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: 12/14/2022 2:00 PM - 3:00 PM Export event
Improving Health Center Cybersecurity: Risk Assessment, Breach Defense, Mitigation, and Response - Session 4 Cybersecurity Incident Response Planning for Health Centers

Improving Health Center Cybersecurity: Risk Assessment, Breach Defense, Mitigation, and Response - Session 4 Cybersecurity Incident Response Planning for Health Centers

HITEQ Learning Collaborative Series

This session invited you 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. 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. This learning collaborative addressed health center breach mitigation tactics, operationalizing cybersecurity to better mitigate risks, telehealth risk management strategies, and incident response planning from a cybersecurity perspective.

This series equips health centers and their staff to:  

  1. Describe resources, frameworks, and methods for strategic implementation of cybersecurity infrastructure and services
  2. Describe essential cybersecurity tools and services that can help decrease the risk of a data breach
  3. Use best practices in cybersecurity when implementing modern telehealth tools and RPM initiatives
  4. Adopt cybersecurity risk management paradigms and incident response planning templates.

This learning collaborative provided participating health centers a series of four structured virtual learning sessions where they engaged with facilitators, subject matter experts and their colleagues in peer-to-peer learning and discussion.

Session 4: Cybersecurity Incident Response Planning for Health Centers


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

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