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Cause of Most MU Audit failures
Protect electronic health information. Conduct or
review a security risk analysis and implement updates
as necessary and correct identified security
deficiencies
Core Objectives not met
Medicaid volume mismatch
Security Risk Analysis Key Points
This is not a new requirement
The risk assessment needs to include the certified
version of your EHR
The risk assessment needs to be updated each year
It is a simple Yes/No answer during the attestation
Top 10 Myths of Security Risk Analysis
1. The SRA is optional for small Providers
2. Simply installing a certified EHR fulfills the SRA requirement
3. My EHR vendor took care of everything I need to do
4. I have to outsource the security risk analysis
5. A checklist will suffice for the SRA requirement
6. There is a specific SRA method that I must follow
7. My SRA only needs to look at my EHR
8. I only need to do the SRA once
9. Before I attest to MU I must mitigate all risks
10. Each year I’ll have to completely redo my SRA
What an SRA is
A documented It inventory of all hardware that stores,
processes or transmits ePHI
A documented assessment of the current physical,
technical and administrative environment
A list of identified risks that are prioritized by risk level
A documented mitigation plan
A full documented set of security policies
What Can I Do About Audits?
Make sure someone is responsible
Anticipate an audit
Know where the documentation is
Know what is in the documentation
Answer audits specifically and in a timely manner
Answer requests thoroughly
Contact Primaris
What Primaris Can Do For You
Conduct a thorough security risk analysis, providing:
– Recommended remediation action
– Facility walkthrough notes
– Sample security policy
– Privacy security breach reporting management plan
– Recommendation for obtaining ongoing security updates
Schedule your security review
Larry Henderson
Certified Security Specialist
573-355-8180
lhenderson@primaris.org

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#1 Cause of Meaningful Use Audit Failure

  • 1. Cause of Most MU Audit failures Protect electronic health information. Conduct or review a security risk analysis and implement updates as necessary and correct identified security deficiencies Core Objectives not met Medicaid volume mismatch
  • 2. Security Risk Analysis Key Points This is not a new requirement The risk assessment needs to include the certified version of your EHR The risk assessment needs to be updated each year It is a simple Yes/No answer during the attestation
  • 3. Top 10 Myths of Security Risk Analysis 1. The SRA is optional for small Providers 2. Simply installing a certified EHR fulfills the SRA requirement 3. My EHR vendor took care of everything I need to do 4. I have to outsource the security risk analysis 5. A checklist will suffice for the SRA requirement 6. There is a specific SRA method that I must follow 7. My SRA only needs to look at my EHR 8. I only need to do the SRA once 9. Before I attest to MU I must mitigate all risks 10. Each year I’ll have to completely redo my SRA
  • 4. What an SRA is A documented It inventory of all hardware that stores, processes or transmits ePHI A documented assessment of the current physical, technical and administrative environment A list of identified risks that are prioritized by risk level A documented mitigation plan A full documented set of security policies
  • 5. What Can I Do About Audits? Make sure someone is responsible Anticipate an audit Know where the documentation is Know what is in the documentation Answer audits specifically and in a timely manner Answer requests thoroughly Contact Primaris
  • 6. What Primaris Can Do For You Conduct a thorough security risk analysis, providing: – Recommended remediation action – Facility walkthrough notes – Sample security policy – Privacy security breach reporting management plan – Recommendation for obtaining ongoing security updates
  • 7. Schedule your security review Larry Henderson Certified Security Specialist 573-355-8180 lhenderson@primaris.org