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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
Cybersecurity Toolkit for Rural Hospitals and Clinics
HITEQ Center

Cybersecurity Toolkit for Rural Hospitals and Clinics

from the National Rural Health Resource Center

Ransomware and cybercrime are growing threats to all healthcare facilities – big or small. Protecting a facility for cyber threats can be a daunting task. However, failure to protect a facility from cyber attacks can result in fees, fines, litigation, media stories, mistrust and decreased market capture.

Protecting your hospital, clinic or even home computers from cyber threats can be a daunting task. It involves more than installing a good antivirus package, implementing a strong firewall or modifying existing security practices to protect the digital workplace from all the cyber threats that exist, or may exist in the future. Creating awareness of such need, and developing strategies to overcome the challenges that small IT staff and limited resources present for rural hospitals and clinics, can support not only rapid response to attacks, but also preparedness.

This toolkit from the National Rural Health Resource Center is organized into four steps to guide rural hospitals and clinics in developing and fostering a well-rounded cybersecurity program, including awareness, assessment, implementation & remediation, and education. A survey of available resources from various governmental and non-profit organizations is also included, as are checklists and tools that are appropriate for all audiences, including hospitals and clinics in rural settings.\

Download the toolkit using the link below.

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Intended AudienceRural Health Centers, IT staff, CIO, Health Center Leadership

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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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Improving the U.S. health care system requires four aims: improving the experience of care, improving the health of populations, reducing per capita costs and improving care team well-being. HITEQ Center resources seek to provide content and direction aligned with the goals of the Quadruple Aim

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