1. Patient Privacy and Security of
Office of Compliance &
Corporate Integrity
Patient Privacy and Security of
Patient Information
Ray Braeunig, CHC, CHPC, CHRC
Chief Compliance & Privacy Officer

2. Standards for Patient Privacy
Agenda Topics
HIPAA
Standards for Patient Privacy
Office of Compliance & Corporate Integrity

3. Health Insurance Portability and Accountability Act (HIPAA)
Administrative Simplification
(Accountability)
Insurance Reform
(Portability)
Fraud and Abuse (Accountability)
Transactions, Code Sets, & Identifiers
Compliance Date: 10/16/2002
and 10/16/2003
Privacy
Compliance Date: 4/14/2003
Security
Compliance Date:
4/20/2005
Office of Compliance & Corporate Integrity

4. What are Privacy & Security Concerns
Theft of Patient Data
Identity Theft
Stolen Laptop
USB Drives
Loss of Patient Data
Incorrect Disposal
Misuse of Patient Data
Privacy Breach
Office of Compliance & Corporate Integrity

5. Privacy Rule Requirements
Designate a Privacy Officer
Ray Braeunig, Chief Compliance & Privacy Officer
Privacy Training for all employees “Reasonable” Safeguards to prevent misuse, intentional or incidental disclosure of PHI
Formal Sanctions for employee violations of the rule
Office of Compliance & Corporate Integrity

6. As defined in the “Notice of Privacy Practices” (NPP)
PHI May be Disclosed for TPO
Treatment
Payment
Operations
As defined in the “Notice of Privacy Practices” (NPP)
Office of Compliance & Corporate Integrity

7. HIPAA Changes Effective September 23, 2013
Breach Notification
Business Associates Agreement (BAA)
Using PHI for marketing or fundraising
Sale of PHI
Decedent Information
Student Records
Research
Copies of Medical Records
Restrictions on disclosure for out of pocket payments
NPP’s Updated
Office of Compliance & Corporate Integrity

8. Other Items of Interest
All RowanSOM employees, volunteers, vendors, and contractors have a duty to report suspected problems. If something seems wrong contact your supervisor, manager or others in your organization. You may also contact the Compliance Office and Staff directly:
Ray Braeunig
Chief Compliance & Privacy Officer
Deborah L. Samuels Deputy Compliance Officer
Patrick Guilfoyle Compliance Manager
Jeannette Jones Compliance Manager
Kathy Alburger
Management Assistant
Office of Compliance & Corporate Integrity

9. How to Access HIPAA Compliance Training
Please follow these instructions to access HIPAA Compliance Training:
Only PC or Laptops will be able to access this training {handheld devices will not work}. You may need to adjust your zoom element to capture the whole page. If using laptop, make sure bar at bottom of the screen is visible. If not, use the zoom buttons: hit Control + (to zoom in) and Control – (to zoom out).
Please allow POPUP’s to access this training {this is a must}. (Go to your browser settings and make sure pop-ups are allowed).
Using the Back Arrow may reset you to the login page.
Logging on to the System:
Go to link:
Enter your Username with full address. {Ex:
First time accessing system, click “Forgot your Password?” and provide required information. PLEASE DO NOT USE YOUR ROWAN PASSWORD! You will be directed to create a new password and receive an with password to access the training.
You will be directed to a Welcome Screen with “Access my Learning Activities”
Click to access training {just clicking the picture will get you to the training}
See the helpful navigation tools & FAQs at this link:
Office of Compliance & Corporate Integrity

10. How to Print Certificate of Completion for HIPAA Compliance Training
At the end of course (when finished quiz), click on the X button to exit out of the training. A pop-up box will appear at the top of screen letting you know the training is completed. At the end of the course, you will be able to print off your certificate of completion (if you passed the course). This certificate will always be available for printing by following these steps:
Go to the main page and click:
Training
Training History
Click the Learning Activity to obtain the Certificate
Click Training Certificate
Click Open
Make sure printing for a PDF is set to landscape
Click Print
If you did not pass, you will be required to retake the course and quiz. Please contact Kathy Alburger at (856)
Please complete HIPAA compliance training by: August 31, 2017
Office of Compliance & Corporate Integrity

11. Compliance Website/Contacts
The Compliance website has additional information. Access website at:
Contact information for assistance with trainings is as follows:
Kathy Alburger Jeannette Thomas-Jones
Management Assistant Compliance Manager
(856) (856)
Ray Braeunig
Chief Compliance & Privacy Officer
(856)
Office of Compliance & Corporate Integrity