l ea hipaa-compliant solutions h that ... - business services

20
BEST PRACTICES GUIDE HEALTHCARE HIPAA-COMPLIANT SOLUTIONS THAT KEEP YOU COMPLIANT Iron Mountain Records Management Services Contents 3 Physical Records: The Ongoing Compliance Challenge 5 Working with an Outside Vendor: The Advantages of a Compliant Records Management Partner 7 Iron Mountain Records Management Services: Solutions You Can Trust 13 HIPAA Compliance and Beyond 17 Conclusion 800 899 IRON (4766) / ironmountain.com 1 Maintaining paper patient records in a compliant manner remains a major challenge for most healthcare providers. This inherently difficult task is complicated by multiple departments, thousands of patients, and the dueling requirements of easy access and HIPAA-level security. That’s why many leading healthcare organizations rely on Iron Mountain. Our experience, proven workflows, and best practices make us the trusted partner for all aspects of records management, while meeting or exceeding HIPAA requirements. With Iron Mountain as your records management partner, you can be comfortable knowing your patient information is protected and safe — for the life of your records. HIPAA PRIMER SERIES

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Page 1: L ea HiPaa-comPLiant soLutions H tHat ... - Business Services

Best Practices Guide

Hea

LtH

ca

re

HiPaa-comPLiant soLutions tHat keeP you comPLiant

iron mountain records management services

Contents

3 PhysicalRecords:TheOngoing

ComplianceChallenge

5 WorkingwithanOutsideVendor:

TheAdvantagesofaCompliant

RecordsManagementPartner

7 IronMountainRecords

ManagementServices:

SolutionsYouCanTrust

13 HIPAAComplianceandBeyond

17 Conclusion

800899IRON(4766)/ironmountain.com 1

Maintainingpaperpatientrecordsinacompliantmanner

remainsamajorchallengeformosthealthcareproviders.This

inherentlydifficulttaskiscomplicatedbymultipledepartments,

thousandsofpatients,andtheduelingrequirementsofeasy

accessandHIPAA-levelsecurity.

That’swhymanyleadinghealthcareorganizationsrelyonIronMountain.Our

experience,provenworkflows,andbestpracticesmakeusthetrustedpartner

forallaspectsofrecordsmanagement,whilemeetingorexceedingHIPAA

requirements.

WithIronMountainasyourrecordsmanagementpartner,youcanbe

comfortableknowingyourpatientinformationisprotectedandsafe—forthelife

ofyourrecords.

HIPAAPRIMeRSeRIeS

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HIPAAprivacyregulationshave

beensignificantlytightened.Now,

notonlyareyourequiredtobe

compliant,butyourthird-party

partnersmustbecompliantaswell.

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3

Withalltheattentionpaidtoelectronichealthrecords,

it’simportanttorememberthehugenumberofphysical

records—paperandfilm—thatarestillbeingusedin

healthcare,andwillbeforyearstocome.

Thesephysicalrecordsmustbestored,accessed,and

movedthroughouttheirlifecycleincompliancewith

HIPAAprivacyregulations,whichweresignificantly

tightenedundertheAmericanRecoveryandReinvestment

Actof2009(ARRA).What’smore,thenewHIPAArules

notonlyrequireyourhospitalorpracticetobecompliant,

butyourthird-partypartnersmustbecompliantaswell.

Keepingtrackofeveryrecordthroughoutitslifecycle,

andensuringitsprotectionisadauntingchallenge.Iron

Mountainistheproven,HIPAA-compliantpartnerthat

canhelpyoudoit.

tHe onGoinG comPLiance cHaLLenGe

WHat tHe LaW requires

TheHIPAAPrivacyRulerequiresestablishingand

implementingmeasurestoensuretheconfidentiality,

integrity,andavailabilityofallProtectedHealth

Information(PHI).

Who must comply. Healthplans,healthcare

clearinghouses,healthcareproviders(alsoknownas

“Coveredentities”),andbusinessassociatestowhom

theyprovidehealthinformation.

What it covers. PHIincludesanyinformationabout

healthcondition,treatment,orpaymentforcarethat

canberelatedtoanindividual.Thetermisabroad

oneandgenerallyincludesallinformationcontained

inapatient’smedicalrecordandpaymenthistory.

What the Penalties are. Thegovernmenthasramped

upenforcementandpenaltiesrelatedtotheprotection

ofpatientinformation.Penaltiescanreachamaximum

of$1.5millionannuallypertypeofviolation.Onthe

enforcementside,stateattorneysgeneral,inaddition

totheDepartmentofHealthandHumanServices

(HHS),havebeengivenauthoritytoprosecuteHIPAA

violations.Inthefuture,wecanexpectthefollowing:

1. AnycivilmonetarypenaltiesrecoveredbyHHSwill

beusedfortheirfutureenforcementefforts.

2. Individualsharmedbyaviolationmayreceivea

percentageofthepenalties,thusencouragingboth

patientsandauthoritiestoreportviolations.

PHYsicaL records

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WorkingwithaHIPAAcompliant

third-partypartnerprovidesthe

resourcesandhighly-trainedpersonnel

necessarytomanageyourrecords

efficiently,cost-effectively,andin

accordancewiththeever-evolving

regulatoryrequirements.

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5

Mosthealthcareproviderschooseoneormoreoutsidevendorstohelpmanage

theirpatientrecords.Outsourcinghasseveraladvantages.Itallowsyour

organizationtofocusonitscoremission.Itoffloadstheburdenofmaintaining

thespaceandmanagingtherecordstoaspecialistwhohasthesystemsand

personnelinplacetohandlethejobefficientlyandcost-effectively.And,a

recordsmanagementpartnercanprovidetheoffsitefacilitiesandphysical

protectionnecessarytodelivertrulycompliantstorageandmanagementofPHI.

consoLidatinG makes sense — onLY if Your Partner is

HiPaa comPLiant

Togetthemaximumbenefitofworkingwithathird-partypartner,manyleading

healthcareorganizationsareconsolidatingtoasinglevendortheycanpartner

withforacomprehensiverecordsmanagementsolution.

Thisstrategymakessense.Consolidationeliminatesunnecessaryvendor

expenses,promotestheconsistentapplicationofworkflowprocesses,and

strengthensthechainofcustodyassociatedwithrecordsmanagement.

However,itisessentialthatthepartneryouchoosebeabletodeliverthefull

rangeofrecordsmanagementservicesyouwillneed.What’smore,underthe

newregulations,youmustobtainsatisfactoryassurancesthatyourpartneris

HIPAAcompliant,bothintheservicestheyprovidetoyouandintheirown

internaloperations.

Onlythenwillyouhavetherecordsmanagementhelpyouneed—andthepeace

ofmindthatcomesfromworkingwithatrustedHIPAA-compliantpartner.

advantaGes of a comPLiant records manaGement Partner

WorkinG WitH an outside records manaGement vendor

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IronMountainprovidesaproven,

comprehensivesolutionforcompliant

recordsmanagementthatcanbe

tailoredtofityourinstitution’s

particularneeds.Ourservicesare

builtonbest-practiceworkflows,

ensuringyourinformationisaccessible

whenyouneedit,yetfullysecure

andcompliantthroughoutevery

record’slifecycle.

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IronMountainprovidesahighlyproven,comprehensivesolutionforcompliant

recordsmanagementtailoredtofityourinstitution’sparticularneeds.Wemanage

yourrecordsoffsiteinoneofourhighlysecurerecordcenters,usingconsistent,

auditableworkflowsandadvancedsecuritysystems.Ourbest-practiceprocesses

improveaccesstopatientinformation,strengthenchainofcustodyandincrease

regulatorycompliance.

IronMountainRecordsManagementServicesoffer:

— information management expertise. Theknowledgegainedfromyearsof

experience,thousandsofcustomers,andmillionsofrecordsinourcare.

— checks and Balances. Aprovenmethodologywithmultiplecheckstoensure

recordsaresecurelyhandledandstored.

— incontrol® for security during transit. Anadvancedtransportationsecurity

platformforensuringtheprotectionofyourrecordsatallstagesoftransit.

— Highly secure facilities. Storagefacilitiesuniquelyequippedwith

technologicallyadvancedalarmsandsensors,advancedfireprotection,and

24/7/365monitoringtoprotectyourrecords.

— ongoing Performance measurement. Continuousimprovementdrivenby

regularmonitoringofkeyperformancemetricsofourprocessesandfacilities.

Verysimply,wetakecareofyourinformationasifitwereourown.It’sonemore

reasonwhyIronMountainisthechoiceformanagingandprotectingyourrecords.

soLutions You can trust

iron mountain records manaGement services

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incontroL: for securitY in transit

Securityisespeciallycriticalwhenrecordsareintransit.

That’swhyIronMountaindevelopedInControl,an

advancedtransportationsecurityplatformthatensures

theprotectionofinformationintransitinthreekeyways:

Prevention. Ourvehiclesareoutfittedwithinnovations

insecuritytechnology,suchasdual-keyignition,driver

proximityalarms,high-security,key-lockingmechanism,

anddoor-ajarignitionprevention.

early detection and correction. Weutilizereal-time

wirelessscanningtechnologytovalidatepickupand

deliverytransactionsandtomaintainchainofcustody.

Byutilizingwirelesscommunicationprotocols,wecan

identifyandreconcileinventorydiscrepanciesinreal

time,atthepointoforigination.

Proof. Asinformationisroutedthroughourdelivery

platform,IronMountain’sInControltechnologykeepsa

real-timeaudittrailtodocumenteachtransaction.You

havetheabilitytodesignateauthorizedcontactsfor

receivingandsendingrecords.Forfurtheraccountability,

InControlkeepsadeliveryaudittrailwithelectronic

signaturesandautomatedemailserviceconfirmation

receiptsforordersplacedviaIronMountainConnect™,

youronlinerecordsmanagementWebportal.

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AFFIX BARCODE LABEL

DRIVER ARRIVES DRIVER SCANSFILES/CARTONS ONSITE

InControl®

ELECTRONIC SIGNATURE CAPTURED

AUTO EMAIL PICK-UP VERIFICATION

SECURE VEHICLE TRANSPORT

SCAN UPON ARRIVAL TO RECORD CENTER

OPTIONAL PREMIUM PROCESSINGImaging, Data Entry, Classification

AUTOMATED INVOICING

ENTER ORDER VIAIRON MOUNTAIN CONNECT™

SCAN POINTS & REAL-TIME TRANSMISSION OF CUSTODY

RECORDS MANAGEMENT WORKFLOW | INCOMING

Availablefor Order in

Iron MountainConnect™

Real-TimeTransmissionof Custody

SCANNED TOSTORAGE LOCATION

60YearsofexperienceIronMountainRecordsManagementServices

arebuiltuponworkflowsthathavebeen

developed,refinedandprovenfor60years.

Theseworkflowsarethekeytomakingpatient

informationaccessiblewhenyouneedit,yet

fullysecureandcompliantthroughoutevery

record’slifetime.

incominG

Ourincomingworkflowkeepsyourrecordsprotected,

fromthemomentwearrivetopickupyourmaterialsto

theirstorageinourhighlysecurefacilities.Asabest

practice,yourrecordsareindividuallyindexedfor

improvedaccessandmanagementovertime.This

records manaGement WorkfLoW | incominG

enablesustoconfirmthereceiptofeachpatientrecord

andprovidesyouwithacomprehensive,file-level

inventoryofyourrecordsatanytime.

— triple-check Workflow. Filesarescannedatevery

locationandvalidatedagainstpreviousscanstoensure

accuracy,security,andchainofcustody.

— data entry validation. Newfilesarelabeledwith

descriptiveinformationfortrackingandlaterretrieval.

Thisinformationcanbekeyedbyusorbyyouonlineinto

IronMountainConnect.

— opaque file transport Bags and Bins. Weprovide

youaccesstoopaquefiletransportbagsandbinsin

whichrecordscanbesealedtoconcealandfurther

protectPHIwhileintransit.

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10

retrievaL

IronMountainmakesretrievalsimple,fastandsecure.

UsingIronMountainConnect,youcansearchandretrieve

recordsusingyourowndescriptivedata,andschedule

deliverytimes—allonline.

— retrieval Label double scan. Allfilespulledfor

retrievalaretaggedwithanadditionalretrievallabel,

andbothlabelsarescannedtoensurethatonlythe

correctfilesareactuallyretrieved.

— opaque Wrapping. Weuseopaquewrappingtomask

PHIwhentransportingmedicalrecords.Thisbestpractice

ensuresyourinformationremainsconfidentialthroughout

theoutboundingprocess.

— carton Banding. Webandeachcartonbeforetransport,

forextraprotection.

— vehicle validation. Filesarescannedduringloading,so

therightfilesareontherightvehicleforoptimum

deliverysecurityandcompliance.

SCAN POINTS & REAL-TIME TRANSMISSION OF CUSTODY

Real-Time Transmission of Custody

AUTO EMAIL CONFIRMATION

AUTOMATED INVOICING

ENTER ORDER VIAIRON MOUNTAIN

CONNECT™

RECORDS MANAGEMENT WORKFLOW | RETRIEVAL

RETRIEVAL BARCODEPRINTED

SCAN UPONDELIVERY TO CUSTOMER

ELECTRONIC SIGNATURE CAPTURED

COURIER SCANSONTO VEHICLE

VERIFICATION SCAN TO PACKAGE

InControl®

SECURE VEHICLE TRANSPORT

ENTIRE CARTON SCANNED

CARTON SECURITY BAND APPLIED

RETRIEVAL FROM STORAGE LOCATION

INDIVIDUAL FILE SCANNED

efficientLY manaGe Your records WitH

iron mountain connect

IronMountainRecordsManagementServices

includeaccesstoIronMountainConnect,aWeb-

basedinventorymanagementsystemthatprovides

yourstaffthetoolsnecessarytotransformyour

recordsmanagementprogramintoanenterprise-

widecomplianceprogram.Thesystemprovides

completevisibilityandcontrolofyourrecords

andallowsyoutorapidlysearchyourinventoryto

locaterecords.Authorizeduserscaneasilyrequest

records,runinventoryreports,defineretention

policies,andmonitordestructionprograms.

records manaGement WorkfLoW | retrievaL

— validation at customer site. AspartoftheInControl

process,driverscompleteretrievalbyscanningeachfile

atyourlocation.

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11

secure destruction

essentialtoanycost-effectiveandcompliantrecords

managementprogramistherigorousandtimely

enforcementofretentionanddestructionpolicies.Iron

Mountainhelpsyoumeettheserequirementsthrough

ourSecureShreddingServices.TogetherourRecords

ManagementandSecureShreddingServicescanhelpyou

monitorthedestructioneligibilityofyourarchivedrecords

andensurethepermanentdestructionofsensitivepatient

informationattheendofitslifecycle.

— automated destruction eligibility reporting. Wehelp

yousystematicallymanagethelifecycleofyourinventory

basedonyourpersonalretentionschedule.UsingIron

MountainConnect,youcandefineretentionpoliciesand

accesskeyinformationrelatedtoyourrecordsinventory,

includingdestructioneligibilityreports.

— auditable chain of custody. InControlcapturesan

auditablechainofcustodyusingareliablebarcodeID

scanningprocess.

— secure destruction checks and Balances. Multiple

checksandbalancesensureonlytherightitemsare

destroyed.Destructiononlyproceedsaftercareful

reviewandauthorizationbyyouaswellasbyIron

Mountain.everyitemscheduledfordestructionis

scannedandmarkedwithspecialtagstoensure

accuracy.Oncepermanentlyshredded,weprovideyou

withacertificateofdestructionforverification.

— reliable shred Process. Recordsapprovedfor

destructionarecompletelydestroyedandthenall

paper-basedmaterialsarerecycledtoensureyour

informationisnonrecoverable.

Inadditiontodestroyingyourarchivedfiles,IronMountain

alsohelpsyoumeetcompliancerequirementsforthose

documentsrequiringimmediateshredding.Wecanhelp

youdesignacost-effectivedestructionprogram,leveraging

ouronsiteoroffsiteshreddingserviceoptionstomeet

yourspecificrequirements.

SECURE VEHICLETRANSPORT

RECORDS MANAGEMENT WORKFLOW | ARCHIVAL DESTRUCTION

PRINT RETRIEVAL BARCODE

PRINT FINALDESTRUCTION LISTING

OPEN AND SEND LISTIron Mountain Opens Order and Sends Preliminary Destruction

List to Customer

AUTHORIZE ORDER Destruction Order

Authorized for Operations

SHRED MATERIALS PERCUSTOMER AUTHORIZATION

AUTHORIZE RECORDSCustomer Authorizes Records to

be Destroyed and Returns Authorization to Iron Mountain

SEND CERTIFICATESend Certificate of

Destruction Within Service Invoice to Customer

PREPARE MATERIALFOR SHIPMENT

REQUEST DESTRUCTION Customer Sends Destruction

Request to Iron Mountain

RETRIEVE ITEMSSCAN ITEMS

Double-Scan Items viaSafekeeper PLUS® Barcode

records manaGement WorkfLoW | arcHivaL destruction

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WithIronMountainyoucanbe

confidentyourrecordsaremanaged

inacompliantmanner,byacompany

thatisitselfHIPAAcompliant.We

constantlyupgradeourprocessesto

meetevolvingregulatoryrequirements

andbestpractices,ensuringour

solutionsareconsistent,currentand

highlysecure.

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IronMountainhasbeencommittedtomeetingHIPAAprivacyregulationssince

thelawwasfirstenactedin1996.

WecombineadeepunderstandingoftheHIPAAruleswithourownexperienceat

leadinghealthcareinstitutionstoprovideacompliantrecordsmanagement

solution.Infact,ourbest-practiceapproachtohandlingpatientinformationoften

exceedsHIPAArequirements.Weusestringentprotocolsandproceduresto

addressthesamerequirementseveryhealthcareprovidermustfollow,makingus

anidealenterprisepartnerforhealthcareproviders.

WithIronMountain,youcanfeelconfidentthemanagementofyourrecordsis

HIPAAcompliantandthatyouareworkingwithaHIPAA-compliantbusinesspartner.

HiPaa comPLiance and BeYond

iron mountain records manaGement services

keY requirements of tHe HiPaa PrivacY ruLe

TheHIPAAPrivacyRulewasestablishedtoprotectpatientinformationfrom

beingusedordisclosedinappropriatelyorwithoutthepatient’spermission.

Toensurethis,therulerequiresCoveredentitiestodevelopadministrative

andphysicalsafeguardsregardingtheuse,disclosure,access,release,and

destructionofPHI.

Administrativesafeguardsrequireyoutodocumentproceduresfor

operationalprocessessuchasworkflows,employeetraining,reporting,

andauditing.Physicalsafeguardscovercontrolssuchaslocks,limitedaccess

tokeys,andsecuritysystems.

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AdministrativeSafeguardsHIPAArequiresdocumentedproceduresforoperationalprocesses,suchas

training,workflow,andthereleaseofinformation,beputinplacetoensure

informationisalwayshandledaccordingtopolicy.IronMountainmeetsthis

requirement,andhelpsyoumeetit,inseveralways.

access and use. IronMountainutilizesstrictprocedurestoensureour

employeesaccessPHIonlywhennecessaryandaccordingtothedutiesrequired

tosupportyou.Wecarefullymonitoraccessprivilegesandlimitemployee

accessusingbadges,24/7/365surveillance,andothersecuritymeasures.Also,

yourinstitutioncanuseIronMountainConnecttohelpyoulimitandtrackyour

employeeaccess.

Privacy Policies and Procedures. IronMountainhasdevelopedprotocolsand

procedurescoveringthesameactivitieseveryhealthcareprovidermustfollow,

includingdedicatedsecurityresources,mandatorysafetyandsecuritypolicies,

regularaudits,andeffectiveemployeetrainingandmanagementoversight.We

alsostrictlymonitoraccesstoourbuildingsandmaintainahighlysecurechain

ofcustodyforPHIunderourcare.

release of information. IronMountainmaintainsbest-practiceproceduresfor

everyphaseofthereleaseofinformationprocess.Weuseaformalchainof

custodyprocesstoensureallrecordsareproperlyhandled.Infact,patientfiles

storedatourrecordcentersdonothavetoleaveourfacilitiesforrelease

processing.Weensurethateachreleaseofinformationrequestandauthorization

includestherequiredelementstobeHIPAAcompliant,andourstringent

performancestandardsrequireeveryreleaseofinformationassociatetoadhere

toourprivacyandconfidentialitystandards.

Workforce training and management. IronMountainboastsanexceptional

screeningandtrainingprogramforouremployees,fromrecordsmanagement

specialistsandITstafftothosewhodriveourvehicles.Forpositionsthathandle

PHI,suchasreleaseofinformationassociates,weprovideevenmoredetailed

HIPAAtraining.Wealsoperformregularreviewsofworktoensureemployee

actionscomplywithstateandfederalregulations.Ourscreeningandtraining

policiesinclude:

— Comprehensivebackgroundchecksanddrugscreeningpriortohireforall

employees.

— Regulartrainingonsecuritypoliciesandproceduresforallemployees.

— MandatoryCodeofethicstraining,enforcingappropriateinformationaccess

andhandlingprocedures,forallemployees.

— Specialsafetyandsecurityscreeningforourdestructionspecialistsand

equipmentoperators.

records manaGement

comPLiance cHeckList

HIPAAregulationsnowrequireyour

businessassociates,aswellasyour

owninstitution,tobecompliant.

IronMountainmaintainsthe

followingpoliciesandprocedures

topromotecompliance.

AdministrAtive sAfeguArds

Auditablechainofcustodyforthe

handlingofallrecordsatalltimes

Standardizedworkflowsto

ensurebestpractices

Indexing/MPIcleanupfor

bettertracking

employeescreeningand

backgroundchecks

employeetrainingforthe

appropriatehandlingofPHI

Documentedprocessesto

mitigaterisk

Multiplescans/signatureswhen

informationisshipped

Websoftwaretohelpyou

manageandtrackrecords-

relatedactivities

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15

mitigation. Inordertoachieveandmaintaincompliance,youmustevaluate

thesecurityandcomplianceofyourrecordsmanagementprogramonaregular

basis.IronMountainhasateamdedicatedtomonitoringHIPAArequirements

andevaluatingourcompliance.Thisteamproactivelytrackschangestoindustry

regulationsandworkswithIronMountain’soperationspersonnelonanongoing

basistoimproveprocesses,mitigaterisks,andensurecontinuedcompliance.

audit trail. Theabilitytoauditactivitiesisanessentialcomponentofany

HIPAA-compliantrecordsmanagementprogram.AsabestpracticeIron

Mountainindividuallyindexesyourrecords.Thisenablesustoconfirmreceiptof

eachpatientrecordandprovideacomprehensiveapproachtotrackingyour

documentsthroughouttheirlifecycle.Thisinformationcanbeusedbothfor

reportingandforcontinuousimprovementinitiatives.

Wealsohelpyougenerateanaudittrailinseveralways:

— Detailedsecurityproceduresandreportingtomanageauthorizedaccess,

usingsuchtoolsasuniqueemployeeidentification,monitoringoffacilities

access,andbarcodescanningofrecordswheneverhandledormoved.

— Completechain-of-custodyaudittrailforrecordsinourpossession,

throughoutthelifeofeachrecord.

— Web-basedsoftwarewhichallowsyoutodirectlymanageandtrack

records-relatedactivities.

— Detailedaccountingofallrelease-of-informationdisclosures,includingwho

receivedtherequest,why,andtheactiontaken.

— Acertificateofdestructiontoverifyyourinformationissecurelyshredded

andnonrecoverable.

compliant destruction. Theproper,permanentdestructionofallphysicalPHI

inaccordancewithretentionpolicyrequirementsisnecessarytoreducetherisk

ofasecuritybreachandmaintaincompliance.OurSecureShreddingServices

offeryouaccesstoasuiteoftoolsdesignedtohelpyoumonitorthedestruction

eligibilityofyourrecordsandconsistentlyenforceyourretentionpolicies.We

provideafullrangeofreportingandauditingofdocumentdestructiontohelp

increasecompliancewithHIPAAandotherregulatoryrequirements.

indexinG: imProve access

to Patient information

and increase HiPaa

comPLiance

Patients’livesdependonour

abilitytofindcriticalinformation

abouttheirmedicalhistoryina

timelyfashion,whichiswhywe

individuallylistyourmedical

records.Duringtheinbounding

processaprimaryfileidentifier,

mostcommonlytherecord

numberorpatient’sname,is

captured.Wealsorecommendthe

captureofatleasttwoadditional

fileidentifierssuchaslastdateof

service,dateofbirth,orepisode

ofcare.ThisHIPAA-compliantbest

practiceenablesyoutoefficiently

trackandmanageyourrecord

inventory,andensuresyour

patientinformationremainseasily

identifiableandreadilyaccessible

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PhysicalSafeguardsHIPAArequiresyouandyourpartnerstohavephysicalcontrols,suchaslocks,

limitedaccesstokeys,andsupervisiontoprotectrecordscontainingPHIfrom

unauthorizedphysicalaccess.

faciLitY standards

IronMountainadherestoourPrinciplesofGlobalFacilityProtection,which

mandatesomeoftheindustry’smostadvancedsystemstosafeguardyour

informationbothinsideandoutsideourbuildings,farexceedingtherequirements

ofHIPAA.OurPrinciplesofGlobalFacilityProtectioninclude:

— Alarmsandintrusiondetectionsystemstodetect,alertandrecordconditions.

— Accesscontrolsystemsatexteriorandcustomermaterialstorage

areaentrances.

— Utilizationoflicensed,authorized,third-partyuniformedsecuritypersonnel

tobolstersecurity.

— Advanceddetectionandautomaticfire-suppressionsystems.

— Centralmonitoringofprotectionsystems24/7/365.

— Useofthird-partyauditorstoensurecompliancewithsecuritystandards

throughunannounced,randomaudits.

— Internalcomplianceauditsforfacilities.

— Annuallytestedandupdatedcontinuityplanforallfacilities.

— Facilities,rackingandshelvingconfigurationscompliantwithlocaland

federalcodes.

records manaGement

comPLiance cHeckList

PHYsiCAL sAfeguArds

Cartonstrappingofpackagesfor

extraprotection

High-securityvehiclesfor

transportingrecords

High-securitystoragefacilities

withguards,monitoring,and

fire-suppressionsystems

Fully-compliantdestructionwith

multiplesign-offsandan

auditablechainofcustody

Opaquewrappingofallrecords

toconcealPHIduringtransport

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transPortation standards

Toensuretheprotectionofinformationintransit,IronMountainutilizessecure

vehiclesequippedwithdual-keyignition,driverproximityalarms,high-security

key-lockingmechanism,anddoor-ajarignitionprevention.Wesealmedical

recordsinopaquewrappingandbandcartonspriortotransport.Throughout

theprocess,real-timewirelessscanningtechnologyisusedtocaptureelectronic

signaturesandmaintainanauditablechainofcustody.Ouradvancedvehicle

security,vehicleprocesscontrols,andauditableworkflowsprovideafoundational

defenseagainstpotentialinformationlossandpreventcommontransportation-

relatederrors.

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BeyondCompliance

HIPAArequiresthatyourpartnersbe

HIPAAcompliant.Tofurthermitigate

risk,however,IronMountaingoesbeyond

compliance.Weemploybestpractices

thatwehavedevelopedanddeployedat

leadinghospitalsandotherhealthcare

institutionsaroundthecountry.This

best-practiceapproachensuresthat

allreasonablemeasuresaretakento

protectpatientinformation,toremain

ingoodstandingwiththelawandthe

public,andtopromoteapositiveand

responsibleimageinthecommunity.

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evenashealthcareorganizationstransitiontoelectronichealthrecords,you

willcontinuetousephysicalrecordsforyearstocome.MaintainingHIPAA

complianceforthelifetimeofallrecords,inthefaceoftighteningregulations,

isadifficultchallenge.

WithIronMountainRecordsManagementServices,yougetasolutionthatis

proveninmanyoftheleadinghealthcareinstitutionsacrossthecountry.You

canbeconfidentyourrecordsaremanagedinacompliantmanner,bya

companythatisitselfHIPAAcompliant.Furthermore,weconstantlyupgrade

ourprocessestomeetevolvingregulatoryrequirementsandbestpractices,

ensuringoursolutionwillremaincompliant,nowandintothefuture.

TolearnmoreaboutourHIPAA-compliantRecordsManagementsolutions

contactustodayat1-800-899-IRON.

concLusion

19

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aBout iron mountain.IronMountainIncorporated(NYSe:IRM)providesinformationmanagementservicesthathelporganizationslowerthecosts,risksandinefficienciesofmanagingtheirphysicalanddigitaldata.Foundedin1951,IronMountainmanagesbillionsofinformationassets,includingbackupandarchivaldata,electronicrecords,documentimaging,businessrecords,secureshredding,andmore,fororganizationsaroundtheworld.VisitthecompanyWebsiteatwww.ironmountain.comformoreinformation.

©2011IronMountainIncorporated.Allrightsreserved.IronMountain,thedesignofthemountainandInControlareregisteredtrademarksandIronMountainConnectisatrademarkofIronMountainIncorporatedintheU.S.andothercountries.Allothertrademarksandregisteredtrademarksarepropertyoftheirrespectiveowners.

US-HC-eXT-BP-102910-001

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