shared PHI with the patient’s employer “under the false pretenses that the patient was a serious and imminent threat to the safety of the public, when in fact he knew that the patient was not such a threat.”

 

While it was previously possible for egregious HIPAA violations to result in criminal prosecutions for HIPAA covered entities, filing charges against individuals was problematic. When individuals were discovered to have violated the privacy of patients, and the violations warranted criminal prosecution, it was necessary to file charges under the aiding and abetting theory – The abuse of an individual’s position to violate HIPAA Rules.

 

However, the 2009 Health Information Technology for Economic and Clinical Health Act (HITECH Act) provided further clarification on criminal prosecutions for HIPAA violations, and made the process of prosecuting individuals for HIPAA privacy violations more straightforward.

 

If cases are investigated and OCR determines HIPAA Rules have been violated by covered entities, the cases are typically resolved by OCR, often via settlements. However, if individuals are alleged to have violated HIPAA Rules, criminal penalties may be appropriate. In such cases, OCR can refer the cases to the Department of Justice, the federal attorney general, and/or state attorneys general to pursue criminal charges against those individuals.

 

While criminal cases have been filed against individuals who violated HIPAA Rules and impermissibly disclosed PHI, the uncertainty of pursuing cases against individuals prior to the passing of the HITECH Act dissuaded federal prosecutors from pursuing cases. Since the HITECH Act was passed, there have been referrals of cases, although this is understood to be the first time that the Department of Justice has actively pursued criminal charges against an individual following the referral of a privacy complaint by OCR.

 

There is no private cause of action in HIPAA. While private citizens can file complaints with the OCR over alleged violations of HIPAA Rules, they are not permitted to file lawsuits against covered entities for HIPAA violations. The lack of criminal penalties for HIPAA violations may have dissuaded patients from filing complaints. Now the Department of Justice is taking action against an individual for an egregious HIPAA privacy violation, it may encourage more patients to file complaints with OCR.

 

This DOJ case shows federal authorities are now taking HIPAA Privacy Rule violations much more seriously. OCR is also training state attorneys general on HIPAA enforcement. After state attorney generals have received training, it is expected they too will take a more aggressive stance against covered entities that have violated the privacy of state residents.


Via Technical Dr. Inc.
mark's insight:
Oxy Best Pharmacy, ship and do home delivery World Wide

BUY VYVANSE ONLINE, can be a smart move. It saves you money many times, as you remove the cost of a physical retailer. Online prices for medications are almost always lower, and when it comes to medications you require, any savings you can get can really help. You’ll often have to buy these medications regularly, and those costs can really add up. So buy drugs online gives you an opportunity to save a little time for you to buy will add up to substantial savings in time as you buy from home you need not take a drive to a pharmacy. If you want to buy Vyvanse online, then you’ve come to the right place visit Our Shop Page. To buy this medication from us you do not need a prescription and also it will be good if you have one as it will be way easy to make delivery without doing much on security. We’ll get the drug to you quickly, safely and you will pay online prices that easily beat out what you would pay at a physical pharmacy.

Why Us?

Payment methods: We take Western Union Money Gram, Bitcoin, Cashapp, and Zelle Payments. Order medications online from the best online pharmacy in the USA Here.

WE OFFER MONEY BACK GUARANTEE TO EVERYONE PURCHASING MEDICINES FROM US YOU CAN LOOK AT SOME FEW QUESTIONS THAT HAVE BEEN ANSWERED TO BACK THIS POINT HERE

If your package is not delivered to you because of our error, we will offer you a reshipment. We will ship a similar request for nothing out of your pocket. Inform us quickly in that regard so we solve the issue.

Buy Vyvanse Online HERE Now and have it delivered right at your doorsteps. Oxy Best Pharmacy is the best and secure place to order painkillers online. Customer satisfaction is our highest priority, and we never fail to exceed the customer’s expectations! Contact Oxy Best Pharmacy today for all of your meds. Order Vyvanse online and other highly controlled pills like BOTOX, MORPHINE, CODEINE, DIAZEPAM DILAUDID, SUBUTEX, FENTANYL PATCHES, XANAX, NEUROBLOC, OXYCODONE, OXYCONTIN, OPANA, ROXICODONE, SUBOXONE, OXYNORM AND RITALIN Online without Prescription. You are always welcome to our pharmacy at any time to enjoy from our best online services feel free to contact our pharmacy HERE

 

 

Technical Dr. Inc.'s curator insight, November 24, 2018 3:38 AM
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

Rescooped by mark from HIPAA Compliance for Medical Practices
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How Do I Become HIPAA Compliant?

How Do I Become HIPAA Compliant? | DRUGS | Scoop.it

For healthcare providers, HIPAA compliance is a must. HIPAA guidelines protect patients’ health information, ensuring that it is stored securely, and used correctly.

 

Sensitive data that can reveal a patient’s identity must be kept confidential to adhere to HIPAA rules. These rules work on multiple levels and require a specific organizational method to implement comprehensive privacy and security policies to achieve compliance.

 

Most organizations find this to be a daunting task. We have put together a HIPAA compliance checklist to make the process easier.

 

The first is to understand how HIPAA applies to your organization. The second is to learn how to implement an active process, technology, and training to prevent a HIPAA-related data breach or accidental disclosure. Finally, the third is to put physical and technical safeguards in place to protect patient data.

By the time you’re done with our list, you will know what you need to consider to have a better conversation with your compliance advisors.

What is HIPAA?

Before talking about compliance, let’s recap the basics of HIPAA.

Signed into law by President Bill Clinton in 1996, the Health Insurance Portability and Accountability Act provides rules and regulations for medical data protection.

HIPAA does several important things. It reduces health care abuse and fraud and sets security standards for electronic billing of healthcare. It also does the same for the storage of patients’ healthcare information. The Act mandates the protection and handling of medical data, ensuring that healthcare data is kept private.

The part of HIPAA we are concerned with relates to healthcare cybersecurity. To be compliant, you must protect patients’ confidential records.

HIPAA rules have evolved. When the law was first enacted, it did not mention specific technology. As the HIPAA compliant cloud has become commonplace, it has inspired additional solutions. For example, our Data Security Cloud (DSC) is being developed to create a base infrastructure for a HIPAA compliant solution. Providing a secure infrastructure platform to ride on top of, DSC makes creating a HIPAA-compliant environment easier.

Secure infrastructure handles things at the lowest technical level that creates data, providing the key features to keep data safe. These features include separation/segmentation, encryption at rest, a secure facility at the SOC2 level of compliance, and strict admin controls among other required security capabilities.

 
 

Why Is HIPAA Compliance Important?

HIPAA compliance guidelines are incredibly essential. Failure to comply can put patients’ health information at risk. Breaches can have a disastrous impact on a company’s reputation, and you could be subject to disciplinary action and strict violation fines and penalties by CMS/OCR.

Last year’s Wannacry ransomware attack affected more than 200,000 computers worldwide, including many healthcare organizations. Most notably, it affected Britain’s National Health Service, causing serious disruptions in the delivery of health services across the country.

To gain access to the systems, hackers exploited vulnerabilities in outdated versions of Windows that are still commonly used in many healthcare organizations. With medical software providers offering inadequate support for new OS’s and with medical devices such as MRIs lacking security controls, the attack was easy to carry out.

The attack demonstrated the strength of today’s hackers, highlighting the extent to which outdated technologies can pose a problem in modern organizations. This is precisely why HIPAA also regulates some aspects of technology systems used to store, manage, and transfer healthcare information.

The institutions that fail to implement adequate systems can suffer significant damage. If a breach takes place, the law requires affected organizations to submit various disclosure documents, which can include sending every subject a mailed letter. They may also be required to offer patients a year of identity protection services.  This can add up to significant dollars, even before confirming the extent of the breach.

 

What is the HIPAA Privacy Rule?

The HIPAA Privacy Rule creates national standards. Their goal is to protect medical records and other personally identifiable health information (PHI).

It applies to three types of companies: providers, supply chain (contractors, vendors, etc.) and now service providers (such as data centers and cloud services providers). All health plans and healthcare clearinghouses must be HIPAA compliant.

The rules also apply to healthcare providers who conduct electronic health-related transactions.

The Privacy Rule requires that providers put safeguards in place to protect their patients’ privacy. The safeguards must shield their PHI. The HIPAA Privacy Rule also sets limits on the disclosure of ePHI.

It’s because of the Privacy Rule that patients have legal rights over their health information.

These include three fundamental rights.

    • First, the right to authorize disclosure of their health information and records.
    • Second, the right to request and examine a copy of their health records at any time.
    • Third, patients have the right to request corrections to their records as needed.

The HIPAA Privacy Act requires providers to protect patients’ information. It also provides patients with rights regarding their health information.

 

What Is The HIPAA Security Rule

The HIPAA Security Rule is a subset of the HIPAA Privacy Rule. It applies to electronic protected health information (ePHI), which should be protected if it is created, maintained, received, or used by a covered entity.

The safeguards of the HIPAA Security Rule are broken down into three main sections. These include technical, physical, and administrative safeguards.

Entities affected by HIPAA must adhere to all safeguards to be compliant.

Technical Safeguards

The technical safeguards included in the HIPAA Security Rule break down into four categories.

    • First is access control. These controls are designed to limit access to ePHI. Only authorized persons may access confidential information.
    • Second is audit control. Covered entities must use hardware, software, and procedures to record ePHI. Audit controls also ensure that they are monitoring access and activity in all systems that use ePHI.
    • Third are integrity controls. Entities must have procedures in place to make sure that ePHI is not destroyed or altered improperly. These must include electronic measures to confirm compliance.
    • Finally, there must be transmission security. Covered entities must protect ePHI whenever they transmit or receive it over an electronic network.

The technical safeguards require HIPAA-compliant entities to put policies and procedures in place to make sure that ePHI is secure. They apply whether the ePHI is being stored, used, or transmitted.

Physical Safeguards

Covered entities must also implement physical safeguards to protect ePHI. The physical safeguards cover the facilities where data is stored, and the devices used to access them.

Facility access must be limited to authorized personnel. Many companies already have security measures in place. If you don’t, you’ll be required to add them. Anybody who is not considered an authorized will be prohibited from entry.

Workstation and device security are also essential. Only authorized personnel should have access to and use of electronic media and workstations.

Security of electronic media must also include policies for the disposal of these items. The removal, transfer, destruction, or re-use of such devices must be processed in a way that protects ePHI.

Administrative Safeguards

The third type of required safeguard is administrative. These include five different specifics.

    • First, there must be a security management process. The covered entity must identify all potential security risks to ePHI. It must analyze them. Then, it must implement security measures to reduce the risks to an appropriate level.
    • Second, there must be security personnel in place. Covered entities must have a designated security official. The official’s job is to develop and implement HIPAA-related security policies and procedures.
    • Third, covered entities must have an information access management system. The Privacy Rule limits the uses and disclosures of ePHI. Covered entities must put procedures in place that restrict access to ePHI to when it is appropriate based on the user’s role.
    • Fourth, covered entities must provide workforce training and management. They must authorize and supervise any employees who work with ePHI. These employees must get training in the entity’s security policies. Likewise, the entity must sanction employees who violate these policies.
    • Fifth, there must be an evaluation system in place. Covered entities must periodically assess their security policies and procedures.

Who Must Be HIPAA complaint?

There are four classes of business that must adhere to HIPAA rules. If your company fits one of them, you must take steps to comply.

The first class is health plans. These include HMOs, employer health plans, and health maintenance companies. This class contains schools who handle PHI for students and teachers. It also covers both Medicare and Medicaid.

The second class is healthcare clearinghouses. These include healthcare billing services and community, health management information systems. Also included are any entities that collect information from healthcare entities and process it into an industry-standard format.

The third class is healthcare providers. That means any individual or organization that treats patients. Examples include doctors, surgeons, dentists, podiatrists, and optometrists. It also includes lab technicians, hospitals, group practices, pharmacies, and clinics.

The final class is for business associates of the other three levels. It covers any company that handles ePHI such as contractors, and infrastructure services providers. Most companies’ HR departments also fall into this category because they handle ePHI of their employees. Additional examples include data processing firms and data transmission providers. This class also includes companies that store or shred documents. Medical equipment companies, transcription services, accountants, and auditors must also comply.

If your entity fits one of these descriptions, then you must take steps to comply with HIPAA rules.

What is the HIPAA Breach Notification Rule?

Even when security measures are in place, it’s possible that a breach may occur. If it does, the HIPAA Breach Notification Rule specifies how covered entities should deal with it.

The first thing you need to know is how to define a breach. A breach is a use or disclosure of PHI forbidden by the Privacy Rule.

The covered entity must assess the risk using these criteria:

    1. The nature of the PHI involved, including identifying information and the likelihood of re-identification;
    2. The identity of the unauthorized person who received or used the PHI;
    3. Whether the PHI was viewed or acquired; and
    4. The extent to which the risk to the PHI has been mitigated.

Sometimes, PHI may be acquired or disclosed without a breach.

The HIPAA rules specify three examples.

  • The first is when PHI is unintentionally acquired by an employee or person who acted in good faith and within the scope of their authority.
  • The second is inadvertent disclosure of PHI by one authorized person to another. The information must not be further disclosed or used in a way not covered by the Privacy Rule.
  • The third occurs if the covered entity determines that the unauthorized person who received the disclosure would not be able to retain the PHI.

 

If there is a breach as defined above, the entity must disclose it. The disclosures advise individuals and HHS that the breach has occurred.

 

Personal disclosures must be mailed or emailed to those affected by the breach. A media disclosure must be made in some circumstances. If more than 500 people in one area are affected, the media must be notified.

 

Finally, there must also be a disclosure to the HHS Secretary.

The HIPAA Breach Notification Rule protects PHI by holding covered entities accountable. It also ensures that patients are notified if their personal health information has been compromised.

 

What Are The HIPAA Requirements for Compliance

The common question is, how to become HIPAA compliant?

The key to HIPAA compliance certification is to take a systematic approach. If your entity is covered by HIPAA rules, you must be compliant. You must also perform regular audits and updates as needed.

 

With that in mind, we’ve compiled a comprehensive checklist for use in creating your HIPAA compliance policy.

HIPAA Compliance Checklist

These questions cover the components to make you are HIPAA-compliant. You can use the checklist to mark each task as you accomplish it. The list is intended to be used for self-evaluation.

Have you conducted the necessary audits and assessments according to National Institutes of Standards and Technology (NIST) Guidelines?

 

The audits in question involve security risk assessments, privacy assessments, and administrative assessments.

Have you identified all the deficiencies and issues discovered during the three audits?

 

There are several things to consider before doing the self-audit checklist. You need to ensure that all security, privacy, and administrative deficiencies and issues are appropriately addressed.

 

Have you created thorough remediation plans to address the deficiencies you have identified?

After covering the deficiencies and issues mentioned above, you need to provide remediation for each group.

Do you have policies and procedures in place that are relevant to the HIPAA Privacy Rule, the HIPAA Security Rule, and the HIPAA Breach Notification Rule?

 

You must be aware of these three critical aspects of a HIPAA compliance program and ensure each is adequately addressed.

    • Have you distributed the policies and procedures specified to all staff members?
      • Have all staff members read and attested to the HIPAA policies and procedures you have put in place?
      • Have you documented their attestation, so you can prove that you have distributed the rules?
      • Do you have documentation for annual reviews of your HIPAA policies and procedures?
    • Have all your staff members gone through basic HIPAA compliance training?
      • Have all staff members completed HIPAA training for employees?
      • Do you have documentation of their training?
      • Have you designated a staff member as the HIPAA Compliance, Privacy, or Security Officer as required by law?
    • Have you identified all business associates as defined under HIPAA rules?
      • Have you identified all associates who may receive, transmit, maintain, process, or have access to ePHI?
      • Do you have a Business Associate Agreement (Business Associate Contract) in place with each identify you have identified as a Business Associate?
      • Have you audited your Business Associates to make sure they are compliant with HIPAA rules?
      • Do you have written reports to prove your due diligence regarding your Business Associates?
    • Do you have a management system in place to handle security incidents or breaches?
      • Do you have systems in place to allow you to track and manage investigations of any incidents that impact the security of PHI?
      • Can you demonstrate that you have investigated each incident?
      • Can you provide reporting of all breaches and incidents, whether they are minor or meaningful?
      • Is there a system in place so staff members may anonymously report an incident if the need arises?

As you work your way through this checklist, remember to be thorough. You must be able to provide proper documentation of your audits, procedures, policies, training, and breaches.

As a final addition to our checklist, here is a review of the general instructions regarding a HIPAA compliance audit.

    • If a document refers to an entity, it means both the covered entity and all business associates unless otherwise specified
    • Management refers to the appropriate officials designated by the covered entity to implement policies, procedures, and standards under HIPAA rules.
    • The covered entity must provide all specified documents to the auditor. A compendium of all entity policies is not acceptable. It is not the auditor’s job to search for the requested information.
    • Any documents provided must be the versions in use as of the audit notification and document request unless otherwise specified.
    • Covered entities or business associates must submit all documents via OCR’s secure online web portal in PDF, MS Word, or MS Excel.
    • If the appropriate documentation of implementation is not available, the covered entity must provide examples from “equivalent previous time periods” to complete the sample. If no such documentation is available, a written statement must be provided.
    • Workforce members include:
      • Entity employees
      • On-site contractors
      • Students
      • Volunteers
    • Information systems include:
      • Hardware
      • Software
      • Information
      • Data
      • Applications
      • Communications
      • People

Proper adherence to audit rules is necessary. A lack of compliance will impact your ability to do business.

In Closing, HIPAA Questions and Answers

HIPAA rules are designed to ensure that any entity that collects, maintains, or uses confidential patient information handles it appropriately. It may be time-consuming to work your way through this free HIPAA self-audit checklist. However, it is essential that you cover every single aspect of it. Your compliance is mandated by law and is also the right thing to do to ensure that patients can trust you with their personal health information.

One thing to understand is that it is an incredible challenge to try to do this by yourself. You need professional help such as a HIPAA technology consultant. Gone are the days you can have a server in your closet at the office, along with your office supplies. The cleaning personnel seeing a print out of a patient’s file constitutes a ‘disclosable’ event.

Screen servers, privacy screens, and professionally-managed technology solutions are a must. Just because you use a SAS-based MR (Medical Records) solution, does not mean you are no longer responsible for the privacy of that data. If they have lax security, it is still the providers’ responsibility to protect that data. Therefore the burden of due diligence is still on the provider.

Phoenix NAP’s HIPAA compliant hosting solutions have safeguards in place, as audited in its SOC2 certifications. We provide 100% uptime guarantees and compliance-ready platform that you can use to build secure healthcare infrastructure.


Via Technical Dr. Inc.
mark's insight:
Oxy Best Pharmacy, ship and do home delivery World Wide

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Why Us?

Payment methods: We take Western Union Money Gram, Bitcoin, Cashapp, and Zelle Payments. Order medications online from the best online pharmacy in the USA Here.

WE OFFER MONEY BACK GUARANTEE TO EVERYONE PURCHASING MEDICINES FROM US YOU CAN LOOK AT SOME FEW QUESTIONS THAT HAVE BEEN ANSWERED TO BACK THIS POINT HERE

If your package is not delivered to you because of our error, we will offer you a reshipment. We will ship a similar request for nothing out of your pocket. Inform us quickly in that regard so we solve the issue.

Buy Vyvanse Online HERE Now and have it delivered right at your doorsteps. Oxy Best Pharmacy is the best and secure place to order painkillers online. Customer satisfaction is our highest priority, and we never fail to exceed the customer’s expectations! Contact Oxy Best Pharmacy today for all of your meds. Order Vyvanse online and other highly controlled pills like BOTOX, MORPHINE, CODEINE, DIAZEPAM DILAUDID, SUBUTEX, FENTANYL PATCHES, XANAX, NEUROBLOC, OXYCODONE, OXYCONTIN, OPANA, ROXICODONE, SUBOXONE, OXYNORM AND RITALIN Online without Prescription. You are always welcome to our pharmacy at any time to enjoy from our best online services feel free to contact our pharmacy HERE

 

 

Technical Dr. Inc.'s curator insight, April 22, 2019 5:23 AM
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

Rescooped by mark from HIPAA Compliance for Medical Practices
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Proposed HIPAA Law Changes

Proposed HIPAA Law Changes | DRUGS | Scoop.it

Upcoming proposed changes to HIPAA law from the Office for Civil Rights (OCR)

Roger Severino, Director of the Office for Civil Rights (OCR), in his keynote address at the 11th Annual OCR/ NIST conference “Safeguarding Health Information: Building Assurance through HIPAA Security”, informed of some proposed policy changes in HIPAA law that OCR is in the process of working through.  Be on the lookout for upcoming policy enhancements. 

 

These proposed changes to legislation are provoked by input from covered entities, business associates and experts on what issues they currently face due to HIPAA regulations.   

Here are some of the proposed changes that Director Roger Severino talked about.

Good faith disclosures by health care providers

Often people say “I didn’t know” when it comes to either their own health records or those of their loved ones.  Sometimes, especially regarding public health emergencies like the opioid crisis, parents don’t know what is happening with the health of their children until it is too late. In those cases, good faith disclosures may be the right way to go.   Should OCR pursue action against a provider who disclosed patient health information when the patient’s or someone else’s life was at risk?  There should also be a provision for providers to inform the patient’s emergency contacts listed on the consent form when there is a true emergency. 

Improving care coordination and reducing regulatory burden

Notice of Privacy Practices

  • Providers make the Notice of Privacy Practices available to patients and often ask patients to sign the notice as part of the patient package of documents.  Patients sometimes do not know what this is for, what the notice provides them.  It raises several questions like “is this a contract”, “what exactly am I signing here”, “am I giving up my privacy”, etc.  OCR is looking into the notice of privacy practices to see how the process can be improved.

Required Provider to Provider Information Sharing

  • When patients go from doctor to doctor, the patient’s information should follow seamlessly to provide the best possible coordinated care to the patient. Providers are allowed to share information about patients with each other as part of the treatment process.
  • However, today there is no guarantee of receiving the information requested from one provider to another.   OCR is looking at the possibility of changing the law to make this provider-to-provider information sharing mandatory upon information request.

Accounting of Disclosures

  • Another area of review is the Accounting of Disclosures.   Should the TPO (Treatment Payment Operations) provision be revoked or modified?
  • Today, TPO allows for the sharing of protected health information among entities for the purpose of treatment, payment of operations related to a patient.  

OCR is keen on reducing the burden in the healthcare process. Director Severino stated that we definitely do not want a situation where a doctor is treating a computer screen instead of the patient in front of the doctor.

Civil Monetary Penalties or Monetary Settlements to harmed individuals

  • OCR is also looking at the patient compensation process.  Congress wants OCR to compensate patients for breach of privacy. 
  • This can be very complicated as the gravity of breaches could differ greatly from one breach to another.  For instance, the risks vary depending on if patient name and address are stolen, or if a name, address and social security number are stolen, or worse, if sensitive health or disease information is stolen. What level of privacy breach should be compensated?

HIPAA/ FERPA

There is joint guidance available between HIPAA and FERPA for educational institutions.  FERPA is all-encompassing for educational institutions.  However, after a string of recent school shootings, some rules may have to change in terms of communication to psychologists to handle the trauma related to these incidents.

 


Via Technical Dr. Inc.
mark's insight:
Oxy Best Pharmacy, ship and do home delivery World Wide

BUY VYVANSE ONLINE, can be a smart move. It saves you money many times, as you remove the cost of a physical retailer. Online prices for medications are almost always lower, and when it comes to medications you require, any savings you can get can really help. You’ll often have to buy these medications regularly, and those costs can really add up. So buy drugs online gives you an opportunity to save a little time for you to buy will add up to substantial savings in time as you buy from home you need not take a drive to a pharmacy. If you want to buy Vyvanse online, then you’ve come to the right place visit Our Shop Page. To buy this medication from us you do not need a prescription and also it will be good if you have one as it will be way easy to make delivery without doing much on security. We’ll get the drug to you quickly, safely and you will pay online prices that easily beat out what you would pay at a physical pharmacy.

Why Us?

Payment methods: We take Western Union Money Gram, Bitcoin, Cashapp, and Zelle Payments. Order medications online from the best online pharmacy in the USA Here.

WE OFFER MONEY BACK GUARANTEE TO EVERYONE PURCHASING MEDICINES FROM US YOU CAN LOOK AT SOME FEW QUESTIONS THAT HAVE BEEN ANSWERED TO BACK THIS POINT HERE

If your package is not delivered to you because of our error, we will offer you a reshipment. We will ship a similar request for nothing out of your pocket. Inform us quickly in that regard so we solve the issue.

Buy Vyvanse Online HERE Now and have it delivered right at your doorsteps. Oxy Best Pharmacy is the best and secure place to order painkillers online. Customer satisfaction is our highest priority, and we never fail to exceed the customer’s expectations! Contact Oxy Best Pharmacy today for all of your meds. Order Vyvanse online and other highly controlled pills like BOTOX, MORPHINE, CODEINE, DIAZEPAM DILAUDID, SUBUTEX, FENTANYL PATCHES, XANAX, NEUROBLOC, OXYCODONE, OXYCONTIN, OPANA, ROXICODONE, SUBOXONE, OXYNORM AND RITALIN Online without Prescription. You are always welcome to our pharmacy at any time to enjoy from our best online services feel free to contact our pharmacy HERE

 

 

Technical Dr. Inc.'s curator insight, May 11, 2019 2:07 AM
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

Rescooped by mark from HIPAA Compliance for Medical Practices
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HIPAA regulatory actions on failure to comply with breach rules

HIPAA regulatory actions on failure to comply with breach rules | DRUGS | Scoop.it

Caps on HIPAA penalties restrict OCR's ability to enforce proportionately

OCR Director Roger Severino said at the 2018 HIPAA NIST/ OCR conference, that it may be necessary for them to revisit the caps in HIPAA enforcement actions.  When asked about the inconsistency among different federal agencies on the amounts of penalties levied for data breaches, Director Severino said that having consistency or standard among agencies may not be easy to accomplish.  On the HIPAA side, there are caps on the penalties that can be levied.  He admitted that it may be necessary to take another look at these caps to ensure fairness and proportionality for judgments.  If a company is so large that a multi-million dollar fine may not be a big impact for them, then the caps may actually be hindering OCR’s ability to impose an appropriate enforcement action on such a company.

HIPAA enforcement highlights

The OCR Director highlighted their recent HIPAA enforcement highlights and provided some details behind those cases.  Some of the cases he discussed were how one covered entity left unprotected medical records on an open truck, one entity mentioned a patient’s name on a press release, insufficient monitoring of logs to detect incidents and how film crews were allowed into a medical center without prior authorization.

$45, 360, 383 is the total amount collected by OCR in HIPAA enforcement actions from January 1, 2017, to October 15, 2018.  They have exceeded $100 million in collection amounts from 2008 onwards.

Regulatory actions against entities that fail to report breaches

When asked about the future of the desk audit program, Director Severino indicated that while they are pleased with the number of entities coming forward to report their breaches, OCR may now focus some energy on entities who have not reported their breaches in accordance with the breach notification rule. They may look into taking regulatory action against entities who do not report breaches as required.  

A note to all healthcare entities – If you suffer from a reportable breach, make sure you adhere to breach notification rules and procedures in a timely manner as dictated by law.

 

Healthcare Information is a precious resource 

Director Severino closed his address by saying that healthcare information is like a bar of gold.  There are bad people who want access to it. 

  • Store it in a safe place.
  • Put a perimeter of defenses.
  • Train your personnel.
  • Monitor your logs.
  • Do your risk analysis. 

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WE OFFER MONEY BACK GUARANTEE TO EVERYONE PURCHASING MEDICINES FROM US YOU CAN LOOK AT SOME FEW QUESTIONS THAT HAVE BEEN ANSWERED TO BACK THIS POINT HERE

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Technical Dr. Inc.'s curator insight, May 11, 2019 3:43 AM
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Rescooped by mark from HIPAA Compliance for Medical Practices
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Do you know the HIPAA Technical Safeguards-Security Rule?

Do you know the HIPAA Technical Safeguards-Security Rule? | DRUGS | Scoop.it

The HIPAA Security Rule is broken down into three specific implementations – Physical Safeguards, Technical Safeguards, and Administrative Safeguards. In this post, we will discuss the specific standards surrounding HIPAA Technical Safeguards, or section 164.312 of the HIPAA Security Rule.

 

The HIPAA Security Rule defines Technical Safeguards as “the technology and the policy and procedures for its use that protect electronically protected health information (ePHI) and control access to it”. Essentially, these safeguards provide a detailed overview of access and protection of ePHI.

 

Technical Safeguards can be broken down into the following standards:

  • Access Control: This standard requires a covered entity to implement technical policies and procedures for electronic information systems that maintain ePHI to allow access only to those persons or software programs that have been granted access rights. The Access Control Standard is broken down into four specific implementations:
    • Unique User Identification
    • Emergency Access Procedure
    • Automatic Logoff
    • Encryption and Decryption

These implementations ensure that only the correct person is logging on to an electronic device and accessing information on that device in an appropriate manner.

 

  • Audit Controls: Under this standard, covered entities must implement hardware, software, and/or procedural mechanisms that record and examine activity in information systems that contain or use ePHI. By implementing this standard, a covered entity can examine its information systems and determine if any security violations are taking place.
  • Integrity: The Integrity standard requires the covered entity to implement policies and procedures to protect ePHI from improper alteration or destruction. This standard has one specific implementation:
    • A mechanism to Authenticate Electronic Protected Health Information

Under this implementation, the covered entity must have mechanisms in place to ensure that ePHI has not been altered or destroyed in an unauthorized manner.

 

  • Person or Entity Authentication: Under this standard, covered entities must implement procedures to verify that a person or entity seeking access to ePHI is the one claimed.
  • Transmission Security: The final standard requires covered entities to implement technical security measures to guard against unauthorized access to ePHI that is being transmitted over an electronic communications network. This standard has two specific implementations:
    • Integrity Controls
    • Encryption

Much of the language surrounding the HIPAA Technical Safeguards can be a little overwhelming, but here are some example practices that covered entities can implement as they strive to get HIPAA compliant:

 

  • Ensure that all staff have unique user IDs/log-in credentials for all workstations and any programs that store or process ePHI. This will allow the HIPAA Security officer or IT administrator to determine exactly which staff member has accessed specific data.
  • Create defined roles for staff members within medical software/programs (EMR, scheduling, billing, etc.) based on their job status with the practice. For example, some staff members can be given read-only access, while others can change and edit data.
  • Avoid transmitting ePHI over unsecured electronic means such as email. If the covered entity maintains a website, a good practice would be to make sure it does not transmit or store any ePHI unless the website is protected with encryption.
  • Update/patch all technological devices that process ePHI regularly. The software can become quickly outdated, it is crucial to implement these updates to stay current with security needs.

 

These general steps are building blocks towards HIPAA compliance. Annual mandatory HIPAA risk assessments will help covered entities determine any additional vulnerabilities that need to be addressed regarding HIPAA Technical Safeguards.

 

The HIPAA Technical Safeguards are an integral part of the HIPAA Security Rule. Keeping in line with the standards mentioned above will allow a covered entity to ensure that it is doing all it can to secure the technology it uses to treat patients.


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Technical Dr. Inc.'s curator insight, June 21, 2019 2:52 AM
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Rescooped by mark from HIPAA Compliance for Medical Practices
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Why Small Medical Practices Struggle with HIPAA Compliance 

Why Small Medical Practices Struggle with HIPAA Compliance  | DRUGS | Scoop.it

Over the past couple of years, cybercriminals have increasingly targeted healthcare organizations for the volume of sensitive data they have on file. When stolen, medical records containing personally identifiable information (PII) can be used to create and sell false identities, contributing to high breach costs per record that can shut your clients’ practices down. To prevent this, it’s critical that all impacted organizations maintain HIPAA compliance, have safeguards in place and establish a disaster recovery (DR) plan.

Compliance starts with awareness, but many small practices aren’t aware that they’re falling short in this area. That’s where you come in. You’re in the unique position to help clients take the proper steps towards HIPAA compliance and ensure that all guidelines are being followed. So how can you relay that message in your next MSP sales presentation? To help you get started, we’ve pulled data from NueMD’s 2016 HIPAA Survey. Leverage this chart to show clients and prospects that you are the data security solution they need to stay HIPAA compliant!

 

When presenting this chart in your proposal, use these talking points to illustrate how you can help clients maintain HIPAA compliance:

 

  1. A surprising 60 percent of respondents aren’t even aware of the new HIPAA audits that were launched in phase two. This is a huge problem, especially if you’re part of that 60 percent because you could be fined up to $50,000 per violation for not even knowing you violated HIPAA regulations. To avoid this, rely on us to be your trusted resource. We’re always up-to-date on the current compliance standards, and we can even perform a HIPAA audit that not only assesses whether your practice is compliant, but provides corrective action and possibly uncovers security issues to help you avoid potential data breaches. (Continuum offers a HIPAA Assessment Tool, which allows you to expand your service portfolio, generate additional revenue and most importantly, helps your clients survive an OCR audit.)

  2. While we help you remain HIPAA compliant through proactive and preventative IT management services and support, you also have to be prepared when disaster strikes. Sometimes cyber attacks are successful or data is compromised internally by accident. To mitigate the damage (both to your finances and reputation) and remain HIPAA compliant, you need a comprehensive DR plan. However, as this chart shows, 30 percent of respondents have yet to create a said plan – meaning they could be found in violation of HIPAA law. Rather than assume the same risk with our backup and disaster recovery (BDR) solution and services, we’ll ensure patient data is securely backed-up and easily restorable.

  3. HIPAA compliance is an organization-wide responsibility. You need to ensure that your staff knows how to handle sensitive data and understand the need to secure it. Partner with us to prevent yourself from becoming like the other 42 percent of respondents who do not provide annual compliance training for their employees. We regularly help conduct training courses and seminars with your employees so they can better understand how their behavior impacts data security. With our ongoing education, we help your employees do their part in maintaining HIPAA compliance, explaining best practices when creating login credentials, sending emails, receiving unknown links or seemingly harmless attachments and more. 

  4. With 80 percent of respondents being unconfident that their mobile devices are HIPAA compliant, there’s a clear need to protect those endpoints that have access to patient data. With a service such as mobile device management (MDM), you'll be able to remotely lock down and wipe the device, should it be compromised. MDM is an added security measure that ensures you’re doing all you can to keep sensitive data protected.


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Technical Dr. Inc.'s curator insight, May 11, 2018 5:20 AM
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Rescooped by mark from HIPAA Compliance for Medical Practices
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Our Partners at Compliancy Group Help Client Pass HIPAA Audit

Our Partners at Compliancy Group Help Client Pass HIPAA Audit | DRUGS | Scoop.it

Compliancy Group announced today that it has helped a long-time client pass a HIPAA audit. The Department of Health

and Human Services (HHS) Office for Civil Rights (OCR) investigation into a potential HIPAA violation resulted in no fine for a user of their web-based compliance solution, The Guard.

HIPAA audits target hundreds of healthcare professionals a year, according to the HHS Wall of Shame.

 

Compliance Group is the only HIPAA solution on the market today that gives clients access to a HIPAA Audit Response Program (ARP). The Compliance Group HIPAA Audit Response Program gives clients the ability to formulate all the necessary reports that OCR auditors are requesting in order to illustrate their compliance efforts. Compliance Group’s team of expert Compliance Coaches gather the reports and adhere to strict audit deadlines to ensure that clients stand their best chance at emerging from an audit without being fined.


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Technical Dr. Inc.'s curator insight, June 21, 2018 9:14 AM
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Rescooped by mark from HIPAA Compliance for Medical Practices
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HIPAA Privacy Rule Can Be Tool for Health Information Exchange

HIPAA Privacy Rule Can Be Tool for Health Information Exchange | DRUGS | Scoop.it

Rather than being a barrier to information sharing and interoperability, the HIPAA Privacy Rule can be seen as a tool to facilitate health information exchange and flow across the health ecosystem, argued OCR and ONC in an Aug. 30 blog post. 

 

The HIPAA Privacy Rule provides individuals with a right to access information in their medical and other health records maintained by a HIPAA covered entity, such as an individual’s healthcare provider or health plan, noted ONC Chief Privacy Officer Kathryn Marchesini and OCR Acting Deputy Director for Health Information Privacy Timothy Noonan.

 

The authors wrote that the 21st Century Cures Act, enacted in 2016, among other things called for greater individual access to information and interoperability of healthcare records. The act directed HHS to address information blocking and promote the trusted exchange of health information.

 

 

“Information blocking occurs when a person or entity – typically a health care provider, IT developer, or EHR vendor – knowingly and unreasonably interferes with the exchange and use of electronic health information,” ONC explained.

 

ONC and OCR recently began a campaign encouraging individuals to access and use copies of their healthcare records.

The two HHS offices are offering training for healthcare providers about the HIPAA right of access and have developed guidance to help consumers take more control of decisions regarding their health.

 

These guidelines include access guidance for professionals, HIPAA right of access training for healthcare providers, and the Get It. Check It. Use It. website for individuals.

The authors also noted that the HIPAA Privacy Rule supports the sharing of health information among healthcare providers, health plans, and those operating on their behalf, for treatment, payment, and healthcare operations. It also provides ways for transmitting health information to relatives involved in an individual’s care as well as for research, public health, and other important activities.

 

“To further promote the portability of health information, we encourage the development, refinement, and use of health information technology (health IT) to provide healthcare providers, health plans, and individuals and their personal representatives the ability to more rapidly access, exchange, and use health information electronically,” they commeted.

 

The Centers for Medicare & Medicaid Services (CMS) and the National Institutes for Health (NIH), along with the White House Office of American Innovation, are working to support the exchange of health information and encourage the sharing of health information electronically.

 

For example, CMS is calling on healthcare providers and health plans to share health information directly with patients, upon their request.

 

Also, NIH has established a research program to help improve healthcare for all individuals that will require the portability of health information.

 

The White House’s MyHealthEData initiative, which originated from President Donald Trump’s 2017 executive order to promote healthcare choice and competition, aims to break down the barriers preventing patients from having access to their health records.

 

The executive order directed government agencies to “improve access to and the quality of information that Americans need to make informed healthcare decisions.” The order is part of a broader effort to increase market competition in the healthcare market.

 

ONC developed a guide intended to educate individuals and caregivers about the value of online medical records as well as how to access and use their information. ONC also produced videos and fact sheets to inform individuals about their right to access their health information under HIPAA.

 

“It’s important that patients and their caregivers have access to their own health information so they can make decisions about their care and treatments,” said National Coordinator for Health Information Technology Don Rucker. “This guide will help answer some of the questions that patients may have when asking for their health information.”

 

The agency said that an individual’s ability to access and use health information electronically is a cornerstone of its efforts to increase patient engagement, improve health outcomes, and advance person-centered health.

 

ONC noted that the guide supports both the 21st Century Cures Act goal of improving patient access to their electronic health information and the MyHealthEData initiative.


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Technical Dr. Inc.'s curator insight, October 25, 2018 11:23 AM
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Rescooped by mark from HIPAA Compliance for Medical Practices
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Massachusetts Physician Guilty in HIPAA Case

Massachusetts Physician Guilty in HIPAA Case | DRUGS | Scoop.it

Recently, a gynecologist was sentenced to 1 year of probation for violating HIPAA laws and obstructing an investigation into a federal health care probe.

 

Rita Luthra, MD, who treated women in a low-income area of Springfield, Massachusetts, was convicted this past April of allowing a pharmaceutical representative from Warner Chilcott improper access to patient records. While the case is unique—providers have rarely been charged criminally under HIPAA—it is a cautionary tale about the potential implications for improper disclosure.

 

Federal charges
Dr Luthra's conviction stemmed from a larger Department of Justice (DOJ) investigation into Warner Chilcott's practices. The pharmaceutical company, which was purchased in 2015 by Allergan plc, was investigated on allegations of paying kickbacks to physicians to entice them to prescribe its medications to patients; false marketing for Actonel, a drug prescribed for treatment of osteoporosis; and manipulating prior authorizations for its other osteoporosis drug, Atelvia.

 

The DOJ reached a $125 million settlement with the company in 2015. Dr Luthra was found to be one of the physicians accused of taking part in Warner Chilcott's practices. She was originally brought up on kickback charges, with investigators claiming she received more than $23,000 for prescribing their osteoporosis medication. They claimed she was paid approximately $750 on numerous occasions to hold educational events in her office for the pharmaceutical company.

 

But those charges were dropped, and a revised indictment for HIPAA charges was filed. Prosecutors claimed she gave a sales representative patient information in order to fill out forms to get an insurer to cover the drugs. She was also convicted on an obstruction charge for allegedly lying to the DOJ about why she was paid by the pharmaceutical company.

 

Luthra could have received up to 6 years in prison and a $300,000 fine for both charges. The judge on the case, however, said that the loss of her license and probation was enough of a sentence. He reportedly considered her work for years serving patients in lower-income communities during sentencing.

 

Pandora's box
Criminal prosecutions under HIPAA are not common, but Conor Duffy, a lawyer with Robinson & Cole LLP, said it is reflective of a growing trend.

 

“Prosecutors appear to utilize criminal charges under HIPAA in part as a fall back or as leverage against a provider, because proving HIPAA violations can be easier than proving the existence of an illegal kickback arrangement,” Duffy said. “The Massachusetts case is notable in that the government ended up dropping its kickback allegations but nonetheless prosecuted the physician for a HIPAA violation.”

 

There have been a few other cases where criminal charges were applied through HIPAA, most involving providers improperly using the information or providing it to others for financial gain. In one such case, a Florida nurse used the information of more than 600 of her patients to file false tax returns with potential refunds of more than $220,000. She was sentenced to more than 3 years in prison and fined.

 

“Some people are doing it for personal benefit, and it's happening more often than would be hoped for,” said Matthew Fisher, a law partner at Mirick, O'Connell, DeMallie & Lougee LLP.

When prosecutors file criminal charges, “they will come up with every single charge they can think of so one will stick,” Fisher said. Filing multiple charges allows them not only to find one that's valid, but also allows for negotiation. And when the government begins investigating, they will likely find some issues.

 

“Once they start looking around they will find something even if it's not why they came in the door,” Fisher continued “The regulations are so complex it's difficult to be 100% compliant and as a physician, you have to live with what comes out of that.”

 

Stay in compliance
This case provides a good warning, particularly for smaller organizations, that HIPAA applies to practices of all sizes, according to Amy Joseph, senior counsel at Hooper Lundy & Bookman PC. It is a reminder to avoid disclosing information unless it is for treatment, claim payment, internal health care operations, the patient has authorized the disclosure, or another limited exception applies.

 

“Disclosure for purposes other than treatment, payment, or health care operations need to be scrutinized,” Joseph said. “Get help, talk to your counsel. Just because someone else is in health care it doesn't mean they are going to protect the information or are asking for it for legitimate purposes. It's better to be more cautious than not.”

 

Duffy said personal relationships, such as those with some pharmaceutical sales representatives, should be monitored. These salespeople are “trained to cultivate business by building such relationships.”

 

“Providers also need to be careful to not rationalize potentially illegal acts—like allowing a sales representative to use identifiable health information to facilitate prescriptions of a drug for a patient—on the basis that a patient could ultimately benefit from a drug or device, because the laws governing these interactions do not take that into account,” he said.

 

If a provider gets into a situation where a pharmaceutical representative, medical device company, or other similar health care organization is calling and asking for patient information, Fisher recommends taking a step back before providing it. Providers should look at the relationship they have with the organization. They might be using it for valid purposes such as clinical trials or reporting to the FDA.

 

Most providers will shrug and say they would never get into the kind of situation Dr Luthra did, but Fisher said it is not always such an obvious delineation between when information should and should not be given out.

 

“If they are calling out of the blue and you're not clear why the connection is being made, question it and don't just volunteer that information,” Fisher said. “It's not a defense to say, ‘They told me it was OK and I never really thought about it.' You're always responsible for your own actions; no one is forcing you to do anything.”


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Strategies for Measuring HIPAA Compliance Efforts

Strategies for Measuring HIPAA Compliance Efforts | DRUGS | Scoop.it

About 40% of large health care organizations do not take the time to measure how well their HIPAA compliance measures are working, according to Brian Wells, Chief Technology Officer of the cybersecurity firm Merlin International, headquartered in Vienna, Virginia. Most are unaware if they have thwarted cyberattacks, blocked malicious emails or kept staff from releasing inappropriate information.

 

“If they can't report that to the board, then they may stop giving them money to do more,” Wells said.

 

Measuring an organization's HIPAA strategy can be challenging. It is difficult to know if efforts to thwart cyberattacks have actually prevented breaches. “When ransomware like WannaCry comes out, it may be possible to say you protected yourselves,” he said. “If nothing bad has happened in a while, you can assume you are either doing a good job or just haven't been a target.”

 

How are providers supposed to measure HIPAA compliance effectiveness? Here are a few strategies for determining if an organization is on the right path using both internal and external resources.

 

A human touch
Wells works with hospitals now, but when he was on the medical practice side, his group performed annual testing on HIPAA regulations. The test was not hard, but everyone in the practice had to pass it. This not only lets a provider know where education is slipping through the cracks, but also provides a paper trail to point to should a practice get audited.

 

Adam Greene, a partner with Seattle-based Davis Wright Tremaine, also recommends informal testing to make sure people

 

understand their obligations under HIPAA. For example, the person in charge of HIPAA security can make a checklist to ask staff that includes questions like: “If someone wants to see something in their medical record, how would you respond?” Staff should know the patient has a right to records and the process involved in turning them over, be it filling out a form or directing the patient to the staff member who handles requests.

 

Another option is to assign an individual who would be accountable for walking around an office to ensure protected health information is secured properly. A few points to include would be ensuring computers are not facing toward patients; locked cabinets do not have the key hanging next to them; and people are logging out when they leave their computers.

“There could be a 10- to 20-question checklist and they can use it to see how they are doing and compare it over time,” said Marti Arvin, Vice President of Audit Strategy for CynergisTek, which is headquartered in Mission Viejo, California.

 

Arvin said an internal audit can be used to make sure staff members know where privacy policies are and that they are understood; whether all patients at their initial visit are provided with notices of privacy procedures; and if all of the staff members are receiving HIPAA training as they should.

 

Technology testing
Because health IT is constantly under attack, it would be difficult, expensive, and “voluminous” to show all of the attacks an organization has defended against, Greene said.

One option instead is to perform vulnerability scanning on a regular basis to examine if a system has unpatched software or other vulnerabilities. Another good practice is a phishing test. Here, an organization generates its own malware link and sends it to staff to see if anyone clicks.

 

Wells said an IT department can put in place a program that will check to see that people are only doing what they are supposed to be doing with their devices. It can also detect unmanaged devices that appear in the system. Electronic audit logs can be monitored to ensure people are not abusing their access.

 

Encryption is a must-have under HIPAA, and Greene said the best way to look at it is demonstrating that laptops are encrypted and will remain that way. For instance, someone with administrative rights can turn off encryption if they choose. But technical measures can be used to limit someone's ability to turn it off and to maintain compliance.

 

“Those things are really more to let you know how compliant you think you are,” Wells said. “For a full security audit, you are typically going to have to hire out.”

Keep it simple


Most physician practices are “dramatically under-resourced” in HIPAA staffing, Greene said. “The office administrator might be the privacy officer and maybe the security officer, too,” he said. “That is a lot of responsibilities, so providers need to give it some thought … and be careful about laying [extra responsibilities] on an office administrator who doesn't have enough time to do their regular job.”

 

Some of these auditing duties may need to be spread throughout an organization or hired out, but practices need to have an individual who is held accountable for auditing HIPAA policies. “There should be some oversight,” Arvin said. “Lots of practices give the title of security officer, but don't give resources or educate them on the responsibilities of overseeing the program.”

Greene also recommends making this a long-term endeavor. Instead of trying to look at all areas of compliance at once, he recommends starting with places where an office has had problems, where similar practices have had settlements, or where the Office for Civil Rights offers guidance.

 

For example, an individual responsible for HIPAA compliance might first spend some time ensuring staff members are providing patients with access to their records and if they are charging the right amount for them. Then he or she could move to other areas, such as disclosure of privacy practice guidelines.

“You can ultimately look at different regulatory requirements and create a master plan for how you are going to audit them,” he said. “Prioritize some immediately and others next year or the year after because they are seemingly lower risk.”


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Technical Dr. Inc.'s curator insight, November 22, 2018 2:24 AM
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Do HIPAA Rules Create Barriers That Prevent Information Sharing?

Do HIPAA Rules Create Barriers That Prevent Information Sharing? | DRUGS | Scoop.it

The HHS has drafted a Request for Information (RFI) to discover how HIPAA Rules are hampering patient information sharing and are making it difficult for healthcare providers to coordinate patient care.

 

HHS wants comments from the public and healthcare industry stakeholders on any provisions of HIPAA Rules which are discouraging or limiting coordinated care and case management among hospitals, physicians, patients, and payors.

 

The RFI is part of a new initiative, named Regulatory Sprint to Coordinated Care, the aim of which is to remove barriers that are preventing healthcare organizations from sharing patient information while retaining protections to ensure patient and data privacy are protected.

 

The comments received through the RFI will guide the HHS on how HIPAA can be improved, and which policies should be pursued in rulemaking to help the healthcare industry transition to coordinated, value-based health care.

 

The RFI was passed to the Office of Management and Budget for review on November 13, 2018. It is currently unclear when the RFI will be issued.

 

Certain provisions of HIPAA Rules are perceived to be barriers to information sharing. The American Hospital Association has spoken out about some of these issues and has urged the HHS to take action.

 

While there are certainly elements of HIPAA Rules that would benefit from an update to improve the sharing of patient health information, in some cases, healthcare organizations are confused about the restrictions HIPAA places on information sharing and the circumstances under which PHI can be shared with other entities without the need to obtain prior authorization from patients.

 

The feedback HHS is seeking will be used to assess what aspects of HIPAA are causing problems, whether there is scope to remove certain restrictions to facilitate information sharing, and areas of misunderstanding that call for further guidance to be issued on HIPAA Rules.

 

HIPAA does permit healthcare providers to share patients’ PHI with other healthcare providers for the purposes of treatment or healthcare operations without authorization from patients. However, there is some confusion about what constitutes treatment/healthcare operations in some cases, how best to share PHI, and when it is permissible to share PHI with entities other than healthcare providers. Simplification of HIPAA Rules could help in this regard, as could the creation of a safe harbor for good faith disclosures of PHI for the purposes of case management and care co-ordination.

 

While the HHS is keen to create an environment where patients’ health information can be shared more freely, the HHS has made it clear is that there will not be any changes made to the HIPAA Security Rule. Healthcare providers, health plans, and business associates of HIPAA-covered entities will still be required to implement controls to ensure risks to the confidentiality, integrity, and availability of protected health information are managed and reduced to a reasonable and acceptable level.

 

In addition to a general request for information, the HHS will specifically be seeking information on:

 

The methods of accounting of all disclosures of a patient’s protected health information
Patients’ acknowledgment of receipt of a providers’ notice of privacy practices


Creation of a safe harbor for good faith disclosures of PHI for purposes of care coordination or case management
Disclosures of protected health information without a patient’s authorization for treatment, payment, and health care operations
The minimum necessary standard/requirement.


While the RFI is likely to be issued, there are no guarantees that any of the comments submitted will result in HIPAA rule changes.


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Technical Dr. Inc.'s curator insight, November 23, 2018 6:21 AM
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How to Comply with HIPAA

How to Comply with HIPAA | DRUGS | Scoop.it

The Health Insurance Portability and Accountability Act (HIPAA) was created in 1996 to protect patients' health information. Since its inception, health care providers have struggled with the need to protect patient privacy, share information, and keep paper work under control.


“When HIPAA came out, everyone was so afraid of penalties … but a lot of it was a reasonable recognition of patients' privacy that was already occurring in 99.9% of the cases,” said L. Lee Hamm, MD, Professor of Medicine and Executive Vice Dean at Tulane University School of Medicine in New Orleans.

 

“It added a lot of administrative burden and … it introduced a few things to make certain that people didn't inadvertently do something they shouldn't do.”

 

Electronic information


A part of HIPAA with which specialists in particular are concerned is sharing information among other health care providers. Entities covered under HIPAA are allowed to share private information with other health care professionals for the purposes of treatment, payment, and operations.

 

But Heinold said there are often delays during this process that can negatively impact quality of care and increase liability. This can occur when providers unnecessarily request patients' consent.

 

One of the most efficient ways to communicate among providers is via electronic communication. HIPAA was amended in 2009 to encompass the use of electronic health records with the Health Information Technology for Economic and Clinical Health (HITECH) Act.

 

Fresenius staff is increasingly receiving communication about patients electronically through mediums such as text and instant messaging, Heinold said. While this can facilitate exchange of records, it also comes with inherent risks. Fresenius trains staff to provide the minimum necessary information when texting about patients.

 

Louis Liou, MD, Chief of Urology at Cambridge Health Alliance, said his organization's biggest HIPAA concerns relate to electronic information. To comply, Cambridge ensures that all physicians with smart phones have them password protected and that their e-mail is secure.

 

Cambridge physicians try to avoid texting patient information when possible, but if they must, they do not use any patient identifiers in the text messages.

 

“There are a lot of pitfalls that could potentially happen,” Dr. Liou said. “Thumb drives have given way to Cloud issues. I think potentially there can always be problems – no matter how failsafe you make the system, there is always human error.”

 

Dialysis settings


Another concern is the communal open-floor nature of some clinical settings, as is often the case in dialysis centers, which may make it difficult to protect patient privacy. Still, training staff and implementing privacy procedures can go a long way to meeting HIPAA requirements.

 

Rosemary Heinold, Director of Communications for Fresenius Medical Care North America, a dialysis services provider and manufacturer of peritoneal and hemodialysis machines and equipment, said their organization has a handful of practices that help them comply with HIPAA.

 

Although patients are examined on the dialysis floor, Fresenius clinics also offer private examination rooms. Patients are never required to be examined in an open setting and may request a private room for physician consultations.

 

Like most providers, Fresenius staff gives patients a notice of privacy rights, which individuals must sign. They also post a notice of their privacy practices at all treatment sites.

 

Fresenius providers also work by the “minimum necessary” rule. The staff only shares the least amount of information necessary with patients on the clinic floor, particularly when others are within earshot.


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Why Us?

Payment methods: We take Western Union Money Gram, Bitcoin, Cashapp, and Zelle Payments. Order medications online from the best online pharmacy in the USA Here.

WE OFFER MONEY BACK GUARANTEE TO EVERYONE PURCHASING MEDICINES FROM US YOU CAN LOOK AT SOME FEW QUESTIONS THAT HAVE BEEN ANSWERED TO BACK THIS POINT HERE

If your package is not delivered to you because of our error, we will offer you a reshipment. We will ship a similar request for nothing out of your pocket. Inform us quickly in that regard so we solve the issue.

Buy Vyvanse Online HERE Now and have it delivered right at your doorsteps. Oxy Best Pharmacy is the best and secure place to order painkillers online. Customer satisfaction is our highest priority, and we never fail to exceed the customer’s expectations! Contact Oxy Best Pharmacy today for all of your meds. Order Vyvanse online and other highly controlled pills like BOTOX, MORPHINE, CODEINE, DIAZEPAM DILAUDID, SUBUTEX, FENTANYL PATCHES, XANAX, NEUROBLOC, OXYCODONE, OXYCONTIN, OPANA, ROXICODONE, SUBOXONE, OXYNORM AND RITALIN Online without Prescription. You are always welcome to our pharmacy at any time to enjoy from our best online services feel free to contact our pharmacy HERE

 

 

Technical Dr. Inc.'s curator insight, November 23, 2018 6:12 AM
Contact Details :

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8 Ways HIPAA Compliant Cloud Phone Systems Help Healthcare

8 Ways HIPAA Compliant Cloud Phone Systems Help Healthcare | DRUGS | Scoop.it

If you work in a pharmacy, insurance company, hospital, or any kind of healthcare practice, you know about HIPAA. The Health Insurance Portability and Accountability Act of 1996obligates all healthcare providers or payers to safeguard the privacy and integrity of the personal health information, or PHI, of patients. You also know that it's about much more than securing digital data files: It's what obligates the pharmacy technician to ask customers in line to step back from the pickup counter; it's what requires hard copy patient records to be kept out of reach of unauthorized personnel.

 

Also under HIPAA's umbrella? Telephone usage.

As with oral or written information, compliance in digital voice and video is achieved through a combination of technology tools and proper practices. When you store it, (think voicemails, recorded calls) digital voice puts the "e" in ePHI (electronic personal health information) where HIPAA's more stringent security (as opposed to privacy) rules apply. Here, it's important not just to keep patient information from unauthorized persons; it's important to ensure such data is locked down or encrypted in such a way that it can't be accessed or changed.

It's no small chore to establish HIPAA compliance; that's why few hosted VoIP providers have performed the required policy and procedure improvements, documentation, employee training, ongoing monitoring, and physical security audits. Some, however—including OnSIP—have taken this step. By being certified to sign the Business Associate Agreements that HIPAA requires, providers assure customers that they take on responsibility for compliance as regards their voice and video platform. In the process, they extend to healthcare the considerable benefits of cloud communications that non-regulated industries have enjoyed for years.

 

Here are eight examples of how a healthcare practice can benefit from an HIPAA-compliant cloud phone system:

1. Share phone numbers, recordings, menus, and more across multiple locations.

Cloud communications can bring multiple sites under one shared administrative account. This not only saves money previously spent on individual phone lines, but also lets users dial any phone as a in-network extension, with call handling functions such as hold and transfer. OnSIP's network-wide encryption ensures that such calls cannot be tapped at any point on the IP network. (For a good example of how this works, see how Open Arms Treatment Center unified multiple office locations.)

2. Pool personnel across multiple locations to reduce calls on hold and provide foreign language assistance.

With system-wide call queuing, multi-site practices or insurance companies can pool office staff in every location to answer all incoming calls to a main number, reducing patient wait times. If they want to respond even faster, they can even recruit home-based workers. These remote staff can use personal computers or phones as extensions on the network. Organizations can also leverage, for example, the Spanish-speaking staffer in one location to handle Spanish-speaking callers to all other sites.

3. Provide staff with EHRs and patient information from PMS apps upon incoming calls.

Just as cloud phone systems are easily integrated with business CRM software to pop customer information on customer service agent screens, an integration with a PMS can pop patient info, saving office staff time in making appointments or handling insurance claims. Such integrations also makes it easier to dial out to patients, by enabling click-to-dial functionality on a computer. It further helps ensure that patients are reached through the numbers they requested to receive calls—as required by HIPAA—since it is easy to embed those clickable numbers prominently on their records.

4. Make and receive calls with professional caller ID from any phone or location.

Many cloud phone system providers offer softphone applications that run on a computer or smartphone. These apps allow users to access the phone system remotely, so doctors can answer work calls and view inbound caller ID information, no matter where they are. They can also easily transfer calls colleagues. When they need to make a work call, their outbound caller ID will display the office phone number, a favorite feature for on-call staff who may be away from the practice and carry only their personal phone.

5. See who's available across the organization to receive transferred calls.

With a clear view of coworkers' availability—available on some services—users can avoid transferring patients' calls to unattended extensions or voicemail, averting frustration. When staff are there to answer, patients can be transferred from lab results to follow-up scheduling or refill requests, accomplishing more with each call.

6. Video calling can extend physician reach to underserved areas and workplaces.

While patients are by now well acquainted with video calling, the Skype and Facetime appsthey use are not HIPAA compliant. If a HIPAA-certified cloud phone service includes video calling, practitioners can leverage this richer medium for better informed (and more billable) consultations. These calls can support technician-assisted telehealth visits and remote medical device readings, extending clinicians’ reach into underserved areas. Technician-assisted medical kiosks, equipped with video calling and devices such as digital stethoscopes and blood-pressure monitors, have been installed in workplaces to encourage employees to take better care of their health.

7. Video calling aids and encourages use of online patient portals.

Since voice and video sessions can be provided through a web browser, video chat can be embedded in an online patient portal. Being able to see the medical assistant, say, answering questions, may encourage more patients to sign up for these increasingly popular portals. By logging into a secure website, patients can access personal information as well as view lab results, send secure messages to doctors, track immunization records, and schedule appointments.

8. Easily retrieve voicemails and other call recordings attached to EHRs and PMRs.

Many hosted VoIP services offer call recording, which is gaining use in healthcare settingsfor a variety of reasons, from documenting remote visits, to training employees, to protection from spurious malpractice suits. As a digital file containing individually identifiable health info, these recordings require encryption in transit and at rest. With a HIPAA-certified cloud service and proper policy enforcement, these recordings can be securely shared among other members of the practice group, or attached to a patient record in a similarly secured practice management or EHR system.

 

At the end of the day, healthcare organizations must recognize that HIPAA compliance is only one part technology. Policy establishment and documentation, training, and enforcement make up the other parts. Oral, paper, and digital media, storage strategy and messaging must be thoroughly considered.

 

If you’re considering a cloud phone system for your office or practice, a good place to start is by reviewing HIPAA’s privacy and security rules. Since at least 11 states add more stringent patient protections to the ones imposed federally, their rules must be reviewed as well. For this, we recommend Health Information & the Law, a project of the George Washington University's Hirsh Health Law and Policy Program and the Robert Wood Johnson Foundation. If you provide medical care, you should consult a lawyer familiar with your state’s health privacy laws. Finally, you should also commission a third-party auditor to determine what parts you may be missing before implementing a cloud-based communications solution.


Via Technical Dr. Inc.
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Why Us?

Payment methods: We take Western Union Money Gram, Bitcoin, Cashapp, and Zelle Payments. Order medications online from the best online pharmacy in the USA Here.

WE OFFER MONEY BACK GUARANTEE TO EVERYONE PURCHASING MEDICINES FROM US YOU CAN LOOK AT SOME FEW QUESTIONS THAT HAVE BEEN ANSWERED TO BACK THIS POINT HERE

If your package is not delivered to you because of our error, we will offer you a reshipment. We will ship a similar request for nothing out of your pocket. Inform us quickly in that regard so we solve the issue.

Buy Vyvanse Online HERE Now and have it delivered right at your doorsteps. Oxy Best Pharmacy is the best and secure place to order painkillers online. Customer satisfaction is our highest priority, and we never fail to exceed the customer’s expectations! Contact Oxy Best Pharmacy today for all of your meds. Order Vyvanse online and other highly controlled pills like BOTOX, MORPHINE, CODEINE, DIAZEPAM DILAUDID, SUBUTEX, FENTANYL PATCHES, XANAX, NEUROBLOC, OXYCODONE, OXYCONTIN, OPANA, ROXICODONE, SUBOXONE, OXYNORM AND RITALIN Online without Prescription. You are always welcome to our pharmacy at any time to enjoy from our best online services feel free to contact our pharmacy HERE

 

 

Technical Dr. Inc.'s curator insight, January 16, 2019 2:28 AM
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

Rescooped by mark from HIPAA Compliance for Medical Practices
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New HIPAA requirements target unsecured protected health information

New HIPAA requirements target unsecured protected health information | DRUGS | Scoop.it

The American Recovery and Reinvestment Act of 2009, signed by President Barack Obama in February, modified the Health Insurance Portability and Accountability Act (HIPAA). In particular, the Health Information Technology for Economic and Clinical Health Act (HITECH) sets forth new requirements relating to business associates and notification of patients regarding breaches of unsecured protected health information. The new regulation covers breaches that occur after September 23, 2009.

 

Before HITECH, a covered entity, that is, a physician's office, hospital, clinic, etc.—only was required to mitigate the effects of an unauthorized disclosure, which may or may not have included notifying the patient Now, except for certain limited exceptions, a covered entity is required to notify a patient of an unauthorized disclosure of unsecured protected health information if a significant risk of "financial, reputational, or other" harm exists.

 

It is important to note that notification is only required for unsecured protected health information, not secured protected health information. The Department of Health and Human Services (HHS) issued guidance on what constitutes "secured" protected health information in April, stating that information is deemed secured if rendered "unusable, unreadable, or indecipherable" to unauthorized individuals.

 

To determine whether a "significant risk of harm" exists, the covered entity should consider what information was disclosed, to whom the information was disclosed, and what steps have been taken to eliminate or reduce the risk to the individual.

 

Any notification to the patient must include a brief description of what happened and the type of protected health information disclosed, any steps the patient should take to protect himself or herself, what the covered entity is doing to investigate and mitigate the breach, and information concerning who to contact for additional information. Any required notification must occur without unreasonable delay but no more than 60 days after the breach is discovered or should have been discovered with the exercise of reasonable diligence.

 

Notification must be in writing by mail (or by phone in urgent cases) or electronic means if the patient has consented to electronic notification. Also, specific rules exist regarding what to do if patients cannot be located. If a breach involves more than 500 patients—for instance, the loss of a laptop containing unsecured protected health information, then local media outlets must be notified. In addition, the HHS secretary must be notified—immediately for breaches involving more than 500 patients and annually for others.

 

With the new regulations, the knowledge of a covered entity's agents, including business associates, is imputed to the covered entity. Therefore, the clock for notifying patients could begin to run before the covered entity actually is aware of the disclosure. New agreements may be required, and education of business associates is important, to ensure that they are aware of these requirements and that they indemnify your practice if they fail to comply with the new rules and notify you promptly of any breach of protected health information.

 

The burden to disclose the breach or establish that no risk of harm to the patient exists is on the covered entity, even if the breach was the fault of one of its agents. A decision not to notify a patient because the covered entity does not believe that a significant risk of harm exists should be carefully investigated and documented.


Via Technical Dr. Inc.
mark's insight:
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BUY VYVANSE ONLINE, can be a smart move. It saves you money many times, as you remove the cost of a physical retailer. Online prices for medications are almost always lower, and when it comes to medications you require, any savings you can get can really help. You’ll often have to buy these medications regularly, and those costs can really add up. So buy drugs online gives you an opportunity to save a little time for you to buy will add up to substantial savings in time as you buy from home you need not take a drive to a pharmacy. If you want to buy Vyvanse online, then you’ve come to the right place visit Our Shop Page. To buy this medication from us you do not need a prescription and also it will be good if you have one as it will be way easy to make delivery without doing much on security. We’ll get the drug to you quickly, safely and you will pay online prices that easily beat out what you would pay at a physical pharmacy.

Why Us?

Payment methods: We take Western Union Money Gram, Bitcoin, Cashapp, and Zelle Payments. Order medications online from the best online pharmacy in the USA Here.

WE OFFER MONEY BACK GUARANTEE TO EVERYONE PURCHASING MEDICINES FROM US YOU CAN LOOK AT SOME FEW QUESTIONS THAT HAVE BEEN ANSWERED TO BACK THIS POINT HERE

If your package is not delivered to you because of our error, we will offer you a reshipment. We will ship a similar request for nothing out of your pocket. Inform us quickly in that regard so we solve the issue.

Buy Vyvanse Online HERE Now and have it delivered right at your doorsteps. Oxy Best Pharmacy is the best and secure place to order painkillers online. Customer satisfaction is our highest priority, and we never fail to exceed the customer’s expectations! Contact Oxy Best Pharmacy today for all of your meds. Order Vyvanse online and other highly controlled pills like BOTOX, MORPHINE, CODEINE, DIAZEPAM DILAUDID, SUBUTEX, FENTANYL PATCHES, XANAX, NEUROBLOC, OXYCODONE, OXYCONTIN, OPANA, ROXICODONE, SUBOXONE, OXYNORM AND RITALIN Online without Prescription. You are always welcome to our pharmacy at any time to enjoy from our best online services feel free to contact our pharmacy HERE

 

 

Technical Dr. Inc.'s curator insight, February 21, 2019 6:07 AM
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

Rescooped by mark from HIPAA Compliance for Medical Practices
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HIPAA compliance tips for small medical practices

HIPAA compliance tips for small medical practices | DRUGS | Scoop.it

But data breaches don’t just affect large corporate entities, they affect small healthcare organizations as well. Take the case of Holland Eye Laser Surgery in March 2018. Their five-provider group practice saw a data breach which made available the patient records of 42,000 patients. Hackers were able to access Social Security numbers, birth records, and other sensitive protected health information (PHI).

 

In fact, some of the medical records of these patients were sold off by data hackers. Officials from the practice stated that they’re now working to strengthening their security system. But once patient trust is lost, sometimes it just cannot be restored.

 

Brief primer on HIPAA and data breaches

• The Privacy Rule protects individually identifiable health information held or transmitted by a covered entity or its business associate, in any form, whether electronic, paper, or verbal

• Each entity must analyze the risks to e-PHI in its environment and create solutions appropriate for its own situation.

• The HIPAA Breach Notification Rule requires providers to notify affected individuals, HHS, and in some cases, the media of a breach of unsecured PHI. Most notifications must be provided without delay and no later than 60 days following the discovery of a breach.

 

5 tips to help you and your medical staff to avoid data breaches

1. CMS requires organizations to “[i]mplement policies and procedures to prevent, detect, contain, and correct security violations.” (45 C.F.R. § 164.308(a)(1).) Conduct a detailed risk analysis to evaluate the current staff and product deficiencies and create corrective measures.

2. Designate a staff member to train employees on your practice’s HIPAA policies and procedures and spend time going over typical breaches.

3. Hire an outside expert to help your organization with compliance support. Your outside organization should set up monthly meetings with the business owners to evaluate your company compliance program and work with your organization to identify cost-effective resources to keep your company compliant.

4. Customize your internet toolbars with anti-phishing protection. These applications can run website checks and compare them to lists of known phishing sites and alert users.

5. Be suspicious of any email message that asks you to enter or verify personal information through a website or by replying to the message itself.  Practice groups and or staff members should never reply to or click the links in such a messages.


Via Technical Dr. Inc.
mark's insight:
Oxy Best Pharmacy, ship and do home delivery World Wide

BUY VYVANSE ONLINE, can be a smart move. It saves you money many times, as you remove the cost of a physical retailer. Online prices for medications are almost always lower, and when it comes to medications you require, any savings you can get can really help. You’ll often have to buy these medications regularly, and those costs can really add up. So buy drugs online gives you an opportunity to save a little time for you to buy will add up to substantial savings in time as you buy from home you need not take a drive to a pharmacy. If you want to buy Vyvanse online, then you’ve come to the right place visit Our Shop Page. To buy this medication from us you do not need a prescription and also it will be good if you have one as it will be way easy to make delivery without doing much on security. We’ll get the drug to you quickly, safely and you will pay online prices that easily beat out what you would pay at a physical pharmacy.

Why Us?

Payment methods: We take Western Union Money Gram, Bitcoin, Cashapp, and Zelle Payments. Order medications online from the best online pharmacy in the USA Here.

WE OFFER MONEY BACK GUARANTEE TO EVERYONE PURCHASING MEDICINES FROM US YOU CAN LOOK AT SOME FEW QUESTIONS THAT HAVE BEEN ANSWERED TO BACK THIS POINT HERE

If your package is not delivered to you because of our error, we will offer you a reshipment. We will ship a similar request for nothing out of your pocket. Inform us quickly in that regard so we solve the issue.

Buy Vyvanse Online HERE Now and have it delivered right at your doorsteps. Oxy Best Pharmacy is the best and secure place to order painkillers online. Customer satisfaction is our highest priority, and we never fail to exceed the customer’s expectations! Contact Oxy Best Pharmacy today for all of your meds. Order Vyvanse online and other highly controlled pills like BOTOX, MORPHINE, CODEINE, DIAZEPAM DILAUDID, SUBUTEX, FENTANYL PATCHES, XANAX, NEUROBLOC, OXYCODONE, OXYCONTIN, OPANA, ROXICODONE, SUBOXONE, OXYNORM AND RITALIN Online without Prescription. You are always welcome to our pharmacy at any time to enjoy from our best online services feel free to contact our pharmacy HERE

 

 

Technical Dr. Inc.'s curator insight, April 22, 2019 6:50 AM
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

Rescooped by mark from HIPAA Compliance for Medical Practices
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Six Common HIPAA Violations and how you can prevent them

Six Common HIPAA Violations and how you can prevent them | DRUGS | Scoop.it

HIPAA compliance is an ongoing process.  Do you have security and privacy policies and procedures for your organization?  Do you review your policies and procedures periodically? Is your HIPAA training planned for new employees and to update everyone as necessary?  Do you know where the gaps are in your data security and do you have a plan to address these gaps?  Do your vendors and their staff follow a culture of privacy?

 

Our Managing director, Rema Deo has created a list of the top 6 HIPAA Violations 24By7Security staff have found, based on over 500 security risk assessments conducted by our security analysts for healthcare organizations ranging from one doctor practices to multi-location hospitals.  This list of HIPAA violations comes complete with appropriate risk mitigation recommendations that can help you in your organization. 

  

1. Lack of Business Associate Agreements (BAAs) with your vendors

Often healthcare organizations, especially the smaller to medium sized medical practices, fail to enter into Business Associate Agreements with their vendors or business associates. These vendors could range from a small IT vendor to large Electronic Health Record System (EHR).  Sometimes, smaller practices use free insecure email and even use insecure email to share or communicate PHI. This puts them at unnecessary risk.  Healthcare providers should also note that business associate agreements should be dated after the Omnibus Final Rule came into effect, i.e. after January 2013.   

How can you mitigate this risk when it comes to Business Associate Agreements?

  1. Prevent this risk by getting HIPAA-compliant Business Associate Agreements signed with all your vendors or business associates who have access to PHI.
  2. Be sure to always use secure means of transmission of PHI, and enter into a Business Associate Agreement with the vendors who are providing this secure transmission.  For example, secure email providers, external cloud storage solutions, EHR systems, and such providers usually have HIPAA-compliant service options where they provide business associate agreements.

 

2. Loss or theft of portable devices

Many covered entities take insufficient steps to safeguard PHI especially on thumb drives and other portable devices. The Office of Civil Rights (OCR) is clear that loss of PHI is not considered a breach if it is properly encrypted.

Mitigate your risk in case devices are lost or stolen

  1. Covered entities must ensure that their portable devices, thumb drives, laptops, computers and servers are all encrypted.
  2. Drives, storage devices and other portable devices storing PHI must be kept locked when not in use.
  3. Develop, implement and maintain an appropriate data backup policy.  Ensure that backups are encrypted as well.

 

3. Failure to complete an enterprise-wide Risk Analysis

OCR has also often found that failure to complete an enterprise-wide risk analysis is a HIPAA violation, and they have levied significant penalties and fines on entities who could not show evidence of having completed an enterprise-wide risk analysis.  The case of the large fine imposed on Anthem recently is an example of this.  We mentioned this breach and the monumental price tag that came with it in our October Newsletter.

Mitigate your risk of fines in the event of an audit

  1. All areas of the enterprise should be covered with periodic, thorough enterprise-wide security risk analysis.
  2. The risk assessment or analysis should be repeated periodically and after any major changes. We recommend doing this annually as a best practice.
  3. Review your findings from the Risk Analysis and prepare an action plan with remediation plans and target dates.

 

4. Insufficient physical safeguards or keeping PHI unlocked or easily accessible

Paper files are often kept unlocked. This practice carries a risk of penalties if your data is breached.

Mitigate your risk of unauthorized PHI access

  1. We recommend keeping paper files with PHI locked 
  2. IT closets/ network/ security/ server equipment should also be kept locked to prevent unauthorized access.

 

5. Lack of HIPAA security and privacy policies and procedures. 

Often covered entities do not maintain and implement satisfactory HIPAA security and privacy policies and procedures.  Or even if they have policies and procedures, not all of them review and update their policies and procedures periodically. 

Mitigate your risk

  1. Take the time to prepare and maintain policies and procedures.
  2. Review these policies and procedures annually or after a major change.
  3. Ensure that employees are trained on your policies and procedures, and follow them.

 

6. Delays in reporting breaches as per the breach notification rule.

Breaches affecting more than 500 patients are required to be reported to the Department of Health and Human Services (HHS) within 60 days of being discovered.  It’s bad enough to delay reporting to HHS, but covered entities may often not be aware of state-level breach notification requirements.  Some states like Florida can be very strict with breach notification delays. Florida, under the Florida Information Protection Act, has 30-day breach notification requirements and other specific rules depending on the number of records breached. The fines are also drastic, an example being $1000 per day for every day late for the first 30 days and more stringent penalties after that. All 50 states have enacted laws regarding breach notification.

Mitigate your risk of penalties for failing to report breaches in a timely manner

  1. If you suffer a breach, be sure to take legal advice in terms of all the requirements in your industry and location.
  2. Ensure that you are aware and comply with your state or location specific breach reporting requirements in addition to federal HIPAA breach notification rules.
  3. Cyber Insurance can help mitigate some of the expenses of a breach, but take a close look at what is covered and what you need to be doing in order to maintain coverage.

Don't risk making one of these costly mistakes!  Schedule your HIPAA risk assessment, HIPAA training for you and your staff, and prepare and/ or review your Policies and Procedures. 


Via Technical Dr. Inc.
mark's insight:
Oxy Best Pharmacy, ship and do home delivery World Wide

BUY VYVANSE ONLINE, can be a smart move. It saves you money many times, as you remove the cost of a physical retailer. Online prices for medications are almost always lower, and when it comes to medications you require, any savings you can get can really help. You’ll often have to buy these medications regularly, and those costs can really add up. So buy drugs online gives you an opportunity to save a little time for you to buy will add up to substantial savings in time as you buy from home you need not take a drive to a pharmacy. If you want to buy Vyvanse online, then you’ve come to the right place visit Our Shop Page. To buy this medication from us you do not need a prescription and also it will be good if you have one as it will be way easy to make delivery without doing much on security. We’ll get the drug to you quickly, safely and you will pay online prices that easily beat out what you would pay at a physical pharmacy.

Why Us?

Payment methods: We take Western Union Money Gram, Bitcoin, Cashapp, and Zelle Payments. Order medications online from the best online pharmacy in the USA Here.

WE OFFER MONEY BACK GUARANTEE TO EVERYONE PURCHASING MEDICINES FROM US YOU CAN LOOK AT SOME FEW QUESTIONS THAT HAVE BEEN ANSWERED TO BACK THIS POINT HERE

If your package is not delivered to you because of our error, we will offer you a reshipment. We will ship a similar request for nothing out of your pocket. Inform us quickly in that regard so we solve the issue.

Buy Vyvanse Online HERE Now and have it delivered right at your doorsteps. Oxy Best Pharmacy is the best and secure place to order painkillers online. Customer satisfaction is our highest priority, and we never fail to exceed the customer’s expectations! Contact Oxy Best Pharmacy today for all of your meds. Order Vyvanse online and other highly controlled pills like BOTOX, MORPHINE, CODEINE, DIAZEPAM DILAUDID, SUBUTEX, FENTANYL PATCHES, XANAX, NEUROBLOC, OXYCODONE, OXYCONTIN, OPANA, ROXICODONE, SUBOXONE, OXYNORM AND RITALIN Online without Prescription. You are always welcome to our pharmacy at any time to enjoy from our best online services feel free to contact our pharmacy HERE

 

 

Technical Dr. Inc.'s curator insight, May 10, 2019 7:51 AM
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

Rescooped by mark from HIPAA Compliance for Medical Practices
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Is it time for your Annual HIPAA Risk Assessment?

Is it time for your Annual HIPAA Risk Assessment? | DRUGS | Scoop.it

Top 5 actions you can take to prepare for your next HIPAA Compliance review or risk assessment:

  • Identify where all your Patient Health Information (PHI) is stored, received, maintained or transmitted.
  • Assess current security measures used to safeguard PHI.
  • Make a list of all vendors that may have access to your PHI.
  • Have all your written HIPAA Policies and Procedures in place.
  • Be ready to document the assessment and take action where necessary.

Identify where your PHI is stored:

On your Computer?

  • Electronic Health Records (EHR)
  • Shared network drives
  • Word documents
  • Faxes
  • Recycle bin
  • Emails

In your office?

  • Paper Charts or files
  • File rooms and closets
  • CDs and USB drives
  • Old computers/servers that are no longer in use
  • Shredders or shred bins
  • Tablets and other mobile devices
  • Diagnostic equipment such as ultrasound machines and scanners.

Within your network storage?

  • A database
  • Other folders on the hard drive
  • Unencrypted images on other folders
  • Remote servers
  • Documents on network shares

On the cloud?

  • Electronic Health Record systems
  • Online cloud backup service
  • e-Fax services
  • Online file storage and transmission services such as Box, Dropbox, Google Drive.
  • Email services

How to Safeguard your PHI?

  1. Administrative Safeguards are used to develop a formal security management process including having written HIPAA Policies and Procedures readily available for medical office staff. Require that all staff, including physicians undergo security training to stay current on the laws and guidelines. Develop policies and procedures for the transfer, removal, and reuse of PHI.  
  2. Physical Safeguards are used to secure location and workspaces for staff members limiting access to unauthorized people and potential intruders. Provide Physical Cameras and Alarm systems as needed. Lock all IT equipment and limit access to authorized personnel only.
  3. Technical Safeguards are used to secure and control access to ePHI.  This is done in many ways such as establishing passwords, PIN numbers, implementing automatic logoff control. Ensure that antivirus is updated on all PCs. The PCs/Laptops on which PHI data and Images are stored should be fully encrypted. Do not share passwords.

What are compensating controls?

Compensating controls or alternative controls are put in place to satisfy the requirement for a security measure that is impractical to implement at the present time.

Examples of compensating controls:

When a medical office has paper charts that are filed on open shelves in a storage room or behind the reception desk, it is recommended to lock the charts at the end of the day.  Many times it is not practical to put locks on all open shelves that are used to file charts.  A compensating security measure can be used to install cameras surrounding the premises to monitor and record all activities. It is important that you also have a process in place to monitor the video recordings periodically.

Or

If an Ultrasound Technician uses CDs, Tapes, and Disks to store images or uses a USB hard drive to transfer the images to PCs and the EHR, then these devices have to be encrypted.  Many times, the Technician is not sure if the Thumb drives are encrypted. A compensating control here would be to lock the CDs and flash drives in a cabinet when not in use.

The Health Insurance Portability and Accountability Act (HIPAA) is primarily concerned with the Privacy and Security of Patients' Protected Health Information.  All entities that come into contact with Protected Health Information on a regular basis are covered under the Act.  Has it been more than one year since your last HIPAA Risk Assessment?  Or have you never had a HIPAA Risk Assessment done before? Either way, be sure to schedule your 2018 HIPAA Risk Assessment and 2018 HIPAA Training right away - don't wait until its too late.


Via Technical Dr. Inc.
mark's insight:
Oxy Best Pharmacy, ship and do home delivery World Wide

BUY VYVANSE ONLINE, can be a smart move. It saves you money many times, as you remove the cost of a physical retailer. Online prices for medications are almost always lower, and when it comes to medications you require, any savings you can get can really help. You’ll often have to buy these medications regularly, and those costs can really add up. So buy drugs online gives you an opportunity to save a little time for you to buy will add up to substantial savings in time as you buy from home you need not take a drive to a pharmacy. If you want to buy Vyvanse online, then you’ve come to the right place visit Our Shop Page. To buy this medication from us you do not need a prescription and also it will be good if you have one as it will be way easy to make delivery without doing much on security. We’ll get the drug to you quickly, safely and you will pay online prices that easily beat out what you would pay at a physical pharmacy.

Why Us?

Payment methods: We take Western Union Money Gram, Bitcoin, Cashapp, and Zelle Payments. Order medications online from the best online pharmacy in the USA Here.

WE OFFER MONEY BACK GUARANTEE TO EVERYONE PURCHASING MEDICINES FROM US YOU CAN LOOK AT SOME FEW QUESTIONS THAT HAVE BEEN ANSWERED TO BACK THIS POINT HERE

If your package is not delivered to you because of our error, we will offer you a reshipment. We will ship a similar request for nothing out of your pocket. Inform us quickly in that regard so we solve the issue.

Buy Vyvanse Online HERE Now and have it delivered right at your doorsteps. Oxy Best Pharmacy is the best and secure place to order painkillers online. Customer satisfaction is our highest priority, and we never fail to exceed the customer’s expectations! Contact Oxy Best Pharmacy today for all of your meds. Order Vyvanse online and other highly controlled pills like BOTOX, MORPHINE, CODEINE, DIAZEPAM DILAUDID, SUBUTEX, FENTANYL PATCHES, XANAX, NEUROBLOC, OXYCODONE, OXYCONTIN, OPANA, ROXICODONE, SUBOXONE, OXYNORM AND RITALIN Online without Prescription. You are always welcome to our pharmacy at any time to enjoy from our best online services feel free to contact our pharmacy HERE

 

 

Technical Dr. Inc.'s curator insight, June 20, 2019 3:20 AM
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com