HIPAA Compliance Management, Implementation, Audit

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Physical safeguards of HIPAA

HIPAA stands for Health Insurance Portability and Accountability Act and is a series of regulatory laws – outlining the lawful use and disclosure of Protected Health Information (PHI). The main intent of HIPAA policies was to enhance the operations of healthcare industry by reducing costs, simplifying administrative processes, and maintaining the privacy and security of patient health information. However, HIPAA compliance ended up revolving around maintaining the privacy and security of patient’s health information.

Who needs to comply with HIPAA?

Any person or organization dealing in the healthcare or related industry, or has access to protected health information needs to comply with HIPAA.

This may include:

Healthcare Providers
Healthcare Clearing Houses
Health Insurance Companies
Employer Group Health Plans
Business Associates (who works with any of the 4 above)

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Why Choose Us?

The 3 parts to becoming HIPAA compliant for an organization includes

01

Provide HIPAA awareness training to all the employees who have access to health information

02

Implementing formal resources and documents for the organization to protect PHI.

03

Training the compliance officer – A person who will be responsible for HIPAA in an organization.

HIPAA Compliance Management, Implementation, Audit

HIPAA compliance for an organization is meant to protect the privacy and security of Protected Health Information (PHI) that an organization has access to. PHI is any such information that is connected to health condition of an individual/patient. Organizations that look forward to comply with the HIPAA regulations must first determine the regulations they have to comply with. The 2 distinct and separate regulations under HIPAA are:

HIPAA Privacy

Safeguards the protected health information safe from a person, administrative, and contractual standpoint.

HIPAA Security

Safeguards the protected health information specifically in electronic form against any disasters, hackers, and electronic theft.

All organizations are required to comply with the HIPAA Privacy regulations, since Privacy involves safeguards from a people standpoint, but only those who store or transmit protected health information electronically are required to comply with the HIPAA Security regulations which is meant to protect electronic data. Once you know which regulations you need to comply with, then it is just a matter of understanding what you need to do to comply.

Administrative Safeguards

The administrative safeguards play a significant role when implementing a HIPAA compliance program. You are required to:

Assign a privacy officer
Complete a risk assessment annually
Implement employee training
Review procedures and policies
Execute Business Associate Agreements (BAA) with all the partners who have access to Protected Health Information (PHI)

Why choose Cybercops as your HIPAA partner?

Since we have already done all the hard work, we ensure fast and easy HIPAA training and compliance. All you have to do is get in touch with us, get your organization enrolled, and our exclusive weekly training & compliance program will help you operate your business faster and better.

Expert in HIPAA for many years
Exceptional support to all our clients
Full range of training & compliance products
Training that is easy to understand & implement

Facility Access Control

Contingency Operations (addressable): Establish procedures (and implement as needed) that may allow facility access in support of data restoration under emergency operations and disaster recovery plan during an emergency.
Maintenance Records (addressable): Implement policies and procedures that may quickly document modifications and repairs to the physical components related to security of a facility (e.g., hardware, locks, doors, and walls).
Facility Security Plan (addressable): Implement policies and procedures that may protect the facility and equipment from an unauthorized access, tampering, or theft.
Access Control and Validation Procedures (addressable): Implement procedures that may control and validate a person’s access to facilities based on their job role/function, including visitor control, and access control to software programs for the purpose of testing and revision.

Device and Media Controls

Media Re-Sue (Required): Implement procedures that may remove ePHI from the electronic media before the media is made available for re-use.
Disposal (Required): Integrate policies and procedures that may address the final disposition of ePHI, hardware, or the electronic media on which the ePHI is stored.
Data Backup and Storage (addressable): To create a retrievable, exact copy of ePHI, if needed, before moving the equipment.
Accountability (addressable): To maintain a record of any movement of hardware or electronic media and the person responsible for the same.

Workstation Security

Workstation Security (Required): Integrate physical safeguard for the workstation with access to ePHI to restrict the access to only authorized users.
Workstation Use (Required): Integrate procedures and policies that specify the functions that are to be performed, the manner in which they must be performed, and the physical attributes of the surroundings of a workstation that has or may have access to ePHI.

Access Control Requirements

Unique User Identification (required): Assign a unique number or name to identify and track user identity.
Emergency Access Procedure (required): Establish procedures (and implement as needed) for obtaining necessary ePHI in the event of an emergency.
Authentication (required): Implement procedures to verify that a person seeking access to ePHI is a claimed one.
Automatic Logoff (addressable): Implement electronic procedures that automatically terminates an electronic session right after the pre-determined time of being inactive.
Encryption and Decryption (addressable): Integrate a solid mechanism to encrypt and decrypt ePHI.

Transmission Security

Integrity Controls (addressable): Implement security measures to make sure that the electronically transmitted ePHI is not inaccurately modified without detection until disposed of.
Encryption (addressable): Implement a mechanism to encrypt ePHI (whenever deemed appropriate).

Audit and Integrity

Audit Controls (required): Implement software, hardware, or procedural mechanisms that record and examine activity in the information systems that use or contain ePHI.
Mechanism to Authenticate ePHI (addressable): Implement electronic mechanisms to make sure that ePHI has not been destroyed or altered in an unauthorized manner.