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Seven Steps to Take When You have A HIPAA Compliant

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7 Steps To Take When You Have A HIPAA Complaint Jason Karn, Total HIPAA Compliance, LLC
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Page 1: Seven Steps to Take When You have A HIPAA Compliant

7 Steps To Take When YouHave A HIPAA Complaint

Jason Karn, Total HIPAA Compliance, LLC

Page 2: Seven Steps to Take When You have A HIPAA Compliant

What do you do when a client/patient contacts you about improper use of their PHI, and

thinks they have a HIPAA Complaint?

When You Receive a Complaint

Page 3: Seven Steps to Take When You have A HIPAA Compliant

ONE

Open channels of communication

• Listen closely to what the client/patient is saying, what the issue is, and what kind of resolution they are looking for.

• Many times, listening can solve most of your problems, and will keep this person from filing a formal complaint with HHS.

Page 4: Seven Steps to Take When You have A HIPAA Compliant

TWO

Document the complaint

• Regardless of whether the person files a complaint with HHS, it’s important that you document what the issue was, when it occurred, and what information the person felt was released or used improperly.

Page 5: Seven Steps to Take When You have A HIPAA Compliant

THREE

Determine how many clients are affected

• If fewer than 500 people are affected, file a report with HHS within 60 days of the end of the calendar year.

• Breaches of over 500 persons’ information need to be reported to HHS within 30 days of discovery, or from when you should have known there was a Breach. • These large Breaches also need to be reported to

prominent local media outlets, and posted on your website.

Page 6: Seven Steps to Take When You have A HIPAA Compliant

FOUR

Fix the problem • Sometimes this is easier said than done. (See

Slide 1.) Once information has been released, it’s hard, if not impossible, to un-release it.

• Update your records to reflect that you’ve identified the problem and made the necessary changes.

Page 7: Seven Steps to Take When You have A HIPAA Compliant

FIVE

Reduce the impact

• Many providers give harmed clients/patients free credit monitoring for a year to help mitigate any issues they might come up against.

Page 8: Seven Steps to Take When You have A HIPAA Compliant

SIX

Review other similar situations

• If you do find there was an issue with your policies or actions of your workforce, you should audit similar records to make sure this is a one-time incident and not the proverbial ‘canary in the coal mine’.

Page 9: Seven Steps to Take When You have A HIPAA Compliant

SEVEN

Going forward• This client/patient may still wish to use your

services after the complaint. By law, you are NOT allowed to retaliate in any way.• This may be uncomfortable for you and people in your

agency/practice, but the reality is they might be doing you a favor by pointing out an error!

• If the situation does become a major issue, you can suggest that the client/patient might be more comfortable with another provider, but you cannot force them to make this change.

Page 10: Seven Steps to Take When You have A HIPAA Compliant

Need help responding?

TOTAL HIPAA [email protected]

800.344.6381

Page 11: Seven Steps to Take When You have A HIPAA Compliant

Copyright notice from Jason Karn, Total HIPAA Compliance, LLC

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.

What does that mean?

You may freely share this slide deck in its entirety with anyone. Splitting up the deck or charging for the copies is out of bounds.

The original slide deck can be found at

Page 12: Seven Steps to Take When You have A HIPAA Compliant

www.TotalHIPAA.com


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