Privacy Office Roadmap-1 - Weill Cornell Medicine · 2017-07-18 · ServiceNow, FairWarning,...

FY15Q3 FY15Q4 FY16Q1 FY16Q2 FY16Q3 FY16Q4

HIPAATRAINING

HIPAAPOLICYUPDATES/

DEVELOPMENT

Privacy Office

OffermonthlyPrivacyWorkshops:ReleaseofInformationAuthorization,GeneralHIPAARefresher,NoticeofPrivacyPractice

Fundraising

RISKASSESSMENTEvaluateHIPAATrainingComplianceeverysixmonths

LaunchAnnualFY2016HIPAAUpdateTraining:Staff

FinalSet-upofHIPAATrainingforMDs:IE11,Pre-booking,CertificateMailing

✓ LEGENDFirmTimeframe

OngoingTimeframe Milestone Completed

MilestoneDelayedMilestone

TentativeTimeframe

LaunchAnnualFY2016HIPAAUpdateTraining:Physicians

Plan,Build,andTestHIPAAUpdateTrainingforFY2016

LaunchAnnual2016UpdateTraining:Attestation

PrivacyOfficeWebsiteIntranetUpdate

RISKASSESSMENTEvaluateHIPAATrainingComplianceeverysixmonths

WrapupHIPAA2014StaffTrainingWTMS;ApplySanctionforDelinquencies

HIPAATrainingforMDs

Post-ImplementationofWTMSnon-employeeregistrationsolution,discontinueMyCertificates,analyze/archivetrainingrecords

AuthorizationforReleaseofPHIandRevocationofAuthorization

SanctionsPolicy/AccountabilityMatrix

ProtectingPHIduringDisasterMode/ContingencyPlan AccountingofDisclosures

UseandDisclosureofPHIforResearch

HIPAADeidentification&HonestBroker

PatientRequestsforAmendmenttoMedicalRecord

PrivacyRiskAssessmentPolicy

OffisiteStorageofPHI/RecordRetention/PurgingofRecords

RetentionofVoiceRecordings(PhoneRecords)withPHI

RetentionofRecordswithPHI

AnnualPolicyReviewaspartofRISKASSESSMENT

AuthorizationforHIE

✓ ✓

Marketing

FY15Q3 FY15Q4 FY16Q1 FY16Q2 FY16Q3 FY16Q4

BUSINESSASSOCIATE

AGREEMENTS

PRIVACYINCIDENT

MANAGEMENT

PRIVACYRISKASSESSMENTS

FAIRWARNINGMONITORING

CENTRALIZEROI

Privacy Office

Post-ImplementationofFairWarning–varioussamplingroutinesatdesignatedtimes(vs.perpetual)

Selectcentralizeddatabase–ServiceNow,FairWarning,SharePoint

Offsitestoragesurvey.PartOne:Wherearewestoring?

✓ LEGENDFirmTimeframe

OngoingTimeframe Milestone Completed

MilestoneDelayedMilestone

TentativeTimeframe

BeginRelationshipReviewProcessRolloutBAASharePointWorkflowtoallDepartmentstoInclude

ActiveVendorReviewannuallyforPossible

MissedBAAsaspartofRISKASSESSMENT

ActiveVendorReviewannuallyforPossibleMissedBAAsaspartofRISKASSESSMENTImplementprocesstosurveyBAAsaspart

ofRISKASSESSMENTduringrelationshipreview

ImplementIncidentReviewCommitteeandMeetBi-Monthly

EndofYearReportingtoHHS-OCR

Formulateproposalandbusinessplantosetupcentralunittomanagerecordrequests,patient-requestedaccountingofdisclosures,andpatient-requestedrecordamendments.

Offsitestoragesurvey.PartTwo:Purgeprocessesofoldrecord

HHS-OCRMockResponse(auditorinvestigation)Project HHS-OCRMockResponse

(auditorinvestigation)Project

Walk-ThroughSurveyPracticeSites,onedepartmentpermonth

FairWarningSetUpProject

Privacy Office Roadmap-1 - Weill Cornell Medicine · 2017-07-18 · ServiceNow, FairWarning,...

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