hippa patient privacy breach incident report georgia

by Hershel Cartwright DVM 4 min read

HIPAA Privacy Notices | Georgia Department of Community Health

22 hours ago  · HIPAA Privacy Notices. The Privacy Ruling was published in the Federal Register on December 28, 2000. The U.S. Department of Health and Human Services' Office for Civil Rights is responsible for enforcing this rule. The potential implications for failure to comply with HIPAA’s privacy, security and breach notification requirements range from the cost of investigation and taking corrective action as part of an informal resolution … >> Go To The Portal


If you believe that a HIPAA-covered entity or its business associate violated your (or someone else’s) health information privacy rights or committed another violation of the Privacy, Security, or Breach Notification Rules, you may file a complaint with the Office for Civil Rights (OCR).

Full Answer

What is HIPAA privacy and security and breach notification?

Health Insurance Portability and Accountability Act (HIPAA) Privacy, Security, and Breach Notification Rules protect the privacy and security of health information and gives individuals rights to their health information.

How do I report a breach of protected health information?

In addition to notifying affected individuals and the media (where appropriate), covered entities must notify the Secretary of breaches of unsecured protected health information. Covered entities will notify the Secretary by visiting the HHS web site and filling out and electronically submitting a breach report form.

Why was Brigham and women’s Hospital fined for HIPAA violations?

Brigham and Women’s Hospital was fined for allowing an ABC film crew to record footage of patients as part of the Boston Med TV series, without first obtaining consent from patients. Brigham and Women’s Hospital agreed to settle the alleged HIPAA violations with OCR for $384,000. Read More…

Can HIPAA violation cases send you to prison?

Some HIPAA Violation Cases Can Send a Person to Prison It all began when a cardiothoracic surgeon from China named Huping Zhou was fired from his job. Huping Zhou had been working as a researcher at the UCLA School of Medicine.

How do I report a HIPAA violation in Georgia?

Complaint RequirementsBe filed in writing by mail, fax, e-mail, or via the OCR Complaint Portal.Name the covered entity or business associate involved, and describe the acts or omissions, you believed violated the requirements of the Privacy, Security, or Breach Notification Rules.More items...

When must a breach of HIPAA be reported?

within 60 daysData Breaches Experienced by HIPAA Business Associates Any breach of unsecured protected health information must be reported to the covered entity within 60 days of the discovery of a breach. While this is the absolute deadline, business associates must not delay notification unnecessarily.

Is reporting a breach a HIPAA violation?

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.

Who should a breach of PHI be reported to?

In addition to notifying affected individuals and the media (where appropriate), covered entities must notify the Secretary of breaches of unsecured protected health information. Covered entities will notify the Secretary by visiting the HHS web site and filling out and electronically submitting a breach report form.

What are the 3 types of HIPAA violations?

Top 10 Most Common HIPAA ViolationsKeeping Unsecured Records. ... Unencrypted Data. ... Hacking. ... Loss or Theft of Devices. ... Lack of Employee Training. ... Gossiping / Sharing PHI. ... Employee Dishonesty. ... Improper Disposal of Records.More items...•

When a patients PHI has been disclosed as a result of a breach who should be notified within 60 days?

If a breach of unsecured protected health information affects fewer than 500 individuals, a covered entity must notify the Secretary of the breach within 60 days of the end of the calendar year in which the breach was discovered.

What is considered a breach of patient confidentiality?

A breach of confidentiality occurs when a patient's private information is disclosed to a third party without their consent. There are limited exceptions to this, including disclosures to state health officials and court orders requiring medical records to be produced.

How many individuals are affected by a breach notification?

A covered entity’s breach notification obligations differ based on whether the breach affects 500 or more individuals or fewer than 500 individuals . If the number of individuals affected by a breach is uncertain at the time of submission, the covered entity should provide an estimate, and, if it discovers additional information, submit updates in the manner specified below. If only one option is available in a particular submission category, the covered entity should pick the best option, and may provide additional details in the free text portion of the submission.

How long does a covered entity have to notify the Secretary of Health?

If a breach of unsecured protected health information affects fewer than 500 individuals, a covered entity must notify the Secretary of the breach within 60 days of the end of the calendar year in which the breach was discovered. (A covered entity is not required to wait until the end of the calendar year to report breaches affecting fewer than 500 individuals; a covered entity may report such breaches at the time they are discovered.) The covered entity may report all of its breaches affecting fewer than 500 individuals on one date, but the covered entity must complete a separate notice for each breach incident. The covered entity must submit the notice electronically by clicking on the link below and completing all of the fields of the breach notification form.

How many individuals can a covered entity report?

The covered entity may report all of its breaches affecting fewer than 500 individuals on one date, but the covered entity must complete a separate notice for each breach incident.

How to contact HHS OCR?

If you have any questions, you may call HHS OCR toll-free at: 1-800-368-1019, TDD: 1-800-537-7697 or send an email to OCRPrivacy@hhs.gov. Content created by Office for Civil Rights (OCR) Content last reviewed on January 5, 2015.

What is covered entity notification?

A covered entity must notify the Secretary if it discovers a breach of unsecured protected health information. See 45 C.F.R. § 164.408. All notifications must be submitted to the Secretary using the Web portal below.

What is HIPAA breach notification?

The HIPAA Breach Notification Rule, 45 CFR §§ 164.400-414, requires HIPAA covered entities and their business associates to provide notification following a breach of unsecured protected health information. Similar breach notification provisions implemented and enforced by the Federal Trade Commission (FTC), apply to vendors of personal health records and their third party service providers, pursuant to section 13407 of the HITECH Act.

What is breach in health care?

A breach is, generally, an impermissible use or disclosure under the Privacy Rule that compromises the security or privacy of the protected health information. An impermissible use or disclosure of protected health information is presumed to be a breach unless the covered entity or business associate, as applicable, ...

What is unsecured health information?

Unsecured protected health information is protected health information that has not been rendered unusable, unreadable, or indecipherable to unauthorized persons through the use of a technology or methodology specified by the Secretary in guidance.

How to notify a covered entity of a breach of unsecured health information?

Covered entities must notify affected individuals following the discovery of a breach of unsecured protected health information. Covered entities must provide this individual notice in written form by first-class mail, or alternatively, by e-mail if the affected individual has agreed to receive such notices electronically. If the covered entity has insufficient or out-of-date contact information for 10 or more individuals, the covered entity must provide substitute individual notice by either posting the notice on the home page of its web site for at least 90 days or by providing the notice in major print or broadcast media where the affected individuals likely reside. The covered entity must include a toll-free phone number that remains active for at least 90 days where individuals can learn if their information was involved in the breach. If the covered entity has insufficient or out-of-date contact information for fewer than 10 individuals, the covered entity may provide substitute notice by an alternative form of written notice, by telephone, or other means.

How long does a business associate have to notify the covered entity of a breach?

A business associate must provide notice to the covered entity without unreasonable delay and no later than 60 days from the discovery of the breach.

What information should a business associate provide to the covered entity?

To the extent possible, the business associate should provide the covered entity with the identification of each individual affected by the breach as well as any other available information required to be provided by the covered entity in its notification to affected individuals.

How long does a breach of privacy notice have to be provided?

Like individual notice, this media notification must be provided without unreasonable delay and in no case later than 60 days following the discovery of a breach and must include the same information required for the individual notice.

Where to file a complaint against the Georgia Department of Public Health?

If you believe that your privacy rights have been violated, you may send a written complaint to the Privacy Officer, Office of the General Counsel, Georgia Department of Public Health, 2 Peachtree Street N.W., 15th Floor, Atlanta, Georgia 30303. You may also file a complaint with the Secretary of the U.S. Department of Health and Human Services. There will be no retaliation for filing a complaint.

Where to send a copy of your health records in Georgia?

You must submit your request in writing to the Privacy Officer, Office of the General Counsel, Georgia Department of Public Health, 2 Peachtree Street, N.W., 15th Floor, Atlanta, Georgia, 30303, and include your name, date of birth, social security number, and the location where services were received if you received services at a local county health department. We may deny your request and in some circumstances, you may request a review of the denial.

How to request confidential health information?

To request confidential communications, please send your request in writing to the Privacy Officer, Office of the General Counsel, Georgia Department of Public Health, 2 Peachtree Street N.W., 15th Floor, Atlanta, Georgia 30303. Please include your name, social security number, date of birth, how you would like to be contacted, and the local county health department where you received services.

How to request an amendment to PHI?

Right to Request an Amendment of PHI: You may request that we amend information that we have about you, for as long as we keep that information. You must submit your request in writing to the Privacy Officer, Office of the General Counsel, Georgia Department of Public Health, 2 Peachtree Street, N.W., 15th Floor, Atlanta, Georgia, 30303, and include your name, date of birth, social security number, a reason that supports your request, and the location where services were received if you received services at a local county health department. Your request may be denied if 1) the information was not created by us unless the creator of the information is not available to make the requested amendment, 2) the information is not kept by us, 3) the information is not available for your inspection, or 4) the information is accurate and complete.

What is the DPH in Georgia?

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires the Georgia Department of Public Health (DPH) to maintain the privacy of your health information, inform you of its legal duties and privacy practices with respect to your health information through this Notice of Privacy Practices, notify you if there is a breach involving your protected health information, agree to restrict disclosure of your health information to your health plan if you pay out-of- pocket in full for health care services, and abide by the terms of this Notice currently in effect. We reserve the right to change the terms of this Notice at any time. The Notice will be posted on the DPH website at www.dph.georgia.gov. Copies of the Notice are available upon request.

What are public health activities?

Public Health Activities: We may disclose your health information for public health activities which include: preventing or controlling disease, injury or disability; reporting child abuse or neglect; reporting reactions to medications or problems with products or notifying a person of product recalls; and notifying a person who may have been exposed to a disease or may be at risk of contracting or spreading a disease or condition.

What is health oversight?

Health Oversight Activities: We may disclose your health information to a health oversight agency that is authorized to conduct audits, investigations, inspections, licensure and other activities necessary to monitor the health care system, government programs and compliance with civil rights laws.

Who can disclose mental health records in Georgia?

Georgia law authorizes disclosures of mental health and developmental disability records:  To physicians or psychologists for continuity of care To clinicians in a bona fide medical emergency  To the guardian or health care agent of an individual, or parent or legal custodian of a minor  To the individual’s attorney, if authorized, AND if requested, at a hearing held under the Mental Health Code  For records of a deceased individual, to the administrator/executor or other legal representative of the estate AND in response to a subpoena by the coroner or medical examiner

Can you disclose a drug diagnosis without consent?

Records and information identifying an individual as having an alcohol or drug abuse diagnosis are confidential, and cannot be disclosed without:  Written consent of the individual (or a person authorized to give consent)  Specific authority in the regulations  Records CANNOT be produced in response to a subpoena!

What was the medical information breach?

Medical Informatics Engineering, an Indiana-based provider of electronic medical record software and services, experienced a major data breach in 2015 at its NoMoreClipboard subsidiary. Hackers used a compromised username and password to gain access to a server that contained the protected health information (PHI) of 3.5 million individuals. OCR determined there had been a risk analysis failure and the case was settled for $100,000. MIE also settled a multi-state action with state attorneys general and paid a penalty of $900,000. Read More…

What are the Consequences of Violating HIPAA?

The financial consequences of violating HIPAA depend on the level of negligence and – if a breach has occurred – the number of records potentially exposed by the breach and the risk posed by the unauthorized disclosure:

How much did Memorial Hermann pay for HIPAA violations?

Memorial Hermann Health System has agreed to pay OCR $2,400,000. Read More…

How many people were breached by Excellus Health Plan in 2015?

In 2015, Excellus Health Plan reported a breach of the ePHI of 9,358,891 individuals. OCR investigated and uncovered multiple potential violations of the HIPAA Rules: A risk analysis failure, risk management failure, lack of information system activity reviews, and insufficient technical policies to prevent unauthorized ePHI access. The case was settled for $5,100,000. Read More…

What is OCR in HIPAA?

Detailed below is a summary of all HIPAA violation cases that have resulted in settlements with the Department of Health and Human Services’ Office for Civil Rights (OCR), including cases that have been pursued by OCR after potential HIPAA violations were discovered during data breach investigations, and investigations of complaints submitted by patients and healthcare employees.

How long does it take for Presence Health to issue a breach notification?

Presence Health took three months to issue breach notifications, when the Breach Notification Rule requires notifications to be sent within 60 days of the discovery of a breach. Read More…

How much did Advocate Health Care Network pay for HIPAA?

OCR has just announced it has agreed to the largest ever HIPAA settlement with a single covered entity. Advocate Health Care Network will pay a record $5.55 million to settle multiple potential violations of the Health Insurance Portability and Accountability Act. The previous record was the $3.5 million settlement with Triple S Management Corporation agreed in November 2015. Read More…

How many HIPAA violations are there in 2020?

October 28, 2020. Between April 2003 and August 2019, there have been 39,132 HIPAA violation complaints made. Out of those complaints, 30% were found to have no violations. 70% made corrective actions. While it’s great that most HIPAA violation cases end up being corrected, no patient should have to file a complaint in the first place.

How much did Anthem settle for HIPAA?

In fact, in 2018, the largest HIPAA settlement to date happened. In October 2018, Anthem Inc settled a HIPAA violation case for $16 million dollars.

What hospital faxed a document to the mailroom of the patient's employer?

Mount Sinai St. Luke’s Hospital faxed a document to the mailroom of the patient’s employer. The patient had signed an Authorization for Release Medical Information form to have his information sent to a post office box.

How many times did Zhou access the health records?

And he didn’t just access it once or twice. He illegally accessed the system over 300 times. Zhou viewed not only the health records of his immediate supervisor and co-workers, but he also accessed the health records of celebrities, such as Drew Barrymore and Tom Hanks. Zhou’s crimes were discovered.

Why did the nurse send out text messages to the patient's girlfriend?

The nurse in question sent out six text messages to warn the patient’s girlfriend about his STD. The patient sued, but the trial court judge dismissed the claim on the grounds that the nurse’s actions were both based on personal reasons and unforeseeable. However, the patient appealed the court’s decision.

Do you have to file a complaint for HIPAA violations?

While it’s great that most HIPAA violation cases end up being corrected, no patient should have to file a complaint in the first place. Yes, companies in violation are subject to fines and penalties. They may even have to pay a certain amount in settlement fees. But the damage to the patient is already done.

When did Britney Spears get hospitalized?

Six doctors and 13 employees at the UCLA Medical Center decided to take a look at Britney Spears’ medical records after her 2008 psychiatric hospitalization. While it’s customary to look at a patient’s records, none of them had a legitimate medical reason to view her records.

What is breach of privacy?

the media. Generally, a breach is an unpermitted use or disclosure under the Privacy Rule that compromises the security or privacy of PHI. The

What is the HIPAA security rule?

The HIPAA Security Rule includes security requirements to protect patients’ ePHI confidentiality, integrity, and availability. The Security Rule requires

What is the HHS Office of Civil Rights?

The HHS Office for Civil Rights enforces the HIPAA Privacy, Security, and Breach Notification Rules. Violations may result in civil monetary penalties. In some cases, criminal penalties enforced by the

What is breach notification?

Generally, a breach is an impermissible use or disclosure under the Privacy Rule that compromises the security or privacy of PHI. The impermissible use or disclosure of PHI is presumed to be a breach unless you demonstrate there is a low probability the PHI has been compromised based on a risk assessment of at least the following factors:

What is the Privacy Rule?

The Privacy Rule protects PHI held or transmitted by a covered entity or its business associate, in any form, whether electronic, paper, or verbal. PHI includes information that relates to all of the following:

Can a patient request a copy of their medical records?

patients the right to examine and get a copy of their medical records, including an electronic copy of their electronic medical records, and to request corrections. Under the Privacy Rule, patients can restrict their health plan’s access to information about treatments they paid for in cash, and most health plans can’t use or disclose genetic information for underwriting purposes. The Privacy Rule allows you to report child abuse or neglect to the authorities.

Who can give information to a patient?

Give information to a patient’s family, friends, or anyone else identified by the patient as involved in their care