HIPAA Overview and Compliance |
This section introduces the Health Insurance Portability and Accountability Act (HIPAA) and its significance in healthcare. It covers the basic structure of HIPAA, including the Privacy Rule, Security Rule, and Enforcement Rule. Candidates are expected to understand the roles and responsibilities of covered entities and business associates in maintaining HIPAA compliance. The section also discusses the importance of policies and procedures in ensuring compliance and the potential penalties for non-compliance.
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HIPAA Security Rule |
The focus of this section is on the HIPAA Security Rule, which sets standards for the protection of ePHI. It covers the three types of safeguards required under the Security Rule: administrative, physical, and technical. Candidates will learn about the specific requirements of each safeguard, including risk analysis and management, security awareness training, contingency planning, access control, and encryption. This section also emphasizes the need for ongoing monitoring and evaluation of security practices to ensure continuous compliance.
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Administrative Safeguards |
This section delves into the administrative safeguards required by the HIPAA Security Rule. Topics include the development and implementation of security management processes, such as risk analysis, risk management, and sanction policies. It also covers the assignment of security responsibility within an organization and the importance of workforce training and security awareness programs.
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Physical Safeguards |
In the Physical Safeguards section, candidates learn about the physical measures required to protect ePHI. This includes facility access controls, workstation use policies, and the security of portable devices that contain ePHI. The section also covers the implementation of policies and procedures to limit physical access to electronic information systems and the appropriate disposal of hardware and media that contain ePHI.
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Technical Safeguards |
The Technical Safeguards section focuses on the technology and related policies that protect ePHI. It includes topics such as access control mechanisms, audit controls, integrity controls, and transmission security. Candidates will understand how to implement encryption, decryption, and other methods to safeguard ePHI during transmission and storage.
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HIPAA Privacy Rule |
While the exam primarily focuses on the Security Rule, the Privacy Rule is also addressed. This section covers the standards for protecting individuals' medical records and other personal health information.
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Introduction to HIPAA and the Security Rule |
In this exam section, healthcare administrators, IT professionals, and compliance officers will be tested on their understanding of HIPAA legislation fundamentals. This includes a comprehensive overview of HIPAA and its key components, with a specific focus on the HIPAA Security Rule. Candidates will need to demonstrate knowledge of covered entities and business associates as defined by HIPAA. Additionally, they will be expected to understand the concepts of Protected Health Information (PHI) and Electronic Protected Health Information (ePHI), which are central to HIPAA compliance.
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Administrative Safeguards |
In this exam section, the target audience of healthcare managers, compliance officers, and security administrators will be tested on skills regarding various administrative safeguards. These include implementing a robust security management process and assigning security responsibilities within the organization. Candidates will need to show proficiency in workforce security measures and information access management. The exam will also cover security awareness and training programs, procedures for handling security incidents, and the development of contingency plans. Lastly, this section will assess knowledge of evaluation processes for ongoing security measures.
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Physical Safeguards |
In this exam section, facility managers, IT security personnel, and healthcare administrators will be tested on their knowledge of physical safeguards required for HIPAA compliance. This includes understanding and implementing facility access controls to protect sensitive areas containing PHI. Candidates will need to demonstrate knowledge of proper workstation use and security measures to prevent unauthorized access to ePHI. The section will also cover device and media controls, including policies and procedures for the proper handling, storage, and disposal of electronic media containing PHI.
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Technical Safeguards |
In this exam domain, IT professionals, network administrators, and security specialists will be tested on skills regarding technical safeguards mandated by HIPAA. This includes implementing robust access control measures to ensure only authorized personnel can access ePHI. Candidates will need to understand audit controls for recording and examining activity in information systems containing ePHI. The exam will assess knowledge of integrity controls to prevent improper alteration or destruction of ePHI. Person or entity authentication measures will be covered to verify that a person seeking access to ePHI is who they claim to be. Lastly, this section will test understanding of transmission security to guard against unauthorized access to ePHI being transmitted over electronic networks.
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Organizational Requirements |
In this exam part, compliance officers, legal professionals, and healthcare executives will be tested on their understanding of organizational requirements under HIPAA. This includes knowledge of business associate contracts and other arrangements, ensuring that entities working with covered entities are also compliant with HIPAA regulations. The section will also cover specific requirements for group health plans, including how they must handle and protect PHI in accordance with HIPAA rules.
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Policies, Procedures, and Documentation |
In this exam section, the target audience of compliance managers, policy writers, and healthcare administrators will be tested on skills regarding the development and implementation of HIPAA-compliant policies and procedures. This includes creating comprehensive documentation that outlines the organization's approach to HIPAA compliance. Candidates will need to demonstrate understanding of documentation requirements, including what must be documented and how. The section will also cover retention policies for HIPAA-related documentation, ensuring that records are kept for the required period and in the appropriate manner.
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Risk Analysis and Management |
In this exam domain, risk management specialists, IT security professionals, and compliance officers will be tested on their knowledge of conducting comprehensive risk analyses in healthcare settings. This includes understanding the process of identifying potential risks to ePHI and evaluating the likelihood and impact of these risks. Candidates will need to demonstrate skills in implementing effective risk management plans based on the findings of risk analyses. The section will also cover strategies for continuous risk assessment and mitigation, ensuring ongoing HIPAA compliance in the face of evolving threats and technologies.
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Breach Notification and Response |
In this exam part, incident response teams, legal professionals, and compliance officers will be tested on skills regarding breach notification and response procedures. This includes the ability to correctly identify and classify security breaches involving PHI. Candidates will need to understand notification requirements and procedures, including who must be notified, when, and how, in the event of a breach. The section will cover mitigation strategies to minimize the impact of breaches and prevent future occurrences. Lastly, it will test knowledge of proper documentation and reporting procedures for breaches, ensuring compliance with HIPAA regulations.
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Official Information |
https://www.hipaaacademy.net/credential-offerings/certified-hipaa-professional-chp/ |