Kimberly Shutters

The Consequences of Medical Record Snooping

The Consequences of Medical Record Snooping Today, I am discussing the consequences of unauthorized access or disclosure of protected health information or medical record snooping. Snooping applies to either paper or electronic records. These days most medical record snooping is carried out using the organization’s electronic health record (EHR) system. In March 2022, Fierce Healthcare analyzed …

The Consequences of Medical Record Snooping Read More »

Breach Notification Times

HIPAA Breach Notification Reporting Times

HIPAA Breach Notification Reporting Times In a recent article I broke down the HIPAA Breach Notification Rule, 45 CFR §§ 164.400-414, into what the Department of Health and Human Services (HHS) requires Covered Entities (CEs) AND their third-party vendors, what to do in the event of a breach of unsecured protected health information (PHI). Today I am going a step deeper …

HIPAA Breach Notification Reporting Times Read More »

HIPAA Breach Notification Rule Enforcement

HHS is Not the Only Federal Agency Enforcing HIPAA Breach Notification Rule This week I am breaking down the HIPAA Breach Notification Rule, 45 CFR §§ 164.400-414, directly from Health and Human Services (HHS). HIPAA Breach Notification Rule requires hospitals, insurance companies, healthcare providers and their third-party vendors provide notification following a breach of unsecured protected health information (PHI). …

HIPAA Breach Notification Rule Enforcement Read More »

Compliance Officer Job Description

HIPAA Compliance Officer Job Description

3 Things to Include in Your HIPAA Compliance Officer Job Description Today, I am discussing what 3 things your HIPAA Compliance Officer job description should include. First, I need to share some background with you, the Health Insurance Portability and Accountability Act (HIPAA) Security Rule requires Covered Entities and their third-party vendors to formally designate a Compliance Officer.  …

HIPAA Compliance Officer Job Description Read More »

Passwords and Passphrases

Why Does It Matter? The Administrative Safeguards of the HIPAA Security Rule requires Covered Entities (CEs) and Business Associates(BAs) to: Implement procedures for creating, changing and safeguarding passwords [For details see: Security Awareness and Training, §164.308(a)(5)]. Make sure you create and regularly use strong passwords (i.e. usually 10 characters or more and includes uppercase and lowercase letters, numbers, and special characters …

Passwords and Passphrases Read More »

HIPAA Security Incident vs Breach

HIPAA Security Incident vs Breach What’s the Difference?

HIPAA Security Incident vs BreachWhat’s the Difference? Today I am breaking down the difference between a HIPAA security incident vs breach. First, allow me to set the stage with definitions to provide some clarification. What are HIPAA Security Incidents? The HIPAA Security Rule defines security incidents as attempted or successful unauthorized access, use, disclosure, modification, or destruction of information …

HIPAA Security Incident vs Breach What’s the Difference? Read More »

Why You Need A Current HIPAA Risk Analysis

Why You Need A Current HIPAA Risk Analysis Conducting a HIPAA risk analysis is the first step in identifying the risks in your organization. The Department of Health and Human Services (HHS) requires healthcare organizations and their third-party vendors that create, receive, maintain or transmit identify risks and vulnerabilities that effects electronic protected health information (e-PHI).  Once the …

Why You Need A Current HIPAA Risk Analysis Read More »