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Get the free Notice to the Secretary of HHS of Breach of Unsecured Protected Health Information

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This document is an outline for county agencies to complete prior to submitting a breach notice to HHS.gov regarding incidents of unsecured protected health information.
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How to fill out notice to form secretary

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How to fill out Notice to the Secretary of HHS of Breach of Unsecured Protected Health Information

01
Gather the necessary information about the breach, including what happened, when it occurred, and how many individuals were affected.
02
Prepare the required notification letter, ensuring it includes a description of the breach, the types of unsecured protected health information involved, and any steps individuals should take to protect themselves.
03
Complete the HHS Online Breach Reporting Form, providing accurate and detailed information regarding the breach.
04
Review the notice for compliance with HIPAA breach notification requirements before submission.
05
Submit the notice to the Secretary of HHS either electronically or via mail, ensuring that it is done within 60 days of discovering the breach.
06
Keep a copy of the submission for your records.

Who needs Notice to the Secretary of HHS of Breach of Unsecured Protected Health Information?

01
Covered entities under HIPAA, such as healthcare providers, health plans, and healthcare clearinghouses, who experience a breach of unsecured protected health information.
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If a breach affects 500 or more individuals, covered entities must notify the Secretary without unreasonable delay and in no case later than 60 days following a breach. If, however, a breach affects fewer than 500 individuals, the covered entity may notify the Secretary of such breaches on an annual basis.
Question: POST-TESTWhen a breach affects 500 or more patient records, all of the following must occur except:Patient notification no later than 60 days after the discovery of the breachAn email to every patient whose record has been impacted by the breach.
If a breach affects 500 or more individuals, covered entities must notify the Secretary without unreasonable delay and in no case later than 60 days following a breach. If, however, a breach affects fewer than 500 individuals, the covered entity may notify the Secretary of such breaches on an annual basis.
If the breach involves the unsecured PHI of more than 500 individuals, a covered entity must notify a prominent media outlet serving the state or jurisdiction in which the breach occurred, in addition to notifying HHS.
Breach notification letters must be sent within 60 days of the discovery of a breach unless a shorter breach notification timeframe exists under state law or a request to delay notifications has been made by law enforcement.
A breach of PHI is when this sensitive data is accessed, used, or disclosed in a manner not permitted by HIPAA, creating a significant risk of financial, reputational, or other harm to the individual.
HIPAA's Breach Notification Rule requires covered entities to notify patients when their unsecured protected heath information (PHI) is impermissibly used or disclosed — or “breached,” — in a way that compromises the privacy and security of the PHI.

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The Notice to the Secretary of HHS of Breach of Unsecured Protected Health Information is a formal notification that organizations must submit to the Secretary of the Department of Health and Human Services when there is a breach of unsecured protected health information (PHI) that affects 500 or more individuals.
Covered entities, including healthcare providers, health plans, and healthcare clearinghouses that experience a breach of unsecured protected health information involving 500 or more individuals are required to file the notice.
To fill out the Notice to the Secretary of HHS, organizations must provide specific details about the breach, including the nature of the breach, the number of individuals affected, the type of information involved, and any actions taken to mitigate the breach.
The purpose of the Notice to the Secretary of HHS is to inform the government about breaches of unsecured PHI, allowing for oversight and ensuring that appropriate measures are in place to protect patient information and address any potential risks.
The information that must be reported includes the nature of the breach, the date of the breach and its discovery, the number of individuals affected, a description of the unsecured PHI involved, steps taken to investigate the breach, and the steps individuals should take to protect themselves.
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