How to Manage OCR, HHS HIPAA and HITECH Audit
Overview:
Section 13411 of the Health Information Technology for Economic and Clinical Health (HITECH) Act, requires Health and Human Services (HHS) to conduct periodic audits of providers and business associates to ensure their compliance with the HIPAA Security and Privacy Rule, and breach notification standards. To implement this mandate, the Office of Civil Rights (OCR) has conducted HIPAA/HITECH audit program with KPMG of 115 health care organizations to assess privacy and security compliance. This webinar will focus on the implementation and tracking of HIPAA audit best practices in a healthcare setup in order to prepare for the federal audit using published OCR audit protocols.
Every audit begins with interviews, a questionnaire, and a thorough policy and procedures review. Presenter, with his decades of knowledge in the compliance, legal, auditing and security areas, will walk the attendees through the audit process, documentation requirements, and implementation specifications of the HIPAA privacy, security and breach rules. This presentation not only provides opportunity for the participants to prepare for the federal HIPAA audit but also to improve the security posture of their organizations by adopting to changing technology (mobile, social media, Health Information Exchange(HIE), cloud services, etc.) and threat landscape perspective as well.
This presentation will uncover reasons why many health information breaches are occurring and help organizations better secure and comply with electronic protected health information by meeting the required and addressable HIPAA/HITECH security rules.
The presenter will also share the best practices used for HIPAA security implementation and continuous risk assessment which is considered as "due diligence" by auditors for the HIPAA security compliance program.
Areas Covered in the Session:
- Healthcare Technology Adoption/Trends
- Healthcare Regulatory (HIPAA/HITECH) and OCR/HHS Audit Overview
- Differences between HIPAA and HITECH Regulations
- Confidentiality, Integrity and Availability (CIA) &ePHI Data Elements
- HIPAA/HITECH Security, Privacy and Breach Requirements
- OCR Audit Protocol
- Patient Data Privacy, Security and Breach Procedures
- Step-by-step guide preparation techniques
- Sample policies
- Risk Assessment questionnaire for protecting electronic health information
- Checklist
Who Will Benefit:
- Compliance Director
- CEO
- CFO
- Privacy Officer
- Security Officer
- Information Systems Manager
- HIPAA Officer
- Chief Information Officer
- Health Information Manager
- Healthcare Counsel/lawyer
- Office Manager
- Contracts Manager
Speaker Profile
For the last several years, he has been actively involved in Sarbox controls implementation, PCI-DSS, GRC and internal audit functions in the critical general IT control areas. As internal compliance and audit liaison project manager for Cisco infrastructure group, Srini has managed compliance and automation projects, including developing tracking systems for monitoring privileged user access.
Srini has been involved in providing training to staffs at small practices and hospitals so they can effectively comply with HIPAA/HITECH and meaningful use security requirements by using NIST risk assessment framework, HHS HIPAA checklist and best practices for IT assessment.
Srini graduated with an executive MBA degree from Kenan-flagler business school at UNC Chapel Hill. Srini is very active in the local ISACA and ISSA chapters. Srini believes in and advocates best practices-based security and compliance program to achieve business objectives. Srini has a long and successful track record of bringing in projects on time and on budget, and developing high performance teams, while boosting technicaland business expertise, and maintaining high morale.