Table of Contents

Cover

Title page

Copyright

Dedication

Author Bio

Technical Editor Bio

Preface

Acknowledgments

Chapter 1: Introduction

Abstract

Background

Chapter 2: Healthcare Industry

Abstract

Healthcare systems

Healthcare organizations

Healthcare provider

Organized physician services

The National Provider Identifier (NPI)

Pharmaceutical industry

Payers

Electronic Data Interchange (EDI)

Value-Added Networks (VANs)

Health insurance exchanges

Business associates

Health Information Technology (HIT)

Medical devices

Meaningful use regulations

Electronic health record

Personal health record

Health insurance

Payment models

Healthcare coding

Systematized Nomenclature of Medicine (SNOMED) – Clinical Terms (CT)

Medical billing

HIPAA transaction and code sets

National Uniform Billing Committee (NUBC)

Healthcare clearinghouse

Workflow management

Regulatory environment

Public health reporting

Clinical research

Authorization and informed consent

Institutional review boards

Healthcare records management

Data sharing

Understanding external third-party relationships

Information flow and life cycle in the healthcare environments

Health data characterization

Healthcare Provider Taxonomy Codes

Data analytics

Data interoperability and exchange

Integrating the Healthcare Enterprise

Health Level Seven International

Digital Imaging and Communications in Medicine (DICOM)

Legal medical records

Definitions

Practice Exam

Chapter 3: Regulatory Environment

Abstract

Legal issues that pertain to information security and privacy for healthcare organizations

Health Insurance Portability and Accountability Act of 1996 (HIPAA)

Select elements and definitions

The American Recovery and Reinvestment Act (ARRA) of 2009

International standards

A culture of privacy and security

Organizational-level privacy and security requirements

Data breach regulations

Penalties and fees

45 CFR 164.514: HIPAA Privacy Rule (the de-identification standard and its two implementation specifications)

Information flow mapping

Monitoring PHI information flows

Jurisdictional implications

Data Use and Reciprocal Support Agreement (DURSA)

Data subjects

Data ownership

Legislative and regulatory updates

Treaties

Industry-specific laws

Policies, procedures, standards, and guidelines

Common security and privacy compliance frameworks

ISO

National Institute of Standards and Technology (NIST)

NIST Interagency Reports (IRs)

Common Criteria

Common criteria–certified product categories

The Information Governance (IG) Toolkit

Generally Accepted Privacy Principles (GAPP)

Health Information Trust Alliance (HITRUST)

SANS critical security controls

Risk-based decision making

Compensating controls

Control variance documentation

Residual risk tolerance

Organizational code of ethics

(ISC)2 code of ethics

Sanctions

Definitions

Practice Exam

Chapter 4: Privacy and Security in Healthcare

Abstract

Introduction

Security principles

General privacy principles

Relationship between privacy and security

The disparate nature of sensitive data and handling implications

Key terms

Practice Exam

Chapter 5: Information Governance and Risk Management

Abstract

Introduction

Understanding security and privacy governance

Understanding risk management methodology

Information risk management life cycle and activities

Key terms

Practice Exam

Chapter 6: Information Risk Assessment

Abstract

Introduction

Understanding risk assessment

Assessment procedures

Risk assessment process

Risk response and remediation

Key terms

Practice Exam

Chapter 7: Third-Party Risk Management

Abstract

Introduction

Definition of third parties

Inventory

Management standards and practices

Risk assessment

Assessment and audit support

Incident notification and response

Establishing connectivity

Promoting awareness of requirements

Risk remediation

Key terms

Practice Exam

Index

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