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HIPAA Rulings and Guidance for 2022
Conference Panel
Mark R. Brengelman, JD, MA
Attorney at Law
Frankfort, Kentucky
1
About Mark R. Brengelman
• Holds Bachelor’s and Master’s Degrees in Philosophy from
Emory University, Atlanta, Georgia
• Earned a Juris Doctorate from the University of Kentucky
College of Law, Lexington, Kentucky
• Served out a successful twenty year career with state
government in Kentucky, including…. now in private
practice since 2012
About Mark R. Brengelman
• Was a former Assistant Attorney General assigned to
multiple state licensure boards in health care and other
professions – General Counsel and Prosecuting Attorney
• Has presented Continuing Education for over 50 national
and state organizations and private companies, including
the Kentucky Office of the Attorney General, the Kentucky
Bar Association, the National Attorneys General Training
and Research Institute, and the Federation of Associations
of Regulatory Boards and seven of its member associations
in psychology, physical therapy, dentistry, nursing,
veterinary medicine, emergency medical services, and state
licensed contractors
• Has represented all three branches of state government
and now a local municipality in governmental ethics
#CLEARV21
Based upon the
content of this
program,
you will be able
to identify:
•
•
• Interoperability and what it means for
2022
•
•
•
•
#CLEARV21
Goals of the
content of
this program
•
•
•
#CLEARV21
Introduction
•
•
•
•
#CLEARV21
Basics of
HIPAA
privacy and
security
•
•
•
•
Cybersecurity Landscape Ahead
• It is predicted in 2022:
• Ransomware attacks will escalate, double extortion occurs when the attacker exfiltrates data
first, then encrypts it, and only then demands a ransom
• There will be a cybersecurity workforce shortage – this is now a college degree specialty in
compute science
• Healthcare will struggle with implementing stronger cybersecurity protections
• This is a national security issue what with war in late February/early March 2022 in eastern
Europe
• Healthcare entities are vulnerable – think of what all is in a medical record
• Example: dental patient’s root canal and prescribed (scheduled) drugs versus medical history 8
Possible Changes in HIPAA Law
• In early 2021, the U.S. Department of Health and Human Services (HHS) published
proposed changes to the HIPAA Privacy Rule. The key elements of those changes are:
• Strengthens the patient right to access their medical records
• Makes it easier for providers to disclosed protected health information (PHI) for care
coordination and social services
• Removes requirement of patient acknowledgement of receipt of Notice of Privacy
Practices (NPP)
• Revises NPP content requirement to clarify how patients may exercise their individual
rights
• Potential changes to the National Institute of Standards and Technology (NIST)
guidelines
The final rule date is unknown and the compliance date is not until 240 days after the
rule is made final
9
Preparing for Tomorrow
• Review and revise your HIPAA risk analysis
• Review policies and procedures to make sure they are up to date today, making future
changes less burdensome
• Emphasize to staff the importance of providing patients with access to their medical
records-(this has long been an OCR enforcement priority)
• Refresh workforce training in basic HIPAA compliance
• Example: Indiana state court hospital liability cases involving basic HIPAA compliance
10
Patient Access to Medical Records
• On December 13, 2016, President Obama signed the 21st Century Cures Act. The deadline for
compliance was April 5, 2021. The Act outlines eight mandatory categories of clinical notes to
be made available to patients. These include:
• Consultation notes
• Discharge summary notes
• History and physicals
• Imaging narratives
• Lab report narratives
• Pathology report narratives
• Procedure notes
• Progress notes
11
#CLEARV21
HIPAA and
Covid-19
#CLEARV21
Best practices
tips, and
techniques to
prepare for
tomorrow
•
•
•
•
#CLEARV21
Did we
cover it
all?
•
•
• Interoperability and what it means for
2022
•
•
•
•
REGISTER HERE

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What is HIPAA Landscape for 2022?

  • 1. HIPAA Rulings and Guidance for 2022 Conference Panel Mark R. Brengelman, JD, MA Attorney at Law Frankfort, Kentucky 1
  • 2. About Mark R. Brengelman • Holds Bachelor’s and Master’s Degrees in Philosophy from Emory University, Atlanta, Georgia • Earned a Juris Doctorate from the University of Kentucky College of Law, Lexington, Kentucky • Served out a successful twenty year career with state government in Kentucky, including…. now in private practice since 2012
  • 3. About Mark R. Brengelman • Was a former Assistant Attorney General assigned to multiple state licensure boards in health care and other professions – General Counsel and Prosecuting Attorney • Has presented Continuing Education for over 50 national and state organizations and private companies, including the Kentucky Office of the Attorney General, the Kentucky Bar Association, the National Attorneys General Training and Research Institute, and the Federation of Associations of Regulatory Boards and seven of its member associations in psychology, physical therapy, dentistry, nursing, veterinary medicine, emergency medical services, and state licensed contractors • Has represented all three branches of state government and now a local municipality in governmental ethics
  • 4. #CLEARV21 Based upon the content of this program, you will be able to identify: • • • Interoperability and what it means for 2022 • • • •
  • 5. #CLEARV21 Goals of the content of this program • • •
  • 8. Cybersecurity Landscape Ahead • It is predicted in 2022: • Ransomware attacks will escalate, double extortion occurs when the attacker exfiltrates data first, then encrypts it, and only then demands a ransom • There will be a cybersecurity workforce shortage – this is now a college degree specialty in compute science • Healthcare will struggle with implementing stronger cybersecurity protections • This is a national security issue what with war in late February/early March 2022 in eastern Europe • Healthcare entities are vulnerable – think of what all is in a medical record • Example: dental patient’s root canal and prescribed (scheduled) drugs versus medical history 8
  • 9. Possible Changes in HIPAA Law • In early 2021, the U.S. Department of Health and Human Services (HHS) published proposed changes to the HIPAA Privacy Rule. The key elements of those changes are: • Strengthens the patient right to access their medical records • Makes it easier for providers to disclosed protected health information (PHI) for care coordination and social services • Removes requirement of patient acknowledgement of receipt of Notice of Privacy Practices (NPP) • Revises NPP content requirement to clarify how patients may exercise their individual rights • Potential changes to the National Institute of Standards and Technology (NIST) guidelines The final rule date is unknown and the compliance date is not until 240 days after the rule is made final 9
  • 10. Preparing for Tomorrow • Review and revise your HIPAA risk analysis • Review policies and procedures to make sure they are up to date today, making future changes less burdensome • Emphasize to staff the importance of providing patients with access to their medical records-(this has long been an OCR enforcement priority) • Refresh workforce training in basic HIPAA compliance • Example: Indiana state court hospital liability cases involving basic HIPAA compliance 10
  • 11. Patient Access to Medical Records • On December 13, 2016, President Obama signed the 21st Century Cures Act. The deadline for compliance was April 5, 2021. The Act outlines eight mandatory categories of clinical notes to be made available to patients. These include: • Consultation notes • Discharge summary notes • History and physicals • Imaging narratives • Lab report narratives • Pathology report narratives • Procedure notes • Progress notes 11
  • 13. #CLEARV21 Best practices tips, and techniques to prepare for tomorrow • • • •
  • 14. #CLEARV21 Did we cover it all? • • • Interoperability and what it means for 2022 • • • • REGISTER HERE