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This policy outlines UConn Health's commitment to protecting the privacy and security of Protected Health Information (PHI) and other confidential data, detailing procedures for managing breaches
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How to fill out BREACHES OF PRIVACY & SECURITY OF PROTECTED HEALTH INFORMATION (PHI) AND CONFIDENTIAL DATA

01
Identify the incident involving breaches of privacy and security related to Protected Health Information (PHI) and confidential data.
02
Document the date and time when the breach occurred.
03
Gather all relevant details about the breach, including how it happened, what data was affected, and any individuals involved.
04
Assess the impact of the breach on the individuals whose data was compromised.
05
Notify the appropriate authorities and regulatory bodies as required by law.
06
Implement immediate corrective actions to contain and mitigate the breach.
07
Review and update existing privacy and security policies to prevent future breaches.
08
Provide training and resources to staff on best practices for handling PHI and confidential data.
09
Monitor and follow up on the situation to ensure compliance and address any ongoing concerns.

Who needs BREACHES OF PRIVACY & SECURITY OF PROTECTED HEALTH INFORMATION (PHI) AND CONFIDENTIAL DATA?

01
Healthcare providers and organizations managing PHI.
02
Compliance officers responsible for regulatory adherence.
03
IT and cybersecurity professionals overseeing data protection.
04
Legal teams needing to understand liabilities and obligations.
05
Patients and clients whose information may be compromised.
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Failure to comply with HIPAA can also result in civil and criminal penalties. If a complaint describes an action that could be a violation of the criminal provision of HIPAA, OCR may refer the complaint to the Department of Justice (DOJ) for investigation.
The HIPAA definition of a data breach is “the procurement, access, use or expose of confidential health information illegitimately, which compromises the privacy or security of that confidential health information” [14].
In one HIPAA violation example, providers sent unencrypted PHI via email to patients. Use only devices and platforms that are protected and encrypted. Failing to plan for cyber attacks: Cyber attacks are increasingly common with so many records stored in the cloud.
A HIPAA violation is any failure to comply with the HIPAA regulations – which can include the unauthorized access, use, or disclosure of Protected Health Information (PHI), the failure to provide patients with access to their PHI, a lack of safeguards to protect PHI, the failure to conduct regular risk assessments, or
What is not considered PHI? Identifying information, such as personal names, residential addresses, or phone numbers, is not considered PHI unless it is related to health data.
Accessing patient files without authorization This holds true for doctors or healthcare staff, too. Individuals must remember that written consent is required to access PHIs, and without it, access will be regarded as a HIPAA violation.

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BREACHES OF PRIVACY & SECURITY OF PROTECTED HEALTH INFORMATION (PHI) AND CONFIDENTIAL DATA refer to unauthorized access, use, disclosure, or destruction of sensitive health information that is protected by laws such as HIPAA. This includes any incidents where PHI is compromised, either intentionally or accidentally.
Covered entities such as health care providers, health plans, and health care clearinghouses, as well as their business associates, are required to file breaches of privacy and security of PHI and confidential data as mandated by HIPAA regulations.
To fill out the report for breaches, one needs to include details such as the nature and scope of the breach, the types of PHI involved, the number of individuals affected, the corrective actions taken, and steps for mitigation. Specific forms or templates provided by regulatory bodies may also need to be used.
The purpose of reporting breaches is to ensure accountability, enhance the protection of patient information, notify affected individuals, and comply with legal requirements. It helps in assessing the risk and preventing future breaches.
When reporting breaches, information that must be included includes the date of the breach, the date it was discovered, the description of the breach, the individuals affected, the type of PHI involved, notifications sent to affected individuals, and any corrective actions taken.
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