HIPAA

Question 1

Train all new staff within six months of hire date

Answer 1

Use staff hire report to get a list of new staff within a specified date range

(A list of staff who have not yet completed HIPAA training as of 4/16/2015 see tab 8)

Question 2

Complete annual HIPAA training for all staff

Answer 2

Search for web train

Question 3

Handle process client requests

Answer 3

Request for records
Request for amendments
ETCs

Question 4

Complete risk assessment for any breech of confidentiality

Answer 4

Notify clients risk is high

(Tab 6) & excel sheet saved on H drive

Question 5

Submit reportable breaches to HHS annually

Answer 5

www.hhs.gov/ocr/privacy/hipaa/administrative/breachnotificationrule

Question 6

Identify times where we may need a

Answer 6

confidentiality statement signed, or a business associate agreement completed

Question 7

Tips

Answer 7

Review exceptions to confidentiality Tab 5

Review HIPAA regs
www.hhs.gov/ocr/privacy/hipaa/understanding/summary/index.html

Review training requirements for billable staff Tab 3

Know the difference between a court order and what the options are for responding to subpoena

(previous licensing reviews/audits are in the black filing cabinet as well as 5 years of UR forms)

Question 8

Privacy Officer

Answer 8

Train new staff
Update policies
Review rags if changes occur
Review breeches and reports/notify as needed