Essay on IT Management

Published: 2021/12/02
Number of words: 1407

Project Briefing Content

HIPAA training ensures that employees understand what their legal obligations are. There’s more to HIPAA compliance than just passwords and software protection. If your business handles personal information such as health records, then it is required by law to protect that information. HIPAA compliance strategies are vital for a variety of reasons, but perhaps the most essential is that they guarantee that any medical information and data that is classified PHI is secured and secured against potential breaches (Craig, 2017). To ensure the privacy, security, and accessibility of PHI and e-PHI, businesses should include standards for physically, technological, and administrative protections in their compliance plan.

HIPAA Security Rule

The Hipaa clinical prediction to protect their clients’ digitally stored, protected health information (also known as “ePHI”) by implementing organizational, physical, and technological protections to maintain the available information’s privacy, accuracy, and safety. The Protection Act, in essence, takes into account the Safety Rule’s obligations by covering the technical and behavioral measures that covered companies must adopt to secure ePHI. All insurance companies, including those that use certified electronic medical record (EHR) systems, must examine their security risks (Sheffer, 2019). To comply with the Federal Information security management act, those companies must implement organizational, organizational, and technological protections, as well as record each security compliance step.

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The Security Law’s govern how enterprises subject to the Hipaa Privacy use as well as disclose people’ patient data (also known as “personal health information”). These people and organizations are referred to as “insurance companies.” Consumers’ privileges to recognize and choose how their health records is used are similarly protected under the Privacy Rule. The Health Rule’s objective is to guarantee that people’s health data is properly secured while permitting the movement of health data needed to get and encourage higher measures to safeguard the population’s health and well-being (Craig, 2017). The Privacy Rule finds a compromise between allowing vital uses of data while safeguarding the privacy of those seeking care and rehabilitation.

HIPAA Definitions

The Patient Protection and Affordable Care Act of 1996 (HIPAA) is a federal law that mandated the adoption of global standards to prevent critical patient health data from being revealed without the knowledge or approval of the patient. The HIPAA Privacy Rule was developed by the US Ministry of Health Resources (HHS) to fulfill HIPAA’s provisions (Sheffer, 2019). A portion of data contained in the Privacy Rule is protected under the HIPAA Security Rule.

PII Definitions

Personally identifiable information (PII) is data which can be used to identify individuals when combined with other statistical facts. PII could include directly identifiers (such as passports data) which may individually define personhood, as well as developed a semi (such as race) that can be used witother quasi-identifiers (such as date of birth) to correctly detect the face.

PHI Definitions

PHI, also known as patient data that is the demographic factors, health history, test and laboratory findings, mental health issues, insurance details, and other relevant information that a general practitioner gathers in order to assess an individual and identify proper care.

ePHI Definitions

HIPAA defines Private Health Information as any data that would be used to identifying a patient (PHI). Electronic Information, or ePHI, is PHI that is stored in an electronic format, such as a digital version of a medical report (Sheffer, 2019). Even though all PHI must be kept secure under HIPAA, the ease with which ePHI can be copied and transmitted necessitates additional protections to prevent breaches.

Safeguarding of PII

The actual or possible nervousness, breach, improper disclosure, illegal purchase, or access to Classified PII, in physical or electronic form, is characterized as a privacy incident. Employees who fail to utilize effective control while viewing, using, or exchanging Sensitive PII, or who use Sensitive PII for an inappropriate purpose, are the most common causes of privacy incidents. The necessary safeguards to protect Sensitive PII are outlined below.

Collecting and Accessing Sensitive PII

Make sure your databases or information systems has an authorized Data Protection Impact assessment if you’re gathering or storing Hazardous PII digitally. Also, ensure that you have the permission to collect Sensitive PII depending on either the Patient Privacy Systems of Documents Notice (SORN) or a Normal Operation Procedures before doing so (SOP) Accessibility to Hazardous PII is granted based on your “need to know,” that is, when the data is related to your official duties (Craig, 2017). Limit your access to Sensitive PII to what you need to execute your work, and don’t look at or use it for anything else. The reason you’re here except to accomplish your job.

Using and Sharing Sensitive PII

Only when there is a stated routine use in the appropriate SORN and a data exchange and accessibility arrangement that pertains to the information are you invited to disclose PII outside of DHS.

Disposition of Sensitive PII

When confidential PII, such as that discovered in archival emails, is no longer needed, it must be disposed of in compliance with the appropriate records disposal schedules. Take the following steps if deletion is required: Shred any paper that contains Sensitive PII; do not recycle or throw it away. When significant amounts of records are at danger, be extra vigilant during office relocation and transitions (Craig, 2017). Ask your Help Desk to cleanse Sensitive PII via computer drives as well as other data storage devices as according your product’s information security requirements or the DHS 4300A Sensitive Networks Handbook before moving your computer or PED to another employee.

Safeguard PHI

Data breaches in hospitals are growing at an alarming rate, with no indications of decelerating. This is because information has a largely black-market value, making hospitals attractive targets for cybercriminals. The best method to combat these risks is to equip your team with the technologies and protocols listed below.

Strict access policies

IT team must implement access limitation measures to regulate access to secured health information (PHI). Accountants, for example, really shouldn’t have access to the same information as physicians. This ensures that none of the workers have access to documents that are off-limits, reducing the risk of a data breach.

Full-disk encryption

Full-disk encryption is a low-cost and quick way to protect sensitive data. It makes stolen data unreadable to anyone who doesn’t have the correct decryption key.

Safeguarding of ePHI

The Security Rule mandates that control access maintain appropriate and prudent administrative, technical, and physical protections for the protection of electronic protected health information (e-PHI).

Disclosures PII

PII should not be shared with anybody from outside the NRC unless for the purpose of doing official government business. This does not prevent you from exposing your own personal information’s use as well as disclosure of client information to reduce repercussions.

Disclosures of PHI

Before you really use or share patient information, you must first determine how you are permitted to use it, and afterwards develop detailed rules and procedures for authorized use and release. If protected health information (PHI) is misused or exposed, your company could suffer serious financial and legal repercussions. You must comprehend and develop suitable company policy for the appropriate.

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Disclosures ePHI

The amount of ePHI disclosed by an HIE to a PHA must be restricted to the bare minimum required to meet the disclosure’s goal. A covered organization can depend on a PHA’s demand to reveal a summarized report to the PHA or HIE as the minimum amount of PHI required to meet the disclosure’s global health.


Both moral health research and privacy regulations are beneficial to society. Health research is important to advancing human health and health care, and safeguarding participants in study and upholding their rights is critical to doing research process. The basic reason for preserving privacy rights is to safeguard individuals’ interests.


Craig, D. J. (2017). Ensuring compliance with the HIPAA Security Rule: Think twice when e-mailing protected health information. The Nurse Practitioner42(6), 12-14.

Sheffer, J. (2019). How Effectively Are We Protecting Protected Health Information? Biomedical instrumentation & technology53(2), 128-135.

Moon, L. A. (2017). Factors influencing health data sharing preferences of consumers: A critical review. Health policy and technology6(2), 169-187.

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