Federal, state, and local laws and associated regulations. Disclosure. Human resource concepts and laws. Industry and accrediting body standards. Seven Essential Elements of an Effective Compliance Program

Background Include a short paragraph of no more than five or six sentences describing the known details about the privacy breach and HIPAA violation. Privacy Breach—HIPAA Violation Summarize the relevant health care compliance concepts that apply to this privacy breach and HIPAA violation. Be sure to consider the following: Federal, state, and local laws and associated regulations. Disclosure. Human resource concepts and laws. Industry and accrediting body standards. Seven Essential Elements of an Effective Compliance Program Apply to this HIPAA breach the seven essential components of an effective health care compliance program, as determined within the Federal Register. Privacy Breach Consequences Provide a synopsis of the consequences for an individual leader and for other internal health care organization stakeholders for not taking immediate actions to address a privacy breach. At a minimum, be sure to consider all of the following in your synopsis: Patient safety. Financial losses. Individual and organizational violations of the law. Evidence-Based Recommendations Construct evidence-based recommendations to resolve the HIPAA-related privacy breach. You may also want to include relevant information related to: Human resource laws. Professional codes of ethical conduct and standards. Previous case precedents. Current alleged health care legal violations. For help in identifying appropriate evidence-based recommendations, you may want to visit some of the authoritative sources, such as the DOJ/OIG, CMS/HHS, et cetera, listed under the suggested resources for this assessment. Ethical Decision-Making Framework for Health Care Leaders Describe an ethical decision-making framework as one of your concluding recommendations. Tip: You may want to use the ACHE’s ethical decision-making framework. Conclusion Write a paragraph that summarizes the following: Key concepts. Importance of compliance. Best practices to monitor for future quality improvements. Short list of resources.