1. One Academic Medical Center’s Response to HIPAA David McKelvey DUHS January 12, 2001

2. Education Goal: Learn the material. Regulations in the Federal Register Expert analyses / interpretations Conferences NCHICA HIPAA HealthKey WEDI conference INfoSec 2000 GG/healthcare symposium HIPAA National Summit in DC AMC HIPAA Workshop Awareness Orientation Identification Organization Technology Normalize Contacts

3. HIPAA security training sessions Goal: Introduce HIPAA to the organization and stimulate planning required to become compliant. 4 hours long Held approximately every 6 weeks Lecture style presentation Several hundred people have attended so far Awareness Orientation Identification Organization Technology Normalize Contacts

4. HIPAA first look meetings (Gap Analysis) Goals: Equip groups with information required to prepare HIPAA budget requests. Give snapshot to senior mgmt. 3-6 hours long Scheduled with individual groups In attendance management and IT people Deliverable is a spreadsheet filled out by the group Compliance level (L M H) Challenges, needs, success factors in becoming compliant ($ ET ST OC T O SL HSL SD) Opportunities while/in becoming compliant ($ ST O SL HSL TEAM STDS SD) Cost estimate to become compliant (L M H) Cost estimate to stay compliant (L M H) About 18 groups have participated so far

5. Awareness Orientation Identification Organization Technology Normalize Contacts Groups Goal: Organize people and activities required to bring the organization into HIPAA compliance. Changes to policy, procedures, and technology in equal measure is required. Executive committee Policy group Evaluation and monitoring committee Information security office Technical security guidance groups Oversight groups Managers

6. Awareness Orientation Identification Organization Technology Normalize Contacts Goal: Prototype, pilot, and implement technological solutions to HIPAA requirements best addressed by common or interoperable technological solutions. Firewall Public Key Infrastructure (PKI) Digital Signature Virtual Private Network (VPN) Wireless network access Anti-virus software Personal firewall PDA access Intrusion detection Security incident

7. Awareness Orientation Identification Organization Technology Normalize Contacts Goal: Participate in activities with representatives of other HCOs intended to define what is adequate, promote interoperable standards, and coordinate implementation. North Carolina Healthcare Information and Communications Alliance (NCHICA) Implementation Planning Task Force Data Security Workgroup Network Security and Interoperability Workgroup Transactions Workgroup Workgroup for Electronic Data Interchange (WEDI)

8. Awareness Orientation Identification Organization Technology Normalize Contacts David McKelvey:David.McKelvey@Duke.eduDavid.McKelvey@Duke.edu NCHICA:http://www.NCHICA.orghttp://www.NCHICA.org WEDI:http://www.WEDI.orghttp://www.WEDI.org