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The Quadruple Aim
Quadruple Aim

A Conceptual Framework

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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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

Health Center Defense Against the Dark Web Presentation

Health Center Defense Against the Dark Web Presentation

Strategies for Building Security Awareness, Education and Compliance

This cybersecurity presentation explores key concepts and best practices that should be followed by Health Centers seeking to develop Defense in Depth and effectively implement hardened security programs at their sites. There are ever-increasing cybersecurity guidelines and protection measures that Health Centers must navigate and digest. Newer and rurally located Health Centers, facing security workforce challenges, can especially benefit from guidance and decision support that assists them in determining how to implement systems in a manner that meets compliance requirements and doesn’t expose information to undue security risk. Part 1 of this series will seek to motivate and educate the health center workforce on critical privacy and security concepts and methods for defense. Aspects of Security Risk Assessment, security awareness training, and breach protection will be covered with an emphasis on health center-wide information protection.
 

Learning objectives:

-          Increased awareness of primary healthcare security risk domains and the responsibilities of staff in protecting health data depending on their role within the health center to ensure better information security.

-          Improved ability to recognize security risks within the organization and better understand how to plan and mitigate for information security risks identified.

-          Identification of 1-3 specific resources from the HITEQ Center knowledge base that can improve their ability to manage health information security risks.

 

It is of critical importance to motivate and educate healthcare professionals on current critical privacy and security concepts and methods for defense of health data. Aspects of security awareness training, breach protection, incident response, and related topics all play a role in organization-wide information protection.

Healthcare cybersecurity is the ultimate team sport. The responsibility goes beyond the IT staff and includes front and back-office staff, doctors and nurses, patients, executives, and the board of directors. The attached presentation is directed to all levels of the healthcare organization so that they may be proactive and aware.

•Health Center Privacy and Security is everyone’s responsibility

•Responsibilities will vary depending on the position, but awareness is critical at every level

•There are known best practices and frameworks that can be followed to help ensure information security is addressed appropriately

•Take continual steps to create a proactive privacy & security culture at your health center

•Help defend Health Centers against the Dark Web!

Previous Article Health Industry Cybersecurity Practices: Managing Threats and Protecting Patients
Next Article Strategic Cybersecurity Breach Protection and Incident Response
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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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