The Privacy Officer's Breach Response Toolkit

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The Privacy Officer's Breach Response Toolkit

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The Privacy Officer's Breach Response Toolkit

Nancy A. Davis, MS, RHIA, CHPS

Will you be prepared when your organization experiences a breach of patient information?

An efficient, effective, and compliant response to any breach of patient information requires careful planning and preparedness. Author Nancy Davis shares her simple yet effective “red folder” approach in The Privacy Officer’s Breach Response Toolkit.   This book offers guidance and customizable tools that you can use to create your own red folder for responding to a breach of patient information in real time. Learn how a carefully crafted red folder can help you effectively manage a breach, meet the needs of affected patients and your organization, and comply with HIPAA, including new Omnibus Rule requirements. 

The Privacy Officer’s Breach Response Toolkit:

  • Explains the federal laws that govern breach management and notification in the healthcare environment
  • Explains the breach investigation and management process
  • Discusses breach notification requirements within the context of specific scenarios
  • Offers strategies for communicating information about a breach of patient information with internal stakeholders and the news media
  • Includes resources that facilitate successful breach management

Take a look at the Table of Contents:

Chapter 1

Breach Notification: An Overview

   Covered Entity

   Business Associate


   Breach Notification

   State Breach Notification Requirements

   Individually Identifiable Data Elements

   Penalties for Noncompliance

   Consequences of a Privacy Breach


Chapter 2

Investigation of a Suspected Breach

   Initial Response to a Suspected Breach

   The Breach Investigation Process

   Identify and Notify Key Leaders and Stakeholders

   Business Associates

   Contact Law Enforcement Officials

   Law Enforcement Request to Delay Notification

   Sealed Court Documents

   Privacy Breach as a Security Incident

   Workforce Member Breaches

   Incidence Response Toolkit


Chapter 3

Breach Notification: Who, What, When, and Why?


   Office for Civil Rights

   Breaches Affecting Fewer Than 500 Individuals

   Breaches Affecting 500 or More Individuals

   State Law

   News Media



Chapter 4

Communication Strategies

   News Media

   Internal Stakeholders

   Public Relations Consultants


Chapter 5

Breach Management Resources

   Create Your Own Red Folder

   Supplementary Tools and Resources

   Cyber Insurance

About the Author

Nancy A. Davis, MS, RHIA, CHPS, serves in a dual role as director of privacy and also as security officer at Ministry Health Care in Milwaukee. As director of privacy, Davis acts as the system privacy officer and oversees the organization’s HIPAA compliance and privacy programs. As security officer, her responsibilities include compliance issues related to health information management, electronic health records, and other associated risk management issues.

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Published: July 2013