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Exam Code: HIO-301 Certified HIPAA Security resources January 2024 by Killexams.com team

HIO-301 Certified HIPAA Security

Exam: HIO-301 (Certified HIPAA Security)

Exam Details:
- Number of Questions: The exam consists of multiple-choice questions.
- Time: Candidates are typically given a specified amount of time to complete the exam.

Course Outline:
The Certified HIPAA Security (CHS) course is designed to provide candidates with in-depth knowledge and skills related to the security aspects of the Health Insurance Portability and Accountability Act (HIPAA) regulations. The course outline includes the following topics:

1. Introduction to HIPAA Security
- Overview of HIPAA Security Rule
- Security standards and requirements
- Roles and responsibilities

2. Administrative Safeguards
- Security management process
- Risk analysis and risk management
- Security policies and procedures

3. Physical Safeguards
- Facility access controls
- Workstation and device security
- Disposal of PHI

4. Technical Safeguards
- Access controls and user authentication
- Audit controls and monitoring
- Encryption and data protection

5. Incident Response and Disaster Recovery
- Incident response planning
- Business continuity and disaster recovery planning
- Security incident handling

Exam Objectives:
The HIO-301 exam aims to assess candidates' knowledge and skills in implementing and maintaining HIPAA security measures to protect electronic protected health information (ePHI). The exam objectives include:

1. Understanding the requirements and provisions of the HIPAA Security Rule.
2. Applying administrative safeguards to manage security risks and establish policies and procedures.
3. Implementing physical safeguards to protect facilities and devices that store or transmit ePHI.
4. Utilizing technical safeguards to control access, monitor systems, and protect ePHI.
5. Developing incident response and disaster recovery plans to address security incidents and ensure business continuity.

Exam Syllabus:
The exam syllabus covers the following topics:

- Introduction to HIPAA Security
- Administrative Safeguards
- Physical Safeguards
- Technical Safeguards
- Incident Response and Disaster Recovery

Candidates are expected to have a comprehensive understanding of these topics and demonstrate their ability to apply HIPAA security measures effectively. The exam assesses their knowledge, practical skills, and proficiency in implementing and maintaining HIPAA security compliance.
Certified HIPAA Security
HIPAA Certified resources

Other HIPAA exams

HIO-201 Certified HIPAA Professional
HIO-301 Certified HIPAA Security

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HIPAA
HIO-301
Certified HIPAA Security
https://killexams.com/pass4sure/exam-detail/HIO-301
Question: 108
This field in an X.509 digital certificate identifies that each certificate issued by a
particular Certificate Authority is unique:
A. Kerberos ticket ID
B. PA ID number
C. CA ID number
D. Sender ID
E. Serial number
Answer: E
Question: 109
Which the most widely accepted format for digital certificates is:
A. BOOTP
B. X.599
C. Phage.963
D. Vapor.741
E. ASCX12
Answer: B
Question: 110
An example of a major VPN tunneling protocol is:
A. Vapor.741
B. L2TP
C. MD5
D. TCP/IP
E. PKI
Answer: E
Question: 111
A hospital is setting up a wireless network using Wi-Ei technology to enable nurses
to feed information through it onto the corporate server instead of using traditional
34
paper forms. As a HIPAA security specialist, what would you do as the first step
towards, protecting the wireless communication?
A. Set up a message digest infrastructure to enable secure communication.
B. Configure intrusion detection software on the firewall system.
C. Protect the wireless network through installation of a firewall.
D. Enable use of WEP keys that are generated dynamically upon user authentication.
E. Configure TCP/IP, with a static IP address for all the clients having gateway
address of the server..
Answer: A
Question: 112
Dr. Alice needs to send patient Bob a prescription electronically. Dr. Alice wants to
send the message such that Bob can be sure that the sender of the prescription was in
fact Dr. Alice. Dr. Alice decides to encrypt the message as well as include her digital
signature. What key will Bob use to be able to decrypt the session key used by Dr.
Alice?
A. Dr. Alices private key
B. Dr. Alices public key
C. Bobs public key
D. Bobs private key
E. Dr. Alices session key
Answer: D
Question: 113
Statement 1: A firewall is one or more systems, that may be a combination of
hardware and software that serves as a security mechanism to prevent unauthorized
access between trusted and un-trusted networks. Statement 2: A firewall refers to a
gateway that restricts the flow of information between the external Internet and the
internal network. Statement 3: Firewall systems can protect against attacks that do not
pass through its network interlaces.
A. Statement 1 is TRUE, Statement 2 is TRUE and Statement 3 is TRUE
B. Statement 1 is TRUE, Statement 2 is TRUE and Statement 3 is FALSE
C. Statement 1 is TRUE, Statement 2 is FALSE and Statement 3 is TRUE
D. Statement 1 is FALSE, Statement 2 is TRUE and Statement 3 is TRUE
E. Statement I is FALSE, Statement 2 is FALSE and Statement 3 is TRUE
35
Answer: B
Question: 114
During your discussions with one of the clients, you need to explain the meaning of a
Virtual Private Network. Select the best definition:
A. A VPN enables a group of two or more computer systems or networks, such as
between a hospital and a clinic, to communicate securely over a public network, such
as the Internet.
B. A VPN is used within the organization only and a firewall is needed to
communicate with the external network.
C. A VPN requires a private dedicated communication between the two end points.
D. A VPN may exist between an individual machine and a private network but, never
between a machine on a private network and a remote network.
E. A VPN is a real private network as opposed to a virtual network.
Answer: A
Question: 115
This is one of the areas defined in the ISO 17799 Security Standard.
A. Operational policy
B. Risk analysis
C. Computer and network management
D. Application management
E. Security procedures
Answer: C
Question: 116
A hospital has contracted with Lornas firm for the processing of statement generation
and payment activities of its patients. At the end of the day, the hospital sends three
different files to Lorna, one having new charges, the second one having updated
addresses of the patients and third one having information related to payments
received. The hospital wants to implement a secured method of transmission of these
files to Lornas firm. What would be the best option for the hospital?
A. Implement a Virtual Private Network (VPN) between the hospital and Lornas firm
and support it with strong authentication.
36
B. Audit Lornas firm every quarter and check all log files.
C. Deploy intrusion detection software on Lornas network.
D. Encrypt the files and then send it in a CD
E. Send the source data files in a CD via courier in the evening.
Answer: A
Question: 117
CORRECT TEXT
Statement 1: The IEEE 802.1 lb standards for wireless network define two types of
authentication methods, Open and Shared key. Statement 2: The range of Wi-Fi
products is within 30 feet of the router. Statement 3: A VPN can be setup over a
wireless network
A. Statement 1 is TRUE, Statement 2 is TRUE and Statement 3 is TRUE
B. Statement 1 is TRUE, Statement 2 is TRUE and Statement 3 is FALSE
C. Statement 1 is TRUE, Statement 2 is FALSE and Statement 3 is TRUE
D. Statement I is FALSE, Statement 2 is TRUE and Statement 3 is FALSE
E. Configure Statement 1 is TRUE, Statement 2 is FALSE and Statement 3 is FALSE
Answer: C
Question: 118
The CTQ of a clearinghouse wants to implement a security mechanism that can alert
the systems administrator about any hacker attempting to break into the electronic PHI
processing server system. As a security advisor to the OTO, what mechanism would
you recommend? Select the best answer.
A. Deploying a VPN.
B. Deploy SSL for all connections to the server.
C. Installing an IDS solution on the server.
D. Deploying a PRI solution.
E. Installing a firewall to allow pass through traffic only to the allowed network
address.
Answer: C
37
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HIPAA Certified resources - BingNews https://killexams.com/pass4sure/exam-detail/HIO-301 Search results HIPAA Certified resources - BingNews https://killexams.com/pass4sure/exam-detail/HIO-301 https://killexams.com/exam_list/HIPAA Certification Training

We are actively building on-campus certification opportunities for our pre-health students.

For the academic year, 2023-2024 on-campus training and courses we will have:

EMT Certification

Through a generous collaboration with Mission College and the Cowell Health Center, we are offering an online lecture course with an in-person skills lab on SCU’s campus.  This course will be offered in the Fall and Winter/Spring to provide EMT training for 50 students per year.  With our own EMT equipped laboratory, we can dramatically increase the number of students that can complete this training and have a resource for recertification as well.

Check the Health Professions Camino page or email Dr. McNelis for more information.

CPR BLS

Through a collaboration with Santa Clara Fire Department and the SCU EMT Squad, we will be offering CPR BLS certification starting this academic year. Since most healthcare experiential opportunities require CPR certification, we want to provide ready access for certification and recertification for our students to support clinical placement opportunities.

Check the Health Professions Camino page or email Dr. McNelis for more information.

On-campus certification training such as EMT empowers our students for securing meaningful clinical experience while at SCU and for post-graduate opportunities. 

We are seeking additional collaborations to bring more medical certification training to campus. 

Online Certifications

In addition, we are identifying on-line healthcare professional training that healthcare organizations require (or encourage) for their care providers. Having our students complete low-cost online HIPAA certification and Implicit bias training prepares our students to be most effective in clinical settings during their undergraduate years and in their future healthcare careers.

Other On-Campus training

We are exploring training opportunities that will ensure that our students are functioning effectively in their work in clinical placements and post-graduation employment experiences. 

For example, we are offering an Intermediate Spanish for Healthcare course starting Winter and Spring quarters in 2024.

  • Emphasis will be on communication, cultural fluency and medical Spanish
  • Highly capable students will be able to pursue certification as Medical Interpreters 
  • Possibility for training in other languages in the future with a healthcare focus
  • Medical Interpretation is a certification that our students can use to gain clinical experience and post-graduate training

Photo highlighting Medical Spanish course

Tue, 22 Aug 2023 01:47:00 -0500 en text/html https://www.scu.edu/health-professions/certification-training/
Emergency Medicine Resources

Learn more about choosing a career in emergency medicine or get information about an emergency medicine residency.

Is Emergency Medicine for Me?

Throughout the course of medical school, you’re faced with the challenging task of deciding what part of medicine is right for them. To help you decide which specialty is right for you, we've provided a few resources. Check out the links below to see if life in the emergency room is right for you as well as some suggestions on how to pursue a career in emergency medicine.

Emergency Medicine Interest Group

The purpose of the Emergency Medicine Interest Group is to provide information to those contemplating a career in emergency medicine. Through monthly lunch meetings, shadowing opportunities, community learning experiences (ambulance and ARCH helicopter ride-alongs), and workshops, we hope to foster the interest in emergency medicine.

These events are open to all students at the Saint Louis University School of Medicine. If you can't find the information you are looking for, feel free to email us and we'll do our best to address your questions. Be sure and check out the calendar for the upcoming events.

These events are open to all students at the Saint Louis University School of Medicine.

For general information, contact MSII Emergency Medicine Interest Group leaders. 

Emergency Medicine Shadowing

Shadow in the Emergency Department of SSM Health Saint Louis University Hospital or SSM Health Cardinal Glennon Children's Medical Center.

Shadowing in a Level I Emergency Department can be a very rewarding experience. We recommend that all students considering a career in emergency medicine try shadowing at least twice. 

Emergency Department Observation Guidelines

Only one medical student is permitted in each Emergency Department (SSM Health Cardinal Glennon Children’s Hospital or SSM Health Saint Louis University Hospital) for observation during available shifts.

All students must have:

  • Completed HIPAA certification.
  • Passed the federal criminal background check and urine drug screen.
  • Proof of current immunizations and current flu vaccine.
  • Signed the confidentiality agreement.

Check with Therese Friederich in the Office of Curricular Affairs to see if you have all the requirements. For information on Emergency Department shadowing, contact EmergencyMedicine@health.slu.edu or call 314-977-1919.

Wed, 08 Nov 2023 06:46:00 -0600 en text/html https://www.slu.edu/medicine/surgery/emergency-medicine/resident-resources.php
New ONC Final Rule Expands Information Blocking Regulatory Exceptions

On December 13, 2023, the US Department of Health and Human Services (HHS) Office of the National Coordinator for Health Information Technology (ONC) issued the Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency, and Information Sharing (HTI-1) final rule to update ONC Health IT Certification Program requirements and amend the information blocking regulations that ONC issued under the 21st Century Cures Act (Cures Act). The HTI-1 final rule substantially finalizes policies that ONC proposed in the HTI-1 proposed rule. This On the Subject discusses the final rule’s information blocking provisions, which are intended to support the sharing of electronic health information (EHI), but also include new and expanded exceptions to the information blocking prohibition applicable to health IT developers of certified health IT (certified health IT developers), health information network or health information exchanges (HIN/HIEs) and health care providers (collectively, actors). The HTI-1 final rule becomes effective 30 days after publication of the final rule in the Federal Register.

We will release separate publications discussing ONC’s changes to the certification criteria and standards. For more information about ONC’s final information blocking regulations adopted in 2020, see our Special Report.


KEY CHANGES TO THE INFORMATION BLOCKING REGULATIONS

  • Updated scope of entities that may qualify as certified health IT developers under a new definition for what activities constitute “offering health IT” (with specific discussion about health IT donation and subsidized supply arrangements).
  • New information blocking exception for actors that fulfill requests for EHI through the Trusted Exchange Framework and Common Agreement (TEFCA) when the requestor is connected through TEFCA for the EHI they seek.
  • Revised infeasibility exception with two new conditions that apply to certain situations when an actor is asked to allow a third party to modify the EHI and when an actor cannot fulfill EHI requests after offering at least two alternative, interoperable manners for EHI access, exchange or use.

INFORMATION BLOCKING PROHIBITION

Under the regulations adopted by ONC in 2020, information blocking means a practice that, except as required by law or covered by an exception adopted by ONC, is likely to interfere with access, exchange or use of EHI and meets one of the following criteria:

  • If conducted by a certified health IT developer or HIN/HIE, such developer or HIN/HIE knows, or should know, is likely to interfere with, prevent or materially discourage access, exchange or use of EHI.
  • If conducted by a health care provider, the provider knows the practice is unreasonable and is likely to interfere with, prevent or materially discourage access, exchange or use of EHI.

For an initial period (before October 6, 2022), the EHI within the definition of information blocking was limited to the data elements represented in the US Core Data for Interoperability version 1 standard. Since October 6, 2022, EHI for purposes of the information blocking definition has meant all protected health information to the extent it would be included in an electronic designated record set as such terms are defined by the Health Insurance Portability and Accountability Act (HIPAA). The HTI-1 final rule did not change the current definition but did remove the now-obsolete language that applied prior to October 6, 2022.

DEFINITIONS OF “CERTIFIED HEALTH IT DEVELOPER” AND “OFFER HEALTH IT”

The certified health IT developer category of actors includes individuals or entities that “offer” certified health IT, but do not themselves develop certified health IT or take responsibility for the certification of health IT under the Health IT Certification Program.

The HTI-1 proposed rule included a proposed definition of “offer health IT” to clarify what arrangements would cause an individual or entity to become a certified health IT developer. The HTI-1 final rule adopts substantially the same definition as proposed but with wording changes intended to improve clarity. As finalized, offer health IT means to hold out for sale, resale, license, or relicense or to sell, resell, license, relicense or otherwise provide or supply health IT that includes one or more certified health IT modules for deployment by or for other individuals or entities except for certain excluded arrangements.

The excluded arrangements that would not constitute an offer are certain:

  • Electronic health record (EHR) and other health IT cost donation and other funding subsidy arrangements, provided the individual or entity offers and makes the subsidy without condition(s) limiting the interoperability or use of the technology to access, exchange or use EHI for any lawful purpose.
  • Health IT implementation and use activities conducted by an individual or entity, such as issuing login credentials.
  • Consulting and legal services, including legal services furnished by outside counsel and health IT consultant assistance selection, implementation and use consulting services.
  • Comprehensive and predominantly non-health IT clinician practice or other health care provider administrative or operations management services.

The exclusion for health IT donation and funding subsidy arrangements is potentially valuable for health systems and other health care providers that subsidize independent physician practices’ and hospitals’ purchase or license of certified EHRs under the Stark Law’s EHR donation exception and the Anti-Kickback Statute’s EHR donation safe harbor. However, ONC states in the preamble that the exclusion from the offer health IT definition would not apply when an actor licenses or otherwise provides a health IT item or service itself to a recipient.

The scope of the definition (including its exclusions) is important for health systems and other health care delivery organizations that may operate as a health care provider category of actor in most cases, but potentially act as a certified health IT developer actor in other instances by offering health IT to third parties. The category of actor impacts the knowledge standard under the information definition and the potential liability for information blocking violations. If the subsidizing providers are deemed to be certified health IT developers as offerors, they can be held liable for civil monetary penalties for any information blocking under the Cures Act. For more information about the final rule implementing the Cures Act provisions authorizing the HHS Office of Inspector General to impose civil monetary penalties for information blocking violations, see our Special Report. If the subsidizing providers are instead health care provider actors, they can be held liable for appropriate disincentives after HHS finalizes its appropriate disincentives proposed rule. For more information about HHS’s appropriate disincentives proposed rule, see our On the Subject.

EXPANSION OF THE INFEASIBILITY EXCEPTION

The information blocking regulations include the infeasibility exception to allow an actor’s practice of denying a request to access, exchange or use EHI due to the infeasibility of the request, provided that both of the following apply:

  • The actor meets one of the exception’s conditions for different types of infeasibility.
  • The actor provides to the requestor in writing the reasons why the request is infeasible within 10 business days of receiving the request.

The final rule amends the uncontrollable events condition in the infeasibility exception and adds two new conditions: one to allow an actor to deny a third party seeking modification use of EHI; and a second to allow an offer to deny a request for access, exchange or use after exhausting alternative manners offered under the manner exception. The final rule does not change the previously finalized conditions for segmentation and infeasibility under the circumstances.

Uncontrollable Events Condition

The uncontrollable events condition permits an actor’s practice of not fulfilling a request to access, exchange or use EHI that is infeasible for the actor to fulfill as a result of an event (e.g., a disaster or public health emergency) listed in the condition. The final rule revises the text of the condition to clarify that the mere fact that an uncontrollable event occurred is not sufficient for an actor to meet the condition. Instead, there must be a causal connection between the actor’s inability to fulfill a request and the uncontrollable event.

Third Party Seeking a Modification Use Condition

ONC finalized a new infeasibility condition that allows an actor to deny a request to provide the ability for a third party (or its application or other technology) to modify (e.g., create, write or delete) EHI maintained by or for a health care provider or other entity that has deployed health IT, provided that the request is not from a health care provider requesting such use from an actor that is its business associate (as defined by HIPAA). The final condition is the same as ONC’s proposed condition except for a non-substantive editorial change to shorten the text. The new condition addresses concerns by some certified health IT developers and other actors that there are not established standards for data modification use cases and that the modification of EHI by third parties may cause data integrity and security issues.

Manner Exception Exhausted Condition

ONC finalized a new manner exception exhausted condition under the infeasibility exception that permits an actor to deny a request for access, exchange or use of EHI after offering at least two alternative manners in accordance with the Content and Manner Exception (which ONC renamed the “Manner Exception” and to which ONC made technical amendments). According to the HTI-1 final rule preamble, ONC intends for the new condition to address some actors’ concerns about requests that require an actor to divert substantial technical, human or financial resources toward “new, unique or unusual manners of supporting access, exchange or use of EHI” and away from scalable, consensus standards-based solutions.

On the other hand, ONC appears less receptive to concerns of third-party application developers and software-enabled or data-enabled service providers that some actors unfairly make available nonstandard application programming interfaces (APIs) and other interoperability elements to preferred requestors while denying substantially the same interoperability element to requestors that have developed competitive products or are otherwise disfavored.

To satisfy the new manner exception exhausted condition, the actor must be unable to fulfill a request based on the following three factors:

  • The actor could not reach agreement with a requestor in accordance with the manner requested or was technically unable to fulfill a request for EHI in the manner requested.
  • The actor offered at least two alternative manners in accordance with the alternative manner prong of the manner exception, one of which must use either technology certified to standard(s) adopted by ONC under the Health IT Certification Program (g., certified API technology) or content and transport standards published by the federal government or a standards development organization accredited by the American National Standards Institute.
  • The actor does not provide the same access, exchange or use of the requested EHI to a substantial number of individuals or entities that are similarly situated to the requester. ONC states that this third factor is intended to prevent actors from misusing the manner exhausted condition to avoid supplying some requestors with manners of access, exchange or use that are generally available (rather than new, unique or unusual). However, ONC declines to define “substantial number” to allow for what ONC deems an “appropriate amount” of flexibility for various actors who may have very different numbers of customers or requestors. In response to comments, ONC states that calculating the percentage of customers using the same manner “may be helpful” and it believes that “‘substantial number’ is flexible enough to include as few as one customer, when appropriate, and as many as all of a given actor’s customers.” Inevitably, the meaning of substantial number will be in the eye of the beholder, such that requestors will expect their requests to be fulfilled in the manner requested if any of their competitors (or other arguably similarly situated requestors) receive the same manner, while some actors may choose to create a high threshold for what constitutes a substantial number when they do not want to provide access, exchange or use in a certain manner to a particular requestor.

The manner exception exhausted condition also provides that in determining whether a requestor is similarly situated for purposes of the condition, an actor must not discriminate based on the following criteria:

  • Whether the requestor is a patient, member or other individual as defined by HIPAA.
  • The health care provider type and size.
  • Whether the requestor is a competitor of the actor or whether providing such access, exchange or use would facilitate competition with the actor.

The prohibition on delineating entities based on size and type contrasts with the fees and licensing exceptions frameworks, which would permit groupings of similarly situated customers based on size and type for purposes of administering costs and licensing terms.

TEFCA EXCEPTION

The HTI-1 final rule includes a new TEFCA manner exception that allows an actor to limit the manner in which it fulfills a request to access, exchange or use EHI to only via TEFCA. The final exception is a standalone exception instead of the proposed rule’s proposed manner condition to the manner exception and includes some substantive changes in response to comments to the proposed rule.

TEFCA originates from Section 4003 of the Cures Act, which required ONC to convene stakeholders to develop or support a national trusted exchange framework and common agreement for the exchange of health information between health information networks. Over the last several years, ONC has worked with stakeholders and its recognized coordinating entity, the Sequoia Project, to develop the Common Agreement for Nationwide Interoperability, the Qualified Health Information Network Technical Framework and other framework documents. Through its framework documents, TEFCA outlines a common set of principles, terms and conditions to enable nationwide exchange of EHI. On December 12, 2023, the first Qualified Health Information Networks (QHINs) were designated by The Sequoia Project on behalf of ONC, marking the start of information exchange via TEFCA.

Under the TEFCA manner exception, an actor’s practice of limiting the manner in which it fulfills a request for access, exchange or use of EHI to only via TEFCA will not be considered information blocking when the practice meets the following conditions:

  • The actor and requestor are both part of TEFCA. Unlike the proposed rule, an actor is not required to check an available directory of TEFCA QHINs, participants and sub-participants. Instead, actors can determine whether requestors are enrolled in TEFCA through regular business interactions. In the final rule preamble, ONC states its policy interest in promoting interoperability through TEFCA and intends for this new exception to incentivize TEFCA participation. However, ONC acknowledges that not all entities will be ready, willing or able to join TEFCA.
  • The requestor is capable of such access, exchange or use of the requested EHI from the actor via TEFCA. If an actor is capable of providing access, exchange or use of some, but not all, of the requested EHI via TEFCA, the TEFCA exception can cover the EHI that the actor is capable of providing and the requestor is capable of accessing, exchanging or using via TEFCA. The actor could then provide the remaining EHI in a different manner, such as by using any of the alternative manners in the manner exception or by addressing the request through other methods or applicable information blocking exceptions.
  • The requestor does not seek to access, exchange or use EHI via the API standards (essentially Fast Healthcare Interoperability Resources (HL7 FHIR)-based standards) adopted by ONC or another version of those standards approved pursuant to the Standards Version Advancement Process under the Health IT Certification Program. When a requestor seeks to access EHI via such standards, the TEFCA manner exception is unavailable to the actor receiving such request.
  • Any fees charged by the actor in relation to fulfilling the request to satisfy the fees exception and any license of interoperability elements in relation to fulfilling the request to satisfy the licensing exception.

ACTION ITEMS

The HTI-1 final rule will have a significant impact on the information sharing activities of a broad cross-section of the health care industry. Impacted organizations should consider taking the following steps in response to the final rule:

All Actors (Health Care Providers, Certified Health IT Developers, HIN/HIEs)

  • Consider adopting or updating policies and procedures for responding to requests to access, exchange or use EHI from persons other than the individual who is the subject of the EHI to reflect the following:
    • The manner exception exhausted condition of the infeasibility exception
    • If applicable, the new TEFCA manner exception.
  • Consider the benefits and limitations of becoming a TEFCA QHIN, participant or sub-participant in light of the TEFCA manner exception.

Certified Health IT Developers and HIN/HIEs

  • Consider adopting new procedures for requests that involve the creation, deletion or other modification of EHI to reflect the new third party seeking “modification use” condition of the infeasibility exception.

Health Care Providers

  • Review any EHR donation and funding subsidy agreements to determine whether any provisions could be considered by regulators as a condition limiting the interoperability or use of the technology to access, exchange or use EHI for any lawful purpose and, if so, consider removing or modifying the provisions to mitigate the risk of being deemed a certified health IT developer actor.

[View source.]

Wed, 03 Jan 2024 10:00:00 -0600 en text/html https://www.jdsupra.com/legalnews/new-onc-final-rule-expands-information-3811889/
The Role Of LLMs For Improving Patient-Centered Care

Piotr is the CEO of Infermedica, a leading AI health company dedicated to improving preliminary symptom analysis and digital triage.

In the healthcare industry, we work for patients, so it isn’t just a buzzword when we talk about "patient-centered" care.

Care should always have been centered around the patient, but a lack of resources and workforce has made this ideal a struggle. Now, with the emergence of AI and large language models (LLMs), technology can help to truly put patients at the center of healthcare.

In this article, I’ll outline how LLMs can improve the patient experience before I address a few concerns about limitations and privacy.

LLMs In The Service Of Care

Here are a few ways that LLMs can assist the healthcare industry in centering care around patients' needs:

Innovating Access To Care

The emergence of LLMs opens up a whole new world of possibilities about what particulars of healthcare patients can access, and how they can access it.

With 88% of U.S. adults lacking sufficient healthcare literacy to navigate healthcare systems, LLMs can assist in areas of triage to guide patients to the right level of care at the right time. They can also be used to facilitate and simplify materials related to medical conditions, while speech-to-text (STT) and text-to-speech (TTS) features allow LLMs to hear us and talk back—a mode of communication that is so valuable for people with certain disabilities.

Moreover, the ability of LLMs to provide fast and accurate language translations can also improve accessibility.

A Patient, Not A Number: Tailored Medical Care

It’s been a long-term goal to stop treating patients as a number and start giving truly personalized care. But, until now, this has simply not been feasible due to financial constraints, physician shortages, overburdened systems and many other factors.

With the emergence of LLMs, personalized healthcare is more within reach. LLMs can process and analyze vast amounts of patient data, such as genetic makeup, lifestyle, medical history, current medications and much more.

Imagine if, for each patient, all of these factors were taken into account every time. LLMs can flag potential risks and suggest checkups or preventative care. They can also analyze data from patient demographics to benefit the wider community. They can help in the creation of tailored treatment plans for chronic conditions, which could then be approved by a medical professional.

For example, a recent paper on hemodialysis highlights the effective use of generative AI in addressing the challenges nephrologists face in creating personalized patient treatment plans.

Engagement Beyond The Consultation Room

Patients who are more engaged with their healthcare provider and decisions about their health tend to have better healthcare outcomes. This is because they often have higher engagement with preventative services, as well as better adherence to treatment processes.

Improving access to medical care and tailoring that care to specific needs are two crucial factors in keeping patients engaged and empowering them to be more involved in decisions that affect their health.

On top of that, simple procedures that are now either missing or time-consuming for providers can be automated (yet tailored) by LLMs. For example, appointment scheduling, reminders and follow-up communication can all be taken on by LLMs, not only removing the burden from providers but also assisting in the tailoring of the messages and communication that keeps the patient at the center.

Maturity And Limitations Of LLMs

While there are all these fantastic and illuminating opportunities, it’s imperative that we still keep the ultimate focus on providing accurate medical care that is secure and protects the privacy of its patients.

To that end, we must acknowledge the limitations of LLMs in their current state and work to implement other safeguards that mitigate the risks associated with relying too heavily on AI:

Limitations In Output Accuracy

LLMs create their responses based on vast quantities of free text, so there is the potential for bias in their output. For example, if certain demographics are underrepresented or there's a preference towards particular treatments in the data, the LLM draws information from this, which can result in inaccuracies in providing the best medical responses.

Furthermore, another concern is hallucinations, which are "outputs from an LLM that are contextually implausible, inconsistent with the real world and unfaithful to the input," according to a recent paper. Hallucinations can have serious consequences in healthcare if they provide an inaccurate diagnosis or recommend the wrong treatment plan.

To this point, whether it's an LLM-based system or any other type of AI, we must ensure it undergoes rigorous testing and validation. One such method is to include medical professionals in the development of such tools and in the supervision of output.

Privacy And Security

Recognizing and addressing concerns related to data privacy and security is a must for all healthtech companies. To achieve this, developers need to be transparent about their use of such technologies and how they function—and share the knowledge of potential risks openly.

For example, some studies suggest that due to LLMs relying on "memorizing" vast quantities of data, there is a possibility that they could memorize personal information—creating the risk that this private data could then be recycled back into the training data and made public.

Developers must now consider options to combat such risks and maintain compliance with regulators, such as HIPAA or GDPR. For example, anonymizing training data so that no person is identifiable through their personal data. Preventative measures also need to be taken to ensure that data is collected, stored and used correctly and with explicit consent.

In addition, regular scrutiny and tests must be carried out to ensure the highest level of data privacy is being maintained, with strong encryption methods being vital to protect against external attacks.

LLMs—Ready For Health Care?

It’s exciting to visualize the improved patient experience that LLMs can offer. When applied with caution and integrity that protects patients from the current limitations, LLMs will transform patient care as we know it via personalization, opening up access and helping patients to become more engaged with their health.


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Tue, 26 Dec 2023 23:45:00 -0600 Piotr Orzechowski en text/html https://www.forbes.com/sites/forbestechcouncil/2023/12/27/the-role-of-llms-for-improving-patient-centered-care/
How Do the HIPAA Laws Affect the Operations of Human Service Organizations?

Scott Thompson has been writing professionally since 1990, beginning with the "Pequawket Valley News." He is the author of nine published books on topics such as history, martial arts, poetry and fantasy fiction. His work has also appeared in "Talebones" magazine and the "Strange Pleasures" anthology.

Sat, 05 Feb 2022 07:35:00 -0600 en-US text/html https://smallbusiness.chron.com/hipaa-laws-affect-operations-human-service-organizations-66074.html
The 10 Hottest Storage Startups Of 2023

Shifts in the data storage market mean opportunities for smaller nimble startups to push the edge of technology and help discover new ways to store data, as exemplified in this list of 10 storage startups for 2023.

Storage Startups: Looking Beyond The Horizon

Where customers may be turning away from legacy storage technologies to the cloud or to hybrid on-premises and cloud infrastructures, the opportunity arises for startups to demonstrate new ways to do it. It might be new hardware or software that ties cloud and on-premises storage, or new technologies to better monitor and manage capacities, or more commonly, new ways to protect data against ransomware.

And customers appear to be looking over the horizon at new ways to handle storage.

They may need to improve how they manage object storage, which was growing fast but is now growing uncontrollably thanks to the AI and GenAI wave. They need new ways to protect data in general or on particular clouds, particularly in the face of unrelentless ransomware attacks. They need to improve the performance of on-premises data. They need ways to make mainframe applications easily access cloud-based data and vice versa.

[Related: The 10 Hottest Data Storage Startups Of 2022]

All these technologies are available today, thanks in part to the continuing influx of new ideas and new money into the storage business.

CRN takes a look at 10 startups looking to bring new storage capabilities to market and in the process stake their claim to a bigger part of the business going forward.

BackupLabs

CEO and Co-founder: Rob Stevenson

Headquarters: London

Website: https://backuplabs.io/

BackupLabs, which came out of stealth mode in January 2023, develops secure automated backup technology specifically for SaaS cloud applications including Trello, GitHub, GitLab, Notion, Jira, and more. The company has a strong SMB pedigree, being founded by the team behind SMB data backup developer BackupVault. BackupLabs protects SaaS platform data with automated daily backups, rapid restores with granular recovery, protection against accidental or malicious deletion, 256-bit AES encryption, audit logs, and compliance with HIPAA, GDPR, and more.

Impossible Cloud

CEO and Co-founder: Kai Wawrzinek

Headquarters: Hamburg, Germany

Website: https://www.impossiblecloud.com/

Impossible Cloud provides a decentralized, enterprise-grade cloud for Kubernetes-friendly and AWS S3-compatible object storage with built-in data resilience and immutability and no single point of failure. It claims it can do so in a way to save customers up to 75 percent of the cost of other providers. Impossible Cloud Storage targets storage for big data, backup, and archive use cases, and integrates with other cloud storage technologies as Veeam, MSP360, and AWS. The company in September was also certified to work with Veritas Backup Exec, and is now a Veritas elite partner. This Summer also saw Impossible Cloud launch its first partner program.

Impossible Cloud in March unveiled a seed funding round 7 million euros or about $7.6 million, bringing total funding to date to 10 million euros or about $10.9 million.

Iodyne

Co-Presidents: Mike Shapiro and Jeff Bonwick

Headquarters: Mill Valley, Calif.

Website: https://iodyne.com/

Iodyne manufactures the Pro Data line of all-NVMe SSD-based Thunderbolt RAID systems. The Pro Data combines multiple SSDs and multiple Thunderbolt port pairs in a single package that stores up to 48 TBytes of capacity and includes RAID-6 and XTS-AES-256 encryption protection. The devices are portable, making their capacity available where necessary. Up to six Pro Data devices can be daisy-chained to each Thunderbolt port pair, and multiple daisy chains can be connected to computers with multiple Thunderbolt host ports.

Leil Storage

CEO and Co-founder: Aleksandr Ragel

Headquarters: Tallinn, Estonia

Website: https://leil.io/

Leil Storage in March, 2023 launched its scalable data backup and archiving technologies based on purpose-built hardware and its own SaunaFS distributed file system. The company does that via a close relationship with strategic partner Western Digital. Leil Storage has partnered with Western Digital to take advantage of the latter’s host-managed shingled magnetic recording, or HM-SMR, hard drives and its Power Disable HDD management technology, which Leil Storage said helps reduce per-terabyte energy consumption by 18 percent over other technologies while improving performance over existing storage systems. It plans to introduce a power disable feature to decrease storage power draw by 25 percent.

Nimesa

CEO and Co-founder: Tapesh Goyal

Headquarters: San Jose, Calif.

Website: https://nimesa.io/

Nimesa is a developer of data protection and copy data management technology aimed at enterprise users of AWS EC2 instances, RDS, load balancers, S3, and more. It is available as an AMI (Amazon machine image) that can be securely run as an EC2 instance to help transform various data center operations and reduce OpEx for use cases such as backup and recovery, TestDev, analytics, application rollouts, disaster recover, and more. It provides policy-based backup, instant restore, and cloning of EC2 instances. Cloud admins can use it to create fast, space-efficient, point-in-time copies of EBS volumes and EC2 instances for use in backups and AWS disaster recovery strategies, or as a way to use production data in various secondary use cases.

Nodeum

CEO and Co-founder: Valéry Guilleaume

Headquarters: Liege, Belgium

Website: https://www.nodeum.io/

Nodeum builds a services-oriented storage system designed with scalability and redundancy which indexes all metadata files into a single catalog to allow users to easily search and move data. It provides data discovery, copy, migration, control, and deletion via its policy-based automation engine. Nodeum’s plugin connectors provide hybrid storage management across NAS, cloud, and tape storage, while its virtual file system allows access to any type of secondary storage.

Object First

CEO: David Bennett

Headquarters: Boston

Website: https://objectfirst.com/

Object First, a startup developer of purpose-built data protection appliances, in June 2022 exited stealth with $12.5 million in investment and a simple focus on providing a high-performance tier of protection for data managed by Veeam. The tie to Veeam is no accident given that the co-founders of Object First, Ratmir Timashev and Andrei Baronov, were also co-founders of Veeam, and continued to support Veeam after it was acquired in early 2020 by Insight Partners. Object First developed a turnkey hardware appliance it calls Ootbi, short for out-of-the-box immutability. Ootbi is based on the company’s proprietary software designed to reside in an end customer’s on-premises environment and provide immutable storage tied specifically to Veeam environments.

VirtualZ

CEO and Co-founder: Jeanne Glass

Headquarters: Minneapolis

Website: https://virtualzcomputing.com/

Storage startup VirtualZ in December exited stealth mode with technology that moves data between IBM Z mainframe servers and cloud or on-premises applications and vice versa. It’s $2.2 million seed funding round gives the company a total funding of $4.9 million. VirtualZ tackles issues around the fact that data on mainframes and distributed systems is incompatible, and custom coding is typically needed to bridge the two, with three applications that eliminates that need. These include Lozen, which provides real-time read and write access to mainframe-based data by cloud, SaaS, distributed, and custom applications; Zaac, which allows data in hybrid cloud, physical storage and SaaS systems to be accessed by mainframe-based applications in real-time; and PropelZ, a utility for quickly creating a copy of mainframe data as needed for experimentation or analysis in hybrid cloud environments.

Volumez

CEO: Amir Faintuch

Headquarters: Santa Clara, Calif.

Website: https://volumez.com/

Volumez develops composable infrastructure software to help developers request storage resources instead of relying on conventional on-premises or cloud storage. Its controller orchestration software uses Linux to execute modern data infrastructure workloads using a declarative interface aimed at deploying a wide variety of applications in hybrid and multi-cloud environments. The result is a controller-less architecture that composes direct Linux data paths between media and applications to help solve latency and scalability issues and unlock high performance and high resiliency of data large-scale data analytics, artificial intelligence, and machine learning applications. Volumez in April 2023 unveiled a series A funding round that brought the company $20 million, and in November joined both the Azure and AWS marketplaces.

Weebit Nano

CEO: Coby Hanoch

Headquarters: Hod Hasharon, Israel

Website: https://www.weebit-nano.com/

Weebit Nano develops an advanced semiconductor memory technology, Resistive RAM (ReRAM), targeting the growing need for significantly higher performance and lower power memory solutions in a range of new electronic products such as Internet of Things (IoT) devices, smartphones, robotics, autonomous vehicles, 5G communications, and artificial intelligence. ReRAM helps reduce the cost of semiconductor memory while increasing performance and energy efficiency when compared to existing flash memory technologies, the company said. Weebit Nano works with GlobalFoundries as its wafer manufacturer using that company’s 22nm process. Weebit Nano in April 2023 closed a $40 million funding round.

Fri, 22 Dec 2023 04:56:00 -0600 text/html https://www.crn.com/news/storage/the-10-hottest-storage-startups-of-2023
HHS’ Office for Civil Rights Settles First Ever Phishing Cyber-Attack Investigation

Today, the U.S. Department of Health and Human Services (HHS), Office for Civil Rights (OCR), announced a settlement with Lafourche Medical Group, a Louisiana medical group specializing in emergency medicine, occupational medicine, and laboratory testing. The settlement resolves an investigation following a phishing attack that affected the electronic protected health information of approximately 34,862 individuals. Phishing is a type of cybersecurity attack used to trick individuals into disclosing sensitive information via electronic communication, such as email, by impersonating a trustworthy source. This marks the first settlement OCR has resolved involving a phishing attack under the Health Insurance Portability and Accountability Act (HIPAA) Rules. HIPAA is the federal law that protects the privacy and security of health information.

“Phishing is the most common way that hackers gain access to health care systems to steal sensitive data and health information,” said OCR Director Melanie Fontes Rainer. “It is imperative that the health care industry be vigilant in protecting its systems and sensitive medical records, which includes regular training of staff and consistently monitoring and managing system risk to prevent these attacks. We all have a role to play in keeping our health care system safe and taking preventive steps against phishing attacks.”

On May 28, 2021, Lafourche Medical Group filed a breach report with HHS stating that a hacker, through a successful phishing attack on March 30, 2021, gained access to an email account that contained electronic protected health information. When protected health information is compromised by a cyber-attack breach such as phishing, incredibly sensitive information about an individual’s medical records is at risk. The types of sensitive information can include medical diagnoses, frequency of visits to a therapist or other health care professionals, and where an individual seeks medical treatment.

Phishing attacks can result in identity theft, financial loss, discrimination, stigma, mental anguish, negative consequences to the reputation, health, or physical safety of the individual or to others identified in the individual’s protected health information. Health care providers, health plans and data clearinghouses regulated by HIPAA are required to file breach reports with HHS. Based on the large breaches reported to OCR this year, over 89 million individuals have been affected by large breaches. In 2022, over 55 million individuals were affected.

OCR’s investigation revealed that, prior to the 2021 reported breach, Lafourche Medical Group failed to conduct a risk analysis to identify potential threats or vulnerabilities to electronic protected health information across the organization as required by HIPAA. OCR also discovered that Lafourche Medical Group had no policies or procedures in place to regularly review information system activity to safeguard protected health information against cyberattacks.

As a result, Lafourche Medical Group agreed to pay $480,000 to OCR and to implement a corrective action plan that will be monitored by OCR for two years. Lafourche Medical Group will take the following steps to resolve and comply with:

  • Establishing and implementing security measures to reduce security risks and vulnerabilities to electronic protect health information in order to keep patients’ protected health information secure;
  • Developing, maintaining, and revising written policies and procedures as necessary to comply with the HIPAA Rules; and
  • Providing training to all staff members who have access to patients’ protected health information on HIPAA policies and procedures.

OCR is committed to enforcing the HIPAA Rules that protect the privacy and security of protected health information. Guidance about the Privacy RuleSecurity Rule, and Breach Notification Rules can be found on OCR’s website. Additional cybersecurity resources may be found at:

The resolution agreement and corrective action plan may be found at: https://www.hhs.gov/hipaa/for-professionals/compliance-enforcement/agreements/lafourche-medical-group/index.html

The HHS Breach Portal: Notice to the Secretary of HHS Breach of Unsecured Protected Health Information may be found at: https://ocrportal.hhs.gov/ocr/breach/breach_report.jsf.

If you believe that your or another person’s health information privacy or civil rights have been violated, you can file a complaint with OCR at https://www.hhs.gov/ocr/complaints/index.html.

Homeland Security Today
Homeland Security Todayhttp://www.hstoday.us

The Government Technology & Services Coalition's Homeland Security Today (HSToday) is the premier news and information resource for the homeland security community, dedicated to elevating the discussions and insights that can support a safe and secure nation. A non-profit magazine and media platform, HSToday provides readers with the whole story, placing facts and comments in context to inform debate and drive realistic solutions to some of the nation’s most vexing security challenges.

Tue, 19 Dec 2023 22:00:00 -0600 en-US text/html https://www.hstoday.us/subject-matter-areas/cybersecurity/hhs-office-for-civil-rights-settles-first-ever-phishing-cyber-attack-investigation/
Why Is AI Startup Data Preparation Crucial for Model Training? No result found, try new keyword!In today’s AI-driven world, the saying “quality over quantity” resonates profoundly, particularly for emerging startups in the AI field. The cornerstone of a successful AI model lies in its complex ... Mon, 25 Dec 2023 01:21:43 -0600 en-us text/html https://www.msn.com/ HHS Tells Health Systems: Get Serious About Cybersecurity

With cybersecurity incidents occurring on an almost-daily basis in the healthcare sector, federal regulators are looking to take a more active role in improving data security.

The Health and Human Services Department has released a new strategy for cybersecurity, centered on four steps aimed at improving the healthcare landscape. The six-page document builds off of the Biden administration’s National Cybersecurity Strategy, which was unveiled last March, and follows recent actions taken by federal agencies to boost security, including the release of healthcare-specific practices and training resources, guidance on medical device security from the US Food and Drug Administration, and new telehealth guidelines from the HHS Office of Civil Rights (OCR).

“The healthcare sector is particularly vulnerable, and the stakes are especially high,” HHS Secretary Javier Becerra said in a release accompanying the strategy. “Our commitment to this work reflects that urgency and importance. HHS is working with healthcare and public health partners to bolster our cyber security capabilities nationwide.”

The information comes at a particularly vulnerable time for the healthcare industry, which has seen an alarming increase in large data breaches and ransomware attacks in recent months. According to the OCR, the industry has seen an almost two-fold increase in large breaches from 2018 to 2022, from 369 incidents to 712, while ransomware attacks have surged 278% in that time.

“Cyber incidents affecting hospitals and health systems have led to extended care disruptions caused by multi-week outages; patient diversion to other facilities; and strain on acute care provisioning and capacity, causing cancelled medical appointments, non-rendered services, and delayed medical procedures (particularly elective procedures),” the HHS report notes. “More importantly, they put patients’ safety at risk and impact local and surrounding communities that depend on the availability of the local emergency department, radiology unit, or cancer center for life-saving care.”

With that in mind, HHS is planning to take a more active role in pushing the healthcare industry to improve its defenses. The agency plans to:

  1. Establish voluntary cybersecurity performance goals for the healthcare sector;
  2.  Provide resources to incentivize and implement these cybersecurity practices;
  3.  Implement an HHS-wide strategy to support greater enforcement and accountability; and
  4.  Expand and mature the one-stop shop within HHS for healthcare sector cybersecurity.

Of particular note are the financial incentives that the government will be offering to health systems who need help becoming more secure. According to the report, the HHS will be launching a program to help struggling hospitals cover the up-front costs of installing “essential” cybersecurity performance goals (CPGs), and a program that offers incentives for hospitals to invest in advanced cybersecurity practices to implement “advanced” CPGs.

In addition, the HHS strategy will include new cybersecurity requirements for hospitals that will be enforced through the Centers for Medicare & Medicaid Services (CMS), an indication that the feds could tie compliance to Medicare and Medicaid reimbursements. As well, the OCR is scheduled to update the Health Insurance Portability and Accountability (HIPAA) Security Rule this coming spring to include cybersecurity requirements.

Not everyone is on board with the HHS strategy. Chris Bowen, founder and chief information security officer for ClearDATA, says the industry should get even tougher.

“While a gesture towards progress, [the strategy] falls critically short of what's imperative in today's climate,” he said in an e-mail to HealthLeaders. “Suggesting voluntary measures is akin to applying a band-aid on a hemorrhage, it's time for HHS to enforce rigorous, non-negotiable cybersecurity standards and to provide the necessary resources and mandates.”

“The sector's talent gap in cybersecurity is no secret, and it places our hospitals at a disadvantage, jeopardizing patient safety,” he adds. “We must look to the strategies of those who have robustly safeguarded healthcare data and replicate their assertive approach. Protecting lives extends beyond the physical realm; it encompasses shielding patients from the lethal threat of cyber-attacks. To accept minimum, voluntary standards is to tacitly endorse a status quo that endangers our patients.”

Eric Wicklund is the associate content manager and senior editor for Innovation, Technology, Telehealth, Supply Chain and Pharma for HealthLeaders.

Thu, 28 Dec 2023 10:00:00 -0600 en text/html https://www.healthleadersmedia.com/technology/hhs-tells-health-systems-get-serious-about-cybersecurity
Top 8 Practice Management Software Features You Need No result found, try new keyword!Are you struggling to manage your medical practice efficiently? Imagine a tool that streamlines everything from appointment scheduling to patient billing, all in one place. This is where practice ... Mon, 11 Dec 2023 22:00:02 -0600 en-us text/html https://www.msn.com/




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