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HIPAA Security Risk Assessment and Risk Analysis Management
What is HIPAA Risk Analysis?
Risk Analysis is often regarded as the first step towards HIPAA compliance. Risk analysis is a required implementation specification under the Security Management Process standard of the Administrative Safeguards portion of the HIPAA Security Rule as per Section 164.308(a)(1). Covered entities will benefit from an effective Risk Analysis and Risk Management program beyond just being HIPAA compliant. Compliance with HIPAA is not optional… it is mandatory, to avoid penalties.Objective of HIPAA Security Risk Analysis/Assessment:The overall objective of an HIPAA risk analysis is to document the Potential risks and vulnerabilities to the confidentiality, integrity, or availability of electronic protected health information (ePHI) and determine the appropriate safeguards to bring the level of risk to an acceptable and manageable level. HIPAA risk assessment helps in ensuring that controls and expenditure are fully commensurate with the risks to which the organization is exposed.
The key to any effective security program is to understand the risk level in the organization and then to determine how to effectively mitigate that risk. This requires identifying what is the data that your organization needs to protect and where that data lives and moves. This then provides the basis for security policies, practices, and technologies to protect all such data, such as electronic protected health information. Risk analysis requires understanding the core business functions of the enterprise and then analyzing potential threats and vulnerabilities to assets and information. It helps identify critical business assets and associated risks.
HIPAA Risk Assessment ScopeAdministrative Safeguards• Risk analysis procedures and demonstration of a risk management process;
• Policies and procedures relevant to operational security, including business associate security requirements;
• Information access restriction requirements and controls;
• Incident response procedures and disaster recovery plan and;
• Evidence of periodic technical and nontechnical reviews.Physical Safeguards• Physical access controls, such as building access and appropriate record keeping;
• Policies and procedures for workstation security; and
• Proper usage, storage, and disposal of data storage devicesTechnical Safeguards• Auditing and audit procedures;
• Use of encryption devices and tools;
• Implementation of technology to ensure ePHI confidentiality, integrity, and availabilityHIPAA Risk Analysis Methodology
The proprietary Defensefirst security methodology is utilized which goes beyond the requirements of the HIPAA Security Rule to safeguard not just electronic Protected Health Information (ePHI) but the organization’s information assets as a whole.
The Defensefirst security methodology provides the framework for protecting enterprise assets and information. This methodology has also been influenced by the domains defined in the ISO 27002 and the BS 7799 security standards as well as the CobIT, NIST and CMS frameworks. Following steps are followed for HIPAA Risk Analysis project:
Step 1 – Inventory & Classify Assets
Step 2 – Document Likely Threats to Each Asset
Step 3 – Vulnerability Assessment
Step 4 – Evaluate Current Safeguards
Step 5 – Document Risks
Step 6 – Recommend Appropriate Safeguards
Step 7 – Create Report of Results
HIPAA Security Technical Vulnerability AssessmentExternal Penetration Testing:This testing is focused on the servers, infrastructure and the underlying software comprising the target. It may be performed with no prior knowledge of the site or with full disclosure of the topology and environment. This type of testing will typically involve a comprehensive analysis of publicly available information about the client, a network enumeration phase where target hosts are identified and analyzed, and the behavior of security devices such as screening routers and firewalls are analyzed. Vulnerabilities within the target hosts should then be identified, verified and the implications assessed.Network Vulnerability AssessmentA Network Vulnerability Assessment checks all aspects of your network from behind the firewall and identifies any potential holes a hacker could exploit. A Network Vulnerability Assessment will analyze IP address, computer, server, and network device on your network. Operating systems, web server platforms, mail servers, and router, switch, and hub on your network are carefully checked for vulnerabilities. Once we identify those vulnerabilities, you’ll get a detailed explanation of the recommended fix for each one.Wireless/Remote Access Assessment (RAS) Security AssessmentThe goal of Wireless Security Assessment is to quantify the vulnerability state of the wireless APs configurations, test the range of the wireless networks to see whether access could be gained outside of client’s property. It also helps to discover whether there were any rogue (unauthorized) APs on client’s network and mainly to determine whether it was possible to gain internal access to ePHI via the wireless APs both authorized and unauthorized.Vulnerability Assessment ToolsA number of tools may be used in assessing the vulnerability of an organization’s systems and networks. Examples of tools that may be used for risk analysis and vulnerability assessment include (but are not limited to):.SamSpade Tools.QualysGuard
.Nmap.STAT Scanner
.Nessus Vulnerability Scanner.ISS Internet Scanner
.Microsoft Baseline Security Analyzer (MBSA)
Security professionals need to be familiar with using these tools and understand their capabilities for functions such as reporting.
Key Deliverables of HIPAA Security Risk Analysis ReportClient will be provided with the following deliverables upon completion of the project:
a. Written documentation of the approach, findings, and recommendations associated with the project, which shall include:
• Matrix of threats and vulnerabilities to client’s electronic data, including probability and impact of each threat and vulnerability based on (a) client’s current security measures and (b) recommended security measures
• Supporting detailed exhibits explaining threats and vulnerabilities
• List of client’s technical and non-technical deficiencies in comparison with the requirements of HIPAA’s security regulations
• Detailed report of recommended remediation measures for each identified threat, vulnerability, and deficiency
• Security policy templates as per HIPAA regulations and recommendations on existing policies
b. Executive summary report summarizing the scope, approach, findings, and recommendations in a manner suitable for senior management; and
c. Formal on-site presentation to client’s senior management of findings and recommendations.
Benefits of HIPAA Security Risk Analysis•Clients gain a full appreciation of the current security vulnerabilities
•A comprehensive, fully-documented solution is provided that helps clients make informed decisions regarding the appropriate actions needed to secure EPHI
•Additional security involves an additional expense that does not directly generate income; it should always be justified in financial terms. The Risk Analysis process should directly and automatically generate such justification for security recommendations in business terms
•A definitive plan of action is developed to put clients on the road to full compliance
•The wide scale application of a risk assessment program, by actively involving a range of, and greater number of, staff, will place security on the agenda for discussion and increase security awareness within the enterprise
•A major benefit of the application of Risk Analysis is that it brings a consistent and objective approach to all security reviews. This not only applies to different applications but different types of business system
•A team experienced with HIPAA regulations that have a track record of successfully implementing solutions and is fully certified in the area of security
How can Supremus Group help your compliance Efforts?We can help you in three different ways depending on your need, involvement, time, available IT resources and budget.
OPTION 1: If you are in a hurry to complete the HIPAA Risk Analysis and you don’t have internal resources to completely devote to this project then we can independently complete the project for you. The only involvement required will be providing information about your infrastructure, policies, and processes.
OPTION 2: If you have internal staff members who can completely devote their time and security & HIPAA knowledge to this project but don’t know the methodology, we will provide a project manger to work with your team and help to complete the compliance project.
OPTION 3: If you have all the necessary resources for Risk Analysis project but need to save time on documentation, you can use our
HIPAA Risk Analysis template documents
. These templates will ensure that you gather all the required information before starting the project. The finding and recommendations will be mapped to the HIPAA regulations.
Many IT Security consulting companies and HIPAA consultants are using our HIPAA Risk Analysis templates in their projects to save time and present the findings and recommendations mapped to HIPAA regulation.Have Already Completed an HIPAA Security Risk Assessment?
Our security team provides independent validation and/or periodic reviews of your progress with ongoing compliance. If necessary, additional focused technical risk testing and mitigation services, as well as specific remediation efforts, are available.
Let us help you with your compliance first, step.
Please contact us for more information at [email protected] or call (515) 865-4591.
View HIPAA Security Policies and Procedures
#hipaa security officer certification#hipaa privacy officer certification#hipaa training and certification#hipaa security officer training#Hipaa privacy officer training#Hipaa compliance officer training#HIPAA Security Compliance Training#HIPAA Compliance Certification#HIPAA Compliance Training
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Hippa Certification Training
HIPAA certification training for CHPSE was provided for a Senior Security Officer whose role would be in support of a Healthplan’s Legal Office of fortune 500 company. The instructor began with an exploration of what the attendee was seeking in particular, motivation and other interests so that the presentation would be better tailored to meet his expectations. As the training progressed, he discussed his particular concerns as we explored his particular concerns and interests. Having already been certified as a Privacy professional through another organization, he wanted to add intimate knowledge of the specifics of HIPAA regulations to add to his knowledge of the duties he was assuming. Our Senior instructor was able to fully outline how HIPAA addressed the principles and requirements of HIPAA and related them effectively to his privacy knowledge in accordance with the other regulations he already knew. Thus, when the training was completed, he expressed that he felt much better equipped to act effectively to support the Legal Officer’s program objectives.
https://www.training-hipaa.net/hipaa-training/learning-methods/onsite-training/
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The HIPAA law requires HIPAA Security policies and procedures manual should be created by healthcare organizations and its business associates. The final HIPAA Security rule, HITECH act and Omnibus rule of 2013 requires companies to apply the security requirements of the law — and then train their employees on the use of these policies and procedures in their day-to-day jobs. American Recovery and Reinvestment Act of 2009 (ARRA)’s HITECH act and Omnibus rule of 2013 requires business associates & sub-business associates to create HIPAA policies comply with security rule and meet risk analysis requirements.
HIPAA rule has very specific requirements with regard to creating, implementing, or changing policies and procedures.
#hipaa certification online#it disaster recovery plan template#hipaa online training#hipaa security training
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Certified HIPAA Privacy Expert (CHPE) is the HIPAA credentials which are focused on HIPAA privacy regulation and implementation of the privacy rule through policies, procedures and gap analysis. This certification is for the HIPAA privacy compliance team members who are seeking extensive & in-depth HIPAA training on privacy rule and next steps for HIPAA privacy compliance. There is NO prerequisite for taking this certification course; you can directly take this level without taking any other courses.
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This HIPAA Compliance training will help you to understand the HIPAA law requirement for HIPAA Privacy & HIPAA security rule and guide you on how to make your organization HIPAA compliant. Our HIPAA Compliance Training also includes changes to the HIPAA regulation due to Health Information Technology for Economic and Clinical Health ( HITECH ) Act which is part of American Recovery and Reinvestment Act of 2009 (ARRA), Omnibus rule of 2013 and Electronic Health Records (EHR) & meaningful use incentives. This training will prepare you for HIPAA certification test of Certified HIPAA Privacy Security Expert (CHPSE®). The CHPSE Course is basically for HIPAA Privacy Officer, HIPAA Security Officer, and HIPAA Compliance Officer, Core Compliance employees, IT Professionals servicing Healthcare Industry, Chief Information Officers, Risk Managers, Lawyers involved in healthcare, Software Architect, Business Analyst, Team lead of software developers, Health cares quality assurance and risk managers, Business Associates of Covered Entities, Project Manager, IT Auditors, Senior Consultants, etc
#HIPAA privacy officer training#HIPAA privacy officer certification HIPAA certification#HIPAA security officer training#HIPAA security officer certification#HIPAA compliance training certification
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The HealthCare Information Security and Privacy Practitioner (HCISPP) educational course are intended to communicate to the audience the basic structure, the essentials of the legal basis, the issues of and the information security and privacy particulars within the described context of the American healthcare delivery system. An integral part of this course is to prepare the attendee (with the required minimum experience) to sit for the (ISC)² HCISPP certification examination.
#hipaa security certification#hipaa certification#hipaa certification online#hipaa online training#hipaa security training#HIPAA Certification Training#business continuity plan template#data center risk assessment template#One Hour HIPAA Employee Certification
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Supremus Group, LLC offers an exclusive employee HIPAA training course for covered entity and business associate employees. The one-hour HIPAA course is designed to give employees an overview of HIPAA regulations and standard procedures, relating directly to applicable policies and standard practice. The one-hour HIPAA employee training addresses privacy and security regulations. This HIPAA course is specially designed to cater to companies seeking to train individual employees in basic HIPAA regulations and procedures. This HIPAA training is cheap & cost effective for training multiple employees but does not compromise on the quality of the training.
#hipaa certification training#HIPAA Compliance Training#HIPAA Privacy Training#One Hour HIPAA Employee Certification#data center risk assessment template
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HIPAA stands for the Health Insurance Portability and Accountability Act (HIPAA). It is commonly misspelled as “HIPPA” when individuals have not taken training or completed HIPAA compliance initiative. It is a federal law passed in 1996 as an attempt at incremental healthcare reform. It was revised in 2009 with the ARRA/HITECH Act, meaningful use, in 2013 with the Omnibus Rule and additional minor changes.
Regulation’s goal is to reform the healthcare and Insurance industries by reducing paperwork & costs, simplifying administrative processes, burdens and improving the privacy and security of patients’ information with easy accessibility of their records. Enforcement rule and breach notification rule has lead to fines and penalties due to a violation of rules.
#hipaa certification#hipaa certification online#it disaster recovery plan template#hipaa online training#hipaa security training#HIPAA Certification Training#business continuity plan template#data center risk assessment template#One Hour HIPAA Employee Certification#HIPAA Compliance Training#Certified HIPAA Privacy Security Expert
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