HIPAA COMPLIANCE WHAT YOU NEED TO DO TO ENSURE YOU HAVE CYBERSECURITY COVERED
|
|
- Alannah Wiggins
- 5 years ago
- Views:
Transcription
1 HIPAA COMPLIANCE WHAT YOU NEED TO DO TO ENSURE YOU HAVE CYBERSECURITY COVERED
2 HEALTHCARE ORGANIZATIONS ARE UNDER INTENSE SCRUTINY BY THE US FEDERAL GOVERNMENT TO ENSURE PATIENT DATA IS PROTECTED Within this ebook we are covering the Security Rule as it relates to healthcare organizations. The Security Rule sets the standards for ensuring that only those who should have access to PHI will actually have access. The Department of Health and Human Services (HHS) has done a great job of documenting how to comply with the Security Rule. You can find that documentation here. Basic information about HIPAA is located here.
3 IT IS YOUR RESPONSIBILITY TO PROTECT YOUR CUSTOMER S PERSONALLY IDENTIFIABLE INFORMATION (PII) DATA The Department of Health and Human Services, Office for Civil Rights (OCR) is responsible for administering and enforcing these standards and may conduct complaint investigations and compliance reviews. The penalties can be steep at $100 to $50,000 or more per violation with a $1,500,000 calendar year cap. State and regional governments may also impose separate fines in addition to the federal ones. To date, more than 41 million individuals have had their protected health information compromised in reportable HIPAA privacy and security breaches, according to data from the HHS Office for Civil Rights.
4 EXAMPLES OF WHEN SECURITY IS COMPROMISED NOVEMBER 12, Hackers swipe data of 60K in vendor HIPAA breach A state insurance plan subcontractor is at the center of a serious security incident after hackers gained three months of unfettered access to its computer system, compromising thousands of members health records. What s more, despite discovering the HIPAA breach in April, it took officials some four months to notify those affected. The Dallas-based Onsite Health Diagnostics a medical testing and screening company, which contracts with the state of Tennessee s wellness plan notified 60,582 people that their protected health information was accessed and stored by an unknown source. The breach affected members from the Tennessee s State Insurance Plan, Local Government Insurance Plan and Local Education Insurance plan. DECEMBER 10, Malware Infection Results in $150,000 HIPAA Fine Anchorage Community Mental Health Services (ACMHS) was fined $150,000 for not preventing malware from infecting its computers. The malicious programming breached the protected electronic health information of 2,743 individuals in violation of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). According to an OCR news release, ACMHS adopted HHS security rule policies in 2005 but never followed them. The introduction of the malware into the ACMHS system was the direct result of ACMHS failing to identify and address basic risks, such as not regularly updating their IT resources with available patches and running outdated, unsupported software, according to an HHS/OCR bulletin (.pdf). In addition to the $150,000 settlement amount, the resolution agreement (.pdf) between ACMHS and OCR includes a corrective action plan and requires ACMHS to report on the state of its compliance to OCR for a 2-year period.
5 Do you address all of the HIPPA Security Rules? Receive guidance on each rule using the following 10 pages. HIPAA Citation HIPAA Security Rule Standard Implementation Spec Requirement Description Item on Following Slides (a)(1)(i) Security Management Process Policies and procedures to manage security violations (a)(1)(ii)(A) Risk Analysis Conduct vulerability assessment (a)(1)(ii)(B) Risk Management Implement security measures to reduce risk of security breaches (a)(1)(ii)(C) Sanction Policy Worker sanction for policies and procedures violations (a)(1)(ii)(D) Information System Activity Review Procedures to review system activity (a)(2) Assigned Security Responsibility Identify security official responsible for policies and procedures (a)(3)(i) Workforce Security Implement policies and procedures to ensure appropriate PHI access (a)(4)(i) Information Access Management Policies and procedures to authorize access to PHI (a)(4)(ii)(A) Isolation Health Clearinghouse Functions Policies and procedures to separate PHI from other operations (a)(5)(i) Security Awareness Training Training program for workers and managers (a)(6)(i) Security Incident Procedures Policies and procedures to manage security incidents (a)(6)(ii) Response and Reporting Mitigate and document security incidents (a)(7)(i) Contingency Plan Emergency response policies and procedures (a)(7)(ii)(A) Data Backup Plan Data backup planning and procedures (a)(7)(ii)(B) Disaster-Recovery Plan Data recovery planning and procedures (a)(7)(ii)(C) Emergency Mode Operation Plan Business continuity procedures (a)(8) Evaluation Periodic security evaluation 3 and (b)(1) Business Associate Contracts and Other Arrangements CE implement BACs to ensure safeguards (b)(4) Written Contract Implement coompliant BACs (a)(1) Facility Access Controls Policies and procedures to limit access to systems and facilities (b) Workstation Use Policies and procedures to specify workstation environment and use ( c ) Workstation Security Physical safeguards for workstation access (d)(1) Device and Media Controls Policies and procedures to govern receipt and removal of hardware and media (d)(2)(i) Disposal Policies and procedures to manage media and equipment disposal (d)(2)(ii) Media Reuse Policies and procedures to remove PHI from media and equipment (a)(1) Access Control Technical (administrative) policies and procedures to manage PHI access (a)(2)(i) Unique User Identification Assign unique IDs to support tracking (a)(2)(ii) Emergency Access Procedure Procedures to support emergency access (b) Audit Controls Procedures and mechanisms for monitoring system activity ( c)(1) Integrity Policies and procedures to safeguard PHI unauthorized alteration (d) Person or Entity Authentication Procedures to verify identities (e)(1) Transmission Security Measures to guard against unauthorized access to transmitted PHI 7
6 1. CREATE A COMMITTEE WITH PLAYERS FROM IT, COMPLIANCE, MANAGEMENT AND SECURITY This team will be responsible for the ongoing cybersecurity of the organization. Ensure that this team is led by a senior executive in the organization. This team can be the Audit committee for the organization. Here is a good read on the subject of Audit committees and cybersecurity from Deloitte.
7 2. USE A FRAMEWORK SUCH AS THE NIST CYBER- SECURITY FRAMEWORK OR THE ISO 27001/27002 The Framework focuses on using business drivers to guide cyber-security activities and considering cyber-security risks as part of the organization s risk management processes. The Framework consists of three parts: the Framework Core, the Framework Profile, and the Framework Implementation Tiers. The Framework Core is a set of cyber-security activities, outcomes, and informative references that are common across critical infrastructure sectors, providing the detailed guidance for developing individual organizational Profiles. Through use of the Profiles, the Framework will help the organization align its cyber-security activities with its business requirements, risk tolerances, and resources. The Tiers provide a mechanism for organizations to view and understand the characteristics of their approach to managing cyber-security risk. NIST framework HIPAA Security Rule Crosswalk to NIST Cybersecurity Framework (here)
8 3. CONDUCT A YEARLY SECURITY RISK ASSESSMENT TO IDENTIFY RISKS AND DEVELOP A MITIGATION PLAN Risk assessments are used to identify, estimate, and prioritize risk to organizational operations (i.e., mission, functions, image, and reputation), organizational assets, individuals, other organizations, and the Nation, resulting from the operation and use of information systems. The purpose of risk assessments is to inform decision makers and support risk responses by identifying: (i) relevant threats to organizations or threats directed through organizations against other organizations; (ii) vulnerabilities both internal and external to organizations;(iii) impact (i.e., harm) to organizations that may occur given the potential for threats exploiting vulnerabilities; and (iv) likelihood that harm will occur. The end result is a determination of risk (i.e., typically a function of the degree of harm and likelihood of harm occurring). Risk assessments can be conducted at all three tiers in the risk management hierarchy including Tier 1 (organization level), Tier 2 (mission/business process level), and Tier 3 (information system level). At Tiers 1 and 2, organizations use risk assessments to evaluate, for example, systemic information security-related risks associated with organizational governance and management activities, mission/business processes, enterprise architecture, or the funding of information security programs. At Tier 3, organizations use risk assessments to more effectively support the implementation of the Risk Management Framework (i.e., security categorization; security control selection, implementation, and assessment; information system and common control authorization; and security control monitoring). - NIST Special Publication
9 4. SCHEDULE A 3RD PARTY SECURITY COMPANY TO TEST YOUR ORGANIZATION S SECURITY We encourage that they following tests are run: Penetration Testing Vulnerability Assessments Web Application Assessments Social Engineering Testing
10 5. ENSURE YOUR ORGANIZATION HAS CYBER LIABILITY INSURANCE Not all cyber insurance policies are created equal, so you will need to get educated on all the items the policy will need to cover. Click here for a good article from Modern Healthcare. Click here for information from a DHS sponsored Cyber Insurance Roundtable for Healthcare.
11 6. CONDUCT MANDATORY SECURITY TRAINING Keep everyone in your organization advised of new security threats and underscore the need for vigilance, including being watchful for suspicious s, texts, hyperlinks, etc., as well as social engineering ploys. Here is an example.
12 7. HAVE, FOLLOW AND AUDIT ALL THE NECESSARY PLANS AND POLICIES THAT IMPACT THE ORGANIZATION S DATA SECURITY Companies with the necessary plans in place are able to respond and protect their business more swiftly than those without. There are a number of plans your business could consider including: Business continuity plan Disaster recovery plan Remote access policy Employee termination policy Password policy Encryption policy Data access policy Bring Your Own Device Policy To speed policy development, you can start with open-source templates from SANS found here.
13 8. CREATE AN ACCEPTABLE USE POLICY In an ideal world, employees would use the computers and Internet access provided their employer solely for business use. However, throughout the work day, organizations are often exposed by their users misuse of the system. The dilemma faced by every organization is what to do about it and how to start. The creation and dissemination of an Acceptable Use Policy (AUP) can help an organization avoid unwanted consequences and enable it to deal with transgressions in a fair and systematic way that will survive legal challenges without reducing employee morale and productivity. Ensure ALL employees sign the AUP before using your organization s IT resources.
14 9. CREATE AN INCIDENT RESPONSE PLAN Ensure that someone is formally designated for managing your organization s incident response. NIST has published a Computer Security Incident Response Guide that can help you develop appropriate policies and procedures. Practice by running through scenarios with your incident response team at least once a year to ensure that your processes are working as expected.
15 10. USE A REAL-TIME CONTINUOUS MONITORING SOLUTION NETWATCHER.COM NetWatcher s Security-as-a-Service platform enables organizations to have a cost-effective 24 x 7 security service monitoring their networks for vulnerabilities and exploits. Today s healthcare organizations require the need for continuous monitoring. NetWatcher enables a healthcare organization to immediately deploy these services and take advantage of a fully-staffed Security Operations Center (SOC). This means superior protection with no capital outlay, resource commitments or additional headcount. Available for as low as $299/month with a 1 year contract. Contact NetWatcher at information@netwatcher.com.
HIPAA Security and Privacy Policies & Procedures
Component of HIPAA Security Policy and Procedures Templates (Updated for HITECH) Total Cost: $495 Our HIPAA Security policy and procedures template suite have 71 policies and will save you at least 400
More informationHIPAA Security Checklist
HIPAA Security Checklist The following checklist summarizes the HIPAA Security Rule requirements that should be implemented by both covered entities and business associates. The citations are to 45 CFR
More informationHIPAA Security Checklist
HIPAA Security Checklist The following checklist summarizes the HIPAA Security Rule requirements that should be implemented by both covered entities and business associates. The citations are to 45 CFR
More informationThese rules are subject to change periodically, so it s good to check back once in a while to make sure you re still compliant.
HIPAA Checklist There are 3 main parts to the HIPAA Security Rule. They include technical safeguards, physical safeguards, and administrative safeguards. This document strives to summarize the requirements
More informationIT SECURITY RISK ANALYSIS FOR MEANINGFUL USE STAGE I
Standards Sections Checklist Section Security Management Process 164.308(a)(1) Information Security Program Risk Analysis (R) Assigned Security Responsibility 164.308(a)(2) Information Security Program
More informationHIPAA Security Rule Policy Map
Rule Policy Map Document Information Identifier Status Published Published 02/15/2008 Last Reviewed 02/15/1008 Last Updated 02/15/2008 Version 1.0 Revision History Version Published Author Description
More informationPolicy and Procedure: SDM Guidance for HIPAA Business Associates
Policy and Procedure: SDM Guidance for HIPAA Business (Adapted from UPMC s Guidance for Business at http://www.upmc.com/aboutupmc/supplychainmanagement/documents/guidanceforbusinessassociates.pdf) Effective:
More informationHIPAA Compliance: What it is, what it means, and what to do about it. Adam Carlson, Security Solutions Consultant Intapp
HIPAA Compliance: What it is, what it means, and what to do about it. Adam Carlson, Security Solutions Consultant Intapp Agenda Introductions HIPAA Background and History Overview of HIPAA Requirements
More informationBoerner Consulting, LLC Reinhart Boerner Van Deuren s.c.
Catherine M. Boerner, Boerner Consulting LLC Heather Fields, 1 Discuss any aggregate results of the desk audits Explore the Sample(s) Requested and Inquire of Management requests for the full on-site audits
More informationPutting It All Together:
Putting It All Together: The Interplay of Privacy & Security Regina Verde, MS, MBA, CHC Chief Corporate Compliance & Privacy Officer University of Virginia Health System 2017 ISPRO Conference October 24,
More informationUpdate on HIPAA Administration and Enforcement. Marissa Gordon-Nguyen, JD, MPH October 7, 2016
Update on HIPAA Administration and Enforcement Marissa Gordon-Nguyen, JD, MPH October 7, 2016 Updates Policy Development Breaches Enforcement Audit 2 POLICY DEVELOPMENT RECENTLY PUBLISHED: RIGHT OF ACCESS,
More informationORA HIPAA Security. All Affiliate Research Policy Subject: HIPAA Security File Under: For Researchers
All Affiliate Research Policy Subject: HIPAA File Under: For Researchers ORA HIPAA Issuing Department: Office of Research Administration Original Policy Date Page 1 of 5 Approved by: May 9,2005 Revision
More informationHIPAA/HITECH Privacy & Security Checklist Assessment HIPAA PRIVACY RULE
164.502 Develop "minimum necessary" policies for: HIPAA PRIVACY RULE 164.514 - Uses 15 Exempts disclosure for the purpose of treatment from the minimum necessary standard. Page references for - Routine
More informationSecurity Rule for IT Staffs. J. T. Ash University of Hawaii System HIPAA Compliance Officer
Security Rule for IT Staffs J. T. Ash University of Hawaii System HIPAA Compliance Officer jtash@hawaii.edu hipaa@hawaii.edu Disclaimer HIPAA is a TEAM SPORT and everyone has a role in protecting protected
More informationInformation Technology Security Plan Policies, Controls, and Procedures Identify Governance ID.GV
Information Technology Security Plan Policies, Controls, and Procedures Identify Governance ID.GV Location: https://www.pdsimplified.com/ndcbf_pdframework/nist_csf_prc/documents/identify/ndcbf _ITSecPlan_IDGV2017.pdf
More informationHIPAA Federal Security Rule H I P A A
H I P A A HIPAA Federal Security Rule nsurance ortability ccountability ct of 1996 HIPAA Introduction - What is HIPAA? HIPAA = The Health Insurance Portability and Accountability Act A Federal Law Created
More informationHIPAA How to Comply with Limited Time & Resources. Jonathan Pantenburg, MHA, Senior Consultant August 17, 2017
HIPAA How to Comply with Limited Time & Resources Jonathan Pantenburg, MHA, Senior Consultant JPantenburg@Stroudwater.com August 17, 2017 Stroudwater Associates is a leading national healthcare consulting
More informationHIPAA Security. 1 Security 101 for Covered Entities. Security Topics
HIPAA Security SERIES Security Topics 1. Security 101 for Covered Entities 2. Security Standards - Administrative Safeguards 3. Security Standards - Physical Safeguards 4. Security Standards - Technical
More informationHIPAA COMPLIANCE FOR VOYANCE
HIPAA COMPLIANCE FOR VOYANCE How healthcare organizations can deploy Nyansa s Voyance analytics platform within a HIPAA-compliant network environment in order to support their mission of delivering best-in-class
More informationEXHIBIT A. - HIPAA Security Assessment Template -
Department/Unit: Date: Person(s) Conducting Assessment: Title: 1. Administrative Safeguards: The HIPAA Security Rule defines administrative safeguards as, administrative actions, and policies and procedures,
More informationCOUNTERING CYBER CHAOS WITH HIPAA COMPLIANCE. Presented by Paul R. Hales, J.D. May 8, 2017
COUNTERING CYBER CHAOS WITH HIPAA COMPLIANCE Presented by Paul R. Hales, J.D. May 8, 2017 1 HIPAA Rules Combat Cyber Crime HIPAA Rules A Blueprint to Combat Cyber Crime 2 HIPAA Rules Combat Cyber Crime
More informationHIPAA Privacy, Security Lessons from 2016 and What's Next in 2017
HIPAA Privacy, Security Lessons from 2016 and What's Next in 2017 Session 9, February 20, 2017 Deven McGraw, Deputy Director, Health Information Privacy HHS Office for Civil Rights 1 Speaker Introduction
More informationHealthcare Privacy and Security:
Healthcare Privacy and Security: Breach prevention and mitigation/ Insuring for breach Colin J. Zick Foley Hoag LLP (617) 832-1000 www.foleyhoag.com www.securityprivacyandthelaw.com Boston Bar Association
More informationThe simplified guide to. HIPAA compliance
The simplified guide to HIPAA compliance Introduction HIPAA, the Health Insurance Portability and Accountability Act, sets the legal requirements for protecting sensitive patient data. It s also an act
More informationInformation Security Policy
April 2016 Table of Contents PURPOSE AND SCOPE 5 I. CONFIDENTIAL INFORMATION 5 II. SCOPE 6 ORGANIZATION OF INFORMATION SECURITY 6 I. RESPONSIBILITY FOR INFORMATION SECURITY 6 II. COMMUNICATIONS REGARDING
More informationHIPAA Security. 3 Security Standards: Physical Safeguards. Security Topics
HIPAA Security SERIES Security Topics 1. Security 101 for Covered Entities 2. Security Standards - Administrative Safeguards 3. Security Standards - Physical Safeguards 4. Security Standards - Technical
More informationHIPAA Privacy & Security Training. Privacy and Security of Protected Health Information
HIPAA Privacy & Security Training Privacy and Security of Protected Health Information Course Competencies: This training module addresses the essential elements of maintaining the HIPAA Privacy and Security
More informationNeil Peters-Michaud, CHAMP Cascade Asset Management ITAM Awareness Month December 2016
Breach New Heights The role of ITAM in preventing a data breach Neil Peters-Michaud, CHAMP Cascade Asset Management ITAM Awareness Month December 2016 Agenda Why Breaches Matter to the ITAM group The cost
More informationThe ABCs of HIPAA Security
The ABCs of HIPAA Security Daniel F. Shay, Esq 24 th Annual Health Law Institute Pennsylvania Bar Institute March 13, 2018 c. 2018 Alice G. Gosfield and Associates PC 1 Daniel F. Shay, Esq. Alice G. Gosfield
More informationWhat s New with HIPAA? Policy and Enforcement Update
What s New with HIPAA? Policy and Enforcement Update HHS Office for Civil Rights New Initiatives Precision Medicine Initiative (PMI), including Access Guidance Cybersecurity Developer portal NICS Final
More informationHIPAA Privacy and Security. Kate Wakefield, CISSP/MLS/MPA Information Security Analyst
HIPAA Privacy and Security Kate Wakefield, CISSP/MLS/MPA Information Security Analyst Kwakefield@costco.com Presentation Overview HIPAA Legislative history & key dates. Who is affected? Employers too!
More informationSecurity and Privacy Governance Program Guidelines
Security and Privacy Governance Program Guidelines Effective Security and Privacy Programs start with attention to Governance. Governance refers to the roles and responsibilities that are established by
More informationCYBERSECURITY IN THE POST ACUTE ARENA AGENDA
CYBERSECURITY IN THE POST ACUTE ARENA AGENDA 2 Introductions 3 Assessing Your Organization 4 Prioritizing Your Review 5 206 Benchmarks and Breaches 6 Compliance 0 & Cybersecurity 0 7 Common Threats & Vulnerabilities
More informationSECURITY & PRIVACY DOCUMENTATION
Okta s Commitment to Security & Privacy SECURITY & PRIVACY DOCUMENTATION (last updated September 15, 2017) Okta is committed to achieving and preserving the trust of our customers, by providing a comprehensive
More informationSecurity and Privacy-Aware Cyber-Physical Systems: Legal Considerations. Christopher S. Yoo University of Pennsylvania July 12, 2018
Security and Privacy-Aware Cyber-Physical Systems: Legal Considerations Christopher S. Yoo University of Pennsylvania July 12, 2018 Overview of Research Tort and products liability for CPS Privacy and
More informationInside the OCR Investigation/Audit Process 2018 PBI HEALTH LAW INSTITUTE TUESDAY, MARCH 13, 2017 GREGORY M. FLISZAR, J.D., PH.D.
Inside the OCR Investigation/Audit Process 2018 PBI HEALTH LAW INSTITUTE TUESDAY, MARCH 13, 2017 GREGORY M. FLISZAR, J.D., PH.D. HIPAA GENERAL RULE PHI may not be disclosed without patient authorization
More informationWHITE PAPER. HIPAA Breaches Continue to Rise: Avoid Becoming a Casualty
WHITE PAPER HIPAA Breaches Continue to Rise: Avoid Becoming a Casualty WHITE PAPER HIPAA Breaches Continue to Rise: Avoid Becoming a Casualty By Jill Brooks, MD, CHCO and Katelyn Byrne, BSN, RN Data Breaches
More informationChecklist for Applying ISO 27000, PCI DSS v2 & NIST to Address HIPAA & HITECH Mandates. Ali Pabrai, MSEE, CISSP (ISSAP, ISSMP)
Checklist for Applying ISO 27000, PCI DSS v2 & NIST to Address HIPAA & HITECH Mandates Ali Pabrai, MSEE, CISSP (ISSAP, ISSMP) ecfirst, chief executive Member, InfraGard Compliance Mandates Key Regulations
More informationChecklist: Credit Union Information Security and Privacy Policies
Checklist: Credit Union Information Security and Privacy Policies Acceptable Use Access Control and Password Management Background Check Backup and Recovery Bank Secrecy Act/Anti-Money Laundering/OFAC
More informationA HIPAA Compliance and Enforcement Update from the HHS Office for Civil Rights Session #24, 10:00 a.m. 11:00 a.m. March 6, 2018 Roger Severino, MSPP,
A HIPAA Compliance and Enforcement Update from the HHS Office for Civil Rights Session #24, 10:00 a.m. 11:00 a.m. March 6, 2018 Roger Severino, MSPP, JD Director, HHS Office for Civil Rights Nicholas Heesters,
More informationHIPAA Compliance Checklist
HIPAA Compliance Checklist Hospitals, clinics, and any other health care providers that manage private health information today must adhere to strict policies for ensuring that data is secure at all times.
More informationCyber Risks in the Boardroom Conference
Cyber Risks in the Boardroom Conference Managing Business, Legal and Reputational Risks Perspectives for Directors and Executive Officers Preparing Your Company to Identify, Mitigate and Respond to Risks
More informationU.S. Department of Health and Human Services (HHS) The Office of the National Coordinator for Health Information Technology (ONC)
U.S. Department of Health and Human Services (HHS) The Office of the National Coordinator for Health Information Technology (ONC) Security Risk Assessment Tool Physical Safeguards Content Version Date:
More information2015 HFMA What Healthcare Can Learn from the Banking Industry
2015 HFMA What Healthcare Can Learn from the Banking Industry Agenda Introduction- Background and Experience Healthcare vs. Banking The Results OCR Audit Results Healthcare vs. Banking The Theories Practical
More informationCYBERSECURITY. Recent OCR Actions & Cyber Awareness Newsletters. Claire C. Rosston
CYBERSECURITY Recent OCR Actions & Cyber Awareness Newsletters Claire C. Rosston DISCLAIMER This presentation is similar to any other legal education materials designed to provide general information on
More informationHIPAA ( ) HIPAA 2017 Compliancy Group, LLC
855 85 HIPAA (855-854-4722) www.compliancygroup.com 1 Started in 2005 by HIPAA auditors & Compliance experts Market need for a total end client solution Created The Guard: cloud-based solution Compliance
More informationAgenda. Hungry, Hungry HIPAA: Security, Enforcement, Audits, & More. Health Law Institute
Health Law Institute Hungry, Hungry HIPAA: Security, Enforcement, Audits, & More Brooke Bennett Aziere October 18, 2017 Agenda Enforcement Trends Phase 2 HIPAA Audits Upcoming Initiatives 1 Enforcement
More informationHIPAA Regulatory Compliance
Secure Access Solutions & HIPAA Regulatory Compliance Privacy in the Healthcare Industry Privacy has always been a high priority in the health profession. However, since the implementation of the Health
More informationIncident Response: Are You Ready?
Incident Response: Are You Ready? Chris Apgar, CISSP Apgar & Associates, LLC 2014 Security Incident vs. Breach Overview Security Incident Planning and Your Team Final Breach Notification Rule a refresher
More information(c) Apgar & Associates, LLC
Incident Response: Are You Ready? Chris Apgar, CISSP Apgar & Associates, LLC 2014 Security Incident vs. Breach Overview Security Incident Planning and Your Team Final Breach Notification Rule a refresher
More informationCCISO Blueprint v1. EC-Council
CCISO Blueprint v1 EC-Council Categories Topics Covered Weightage 1. Governance (Policy, Legal, & Compliance) & Risk Management 1.1 Define, implement, manage and maintain an information security governance
More informationHIPAA Controls. Powered by Auditor Mapping.
HIPAA Controls Powered by Auditor Mapping www.tetherview.com About HIPAA The Health Insurance Portability and Accountability Act (HIPAA) is a set of standards created by Congress that aim to safeguard
More informationUpdate on Administration and Enforcement of the HIPAA Privacy, Security, and Breach Notification Rules
Update on Administration and Enforcement of the HIPAA Privacy, Security, and Breach Notification Rules Marissa Gordon-Nguyen Office for Civil Rights (OCR) U.S. Department of Health and Human Services June
More informationCriminal Justice Information Security (CJIS) Guide for ShareBase in the Hyland Cloud
Criminal Justice Information Security (CJIS) Guide for ShareBase in the Hyland Cloud Introduction The Criminal Justice Information Security (CJIS) Policy is a publically accessible document that contains
More informationInformation Technology Security Plan Policies, Controls, and Procedures Identify Risk Assessment ID.RA
Information Technology Security Plan Policies, Controls, and Procedures Identify Risk Assessment ID.RA Information Security Policy and Procedures Identify Risk Assessment ID.RA Table of Contents Identify
More informationHIPAA Compliance Officer Training By HITECH Compliance Associates. Building a Culture of Compliance
HIPAA Compliance Officer Training By HITECH Compliance Associates Building a Culture of Compliance Your Instructor Is Michael McCoy Nationally Recognized HIPAA Expert » Nothing contained herein should
More informationUniversity of Pittsburgh Security Assessment Questionnaire (v1.7)
Technology Help Desk 412 624-HELP [4357] technology.pitt.edu University of Pittsburgh Security Assessment Questionnaire (v1.7) Directions and Instructions for completing this assessment The answers provided
More informationHIPAA in 2017: Hot Topics You Can t Ignore. Danika Brinda, PhD, RHIA, CHPS, HCISPP March 16, 2017
HIPAA in 2017: Hot Topics You Can t Ignore Danika Brinda, PhD, RHIA, CHPS, HCISPP March 16, 2017 Breach Notification State Law Privacy Rule Authorizations Polices and Procedures The Truth Is Have created
More informationThe HIPAA Omnibus Rule
The HIPAA Omnibus Rule What You Should Know and Do as Enforcement Begins Rebecca Fayed, Associate General Counsel and Privacy Officer Eric Banks, Information Security Officer 3 Biographies Rebecca C. Fayed
More information10/18/2016. Preparing Your Organization for a HHS OIG Information Security Audit. Models for Risk Assessment
Preparing Your Organization for a HHS OIG Information Security Audit David Holtzman, JD, CIPP/G CynergisTek, Inc. Brian C. Johnson, CPA, CISA HHS OIG Section 1: Models for Risk Assessment Section 2: Preparing
More informationCybersecurity and Hospitals: A Board Perspective
Cybersecurity and Hospitals: A Board Perspective Cybersecurity is an important issue for both the public and private sector. At a time when so many of our activities depend on information systems and technology,
More informationThe Relationship Between HIPAA Compliance and Business Associates
The Relationship Between HIPAA Compliance and Business Associates 1 HHS Wall of Shame 20% Involved Business Associates Based on HHS Breach Portal: Breaches Affecting 500 or More Individuals, Type of Breach
More informationFlorida Government Finance Officers Association. Staying Secure when Transforming to a Digital Government
Florida Government Finance Officers Association Staying Secure when Transforming to a Digital Government Agenda Plante Moran Introductions Technology Pressures and Challenges Facing Government Technology
More information01.0 Policy Responsibilities and Oversight
Number 1.0 Policy Owner Information Security and Technology Policy Policy Responsibility & Oversight Effective 01/01/2014 Last Revision 12/30/2013 Department of Innovation and Technology 1. Policy Responsibilities
More informationCybersecurity Auditing in an Unsecure World
About This Course Cybersecurity Auditing in an Unsecure World Course Description $5.4 million that s the average cost of a data breach to a U.S.-based company. It s no surprise, then, that cybersecurity
More informationUpdate on Administration and Enforcement of the HIPAA Privacy, Security, and Breach Notification Rules
Update on Administration and Enforcement of the HIPAA Privacy, Security, and Breach Notification Rules Wandah Hardy, RN BSN, MPA Equal Opportunity Specialist/Investigator Office for Civil Rights (OCR)
More informationDON T GET STUNG BY A BREACH! WHAT'S NEW IN HIPAA PRIVACY AND SECURITY
DON T GET STUNG BY A BREACH! WHAT'S NEW IN HIPAA PRIVACY AND SECURITY Practice Areas: Healthcare Labor and Employment JASON YUNGTUM jyungtum@clinewilliams.com (402) 397 1700 Practice Areas: Healthcare
More informationMANUAL OF UNIVERSITY POLICIES PROCEDURES AND GUIDELINES. Applies to: faculty staff students student employees visitors contractors
Page 1 of 6 Applies to: faculty staff students student employees visitors contractors Effective Date of This Revision: June 1, 2018 Contact for More Information: HIPAA Privacy Officer Board Policy Administrative
More informationSecurity Audit What Why
What A systematic, measurable technical assessment of how the organization's security policy is employed at a specific site Physical configuration, environment, software, information handling processes,
More informationThe Common Controls Framework BY ADOBE
The Controls Framework BY ADOBE The following table contains the baseline security subset of control activities (derived from the Controls Framework by Adobe) that apply to Adobe s enterprise offerings.
More informationSummary Analysis: The Final HIPAA Security Rule
1 of 6 5/20/2005 5:00 PM HIPAAdvisory > HIPAAregs > Final Security Rule Summary Analysis: The Final HIPAA Security Rule By Tom Grove, Vice President, Phoenix Health Systems February 2003 On February 13,
More informationInformation Governance, the Next Evolution of Privacy and Security
Information Governance, the Next Evolution of Privacy and Security Katherine Downing, MA, RHIA, CHPS, PMP Sr. Director AHIMA IG Advisors Follow me @HIPAAQueen 2017 2017 Objectives Part Part I IG Topic
More informationInformation Security Policy
Document title: [ Information Security Policy May 2017 ] Approval date: [ May 2017 ] Purpose of document: [ To define AUC s information security program main pillars and components] Office/department responsible:
More informationHospital Council of Western Pennsylvania. June 21, 2012
Updates on OCR s HIPAA Enforcement and Regulations Hospital Council of Western Pennsylvania June 21, 2012 Topics HIPAA Privacy and Security Rule Enforcement HITECH Breach Notification OCR Audit Program
More informationMonthly Cyber Threat Briefing
Monthly Cyber Threat Briefing January 2016 1 Presenters David Link, PM Risk and Vulnerability Assessments, NCATS Ed Cabrera: VP Cybersecurity Strategy, Trend Micro Jason Trost: VP Threat Research, ThreatStream
More informationHIPAA & Privacy Compliance Update
HIPAA & Privacy Compliance Update Vermont Medical Society FREE Wednesday Webinar Series March 15, 2017 Anne Cramer and Shireen Hart Primmer Piper Eggleston & Cramer PC acramer@primmer.com shart@primmer.com
More informationIs your privacy secure? HIPAA Compliance Workshop September Presented by: Andrés Castañeda, Senior Manager Steve Nouss, Partner
Is your privacy secure? HIPAA Compliance Workshop September 2008 Presented by: Andrés Castañeda, Senior Manager Steve Nouss, Partner Agenda Have you secured your key operational, competitive and financial
More informationDATA PRIVACY & SECURITY THE CHANGING HIPAA CLIMATE
DATA PRIVACY & SECURITY THE CHANGING HIPAA CLIMATE Melodi (Mel) M. Gates mgates@pattonboggs.com (303) 894-6111 October 25, 2013 THE CHANGING PRIVACY CLIMATE z HEALTH INSURANCE PORTABILITY & ACCOUNTABILITY
More informationHIPAA FINAL SECURITY RULE 2004 WIGGIN AND DANA LLP
SUMMY OF HIP FINL SECUITY ULE 2004 WIGGIN ND DN LLP INTODUCTION On February 20, 2003, the Department of Health and Human Services ( HHS ) published the final HIP security standards, Health Insurance eform:
More informationHow to Respond to a HIPAA Breach. Tuesday, Oct. 25, 2016
How to Respond to a HIPAA Breach Tuesday, Oct. 25, 2016 This Webinar is Brought to You By. About HealthInsight and Mountain-Pacific Quality Health HealthInsight and Mountain-Pacific Quality Health are
More informationBusiness continuity management and cyber resiliency
Baker Tilly refers to Baker Tilly Virchow Krause, LLP, an independently owned and managed member of Baker Tilly International. Business continuity management and cyber resiliency Introductions Eric Wunderlich,
More informationVendor Security Questionnaire
Business Associate Vendor Name Vendor URL Vendor Contact Address Vendor Contact Email Address Vendor Contact Phone Number What type of Service do You Provide Covenant Health? How is Protected Health Information
More informationDon t Be the Next Headline! PHI and Cyber Security in Outsourced Services.
Don t Be the Next Headline! PHI and Cyber Security in Outsourced Services. June 2017 Melanie Duerr Fazzi Associates Partner, Director of Coding Operations Jami Fisher Fazzi Associates Chief Information
More informationWhy you should adopt the NIST Cybersecurity Framework
Why you should adopt the NIST Cybersecurity Framework It s important to note that the Framework casts the discussion of cybersecurity in the vocabulary of risk management Stating it in terms Executive
More informationHIPAA-HITECH: Privacy & Security Updates for 2015
South Atlantic Regional Annual Conference Orlando, FL February 6, 2015 1 HIPAA-HITECH: Privacy & Security Updates for 2015 Darrell W. Contreras, Esq., LHRM Gregory V. Kerr, CHPC, CHC Agenda 2 OCR On-Site
More informationDecrypting the Security Risk Assessment (SRA) Requirement for Meaningful Use
Click to edit Master title style Decrypting the Security Risk Assessment (SRA) Requirement for Meaningful Use Andy Petrovich, MHSA, MPH M-CEITA / Altarum Institute October 1, 2014 10/1/2014 1 1 Who is
More informationHIPAA Privacy and Security Training Program
Note The following HIPAA training is intended for Vendors, Business Associates, Students, Pre Approved Shadowers, and Visitors. The following training module does not provide credit for annual training
More informationSupport for the HIPAA Security Rule
white paper Support for the HIPAA Security Rule PowerScribe 360 Reporting v1.1 healthcare 2 Summary This white paper is intended to assist Nuance customers who are evaluating the security aspects of PowerScribe
More informationIncident Response Lessons From the Front Lines. Session 276, March 8, 2018 Nolan Garrett, CISO, Children s Hospital Los Angeles
Incident Response Lessons From the Front Lines Session 276, March 8, 2018 Nolan Garrett, CISO, Children s Hospital Los Angeles 1 Conflict of Interest Nolan Garrett Has no real or apparent conflicts of
More informationFramework for Improving Critical Infrastructure Cybersecurity
Framework for Improving Critical Infrastructure Cybersecurity November 2017 cyberframework@nist.gov Supporting Risk Management with Framework 2 Core: A Common Language Foundational for Integrated Teams
More informationData Inventory and Classification, Physical Devices and Systems ID.AM-1, Software Platforms and Applications ID.AM-2 Inventory
Audience: NDCBF IT Security Team Last Reviewed/Updated: March 2018 Contact: Henry Draughon hdraughon@processdeliveysystems.com Overview... 2 Sensitive Data Inventory and Classification... 3 Applicable
More informationHow Secure Do You Feel About Your HIPAA Compliance Plan? Daniel F. Shay, Esq.
How Secure Do You Feel About Your HIPAA Compliance Plan? Daniel F. Shay, Esq. Word Count: 2,268 Physician practices have lived with the reality of HIPAA for over twenty years. In that time, it has likely
More informationA company built on security
Security How we handle security at Flywheel Flywheel was founded in 2012 on a mission to create an exceptional platform to help creatives do their best work. As the leading WordPress hosting provider for
More informationa publication of the health care compliance association MARCH 2018
hcca-info.org Compliance TODAY a publication of the health care compliance association MARCH 2018 On improv and improving communication an interview with Alan Alda This article, published in Compliance
More informationNew York Cybersecurity. New York Cybersecurity. Requirements for Financial Services Companies (23NYCRR 500) Solution Brief
Publication Date: March 10, 2017 Requirements for Financial Services Companies (23NYCRR 500) Solution Brief EventTracker 8815 Centre Park Drive, Columbia MD 21045 About EventTracker EventTracker s advanced
More informationHIPAA/HITECH Act Update HCCA South Central Regional Annual Conference December 2, Looking Back at 2011
HIPAA/HITECH Act Update HCCA South Central Regional Annual Conference December 2, 2012 Phyllis F. Granade The Granade Law Firm Atlanta, GA (678) 705 2507 pgranade@granadelaw.com www.granadelaw.com Looking
More informationTOP 10 IT SECURITY ACTIONS TO PROTECT INTERNET-CONNECTED NETWORKS AND INFORMATION
INFORMATION TECHNOLOGY SECURITY GUIDANCE TOP 10 IT SECURITY ACTIONS TO PROTECT INTERNET-CONNECTED NETWORKS AND INFORMATION ITSM.10.189 October 2017 INTRODUCTION The Top 10 Information Technology (IT) Security
More informationSubject: University Information Technology Resource Security Policy: OUTDATED
Policy 1-18 Rev. 2 Date: September 7, 2006 Back to Index Subject: University Information Technology Resource Security Policy: I. PURPOSE II. University Information Technology Resources are at risk from
More informationNew York Department of Financial Services Cybersecurity Regulation Compliance and Certification Deadlines
New York Department of Financial Services Cybersecurity Regulation Compliance and Certification Deadlines New York Department of Financial Services ( DFS ) Regulation 23 NYCRR 500 requires that entities
More informationLakeshore Technical College Official Policy
Policy Title Original Adoption Date Policy Number Information Security 05/12/2015 IT-720 Responsible College Division/Department Responsible College Manager Title Information Technology Services Director
More information