Duties of the HIPAA Privacy Officer — Ensuring and Documenting HIPAA Compliance

Event Information
Product Format
Prerecorded Event
60 minutes
Product Description

How to Ensure and Document HIPAA Compliance?

As the new HIPAA regulations have been implemented in the increased enforcement and audit activity and HIPAA Omnibus Update of 2013, healthcare organizations have been reviewing their compliance and are also making sure that they have the proper procedures, policies, and forms in place. HIPAA Privacy Officers have renewed their compliance activities and reviewed their documentation to ensure that they can meet the challenges of the new rules and can also avoid penalties and breaches for compliance violations.

HHS has issued new guidance and new enforcement settlements, which provide extensive insights into what is and what is not the permissible behavior by a covered entity. This session by expert speaker Jim Sheldon-Dean will provide background on the guidance and enforcement activity, and will identify the key issues for HIPAA Privacy Officers to focus on.

The session will provide intensive training in HIPAA Privacy Rule compliance, and also includes what is new in the regulations, what requires to change in the organization, and what requires to be addressed for compliance by business associates and covered entities. The session will provide the background and details for healthcare information privacy officers to know about the most important privacy issues, what is required to be done for HIPAA compliance, and what would happen when there is not adequate compliance. Enforcement and audits, and how privacy regulations are related to Security and Breach regulations will be explained in the session. It will discuss the ways to respond to privacy and security breaches, and the ways to prevent them. Numerous references will be provided.

The session will provide an overview of the HIPAA regulations and will continue with providing presentations of the Privacy Rule specifics. It will also discuss recent changes to the rules, and the impacts of the changes required in your practices to meet the new rules. Further, Jim will discuss HIPAA Security Rule and the requirements of Breach Notification, including what is required to be done to protect information., The session will conclude with the discussion of the essential activities of documenting procedures, policies, and activities that the training staff and managers in the policies and issues need to know about, and examining compliance readiness through self-audits and drills.

HIPAA compliance was never easy, and is getting more complicated. Therefore, taking time to be sure that you know your responsibilities as a Privacy Officer is important.

Session Highlights:

  • Overview of HIPAA Regulations
  • Who is the HIPAA Privacy Officer?
  • Responsibilities of the HIPAA Privacy Officer
  • Implementing the New HIPAA Omnibus rules
  • Recent changes to the HIPAA rules
  • HIPAA Privacy rule principles, policies and procedures
  • HIPAA Security and Breach Notification rule principles
  • HIPAA requirements for access and patient preferences, as well as the requirements to protect PHI
  • Documentation, training, drills and self-audits
  • How HIPAA audit and enforcement activities are now being increased and what you need to do to survive a HIPAA audit
  • Recent changes to the rules and the impacts of the changes to your organization
  • What is required to be done to protect PHI?
  • Essential activities
    • Documenting procedures and policies
    • Policies and issues training staff and managers should know about
    • Compliance readiness through self-audits and drills
  • Review of significant, extensive new guidance issued by the HHS Office for Civil Rights on patient access of records.
  • New rights of patients under HIPAA and the Clinical Laboratory Improvement Amendments (CLIA) to directly access test results from the laboratories creating the data
  • Explanations from HHS about how to treat access to mental health information.
  • Individual rights to receive electronic copies of records held electronically, and new rights to access laboratory test results

Session Snapshots:

  • Patients’ rights under HIPAA
  • HIPAA authorization for release of PHI
  • Individual preferences for communication
  • Guidance on:
    • General rights of access
    • Requests for access
    • Providing and denying access
    • Right to direct to another person
    • Questions and answers
  • Amendment of PHI
  • Requests for restrictions
  • Notice of Privacy practices
  • How the rules work together
  • HIPAA Security Rule Fundamentals: Flexibility and analysis
  • Info Security Management Process
  • Calculating/ evaluating risk
  • Risk management planning
  • Mobile devices, texting, e-mail, and risk analysis
  • Preventing and e-mail and texting issues
  • Policy on using insecure communications with patients
  • Training requirements
  • Enforcement lesson learned

Who Should Attend

  • Compliance Manager
  • HIPAA Officer
  • Chief Information Officer
  • Health Information Manager
  • Medical Office Manager
  • Medical Practice Lawyer
  • Privacy Officer
  • Information Security Officer

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About Our Speaker

Jim Sheldon Dean - HIPAA Compliance & Regulations Expert

Jim Sheldon-Dean is the founder and director of compliance services at Lewis Creek Systems, LLC, a Vermont-based consulting firm founded in 1982, providing information privacy and security regulatory compliance services to a wide variety of health care entities.  He is a frequent speaker regarding HIPAA, including speaking engagements at numerous regional and national healthcare association conferences and conventions and the annual NIST/OCR HIPAA Security Conference.  Sheldon-Dean has more...   More Info
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