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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
Mobile Device Security: Managing Cloud-based & Hybrid Solutions in Healthcare Settings

Mobile Device Security: Managing Cloud-based & Hybrid Solutions in Healthcare Settings

A National Cybersecurity Center of Excellence Practice and Resource Guide

In the lab at the NCCoE, part of the National Institute of Standards and Technology (NIST), we built an environment based on typical mobile devices and an enterprise email, calendaring, and contact management solution. Additionally, we demonstrated how security can be supported throughout the mobile device lifecycle, including:

  • configure a device to be trusted by the organization
  • maintain adequate separation between the organization’s data and the employee’s personal data stored on or accessed from the mobile device
  • handle the de-provisioning of a mobile device that should no longer have enterprise access (e.g., device lost or stolen, employee leaves the company.

The NIST Cybersecurity Practice Guide is available as a draft. For ease of use, the draft guide is available to download or read in volumes

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Intended AudienceCIO, IT Staff, CSO

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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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