UK HealthCare’s Chief Compliance Officer R. Brett Short knew he was in for a rough day as soon as he saw the email from his organization’s privacy officer.
Mergers and acquisitions in the healthcare industry are often decided upon and negotiated by C-suite staff with involvement from security and IT professionals. However, significant security implications must be considered by both parties prior to, during, and after a merger or acquisition.
The Office for Civil Rights (OCR) announced December 8, 2014, that it fined an Alaska behavioral health service $150,000 for potential HIPAA violations. OCR entered into a resolution agreement with Anchorage Community Mental Health Services (ACMHS), a nonprofit behavioral healthcare service, per the announcement (see www.hhs.gov/ocr/privacy/hipaa/enforcement/examples/acmhs/amchs-capsettle...).
While organizations should focus on performing regular risk assessments and analyses, there are also other ways in which they must review their systems for compliance. Often, these other evaluations are overlooked despite their value, says Kevin Beaver, CISSP, an information security consultant in Atlanta. In particular, organizations should be careful not to forget about performing vulnerability assessments and penetration tests, which are components of an overall risk assessment or analysis, says Beaver, who is an editorial advisory board member for SHCC's sister publication Briefings on HIPAA.
Mobile devices have changed the way people share and access information in their personal and professional lives. Smartphones and tablets may make it easier and faster for people to communicate, store, and access information, but they present risks if lost, stolen, or hacked. This can be especially challenging in the healthcare industry as it has become common for providers to use various mobile tools, including smartphones, laptops, notebooks, tablets, phablets, personal digital assistants, USB devices, digital cameras, and radiofrequency identification devices, to communicate with colleagues and access applications.
The HIPAA Security Rule requires implementing risk management tools and techniques to adequately and effectively safeguard ePHI. Risk analysis and management provides the foundation for an organization's Security Rule compliance efforts, and reinforces its strategy to protect the confidentiality, integrity, and availability of vital information.
The hospital/health system revenue cycle has a significant role in hospital billing compliance. The billing department is the final gatekeeper for compliance, as it is the final area to touch a bill before it is sent to Medicare. Therefore, it is essential that billing staff understand key compliance risk areas.
To fully understand where your organization's risks lie, you not only need to have a firm grasp on risk analysis and assessment processes, you need to define these processes as well.