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Resource Overview

Conducting an SRA in accordance with HIPAA policy is a complex task, especially for small to medium providers such as community health centers. The HIPAA Security Rule mandates security standards to safeguard electronic Protected Health Information (ePHI) maintained by electronic health record (EHR) technology, with detailed attention to how ePHI is stored, accessed, transmitted, and audited. This rule is different from the HIPAA Privacy Rule, which requires safeguards to protect the privacy of PHI and sets limits and conditions on it use and disclosure. Meaningful Use supports the HIPAA Security Rule. In order to successfully attest to Meaningful Use, providers must conduct a security risk assessment (SRA), implement updates as needed, and correctly identify security deficiencies. By conducting an SRA regularly, providers can identify and document potential threats and vulnerabilities related to data security, and develop a plan of action to mitigate them.

Security vulnerabilities must be addressed before the SRA can be considered complete. Providers must document the process and steps taken to mitigate risks in three main areas: administration, physical environment, and technical hardware and software. The following set of resources provide education, strategies and tools for conducting SRA.

Security Risk Analysis Resources
Security Risk Assessment Overview Presentation and Templates for Health Centers
HITEQ Center

Security Risk Assessment Overview Presentation and Templates for Health Centers

A HITEQ Privacy & Security Resource - New Templates Added May 2017

This HITEQ Security Risk Assessment presentation provides a template for leadership and privacy and security project leads that can be adapted for specific health center needs. This presentation template covers the following agenda:

  • Overview of Healthcare Privacy & Security Policies related to SRA
  • Implications for Health Center SRA requirements
  • Review of the Office of the National Coordinator SRA Toolkit
  • Office for Civil Rights Audits
     

Documents to download

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Intended AudienceHealth Center IT Leadership, Health Center IT Staff

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Acknowledgements

This resource collection was cultivated and developed by the HITEQ team with valuable suggestions and contributions from HITEQ Project collaborators.

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