In my July 23, 2020 blog post, I used the familiar characters in the beloved fable The Three Little Pigs to illustrate the importance of building a secure and compliant telehealth delivery system. I explained that, despite the Office for Civil Rights’ (OCR) announcement of enforcement discretion during the public health emergency (PHE), healthcare providers should establish HIPAA-compliant telehealth delivery systems before enforcement discretion ended. Because the PHE may soon be over, that message bears repeating.
Category Archives: Compliance
Written in collaboration with Nathaly Tamayo, JD.
Late in the legislative session, both the Connecticut House and Senate passed House Bill 5310 (now Public Act 21-59), An Act Concerning Data Privacy Breaches, which substantially amends Connecticut’s data breach notification statute (CGS §36a-701b). Although the bill implemented a number of revisions, the most notable changes significantly expand the definition of personal information and shorten the notification timeframe.
Written in collaboration with Erin MacLean, JD, CHC, CHPC. Over the past several weeks, many have been focused on the proposed changes to the HIPAA Privacy Rule announced in mid-December. While the proposed changes warrant attention and comment, the commentary to those proposed changes from the Department of Health and Human Services’ Office for Civil Rights (OCR) must not be overlooked. In its commentary, OCR provides valuable insights on its interpretation of a provider’s ability to disclose information to third parties under HIPAA’s current treatment exception, including a provider’s ability to share protected health information (PHI) with non-healthcare providers without an authorization.
Part II: A deeper dive into the Risk Analysis One of the most common non-compliance findings by the Office for Civil Rights (the governmental entity that enforces HIPAA) is failure to perform or performing an inadequate risk analysis. In this session, we will dive deeper into the risk analysis requirement and look at the structure […]
One of the most common areas of enforcement under HIPAA involves a failure to perform an accurate and thorough risk analysis. Despite the known enforcement history and growing frequency of cybersecurity incidents, lack of compliance with the risk analysis requirement is very common. I sat down with Sammy De La O of IT Direct to get his perspective on performing a risk analysis and addressing the results.
In just one week, OCR announced settlements totaling $10.6 million with three organizations for alleged systemic HIPAA Security Rule violations. In each of the three cases, the entity self-reported a hacking incident. Combined, the hacking incidents compromised the health information of more than 16 million people. While it’s not common to see three large settlements in one week, enforcement for HIPAA Security Rule non-compliance is not new and likely will continue with increasing intensity.
Today, OCR announced five new settlements under its “HIPAA Right of Access Initiative,” making right of access the most prominent area of HIPAA enforcement so far this year. In 2019, OCR indicated that it would prioritize claims involving individuals’ right to receive timely access to their health records at a reasonable cost under the HIPAA Privacy Rule. And it is making good on its promise. All providers must pay special attention to this issue as patient complaints in this area are high and provider compliance typically is not strong.
Conducting an effective internal investigation is a critical compliance function. A flawed investigation may result in a failure to identify a compliance issue or to implement appropriate remediation efforts. This post outlines six important steps to follow in every internal investigation.