Help Me With HIPAA

In this episode we discuss how to take the first steps to building a "culture of compliance" in your organization. Every project has to start somewhere but where do you start with something as big and complicated as HIPAA? Well.... Just like the joke goes "How do you eat an elephant?" "One bite at a time." How do you break HIPAA Compliance into bite sized pieces and get your project moving? We have some tips for you. Glossary A culture of compliance is when an organization establishes standards, rules, and policies that aren't simply distributed to the workforce. The organization as a whole takes their compliance serious at a personal level. Each person agrees to abide by the standards, rules, and policies set forth and holds themselves accountable to each other for doing so. This culture can only be accomplished if it is done from the CEO all the way down the organization to the volunteers and/or temporary employees. Links Posts From Donna's Blog SmallProviderHIPAA.com How do you create a culture of HIPAA compliance? HIPAA Documentation AKA Telling Your Compliance Story How long will it take to get HIPAA compliant? Simple HIPAA Checklist – Well Sort of 5 Tips to Just Get Your Risk Analysis Done Please, Just Do My HIPAA For Me! Notes What is a culture of compliance? What are the parts I need to build a culture of compliance? Established and supported by Senior Mgmt Integrated into all training and education done for the workforce Programs are designed to reward compliance Sanctions are applied equally to all levels for failure to comply All technology is reviewed and managed with compliance in mind Every decision, project, addition, and subtraction to the business includes considerations for compliance How can you really break HIPAA into small bites? Documentation management plan Business Associates Privacy Security Breach How to motivate myself to take the first bite of the elephant? Every single week start with one task that must be completed Policy or procedure reviewed BA evaluated and audited Procedure audited Training class attended Allocate time to complete a task each week It isn't something you do last, it should be something that is as important as completing you accounting reports, payroll, accounts receivable management, etc. Build the habit or assign it to someone who has the time to apply to getting it done. Build on what you started HIPAA compliance is never "done"

HIPAA requires encryption in transit and lists encryption at rest as addressable. What does all that mean?

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In this episode we discuss the definition of a Business Associate. How do you find your Business Associates and what should your process for managing them include. Glossary A managed service provider (MSP) is a third-party contractor that is under contract (usually a monthly fee) to provide on-going technology support to other organizations. Notice of Privacy Practices (NPP) is the document CEs provide to patients when they begin treatment or coverage. It is the document that defines the CEs Privacy, Security, and Breach Rule commitments to the patient. Links WEDI BA Decision Tree WEDI Business Associates & HITECH Deep Dive FindHealthcareIT HIPAAforMSPS.com Kardon Compliance Notes 1. Anyone that CReMaTs PHI on behalf of a CE or another BA Another way to think of it Produced, Received, Saved, Transferred 2. Upstream and Downstream BAs 3. BAAs and what they really mean 4. What are BAs supposed to do? Security Rule, Breach Plan, Portions of the Privacy rule. OCR - do what CEs are required to do. 5. BA Due Diligence 6. Finding them in your organization. 1099s, subcontractors, software vendors. 7. Don't go crazy making everyone a BA - Incidental exposure applies for electricians and others.