As a clinician, you want to know if data being entered into the system is accurate, clean, correct and useful. Data validation often called “validation rules” or “check routines” are built into systems such as EHR systems. These rules check for correctness, meaningfulness, and security of data. For example, the system would automatically disallow or question a user trying to enter eligibility results into the patient’s address field. Validation rules may be automated because the software company uses a data dictionary, or data may be checked by an explicit application program validation logic. To participate in quality reporting, such as meaningful use, PQRI or ePrescribing reimbursement incentive programs, you want…
Category: Security
Is Certification a Surrogate for HIPAA Privacy and Security Training?
Several visitors to HIPAA.com have asked if ‘certification’ can substitute for compliance with the HIPAA Privacy and Security training standards and new Privacy requirements under the HITECH Act. Generally, certification is a snapshot in a moment of time. The Merrim-Webster’s Collegiate Dictionary (11th ed.) defines certification as the act or state of “attest[ing] as being true or as represented or as meeting a standard.” Certification generally is done by an external source. Training is an ongoing internal process for safeguarding protected health information from unauthorized use or disclosure as business policies and procedures evolve and regulatory standards are initiated or modified. Further, training requires that workforce members, including management, demonstrate…
Three Key Properties of HIPAA Privacy and Security of Protected Health Information
HIPAA.com has received from its readers requests for information on topics related to HIPAA Administrative Simplification Privacy and Security Rules and to updates to those rules reflected in the HITECH Act provisions of the American Recovery and Reinvestment Act of 2009, signed by President Obama on February 17, 2009. Recently, HIPAA.com answered the question of particular interest to several readers: what exactly is protected health information (PHI)? In this posting, we answer the question: what are the fundamental properties that underlie privacy and security of protected health information? Three Key Properties The three key properties that underpin privacy and security under the Health Insurance Portability and Accountability Act (HIPAA) are availability,…
HIPAA ‘Protected Health Information’: What Does PHI Include?
HIPAA.com has received from its readers requests for information on topics related to HIPAA Administrative Simplification Privacy and Security Rules and to updates to those rules reflected in the HITECH Act provisions of the American Recovery and Reinvestment Act of 2009, signed by President Obama on February 17, 2009. Of particular interest to readers is: what exactly is protected health information (PHI)? Protected Health Information To get to protected health information, you have to examine two definitions that were in Section 1171 of Part C of Subtitle F of Public Law 104-191 (August 21, 1996): Health Insurance Portability and Accountability Act of 1996: Administrative Simplification. These statutory definitions are of…
HHS Secretary Sebelius Delegates Oversight and Enforcement of HIPAA Security Rule to OCR
U.S. Health and Human Services (HHS) Secretary Kathleen Sebelius has delegated oversight and enforcement of the HIPAA Administrative Simplification Security Rule Standards for Protection of Electronic Protected Health Information to HHS’s Office of Civil Rights (OCR), effective July 27, 2009. Since October 7, 2003, the Security Rule had been the responsibility of HHS’s Center for Medicare & Medicaid Services (CMS). OCR also has responsibility for the HIPAA Administrative Simplification Privacy Rule. This delegation brings responsibility for administrative, technical, and physical standards for safeguarding of protected health information in each rule under one authority, and likely will facilitate enforcement of the HITECH Act breach, notification, and business associate security rule compliance…
Nationwide Privacy and Security Framework for Electronic Exchange of Individually Identifiable Health Information
Office of the National Coordinator for Health Information Technology U.S. Department of Health and Human Services Numerous forces are driving the health care industry towards the use of health information technology, such as the potential for reducing medical errors and health care costs, and increasing individuals’ involvement in their own health and health care. To facilitate this advancement and reap its benefits while reducing the risks, it is important to consider individual privacy interests together with the potential benefits to population health. Download (Requires Acrobat Reader)
Integrity: Mechanism to Authenticate Electronic Protected Health Information-What to Do and How to Do It
In our series on the HIPAA Administrative Simplification Security Rule, this is the implementation specification for the third Technical Safeguard Standard, Integrity. This implementation specification is addressable. Addressable does not mean “optional.” Rather, an addressable implementation specification means that a covered entity must use reasonable and appropriate measures to meet the standard. As we noted in earlier postings on HIPAA.com, business associates of covered entities will be required to comply with the Security Rule safeguard standards, beginning February 17, 2010. This requirement is one of the HITECH Act provisions of the American Recovery and Reinvestment Act (ARRA), signed by President Obama on February 17, 2009. What to Do Implement electronic…
Integrity: What This HIPAA Security Rule Technical Safeguard Standard Means
This is the third Technical Safeguard Standard of the HIPAA Administrative Simplification Security Rule. It has one implementation specification: mechanism to authenticate electronic protected health information. This implementation specification is addressable. Addressable does not mean “optional.” Rather, an addressable implementation specification means that a covered entity must use reasonable and appropriate measures to meet the standard. As we have noted in earlier postings on HIPAA.com, business associates of covered entities will be required to comply with the Security Rule safeguard standards, beginning February 17, 2010. This requirement is one of the HITECH Act provisions of the American Recovery and Reinvestment Act (ARRA), signed by President Obama on February 17, 2009….
Audit Control: What to Do and How to Do It
In our series on the HIPAA Administrative Simplification Security Rule, this is the second Technical Safeguard Standard. There is not a separately described implementation specification. Rather, this standard’s implementation specification is connoted in the language of the standard and is required. As we have noted in earlier postings on HIPAA.com, business associates of covered entities will be required to comply with the Security Rule safeguard standards, beginning February 17, 2010. This requirement is one of the HITECH Act provisions of the American Recovery and Reinvestment Act (ARRA), signed by President Obama on February 17, 2009. What to Do A covered entity is required to implement hardware, software, and/or procedural mechanisms…
Audit Control: What This HIPAA Security Rule Technical Safeguard Standard Means
This is the second Technical Safeguard Standard of the HIPAA Administrative Simplification Security Rule. There is not a separately described implementation specification. Rather, this standard’s implementation specification is connoted in the language of the standard and is required. As we have noted in earlier postings on HIPAA.com, business associates of covered entities will be required to comply with the Security Rule safeguard standards, beginning February 17, 2010. This requirement is one of the HITECH Act provisions of the American Recovery and Reinvestment Act (ARRA), signed by President Obama on February 17, 2009. Covered entities are required to have in place audit controls to monitor activity on their electronic systems that…