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While the HIPAA rules have been in place for years now, the focus of their application has recently changed as technologies and practices have changed, and changes to the rules are also on the horizon. In addition, there are changes in other regulations that interact with HIPAA requirements, and that require consideration in your planning. This session will focus on understanding what are the challenges that a HIPAA Privacy Officer faces today, and what are the areas of HIPAA that are changing. The session will discuss the latest topics of interest in detail and describe how they relate to the regulations and their enforcement today.

This session is designed to provide an intensive, one and a half-day training in HIPAA Privacy Rule compliance designed for both the seasoned HIPAA professional as well as the individual newly appointed to the position of HIPAA Privacy Officer, covering:

• The foundations of HIPAA and how they relate to the issues of today
• Privacy, Security, and Breach Notification under HIPAA
• Changes in Rules, Technologies, and Practices that Impact HIPAA Compliance
• Patient Rights and Controls on Uses and Disclosures
• New Guidance, and Other Regulations Related to Personal Information
• Challenges with issues today that didn’t even exist a few years ago, such as insecure communications, Ransomware, and the E.U.’s GDPR
• Interactions with the SAMHSA 42 CFR Part 2 regulations on information relating to substance use disorders

Seminar Fee Includes:

Lunch

AM-PM Tea/Coffee

Seminar Material

USB with seminar presentation

Hard copy of presentation

Attendance Certificate

$100 Gift Cert for next seminar

This seminar will also explain audits and enforcement, and how privacy regulations relate to security and breach regulations, as well as responding to privacy and security breaches and ways to prevent them. Numerous references and sample documents will be provided.

Learning Objectives:

This Seminar is designed for the HIPAA expert and HIPAA newbie alike who wishes to stay up with changes to HIPAA and related regulations in personal information privacy and security, as well as understand the regulatory issues most frequently encountered in day-to-day operation of health care entities. Objectives include learning related to a variety of topics, including:

• Understanding the variety of forms entities can take under HIPAA and how they relate to one another
• Learning about patient rights, such as access and amendment of information, and how such rights are protected and enforced under HIPAA
• How uses and disclosures may take place in a wide variety of circumstances, including such hot topics as sharing information with the family and friends of a patient
• Current enforcement and audit activity
• Changes to Substance Use Disorder records confidentiality under 42 CFR Part 2
• The European Union’s General Data Protection Regulation (GDPR)
• Ensuring individuals have adequate access of their information under the rules.
• The place of Information Security and incident management under the HIPAA Security and Breach Notification Rules
• Processes to be used in managing security, mitigating risks, and handling incidents
• Proper methods of documentation and training to ensure compliance and help avoid penalties, including the use of internal audits
• and drills to improve compliance continuously and be prepared for incidents and enforcement investigations

Who will Benefit

This seminar will provide valuable assistance to all personnel in medical offices, practice groups, hospitals, academic medical centers, insurers, business associates (shredding, data storage, systems vendors, billing services, etc.). The following personnel will find this session valuable:

• Compliance director
• CEO
• COO
• CFO
• Privacy Officer
• Security Officer
• Information Systems Manager
• HIPAA Officer
• Chief Information Officer
• Health Information Manager
• Healthcare Counsel/lawyer
• Office Manager
• Contracts Manager

AGENDA

DAY 01(8:30 AM - 4:30 PM)

08.30 AM - 09.00 AM: Registration

09.00 AM: Session Start

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 and expected changes to HIPAA and other rules such as 42 CFR Part 2 regarding Substance Use Disorder information, and the European Union’s General Data Protection Regulation (GDPR), including the impacts of required changes in your practices to meet the rules.

Overview of HIPAA Privacy, Security, and Breach Notification Regulations

Types of Entities

Entity Relationships

Business Associates

Current Issues in HIPAA

HIPAA Privacy Rule and Patient Rights

The Designated Record Set

Access

Amendment

Restrictions

Communications

HIPAA Privacy Rule and Uses and Disclosures of PHI

Using Protected Health Information

Disclosures to family and friends

Disclosures to providers, care coordinators, etc.

Disclosures to attorneys, the Attorney General’s office, etc., minors and guardian issues

Day-to-day disclosures

Training and Documentation Requirements

Current Hot Topics in HIPAA and Privacy

Enforcement and Audits

Coordination with 42 CFR Part 2 and Substance Use Disorder information

GDPR Compliance – Here comes the E.U.!

Access of Information

DAY 02(8:30 AM - 12:30 PM)

Day two begins with a detailed examination of HIPAA Security Rule and Breach Notification requirements, including what you need to do to protect information and what you have to do if you don’t, and 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, all as part of a 10-step plan for reviewing and maintaining HIPAA compliance.

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

Documentation, Training, Drills and Self-Audits

The 10-Day HIPAA Compliance Plan

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

SPEAKER

Jim Sheldon-Dean,

Principal and Director of Compliance Services, Lewis Creek Systems, LLC

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.

Mr. 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.

He 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, best-selling 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. He received his B.S. degree, summa cum laude, from the University of Vermont and his master’s degree from the Massachusetts Institute of Technology.

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