Posts Tagged ‘HITECH’

Should You Rush to Execute a BA Agreement Today? Probably Not

Thursday, January 24th, 2013

The final HIPAA “mega rule” is going to be officially published on the Federal Register tomorrow, January 25, 2013.  Currently the version available (https://s3.amazonaws.com/public-inspection.federalregister.gov/2013-01073.pdf) is “pre-publication” version.

Over the past week I’ve had numerous CEs and BAs contacting me, frantic to change their BA Agreements to “avoid complying with the Mega Rule for another year!” Wait, folks. You are misunderstanding; this is a very specific extension that only applies to the BA Agreements.  Let me explain… (more…)

You Need to Actually Do What Your Policies Say!

Friday, December 21st, 2012

This week I spoke with a small (~25 employees) organization (a business associate providing services to healthcare providers) that contacted me looking for help; they had purchased a whiz-bang “HIPAA compliance GRC” solution that included with everything else information security policies, but they couldn’t make any sense of the policies they were given or how they related to the rest of the expensive GRC tool.  Grrr!! There are (more…)

Implementing a Data De-Identification Framework

Wednesday, November 21st, 2012

Growing numbers of organizations are trying to figure out the benefits of anonymizing, or as HIPAA (the only regulation that provides specific legal requirements for such actions) puts it “de-identifying,” personal information. Healthcare organizations see benefits for improving healthcare. Their business associates (BAs) see benefits in the ways in which they can minimize the controls around such data. Of course marketing organizations salivate at the prospects of doing advanced analysis with such data to discover new trends and marketing possibilities.  The government wants to use it for investigations. Historians want to use it for, yes, marking historical events. And the list (more…)

ISMS Certification Does Not Equal Regulatory Compliance

Wednesday, October 31st, 2012

Last week I got the following question:

“By becoming ISO 27001 certified does that automatically mean we comply with HIPAA and HITECH requirements?  Are there any requirements of HIPAA/HITECH that are not required to meet ISO 27001 standards?”

This is not the first time I’ve gotten this question, and others similar. As new technology businesses, cloud services and other businesses are popping up to provide services to large regulated organizations, start-ups are increasingly looking for a way to differentiate themselves from their competitors, and also prove that they have not only effective security controls in place, but that they also (more…)

Encryption: Myths and Must Knows

Friday, March 2nd, 2012

I am looking forward to the day when we can look at the news headlines and not see some report about a lost or stolen computing device or storage device that contained unencrypted personal information and/or other sensitive information.  And, I also want to stop seeing stories reappear about such an incident, such as the stolen NASA laptop with the clear text Space Station control codes that was stolen last year, but is making the headlines yet again today.  NASA is a large enough, and tech savvy enough, organization to know better!  However, there are many organizations that simply don’t understand what a valuable information security tool encryption is.   I work with many small to medium sized businesses (SMBs), all of which have legal obligations (such as through HIPAA and HITECH, along with contractual requirements) to protect sensitive information, such as personal information.  Over the past year I’ve heard way too many of them make remarks such as… (more…)

Is A W-2 PHI?

Monday, February 27th, 2012

“Is a W-2 form protected health information?” is a simple question with a complex answer that begins (I know, to the nail-biting chagrin of many), “It depends…”

First the full question: (more…)

Do Subpoenas Trump HIPAA and/or Trample Security Of PHI?

Saturday, December 10th, 2011

On October 10, 2011, there was a report in the Baltimore Sun, “Law firm loses hard drive with patient records: Attorneys represent St. Joseph cardiologist sued for malpractice.” I posted about the report to one of the LinkedIn groups I participate in, pointing out that this is yet one more example of (more…)

UCLA Health System Pays $865K to Settle Celebrity Privacy HIPAA Violations

Friday, July 8th, 2011

Here’s yet another HIPAA violations penalty to add to what seems to be a quickly growing list.  In this case it was a violation of the minimum necessary access principle, in addition to providing the information to reporters, who then published the information.  And, it is likely based upon the required actions that go beyond the fine, that the policies, procedures, training, awareness, and access logging processes was lacking as well. (more…)

10 Risk-Reducing Actions for Mobile HIPAA/HITECH Compliance

Sunday, June 19th, 2011

I’m giving a free webinar sponsored by Sophos this coming Wednesday, June 22: “10 Risk-Reducing Actions for Mobile HIPAA/HITECH Compliance.”   Here is more information about it: (more…)

Don’t Let School Break Be A Privacy Break-In!

Friday, June 3rd, 2011

A couple of days ago I published my monthly Privacy Professor Tips message, “Summer Break-in.”  I provide these tips free to anyone who wants to sign up for it on my web site and fills out one of the boxes that says, (more…)