Why HIPAA Compliance?
Is your organization prepared for the HIPAA Privacy Rule? Are you worried your HIPAA compliance plan is no longer up to date? Have you kept up with the latest changes related to HIPAA? We can help you create a customized HIPAA compliance plan that includes all policies and training for your organization.
When we are engaged to consult on HIPAA we will review and revise your plan to assure compliance with the HIPAA Rule and best practices. Moreover, if you don’t have a compliance plan we will draft a plan with policies and procedures that offers complete coverage of the privacy, security and HITECH requirements.
Training your employees
Have you considered training or retraining your employees on the HIPAA Rules? Are you faced with an Office for Civil Rights investigation or a breach of protected health information? We consult on these and all matters related to HIPAA. We will bring your organization into compliance as expected by the Office for Civil Rights (OCR), the division of the federal Department of Health and Human Services with authority over the HIPAA Rules.
In addition your organization must consider that privacy laws vary from state by state and must be considered every time a plan is created or modified. For example, in the State of Ohio there are certain regulations that are more stringent than the Privacy Rule. An organization must be prepared for these state to state variations in the HIPAA rules. This is a good reason to obtain a customized HIPAA compliance plans through HIPAA Associates.
How We Can Help
Creating a Plan
To begin with, covered entities must create plans that include policies and guidelines that help safeguard the Protected Health Information (PHI) which the organization handles. This includes all forms of PHI such as that which is written, verbal and electronic. As a result, they will have to protect the conﬁdentiality, integrity, and availability of PHI and electronic (e-PHI). To be fully prepared an entity must also perform a full Security Risk Analysis to assess the health and security of their HIPAA program.
Moreover, a HIPAA compliance plan holds providers and workforce members accountable for protecting PHI. Naturally this occurs through its policies, procedures and guidelines. In addition, the plan also outlines the consequences of a PHI breach or any violation of the policies in the compliance plan. By having a plan in place, it will help mitigate any breaches of PHI that might occur in the future. Finally, HIPAA compliance plans also ensure that all workforce members, which includes employees, physicians, volunteers and trainees are properly trained on how to handle PHI in all of its forms.
HIPAA Compliance Policies and Procedures
HIPAA Compliance policies and procedures must be implemented to ensure compliance with the HIPAA Rules. Accordingly, these give individuals rights over their PHI and responsibilities to covered entities. The policies implement appropriate administrative, technical, and physical safeguards to protect the privacy and security of PHI.
Implement a Training Program
The organization must implement a training program that trains workforce members on the requirements and policies that apply to them in their individual roles. The training program must train all workforce members upon employment on HIPAA and policies and procedures and on a regular basis thereafter. It is important to recognize the OCR does not accept the term “Certification,” but rather wants organizations to confirm all personnel have received appropriate training.
Appoint a Privacy Officer
Privacy and Security Ofﬁcers must be appointed to oversee the HIPAA program. They are responsible for oversight of the program and for tracking, investigating, resolving and documenting all privacy and security complaints and investigative steps taken. They ensure there is no retaliation against any workforce member or other individual for reporting a PHI breach or filing a HIPAA complaint.
Business Associate Agreements
A covered entity must enter into a Business Associate Agreement with each organization or vendor that accesses, uses or discloses PHI to on behalf of the organization to ensure the Business Associate uses appropriate safeguards to protect the PHI in the same manner that the covered entity must.
HIPAA Associates Will Help
Most importantly, our professionals are prepared to assist you with all of these important policies and procedures. HIPAA Associates develops and consults on HIPAA compliance plans that include HIPAA privacy and HIPAA security. This includes all security policies and procedures and breach reporting requirements in compliance with the HIPAA Rules. Of great importance, HIPAA Associates is always available to assist you when questions arise regarding the HIPAA Rule. HIPAA consulting is the main focus of our organization. We would be happy to discuss with you how we can help with your program.
Customized HIPAA Compliance Plans
Our customized HIPAA Compliance Plans include HIPAA Privacy Policies, HIPAA Security Policies and HIPAA Training for your organization. We will assist you in implementing the program and will work with your Privacy Officer.
HIPAA Privacy Policies
Our compliance plans cover all the privacy policies necessary to be compliant with the Privacy Rule & HITECH Regulations.
HIPAA Security Policies
Our Security Policies will help you comply with the requirements of the Security Rule.
HIPAA Training Program
We specialize in fully customized HIPAA training programs created specifically for your organization.
Fully Customized Plans – $500 and up
Contact us today to discuss how we can help create your customized HIPAA compliance plan and training for your organization.
Frequently Asked Questions:
Any covered entity that handles protected health information (PHI) must be prepared to protect that information. This is done by creating and implementing a HIPAA compliance plan with policies and procedures to safeguard PHI. The plan will outline the steps you will have to take in the event of a breach. This will ensure that all workforce members are properly trained on how to handle PHI in all its forms.
HIPAA Associates is prepared to create the perfect compliance plan for your organization that has all the necessary policies, procedures and training you will need to keep your PHI safe.
It is important to follow all the steps to report a breach to the OCR. Every breach is different and must be handled on a case by case basis. A full breach analysis must be performed to determine if there was an impermissible use or disclosure that compromises the security of protected health information. Factors to be resolved are:
1. The nature and extent of the breach including identifiers
2. The unauthorized person to whom disclosure is made
3. Whether the PHI was acquired or viewed
4. The extent to which the risk to PHI has been mitigated.
HIPAA Associates can help your organization through this process to ensure you follow all the important steps.
Time needed: 7 days.
How to create a Compliance Plan
- Implement Policies & Standards
Policies and procedures help establish the rules your organization will need to carry out the requirements of federal health care program guidelines.
- Designate a Compliance Officer
The compliance officer will be responsible for operating and monitoring the compliance program.
- Conduct an effective training program
All personnel should receive training on fraud & abuse laws as well as the compliance program.
- Develop effective lines of communication
Employees must have avenues available for reporting concerns internally. Anonymous reporting must be available.
- Conduct internal monitoring and auditing
A good program will have an ongoing process to evaluate and assess the organization for inappropriate behavior.
- Enforce standards of conduct with guidelines
An organization must have well published standards of conduct. The plan should clearly state the implications and penalties of violating the standards.
- Respond promptly to violations and take corrective action
An organization must ensure timely and effective remedial action for offenses.