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Health Insurance Portability an= d Accountability Act
HIPAA
 Public Law 104-191
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What Is HIPAA?
nIn 1996 President Clinton signed the health insura= nce = portability and accountability act (HIPAA).  This new = law was enacted as part of a broad congressional <= /span>attempt at incremental healthcare reform.
nHIPAA has two primary purposes.  One is to provide <= span style=3D'position:absolute;top:53.0%;left:9.73%;width:100.74%;height:6.0%'= >continuous insurance coverage for workers who chan= ge jobs, and the other is to “reduce the costs = and administrative burdens of health care by making = possible the standardized, electronic transmission= of = many administrative and financial transactions tha= t are = currently carried out manually on paper”.  
n<= span style=3D'font-size:88%;mso-special-format:lastCR;display:none'>
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=
EDI
SECURITY
PRIVACY
TITLE III <= /b>
Medical Savings=
Accounts
TITLE 1
PORTABILITY
TITLE IV
Group Health Pl= an
Provisions<= /span>
TITLE V
Revenue Offset =
Provision
TITLE II
Administrative&= #13;
Simplification<= /b>
Use/Disclosure
of PHI
Individual
Rights
Administrative
Requirements
Transactions
Code Sets
Identifiers
Admin.
Procedures<= /span>
Physical
Safeguards<= /span>
Technical <= /b>
 Security
Services
Technical
 Security
Mechanisms
HIPAA
Health = Insu= rance = Port= ability and Accountability A= ct = of 1996
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        = ;         TIMELINES<= /span>
3D"Organization
Administrative Simplification
Transactions & Code Sets
Privacy
Security
National Identifiers
Imple= mentation
Octob= er 2002*
Imple= mentation
April= 2003
Imple= mentation 26
months AFTER
publi= cation of final
rule = in CFR
Imple= mentation 26
months AFTER
publi= cation of final
rule = in CFR
*may extend to 2003
Timeline
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file:///C:/0D8AB2F9/HippaSecurity_files/slide0057.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Small or Rural Provider Example
Congress, in order to assure accountability of those who h= ad access to personal health information (PHI), required the imposition of civil and criminal penalties for any e= ntity or person that uses PHI improperly. The improper uses and associated penalties are described b= elow
Civil Penalties =
Multiple violations of an identical requirement or prohibition made during a <= /span>calendar ye= ar
N/A =
$25,000
Single violation of a provision (can be multiple violations with penalty of $100 each as lon= g as each violation is for a different provision)
N/A =
$100
Offenses=
Terms of= Imprison= ment
Monetary = Penalty =
Civil Penalties
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Wrongful disclosure of individually identifiable health information committed = under false pretenses with intent to sell, transfer, or use for commercial advantage, personal gain, or malicious harm
Up to ten y= ears
Up to $250,= 000
Wrongful disclosure of individually identifiable health information committed = under false pretenses
Up to five years
Up to $100,= 000
Wrongful disclosure of individually identifiable health information
Up to one y= ear
Up to $50,0= 00
Offenses=
Terms of= Imprison= ment
Monetary = Penalty =
Criminal Penalties
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3DHIPAA 3DHIPAA 3DHIPAA
HIPAA
HIPAA Graphic
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HIPAA Security
Proposed Rule
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A covered entity…
"A covered entity must have in place appropriate administrative, technical,
and physical safeguards to protect the
= privacy of protected health information."
<= ![if !vml]>
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HIPAA – Administrative <= span style=3D'font-size:13%;color:#000514;mso-color-index:2'>Simplification Cha= rt with Security Highlighted
<= o:OLEObject Type=3D"Embed" ProgID=3D"OrgPlusWOPX.4" ShapeID=3D"_x0000_s86020" DrawAspect=3D"Content" ObjectID=3D"1"> <= ![endif]>
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Security Standard
nUntil = HIPAA there was no recognized single standard for the security of health information.  
nThe HI= PAA regulation defines security standards in the following areas:
nüProcedures for selecting and executing security measures,
nü<= /span>Methods to protect physical computer systems and r= elated buildings,
nüProcesses to protect control and monitor data, and
nüMechanisms to prevent unauthorized access to data.
n
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Administrative Procedures
procedures for selecting and executing security measures
nMust apply the security standard to all health information electronically maintained. nMust assess potential risks and develop, implement and = maintain security measures.
nMeas= ures must be documented.
nMust= perform a technical evaluation.
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Administrative Procedures
procedures for selecting and executing security measures
nMust provide for a chain of trust agreement in any contract where appropriate. nAll system users must receive security awareness = training. = nMust= develop a process for periodic security reminders for all employees.
<= span class=3DHBB style=3D'position:absolute;left:-3.71%;top:.39em'>nMust= provide user education regarding virus protection.
n
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Administrative Procedures
procedures for selecting and executing security measures
nMust educate users regarding rules for creating/changing and keeping confidential, passwords.
nMust assign security management and supervision = responsibility.
nMust do customized security training based on job = responsibilities.
nMust complete a risk analysis whereby cost-effecti= ve = security control measures may be selected.
nMust have a process for assessing risk and taking = steps = to reduce risk and maintaining an acceptable level= of = risk.
n
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Physical Safeguards
to protect physical computer s= ystems and related buildings
nMust develop physical access controls to include disaster recovery,equipment control,facility security, verifying access authorizations, maintenance records, need-to-know procedures, sign-in and escort policies and testing and revision restrictions.
<= span style=3D'font-size:86%'>nMust have physical safeguards to protect data integrity.
nMust have formal policies for receipt and removal of hardware/software. nMust develop polic= ies for work station use, including the physical attributes of the site.
<= span style=3D'font-size:86%;visibility:hidden'>n
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Technical Data Security Services
processes to protect control and monitor data
nMust provide for an in-house review of the records= of = system activity such as logins, file accesses and security incidents.
nMust develop a contingency plan that is routinely = updated, must include an application and data criticality analysi= s, data backup plan, disaster recovery plan, emergency mode operation plan and testing and = revisions procedures.
nMust have documented policies and procedures for <= /span>receipt, manipulation, storage, dissemination, = transmission, and/or disposal of health informatio= n.
<= ![if !vml]>
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Technical Data Security Services
processes to protect control and monitor data=
nMust develop written security plans, rules, proced= ures, and instructions concerning all components of an <= /span>= entity’s security. = nMust develop formal procedures for connecting and loading new equipment and programs and periodic review of maintenance as well as  security testing.
<= span style=3D'font-size:88%'>nMust inventory har= dware and software assets.
<= span style=3D'font-size:88%'>nMust be able to ch= eck for virus.
<= span style=3D'font-size:88%'>nMust have requirem= ents for system testing.
<= span style=3D'font-size:88%;visibility:hidden'>n= 3;
<= span style=3D'font-size:88%;visibility:hidden'>n
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Technical Security Mechanisms
to prevent unauthorized access = to data
<= span class=3DHBB style=3D'position:absolute;left:-4.39%;top:.39em'>nMust maintain record of access authorizations.
nMust= have a formal documented process for reporting security breaches and what action is taken as a result. nMust have sancti= on policies and procedures stating what disciplinary action will = be taken for a breach of security. nMust develop pol= icies and procedures for granting access, they must include method for determining an entity’s initial right to access and reasons for modification.
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Technical Security Mechanisms
to prevent unauthorized access = to data
nMust establish personnel clearance and authority procedures. nMust = have documented instructions for termination procedures addressing chan= ging locks, removal from access lists and user accounts, turn= ing in keys and tokens. nPhysical safeguards to eliminate or minimize= the possibility of unauthorized access to information = displayed on a terminal.
<= span style=3D'visibility:hidden'>n
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Technical Security Mechanisms
to prevent unauthorized access = to data
nMust develop access control procedures to include emergency access and to provi= de for either context- based, role-based or user based access, audit controls authorization controls, data and entity authenticat= ion, automatic logoff, and unique user ID.
nMust have formal procedures and instructions for oversight of maintenance personne= l = including access authorizations.
<= span style=3D'mso-special-format:bullet;color:#FFCC00;mso-color-index:6;positio= n: absolute;left:-4.43%;font-family:Wingdings;font-size:70%'>n<= span style=3D'mso-special-format:lastCR;display:none'>
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Small or Rural Provider Example
nOne to four physician office, with two to f= ive additional employee. nThe office uses a PC- based practice management system, which is used to communicate intermittently with a clearinghouse for submission of electronic claims. = = nInsuf= ficient volume or revenue to justify computer system administrator.
n
<= ![if !vml]>
Example describi= ng the manner in which a small or rural provider might choose to implement the requirements of the standard. (For purposes of this example, we would describe a small or rural provider as a one to four physician office, with two to five additional employees. The office uses a PC-based practice management system, which is used to communicate intermittently with a clearinghouse for submission of electronic claims. The number of provider= s is of less importance for this example than the relatively simple technology= in use and
the fact that th= ere is insufficient volume or revenue to justify employment of a computer system administrator.)
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nThe small or rural provider office would evaluate and self-certify that the appropriate security is in place for its c= omputer system and office procedures.
nThe evaluation is done by
n a knowled= geable person on staff
n a consultant
n the vendo= r
Small or Rural Provider Example
This evaluation = could be done by a knowledgeable person on the staff, or more likely, by a consult= ant or by the vendor of the practice management system as a service to its customers.
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How to Evaluate
nAssess potential risks to the information assets&#= 13;
nDevelop policies and procedures to mitigate and manage the risks.
nDevelop contingency plans to reduce or negate the = = damage resulting from processing anomalies, such a= s
n back= up floppy disks at a second location
n obta= in a PC maintenance contract
n set = up a backup PC
nPeriodically review the contingency plans to ensur= e the offices’ needs are met.
n
First, the offic= e might assess actual and potential risks to its information assets. Then, to establish appropriate security, the office would develop policies and procedures to mitigate and manage those risks. These would include an ove= rall framework outlining information security activities and responsibilities,= and repercussions for failure to meet those responsibilities. Next, this offi= ce might develop contingency plans to reduce or negate the damage resulting = from processing anomalies; for example, establish a routine process for maintaining back up floppy disks at a second location, obtain a PC maintenance contract, and arrange for use of a backup PC should the need arise. This office would need to periodically review its plan to determine whether it still met the office’s needs.
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Personnel Security Policy
nAssign a key individual to be responsible for assuring the = Personnel Security requirement is met.
nCreate the Policy which includes responsibility:
nTo establish access authorization levels
nTo keeping current documentation on the authorization levels granted
nTo provide security training to all personnel
n
The office would= need to create and document a personnel security policy and procedures to be followed. A key individual on the office staff should be charged with the responsibility for assuring the Personnel Security requirement is met. Th= is responsibility would include seeing that the access authorization levels granted are documented and kept current (for example, records are kept of everyone who is permitted to use the PC and what files they may access), = and training all personnel in security. Again, we emphasize that these requirements are scalable.
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Personnel Security Policy
nSmall office: 
nwith standard personal and professional reference checks
n
nLarge organization:
n with formal, rigorous background investigations
n
The requirement = for Personnel Clearance Procedures could be met in a small office with standa= rd personal and professional reference checks, while a large organization may employ more formal, rigorous background investigations.
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n1pj471i4L2i8hoJhOM9H31V8WeCT/Pwur/Q2l/4iZ/E7Sfx+4H/+WERQRi+F/Ad/n7invwWvbtE fv/J1a///qzIaXj2HZV9J3NhiZn/ez+CQj8v5R1GE/6SRPjOxPjPpPTa5HAxjduHjuyFU3vRlP3w 6yA966jkoB/nYI0cxCcHd4zseNNseNMs7i5jH8K/Jzz3HA6+Yo636OsHaucjELyjB37A2a/o1Uc0 9p0UYlxhxhchnsV4vjjzlGC/pYh3aWJfhhyUxQeU5Q5Tjv2Vo0bKsZ9y1Eg5aqSs286YrYz/nRxs YI51zLWWudewxmrWWkV9rELbV9F/V7Gn1ZKSz5Nyd0lEbcWjDn6jDmMwXxTnj4UfFvp/MfwfW3PF XjJgAAB= ------=_NextPart_01C24A83.874E1DD0 Content-Location: file:///C:/0D8AB2F9/HippaSecurity_files/slide0006.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Small or Rural Provider Example
Security Configuration Management
nVirus checking which may be included in the hardware/software package.
nProcedures to follow when an employee terminates:
n Obtaining= keys from the terminated employees
n Changing combinations or passwords= after an employee has been terminated
nMonitoring and auditing of system activity. =
n
This same indivi= dual could also be charged with the responsibility for Security Configuration Manage= ment and Termination Procedures.  For our small provider, the Security Configuration Management requirement wou= ld be relatively easy to satisfy; the necessary features could be part of a purchased hardware/software package (for example, a new PC might be equip= ped with virus checking software), or included as part of the support supplied with the purchase of equipment and software.  Termination procedures would incorporate specific security actions to be taken as a result of an employee’s termination, such as obtaining all keys and changing combinations or passwords. A ‘‘position description’= 217; document describing this person’s duties could specify the level of detail necessary.
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Office Procedures/Policy Manual
<= span class=3DBB style=3D'position:absolute;left:-4.43%;top:.39em'>nConti= ngency plans
<= span class=3DBB style=3D'position:absolute;left:-4.43%;top:.39em'>nFormal records processing procedures
<= span class=3DBB style=3D'position:absolute;left:-4.43%;top:.39em'>nInfor= mation access controls
<= span class=3DBB style=3D'position:absolute;left:-4.43%;top:.39em'>nSecur= ity incident procedures
<= span class=3DBB style=3D'position:absolute;left:-4.43%;top:.39em'>nTrain= ing
<= span style=3D'visibility:hidden'>n
<= ![if !vml]>
Requirements tha= t would lend themselves to inclusion in an ‘‘office procedures’̵= 7; document include: contingency plans, formal records processing procedures, information access controls (rules for granting access, actual establishment of access, and procedures for modifying such access), security incident procedures (for example, who is to be notified if it appears that medical information has been accessed by an unauthorized party), and training. Periodic security reminders cou= ld include visual aids, such as posters and screen savers, and oral reminder= s in recurring meetings.
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nRequires new employees to  read “Office ProceduresR= 21; = Manual.
nMake “Office Procedures” Manual availa= ble for reference.
nDirections for authorizing access and keeping reco= rds of authorized access.
nMedia Controls and Workstation Use policy.
nWhere to store backed-up data. <= /div>
nHow to dispose of data no longer needed.
nLogging off when terminal is unattended.
n<= span style=3D'font-size:88%;display:none'>
n<= span style=3D'font-size:88%;mso-special-format:lastCR;display:none'>
Office Procedures/Policy Manual
The ‘̵= 6;office procedures/policies’’ manual should include directions for authorizing access and keeping records of authorized accesses. Media Cont= rols and Workstation Use policy instructions would be developed by the office = and would include additional instructions on such items as where to store bac= ked up data, how to dispose of data no longer needed, or logging off when lea= ving terminals unattended.

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Physical Access Controls
nLocked rooms and= /or closets to secure equipment and media from unauthorized access.&#= 13;= nLocate equipment in areas that are populated by office staff and are separa= ted from the public.
n
<= ![if !vml]>
Physical Access = controls would be relatively straightforward for this small or rural office, using locked rooms and/ or closets to secure equipment and media from unauthori= zed access. Safeguards for the security of workstation location(s) would depe= nd upon the physical surroundings in the small or rural office. Our small or rural provider may meet the requirements by locating equipment in areas t= hat are generally populated by office staff and have some degree of physical separation from the public.
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Security Awareness Training
nProvided in new employees orientation
nRecurring discussion item in staff meetings =
nPeriodic Security Reminders
nPosters
nScreen Savers
nOral reminders in recurring meetings
Security Awarene= ss Training would be part of the new employee orientation process and would be a peri= odic recurring discussion item in staff meetings.
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Technical Security Services
nAccess Control, Entity Authentication, Authorization Control <= /span>
nUser-based data access model (assigning a user-name and password combination to each employee)
nRole-based access (groups users with similar data access needs) =
nContext-based access (based upon the context of a transaction – not on the attributes of the initiator)
n
<= ![if !vml]>
The Technical Se= curity Services requirements for Access Control, Entity Authentication, and Authorization
Control may be a= chieved simply by implementing a user-based data access model (assigning a user-n= ame and
password combina= tion to each authorized employee). Other access models could be employed if desired,
but would prove = unwieldy for the small office. For example, the role-based access process groups users with similar data access needs, and context-based access is based upon the context of a transaction—not on the attributes of the initiator. By assigning full access rights to a minimum of two key individuals in
the office, impl= ementation of the Emergency Access feature could be satisfied. Audit control mechani= sms, by
necessity, would= be provided by software featuring that capability. By establishing and using a messag= e
authentication c= ode, Data Authentication would be achieved. Use of the password system mentioned
above could also= satisfy the Unique User Identification requirement.
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Technical Security Services
nEmergency Access
nassign full access rights to a minimum of two key individuals
nAudit Control
nauthentication code feature included in software
nData Authentication
nestablish and use a message authentication code
n
By assigning ful= l access rights to a minimum of two key individuals in the office, implementation = of the
Emergency Acc= ess feature could be satisfied. Audit control mechanisms, by necessity, would be provided by software featuring that capability. By establishing = and using a message authentication code, Data  Authentication would be achi= eved. Use of the password system mentioned above could also satisfy the Unique = User Identification requirement.
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Claim Processing
nUse contracts to require contractor to implement the same security requirements = and take responsibility for protecting the data received.
n
As our example p= rovider contracts with a third party to handle claims processing, the claims processing
contract would b= e the vehicle to provide for a chain of trust (requiring the contractor to implement the same
security require= ments and take responsibility for protecting the data it receives).
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Transmission of Health Information
nInternet
nEncryption must be used
nVANs, private wires, dial-up connections
nonly integrity controls and message authentication would be required and could be provided by currently available software products, most likely provi= ded as part of their contract with their health care
n
If this provider= chooses to use the Internet to transmit or receive health information, some f= orm of encryption must be used. For example, the provider could procure and u= se commercial software to provide protection against unauthorized access to = the data transmitted or received. (This decision must take into account what encryption system the message recipient uses.) On the other hand, health information when transmitted via  other means such as VANs, private wires, or even dial-up connections may not require such absolute protection as is provided by encryption. This small or rural provider would likely not be part of a network configuration, therefore, only integrity controls and message authentication would be required and could be provided by currently avail= able software products, most likely provided as part of their contract with th= eir health care clearinghouse.
A virtual = area network (VAN) is a network on which users are enabled to share a more visual sens= e of community through high band-width connections. As conceived by PennWell M= edia Online, an online directory for specialized networking products, a virtua= l area network is something like a metropolitan area network (MAN) or extended l= ocal area network (LAN) in which all users can meet over high-bandwidth connections, enabling "face-to-face" online "coffeehouses," remote medical diagnosis and legal consultation, and online corporate or extracorporate workgroups, focus groups, and conferences. A VAN requires multi-megabyte data flow and can be implement= ed through the use of Asymmetric Digital Subscriber Line but more likely thr= ough the installation of cable modem. Since the high-bandwidth connections imp= ly a common infrastructure, the first VANs are likely to be local or regional. However, a VAN can also be national or international in geographic scope, assuming all users share similar capabilities.

------=_NextPart_01C24A83.874E1DD0 Content-Location: file:///C:/0D8AB2F9/HippaSecurity_files/slide0018.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Small or Rural Provider Example
Conte= nt of Required Documentation
nExpect model of t= he documentation to be developed by industry associations and vendors
nDHHS= will work with the industry to develop
Small providers = may need guidance regarding the content of the documents required by this rule (for example,
specifics of a c= hain of trust partner agreement). We would expect models of the documentation discussed in this
example to be de= veloped by industry associations and vendors. If this model documentation is not developed, DHHS would work with the industry to develop them.
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Where To Go For More HIPAA Informat= ion
http= ://www.acbhcs.org
Behavioral Healt= h Care website for HIPAA information http://www.acbhcs.org
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Example describing the manner in= which a small or rural provider might choose to implement the requirements of the standard. (For purposes of this example, we would describe a small or rural provider as a one to four physician office, with two to five additional employees. The office uses a PC-based practice management system, which is used to communicate intermittently with a clearinghouse for submission of electronic claims. The number of providers is of less importance for this example than the relatively simple technology in use and the fact that there is insufficient volume or revenue to justify employment of a computer system administrator.)
This evaluation could be done by a knowledgeable person on the staff, or more likely, by a consultant or by t= he vendor of the practice management system as a service to its customers.  
First, the office might assess ac= tual and potential risks to its information assets. Then, to establish appropriate security, the office would develop policies and procedures to mitigate and manage those risks. These would include an overall framework outlining information security activities and responsibilities, and repercussions for failure to meet those responsibilities. Next, this office might develop contingency plans to reduce or negate the damage resulting from processing anomalies; for example, establish a routine process for maintaining back up floppy disks at a second location, obtain a PC maintenance contract, and arrange for use of a backup PC should the need arise. This office would ne= ed to periodically review its plan to determine whether it still met the office’s needs. 
The office would need to create a= nd document a personnel security policy and procedures to be followed. A key individual on the office staff should be charged with the responsibility f= or assuring the Personnel Security requirement is met. This responsibility wo= uld include seeing that the access authorization levels granted are documented= and kept current (for example, records are kept of everyone who is permitted to use the PC and what files they may access), and training all personnel in security. Again, we emphasize that these requirements are scalable. 
The requirement for Personnel Cle= arance Procedures could be met in a small office with standard personal and professional reference checks, while a large organization may employ more formal, rigorous background investigations.
This same individual could also be charged with the responsibility for Security Configuration Management and Termination Procedures.  For = our small provider, the Security Configuration Management requirement would be= relatively easy to satisfy; the necessary features could be part of a purchased hardw= are/software package (for example, a new PC might be equipped with virus checking software), or included as part of the support supplied with the purchase of equipment and software.  Termination procedures would incorporate specific security actions = to be taken as a result of an employee’s termination, such as obtaining= all keys and changing combinations or passwords. A ‘‘position description’’ document describing this person’s duties c= ould specify the level of detail necessary.
Requirements that would lend them= selves to inclusion in an ‘‘office procedures’’ document include: contingency plans, formal records processing pro= cedures, information access controls (rules for granting access, actual esta= blishment of access, and procedures for modifying such access), security i= ncident procedures (for example, who is to be notified if it appears that medi= cal information has been accessed by an unauthorized party), and training. Periodic security reminders could include visual aids, such as posters and screen savers, and oral reminders in recurring meetings.
The ‘‘office procedures/policies’’ manual should include directions for authorizing access and keeping records of authorized accesses. Media Contr= ols and Workstation Use policy instructions would be developed by the office a= nd would include additional instructions on such items as where to store back= ed up data, how to dispose of data no longer needed, or logging off when leav= ing terminals unattended.
Physical Access controls would be relatively straightforward for this small or rural office, using locked ro= oms and/ or closets to secure equipment and media from unauthorized access. Safeguards for the security of workstation location(s) would depend upon t= he physical surroundings in the small or rural office. Our small or rural provider may meet the requirements by locating equipment in areas that are generally populated by office staff and have some degree of physical separation from the public.
Security Awareness Training woul= d be part of the new employee orientation process and would be a periodic recur= ring discussion item in staff meetings.
The Technical Security Services requirements for Access Control, Entity Authentication, and Authorization&= #13;Control may be achieved simply by implementing a user-based data access model (assigning a user-name and password combination to each authorized employee). Other access models could be employed if desired, but would prove unwieldy for the small office. For example, the role-based access process groups users with similar data access needs, and context-based access is based upon the context of a transaction—not on the attributes of the initiator. By assigning full access rights to a minimum = of two key individuals in the office, implementation of the Emergency Acc= ess feature could be satisfied. Audit control mechanisms, by necessity, wo= uld be provided by software featuring that capability. By establishing and usi= ng a message authentication code, Data Authentication would be achieved. Us= e of the password system mentioned
above could also satisfy the Unique User Identification requirement.<= /div>
By assigning full access rights = to a minimum of two key individuals in the office, implementation of the Emergency Access feature could be satisfied. Audit control mechanisms, by= necessity, would be provided by software featuring that capability. By establishing a= nd using a message authentication code, Data  Authentication would be achie= ved. Use of the password system mentioned above could also satisfy the Unique U= ser Identification requirement.
As our example provider contract= s with a third party to handle claims processing, the claims processing contract would be the vehicle to provide for a chain of trust (requiring the contra= ctor to implement the same
security requirements and take responsibility for protecting the data= it receives).
If this provider chooses to use = the Internet to transmit or receive health information, some form of encryption mus= t be used. For example, the provider could procure and use commercial software = to provide protection against unauthorized access to the data transmitted or received. (This decision must take into account what encryption system the message recipient uses.) On the other hand, health information when transmitted via  other means = such as VANs, private wires, or even dial-up connections may not require such absolute protection as is provided by encryption. This small or rural provider would likely not be part of a network configuration, therefore, o= nly integrity controls and message authentication would be required and could = be provided by currently available software products, most likely provided as part of their contract with their health care clearinghouse. A virtual area network (VAN) is a network on which users are enabled to = share a more visual sense of community through high band-width con= nections. As conceived by PennWell Media Online, an online directory f= or specialized networking products, a virtual area network is something <= /b>like a metropolitan area network (MAN) or extended local area network <= b>(LAN) in which all users can meet over high-bandwidth connections, enabling "face-to-face" online "coffeehouses," remote medical diagnosis and legal consultation, and online corporate or extracorporate workgroups, focus groups, and conferences. A = VAN requires multi-megabyte data flow and can be implemented thr= ough the use of Asymmetric Digital Subscriber Line but more likely through the installation of cable modem. Since the high-bandwidth connections imply a common infrastructure, the first VANs are likely to be local or regional. However, a VAN can also be national or international in geographic scope, a= ssuming all users share similar capabilities.
Small providers may need guidance regarding the content of the documents required by this rule (for example, specifics of a chain of trust partner agreement). We would ex= pect models of the documentation discussed in this example to be developed = by industry associations and vendors. If this model documentation is not developed, DHHS would work with the industry to develop them.
Behavioral Health Care website f= or HIPAA information http://www.acbhcs.org
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application/javascript; charset="us-ascii" function LoadSld() { var sld=3DGetObj("SlideObj") if( !g_supportsPPTHTML ) { sld.style.visibility=3D"visible" return } if( MakeNotesVis() ) return runAnimations =3D _InitAnimations(); if( IsWin("PPTSld") ) parent.SldUpdated(GetSldId()) g_origSz=3DparseInt(SlideObj.style.fontSize) g_origH=3Dsld.style.posHeight g_origW=3Dsld.style.posWidth g_scaleHyperlinks=3D(document.all.tags("AREA").length>0) if( g_scaleHyperlinks ) InitHLinkArray() if( g_scaleInFrame||(IsWin("PPTSld") && parent.IsFullScrMode() ) ) document.body.scroll=3D"no" _RSW() if( IsWin("PPTSld") && parent.IsFullScrMode() ) FullScrInit(); =09 MakeSldVis(); ChkAutoAdv() if( runAnimations ) { if( document.all("NSPlay") ) document.all("NSPlay").autoStart =3D false; if( sld.filters && sld.filters.revealtrans ) setTimeout( "document.body.start()", sld.filters.revealtrans.duration * = 1000 ); else document.body.start(); } } function MakeSldVis() { var fTrans=3Dg_showAnimation && SldHasTrans() if( fTrans ) { if( g_bgSound ) { idx=3Dg_bgSound.indexOf(","); pptSound.src=3Dg_bgSound.substr( 0, idx ); pptSound.loop=3D -(parseInt(g_bgSound.substr(idx+1))); } SlideObj.filters.revealtrans.Apply() } SlideObj.style.visibility=3D"visible" if( fTrans ) SlideObj.filters.revealtrans.Play() } function MakeNotesVis() { if( !IsNts() ) return false SlideObj.style.display=3D"none" nObj =3D document.all.item("NotesObj") parent.SetHasNts(0) if( nObj ) { nObj.style.display=3D"" parent.SetHasNts(1) } return 1 } function ChkAutoAdv() { if(SldHasTrans()) SlideObj.onfilterchange=3DAutoAdv else AutoAdv() } function AutoAdv() { if(!IsWin("PPTSld") || !gUseSldTimings )return var sld=3DGetCurSld() if( (sld.mAdvDelay>0) && !parent.IsFramesMode() ) setTimeout("parent.GoToNextSld()",sld.mAdvDelay) } function GetObj(id) { if(g_supportsPPTHTML) return document.all(id); else return document.getElementById(id); } function SldHasTrans() { return SlideObj.style.getAttribute("filter")!=3D""= } function GetSldId() { return sId=3Dlocation.href.substring(location.href.la= stIndexOf('/')+1) } function HideMenu() { if( frames["PPTSld"] && PPTSld.document.all.item("ctx= tmenu") && PPTSld.ctxtmenu.style.display!=3D"none" ) { PPTSld.ctxtmenu.styl= e.display=3D'none'; return true } return false } function IsWin( name ) { return window.name =3D=3D name } function IsNts() { return IsWin("PPTNts") } function IsSldOrNts() { return( IsWin("PPTSld")||IsWin("PPTNts") ) } function SupportsPPTAnimation() { return( navigator.platform =3D=3D "Win32"= && navigator.appVersion.indexOf("Windows")>0 ) } function SupportsPPTHTML() { var appVer=3Dnavigator.appVersion, msie=3DappVer.indexOf("MSIE "), ver=3D0 if( msie >=3D 0 ) ver=3DparseFloat( appVer.substring( msie+5, appVer.indexOf(";",msie) ) ) else ver=3DparseInt(appVer) return( ver >=3D 4 && msie >=3D 0 ) } function _RSW() { if( !g_supportsPPTHTML || IsNts() || ( !g_scaleInFrame && (!IsWin("PPTSld") || !parent.IsFullScrMode()) ) ) return var padding=3D0; if( IsWin("PPTSld") && parent.IsFramesMode() ) padding=3D6 cltWidth=3Ddocument.body.clientWidth-padding cltHeight=3Ddocument.body.clientHeight-padding factor=3D(1.0*cltWidth)/g_origW if( cltHeight < g_origH*factor ) factor=3D(1.0*cltHeight)/g_origH newSize =3D g_origSz * factor if( newSize < 1 ) newSize=3D1 s=3DSlideObj.style s.fontSize=3DnewSize+"px" s.posWidth=3Dg_origW*factor s.posHeight=3Dg_origH*factor s.posLeft=3D(cltWidth-s.posWidth+padding)/2 s.posTop=3D(cltHeight-s.posHeight+padding)/2 if( g_scaleHyperlinks ) ScaleHyperlinks( factor ) } function _InitAnimations() { animRuntimeInstalled =3D ''+document.body.localTime !=3D 'undefined'; isFullScreen =3D (window.name =3D=3D "PPTSld") && !parent.IsFramesMode(); g_animUseRuntime =3D g_showAnimation && animRuntimeInstalled && !(isFullSc= reen && parent.IsSldVisited()); if( g_animUseRuntime ) { collSeq =3D document.all.tags("seq"); if( collSeq !=3D null ) { for(ii=3D0;ii numSlds ) gSldJumpIdx =3D numSlds; if ( gSldJumpIdx >=3D 0 ) { if ( gSldJumpIdx =3D=3D 0 ) gSldJumpIdx =3D 1; var jumpTo =3D parseInt(gSldJumpIdx); gSldJump =3D 0; gSldJumpIdx =3D ""; win.GoToSld( parent.GetSldList().mList[jumpTo-1].mSldHref ) } } } function _KDH() { if( event.keyCode =3D=3D 8 ) { event.returnValue =3D 0; parent.GoToPrevSld(); } } var g_HLinkArray =3D new Array(); function IMapAreaObj( areaObj, coords ) { this.areaObj =3D areaObj; this.coords =3D coords; } function InitHLinkArray() { var appVer =3D navigator.appVersion; var msie =3D appVer.indexOf ( "MSIE " ) var ver =3D 0; if ( msie >=3D 0 ) ver =3D parseInt ( appVer.substring( msie+5 ) ); linkNum =3D 0; for (i=3D0; i 4 ) ) g_HLinkArray[linkNum++] =3D new IMapAreaObj( areaObj, ParseCoords( ar= eaObj.coords ) ); } } function ScaleHyperlinks( factor ) { for ( ii=3D0; ii< g_HLinkArray.length; ii++) { coordsStr=3D""; imaObj =3D g_HLinkArray[ii]; for ( jj=3D0; jj < imaObj.coords.length-1; jj++ ) coordsStr +=3D (imaObj.coords[jj]*factor) + ","; coordsStr +=3D (imaObj.coords[jj]*factor); imaObj.areaObj.coords =3D coordsStr; } } function ParseCoords( coordsStr ) { var numArray =3D new Array(); var i =3D curPos =3D commaPos =3D 0; while ( ( commaPos =3D coordsStr.indexOf(",", curPos) ) !=3D -1 ) { numArray[i++] =3D parseInt( coordsStr.substr( curPos, commaPos ) ); curPos =3D commaPos + 1; } numArray[i] =3D parseInt( coordsStr.substr( curPos ) ); return numArray; } function PlaySound( href, loop ){ href=3D unescape(href); if( window.event ) window.event.cancelBubble =3D true; pptSound.src =3D href; pptSound.loop =3D loop ? -1 : 0; } function DocumentOnClick() { if( IsNts() || parent.HideMenu() ) return; if( ( g_allowAdvOnClick && (window.name=3D=3D"PPTSld") && !parent.IsFrames= Mode() ) || (event && event.keyCode=3D=3D32) ) { if( g_animUseRuntime && g_animMainSequence && g_animMainSequence.cangonex= t ) return; parent.GoToNextSld(); } } var g_supportsPPTHTML =3D SupportsPPTHTML(), g_scaleInFrame =3D 1, gId=3D""= , g_bgSound=3D"", g_scaleHyperlinks =3D false, g_allowAdvOnClick =3D 1, g_showInBrowser = =3D 0, gLoopCont =3D 0, gUseSldTimings =3D 1; var g_showAnimation =3D g_supportsPPTHTML && SupportsPPTAnimation() && ( (w= indow.name=3D=3D"PPTSld" && !parent.IsFramesMode()) || g_showInBrowser );va= r g_animManager =3D null; var g_animUseRuntime =3D false; var g_animItemsToHide, g_animInteractiveItems, g_animSlideTime; var g_animMainSequence =3D null; var ENDSHOW_MESG=3D"End of slide show, click to exit.", SCREEN_MODE=3D"Fram= es", gIsEndShow=3D0, NUM_VIS_SLDS=3D37, SCRIPT_HREF=3D"script.js", FULLSCR_= HREF=3D"fullscreen.htm"; var gCurSld =3D gPrevSld =3D 1, g_offset =3D 0, gNtsOpen =3D gHasNts =3D gO= tlTxtExp =3D 0, gHasNarration =3D 0, gOtlOpen =3D true window.gPPTHTML=3DSupportsPPTHTML() var gMainDoc=3Dnew Array(new hrefList("slide0039.htm",1,-1,1),new hrefList(= "slide0038.htm",1,-1,1),new hrefList("slide0037.htm",1,-1,1),new hrefList("= slide0036.htm",1,-1,1),new hrefList("slide0040.htm",1,-1,1),new hrefList("s= lide0057.htm",1,-1,1),new hrefList("slide0058.htm",1,-1,1),new hrefList("sl= ide0041.htm",1,-1,1),new hrefList("slide0020.htm",1,-1,1),new hrefList("sli= de0042.htm",1,-1,1),new hrefList("slide0035.htm",1,-1,1),new hrefList("slid= e0043.htm",1,-1,1),new hrefList("slide0048.htm",1,-1,1),new hrefList("slide= 0049.htm",1,-1,1),new hrefList("slide0050.htm",1,-1,1),new hrefList("slide0= 051.htm",1,-1,1),new hrefList("slide0052.htm",1,-1,1),new hrefList("slide00= 53.htm",1,-1,1),new hrefList("slide0054.htm",1,-1,1),new hrefList("slide005= 5.htm",1,-1,1),new hrefList("slide0056.htm",1,-1,1),new hrefList("slide0001= .htm",1,-1,1),new hrefList("slide0002.htm",1,-1,1),new hrefList("slide0003.= htm",1,-1,1),new hrefList("slide0004.htm",1,-1,1),new hrefList("slide0005.h= tm",1,-1,1),new hrefList("slide0006.htm",1,-1,1),new hrefList("slide0008.ht= m",1,-1,1),new hrefList("slide0011.htm",1,-1,1),new hrefList("slide0010.htm= ",1,-1,1),new hrefList("slide0012.htm",1,-1,1),new hrefList("slide0013.htm"= ,1,-1,1),new hrefList("slide0014.htm",1,-1,1),new hrefList("slide0016.htm",= 1,-1,1),new hrefList("slide0017.htm",1,-1,1),new hrefList("slide0018.htm",1= ,-1,1),new hrefList("slide0019.htm",1,-1,1)); function FullScrInit() { g_allowAdvOnClick =3D GetCurSld().mAdvOnClk document.body.style.backgroundColor=3D"black" document.oncontextmenu=3Dparent._CM; document.onkeydown =3D _KDH; document.ondragstart=3DCancel document.onselectstart=3DCancel self.focus() } function Redirect( frmId ) { var str=3Ddocument.location.hash,idx=3Dstr.indexOf('#'), sId=3DGetSldId() if(idx>=3D0) str=3Dstr.substr(1); if( window.name !=3D frmId && ( sId !=3D str) ) { obj =3D GetObj("Main-File") window.location.href=3Dobj.href+"#"+sId return 1 } return 0 } var MHTMLPrefix =3D CalculateMHTMLPrefix(); function CalculateMHTMLPrefix() { if ( document.location.protocol =3D=3D 'mhtml:') { href=3Dnew String(document.location.href) Start=3Dhref.indexOf('!')+1 End=3Dhref.lastIndexOf('/')+1 if (End < Start) return href.substring(0, Start) else return href.substring(0, End) } return ''; } function GetTags(base,tag) { if(g_supportsPPTHTML) return base.all.tags(tag); else return base.getElementsByTagName(tag); } function UpdNtsPane(){ if(frames["PPTNts"]) PPTNts.location.replace( MHTMLP= refix+GetHrefObj( gCurSld ).mNtsHref ) } function UpdNavPane( sldIndex ){ if(gNavLoaded) PPTNav.UpdNav() } function UpdOtNavPane(){ if(gOtlNavLoaded) PPTOtlNav.UpdOtlNav() } function UpdOtlPane(){ if(gOtlLoaded) PPTOtl.UpdOtl() } function SetHasNts( fVal ) { if( gHasNts !=3D fVal ) { gHasNts=3DfVal UpdNavPane() } } function ToggleOtlText() { gOtlTxtExp=3D!gOtlTxtExp UpdOtlPane() } function ToggleOtlPane() { frmset=3Ddocument.all("PPTHorizAdjust") frm=3Ddocument.all("PPTOtl") if( gOtlOpen ) frmset.cols=3D"*,100%" else frmset.cols=3D"25%,*" gOtlOpen=3D!gOtlOpen frm.noResize=3D!frm.noResize UpdOtNavPane() } function ToggleNtsPane() { frmset=3Ddocument.all("PPTVertAdjust") frm=3Ddocument.all("PPTNts") if( gNtsOpen ) frmset.rows=3D"100%,*" else frmset.rows=3D"*,20%" gNtsOpen=3D!gNtsOpen UpdNtsPane() } function ClearMedia() { if (PPTSld.pptSound) PPTSld.pptSound.loop =3D 0; } function FullScreen() { if ( PPTSld.g_animUseRuntime ) PPTSld.document.body.pause(); ClearMedia(); var href =3D ( document.location.protocol =3D=3D 'mhtml:') ? FULLSCR_HREF = : FULLSCR_HREF+"#"+GetHrefObj(gCurSld).mSldHref; if(PPTNav.event.ctrlKey) { var w =3D (window.screen.availWidth * 1.0) / 2.0 var h =3D w * (PPTSld.g_origH * 1.0) / PPTSld.g_origW win =3D window.open( MHTMLPrefix+href,null,"toolbar=3D0,resizable=3D1,top= =3D0,left=3D0," + "width=3D"+ w + ",height=3D" + h ); if( PPTSld.g_animUseRuntime ) win.document.body.PPTSldFrameset=3Dwindow; } else { win =3D window.open( MHTMLPrefix+href,null,"fullscreen=3Dyes" ); if( PPTSld.g_animUseRuntime ) win.document.body.PPTSldFrameset=3Dwindow; } } function ToggleVNarration() { rObj=3DPPTSld.document.all("NSPlay") if( rObj && !PPTSld.g_animUseRuntime ) { if( (rObj.playState =3D=3D 1)||(rObj.playState =3D=3D 0) ) rObj.Play() else if( rObj.playState =3D=3D 2 ) rObj.Pause() else return; } else if( PPTSld.g_animUseRuntime ) { narObj =3D PPTSld.document.all("narrationID") if( narObj ) narObj.togglePause() } } function GetCurSldNum() { obj=3DGetHrefObj(gCurSld) if( obj.mOrigVis =3D=3D 1 ) return obj.mSldIdx else return gCurSld } function GetNumSlds() { if( GetHrefObj(gCurSld).mOrigVis =3D=3D 1 ) return GetSldList().mNumVisSlds; else return GetSldList().mList.length } function GetSldNum( href ) { for(ii=3D0; ii 1 ) PopSldList(); else if( !IsFramesMode() ) { if( gLoopCont ) GoToFirst() else EndShow() } } function GoToPrevSld() { ii=3DgCurSld-1 if( ii > 0 ) { obj=3DGetHrefObj(ii) while ( obj && ( obj.mVis =3D=3D 0 ) && ( ii>0 ) ) obj=3DGetHrefObj(--ii) if( ii =3D=3D 0 ) ii=3D1 GoToSldNum(ii) } } function GoToFirst(){ GoToSld( GetHrefObj(1).mSldHref ) } function GoToLast() { ii=3DGetSldList().mList.length if( ii !=3D gCurSld ) GoToSld( GetHrefObj(ii).mSldHref ) } function GoToSldNum( num ) { if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue obj =3D GetHrefObj( num ) obj.mVis=3D1 gPrevSld=3DgCurSld gCurSld =3D num; PPTSld.location.replace(MHTMLPrefix+obj.mSldHref) if( IsFramesMode() ) { UpdNavPane(); UpdOtlPane(); UpdNtsPane() } } function GoToSld( href ) { if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue GetHrefObj( GetSldNum(href) ).mVis=3D1 PPTSld.location.replace(MHTMLPrefix+href) } function SldUpdated( id ) { if( id =3D=3D GetHrefObj(gCurSld).mSldHref ) return gPrevSld=3DgCurSld gCurSld=3DGetSldNum(id) if( IsFramesMode() ) { UpdNavPane(); UpdOtlPane(); UpdNtsPane() } } function PrevSldViewed(){ GoToSld( GetHrefObj(gPrevSld).mSldHref ) } function HasPrevSld() { return ( gIsEndShow || ( gCurSld !=3D 1 && GetHrefO= bj( gCurSld-1 ).mVis =3D=3D 1 )||( GetCurSldNum() > 1 ) ) } function HasNextSld() { return (GetCurSldNum() !=3D GetNumSlds()) } function CloseWindow() { if( HideMenu() ) return; var event =3D PPTSld.event; if( !IsFramesMode() && event && (event.keyCode=3D=3D27 || event.keyCode=3D= =3D32 || event.type=3D=3D"click" ) ) window.close( self ); CatchNumKeys( self, event ); } function Unload() { gIsEndShow=3D0; } function SetupEndShow() { gIsEndShow=3D1; PPTSld.document.body.scroll=3D"no"; PPTSld.document.onkeypress=3DCloseWindow; PPTSld.document.onclick=3DCloseWindow; PPTSld.document.oncontextmenu=3D_CM; } function EndShow() { if( IsFramesMode() ) return if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue doc=3DPPTSld.document doc.open() doc.writeln('


' + ENDSHOW_MESG + '

') doc.close() } function SetSldVisited(){ GetSldList().mList[gCurSld-1].mVisited=3Dtrue } function IsSldVisited(){ return GetSldList().mList[gCurSld-1].mVisited } function hrefList( sldHref, visible, advDelay, advClk ) { this.mSldHref=3D this.mNtsHref =3D sldHref this.mOrigVis=3D this.mVis =3D visible this.mVisited=3D false this.mAdvDelay=3D advDelay this.mAdvOnClk=3D advClk } function SldList(arr,curSld,fEnd) { this.mCurSld =3D curSld; this.mList =3D new Array(); var idx =3D 1; for(ii=3D0;ii 0) { PushSldList(sldList,fEnd); gCurSld =3D 1; } else if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue } function PushSldList(arr,fEnd) { var ii =3D gSldStack.length; gSldStack[ii] =3D new SldList(arr,gCurSld,fEnd); GoToSld( gSldStack[ii].mList[0].mSldHref ); } function PopSldList() { if (gSldStack[gSldStack.length-1].fEndShow) EndShow() else { gCurSld =3D gSldStack[gSldStack.length-1].mCurSld; gSldStack[gSldStack.length-1] =3D null; gSldStack.length--; var sldList =3D gSldStack[gSldStack.length-1]; GoToSld( sldList.mList[gCurSld - 1].mSldHref ); } } var custShowList=3Dnew Array(); function ImgBtn( oId,bId,w,action ) { var t=3Dthis t.Perform =3D _IBP t.SetActive =3D _IBSetA t.SetInactive=3D _IBSetI t.SetPressed =3D _IBSetP t.SetDisabled=3D _IBSetD t.Enabled =3D _IBSetE t.ChangeIcon =3D null t.UserAction =3D action t.ChgState =3D _IBUI t.mObjId =3D oId t.mBorderId=3D bId t.mWidth =3D w t.mIsOn =3D t.mCurState =3D 0 } function _IBSetA() { if( this.mIsOn ) { obj=3Dthis.ChgState( gHiliteClr,gShadowClr,2 ) obj.style.posTop=3D0 } } function _IBSetI() { if( this.mIsOn ) { obj=3Dthis.ChgState( gFaceClr,gFaceClr,1 ) obj.style.posTop=3D0 } } function _IBSetP() { if( this.mIsOn ) { obj=3Dthis.ChgState( gShadowClr,gHiliteClr,2 ) obj.style.posLeft+=3D1; obj.style.posTop+=3D1 } } function _IBSetD() { obj=3Dthis.ChgState( gFaceClr,gFaceClr,0 ) obj.style.posTop=3D0 } function _IBSetE( state ) { var t=3Dthis GetObj( t.mBorderId ).style.visibility=3D"visible" if( state !=3D t.mIsOn ) { t.mIsOn=3Dstate if( state ) t.SetInactive() else t.SetDisabled() } } function _IBP() { var t=3Dthis if( t.mIsOn ) { if( t.UserAction !=3D null ) t.UserAction() if( t.ChangeIcon ) { obj=3DGetObj(t.mObjId) if( t.ChangeIcon() ) obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-4)*t.mWidth else obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-0)*t.mWidth } t.SetActive() } } function _IBUI( clr1,clr2,nextState ) { var t=3Dthis SetBorder( GetObj( t.mBorderId ),clr1,clr2 ) obj=3DGetObj( t.mObjId ) obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-nextState)*t.mWidth-obj= .style.posTop t.mCurState=3DnextState return obj } function TxtBtn( oId,oeId,action,chkState ) { var t=3Dthis t.Perform =3D _TBP t.SetActive =3D _TBSetA t.SetInactive=3D _TBSetI t.SetPressed =3D _TBSetP t.SetDisabled=3D _TBSetD t.SetEnabled =3D _TBSetE t.GetState =3D chkState t.UserAction =3D action t.ChgState =3D _TBUI t.mObjId =3D oId t.m_elementsId=3D oeId t.mIsOn =3D 1 } function _TBSetA() { var t=3Dthis if( t.mIsOn && !t.GetState() ) t.ChgState( gHiliteClr,gShadowClr,0,0 ) } function _TBSetI() { var t=3Dthis if( t.mIsOn && !t.GetState() ) t.ChgState( gFaceClr,gFaceClr,0,0 ) } function _TBSetP() { if( this.mIsOn ) this.ChgState( gShadowClr,gHiliteClr,1,1 ) } function _TBSetD() { this.ChgState( gFaceClr,gFaceClr,0,0 ) this.mIsOn =3D 0 } function _TBSetE() { var t=3Dthis if( !t.GetState() ) t.ChgState( gFaceClr,gFaceClr,0,0 ) else t.ChgState( gShadowClr,gHiliteClr,1,1 ) t.mIsOn =3D 1 } function _TBP() { var t=3Dthis if( t.mIsOn ) { if( t.UserAction !=3D null ) t.UserAction() if( !t.GetState ) return if( t.GetState() ) t.SetPressed() else t.SetActive() } } function _TBUI( clr1,clr2,lOffset,tOffset ) { SetBorder( GetObj( this.mObjId ),clr1,clr2 ) Offset( GetObj( this.m_elementsId ),lOffset,tOffset ) } function Offset( obj, top, left ){ obj.style.top=3Dtop; obj.style.left=3Dle= ft } function SetBorder( obj, upperLeft, lowerRight ) { s=3Dobj.style; s.borderStyle =3D "solid" s.borderWidth =3D 1 s.borderLeftColor =3D s.borderTopColor =3D upperLeft s.borderBottomColor=3D s.borderRightColor =3D lowerRight } function GetBtnObj(){ return gBtnArr[window.event.srcElement.id] } function BtnOnOver(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetActive() } function BtnOnDown(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetPressed() } function BtnOnOut(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetInactive() } function BtnOnUp() { b=3DGetBtnObj() if( b !=3D null ) b.Perform() else Upd() } function GetNtsState(){ return parent.gNtsOpen } function GetOtlState(){ return parent.gOtlOpen } function GetOtlTxtState(){ return parent.gOtlTxtExp } function NtsBtnSetFlag( fVal ) { s=3Ddocument.all.item( this.m_flagId ).style s.display=3D"none" if( fVal ) s.display=3D"" else s.display=3D"none" } function _BSetA_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S= etActive() } function _BSetI_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S= etInactive() } var gHiliteClr=3D"THREEDHIGHLIGHT",gShadowClr=3D"THREEDSHADOW",gFaceClr=3D"= THREEDFACE" var gBtnArr =3D new Array() gBtnArr["nb_otl"] =3D new TxtBtn( "nb_otl","nb_otlElem",parent.ToggleOtlPan= e,GetOtlState ) gBtnArr["nb_otlElem"] =3D new TxtBtn( "nb_otl","nb_otlElem",parent.ToggleOt= lPane,GetOtlState ) gBtnArr["nb_nts"] =3D new TxtBtn( "nb_nts","nb_ntsElem",parent.ToggleNtsPan= e,GetNtsState ) gBtnArr["nb_prev"]=3D new ImgBtn( "nb_prev","nb_prevBorder",30,parent.GoToP= revSld ) gBtnArr["nb_next"]=3D new ImgBtn( "nb_next","nb_nextBorder",30,parent.GoToN= extSld ) gBtnArr["nb_sldshw"]=3D new ImgBtn( "nb_sldshw","nb_sldshwBorder",18,parent= .FullScreen ) gBtnArr["nb_sldshwBorder"] =3D new TxtBtn( "nb_sldshw","nb_sldshwBorder",pa= rent.FullScreen,null ) gBtnArr["nb_sldshwBorder"].SetActive =3D _BSetA_Border; gBtnArr["nb_sldshwBorder"].SetInactive =3D _BSetI_Border; gBtnArr["nb_sldshwText"] =3D new TxtBtn( "nb_sldshw","nb_sldshwText",parent= .FullScreen,null ) gBtnArr["nb_sldshwText"].SetActive =3D _BSetA_Border; gBtnArr["nb_sldshwText"].SetInactive =3D _BSetI_Border; gBtnArr["nb_voice"] =3D new ImgBtn( "nb_voice","nb_voiceBorder",18,parent.= ToggleVNarration ) gBtnArr["nb_otlTxt"]=3D new ImgBtn( "nb_otlTxt","nb_otlTxtBorder",23,parent= .ToggleOtlText ) gBtnArr["nb_nts"].m_flagId=3D "notes_flag" gBtnArr["nb_nts"].SetFlag =3D NtsBtnSetFlag gBtnArr["nb_otlTxt"].ChangeIcon=3D GetOtlTxtState var sNext=3D"Next",sPrev=3D"Previous",sEnd=3D"End Show",sFont=3D"Arial",sAr= row=3D"Arrow",sFreeform=3D"Freeform",sRect=3D"Rectangle",sOval=3D"Oval" function ShowMenu() { BuildMenu(); var doc=3DPPTSld.document.body,x=3DPPTSld.event.clientX+doc.scrollLeft,y= =3DPPTSld.event.clientY+doc.scrollTop m =3D PPTSld.document.all.item("ctxtmenu") m.style.pixelLeft=3Dx if( (x+m.scrollWidth > doc.clientWidth)&&(x-m.scrollWidth > 0) ) m.style.pixelLeft=3Dx-m.scrollWidth m.style.pixelTop=3Dy if( (y+m.scrollHeight > doc.clientHeight)&&(y-m.scrollHeight > 0) ) m.style.pixelTop=3Dy-m.scrollHeight m.style.display=3D"" } function _CM() { if( !parent.IsFullScrMode() ) return; 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charset="us-ascii" Small or Rural Provider Example ------=_NextPart_01C24A83.874E1DD0 Content-Location: file:///C:/0D8AB2F9/HippaSecurity_files/outline.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii"
Slide Show
Outline
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