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Sally Klein is a FOX HIPAA Analyst specializing in analysis of system requirements and business practices to ensure continuity of remediation efforts. She is a nationally recognized HIPAA expert and served as a National Medicaid representative to the ASC X12N standards setting committee and several other national committees. Prior to joining Fox, she was the HIPAA Project Manager for the Montana Department of Public Health and Human Services.


overview

Ms. Klein is a Project Management Professional (PMP) with over 30 years of experience in the healthcare industry. As a FOX HIPAA specialist for government agencies, she has coordinated activities to comply with HIPAA requirements and analyzed system requirements and business practices to ensure continuity of remediation efforts. Prior to joining Fox, Ms. Klein was the HIPAA Project Manager for the Montana Department of Public Health and Human Services. She is considered a national HIPAA expert and served as National Medicaid representative to the ASC X12N standards setting committee and several other national committees. She provided frequent testimony and national presentations regarding Medicaid preparation for HIPAA compliance and has also been responsible for all aspects of HIPAA privacy compliance, having served as the HIPAA Privacy Officer for the Department of Public Health and Human Services.


key qualifications

  • In-depth knowledge of HIPAA requirements and regulations

  • Extensive HIPAA compliance experience for government agencies

  • Extensive knowledge of all aspects of Medicaid operations


employment summary

organization

position

dates

FOX Systems, Inc.

HIPAA Project Manager

2003 – Present

Montana Department of Public Health and Human Services

HIPAA Project Manager

STD/HIV Section Supervisor



Jan 2000 – Feb 2003

Aug 1996 – Jan 2000



Shodair Children’s Specialty Hospital

Director of Nursing Service

Oct 1990 – June 1996

CPC Sierra Vista Hospital

Director of Nursing Service

Oct 1989 – Sep 1990

CPC Heritage Oaks Hospital

Adult Unit Coordinator

Feb 1988 – Oct 1989

Mercy San Juan Hospital

Administrative Resident

Sep 1987 – Aug 1988

Variety of hospitals, long term care facilities, and outpatient services

Registered Nurse

1969 - 1987


project experience

los angeles county (ca) department of health services

Providing HIPAA expertise in the assessment of the potential risks and vulnerabilities to the confidentiality, integrity and availability of electronic protected health information (ePHI) held or transmitted by the Departments of Health Services and Mental Health, and the identified portions of the Sheriff’s and Probation Department.


california department of mental health

Providing HIPAA subject matter expertise in support of the Department’s HIPAA implementation project for privacy and security. Developing policies and procedures, implementing privacy plan, providing training expertise, and detailing the Department’s information flows and designated record sets.


state of california, department of health services

Managed the FOX assessment of the state’s Short-Doyle system for mental health and substance abuse program provider payment and determination of gaps relative to HIPAA compliance. Determined gaps and provided remediation recommendations to achieve HIPAA compliance for transactions and code sets


california youth authority

Providing consulting services for the Youth Authority regarding their HIPAA status and recommendations for voluntary compliance. Services also include a feasibility study for an Electronic Health Record.


california department of mental health

Provided consulting services for the Department regarding their current environmental status; Gap Analyses for both Privacy and Security; and Remediation and Recommendation plan.


san diego county, california

Providing consulting services for the County’s Health and Human Services Agency regarding their current environmental status; Gap Analyses for both Privacy and Security; and Remediation and Recommendation plan.


department of public health and human services, state of montana

HIPAA Project Manager

Coordination of all state agency activities to comply with requirements of the Health Insurance Portability and Accountability Act (HIPAA). Analysis of system requirements and business practices to assure continuity of remediation efforts. Considered a national HIPAA expert by serving as National Medicaid representative to the ASC X12N standards setting committee and several other national committees. Frequent testimony and national presentations regarding Medicaid preparation for HIPAA compliance. Also responsible for all aspects of HIPAA privacy compliance, including serving as HIPAA Privacy Officer for Department of Public Health and Human Services. HIPAA coordination has required extensive knowledge of all aspects of Medicaid operations.


STD/HIV Section Supervisor

Supervised section of nine staff conducting STD and HIV prevention activities and testing, rape prevention education, and HIV treatment and prescription reimbursement. Budget of nearly $2 million funded by several federal grants with annual application processes. Member of National Alliance of State and Territorial AIDS Directors executive committee, and division and department quality assurance committees.


shodair children’s specialty hospital, helena, montana

Director of Nursing Service

Executive administrative responsibility for all nursing department functions for 22 bed Children’s Psychiatric Hospital and 44 bed Children’s Residential Treatment Center. Developed and maintained nursing operational budget of approximately $1.5 million, including program and staffing requirements for inpatient, partial hospitalization and after-school programs. Planned program, budget, and staffing needs for new Residential Treatment Center. Planned and implemented Performance Improvement/Quality Assurance, Infection Control, and in-service education activities for entire nursing department of more than 70 staff in accordance with JCAHO standards without recommendation. Participated in establishment of a corporation to respond to the Montana Mental Health Access Plan initiative for managed care and assisted in the development of a regional area network of mental health providers.


cpc sierra vista hospital, sacramento, california

Director of Nursing Service

Administration of all nursing functions for a 72 bed freestanding psychiatric facility featuring Adult, Adolescent and Chemical Dependency units. Directed hospital-wide JCAHO survey which ranked in top 10% of all hospitals surveyed by JCAHO. Responsible for Quality Assurance, Infection Control, and in-service education as well as all nursing department supplies, equipment and personnel. Functioned as interim Administrator for several months.


cpc heritage oaks hospital, sacramento, california

Adult Unit Coordinator

Line management of three 18 bed acute psychiatric adult units. Planned, organized, directed and evaluated all medical and psychiatric aspects of patient care and coordinated multi-disciplinary treatment approach. Supervised 50 nursing personnel and maintained staffing continuity and quality within budget guidelines.


mercy san juan hospital, carmichael, california

Administrative Resident

Direct involvement with all aspects of administration for 211 bed acute care hospital. Conducted analyses and facility preparations for several business proposals such as mobile lithotripsy services, Women’s and Children’s Center project, Community NICU, and Distinct Part Skilled Nursing Facility. Served as Disaster Coordinator and coordinated all preparations for JCAHO survey. Facilitated implementation of a hospital-wide productivity improvement program netting 5-10 % reduction in labor expenses.


Registered Nurse

Worked directly with clients in a wide variety of settings including hospitals, long term care, and outpatient services. Directed development of a new charting system, trained personnel in its use and evaluated efficiency and quality improvement. Functioned as charge nurse, team leader, and patient and staff educator.


education

MBA Degree, Health Services Management, Golden Gate University, San Francisco, CA

Named Outstanding MBA Student in Health Care Management
BA Degree, Health Services Administration, Saint Mary’s College, Moraga, CA

Honors Graduate


Diploma, Nursing, St. Luke’s Hospital School of Nursing, Fargo, ND

Honors Graduate


additional credentials

  • Associate in Risk Management (ARM) Insurance Institute of America, 1990

  • Certified Nurse Administrator Advanced (CNAA) American Nurses Credentialing Center, 1992 (Re-certified in 1997 and 2002)



references

Reference 1

Reference 2

Reference 3

Julie Baltazar

Chief, Office of HIPAA Compliance

California Department of Mental Health

1600 9th Street, Suite 150

Sacramento, CA 95814

(916) 654-0497

jbaltaza@dmhhq.state.ca.us


David Bass

Staff Information Systems Analyst

California Dept. of Health Services

Payment Systems Division - HIPAA

MS 4723

P.O. Box 997413



Sacramento, CA 95899-7413

(916) 255-5282

dbass@dhs.ca.gov


Brenda M. Boucher, RHIA

Clinical Record Administrator

HIPAA Project Manager

Department of the Youth Authority

4241 Williamsbourgh Drive, Suite 217

Sacramento, CA 95823

Phone: 916-262-3298

E-Mail: bboucher@cya.ca.gov





RESUME for

Kimberly D. Harris-Salamone, Ph.D.

NPI Subject Matter Expert


Kimberly Harris-Salamone is Senior Consultant with in-depth knowledge of all aspects of HIPAA rules and regulations. She is a skilled trainer and has developed HIPAA training programs and materials for government agencies and private healthcare organizations. She is also an expert in organizational learning, change and development, and group dynamics.


overview

Dr. Harris-Salamone is a Senior Consultant specializing in covered entity, privacy, security, and policy and procedure analyses for public and private healthcare organizations. She has developed many HIPAA training programs and materials, and has provided training to many state agencies. In addition, Dr. Harris-Salamone has provided Independent Verification and Validation (IV&V), requirements validation, and business analysis and strategic planning consulting services to a variety of state and county government entities.



Dr. Harris-Salamone’ expertise includes organizational learning, change and development, and group dynamics. Her medical informatics background, coupled with degrees in Higher and Continuing Education, Public Administration, and Psychology, gives her a unique perspective on the organizational aspects of change and development as healthcare organizations strive to implement the HIPAA rules and regulations. She has conducted evaluation research related to rural health care issues with regard to telemedicine, electronic medical records, and the use of the Internet by elderly for health care. She contributes this expertise to the American Medical Informatics Association (AMIA), where she is an active member and currently serves as the incoming Chair for the People and Organizational Issues (POI) Working Group. AMIA is a nonprofit 501(c)(3) organization dedicated to developing and using information technologies to improve health care. The POI working group is dedicated to studying the concepts revolving around human technologies, cultural issues, cultural change, organizational and human engineering.
key qualifications

  • Extensive HIPAA assessment experience

  • Strong analytical and statistical skills

  • Expertise in medical informatics evaluation research

  • Outstanding communications and writing skills

  • Extensive public speaking experience

  • Excellent teaching and training skills

  • Strong Organizational and Multi-Tasking Skills

  • Strong technical and computer skills


employment summary

organization

position

dates

FOX Systems, Inc.

Senior Consultant

2002 – Present

Duquesne University


Assistant Professor

2001 – 2002

Arizona School of Health Sciences


Assistant Professor

1999 – 2001

Open University

Associate Faculty

2000 – 2002

University of Missouri-Columbia


Project Development Specialist

1996 – 1999

Central Methodist College

Adjunct Professor

1997 – 1999

William Woods University

Adjunct Professor

1997 – 1999


project experience

mississippi state department of health

Performed a risk analysis and security assessment; developed and conducted a security awareness and training program, as well as a “train the trainer” seminar; and prepared a Final Report that included recommendations for security standards, including risks and estimated cost.


montgomery county, maryland

Assisted with a HIPAA compliance assessment, including a County-wide entity assessment; assessment of Department of Health and Human Services programs; Fire and Rescue Service HIPAA implementation analysis; and; electronic data interchange, training, and HIPAA IT security assessments.


state of hawaii, department of health

Provided HIPAA technical assistance and training under a federal subcontract to the Center for Substance Abuse Treatment (CSAT/SAMHSA). This project addresses HIPAA issues in transactions, privacy, security, and training. Organized technical assistance agendas and presenters; provided subject matter expertise in general HIPAA, privacy, and training development issues. Provided training to the division and its providers; assisted in moving division towards HIPAA compliance.


county of san diego – health and human services agency

Provided consulting services for the Department regarding their current environmental status, a Security Gap Analysis, and Remediation and Recommendation Plan.


california youth authority

Provided privacy subject matter expertise for a HIPAA assessment that included Transaction, Code Sets, and Privacy for this state agency. Responsible for privacy assessment, gap analysis, and remediation planning. Developed a business case for the implementation of a new electronic medical record.


sierra vista hospital, new mexico

Provided consulting services for the small hospital regarding their covered entity status, applicable transactions, gap analyses for both Privacy and Security, and recommendations for strategic issues.


california department of mental health

Provided consulting services for the Department regarding their current environmental status; Gap Analyses for both Privacy and Security; and Remediation and Recommendation plan.


tennessee department of correction

Provided consulting services for the Department regarding their Covered Entity determination; Gap Analyses for both Privacy and Security; and Remediation and Recommendation plan.


hillsborough county

Provided consulting services to the Department Aging Services and the Department of Human Resources in the development of Policies and Procedures to close gaps that had been identified in the Privacy Gap Analysis.


sun life family health center, inc.

Provided consulting services for the main community health center and its' satellite clinics with regard to functionality, implementation, and compliance with HIPAA rules and regulations of a customized electronic medical record.


preferred primary care physicians

Provided advisory services to a multi-site, physician owned managed care organization in the implementation of a newly selected electronic medical record. Dr. Harris provided advice to various administrators with regard to HIPAA privacy issues such as privacy provisions for research, and security issues such as the provision of a PKI, a Certificate Authority, and HL7 messaging.


HL7 presentation

Presented an overview of HL7 messaging for Electronic Laboratory Reporting to various public health laboratory representatives throughout the state of New Mexico at the NEDSS Advisory Committee Meeting.


tennessee bureau of tenncare

Conducted a DSD review for the new MMIS system.


pascua yaqui tribe

Provided technical consulting services to the Tribe through the evaluation of the Tribe’s current computerized health data system—the Resource Patient Management System (RPMS)—and tribal operations to determine the extent to which the RPMS can meet the Tribe’s requirements and needs, as well as how the Tribe can access relevant information from the various health care providers who serve its population.


assistant professor, duquesne university, pittsburgh, pa

  • Taught the following courses:

Health Law, Medical Informatics, Research Methods, Healthcare Systems Analysis and Design

  • Consulted with a multi-site, physician owned managed care organization in the implementation of a newly selected electronic medical record.

  • Provided consultation to multi-site, physician owned managed care organization regarding HIPAA privacy and security policies and procedures, HL7 messaging, and PKI requirements


assistant professor, arizona school of health sciences, phoenix, az

  • Taught the following courses:

Telemedicine, Research Methods, Biostatistics, Health Information Systems, Ethics and Legal Issues

  • Chair, Research Committee

  • Committee Member, Internal Review Board (IRB)

  • Provided consultation to a community health center and satellite clinics with regard to functionality, implementation, and compliance with HIPAA rules and regulations of a customized electronic medical record.


associate faculty, open university (online)

  • Taught the following courses: Organizational Behavior and several courses for the Certificate program for Managers

  • Developed numerous courses, including distance education for healthcare professionals, medical informatics students, education students, and business students.

  • Beta tested .various platforms to deliver the curriculum.

  • Utilized video-conferencing technology to deliver graduate education for the Department of Education at Central Methodist College to rural teachers throughout the State of Missouri.


project development specialist, university of missouri-columbia

  • Assisted in the design and implementation of telemedicine evaluation studies, including the design of research questionnaires, interviews, and other data collection instruments.

  • Managed databases from multiple telemedicine evaluation studies.

  • Compiled monthly and quarterly reports of utilization telemedicine technologies.

  • Interpreted and reported statistical findings.

  • Researched various cognitive learning theories related to web design.

  • Designed educational web pages for the University of Missouri-School of Medicine.

  • Instructed Basic HTML coding to physicians, hospital and clinic employees.

adjunct professor, central methodist college, fayette, mo,



and william woods university, fulton, mo

  • Served as Chair on thesis committees

  • Taught the following graduate level courses: Educational Technology, History and Philosophy of Education, and Research Methods.


professional service and related professional experience

  • Served as Book Reviewer for the SANS Institute for the new release, HIPAA Security Implementation: Step by Step.

  • American Medical Informatics Association (AMIA), Past-Chair, People and Organizational Issues Working Group, (2001-2005)

  • National Science Foundation, grant reviewer (2001-2002)

  • Arizona School of Health Sciences, Chair, Research Committee, Member, Library Committee, (1999-2001)


professional affiliations

  • American Medical Informatics Association (AMIA)

  • People and Organizational Issues Working Group, AMIA

  • American Telemedicine Association (ATA)

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