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Resource Overview

The Office for Civil Right's new HIPAA random audit program is in effect and significantly increases enforcement procedures following breaches, Health Centers need to ensure that their organization is fully complying with HIPAA regulations while at the same time providing systems that meet modern health information sharing and communication requirements that allow for increaseed continuity of care.  

Health Centers will need the right privacy protections for health information, and the necessary documented policies and procedures per HIPAA regulations, as well as documentation of actions taken per the policies of their organization. The resources in this section provide best practices, strategies and templates for better understanding nuances of HIPAA regulations and how they pertain to a Health Center's specific setting.

HIPAA Resources

Health Industry Cybersecurity Practices: Managing Threats and Protecting Patients

A publication of the Cybersecurity Act of 2015, Section 405(d) Task Group

HITEQ Center 0 969

The HIPAA Security Rule establishes the requirements for protection of electronic patient health information. The safeguards identified are made up of three domains that include administrative, physical, and technical safeguards that need to be addressed. The technical safeguards as defined within 45 CFR §164.312 of the HIPAA Security Rule can be some of the most difficult to comprehend and implement for smaller Health Centers with lower levels of IT and security staffing. Resources and tools that help Health Centers better process and implement these security requirements are much needed and require well-documented methods for planning and maintaining critical security controls.

Health Center Defense Against the Dark Web Presentation

Last presented at the Nevada PCA Annual Conference

HITEQ Center 0 4236

It is of critical importance to motivate and educate healthcare professionals on current critical privacy and security concepts and methods for defense of health data. Aspects of security awareness training, breach protection, incident response, and related topics all play a role toward organization-wide information protection. Healthcare cybersecurity is the ultimate team sport. The responsibility goes beyond the IT staff and includes front and back office staff, doctors and nurses, patients, executives, and the board of directors. The attached presentation is directed to all levels of the healthcare organization so that they may be proactive and aware.

Substance Abuse Confidentiality Regulations - 42 CFR Part 2

Frequently Asked Questions (FAQs) and Fact Sheets regarding the Substance Abuse Confidentiality Regulations

HITEQ Center 0 7793

Frequently Asked Questions (FAQs) and Fact Sheets regarding the Substance Abuse Confidentiality Regulations. 

Two fact sheets include: 

FAQs about Applying the Substance Abuse Confidentiality Regulations, answers provided by Substance Abuse and Mental Health Services Administration (SAMHSA)

Creating and Managing Strong Passwords at Your Health Center

Guidance in relation to updated NIST security requirements and HIPAA

HITEQ Center 0 11016

Is it acceptable/recommended for health centers to adopt the new password policy guidelines under NIST Special Publication 800-63B and will that still uphold the HIPAA security rule? This question had been posed to the HITEQ Center asking whether we had any guidance or recommendations on implementing the new NIST Guidelines regarding password security.  New Digital Identity Guidelines under NIST Special Publication 800-63-B presents new guidelines regarding password security that are much more user-friendly and consequently more likely to be observed by health center staff since constantly changing, complex password on multiple systems can be a source of frustration for the end user. 

The Health Center CIO’s Guide to HIPAA Compliant Text Messaging

2019 Updates on Methods for Successful Patient Text Messaging Strategies

HITEQ Center 0 26203

This slide deck provides health centers with information and a presentation template overview of the HIPAA and electronic PHI risks related to texting and messaging that are important for health center leadership and IT managers to understand in making organizational decisions for these types of tools.

Online Reputation Management for Health Centers

Maintaining a Good Name in the Digital Era, from Wyoming Primary Care Association

Wyoming PCA 0 14001

A Health Center’s online reputation plays an ever-growing role in client satisfaction, as 6 out of 10 patients use online patient reviews before selecting a physician. This webinar and related handouts recommend three specific steps to managing your reputation online to improve patient engagement.

Emergency Situations: Preparedness, Planning, and Response

Guidance from the Office for Civil Rights

Office for Civil Rights 0 12703

From the OCR: The Privacy Rule protects individually identifiable health information from unauthorized or impermissible uses and disclosures. The Rule is carefully designed to protect the privacy of health information, while allowing important health care communications to occur. These pages address the release of protected health information for planning or response activities in emergency situations.  In addition, please view the Civil Rights Emergency Preparedness page to learn how nondiscrimination laws apply during an emergency.

Limited Waiver of HIPAA Sanctions and Penalties During Declared Emergency

Guidance from the Office for Civil Rights

Office for Civil Rights 0 13905

From the OCR: Severe disasters – such as Hurricanes Harvey, Irma, and Maria – impose additional challenges on health care providers. Often questions arise about the ability of entities covered by the HIPAA regulations to share information, including with friends and family, public health officials, and emergency personnel. As summarized in more detail below, the HIPAA Privacy Rule allows patient information to be shared to assist in disaster relief efforts, and to assist patients in receiving the care they need. In addition, while the HIPAA Privacy Rule is not suspended during a public health or other emergency, the Secretary of HHS may waive certain provisions of the Privacy Rule under the Project Bioshield Act of 2004 (PL 108-276) and section 1135(b)(7) of the Social Security Act.

42 CFR Part 2 Final Rule and Health Center Compliance

A HITEQ Webinar in collaboration with the California Primary Care Association (CPCA)

HITEQ Center 0 18307

The conference will explore the history and recent changes of 42 CFR Part 2, review common definitions, and how the changes may affect integrated medication-assisted treatment (MAT) and Screening, Brief Intervention, and Referral to Treatment (SBIRT) programs, and discussion on LifeLong Medical Care’s experience.

HIPAA and Telehealth

A Stepwise Guide to Compliance

Telehealth Resource Centers 0 7911

Fact Sheet outlining a three-step process to make sure you’re in compliance with HIPAA and if not, the steps that can be taken to make sure you are. This fact sheet also includes questions to ask potential business associates and things to keep in mind in case there is a breach.

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Acknowledgements

This resource collection was cultivated and developed by the HITEQ team with valuable suggestions and contributions from HITEQ Project collaborators.

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Improving the U.S. health care system requires four aims: improving the experience of care, improving the health of populations, reducing per capita costs and improving care team well-being. HITEQ Center resources seek to provide content and direction aligned with the goals of the Quadruple Aim

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