HITECH (known also by the mouthful Health Information Technology for Economic and Clinical Health Act) signed into law in February, 2009, changed the information security and privacy landscape in health care in two important ways. 
First, it broadened the scope of the HIPAA rules, including business associates or those that provides services to health care covered entities on the hook for compliance with HIPAA.
Second, it included enforcement provisions including breach notification, mandatory audits and criminal penalties in an attempt to put teeth into the HIPAA tiger.
As Health and Human Services has proposed and written into rule various rule sets implementing the law our conversations with those who previously thought they were compliant with HIPAA and those newly required to be compliant have expanded.
We have found two common cases in the market:
- A firm embraced the original compliance dates in 2003-2005, developed a policy based HIPAA security and privacy program and then “put it on the shelf”. Those programs are out of date and because they include policies and procedures that are not being followed are high risk.
- Business associates, who provide products and services into the health care market, know they are not compliant and have no idea where to start. Many of these firms have a real issue in that they must show compliance or bind themselves legally to it to keep and gain customers.
It is no wonder that either case presents an issue.
Since 2005 most firms have dealt with a number of external and internal changes while not constantly reevaluating their compliance with HIPAA or their information security program.
These changes include, but are not limited to:
1) regulatory changes (e.g., The HITECH Act as well as numerous state level data protection laws)
2) business growth or decline
3) uncertain economy
4) geographic expansion;
5) personnel changes;
6) increased penalties and sanctions; and,
7) technology changes.
If a company was compliant in 2006 based on a security program built for HIPAA compliance in 2005, most likely they have drifted into a state of non-compliance by 2009. HITECH amends the rules. That company is likely now far off the mark in an environment where liabilities are increased and personal for the company’s leadership.
If a company is new to HIPAA compliance, particularly those small businesses that serve the health care market but run lean and mean, they don’t know where to start their compliance program or how to do it affordably.
In either case firms need to assess quickly their information security and privacy program to have various aspects of your program audited/assessed in order to determine whether your administrative, physical and technical safeguards are reasonable and appropriate as required by the HIPAA Privacy and Security Rules, as amended by the HITECH Act.
In response to these dynamics we’ve built a collaborative workshop that puts the key business and technical leadership into a room to address the questions and uncertainties of HIPAA and HITECH compliance.
Based on our successful experience with other clients, including several in the long-term care industry, we believe our collaborative, education-based and results-oriented process will delivers a great amount of value in a short period of time.
Our HIPAA-HITECH Security Assessment WorkShop™ is a high-value, high-impact two-day engagement that meets customer needs including, but not limited to:
• Reevaluating your organization’s compliance status
• Jump-starting your program
• Revitalizing your efforts
• Updating your program with HITECH Requirements
• Developing an internal benchmark score
• Establishing an executive compliance dashboard
• Evaluating current safeguards
• Identifying gaps and new safeguards to implement
Upon Completion, You and Your Team Can Expect These Outcomes:
• Working Knowledge Of Security And Privacy Basics
• Working Knowledge Of HIPAA And HITECH Regulations
• Jump Start Your HIPAA-HITECH Compliance Program
• Compliance Indicator Benchmark Score
• Gap Analysis of HIPAA Security practices
• Gap Analysis of HIPAA Privacy practices
• “Low Hanging” Remediation Items and Action Plan
• Solid Foundation for Completing HIPAA Risk Analysis
Executive Dashboard on HIPAA Security – One of the Deliverables:

Clients have successfully used the dashboard as a baseline for the beginning or revitalizeation of their HIPAA information security and privacy program. They have used it to communicate to customers and prospects where they stand. They have used it internally to prioritize work on missing components.
Included with the workshop is the the HIPAA Security Assessment ToolKit™, which gives each firm, post workshop, to continue to track their complianace efforts.