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PHYSICAL SAFEGUARDS TO GUARD DATA INTEGRITY, CONFIDENTIALITY, AND AVAILABILITY
Requirement
Implementation Features
Security Responsibility · Appoint a security officer.
· Maintain record of sanctions.

Media Controls

· Access control.
· Accountability (tracking mechanism).
· Secure data backup.
· Secure data storage.
· Data disposal.

Physical Access Controls

· Disaster recovery.
· Hardware/software installation & maintenance review and testing for security features.
· Equipment control (into and out of site).
· Inventory.
· Security testing.
· Visitor sign-in.
· Emergency mode operation.
· Need-to-know procedures for personnel access.

Policy/Guideline on Work Station Use · Secure computer when unattended.
· Insure authorized access only.
Secure Work Station Location · Restrict access to need to know.
· Authorization.

Security Awareness Training · Must be maintained and documented properly.

Overview Of Above Requirements
Assigned Security Responsibility

The responsibility for health information security must be assigned to a specific individual, and the assignment must be documented. Responsibilities include the management and supervision of (1) the use of security measures to protect personal health information and (2) the conduct of personnel in relation to the protection of personal health informationa. This assignment is important to provide a focus and importance to security and to pinpoint responsibility.

Media Controls

Media controls are required in the form of formal, documented policies and procedures that govern the receipt and removal of hardware & software (for example, diskettes, tapes, CD's, files and folders) into and out of an office or facility. These controls are important to ensure total control of media containing personal health information. These controls must include the following implementation features:

· Controlled access to media.
· Accountability (a tracking mechanism).
· Secure data backup.
· Secure data storage
· Disposal.

Physical Access Controls

Physical access controls (limiting access) are required. These must be formal, documented policies and procedures for limiting physical access to computers, files and file cabinets while ensuring that properly authorized access is allowed. These controls are extremely important to the security of personal health information and preventing unauthorized physical access to personal health information. It further ensures that authorized personnel have proper access. These controls must include the following implementation features:

· Disaster recovery.
· Emergency mode operation.
· Equipment control (into and out of site).
· An office/facility security plan.
· Procedures for verifying access authorizations prior to physical access.
· Maintenance records.
· Need-to-know procedures for personnel access.
· Sign-in for visitors and escort, if appropriate.
· Testing and revision.

Policy/Guideline on Workstation/Area Use

A policy/guideline on work areas use must be implemented. It must be documented instructions/procedures that delineate the proper functions to be performed and the manner in which those functions are to be performed. (For example, logging off before leaving a terminal unattended.) This is important so that co-workers, employees and visitors will understand the manner in which work areas must be used to maximize the security of health information.

Secure Workstation Location

Physical safeguards must be initiated at computer workstations/areas to eliminate or minimize the possibility of unauthorized access to information in health care provider offices and facilities.

Secure Awareness Training

Security awareness training is required for all health care co-workers, employees, agents, and contractors, and authorized visitors. This is important because everyone needs to understand their security responsibilities based on their job responsibilities and make security a part of their daily activities.

HIPAA Compliance Dates
Standard Compliance Date Extention Date
Transactions and Code Sets 10/16/2003 10/16/2003
Only if application filed
before Oct 15, 2002.
National Provider Identifier Pending Not Applicable
National Employer Identifier Pending Not Applicable
Security Rule 4/20/2005 Not Applicable
Privacy Rule 4/14/2003 Not Applicable
National Health Plan identifier Pending Not Applicable
Claims Attachments Pending Not Applicable
Enforcement Pending Not Applicable
National Individual Identifier Pending Not Applicable
Business Associates 4/14/2003 4/14/2004
Extension applies ONLY to business associates with exisiting business associate contracts made prior to April 14, 2003.
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Our 'How-To' Guide. A simple roadmap for using our web site for compliance assistance and for satisfying HIPAA's requirements for training all your workforfce members. First time visitors click here.
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Workforce Training
It's Federal Law. All health care providers workforce members must be trained on HIPAA's Privacy and Security regulations.
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Training
Documentation
Monitor & Document Workforce Training. Not only is it a HIPAA requirement, but documenting your workforce training is your best bet for reducing your exposure to liabilities associated with breaches of confidentiality of health information.
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Training Webinars
Our Online HIPAA Privacy/Security Officer and Workforce Training Webinars. Two separate online presentations. One for Privacy & Security Officers and one for workforce members.
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HIPAA Testing
For Privacy/Secirity Officials and All Workforce Members. Two separate training tests - one for company Privacy/Security Officials and one for workforce members.
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Guidelines
Hundreds of Detailed Privacy & Security Compliance Recomendations. Conveniently categorized for easy use.
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Over 120 Online HIPAA Tutorials. Covering every aspect of HIPAA's Security & Privacy regulations.
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Thousands of Frequently Asked Questions. Conveniently categorized answers to over 3000 commonly asked HIPAA questions.
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HIPAA Directory
Thousands of HIPAA Products & Services. A gigantic HIPAA catalog containing listings of companies offering HIPAA compliant products and services.
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