...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...
Words: 3778 - Pages: 16
...information and information systems. Governance policy will be discussed and recommendations for development of governance policy in an organization. Analysis The law in information security is very broad. There are different types of laws in information security. Civil law, criminal law, administrative law, and constitutional law are all part of law in information security. Civil law deals with law associated with individuals and organizations. Criminal laws are laws that effect society and are prosecuted by the state. Cornell University defines administrative law as “Branch of law governing the creation and operation of administrative agencies. Of special importance are the powers granted to administrative agencies, the substantive rules that such agencies make, and the legal relationships between such agencies, other government bodies, and the public at large (Cornell, 2010).” Constitutional law deals with how law is interpreted and implemented from the U.S. Constitution. There are five laws that directly deal with information security. These five laws are the Federal Privacy Act of 1974, the Computer Security act of 1987, Health Insurance Portability and Accountability Act (HIPAA) of 1996, the Veterans Affairs Information Security Act, and the Federal Information Security Management Act...
Words: 824 - Pages: 4
...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...
Words: 3127 - Pages: 13
...Health Insurance Portability and Accountability Act 1 Health Insurance Portability and Accountability Act Health Insurance Portability and Accountability Act of 1996 Other short title(s) Long title Kassebaum-Kennedy Act, Kennedy-Kassebaum Act An Act To amend the Internal Revenue Code of 1986 to improve portability and continuity of health insurance coverage in the group and individual markets, to combat waste, fraud, and abuse in health insurance and health care delivery, to promote the use of medical savings accounts, to improve access to long-term care services and coverage, to simplify the administration of health insurance, and for other purposes. HIPAA Colloquial acronym(s) Enacted by the 104th United States Congress Citations Public Law Stat. Pub.L. 104–191 110 Stat. 1936 [1] [2] Legislative history [3] • • • • • • • • • Introduced in the House as H.R. 3103 [4] by Bill Archer (D-TX) on March 18, 1996 [5] Committee consideration by: House Ways and Means Passed the House on March 28, 1996 (267–151 Passed the Senate on April 23, 1996 (100-0 [6] ) [7] ) [8] ) and by the Senate on , in lieu of S. 1028 Reported by the joint conference committee on July 31, 1996; agreed to by the House on August 1, 1996 (421–2 [9] August 2, 1996 (98–0 ) Signed into law by President Bill Clinton on August 21, 1996 e v t [10] The Health Insurance Portability and Accountability Act of 1996 (HIPAA; Pub.L. 104–191 [1], 110 Stat. 1936 [2] , enacted...
Words: 7409 - Pages: 30
...HIM141 Test 4 Chapters 8-10 Please completely answer the following questions. 1. What is the MPI and what types of information are contained in the MPI? MPI-master patient index, sometimes called a master person index, link a patient’s medical record number with common identification data elements, for example: patient’s complete name, date of birth, gender, mother’s maiden name and social security number. Because most health care facilities house patient records according to a medical record number, the MP becomes the key to locating paper based records in the health information department file system. Thus, the MPI is retained permanently because it serves as the key to finding the patients record, it can be automated or manual. According to the American Health Information Management Association (AHIMA), some recommended core data elements for indexing and searching records include: * Internal patient Identification * Patient Name * DOB * DOB qualifier * Gender * Race * Ethnicity * Address * Alias/pervious name * SS# * Facility identification * Universal patient identifier (if available) * Account number * Admission date * Discharge date * Service type * Patient disposition 2. What are registers and indexes? Registers and registries contain information about a disease or event and are maintained by individual health care facilities, federal and state government agencies and private organizations...
Words: 3684 - Pages: 15
...Introduction The purpose of this module is to provide a basic understanding of the human subject protection regulations that govern the participation of human volunteers in research in the United States. Learning Objectives By end of the module you should be able to: * Describe the role, authority, and composition of the IRB. * List the IRB requirements for conducting research involving human subjects. * Describe the types of IRB review. * Describe the process of working with the IRB. * Identify other regulations and regulatory groups that require compliance based on the type of research being conducted. IRB Role, Authority, and Composition The Role of the IRB An Institutional Review Board (IRB) is a review committee established to help protect the rights and welfare of human research subjects. Regulations require IRB review and approval for research involving human subjects if it is funded or regulated by the federal government. Most research institutions, professional organizations, and scholarly journals apply the same requirements to all human research. Although federal regulations refer to IRBs, an institution may have chosen a different name for this committee. To clarify when IRB review is required, let's define some terms: * Research: Federal regulations define research as: "a systematic investigation... designed to develop or contribute to generalizable knowledge." [45 CFR 46.102(d)] If an investigator is unclear about whether a planned...
Words: 5929 - Pages: 24
...Basic Institutional Review Board (IRB) Regulations and Review Process Content Authors Ada Sue Selwitz, M.A. The University of Kentucky Norma Epley, M.S. East Carolina University Janelle Erickson, MPH Institute for Systems Biology Introduction The purpose of this module is to provide a basic understanding of the human subject protection regulations that govern the participation of human volunteers in research in the United States. Learning Objectives By end of the module you should be able to: Describe the role, authority, and composition of the IRB. List the IRB requirements for conducting research involving human subjects. Describe the types of IRB review. Describe the process of working with the IRB. Identify other regulations and regulatory groups that require compliance based on the type of research being conducted. IRB Role, Authority, and Composition The Role of the IRB An Institutional Review Board (IRB) is a review committee established to help protect the rights and welfare of human research subjects. Regulations require IRB review and approval for research involving human subjects if it is funded or regulated by the federal government. Most research institutions, professional organizations, and scholarly journals apply the same requirements to all human research. Although federal regulations refer to IRBs, an institution may have chosen a different name for this committee. To clarify when IRB review is required, let's define some...
Words: 5985 - Pages: 24
...Student Lab Manual © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LL NOT FOR SALE OR DISTRIBUT © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION Student Lab Manual © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LL NOT FOR SALE OR DISTRIBUT Auditing IT Infrastructures for Compliance © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION IS4680 © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LL NOT FOR SALE OR DISTRIBUT © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett©Learning, LLC Learning, LLC, an Ascend Learning Company Bartlett Current Version Date: 11/21/2011 © Jones & Learning, LLC Copyright 2013 by Jones & Bartlett www.jblearning.com! NOT FOR SALE OR DISTRIBUTION ...
Words: 30948 - Pages: 124
...EHR/CPOE Implementation Executive Summary This thesis follows the implementation of Computerized Patient Order Entry/Electronic Health Record (CPOE/EHR) system implemented by Partners Healthcare System (PHS) during 2002-2003 for all its constituent practitioners. It looks at the problems faced during implementation of the system and identifies new potential problems that the system may encounter. Particularly in consideration is the effort it takes to convince healthcare professionals to switch to CPOE/EHR, the cost of installing the system, the potential of automating redundancies in the system and the potential of healthcare professionals getting skewed data out of the system suggestions. It looks at the management challenges faced by the administration when bringing about CPOE/EHR to PHS and divulges in some techniques that were used for tackling these issues. It defines ways in which the system is being used to improve patient healthcare and save millions of dollars for the government, healthcare facilities and patients alike. This thesis also finds ways to combat the potential problems that may arise later and the system and looks at related government policies and statutes which apply to the implementation. Finally some metrics of success are discussed their effectiveness in driving a result. Problem Definition CPOE/EHR Implementation can face a host of problems that can hinder the process flow and the acceptability of the system by the people involved. The initial...
Words: 7032 - Pages: 29
...Michigan Technological University Information Security Plan The Information Security Plan establishes and states the policies governing Michigan Tech’s IT standards and practices. These policies define the University’s objectives for managing operations and controlling activities. These top-level policies represent the plans or protocols for achieving and maintaining internal control over information systems as well as compliance with the requirements imposed on the University. INFORMATION SECURITY PLAN Approval by Information Security Board of Review Members Information Security Plan Rev: 3 – 10/13/2011 Page 1 Information Security Plan Table of Contents 1 2 3 4 5 6 7 8 EXECUTIVE SUMMARY ................................................................................................................. 4 PURPOSE............................................................................................................................................. 4 SCOPE .................................................................................................................................................. 5 DEFINITIONS ..................................................................................................................................... 5 IT GOVERNANCE COMMITMENTS & RESPONSIBILITIES .................................................. 6 UNIVERSITY POLICY STATEMENT .........................................................................................
Words: 10423 - Pages: 42
...February 2015 New York State Bar Examination Essay Questions © 2015 New York State Board of Law Examiners QUESTION 1 In 1995, Walt, a widower, executed a will prepared by his lawyer, Len, which contained the following dispositive provisions: 1. 2. 3. 4. 5. I give and devise my residence to my daughter, Amy. I give and bequeath my 100 shares of C Corp. to my son, Ben. I give and bequeath $100,000 to my son, Cal. I give and bequeath $100,000 to the American Red Cross. I give, devise and bequeath all of the rest, residue and remainder of my estate to my grandson, Dave. Walt signed the will at Len’s office, and at Walt’s request, Len and Walt’s son, Ben, signed as witnesses in the presence of Walt and each other after Walt acknowledged that the document was his will. In 2000, Walt duly executed a new will which expressly revoked any and all wills previously made by him. In 2001, Walt decided that he did not like the terms of the 2000 will and physically destroyed it by his own hand. Walt died last year, survived by Amy, Ben, Cal, and Dave. Dave is Walt’s only grandson and is the son of Walt’s deceased son, Ed. The 1995 will has been admitted to probate over the objections of Cal that the 1995 will had not been properly executed and that, in any event, it had been revoked. Walt’s residence has been valued at $300,000, and his 100 shares of C Corp. have been valued at $200,000. After payment of all debts, expenses and taxes, the net estate...
Words: 18165 - Pages: 73
...Overview Definitions of a Security Breach Requirements Data Owner Responsibilities Location Manager Responsibilities When Notification Is Required Incident Response – Breach of Personal Information Information Technology Operations Center Chief Information Security Officer Customer Database Owners Online Sales Department Credit Payment Systems Legal Human Resources Network Architecture Public Relations Location Manager Appendix A MasterCard Specific Steps Visa U.S.A. Specific Steps Discover Card Specific Steps American Express Specific Steps Appendix B California Civil Code 1798.82 (Senate Bill 1386) Health Insurance Portability and Accountability Act of 1996 (HIPAA) Gramm-Leach-Bliley Act (GLBA) Appendix C Escalation Members (VP Level of Management) Auxiliary Members (as needed) External Contacts (as needed) Notification Order Escalation Member Notification List Notice to Readers Incident Response Plan – Template for Breach of Personal Information does not represent an official position of the American Institute of Certified Public Accountants, and it is distributed with the understanding that the author and the publisher are not rendering accounting, or other professional services in the publication. If legal advice or other expert assistance is required, the services of a competent professional should be sought. Copyright © 2004...
Words: 8476 - Pages: 34
...|[pic] |Syllabus | | |College of Information Systems & Technology | | |CMGT/582 | | |Security & Ethics | Copyright © 2010, 2009 by University of Phoenix. All rights reserved. Course Description The ethical issues examined in the course include information privacy, accessibility, and ownership from an organizational perspective. Information laws, regulations, and compliance requirements are examined in this course as well as the considerations for creating a safe digital environment within the organization. Policies Faculty and students or learners will be held responsible for understanding and adhering to all policies contained within this syllabus and the following two additional documents: University policies: You must be logged into the student website to view this document. Instructor policies: This document is posted in the Course Materials forum. University policies are subject to change. Be sure to read the policies at the beginning of each class. Policies...
Words: 2637 - Pages: 11
...the project, the Q&A discussion in Week 3 will accommodate our continued discussion about the project. Applied Research Project Submission: Submit your assignment to the Week 6 Research Paper Dropbox located on the silver tab at the top of this page. (200 points) Dropbox | For instructions on how to use the Dropbox, please click here.See Syllabus/"Due Dates for Assignments & Exams" for due date information. | | | Topic Selection | | Week 1 Applied Research Paper Assignment: Topic Review Read the following description and possible topic choices. Week 2 Applied Research Paper Assignment: Topic Selection (ungraded but required) Choose your research project topic and prepare a brief description of your proposed topic. Post your proposed title and brief description in the Week 2 Applied Research Project discussion topic. Your description will be reviewed, and you will then receive feedback and approval of your topic choice. You do not have to select one of the listed topics. If there is an information systems topic that you would like to write about that is not listed, let the instructor know. The appropriateness of the topic will be evaluated. Applied Research Project Details and Topics You have been asked by the executive committee of your company to give a report on the strategic implications of...
Words: 2482 - Pages: 10
...individuals and organizations. Information systems security is the collection of activities that protect the information system and the data stored in (Kim & Solomon 2012). We should also be aware of what we are up against. Cyberspace brings new threats to people and organizations. People need to protect their privacy. Businesses and organizations are responsible for protecting both their intellectual property and any personal or private data they handle. Various laws require organizations to use security controls to protect private and confidential data. Recent U.S. laws related to information security include the following: Federal Information Security Management Act (FISMA) which requires federal civilian agencies to provide security controls over resources that support federal operations; Sarbanes-Oxley Act (SOX) which requires publicly traded companies to submit accurate and reliable financial reporting; and Health Insurance...
Words: 3283 - Pages: 14
