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Guide to HIPAA Audits Package

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Workforce turnover, new information systems, and external forces create continuous HIPAA compliance challenges. And with HIPAA audits increasing and Office for Civil Rights (OCR) monetary settlements steadily increasing, the risk of appearing on OCR’s “wall of shame” is greater than ever. OCR continues to investigate complaints and assess penalties—with fines topping $4.8 million for alleged violations during a joint arrangement involving two covered entities.

 

Guide to HIPAA Auditing: Practical Tools for Privacy and Security Compliance, Third Edition and the HIPAA Auditing: A Road Map to Compliance webcast are your best bet for obtaining the most up-to-date information for your internal and external HIPAA audits.

This package includes one copy of Guide to HIPAA Auditing, Third Edition, shipping late July 2014, and access to the live and on-demand versions of HIPAA Auditing: A Road Map to Compliance webcast, on Tuesday, July 29 at 1 p.m. (ET).

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HIPAA Auditing: A Road Map to Compliance

Presented on:

Tuesday, July 29, 2014
1:00–2:30 p.m. (ET)

Presented by:

Margret Amatayakul, MBA, RHIA, CHPS, CPHIT, CPEHR, CPHIE, FHIMSS
Kathy Perkins-Smerdel, BS, CHC

Sponsored by:

Guide to HIPAA Auditing, Third Edition
Briefings on HIPAA

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With HIPAA audits slated to resume and OCR monetary settlements steadily increasing, the threat of ending up on OCR’s “wall of shame” is greater than ever. OCR recently hit two covered entities with the largest HIPAA settlement to date: a combined $4.8 million penalty for alleged violations during a joint arrangement.

The first step to ensuring HIPAA compliance is developing an effective risk analysis and management process that identifies threats, corrects vulnerabilities, and protects your patients. Learn the tips and tricks necessary for conducting an internal audit before the federal government audits you.

During this program, HIPAA compliance experts Margret Amatayakul, MBA, RHIA, CHPS, CPHIT, CPEHR, CPHIE, CPORA, FHIMSS, and Kathy Perkins-Smerdel, BS, CHC, will explain how to develop a thorough internal auditing program that encompasses privacy compliance and security risk analysis.

At the conclusion of this program, participants will be able to do the following:

  • Develop effective processes for privacy compliance as well as security risk analysis and management
  • Engage with business associates to ensure a chain of trust for your patients’ PHI
  • Ensure that your policies, procedures, and documentary evidence stand up to any OCR audit


Agenda

  • How to implement an internal auditing program for HIPAA Privacy, Security, and Breach Notification Rules
    • The importance of attention to privacy and information security as part of patient care responsibilities
    • Strategies for identifying threats and correcting vulnerabilities to reduce the risk of privacy complaints, security incidents, and breaches
    • How to develop a decision tree to guide an organization through HIPAA compliance
  • Emphasizing business associate accountability for all Security and applicable Privacy Rule provisions
    • Identify what business associates do with PHI
    • How to appropriately document implementation of and compliance with policies and procedures
  • Creating policies, procedures, and documentation for all actions, activities, representations, assessments, designations, and communications
    • Risk analysis for meaningful use compliance
    • Analyze audit program structure to identify gaps

A live question-and-answer session will follow the presentation.

Who Should Listen

  • Privacy officers
  • Information security officers
  • Compliance officers
  • Risk officers
  • HIM directors and managers
  • IT security staff


Continuing Education

HCPro is applying for continuing education credits for this program. This site will be updated when credits are approved. For more information, please contact Customer Service at 800-650-6787 or email customerservice@hcpro.com.


Meet Your Speakers

Margret Amatayakul, MBA, RHIA, CHPS, CPHIT, CPEHR, CPHIE, FHIMSS, is president of Margret\A Consulting, LLC, an independent consulting firm focusing on preparing for and optimizing EHR and health IT provisions of HIPAA, HITECH, and the ACA. Amatayakul's background includes extensive experience working with hospitals, physician practices, health information exchange organizations, accountable care organizations, vendors, and public policymakers. Her previous positions have included adjunct professor in health informatics at the College of St. Scholastica, executive director of the Computer-based Patient Record Institute, associate executive director of AHIMA, associate professor in HIM at the University of Illinois, and director of the HIM department at the Illinois Eye and Ear Infirmary. She is also a principal in Health IT Certification, LLC. Amatayakul has written several books on HIPAA, EHR, and process improvement. Her best-selling work, Guide to HIPAA Auditing: Practical Tools for Privacy and Security Compliance, published by HCPro, is now in its third edition. Additional information is available at www.margret-a.com.

Kathy Perkins-Smerdel, BS, CHC, is compliance/privacy officer at Pomona Valley Hospital Medical Center (PVHMC), a 453-bed not-for-profit acute care hospital located 30 miles east of Los Angeles. The hospital’s services include centers of excellence in oncology and cancer care, cardiac and vascular care, and women’s and children’s services, as well as a family medicine residency program affiliated with the University of California, Los Angeles.
In addition to eight years in her current role, Perkins has over 30 years of experience at PVHMC, most recently including director of risk management, risk manager, and patient relations supervisor. She holds a bachelor’s degree in business administration and is certified in healthcare compliance.


Webcast system requirements and program materials:

To fully benefit from the webcast experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled
Internet: 56K or faster Internet connection (high-speed connection recommended)
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices

Four days prior to the webcast, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location.

CAN'T LISTEN LIVE?

No problem. You’ll be able to download the on-demand version at no additional charge when you buy the live version. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times! $259 value!

PLEASE NOTE

Participation in the webcast is just $259 per site. All materials must be retrieved from the Internet. Live orders are assessed a $5 processing fee. CD orders are charged $18 for shipping and handling.

Save money when you purchase multiple copies! Ask your customer service representative about money-saving discounts and bulk orders. Call toll free 800-650-6787 or email customerservice@hcpro.com.

Guide to HIPAA Auditing: Practical Tools for Privacy and Security Compliance, Third Edition

Margret Amatayakul, MBA, RHIA, CHPS, CPHIT, CPEHR, CPHIE, FHIMSS

What you don’t know about HIPAA can hurt you!


Workforce turnover, new information systems, and external forces are continuous compliance challenges. A 138% increase in the number of privacy and security breaches affecting 500 or more individuals between 2012 and 2013, plus HIPAA Omnibus Rule requirements, make a workable HIPAA compliance plan, adequate resources, and tools to help you determine your current compliance status more critical than ever.

With HIPAA audits slated to resume and Office for Civil Rights (OCR) monetary settlements steadily increasing, the risk of ending up on OCR’s “wall of shame” is greater than ever. OCR and two covered entities recently entered into the largest HIPAA settlement to date—a combined $4.8 million penalty for alleged violations during a joint arrangement. The first step to ensuring HIPAA compliance is developing an effective risk analysis and management process that identifies threats, corrects vulnerabilities, and protects your patients.

The Guide to HIPAA Auditing: Practical Tools for Privacy and Security Compliance, Third Edition, will help you build a successful HIPAA compliance auditing and monitoring program at your organization. It will help you identify potential risks, improve your compliance program, and document your activities—putting you in good standing for any government audit or litigation that requires you to substantiate your efforts.

This book will help you do the following:

  • Build the business case for compliance assurance
  • Understand and communicate to all concerned, including your workforce and business associates, the purpose and nature of auditing and monitoring for privacy and security compliance
  • Develop an appropriately resourced privacy and security compliance assurance program
  • Use tools to effectively plan for, conduct, and document the process of auditing and monitoring privacy and security compliance
  • Close the feedback loop when potential issues arise and necessitate privacy and security compliance assurance improvements
  • Identify and evaluate external resources for constructing your privacy and security compliance assurance program

TABLE OF CONTENTS:

1. Building the Business Case for Compliance Assurance
2. Compliance Assurance Program
3. Organizational Relationships
4. Audit Planning
5. Auditing Uses and Disclosures
6. Auditing Individual Rights
7. Auditing Risk Analysis
8. Auditing Privacy and Security Administrative Requirements
9. Auditing Physical Security
10. Auditing Technical Security
11. Auditing Breach Notification Compliance
12. Education, Training, and Awareness
Appendix


WHO SHOULD READ THIS BOOK:

  • Privacy officers
  • Information security officers
  • Compliance officers
  • Risk officers
  • HIM directors and managers
  • IT security staff


ABOUT THE AUTHOR

Margret Amatayakul, MBA, RHIA, CHPS, CPHIT, CPEHR, CPHIE, FHIMSS, is president of Margret\A Consulting, LLC, an independent consulting firm focusing on preparing for and optimizing EHR and health IT provisions of HIPAA, HITECH, and the ACA. Amatayakul's background includes extensive experience working with hospitals, physician practices, health information exchange organizations, accountable care organizations, vendors, and public policymakers. Her previous positions have included adjunct professor in health informatics at the College of St. Scholastica, executive director of the Computer-based Patient Record Institute, associate executive director of AHIMA, associate professor in HIM at the University of Illinois, and director of the HIM department at the Illinois Eye and Ear Infirmary. She is also a principal in Health IT Certification, LLC. Amatayakul has written several books on HIPAA, EHR, and process improvement. Her best-selling work, Guide to HIPAA Auditing: Practical Tools for Privacy and Security Compliance, published by HCPro, is now in its third edition. Additional information is available at www.margret-a.com.

Published: August 2014