Hitech Strengthened Hipaa in Key Areas: A Comprehensive Guide

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HITECH, or the Health Information Technology for Economic and Clinical Health Act, significantly strengthened HIPAA in several key areas. HIPAA was already a robust law, but HITECH added new requirements and penalties to ensure the secure handling of protected health information.

One of the main areas HITECH strengthened HIPAA in is enforcement. HITECH increased the maximum penalties for HIPAA violations, with fines now reaching up to $1.5 million per violation. This increase in penalties has led to a significant decrease in HIPAA breaches.

HITECH also strengthened HIPAA in the area of breach notification. Covered entities are now required to notify affected individuals within 60 days of discovering a breach. This requirement has helped to ensure that individuals are informed of potential security risks to their health information.

HITECH strengthened HIPAA in the area of business associate agreements. Covered entities must now have a business associate agreement in place with any business associate that has access to protected health information. This agreement must include provisions for the secure handling of protected health information.

What Is the Act?

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HIPAA is a US law that provides privacy standards to protect patients' medical records and other health information. It was introduced in 1996 to safeguard patients' Protected Health Information (PHI).

The law requires healthcare organisations to implement effective measures to protect sensitive data like personal information and medical records. This includes Covered Entities, Business Associates, and Business Associate Subcontractors, who are all responsible for maintaining HIPAA regulations.

HIPAA defines Protected Health Information (PHI), which is a key concept in understanding the law. PHI includes any individually identifiable health information.

The law has four key pillars: The Privacy Rule, The Security Rule, The Breach Notification Rule, and The Enforcement Rule.

HIPAA Provisions

The HIPAA Act has undergone significant changes with the introduction of HITECH, which has strengthened its provisions in several key areas.

HITECH has improved the provisions of HIPAA by enhancing patient privacy protections and giving individuals new rights to their health information.

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One of the key provisions of HIPAA is the Breach Notification Rule, which requires organizations to notify patients and HHS in the event of a security breach.

If a security breach occurs, organizations must notify the patient, log the incident, and conduct an assessment to determine the extent of the breach.

The Omnibus Rule has also modified the HIPAA Privacy Rule to address the GINA, prohibiting most health plans from using or disclosing genetic information for underwriting purposes.

Organizations must also have a security strategy in place that covers all required aspects to meet compliance standards.

Here are the steps to be taken in the event of a security breach:

  • The organization must notify the patient
  • If the breach occurred at a third-party site, the associates must notify the organization
  • It cannot take longer than 60 days from the time of the breach to notify the patient
  • The breach incident must be logged
  • If protected health information is involved in the security breach, an assessment must be conducted

Business Associates

HITECH extended the privacy and security rules of HIPAA to Business Associates and Business Associate Subcontractors.

These two categories of support vendors must implement the same compliance documents and training requirements as Covered Entities.

Business Associates are now responsible for the security of protected health information, just like Covered Entities.

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They must also be HIPAA certified, which means they need to have the necessary training and protocols in place to protect patient data.

If they don't, the organization they're working with could be fined and required to notify all patients whose information was viewed by untrained personnel.

This can lead to civil suits filed by affected patients, which is a big risk for healthcare organizations.

Breaches

Violators of HITECH are subject to fines of up to $1.5 million per violation, and may even face jail time if they didn't know a violation occurred.

To determine if a breach notification is needed, consider the following factors: any exception to the breach rules, if the patient is at risk, and if the PHI was improperly disclosed or used.

If any of these factors apply, a breach notice must be given. If an organization has never had to give one, they must follow these steps: notify the patient, notify the organization if the breach occurred at a third-party site, notify the patient within 60 days of the breach, log the breach incident, and conduct an assessment if protected health information is involved.

Recommended read: A Breach under Hipaa

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Protected health information that is not encrypted is considered unsecured and must be properly destroyed to meet HITECH and HIPAA guidelines. This includes shredding paper documents and disposing of them through proper authorities, or following electronic destruction protocols.

If data is destroyed for being unreadable, unusable/out-of-date, or indecipherable, notifications are not required. However, organizations must have documentation of the security measures taken to prevent another data breach, including the destruction of unsecured data.

HIPAA Compliance

HIPAA compliance is a crucial aspect of HITECH's strengthened HIPAA provisions. HIPAA requires healthcare organizations to safeguard patient data, and compliance is mandatory for covered entities.

To achieve HIPAA compliance, healthcare organizations must implement comprehensive safeguards such as encryption, access controls, and intrusion detection systems to protect sensitive patient data in the cloud. These safeguards prevent unauthorized access and ensure patient data is secure.

Conducting regular risk assessments is also essential to identify any potential patient data vulnerabilities. By thoroughly assessing security risks to their cloud infrastructure and applications, healthcare organizations can proactively address them and implement more effective security controls.

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Here are the key steps for HIPAA compliance:

  • Conduct regular risk assessments to identify potential patient data vulnerabilities
  • Implement comprehensive safeguards such as encryption, access controls, and intrusion detection systems
  • Establish Business Associate Agreements (BAAs) when collaborating with cloud service providers to ensure HIPAA compliance
  • Respond rapidly to detected breaches
  • Give employees comprehensive training on cyber awareness and HIPAA compliance

By following these steps, healthcare organizations can ensure HIPAA compliance and protect patient data.

HIPAA Penalties

HIPAA penalties have become more severe since the HITECH Act strengthened HIPAA requirements.

Maximum fines for HIPAA violations can be as high as $1.5 million, adjusted for inflation.

The Department of Health and Human Services (HHS) assesses penalties based on the frequency and severity of the violation.

To ensure fairness, HHS created four categories or tiers for HIPAA violations.

Here are the four tiers with their corresponding minimum and maximum fees:

Higher penalties are increasing the number of healthcare organizations and their associates that are in compliance with HITECH and HIPAA.

Secure Communication

Secure communication is a top priority for healthcare organizations, and there are several solutions that can help. Spok Mobile is a leading HIPAA-compliant text messaging solution designed specifically for hospitals and healthcare organizations.

In today's digital world, secure communication is critical for any organization handling protected health information (PHI). Notifyd emerges as a robust solution, offering a secure way to communicate.

Credit: youtube.com, The Differences Between The HIPAA Privacy Rule and HIPAA Security Rule

SaaS ecosystems can also benefit from enhanced data security capabilities. Metomic partners with HANDD to bring next-generation SaaS security capabilities to organizations worldwide, helping them detect, classify, and protect their sensitive data.

Healthcare providers need a powerful solution for secure communication, and Zinc positions itself as a robust option. Living in a world fueled by digital interaction, healthcare providers undeniably need a secure way to communicate.

HIPAA-compliant text messaging is a must for healthcare organizations, and Spok Mobile and Zinc are two solutions that can help.

Key Points

HIPAA and HITECH are key players in U.S. healthcare cybersecurity, each with distinct roles in safeguarding patient data and ensuring compliance.

HIPAA focuses on patient data protection, while HITECH strengthens and modernizes HIPAA provisions. HITECH was created as part of the ARRA in 2009 to promote the adoption of health information technology, namely EHRs.

HITECH gives providers incentives for making medical records digital, as well as adds more technical requirements to hospitals and doctors who are using EHRs. This enhances HIPAA provisions.

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HITRUST offers a voluntary certification framework, integrating cybersecurity standards to guide organizations through rigorous compliance. This framework helps organizations ensure they meet the necessary security measures.

Metomic's data security software provides tools to secure patient data in the cloud, streamlining compliance efforts and data security management. This is crucial in protecting patient data from cyber attacks.

Healthcare organizations can protect patient data by following the various regulatory standards that govern the healthcare industry. Meeting these cybersecurity regulatory standards allows healthcare organizations to protect themselves against damaging cyber attacks.

Here are the key factors to determine when a breach notification is needed:

  • Any exception to the breach rules
  • If the patient is at risk
  • The PHI (protected health record) was improperly disclosed or used

What Are the Consequences?

Failing to comply with HITECH and HIPAA can result in severe consequences. The maximum annual penalty for non-compliance is a staggering $2,067,813 as of 2024.

If you're found guilty of "Wilful Neglect" and don't take corrective measures within 30 days, you'll face the highest penalties per violation. Being unaware of your non-compliance doesn't get you off the hook, and accumulating enough "Lack of Knowledge" penalties can still lead to the maximum annual penalty.

Credit: youtube.com, USE IT! Your federal "Patient Right to Access" to Your Medical Records - No IFs! (Part 1)

The reputational damage from failing to protect sensitive patient data can be even more costly than legal penalties. Some companies have seen a 25% fall in market value in the year after suffering a data breach, highlighting the significant long-term damage to your reputation.

Here are the key penalties for HITECH and HIPAA violations:

Not being HITRUST certified isn't mandatory, but it's a widely-followed framework for healthcare cybersecurity, and not following it could harm your organization's reputation.

HIPAA Compliance Tools

Metomic's data security software enables healthcare organizations to secure sensitive data, helping with regulatory compliance. This includes automated discovery of PII and PHI, strong access controls, and real-time monitoring of data risks.

Regular risk assessments are crucial to identify potential patient data vulnerabilities. By thoroughly assessing security risks to their cloud infrastructure and applications, healthcare organizations can proactively address them and implement more effective security controls.

To maintain HITECH compliance, healthcare organizations need to combine assessments with employee and patient feedback, along with their technology policies. Frequent monitoring and feedback can help to maintain security on all levels.

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Business Associate Agreements (BAAs) are essential when collaborating with cloud service providers to ensure HIPAA compliance. BAAs define the responsibilities of both parties regarding data protection and privacy, setting clear expectations for securely handling patient information.

Implementing security protocols is the first step in HITECH and HIPAA compliance, but technology cannot resolve all the problems healthcare organizations face. A strong encryption algorithm is only as good as the passwords employees use.

To maintain security compliance requirements, healthcare organizations need to have safeguards in place outside of their IT security. This includes preventing patients from accessing PHI from a doctor's or hospital computer.

Here are some key features of a comprehensive HIPAA compliance tool:

  • Automated discovery of PII and PHI
  • Strong access controls
  • Real-time monitoring of data risks
  • Employee training on cyber awareness and HIPAA compliance
  • Regular risk assessments and security audits

The Act: An Overview of Its Impact

The HITECH Act was created in 2009 as part of the ARRA to promote the adoption of health information technology, specifically electronic health records (EHRs).

HITECH gives providers incentives for making medical records digital and adds more technical requirements to hospitals and doctors using EHRs.

If this caught your attention, see: Hipaa vs Hitech

Credit: youtube.com, HIPAA, HITECH, and PHI | Free Home Health Aide Course from Workforce

HITECH enhances HIPAA by improving the provisions that were already in place.

The HITECH Act went on to expand the HIPAA requirements for compliance to include all businesses that use, process or store Protected Health Information (PHI).

This means that third-party business associates are liable for any security breaches or not being HIPAA compliant.

To meet compliance standards, organizations and their associates must have a security strategy that covers all required aspects.

Here are the key areas where HITECH strengthened HIPAA:

* AreaDescriptionBreach NotificationHITECH requires that any PHI breach be reported to the patient and HHS, and that the media may also be required to be notified.Security MeasuresOrganizations must have documentation of the security measures taken to prevent another data breach.Third-Party LiabilityThird-party business associates are liable for any security breaches or not being HIPAA compliant.Compliance RequirementsOrganizations and their associates must have a security strategy that covers all required aspects to meet compliance standards.

Frequently Asked Questions

What are the 4 main rules for HIPAA and HITECH?

The four main rules for HIPAA and HITECH are the Privacy Rule, Security Rule, Unique Identifiers Rule, and Enforcement Rule, which establish standards for protecting patient health information. These rules ensure the confidentiality, integrity, and security of sensitive patient data.

What are the three components of the HITECH Act?

The HITECH Act consists of three main components: Expanded HIPAA Rules, Stricter Enforcement, and Broader Application, which collectively aim to strengthen healthcare data protection and security. These components work together to enhance patient privacy and data security in the healthcare industry.

What are the three major focus areas of HIPAA?

The three major focus areas of HIPAA are patient data protection, electronic health information security, and breach notification requirements. These areas ensure the confidentiality, integrity, and availability of sensitive health information.

Teresa Halvorson

Senior Writer

Teresa Halvorson is a skilled writer with a passion for financial journalism. Her expertise lies in breaking down complex topics into engaging, easy-to-understand content. With a keen eye for detail, Teresa has successfully covered a range of article categories, including currency exchange rates and foreign exchange rates.

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