Recommendations and Action Plans made In a health care facility
Vila Health: Security Summary: Hello Andrew, There were several security postures that were observed and need to be addressed. Let’s start with the hospital floor, Employee Passwords should be kept private and not shared. The passwords should also be changed every 90 days to ensure PHI safety. Also noticed, was a patient’s PHI information being exposed on the EHR system which is a big HIPAA violation along with patient medical results being sent from a unsecure system that is not equipped to ensure safe transfer, such as a home computer. Last, for the hospital floor is the lack of urgency observed, when it came to doctors replying to messages pertaining to their patients health status. Now the privacy postures observed in the IT department were, office equipment such as the office copier being returned to the sender or for repair without the hard drives being cleared of important information and employees neglecting to report lost, stolen, or misplaced company laptops in a timely manner to alleviate security breaches pertaining PHI and other important information. The company also need to invest in updated firewall protection and malware, this was noticeably outdated. Last, access should not be granted to any unauthorized user on any company system.
Vila Health: Identifying Risks Strengths:
– Company has a strong and helpful IT team – Ron Bailey’s contribution to the company’s security systems shows – Caring and observant nursing team
Weaknesses: – Need upgraded EHR to ensure that PHI is safe – Need to invest in a HR team to help organize and manage company funds and PHI Opportunities: – Organizational Growth- the company has the potential to grow with the required upgrades and security measures being changed and utilized – Improved Company Security Threats: – Security Breaches due to outdated software and systems – Possible loss of valuable employees due to low salaries and poor benefits – Loss of revenue – Staff’s lack of knowledge, when referring to legal documents.
1. RISKS
1.1 SWOT ANALYSIS
[Submit a copy of your SWOT here. ]
1.2 EXECUTIVE SUMMARY
[Insert Your Executive Summary Here]
2 PRIVACY
2.1 COMPLIANCE INTRODUCTION
[Insert Your Compliance Checklist Introduction Here}
2.2 COMPLIANCE CHECKLIST
[Submit a copy of your Compliance Checklist here.]
3 SECURITY REPORT
[Insert Your Security Report Here]
Privacy and Security Risk Report
Confidential 4
4 RECOMMENDATIONS
Based on the results of the Risk Audit and all the information gathered throughout the course, you
will compile recommendations and action plans for Valley City Regional Hospital’s Risk Manager.
These recommendations should align to your findings in previous assignments.
Your recommendations and action plans should:
• Outline recommendations to avoid privacy and security violations identified through audits.
• Outline action plans to accompany recommendations.
• Discuss best practices, policies, and procedures that should be in place to facilitate
recommendations and action plans.
• Summarize key use of HIPAA standards, and legal and ethical implications, in relation to
the recommendations and action plans.
[Insert Your Recommendations and Action Plans Here]
COMPLIANCE CHECKLIST
1.) Conduct and in-service for the Nursing department in regards to the importance of keeping all PHI safe and secure.
2.) Make sure every department is aware of how to send and receive e-signatures and e-mails, ensuring that they are all sent encrypted to the correct parties.
3.) Make sure that all medications dispensed from the pharmacy has a current and valid order from their doctor or physician.
4.) Conduct training with all medical staff, addressing the importance of keeping all PHI safe and secure from unauthorized persons an/or users.
5.) Ensure that all departments and staff knows the correct procedures to take when PHI is requested from an outside entity.
5 REFERENCES
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