Compliance Program Implementation and Ethical Decision-Making

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 law(s).
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:

Nelson, W. (2015). Making ethical decisions. Healthcare Executive, 46–48. Retrieved from https://www.ache.org/-/media/ache/about-ache/ja15_ethic_reprint.pdf

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.
Note: Be sure to include all appropriate citations.