Speaker:
Jim Sheldon-Dean
Healthcare
Jim Sheldon-Dean is the founder and
director of compliance services at Lewis Creek Systems, LLC, a Vermont-based
consulting firm founded in 1982, providing information privacy and security
regulatory compliance services to a wide variety of health care entities.
Sheldon-Dean serves on the HIMSS Information Systems Security Workgroup, has
co-chaired the Workgroup for Electronic Data Interchange Privacy and Security
Workgroup, and is a recipient of the WEDI 2011 Award of Merit. He is a frequent
speaker regarding HIPAA and information privacy and security compliance issues
at seminars and conferences, including speaking engagements at numerous
regional and national healthcare association conferences and conventions and
the annual NIST/OCR HIPAA Security Conference in Washington, D.C. Sheldon-Dean
has more than 30 years of experience in policy analysis and implementation,
business process analysis, information systems and software development. His
experience includes leading the development of health care related Web sites;
award-winning, bestselling commercial utility software; and mission-critical,
fault-tolerant communications satellite control systems. In addition, he has eight
years of experience doing hands-on medical work as a Vermont certified
volunteer emergency medical technician. Sheldon-Dean received his B.S. degree,
summa cum laude, from the University of Vermont and his master’s degree from
the Massachusetts Institute of Technology.
Course Description:
With the recent implementation of new HIPAA
regulations in the HIPAA Omnibus Update, healthcare organizations are
reviewing their compliance and making sure they have the proper policies,
procedures, and forms in place. HIPAA Privacy Officers have been renewing their
compliance activities and reviewing their documentation to make sure they can
meet the challenges of the new rules and avoid breaches and penalties for
compliance violations.
This 2 day session is designed to provide intensive, one and a half-day
training in HIPAA
Privacy Rule compliance, including what’s new in the regulations, what
needs to change in your organization, and what needs to be addressed for
compliance by covered entities and business associates. The session provides
the background and details for any healthcare information privacy officer to
know what the most important privacy issues are, what needs to be done for
HIPAA compliance, and what can happen when compliance is not adequate. Audits
and enforcement, and how Privacy regulations relate to Security and Breach
regulations will be explained, as well as responding to privacy and security
breaches and ways to prevent them. Numerous references and sample documents
will be provided.
Reasons to attend:
Almost any healthcare-related business needs to be in compliance with the HIPAA
rules, and not just providers and health plans anymore. Now the rules apply to
all kinds of businesses that may create, receive, maintain, or transmit
Protected Health Information. And the recent HIPAA Omnibus Update has focused
new attention on the policies and procedures already in place at providers and
insurers, such that the person responsible for HIPAA compliance is expected to
know the rules, what's changing, and how their policies and forms need to
change.
Being the HIPAA Privacy Officer is a job with a lot of responsibility,
especially with the new increased penalties for violations and enhanced
enforcement and audit programs. There are new patient rights and new limits on
covered entities that change how you handle certain disclosures. Now more than
ever, making mistakes in HIPAA compliance can lead to significant enforcement
actions and fines in millions of dollars.
If you are the HIPAA Privacy Officer in your organization, you need to know
what policies and procedures, and documentation, you need to have in place so
you can answer questions from staff and individuals, make sure your office is
using the right forms and notices, and respond to any incidents or compliance
investigations. You will be the one that patients complain to if they don’t
like the way you handle their data. You will be the one to reply if the US
Department of Health and Human Services decides to ask you some questions about
an incident, or if you get selected for a random audit.
This session will explain what HIPAA is, what the rules are and how they work.
We will show what kind of documentation you need to have and how you can
maintain it, as well as how compliance is audited and enforced. We will help
you know what to expect from your patients and how staff may react to new
policies and procedures, so you can be prepared for each day’s new HIPAA
experiences.
Target Audience:
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 – at – Medical offices, practice groups,
hospitals, academic medical centers, insurers, business associates (shredding,
data storage, systems vendors, billing services, etc.)
[Click
Hear for Agenda]
Agend:
Day 1
Day one sets the stage with an overview of the HIPAA regulations and then
continues with presentation of the specifics of the Privacy Rule and recent
changes to the rules, including the impacts of required changes in your
practices to meet the new rules.
8:00 – 8:30 AM: Registration
8:30 – 10:00 AM:Overview of HIPAA Regulations
- The Origins and Purposes of
HIPAA
- Privacy Rule History and
Objectives
- Security Rule History and
Objectives
- Breach Notification
Requirements, Benefits, and Results
10:00 – 10:30 AM: Break
10:30 – 12:00 noon: HIPAA Privacy Rule Principles, Policies and Procedures
- •Patient Rights under HIPAA
- •Limitations on Uses and
Disclosures
- •Required Policies and
Procedures
- •Training and Documentation
Requirements
12:00 – 1:00PM: Lunch
1:00 – 2:30 PM: Recent Changes to the HIPAA Rules
- New Penalty Structure
- New HIPAA Audit Program
- New Patient Rights
- New Obligations for Business
Associates
2:30 – 3:00 PM: Break
3:00 – 4:30PM: Implementing the New HIPAA Omnibus Rules
- Policies and Procedures for
New Patient Rights
- Impact on Electronic Health
Records
- Modifications to the Notice
of Privacy Practices
- Business Associate
Issues
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Day 2
Day two begins with a detailed examination of HIPAA Security Rule and Breach
Notification requirements and how they relate to the Privacy Rule, including
what you need to do to protect information and what you have to do if you
don’t. The day concludes with a session on the essential activities of
documenting policies, procedures, and activities, training staff and managers
in the issues and policies they need to know about, and examining compliance
readiness through drills and self-audits.
8:30 – 10:00AM: HIPAA Security and Breach Notification Rule Principles
- How the Privacy, Security,
and Breach Rules Work Together
- Security Safeguards and The
Role of Risk Analysis
- Determining What Is a Breach
and What Must Be Reported
- Incident Management and
Breach Reporting
10:00 – 10:30 AM: Break
10:30 – 12:00 noon: Documentation, Training, Drills and Self-Audits
- How to Organize and Use
Documentation to Your Advantage
- Training Methods and
Compliance Improvement
- Conducting Drills in Incident
Response
- Using the HIPAA Audit
Protocol for Documentation and Self-Auditing
12:00 noon: Class Dismissed;
Instructor available for questions and consultation until 1:30 PM.
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