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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

Event date: 10/24/2023 12:00 PM - 1:00 PM Export event
Improving Health Center Cybersecurity: Risk Assessment, Breach Defense, Mitigation and Response - Session 2

Improving Health Center Cybersecurity: Risk Assessment, Breach Defense, Mitigation and Response - Session 2

Virtual Learning Collaborative

It's time to reconsider your strategy if you still treat cyber risk as an annual project or initiative. Having a thorough ongoing program in place means that even in the worst-case scenario, you'll be ready to demonstrate that you did what was reasonable and appropriate to protect your systems and patient data. Nothing can guarantee that a cyberattack won't become a breach. Health Centers are a domain with a high potential for data breaches, and the risk continues to grow as health centers use new tools and the introduction of artificial intelligence (AI). As a result, it is crucial for health center leadership to adopt breach prevention strategies across their entire organization, as opposed to relegating it to the IT department. 

To support health centers in their cybersecurity strategy and implementation, the HITEQ Center is offering a free learning collaborative -- Improving Health Center Cybersecurity: Risk Assessment, Breach Defense, Mitigation, and Response. This learning collaborative will involve four structured virtual learning sessions. During the series participants will engage with subject matter experts and their colleagues in peer-to-peer learning and discussion. Topics will include: health center breach mitigation tactics, operationalizing cybersecurity to better mitigate risks, cybersecurity implications of generative artificial intelligence in health centers, and incident response planning from a cybersecurity perspective.

Session 2: Health Center Hacking Combat and Breach Response Strategies for Awareness, Management, and Training
In this session, we discussed breach mitigation, ways in which to operationalize cybersecurity in order to better mitigate risks, reviewed risk management tools, and methods for defending against cybersecurity attacks. Breach can occur through both internal and external network leaks, through malware such as ransomware and through physical means on site. We covered topics related to general knowledge about breach mitigation, methods for mitigating against breach incidences, and addressing gaps in health center defenses.


 

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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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