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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
Strategic Cybersecurity Breach Protection and Incident Response

Strategic Cybersecurity Breach Protection and Incident Response

Guidance and Resources for Health Centers

General cybersecurity guidance would suggest that Health IT breach should not be considered a matter of “if”, but rather a matter of “when”. How an organization prepares and responds to an episode of breach is just as important as defending itself from breach. Unfortunately, Health Centers are perceived as a domain with high potential for data breach, and consequently it is critical for Health Center leadership to embrace breach mitigation and incident response planning across their entire organization vs being a matter to be addressed by their Health IT team. Breach can occur through both internal and external network leaks, through malware such as ransomware and through physical means on site. This is Part 2 of the Health Center Defense Against the Dark Web presentation series. This presentation provides general knowledge about breach mitigation and planning strategies for incident response.

Learning objectives:

-          Increased understanding of key aspects of breach incidence, notification requirements, and response

-          Improved ability to document security incidences and plan for effective breach response situations

-          Identification of 1-3 specific resources from the HITEQ Center knowledgebase that can improve their ability to plan, mitigate, and respond to incidences of breach

Previous Article Health Center Defense Against the Dark Web Presentation
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Intended AudienceHealth Center IT Leadership, All Health Center Staff, Health IT Staff, Privacy & Security 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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The Quadruple Aim
Quadruple Aim

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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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