I wrote a short blog on some of the changes that were instituted by the passage of ARRA and it incorporated HITECH provisions. If you follow the link at the bottom of this entry, you can go to an interview that I did with Search Security on the subject of VARs and Business Associates. "In this edition of “Patrolling the Channel,” see why the designation of “business associate” has given McDonald additional compliance challenges. The executive VP talks about the technical and non-technical controls being implemented for HIPAA’s sake.
Smoke testing is a term used to describe the testing process for servers after patches are applied.
The process typically involves making sure servers are rebooted in the right order, making sure they have completely rebooted, restarting applications in the right order, and then testing to be certain everything is working properly when users return to work in the morning.
This typically takes 30 minutes per server, depending upon your environment.
PCs are not typically smoke tested, or if so, not all of them.