Idaho State University, which did not conduct a HIPAA security risk analysis for more than five years--even after suffering a breach of protected health information--has agreed to pay $400,000 to the HHS Office for Civil Rights to settle allegations of HIPAA privacy and security rule violations.

The university also has entered into a corrective action plan to bring it into compliance. The university notified OCR in August 2011 of a breach affecting 17,500 patients at its Pocatello Family Medicine Clinic after firewall protections on its servers were found to have been disabled for at least 10 months.

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