This document discusses the importance of identity governance in healthcare. It outlines the various types of identities in healthcare including employees, providers, patients, and students. Strong identity governance is important to mitigate risks from non-compliance with regulations and loss of trust or revenue. The document demonstrates identity governance solutions through two case studies of large healthcare organizations that were able to better manage access rights and comply with regulations using IBM's identity governance tools.

1. Why is Identity Governance
Important in Healthcare?
Harry Zolides
WW Sales Leader - Identity Governance and Intelligence
Christopher Dawson
Senior CTP – Identity Governance and Intelligence
December 5, 2016

2. 2 IBM Security
Agenda
• Identities in Health Care
• What’s at stake?
• Mitigating the Risk with Governance
• Governance Case Study
• IBM’s Methodology
• IBM Solution (Demo)
• Q&A

3. Identities in Healthcare
Employees are not only Health Care Providers
Patients are not only customers

4. 4 IBM Security
Health Care Providers are not only Employees
• Employees
Doctors, Nurses, and Staff
• Visiting Providers
Doctors with privileges
Traveling Nurses
• Admitting Providers
Doctors
Nursing Homes
• Medical Students
Doctors
Nurses
Static Access
Dynamic Access
On Demand Access
Recurring Access

5. 5 IBM Security
Patients are not Customers
• Patients
• Patients (Minor)
Custodial Parents
Non Custodial Parents
• Patients (Surrogate Decision Makers)
Children
Spouse
• Tele-patients
Static Access
Dynamic Access
Temporal Access
Federated Access

6. What is at stake?

7. 7 IBM Security
Governing Regulations
• Personally identifiable information (PII), or Sensitive Personal Information (SPI)
• The Health Insurance Portability and Accountability Act of 1996 (HIPAA)
• Payment Card Industry Data Security Standard (PCI DSS)
• National Drug Control Policy (NDCP)

8. 8 IBM Security
The Risk
• Fines
• Judgments
• Loss of Customer
• Loss of Trust
• Loss of Accreditation
• Loss of Revenue

9. Mitigating the Risk with
Identity Governance

10. 10 IBM Security
Identity Governance
• Understand the Access a given Identity (User) has
• Evaluate if the Access is appropriate and required
• Recertify Access on a regular basis
• Identify Toxic Combinations
• Enforce Segregation of Duties
• Revoke Access as soon as possible
Granting Access is always
easy as all work together!
Removing Access is hard!
Automation

11. Case Studies

12. 12 IBM Security
Children's Hospital Patient Portal
• Large Children's Hospital with multiple locations
• Patient Self Registration Portal for:
̶ Appointment Scheduling
̶ Test Result Lookup
̶ Continued Care Support
̶ Remote Care Capabilities
̶ Palliative Care
• Medical Records Software Used:
̶ MyChart From EPIC
Governance Opportunity:
EPIC Does not address the changing relationship between a patient and parent (guardian)
Access to patient records change over time with the child's age:
- 13 Years (Child can create own account)
- 16 Years (Child can control parts of their medical treatment)
- 18 Years (Parents require approval for access)

13. 13 IBM Security
IGI - Lifecycle
Self Care
Patients
Parents
Administrator
Medical Access
Identity Management
Account and Access
Management
Automatic
Governance
Manual
Administration

14. 14 IBM Security
Teaching and Research Hospital
• Teaching Hospital with large bio medical research department
• Medical Student Access Governance:
̶ Medical Student Access control during semester start/end
̶ Medical Students are assigned to various research projects
̶ Research projects are governed decentralized but access is centralized managed
̶ Medical Students switch between projects on a regular basis
• Medical Records Software Used:
̶ EPIC Personnel Management
Governance Opportunity:
Research Project Administrators do not have access to EPIC Administration portal, but need to
govern student access.
Governance via a Business Friendly view, not IT based.

15. 15 IBM Security
IGI - Governance
Research
Medical
Student
Project
Administrator
Access Controls
Account and Access
Management
Account and Access
Governance
Access Recertification
Segregation of Duties
Toxic Combinations
Access Validation

16. IBM Security Identity Governance & Intelligence
for HealthCare Providers
…and specifically - for EPIC Clients.

17. Demo

18. 23 IBM Security
IBM is a Leader in the 2016 Gartner Magic Quadrant for Identity Governance and Administration
Source: Gartner (February 2016)
This graphic was published by Gartner, Inc. as part of a larger research document and should be evaluated in the context of the entire document. The Gartner document is available upon request from 2016 Gartner IGA Magic
Quadrant
Gartner does not endorse any vendor, product or service depicted in its research publications, and does not advise technology users to select only those vendors with the highest ratings or other designation. Gartner research
publications consist of the opinions of Gartner's research organization and should not be construed as statements of fact. Gartner disclaims all warranties, expressed or implied, with respect to this research, including any
warranties of merchantability or fitness for a particular purpose.
Gartner, Inc. Positions IBM as a LEADER in
Identity Governance and Administration (IGA)
"An increased focus on threat protection,
including insider threats, is driving integration
of IGA products with overall threat detection
and analysis tools, specifically with SIEM and
user and entity behavioral analytics (UEBA)
products. IGA can provide identity context to
SIEM and UEBA tools, and, in the opposite
direction, UEBA can provide risk scores and
activity data to IGA”
Gartner, Inc. “Magic Quadrant for Identity Governance and Administration”
by Felix Gaehtgens, Brian Iverson, Perry Carpenter, February 2016
Report #G00274258

19. 24 IBM Security
For more information . . . download this whitepaper
http://www-01.ibm.com/common/ssi/cgi-bin/ssialias?htmlfid=WGW03220USEN
Keith Sams +1-512-426-8109 (Mobile)
ksams@us.ibm.com

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