...HIPAA COW Risk Analysis & Risk Management Toolkit Networking Group Guide for the HIPAA COW Risk Analysis & Risk Management Toolkit Disclaimers This Guide and the HIPAA COW Risk Analysis & Risk Management Toolkit (Toolkit) documents are Copyright by the HIPAA Collaborative of Wisconsin (“HIPAA COW”). They may be freely redistributed in their entirety provided that this copyright notice is not removed. When information from this document is used, HIPAA COW shall be referenced as a resource. They may not be sold for profit or used in commercial documents without the written permission of the copyright holder. This Guide and the Toolkit documents are provided “as is” without any express or implied warranty. This Guide and the Toolkit documents are for educational purposes only and do not constitute legal advice. If you require legal advice, you should consult with an attorney. Unless otherwise noted, HIPAA COW has not addressed all state pre-emption issues related to this Guide and the Toolkit documents. Therefore, these documents may need to be modified in order to comply with Wisconsin/State law. The Toolkit provides an example HIPAA Security Risk Assessment and documents to support completing a Risk Analysis and Risk Mitigation Implementation Plan. While it covers a broad spectrum of the requirements under the HIPAA Security Rule and HITECH, it may not cover all measures needed to secure your patients’ electronic protected health information (ePHI). It...
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...Administrative Ethics Paper When creating effective strategy and rewards compensation programs one must ensure that the policy established executes the plan well. The EEO or Equal Employment Opportunity and Affirmative Action laws give authorization for Human Resources representative to hire the best-qualified staff by selecting the finest candidates for interviews, and make a job offer without discriminating against any candidates. Affirmative Action assists in elevating discrimination among race, creed, religion, and sex. Based off the State of South Carolina (2009), “Affirmative action is an effort to create a logical approach to remove the current and lingering effects of prior discrimination. This is an ethnic and sex conscious effort to achieve equal employment opportunities for every person regardless of race and sex group in a workforce” (p.1). The United States Department of Labor (2009), reports “The Equal Employment Opportunity forbids specific kinds of job discrimination in certain workplaces. EEOC also known as the Equal Employment Opportunity Commission is an independent federal organization that promotes equal opportunity jobs through administrative and at times judicial enforcement of civil rights laws and technical help. The EEOC division helps protect applicants and some employees of private employers to include state and local governments, education institutions, and labor organizations (p 2.). The HR Guide, (2009) references Disparate Treatment in...
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...| You Decide | Activity | Assignment Responses | Part I | From the Chief Compliance Officer (CCO) perspective on HIPAA, contemplate the three basic areas which HIT professionals must be most concerned with are: (1) Privacy Rules (2) Security Rules, and (3) Standardized transaction code sets | Write a paragraph on each of the 3 critical areas of HIPAA for a training session of your staff. Explain what they are, why they are important and how they impact staff duties and the organization. | HIPAA Rules (1) Privacy Rules: HIPAA Privacy Rules involves federal protection of individually identifiable health information and guarantees patient rights and prevents healthcare fraud and abuse. This is important to prevent identity theft (especially in the fraudulent use of health insurance) by reducing fraudulent use of patients social security numbers/birthdates, protecting a patient diagnosis and treatment and any other personal patient information (address, home/work phone numbers, place of work). This will impact staff and organization by what information can be accessed (ROI or Release of Information) by what staff and what information the organization/hospital may release to third parties whether it is another physician/hospital or insurance company. (2) Security Rules: HIPAA manadated series of rules which safeguards the integrity of administrative, physical, and technical information (EPHI- Electronic Protected Health Information).Will allow covered entities to adopt...
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...Administrative Ethics Administrative ethics is essential to developing a rewarding compensation plan that produces strategies within a policy effectively to execute a plan successfully within an organization. An example of this is the Affirmative Action of Equal Employment Opportunity (EEO). In this paper the reading will discuss EEO and Health Insurance Portability and Accountability Act of 1996 (HIPAA), and the impact it has on the population as a whole, it is meant to protect the general public, promote the common good when dealing with health care and review arguments used to support solutions as well as review ethical, and legal issues that need to be reported regarding administrative issues. I will also address managerial responsibilities related to administrative ethical issues as well as identify a proposed solution. The EEO according to the Unites States Department of Labor (2009) is an independent federal agency that was developed to promote equal opportunity within an organization through administrative and judicial enforcement of federal civil rights laws through technical assistance as well as education to the working public on how to utilize the program. EEO laws were also created to allow Human Resources (HR) professionals the ability to hire qualified staff members through the process of conducting in depth interviews of applicants before selecting the best qualified individual to fit the job requirements without discriminating any possible candidates that...
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...Gwendolyn Bradley Hsm/230 2/22/14 Marcella Dowdell The impact of HIPAA on the delivery of human services! I have been a medical assistant for 15 years and HIPAA is a regulation/law that I have had to read over and over again. HIPAA stands for Health Insurance Portability and Accountability Act, this act was passed in 1996 two year after that I became a medical assistant. HIPAA requires the United States health and human services to issue rules protecting the privacy of medical information. This information can be found on the Health and Human Service website. www.hhs.gov The HIPAA privacy rules were issued by the HHS to cover a number of types of companies and can affect human service organizations as health care providers, business associates or employers. The purpose of the rational of this act is to prevent any human service organization covered by the rule from sharing personal medical information without removing all details that could be used to identify the person . For example, a doctor's office that put a patient's name and medical history up on its website would be in violation of the rule or if a nurse is having a conversation with a co- worker about a patient and she shares all the patients personal information. The companies covered include any organization or person that shares medical information electronically for purposes such as authorizing benefits or medical referrals. This can include health insurance plans, health...
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...have argued that government interventions are designed to benefit those special interests that influence politicians rather than society as a whole (Austin & Boxerman, 2008). Discuss the impacts of breach to Healthcare Information systems, especially the financial and privacy impacts. Some of the most devastating security breaches can occur during employee termination when steps are not taken to remove access to resources in a timely manner. HIPAA guidelines specify that when employees are terminated, that certain steps, at a minimum, must be followed. These include changing locks, removal from access lists, removal of user account, and confiscation of keys, tokens and other access cards. Though these steps may seem to be common sense, some organizations may not have documented procedures to follow when an employee is terminated. Additionally, the responsibility for carrying out the termination procedures must be clearly assigned and documented (SANS Institute, 2001). Security Training In order for a security program to work well, the employees must be educated insecurity practices such as password protection, monitoring login failures and other basic practices. A well-educated workforce can become an extension of the security group of any organization through simple awareness. The HIPAA regulations require a Security Awareness training program that includes: awareness training for all personnel, security reminders to the workforce, virus...
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...Administrative Ethics Paper Alyssa Jane Marie Cunningham HCS/335 January 16, 2011 Sonja Allen Administrative Ethics Paper When developing an effective strategy and rewards compensation plan one must produce a policy that executes the plan successfully. The Affirmative Action and Equal Employment Opportunity (EEO) laws allows the human resources professionals to hire the high qualified staff by selecting the right candidates for interviews, and giving the best job offers without discriminating against any candidates. Affirmative Action prevents discrimination among race, creed, religion, and sex. According to State of South Carolina (2009), “Affirmative action is an effort to develop a systematic approach to eliminate the current and lingering effects of prior discrimination. It is a race and sex conscious effort to achieve equal employment opportunity for all race sex groups in a workforce” (p. 1). According to the United States Department of Labor (2009), “The Equal Employment Opportunity (EEO) prohibits specific types of job discrimination in certain workplaces. EEOC is an independent federal agency that promotes equal opportunity in employment through administrative and judicial enforcement of the federal civil rights laws and through education and technical assistance. EEOC protects applicants and employees of many private employers, state and local governments, educational institutions, employment agencies...
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...Administrative Ethics Paper Shannon Carpenter HCS/335 February 16, 2015 Administrative Ethics Paper When developing an effective strategy and rewards compensation plan one must produce a policy that executes the plan successfully. The Affirmative Action and Equal Employment Opportunity (EEO) laws allows the human resources professionals to hire the high qualified staff by selecting the right candidates for interviews, and giving the best job offers without discriminating against any candidates. Affirmative Action prevents discrimination among race, creed, religion, and sex. According to State of South Carolina (2009), “Affirmative action is an effort to develop a systematic approach to eliminate the current and lingering effects of prior discrimination. It is a race and sex conscious effort to achieve equal employment opportunity for all race sex groups in a workforce” (p. 1). According to the United States Department of Labor (2009), “The Equal Employment Opportunity (EEO) prohibits specific types of job discrimination in certain workplaces. EEOC is an independent federal agency that promotes equal opportunity in employment through administrative and judicial enforcement of the federal civil rights laws and through education and technical assistance. EEOC protects applicants and employees of many private employers, state and local governments, educational institutions, employment agencies, and labor organizations...
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...JSBMHA and HIPAA Case Study Jsbmha and Hipaa Case Study How does HIPAA serve to protect patient rights? HIPAA protects any individual’s past their present and future information whether it be physical, mental or any other condition that affects that person. It also protects anything that identifies the individual involved, that would their name, address, birth date and Social Security number. Nothing should be discussed about any individual that an agency is helping. It should not be discussed with anyone who is not directly involved with the case even if that person works for the agency. If they are not involved then it should not be discussed. What areas of the JSBMHA did HIPAA compliance impact? HIPAA has a great impact on patients rights, all areas of the JSBMHA were affected by these two individuals. They affected the patients, and put the agency in an awkward position. They affected the agency, the grandmother could make others aware about what happened and this could affect the agency negatively. People who are involved with the agency could be made to feel uncomfortable about giving them any information. It would mean that information at the JSBMHA is not secure, the trust has been violated. What actions should the JSBMHA director take about the HIPAA violation? Explain your answers in detail. I feel that both individuals should be suspended, this is a serious violation. The have put the agency in a very bad situation and have lost the trust of the...
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...Administrative Ethics Paper By William Keyser HCS/335 4-26-11 Susan Morgan When developing an effective strategy and rewards compensation plan one must produce a policy that executes the plan successfully. The Affirmative Action and Equal Employment Opportunity (EEO) laws allows the human resources professionals to hire the high qualified staff by selecting the right candidates for interviews, and giving the best job offers without discriminating against any candidates. Affirmative Action prevents discrimination among race, creed, religion, and sex. According to State of South Carolina (2009), “Affirmative action is an effort to develop a systematic approach to eliminate the current and lingering effects of prior discrimination. It is a race and sex conscious effort to achieve equal employment opportunity for all race sex groups in a workforce. Then with the Equal Employment Opportunity (EEO) it prohibits specific types of job discrimination in certain workplaces, and they are a independent federal...
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...THE HEALTH INSURACE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) Abstract This paper will explain what HIPAA is, a brief history and background of it; why it is so important, what are the rules, who is protected, who needs to follow the rules and who does not, who can see the patent information, and what kind of right the patent has. In general, this paper will cover and the importance of HIPAA, and the impacts that have on consumers and providers. This paper examines Mark A. Rothstein (2013) The Federal Register published the Department of Health and Human Services (HHS) omnibus amendments to the Health Insurance Portability Act (HIPAA) Privacy, security, Enforcement, and Breach Notification Keywords: HIPAA privacy and security of health care records. THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) Understanding HIPAA What is HIPAA? Department of health defined HIPAA as the federal Health insurance portability and accountability act. The objective is to make it easier for people to keep health insurance, protect the confidentiality and security of healthcare information and help the health care industry control administrative cost. HIPAA is written in 1996, enacted in April 14, 2001 and mandated in April 15, 2003. HIPAA is composed of two main rules; The HIPAA privacy rule and The HIPAA security rule. The HIPAA privacy rule provides for the privacy of individual’s personally identifiable health...
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...The Health Insurance Portability and Accountability Act (HIPAA) of 1996 established guidelines for maintaining the privacy and confidentiality of patient data. The guidelines include the procedures that should be followed for the disposal of protected health information. This paper will be concerned with an article on the disposal of protected health information that was published in the June 1, 2011 issue of Managed Care Outlook. In the article, Niedzwiecki (2011) discusses the conditions under which it is appropriate to shred documents that contain protected health information. Niedzwiecki (2011) focuses on the problem of what should be done with paper originals after a patient’s private information has been placed in an electronic format. The basic solution to this problem is to shred sensitive paper documents before disposing of them. However, there is more to this issue, because some paper documents do not need to be disposed of and still others should not be disposed of. Therefore, as Niedzwiecki (2011) proposes, healthcare organizations should have a clearly stated policy regarding when documents should be shredded and when they should not be shredded. In supporting this argument, Niedzwiecki (2011) refers to the legal requirements that are imposed by the HIPAA. The article includes a web address where the reader can see the HIPAA’s requirements for the disposal of protected information. As stated at the HIPAA website, paper documents containing protected health information...
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...words) The Hunger-free kids act was a key step for our nation’s toward the effort to provide all children with healthy food and education about healthy food. This program is so important because millions of children now receive meals through the school lunch program and the other programs that are attached to it. There are so many people especially children living in food insecure households and the rate of child hood obesity is at an all-time high. Through legislation there has been improvements and provisions that provide healthier and more nutritious food options, education and to help children make healthy food choices that will lead to healthy habits which can lead to a life style change and healthy outcome in life. Analyze the impact the law has on health care resource allocation (75 to 150 words) Improving on nutrition and focus on reducing the rate of childhood obesity by providing and allocating fund to the Hunger-free kids Act is additional funds to schools to...
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...HIPAA Privacy – Safe Guarding and Securing Patient Data HIPAA Privacy – Safe Guarding and Securing Patient Data Robert N. Reges DeVry University/ HSM 410 Professor Anthony LaBonte 12 December 2010 Abstract According to section 1.07 of the APA Publication Manual [ (Ame01) ], “An abstract is a brief, comprehensive summary of the contents of the article; it allows readers to survey the contents of an article quickly, and like a title, it enables abstracting and information services to index and retrieve articles” (p. 12). . HIPAA Privacy – Safe Guarding and Securing Patient Data It has been said time and time again that life was much less complicated at the turn of the 20th Century and this saying could not be truer when it comes to medicine. At the turn of the 1900’s there was a personal bond between the provider and the patient, between the provider and the community, and between citizens in the community. In small towns across the nation there was less of a sense of privacy & individualism and more emphasis on helping your neighbor; because of this medical privacy was not a concern. You cannot help your neighbor if you are not aware of their issues. If we fast forward to the year 2010 times have changed significantly; with the advent of technology the American culture has changed. Personal information is no longer just stored on paper in the doctor’s office, patient information is stored in vast computer banks and sold like stocks and bonds on...
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..."Does the EMR actually protect patient privacy and what are the regulatory ramifications in the US on EMR implementation?” Table of Contents: INTRODUCTION LITERATURE REVIEW ANALYSIS I. MEDICAL RECORDS THEN AND NOW A. Paper-Based Medical Records VS. Electronic Medical Records B. Benefits, Potential Problems and Cost of the EMR II. HEALTH CARE PRIVACY LAW A. HIPAA 1.What is HIPAA? 2. HIPPA Privacy & Security B. HIPAA and EMR III. CAN ANYTHING BE DONE TO PROTECT PATIENT CONFIDENTIALITY/ PRIVACY? A. Why Should Patient Privacy Be Afforded Privacy Protection Regulation? B. Patient Privacy Within EMR IV. SPANNING THE MILES Intranet & Extranet Software & IM/IT CONCLUSION GLOSSARY REFERENCES Introduction: Healthcare companies all over the world are slowly recognizing the benefits on an EMR. Although EMR’s were implemented over 30 years ago but as of 2006 fewer than 10% of hospitals were utilizing the system. In 2009 the he U.S. Department of Health and Human Services enacted a privacy rule under the Health Insurance Portability and Accountability Act (HIPAA) in an attempt to protect the privacy of patients medical records. But one question still arises; “Does the EMR actually protect patient privacy and what are the regulatory ramifications in the US on EMR implementation?” In this paper I will address EMR, patient privacy and the regulatory ramifications of EMR implementation. Literature Review The literature shows that there is...
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