...reality star Kim Kardashian’s and rapper Kayne West’s medical records were inappropriately accessed between June 18th and June 24th, after giving birth to a baby girl at Cedars-Sinai Medical Center (Associated Press, 2013). In order to ensure and safeguard patient privacy and confidentiality, issues related to breaching patient privacy must be addressed. This paper will address the following: 1. Background information in relation to the breach of Kim Kardashian and Kayne West’s privacy. 2. Arguments or specifics used in the article to support the proposed solution. 3. Ethical and legal issues. 4. Managerial responsibilities related to administrative, ethical issues. 4. Solutions to reduce and prevent breaches in patient privacy. Last year, reality star Kim Kardashian and Kayne West’s medical records were wrongly and unauthorized accessed by five employees of Cedar-Sinai Medial Center after the birth of their daughter (Associated Press, 2013). Private information was viewed and leaked to the public without prior authorization. In response to a breach in Kim Kardashian’s privacy and confidentiality, Cedar-Sinai Medical Center fired five workers and student research assistant for accessing Kim Kardashian’s private medical records. In addition, they were permanently banned from accessing the hospital’s records even...
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...Define compliance. 2. Name the two provisions of the Health Insurance Portability and Accountability Act (HIPAA) that relate most to health care. 3. Explain the difference between Titles I insurance Reform and Title II Administrative Simplification. 4. Describe the Privacy Rule under HIPAA. 5. Define protected health information (PHI). 6. Identify the difference between disclosure and use of PHI. 7. Illustrate the difference between privileged and nonprivileged information. 8. Explain patient rights under HIPAA. 9. Explain responsibilities of the health care organization to protect patient rights under HIPAA. 10. State the guidelines for HIPAA privacy compliance. 11. List the three major categories of security safeguards under HIPAA. 12. Define the provisions of the HITECH Act. 13. List the civil and criminal penalties of noncompliance with HIPAA regulations. 14. Identify the difference between fraud and abuse. 15. Identify the Federal and State laws that regulate health care fraud and abuse. 16. List the various fraud and abuse audit programs 17. Describer the basic components of an effective compliance program. Compliance Defined * All regulations, recommendations, and expectations of regulating agencies must be met to be in compliance. * The professional elements of the principles and practice include: * Regulations and recommendations to protect individuals * Supporting system-wide...
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...EMERGING ROLES IN HIM National EHR Database Security Synthia Ross ITT Tech Online OLA 1- Managing Business Information Systems Professor Mikal Wilkerson July 27, 2013 Abstract In 2009, President Barack Obama declared that by 2014, all American health records would exist in an electronic format. As part of this undertaking, the federal government has budgeted $19.2 billion in incentives for medical institutions to invest in EHRs via the American Reinvestment and Recovery Act (ARRA). By making health records completely digital, we are entrusting our most private information to “cyber-space” and opening ourselves up to potential violations of privacy. It is imperative that everyone consider the new security issues faced when approaching data storage, transmission and retrieval from various electronic devices. HIPAA’s agenda was to establish privacy, security, and electronic standards for health care providers that handle different types of patient information. The accountability part of the act includes the penalties for breaches in medical privacy, disclosures of patient records by e-mail, or un-authorized network access. How will this mesh into the emerging National Electronics Health Records Database managed by the US Government? National EHR Database Privacy Since 1996, the U.S. government has been forcing the health care industry to take responsibility for the security and control of your personal health information (PHI) by requiring the protection...
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...Aftab Khan IT120 Cybersecurity Principles Assignment 3 Due by 2pm, October 29 (Thursday) Data breaches happening in healthcare can cause severe damage. This assignment looks at different sets of data submitted to the Department of Human Services whenever a breach affects 500 or more individuals. (https://ocrportal.hhs.gov/ocr/breach/breach_report.jsf) You have each been assigned a “filter” to research and assess. For the filer you are assigned, make a report that includes the following information: 1. Describe the web site and the policy/legislation under which the organization is required to report their breaches Department of health and human services, office of civil rights websites, where as required by section 13402(e)(4) of the HITECH Act, the Secretary must post a list of breaches of unsecured protected health information affecting 500 or more individuals. These breaches are now posted in a new, more accessible format that allows users to search and sort the posted breaches. 2. Describe how the organization must file their report. Includes brief summaries of the breach cases that OCR has investigated and closed, as well as the names of private practice providers who have reported breaches of unsecured protected health information to the Secretary. 3. Name of the filter designated. 2015 4. How many breaches did you identify as a result of the filter There are about 223 breaches for 500 or more. 5. Select one result that catches your...
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...Running head: Assignment 5 Mercy Health System Baldrige Award Recipient 1 Mercy Health System Dr. Laura Forbes HSA 599 June 10, 2013 Running head: Mercy Health System Baldrige Award Recipient 2 In 1989, Mercy Hospital was a single stand-alone community hospital primarily serving Janesville, Wisconsin. Today, Mercy Health System (MHS) is a fully integrated health care system with three hospitals and a network of 64 facilities consisting of 39 multi-specialty outpatient centers located in six counties throughout southern Wisconsin and northern Illinois. Mercy has a unique W2 Physician Partnership Model with 285 primary and specialty physicians. In addition, MHS offers post-acute and retail services, and an insurance company, which operates the second largest health maintenance organization in its market area. With an unwavering commitment to quality and cost effective health care, MHS provides a complete spectrum of integrated health care services, including basic preventive medicine and health education, complex neurosurgery and opened heart surgery, and post-acute care such as rehabilitation, home health, and hospice care to more than 1 million patients annually. Mercy’s nearly 4,000 employees, called “partners,” include 285 W2 physician partners who make up 80 percent of its medical staff. For the past six years, MHS has been ranked, in the top 100 integrated health care networks, reaching number 11 on the list in 2008. Provide a description of the...
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...Management Policies………...……………..7 Section III: Adaption of Requirements to Reduce Security Risk……….……………....…......11 Conclusion. …………………………………….…………………………………….…21 References ……………………………………………………………...………………23 Introduction There are multiple benefits of electronic health records (EHR), which include improved care, quicker access to patient files, and increased physician oversight of care. However, with the benefit of convenience of using EHRs, comes the responsibility of protecting electronic protected health information (ePHI) and safeguarding sensitive patient data. The Health Insurance Portability and Accountability Act (HIPAA) focuses on protecting ePHI with guidelines to ensure organizations have implemented “reasonable and appropriate” security measures to adhere to HIPAA rules and maintain patient confidentiality. HIPAA requires covered entities to conduct risk assessments to verify compliance and attempt to uncover areas where ePHI is at risk of compromise. This analysis of the iTrust database, as related to the new requirements that iTrust wishes to implement, will discuss the threats and vulnerabilities and the potential impact on the iTrust web application and database. Section I: iTrust Threats & Vulnerabilities and Countermeasures A detailed analysis of the iTrust database detected several high-risk vulnerabilities that...
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...Edition Check Your Understanding Chapter Answers CHAPTER 1 Check Your Understanding 1.1 1. A hybrid record is refers to record that is totally electronic. False 2. An electronic health record can be managed across more than one healthcare organization. True 3. Confidentiality refers to the right to be left alone. False 4. HITECH widens the scope of privacy and security protections under HIPAA. True 5. Privileged communication is a legal concept designed to protect the communication between two parties. True Check Your Understanding 1.2 1. Ownership of a health record generated by a doctor on a patient belongs to the patient. False 2. A custodian of records is responsible for certifying that a record is what it purports to be. True 3. When a patient refuses treatment he or she is exercising the ethical principle of beneficence. False 4. In a malpractice case, a professional code of ethics may be used as a benchmark for what should be acceptable practice by a healthcare professional. True 5. The ethical principle of nonmaleficence refers to making sure rules are fairly and consistently applied to all. False CHAPTER 2 Check Your Understanding 2.1 1. Private law defines rights and duties between individuals and the government. False 2. Statutes are enacted by legislative bodies. True 3. Administrative law is created by court decisions. False 4. Persuasive authority occurs when a court looks to...
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...ram4577X_ch03.qxd 4/16/04 11:50 Page 37 Legal and Ethical Issues in Medical Practice, Including HIPAA AREAS OF COMPETENCE 2003 Role Delineation Study CLINICAL Fundamental Principles ɀ Apply principles of aseptic technique and infection control ɀ Comply with quality assurance practices Patient Care ɀ Coordinate patient care information with other health-care providers GENERAL Legal Concepts ɀ Perform within legal and ethical boundaries ɀ Prepare and maintain medical records ɀ Document accurately ɀ Follow employer’s established policies dealing with the health-care contract ɀ Implement and maintain federal and state health-care legislation and regulations ɀ Comply with established risk management and safety procedures ɀ Recognize professional credentialing criteria CHAPTER OUTLINE ɀ ɀ ɀ ɀ Medical Law and Ethics OSHA Regulations Quality Control and Assurance Code of Ethics ɀ HIPAA ɀ Confidentiality Issues and Mandatory Disclosure OBJECTIVES After completing Chapter 3, you will be able to: 3.1 Define ethics, bioethics, and law. 3.2 Discuss the measures a medical practice must take to avoid malpractice claims. 3.3 Describe OSHA requirements for a medical office. KEY TERMS abandonment agent arbitration assault authorization battery bioethics breach of contract civil law contract crime criminal law defamation disclosure durable power of attorney electronic transaction record ethics expressed contract felony fraud ...
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...effect on an asset. Vulnerability 11. True or False: An earthquake is considered a threat rather than a risk. True 12. True or False: Losing Data is considered a threat rather than a risk. False 13. True or False: A financial organization failing to comply with federal regulations is considered a threat rather than a risk. False 14. True or False: Losing business due to the aftermath of a tornado is considered a threat rather than a risk. False 15. True or False: An impending flood is considered a vulnerability. False 16. True or False: A software bug is considered a vulnerability. True 17. True or False: Potential data loss is considered a vulnerability. False 18. True or False: A data breach...
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...Information security is always at risk from both external and internal sources attacks, both malicious and naïve. Any information located on a computer, especially one that is utilized by a human being is not one hundred percent secure from malicious activity. A person occupying a computer is more likely to be at risk to be infected with viruses, Trojans, and malicious software. This is because an employee may unaware that his poker playing website contains malicious software that is currently being downloaded onto his work computer. This is where an incident response plan comes into play in case of something like this may come along. The intentions of an incident response plan are to mitigate the damage caused by misappropriation or mistreatment of a corporation's workstations or system assets and to thwart the forfeiture of or impairment to electronic communication assets (UC-Davis, 2001). There are many reasons for using an incident response plan such as how attacks can be handled more efficiently, therefore the loss or damage is reduced. This builds confidence with shareholders and cuts losses to the company’s bottom line, or profit. Information on current standards, hardware, software, and procedures, is enhanced. Since there is a current plan in place the only thing that can happen is that improvements are made to the flow of the steps taken to the incident response team. This will reduce the chaos of responding and everything will run more smoothly boosting...
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...medical savings accounts, to improve access to long-term care services and coverage, to simplify the administration of health insurance, and for other purposes. HIPAA Colloquial acronym(s) Enacted by the 104th United States Congress Citations Public Law Stat. Pub.L. 104–191 110 Stat. 1936 [1] [2] Legislative history [3] • • • • • • • • • Introduced in the House as H.R. 3103 [4] by Bill Archer (D-TX) on March 18, 1996 [5] Committee consideration by: House Ways and Means Passed the House on March 28, 1996 (267–151 Passed the Senate on April 23, 1996 (100-0 [6] ) [7] ) [8] ) and by the Senate on , in lieu of S. 1028 Reported by the joint conference committee on July 31, 1996; agreed to by the House on August 1, 1996 (421–2 [9] August 2, 1996 (98–0 ) Signed into law by President Bill Clinton on August 21, 1996 e v t [10] The Health Insurance Portability and Accountability Act of 1996 (HIPAA; Pub.L. 104–191 [1], 110 Stat. 1936 [2] , enacted August 21, 1996) was enacted by the United States Congress and signed by President Bill Clinton in 1996. It has been known as the Kennedy–Kassebaum Act or Kassebaum-Kennedy Act after two of its leading sponsors.[11] Title I of HIPAA protects health insurance coverage for workers and their families when they change or lose their jobs. Title II of HIPAA, known as the Administrative...
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...Security and Compliance Office 365 Published: May 2014 For the latest information, please visit the Office 365 Trust Center at http://trust.office365.com Introduction 1 Service-Level Security 2 Physical layer—facility and network security 4 Logical layer—host, application, admin user 5 Data layer—data 7 Data integrity and encryption 7 Protection from security threats 8 Security monitoring and response 9 Independent verification 9 Security Customer Controls 10 Secure end-user access 12 Privacy by Design 14 Privacy Customer Controls 15 Service Compliance 16 Customer Compliance Controls 18 Conclusion 21 Introduction Information security is an essential consideration for all IT organizations around the world. In addition to the prevalence of information technology, the complexity of delivering access to services from a growing number of devices, platforms, and places than ever before forces information security to be a paramount matter. Multi-device access benefits your users, especially with the consumerization of IT, but broader access represents another potential attack surface. At the same time, organizations face ever-evolving cyber-threats from around the world that target users who may accidentally lose or compromise sensitive data. When you consider moving your organization to cloud services to store your data and various productivity services, the security concerns add another layer of consideration. That consideration is one...
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...Insights on IT risk February 2010 Top privacy issues for 2010 Information serves as an integral part of most business processes. Organizations cannot survive without information and the supporting systems, third parties and manual activities that collect, derive, process, store and make available the information. Organizations rely on information and, therefore, are at risk when the information is degraded. In addition, information often imposes obligations to the organization, whether because a law or regulation requires it, or fiduciary duty demands it. Enterprise governance, risk and compliance (GRC) represents the actions that an organization takes to achieve its performance objectives and manage risk. This includes information risk and the organization’s obligations over the information it owns, produces, uses and makes available to others. Organizations use different kinds of information — financial, business, intellectual property, etc. — each with its own unique governance, risk and compliance considerations. Personal information is one such information category, and in this publication we take a closer look at the specifics of personal information and privacy risk. Insights on IT risk — February 2010 1 Introduction to privacy risk management and compliance This document introduces the related topics of privacy risk management and compliance, describes how they must be addressed integrally to be effectively managed, discusses how effective management...
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...| | | | 1. 안전한 전자정부를 위한 법제도 E-signatures Legislation passed in the U.S., Canada, U.K., E.U., Australia, New Zealand, and most nations around the world establishes the legality of e-signatures. Documents signed online with legally compliant e-signature software are as valid and binding as traditional pen-and-paper documents. E-signatures have been upheld in numerous court cases and, in many situations, prove to be more defensible than pen signatures. This legal strength is due to the robust authentication data captured by online signature software, which provides digital evidence of who signed a document, as well as when, where, and how they did it. Electronic Signatures in Global and National Commerce Act (U.S) The E-SIGN Act, passed by Congress in June, 2000, is the premier federal law ensuring the legality of documents executed with e-signatures in the United States. The E-SIGN Act states that contracts with electronic signatures may not be denied legal effect or ruled unenforceable because they were created digitally. Uniform Electronic Transactions Act (U.S.) The National Conference of Commissioners of Uniform State Laws developed the UETA in order to bring consistency to potentially varying state laws regarding e-signatures and online document execution. Now adopted by 47 states thus far, the UETA works in unison with the federal E-SIGN Act to protect the legal enforceability of electronic contracts. Personal Information Protection and Electronic Documents...
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...Office of the National Coordinator for Health Information Technology (ONC) Federal Health Information Technology Strategic Plan 2011 – 2015 Table of Contents Introduction Federal Health IT Vision and Mission Federal Health IT Principles Goal I: Achieve Adoption and Information Exchange through Meaningful Use of Health IT Goal II: Improve Care, Improve Population Health, and Reduce Health Care Costs through the Use of Health IT Goal III: Inspire Confidence and Trust in Health IT Goal IV: Empower Individuals with Health IT to Improve their Health and the Health Care System Appendix A: Performance Measures Appendix B: Programs, Initiatives, and Federal Engagement Appendix C: HIT Standards and HIT Policy Committees Information Flow Appendix E: Statutes and Regulations Appendix F: Goals, Objectives, and Strategies Appendix G: Acronyms ONC Acknowledgements Notes 3 6 7 8 21 28 36 49 51 65 67 70 74 77 77 78 Goal V: Achieve Rapid Learning and Technological Advancement 43 Federal Health IT Strategic Plan 3 Introduction he technologies collectively known as health information technology (health IT) share a common attribute: they enable the secure collection and exchange of vast amounts of health data about individuals. The collection and movement of this data will power the health care of the future. Health IT has the potential to empower individuals and increase transparency; enhance the ability to study care delivery and payment systems; and ultimately achieve...
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