Quarterly scans by internal IT staff
External: Annual scans by external vendor
Patches/Updates: Patches and updates applied within 30 days
Penetration Testing: Annual external penetration testing
Monitoring: Network and systems monitored 24/7 by IT staff
Incident Response: Formal incident response plan and team
Logging/Auditing: Critical systems and firewalls centrally logged
Change Management: Formal change control process for systems
Business Continuity: Documented business continuity and disaster recovery plans tested annually
This document provides an overview of roles and responsibilities related to information security at RLK Products. It describes job descriptions for key information security roles including the Information Assurance/Security Officer, Risk and Contingency Manager, System Owner, Security Operations Manager, Computer Security Specialist, Telecommunications Specialist, Web Administrator, Database Administrator, Systems Architect, and System Administrator. Each role has specific duties for developing, implementing, and maintaining policies, procedures, training, risk assessments, and technical controls to protect RLK's information systems and data.
This document provides a summary of policies for information security at RLK Products. It outlines the job description and qualifications for an Information Assurance/Security Officer who will be responsible for developing and implementing a comprehensive security program. The policies describe requirements for privacy, acceptable use, staff responsibilities, and compliance with regulations. Incident response procedures, risk assessments, training, and an emergency plan are part of maintaining security.
This document provides an overview of an information security risk assessment conducted for a client. The assessment methodology identifies key business applications, platforms, interfaces, user needs, and outstanding issues. It evaluates organizational practices, personnel practices, physical security, data security, information integrity, software integrity, and network protection. The assessment provides recommendations to effectively manage identified risks.
MBM eHealthCare Solutions HIPAA-HITECH & Meaningful Use Risk AnalysisCharles McNeil
The document provides an overview of HIPAA and HITECH privacy and security requirements for small healthcare practices, including risk analysis. It discusses key aspects of HIPAA, including the Privacy Rule, Security Rule, and HITECH Act. It outlines the requirements for conducting a risk analysis under the HIPAA Security Rule and Meaningful Use Stage 2, including identifying ePHI, threats, vulnerabilities, and implementing security updates. The presentation emphasizes that third-party assistance may be needed to properly conduct a HIPAA-compliant risk analysis given the expertise required and resources of small practices.
This document discusses information risk management and the role of the information security manager (ISM). It covers topics like implementing a risk management program, risk assessment methodologies, information security controls, and integrating risk management into business processes. The document is intended to represent approximately 33% of the content on the CISM examination.
The document discusses the need for organizations to improve their governance, risk, and compliance (GRC) posture to address expanding data regulations and cyber threats. It outlines key parameters for an effective GRC strategy, including identity-based authentication and authorization controls, understanding business and regulatory drivers, and stakeholder participation. The document also notes specific GRC challenges with legacy applications like PeopleSoft, such as limited logging and visibility, lack of granular access controls and monitoring, and exposure of sensitive data. It introduces the Appsian Security Platform as a solution to enhance PeopleSoft's security and help meet compliance requirements through features like detailed logging, activity monitoring and analytics, single sign-on, multi-factor authentication, and contextual access controls based on
Control physical and logical access to assets, Manage identification and authentication of people and devices, Integrate identity as a service (e.g., cloud identity),
Integrate third-party identity services (e.g., on-premise), Implement and manage authorization mechanisms, Prevent or mitigate access control attacks, Manage the identity and access provisioning life cycle (e.g., provisioning, review)
The document is a HIPAA GAP assessment report for ABC Company conducted by FishNet Security. It summarizes the objectives of assessing ABC Company's compliance with HIPAA privacy and security rules. The assessment found variances between ABC Company's environment and controls and the standards required by HIPAA. The report provides high-level findings and recommendations to help ABC Company achieve compliance as a covered entity. Detailed technical findings are included in an appendix.
This document provides an overview of roles and responsibilities related to information security at RLK Products. It describes job descriptions for key information security roles including the Information Assurance/Security Officer, Risk and Contingency Manager, System Owner, Security Operations Manager, Computer Security Specialist, Telecommunications Specialist, Web Administrator, Database Administrator, Systems Architect, and System Administrator. Each role has specific duties for developing, implementing, and maintaining policies, procedures, training, risk assessments, and technical controls to protect RLK's information systems and data.
This document provides a summary of policies for information security at RLK Products. It outlines the job description and qualifications for an Information Assurance/Security Officer who will be responsible for developing and implementing a comprehensive security program. The policies describe requirements for privacy, acceptable use, staff responsibilities, and compliance with regulations. Incident response procedures, risk assessments, training, and an emergency plan are part of maintaining security.
This document provides an overview of an information security risk assessment conducted for a client. The assessment methodology identifies key business applications, platforms, interfaces, user needs, and outstanding issues. It evaluates organizational practices, personnel practices, physical security, data security, information integrity, software integrity, and network protection. The assessment provides recommendations to effectively manage identified risks.
MBM eHealthCare Solutions HIPAA-HITECH & Meaningful Use Risk AnalysisCharles McNeil
The document provides an overview of HIPAA and HITECH privacy and security requirements for small healthcare practices, including risk analysis. It discusses key aspects of HIPAA, including the Privacy Rule, Security Rule, and HITECH Act. It outlines the requirements for conducting a risk analysis under the HIPAA Security Rule and Meaningful Use Stage 2, including identifying ePHI, threats, vulnerabilities, and implementing security updates. The presentation emphasizes that third-party assistance may be needed to properly conduct a HIPAA-compliant risk analysis given the expertise required and resources of small practices.
This document discusses information risk management and the role of the information security manager (ISM). It covers topics like implementing a risk management program, risk assessment methodologies, information security controls, and integrating risk management into business processes. The document is intended to represent approximately 33% of the content on the CISM examination.
The document discusses the need for organizations to improve their governance, risk, and compliance (GRC) posture to address expanding data regulations and cyber threats. It outlines key parameters for an effective GRC strategy, including identity-based authentication and authorization controls, understanding business and regulatory drivers, and stakeholder participation. The document also notes specific GRC challenges with legacy applications like PeopleSoft, such as limited logging and visibility, lack of granular access controls and monitoring, and exposure of sensitive data. It introduces the Appsian Security Platform as a solution to enhance PeopleSoft's security and help meet compliance requirements through features like detailed logging, activity monitoring and analytics, single sign-on, multi-factor authentication, and contextual access controls based on
Control physical and logical access to assets, Manage identification and authentication of people and devices, Integrate identity as a service (e.g., cloud identity),
Integrate third-party identity services (e.g., on-premise), Implement and manage authorization mechanisms, Prevent or mitigate access control attacks, Manage the identity and access provisioning life cycle (e.g., provisioning, review)
The document is a HIPAA GAP assessment report for ABC Company conducted by FishNet Security. It summarizes the objectives of assessing ABC Company's compliance with HIPAA privacy and security rules. The assessment found variances between ABC Company's environment and controls and the standards required by HIPAA. The report provides high-level findings and recommendations to help ABC Company achieve compliance as a covered entity. Detailed technical findings are included in an appendix.
The document discusses incident management and response. It covers topics such as defining incidents and objectives of incident management, roles and responsibilities in incident response, developing incident response plans and procedures, testing and reviewing plans, and ensuring integration with business continuity and disaster recovery plans. The goal is to establish capabilities to effectively detect, investigate, respond to and recover from security incidents to minimize business impact.
Fraudulent Methods for Attacking Bank Networks and Prevention 2014Aladdin Dandis
The document outlines modules for a training course on banking security, including topics like banking fraud, hacking methodologies, malware, cyber crimes, and encryption. The first module introduces key security concepts like confidentiality, integrity, availability, risk management, and the principle of least privilege. It also discusses social engineering, security costs, and the importance of training.
Understand and apply concepts of confidentiality, integrity and availability, Apply security governance principles,
Understand legal and regulatory issues that pertain to information security in a global context, Develop and implement documented security policy, standards, procedures, and guidelines, Understand business continuity requirements
Contribute to personnel security policies, Understand and apply risk management concepts, Understand and apply threat modeling, Integrate security risk considerations into acquisition strategy and practice, Establish and manage information security education, training, and awareness
The HIPAA Security Rule establishes national standards to protect individuals’ electronic personal health information that is created, received, used, or maintained by a covered entity. The Security Rule requires appropriate administrative, physical and technical safeguards to ensure the confidentiality, integrity, and security of electronic protected health information. The Security Rule is located at 45 CFR Part 160 and Subparts A and C of Part 164.
HIPAA Security Rule list 28 adminstrative safeguards, 12 Physical safeguards, 12 technical safeguards along with specific organization and policies and procedures requirements. EHR 2.0 HIPAA security assessment services help covered entities to discover the gap areas based on the required and addressable requirements.
There are two main rules for HIPAA. One is a rule on privacy and the other on Security.
The HIPAA Privacy Rule establishes national standards to protect individuals’ medical records and other personal health information and applies to health plans, health care clearinghouses, and those health care providers that conduct certain health care transactions electronically. The Rule requires appropriate safeguards to protect the privacy of personal health information, and sets limits and conditions on the uses and disclosures that may be made of such information without patient authorization. The Rule also gives patients rights over their health information, including rights to examine and obtain a copy of their health records, and to request corrections. The Privacy Rule is located at 45 CFR Part 160 and Subparts A and E of Part 164.
How often the security should be reviewed?
Security standard mentioned under HIPAA should be reviewed and modified as needed to continue provision of reasonable and appropriate protection of electronic protected health information.
Confidentiality
Limiting information access and disclosure to authorized users (the right people)
Integrity
Trustworthiness of information resources (no inappropriate changes)
Availability
Availability of information resources (at the right time)
http://ehr20.com/services/hipaa-security-assessment/
The document discusses Information Security Management Systems (ISMS) and ISO/IEC 27001. It describes ISMS as a systematic approach to managing information security risks. ISO/IEC 27001 provides requirements for establishing, implementing, maintaining and improving an ISMS. It is based on a plan-do-check-act cycle. Implementing an ISMS and gaining ISO/IEC 27001 certification helps organizations manage information security risks, ensure legal and regulatory compliance, improve reputation, and gain a competitive advantage.
This document discusses information security management and auditing. It covers topics such as access controls, logical and physical security, security objectives, risk management, incident response, and controls for remote access, removable media, and audit logging. The goal is to provide assurance that an organization's security policies ensure confidentiality, integrity and availability of information assets.
This document discusses auditing information systems infrastructure and operations. It provides guidance on evaluating key aspects of IS operations, including service level management, third party management, operations procedures, maintenance, data administration, capacity and performance monitoring, problem management, change management, backup and recovery provisions, and disaster recovery plans. The purpose is to ensure that IS processes meet organizational objectives and strategies.
EHR meaningful use security risk assessment sample documentdata brackets
Under the HIPAA Privacy and Security Rule, business associates are required to perform active risk prevention and safeguarding of patient information that are very important to patient privacy. The HITECH act allows only minimum necessary to be disclosed when handling protected health information (PHI).
This security risk assessment exercise has been performed to support the requirements of the Department of Health and Human Services (HHS), Office for the Civil Rights (OCR) and other applicable state data privacy laws and regulations. Upon completion of this risk assessment, a detail risk management plan need to be developed based on the gaps identified from the risk analysis. The gaps identified and recommendations provided are based on the input provided by the staff, budget, scope and other practical considerations
This document discusses various frameworks for IT governance, including COBIT, ISO 27001, ITIL, and others. It defines key terms like governance, risk management, and compliance. Governance ensures objectives are met and risks managed, while management plans and executes activities. IT governance is concerned with IT delivering business value and managing risks. The frameworks provide guidance on implementing and maintaining effective IT governance and security programs.
This document provides an overview of key concepts in information security. It defines information security, why it is important for businesses, and common information security jobs. It then discusses the history of information security and introduces the CIA triad of confidentiality, integrity and availability. The document outlines the components of risk management and assessment. It also describes different types of security controls including administrative, logical/technical, and physical controls and important principles like separation of duties and least privilege. Finally, it discusses security classification of information.
This document provides summaries of several information security frameworks and standards, including:
- ISO/IEC 27002:2005 which provides guidelines for information security management across 10 security domains.
- ISO/IEC 27001:2005 which specifies requirements for establishing an Information Security Management System using a PDCA model.
- Payment Card Industry Data Security Standard which consists of 12 requirements to enhance payment data security.
- COBIT which links IT initiatives to business requirements and defines management control objectives across 34 IT processes.
It also briefly outlines US regulations including Sarbanes-Oxley, COSO, HIPAA, and FISMA which aim to improve corporate disclosures, define healthcare information
The document provides an overview of an upcoming IT audit being conducted by the Office of Internal Audit at a university. It outlines the audit process, including an introduction, orientation, and slide presentation covering the OIA background and audit methodology. It also discusses preparing for the on-site audit, including examining identity management, access control, and security management. The document details the audit flow, evidence gathering, and expectations for management response and follow-up after the audit is completed.
The document discusses the roles and responsibilities of an Information Security Manager (ISM). It explains that an ISM is responsible for developing, implementing, and managing an information security program to align with the organization's information security strategy and business objectives. This involves directing people, processes, and policies to identify controls, create control activities, and monitor control points. It also requires the ISM to ensure commitment from senior management and cooperation across organizational units. Effective information security programs require balancing security, cost, and business needs.
Developing an Information Security ProgramShauna_Cox
The document discusses the components and development of an effective information security program. It outlines that an information security program is needed due to factors like regulatory requirements, sophisticated attacks, and the strategic importance of security. The key components of an effective program include executive commitment, policies and procedures, monitoring processes and metrics, governance structure, and security awareness training. The document also describes standard methodologies and outlines the typical development process of plan, implement, operate and maintain, and monitor and evaluate.
Information security management best practiceparves kamal
ISO 17799 is an internationally recognized Information Security Management Standard, first published by the International Organization for Standardization, or ISO (www.iso.ch), in December 2000.
The document discusses the importance of policy in defining an organization's security scope and expectations. It provides examples of key policies around information, security, computer and internet use, and procedures for user management, backups, incident response and disaster recovery. Effective policy creation involves risk assessment, stakeholder input, and regular review to ensure ongoing relevance. Deployment requires security awareness training and compliance audits.
Understanding the security_organizationDan Morrill
This document discusses risks in information security from regulatory, business, technology, and security perspectives. It outlines how decisions are made based on existing contracts and perceived power rather than technical understanding. Risk is defined as threats times vulnerabilities plus the influence of politics and power. Both proactive and reactive security approaches are discussed along with their limitations. Information security challenges include complexity, unknown vulnerabilities, and persistence of hackers. Overall risk management must account for known and unknown threats within organizational politics.
This document discusses best practices for auditing information systems development projects. It covers topics such as evaluating business cases, project management practices, controls during requirements, acquisition, development and testing phases, readiness for implementation, and post-implementation reviews. The document provides knowledge requirements for auditors, such as understanding benefits realization, project governance, risk management, and system development methodologies. It also discusses project organization structures and closing out projects.
Learfield InterAction will establish an online brand and identity for MO Healthy Births through social media platforms like Facebook and YouTube. They will launch a YouTube video series called "MomTalk" consisting of 9 videos total across 3 series to educate females ages 18-34 on healthy lifestyles and caring for their bodies. Additionally, they will develop a Facebook advertising campaign and keep social media content fresh with regular weekly updates focused on health news, questions from fans, discussions, tips, and facts. The goal is to attract more social media followers and build an online community around the MO Healthy Births brand.
This document outlines the Missouri Foundation for Child Abuse Prevention's 2013-2014 media activity plan. It details four prevention campaigns focused on never leaving children unattended in vehicles, shaken baby syndrome, parenting with patience, and strengthening families. It also outlines three donor campaigns. The foundation's media mix includes radio, print, online, and cable TV advertising statewide and in targeted areas to promote these campaigns and increase donations.
The document discusses incident management and response. It covers topics such as defining incidents and objectives of incident management, roles and responsibilities in incident response, developing incident response plans and procedures, testing and reviewing plans, and ensuring integration with business continuity and disaster recovery plans. The goal is to establish capabilities to effectively detect, investigate, respond to and recover from security incidents to minimize business impact.
Fraudulent Methods for Attacking Bank Networks and Prevention 2014Aladdin Dandis
The document outlines modules for a training course on banking security, including topics like banking fraud, hacking methodologies, malware, cyber crimes, and encryption. The first module introduces key security concepts like confidentiality, integrity, availability, risk management, and the principle of least privilege. It also discusses social engineering, security costs, and the importance of training.
Understand and apply concepts of confidentiality, integrity and availability, Apply security governance principles,
Understand legal and regulatory issues that pertain to information security in a global context, Develop and implement documented security policy, standards, procedures, and guidelines, Understand business continuity requirements
Contribute to personnel security policies, Understand and apply risk management concepts, Understand and apply threat modeling, Integrate security risk considerations into acquisition strategy and practice, Establish and manage information security education, training, and awareness
The HIPAA Security Rule establishes national standards to protect individuals’ electronic personal health information that is created, received, used, or maintained by a covered entity. The Security Rule requires appropriate administrative, physical and technical safeguards to ensure the confidentiality, integrity, and security of electronic protected health information. The Security Rule is located at 45 CFR Part 160 and Subparts A and C of Part 164.
HIPAA Security Rule list 28 adminstrative safeguards, 12 Physical safeguards, 12 technical safeguards along with specific organization and policies and procedures requirements. EHR 2.0 HIPAA security assessment services help covered entities to discover the gap areas based on the required and addressable requirements.
There are two main rules for HIPAA. One is a rule on privacy and the other on Security.
The HIPAA Privacy Rule establishes national standards to protect individuals’ medical records and other personal health information and applies to health plans, health care clearinghouses, and those health care providers that conduct certain health care transactions electronically. The Rule requires appropriate safeguards to protect the privacy of personal health information, and sets limits and conditions on the uses and disclosures that may be made of such information without patient authorization. The Rule also gives patients rights over their health information, including rights to examine and obtain a copy of their health records, and to request corrections. The Privacy Rule is located at 45 CFR Part 160 and Subparts A and E of Part 164.
How often the security should be reviewed?
Security standard mentioned under HIPAA should be reviewed and modified as needed to continue provision of reasonable and appropriate protection of electronic protected health information.
Confidentiality
Limiting information access and disclosure to authorized users (the right people)
Integrity
Trustworthiness of information resources (no inappropriate changes)
Availability
Availability of information resources (at the right time)
http://ehr20.com/services/hipaa-security-assessment/
The document discusses Information Security Management Systems (ISMS) and ISO/IEC 27001. It describes ISMS as a systematic approach to managing information security risks. ISO/IEC 27001 provides requirements for establishing, implementing, maintaining and improving an ISMS. It is based on a plan-do-check-act cycle. Implementing an ISMS and gaining ISO/IEC 27001 certification helps organizations manage information security risks, ensure legal and regulatory compliance, improve reputation, and gain a competitive advantage.
This document discusses information security management and auditing. It covers topics such as access controls, logical and physical security, security objectives, risk management, incident response, and controls for remote access, removable media, and audit logging. The goal is to provide assurance that an organization's security policies ensure confidentiality, integrity and availability of information assets.
This document discusses auditing information systems infrastructure and operations. It provides guidance on evaluating key aspects of IS operations, including service level management, third party management, operations procedures, maintenance, data administration, capacity and performance monitoring, problem management, change management, backup and recovery provisions, and disaster recovery plans. The purpose is to ensure that IS processes meet organizational objectives and strategies.
EHR meaningful use security risk assessment sample documentdata brackets
Under the HIPAA Privacy and Security Rule, business associates are required to perform active risk prevention and safeguarding of patient information that are very important to patient privacy. The HITECH act allows only minimum necessary to be disclosed when handling protected health information (PHI).
This security risk assessment exercise has been performed to support the requirements of the Department of Health and Human Services (HHS), Office for the Civil Rights (OCR) and other applicable state data privacy laws and regulations. Upon completion of this risk assessment, a detail risk management plan need to be developed based on the gaps identified from the risk analysis. The gaps identified and recommendations provided are based on the input provided by the staff, budget, scope and other practical considerations
This document discusses various frameworks for IT governance, including COBIT, ISO 27001, ITIL, and others. It defines key terms like governance, risk management, and compliance. Governance ensures objectives are met and risks managed, while management plans and executes activities. IT governance is concerned with IT delivering business value and managing risks. The frameworks provide guidance on implementing and maintaining effective IT governance and security programs.
This document provides an overview of key concepts in information security. It defines information security, why it is important for businesses, and common information security jobs. It then discusses the history of information security and introduces the CIA triad of confidentiality, integrity and availability. The document outlines the components of risk management and assessment. It also describes different types of security controls including administrative, logical/technical, and physical controls and important principles like separation of duties and least privilege. Finally, it discusses security classification of information.
This document provides summaries of several information security frameworks and standards, including:
- ISO/IEC 27002:2005 which provides guidelines for information security management across 10 security domains.
- ISO/IEC 27001:2005 which specifies requirements for establishing an Information Security Management System using a PDCA model.
- Payment Card Industry Data Security Standard which consists of 12 requirements to enhance payment data security.
- COBIT which links IT initiatives to business requirements and defines management control objectives across 34 IT processes.
It also briefly outlines US regulations including Sarbanes-Oxley, COSO, HIPAA, and FISMA which aim to improve corporate disclosures, define healthcare information
The document provides an overview of an upcoming IT audit being conducted by the Office of Internal Audit at a university. It outlines the audit process, including an introduction, orientation, and slide presentation covering the OIA background and audit methodology. It also discusses preparing for the on-site audit, including examining identity management, access control, and security management. The document details the audit flow, evidence gathering, and expectations for management response and follow-up after the audit is completed.
The document discusses the roles and responsibilities of an Information Security Manager (ISM). It explains that an ISM is responsible for developing, implementing, and managing an information security program to align with the organization's information security strategy and business objectives. This involves directing people, processes, and policies to identify controls, create control activities, and monitor control points. It also requires the ISM to ensure commitment from senior management and cooperation across organizational units. Effective information security programs require balancing security, cost, and business needs.
Developing an Information Security ProgramShauna_Cox
The document discusses the components and development of an effective information security program. It outlines that an information security program is needed due to factors like regulatory requirements, sophisticated attacks, and the strategic importance of security. The key components of an effective program include executive commitment, policies and procedures, monitoring processes and metrics, governance structure, and security awareness training. The document also describes standard methodologies and outlines the typical development process of plan, implement, operate and maintain, and monitor and evaluate.
Information security management best practiceparves kamal
ISO 17799 is an internationally recognized Information Security Management Standard, first published by the International Organization for Standardization, or ISO (www.iso.ch), in December 2000.
The document discusses the importance of policy in defining an organization's security scope and expectations. It provides examples of key policies around information, security, computer and internet use, and procedures for user management, backups, incident response and disaster recovery. Effective policy creation involves risk assessment, stakeholder input, and regular review to ensure ongoing relevance. Deployment requires security awareness training and compliance audits.
Understanding the security_organizationDan Morrill
This document discusses risks in information security from regulatory, business, technology, and security perspectives. It outlines how decisions are made based on existing contracts and perceived power rather than technical understanding. Risk is defined as threats times vulnerabilities plus the influence of politics and power. Both proactive and reactive security approaches are discussed along with their limitations. Information security challenges include complexity, unknown vulnerabilities, and persistence of hackers. Overall risk management must account for known and unknown threats within organizational politics.
This document discusses best practices for auditing information systems development projects. It covers topics such as evaluating business cases, project management practices, controls during requirements, acquisition, development and testing phases, readiness for implementation, and post-implementation reviews. The document provides knowledge requirements for auditors, such as understanding benefits realization, project governance, risk management, and system development methodologies. It also discusses project organization structures and closing out projects.
Learfield InterAction will establish an online brand and identity for MO Healthy Births through social media platforms like Facebook and YouTube. They will launch a YouTube video series called "MomTalk" consisting of 9 videos total across 3 series to educate females ages 18-34 on healthy lifestyles and caring for their bodies. Additionally, they will develop a Facebook advertising campaign and keep social media content fresh with regular weekly updates focused on health news, questions from fans, discussions, tips, and facts. The goal is to attract more social media followers and build an online community around the MO Healthy Births brand.
This document outlines the Missouri Foundation for Child Abuse Prevention's 2013-2014 media activity plan. It details four prevention campaigns focused on never leaving children unattended in vehicles, shaken baby syndrome, parenting with patience, and strengthening families. It also outlines three donor campaigns. The foundation's media mix includes radio, print, online, and cable TV advertising statewide and in targeted areas to promote these campaigns and increase donations.
Learfield Communications provides marketing, communications, and media services for organizations through online and traditional methods. They offer long-term strategies and daily support such as social media implementation, videos, podcasts, and content production. Hiring Learfield saves expenses compared to managing an in-house team and provides expertise tailored to each organization's objectives and budget.
This document announces an annual education law and policy training event for advocates working with students and families in South Carolina. The training will provide information on legal tools and programmatic supports available to help students achieve academic success. Specific sessions will cover school finance, special education law, bullying, charter schools, and other educational resources. The event is on March 9, 2012 from 9:00 am to 4:15 pm at Mashburn Construction Company in Columbia, South Carolina.
This document discusses services provided by Learfield InterAction related to social networking, website development, multimedia production, and mobile marketing. For social networking, they offer strategy development, content management, and customization of Facebook pages. For multimedia production, they create online experiences like videos and podcasts. For website development, they assist with setup, content production, and management. For mobile marketing, they offer apps, QR codes, and location-based services. Examples of past projects include Facebook ad campaigns and videos showcasing soybean farmers.
The document is a self-assessment tool created by the National Rural Health Resource Center for health information technology (HIT) networks to evaluate their organizational strengths and weaknesses. The tool consists of 25 statements across 7 sections that represent key components for a successful HIT network, including leadership, strategic planning, network members, evaluation, workforce and technology, processes, and impact. Network leaders can use the tool to identify areas for improvement by indicating on a scale of 1 to 5 how well each statement reflects their current position. The tool is intended to help HIT networks target their technical assistance needs to move faster in building their network capabilities.
This document provides guidance to help chronic condition self-management education programs achieve long-term sustainability. It discusses 10 key planning areas that programs should consider when developing a Growth Action Plan: revenue, marketing, referral networks, competition, service operations, evaluation, organizational support, community support, advocacy, and resource linkages. The goal is to help programs strategize to create the necessary infrastructure and community support needed for sustainable operations over the long run.
The document discusses different types of hospitals and hospital markets. It describes primary, secondary, tertiary, and quaternary hospitals based on their level of specialization and services provided. It also discusses factors such as barriers to entry into the hospital market, the types of buyers that purchase hospital services, and different types of market structures including monopoly, oligopoly, monopsony and oligopsony. It summarizes considerations for both for-profit and not-for-profit hospitals in maximizing quantity and quality of services.
This document provides an overview of FRSecure LLC, a full-service information security consulting company. It describes FRSecure's services such as information security assessments, program development, management, penetration testing, and training. The document discusses the need for information security to protect organizations from risks. It also outlines FRSecure's approach to performing security assessments based on ISO 27002 standards and delivering actionable recommendations and implementation assistance. Presentation topics are provided to discuss the benefits of partnering with FRSecure.
Get information on the HIPAA Omnibus rule and how the revised regulations will impact not only healthcare organization but also covered entities and other IT providers - OConnor Davies - NYC CPA Firm.
Equilibrium Security Methodology 030414 Final v2marchharvey
The document discusses assessing and remediating business IT security risks. It states that traditional defenses like firewalls and antivirus software are no longer enough, and that hackers are constantly looking for vulnerabilities. It recommends conducting security assessments to identify weaknesses before hackers do. Once weaknesses are found, organizations should fix them and implement a risk-based security lifecycle of ongoing assessment, remediation, and testing to continuously monitor for new threats. Equilibrium offers IT security services to help identify vulnerabilities, design solutions, and test their effectiveness for clients.
17-MOD 6 Conducting Security Audits & MOD 7 Information Security Audit Prepar...abhichowdary16
This document discusses information security audits and their key features. It describes the different types of security audits and phases of an information security audit. It outlines the audit process, including defining the security perimeter, describing system components, determining threats, and using appropriate tools. It also discusses auditor roles and skills, as well as elements that characterize a good security audit like clearly defined objectives and an experienced independent audit team.
Proactive information security michael Priyanka Aash
The document discusses how information security professionals can take a more proactive approach. It recommends developing a standard questionnaire to complete as part of the change process to identify security impacts early. This helps integrate security into processes. It also suggests implementing a Privacy and Security Impact Assessment tool to identify and mitigate risks associated with new systems before operationalization. Using these tools can help information security professionals address issues proactively before they become threats, build a culture of security, and provide assurance to executive teams.
The "Security and Risk Management" domain of the CISSP CBK addresses frameworks, policies, concepts, principles, structures, and standards used to establish criteria for protecting information assets. It also addresses assessing protection effectiveness, governance, organizational behavior, and creating security awareness education and training plans. The domain covers understanding and applying concepts of confidentiality, integrity, and availability, as well as applying security governance principles and understanding compliance, legal/regulatory issues, professional ethics, developing security policies, and business continuity requirements.
A to Z of Information Security ManagementMark Conway
The purpose of information security is to protect an organisation’s valuable assets, such as information, Intellectual property, hardware, and software.
Through the selection and application of appropriate safeguards or controls, information security helps an organisation to meet its business objectives by protecting its physical and financial resources, reputation, legal position, employees, and other tangible and intangible assets.
In this A to Z I’d like to outline some of the key focus areas for organisations wishing to pursue compliance to the ISO27001 Information Security standard.
Conducting a 𝐭𝐡𝐢𝐫𝐝-𝐩𝐚𝐫𝐭𝐲 𝐢𝐧𝐟𝐨𝐫𝐦𝐚𝐭𝐢𝐨𝐧 𝐬𝐞𝐜𝐮𝐫𝐢𝐭𝐲 𝐚𝐬𝐬𝐞𝐬𝐬𝐦𝐞𝐧𝐭 is essential to assess the security status of external vendors, partners, or service providers managing sensitive data or accessing your organization's systems.
Third-party information security assessment Check list.pdfinfosecTrain
Conducting a Third-party information security assessment is essential to assess the security status of external vendors, partners, or service providers managing sensitive data or accessing your organization's systems.
Top information security Courses - https://www.infosectrain.com/information-security-certification-training-course/
Here is a checklist ✔️ to assist you in this process👇
Third-party information security assessment checklist.pdfpriyanshamadhwal2
Performing a third-party information security assessment is crucial to evaluate the security posture of external vendors, partners, or service providers that handle sensitive data or have access to your organization's systems.
The document discusses challenges in managing sensitive patient data for healthcare organizations and compliance with regulations like HIPAA. It summarizes a report that found 94% of organizations surveyed experienced a data breach in the past two years, but many lacked response plans or tools to determine breach size and cause. The document promotes a company's HIPAA assessment and compliance training services, arguing that proper information governance is important given laws like HIPAA and the risks of lawsuits and fines from data mishandling.
CompTIA CySA Domain 5 Compliance and Assessment.pptxInfosectrain3
The CompTIA Cybersecurity Analyst (CySA+) certification is the industry standard for demonstrating that cybersecurity professionals can analyze data and interpret the results to detect vulnerabilities, threats, and risks to an organization.
How Your Nonprofit Can Avoid Data Breaches and Ensure Privacy Part 2TechSoup Canada
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What you will learn:
· How to develop key cybersecurity-related documents;
· How to maintain an internal matrix of when to notify affected individuals;
· How to review contracts from a cybersecurity compliance perspective.
This document discusses the importance of information security policies and processes. It defines information and explains that information can take many forms and must be appropriately protected. It then discusses the importance of information, what constitutes information security, and why information security is needed to protect organizations. Key risks like data breaches are outlined. The document emphasizes that information security is an organizational issue, not just an IT issue, and stresses the importance of people, processes, and technology in an information security program. It provides an overview of some common information security standards and regulations like ISO 27001 and HIPAA.
This course covers cyber security principles for IT managers across 10 domains. It discusses basic security principles like access control, confidentiality, integrity, and availability. It also covers security management practices like risk management, information classification, security roles and responsibilities, security policies, and risk analysis. The goal is to provide managers with an understanding of fundamental cyber security concepts.
This document outlines an information security assessment process and methodology provided by Opportune Corporate. It includes an agenda, overview of information security and its importance, Opportune's profile and experience, an information security assessment framework and methodology, approach and timeline, deliverables, and resumes. The methodology involves confirming the assessment scope, conducting various scans, reviewing policies and configurations, identifying vulnerabilities, analyzing and prioritizing risks, developing a remediation roadmap, and presenting final reports. Case studies demonstrate applying this methodology to assess the security of an oil and gas company and a mineral and royalty owner.
The document discusses various topics related to security management practices including change control, data classification, employment policies, information security policies, risk management, roles and responsibilities, security awareness training, and security management planning. It provides details on each topic, such as the importance of change control and different tools that can be used. It also discusses how to classify data, conduct background checks, develop effective information security policies, and assess risks both qualitatively and quantitatively. The document emphasizes the importance of security management planning and identifying potential losses, costs, and benefits of implementing proper security.
A cyber audit evaluates an organization's cyber security measures to identify vulnerabilities, assess compliance, and recommend improvements. It encompasses critical areas such as risk assessment, compliance and regulations, network and infrastructure security, data protection, security policies and procedures, employee awareness and training, incident response and business continuity, vendor management, and audit findings and recommendations. By conducting a thorough cyber audit, organizations gain insights into their cyber security strengths and weaknesses, enabling them to enhance their defenses, mitigate risks, and maintain a secure digital environment.
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RN-BSN Rural Nurse Initiative for Missouri learfield
The document discusses challenges facing rural health and strategies of the UMKC Rural Nurse Initiative to address them. Rural areas have worse health outcomes due to lower access to care and resources. The initiative aims to increase the number of rural nurses through an online RN-BSN program that incorporates rural health concepts, provides technology support, and uses virtual practicums with rural and urban student collaboration on community health projects. Graduates gain skills to improve rural health outcomes through expanded nursing roles, teamwork, and application of technology and evidence-based practice.
The Flex Program provides cost-based reimbursement for critical access hospitals (CAHs) through two components: state rural health plans and CAH certification. Originally, the program aimed to develop rural health networks and improve quality of care. Over time, more hospitals were certified as CAHs. Currently, CAHs make up 26% of community hospitals and 66% of rural hospitals. Quality reporting through measures like pneumonia and heart failure processes of care is increasing for CAHs.
This document provides guidance on writing grants for rural programs. It discusses why organizations should pursue grant funding and covers key aspects of developing a successful grant application such as conducting needs assessments, organizing teams, developing budgets and timelines, evaluating proposed projects, and finding potential funding sources. The document emphasizes clearly articulating the problem, proposed solution, and impact of funded projects and engaging stakeholders throughout the process. Overall, it aims to equip rural organizations with best practices for securing needed grant money to support their work.
The document discusses leadership and vision. It defines two types of leaders - those with power and authority defined by their title, and those who inspire others through their vision and beliefs. True leadership requires having a vision and inspiring others to believe in that vision. The document outlines five competencies of leadership - modeling the way, inspiring a shared vision, challenging the process, enabling others to act, and encouraging the heart. It emphasizes that leaders must live according to the values and principles they espouse, enlist others to support their vision, take risks and learn from failures, empower others, and recognize contributions. Hiring and attracting people based on shared beliefs and values is key to effective leadership.
The document provides biographical notes on several speakers at the Rural Hospital Conference at the Inn at Grand Glaize on June 2, 2011. It summarizes the professional backgrounds and experiences of Rae Lee, Nancie McAnaugh, Jeff Tindle, Paul David Moore, Clark Conover, Dorothy Andrae, Nancy Fredrich, Aileen Kelley, Michelle Cahow, Pam Karr, Karen Clover, Lisa Twidwell, Missy Sutton, Bob Copeland, Teryl Eisinger, and Stephanie Hansen.
This document discusses electronic medication reconciliation at Phelps County Regional Medical Center. It provides screenshots of the electronic medication reconciliation process when a patient presents to the emergency department, is admitted to the hospital floor, is transferred within the hospital, and at discharge. It notes the challenges of medication reconciliation including a patient's ability to recall their medications, language barriers, stress of transitions of care, and ensuring accurate and complete medication histories. It also discusses a new challenge of transitioning to an electronic health record for medication reconciliation and the complexity and compliance needed to use the electronic system efficiently.
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Level 3 NCEA - NZ: A Nation In the Making 1872 - 1900 SML.pptHenry Hollis
The History of NZ 1870-1900.
Making of a Nation.
From the NZ Wars to Liberals,
Richard Seddon, George Grey,
Social Laboratory, New Zealand,
Confiscations, Kotahitanga, Kingitanga, Parliament, Suffrage, Repudiation, Economic Change, Agriculture, Gold Mining, Timber, Flax, Sheep, Dairying,
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إضغ بين إيديكم من أقوى الملازم التي صممتها
ملزمة تشريح الجهاز الهيكلي (نظري 3)
💀💀💀💀💀💀💀💀💀💀
تتميز هذهِ الملزمة بعِدة مُميزات :
1- مُترجمة ترجمة تُناسب جميع المستويات
2- تحتوي على 78 رسم توضيحي لكل كلمة موجودة بالملزمة (لكل كلمة !!!!)
#فهم_ماكو_درخ
3- دقة الكتابة والصور عالية جداً جداً جداً
4- هُنالك بعض المعلومات تم توضيحها بشكل تفصيلي جداً (تُعتبر لدى الطالب أو الطالبة بإنها معلومات مُبهمة ومع ذلك تم توضيح هذهِ المعلومات المُبهمة بشكل تفصيلي جداً
5- الملزمة تشرح نفسها ب نفسها بس تكلك تعال اقراني
6- تحتوي الملزمة في اول سلايد على خارطة تتضمن جميع تفرُعات معلومات الجهاز الهيكلي المذكورة في هذهِ الملزمة
واخيراً هذهِ الملزمة حلالٌ عليكم وإتمنى منكم إن تدعولي بالخير والصحة والعافية فقط
كل التوفيق زملائي وزميلاتي ، زميلكم محمد الذهبي 💊💊
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1. What You Don't Know About Privacy and
Security Can Hurt You
Cora M. Butler, JD, RN, CHC
Director, Business Development
& Commercial Contract Administration
Notice: Primaris is not acting in any capacity as the Federally designated Quality Improvement Organization (QIO) for Missouri during this presentation. Data used in this presentation was not
obtained under the QIO contract Primaris holds with the Centers for Medicare & Medicaid Services (CMS). This presentation is not sanctioned or endorsed by CMS. The content of the webinars is
based on material available in the public domain. The presentation is intended for educational purposes only. Primaris is not responsible for, and expressly disclaims all liability for, damages of any
kind arising out of use, reference to, or reliance on any information contained herein. All presentation slides are the property of Primaris. No part of the presentation may be reproduced, stored in a
retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of Primaris.
MO-12-03-REC June 2012
2. Presentation Goals
At the conclusion of this portion of the presentation, participants will be able to:
1. Identify the general requirements of the Risk Management Process
contemplated by the HIPAA Security Regulations.
2. Identify the three categories of safeguards required by the HIPAA Security
Regulations.
3. Discuss Required versus Addressable Implementation Standards.
4. Identify the factors that may be taken into account by a Covered Entity when
determining the most appropriate approach to meeting the requirements of the
HIPAA Security Regulations.
5. Discuss the types of documentation to be maintained by Covered Entity to
demonstrate compliance.
3. Risk Management Process
HIPAA Security Regulations (45 CFR Part 160, 162, 164(a) and 164(c)) apply to Covered
Entities that transmit or maintain ePHI (Protected Health Information in an electronic
form).
Requires implementation of Security Management (Risk Management) “sufficient to reduce
risks and vulnerabilities to a reasonable and appropriate level” (164.308(a)(1)(ii)(B))
4. Security Management Standards
Administrative
– Designated Security Officer
– Periodic Risk Assessment and Risk Mitigation
– Workforce Training and Education
Physical
– Protecting facility and other places where patient data is accessed
– Building Alarm Systems, Locked Offices, Screen Savers
Technical
– Technical controls that help ensure the integrity, confidentiality and availability of PHI
– Strong, secure passwords; backed up data; virus scans; data encryption
Organizational Requirements
– Breach notification policies and Business Associate Agreements
5. Security Management Process
The first standard under Administrative Safeguards section is the Security
Management Process. This standard requires covered entities to:
“Implement policies and procedures to prevent, detect, contain and correct
security violations.”
The purpose of this standard is to establish the administrative processes and
procedures that a covered entity will use to implement the security program in its
environment. There are four implementation specifications in the Security
Management Process standard.
1. Risk Analysis (Required)
2. Risk Management (Required)
3. Sanction Policy (Required)
4. Information System Activity Review (Required)
6. Risk Analysis
A periodic technical and non-technical evaluation:
Based initially on the standards implemented under the security final rule;
Based subsequently in response to environmental or operational changes affecting
the security of electronic protected health information; and
Establishes the extent to which an entity’s security policies and procedures meet
the rule.
Documentation of compliance must be maintained. At a minimum:
1 2 3 4 5
HIPAA Standard- Organizational Procedures Current Determination
Implementation Policy that that Address Environment of Compliance
Feature Addresses
7. Screening Questions
Security Program
Roles & Responsibilities
– Has your organization formally appointed a central point of
contact for security coordination?
– If so, who, and what is their position within the
organization?
– Responsibilities clearly documented?
– Job Descriptions
– Information Security Policy
8. Screening Questions
Security Program
External Parties
– Do you work with third parties, such as IT service providers,
that have access to your patient's information?
– Does your organization have Business Associate
agreements in place with these third parties?
– REC – EHR Vendor
– IT Vendor – Attorneys, Billing Company
– What controls does your organization have in place to
monitor and assess flow of information to third parties?
Workflows to track data
movement
9. Screening Questions
Security Policy
Information Security Policy & Procedures
– Do you have documented information security policies and
procedures?
– Do you have a formal information classification
procedure? Please describe it. In particular, how would
patient data be categorized?
– Have formal acceptable use rules been established for
assets (hardware and software)?
– Do you have formal processes in place for security policy
maintenance and deviation?
10. Screening Questions
Risk Management & Compliance
Risk Assessment
– Do you have a process that addresses: the identification and
measurement of potential risks, mitigating controls, and the
acceptance or transfer of the remaining risk after mitigation
steps have been applied?
Compliance with Legal Requirements - Identification of
applicable legislation
– Does a process exist to identify new laws and regulations with
IT security implications?
– Newsletters – Webinars – Associations
11. Screening Questions
Training & Awareness
During Employment – Training, Education &
Awareness
– Have your employees been provided formal information
security training?
– Have policies been communicated to your employees?
– Are periodic security reminders provided?
– New Employee Orientation – Yearly Training
– Posters in Public Areas – Email Reminders
12. Screening Questions
Personnel Security
Background Checks
– Does your organization perform background checks to
examine and assess an employee’s or contractor’s work and
criminal history?
– Credential Verification
– Criminal History
– References
13. Screening Questions
Personnel Security
Prior to Employment - Terms and Conditions of
Employment?
– Are your employees required to sign a non-disclosure
agreement? If so, are employees required to sign the non-
disclosure agreement annually?
Termination or Change in Employment
– Do you have a formal process to manage the termination and
or transfer of employees?
– All Equipment is Returned
– User ID's Disabled in EHR and Windows
– Badges and/or Keys Returned.
14. Screening Questions
Physical Security
Secure Areas
– Do you have effective physical access controls in place that
prevent unauthorized access to facilities and a facility
security plan?
– Are there plans in place to handle/manage contingent
events or circumstances ?
– Is there a facility security plan?
– How are physical access controls authorized?
– Are there policies and procedures to document repairs
and modifications to physical components of the facility
that are related to security?
15. Screening Questions
Network Security
Application and Information Access Control - Sensitive
System Isolation
– Describe your network configuration. Has your IT vendor
provided information regarding how your EHR system is
protected?
– Are systems and networks that host, process and or
transfer sensitive information ‘protected’ from other
systems and or networks?
– Are internal and external networks separated by firewalls
with access policies and rules?
16. Screening Questions
Network Security
Application and Information Access Control -
Sensitive System Isolation (continued)
– Is there a standard approach for protecting
network devices to prevent unauthorized access/
network related attacks and data-theft?
– Firewall between public and private networks
– Internal VLAN
– Firewall Separation
– Separate WLAN Network
– Secure Patient Portal
17. Screening Questions
Network Security
Encryption
– Is sensitive information transferred to external
recipients?
– If so, are controls in place to protect sensitive information
when transferred?
– Secure VPN Connection with EHR and/or IT Vendors
or Email Encryption
18. Screening Questions
Network Security
Vulnerability Assessment
– How often do you perform periodic vulnerability scans on
your information technology systems, networks and
supporting security systems?
– Internal – Third party – Automated
Assessments Assessments
Monitoring
– Are third party connections to your network monitored
and reviewed to confirm authorized access and
appropriate usage?
– VPN Logs – Server Event Logs – EHR logging
– Automated Alerts – Regular Review of Logs or Reports
19. Screening Questions
Logical Access
Identity & Access Management
– Do you have a formal access authorization process based on
'least privilege‘ and need to know ?
– Role-based permissions
– Limited access based on specific responsibilities
– Network access request form
– How are systems and applications configured to restrict
access only to authorized individuals?
– Use of unique ID's and passwords.
– Minimum Password Length – History
– Complexity – Change/Lockout
20. Screening Questions
Logical Access
Identity & Access Management (continued)
– Is there a list maintained of authorized users with access
to operating systems?
– Active Directory user lists, within EHR application
– Excel spreadsheet of users, HR file.
– Does a list of 'accepted mobile devices‘ exist based on
testing?
– Are accepted mobile devices tested prior to
production use?
21. Screening Questions
Logical Access
Identity & Access Management (continued)
– Is sensitive information removed from, or encrypted
within, documents and or websites before it is
distributed?
– Use of Patient Portal for distribution
– De-identifying of sensitive information prior to being
distributed
22. Screening Questions
Logical Access
Identity & Access Management (continued)
– Is software installation restricted for desktops, laptops
and servers?
– Restricted User access to workstations, Group Policy
enforcement, Administrative privileges on servers
limited?
– automatic logoff of workstations?
– EHR system?
– Is access to source application code restricted? If so,
how?
– Is a list of authorized users maintained?
23. Screening Questions
Logical Access
Identity Management
– Are user IDs for your system uniquely identifiable?
– Any shared accounts at all?
– Hard coded into applications
– Someone is sick or unavailable
– Emergency access to sensitive information
24. Screening Questions
Logical Access
Entitlement Reviews
– Do you have a process to review user accounts and
related access?
– Manual process of reviewing Human Resource
records to user accounts in Active Directory and EHR
25. Screening Questions
Operations Management
Antivirus
– Has antivirus software been deployed and installed on your
computers and supporting systems?
– Product Installed – Centrally Managed – Updated Daily
Security Monitoring
– Are systems and networks monitored for security events? If
so, please describe this monitoring.
– Server and networking equipment logs monitored
regularly.
– Servers – Routers
– Switches – Wireless AP‘s
26. Screening Questions
Operations Management
Media Handling
– Do procedures exist to protect documents, computer media,
from unauthorized disclosure, modification, removal, and
destruction?
– Is sensitive data encrypted when stored on laptop, desktop
and server hard drives, flash drives, backup tapes, etc.?
– Data at Rest - Is data encrypted?
– Backups – Mobile devices
– EHR server – SD Cards
27. Screening Questions
Operations Management
Secure Disposal
– Are there security procedures for the decommissioning of IT
equipment and IT storage devices which contain or process
sensitive information?
– use of Shred-IT – Wiping
– Retire-IT – NIST 800-88
Segregation of Computing Environment
– Are development, test and production environments
separated from operational IT environments to protect
production applications from inadvertent changes or
disruption?
28. Screening Questions
Operations Management
Segregation of Duties
– Are duties separated, where appropriate, to reduce the
opportunity for unauthorized modification, unintentional
modification or misuse of the organization's IT assets?
– Front desk duties separated from accounting?
– Nurse duties separated from Doctor's?
29. Screening Questions
Operations Management
Change Management
– Do formal change management procedures exist for
networks, systems, desktops, software releases,
deployments, and software vulnerability patching activities?
– Changes to the EHR?
– Changes to the workstations and servers?
– Appropriate testing, notification, and approval?
30. Screening Questions
Incident Management
Process & Procedures
– How do you identify, respond to and mitigate suspected or
known security incidents?
– Incident Form filled out as a response to an incident
– During the investigation of a security incident, is evidence
properly collected and maintained?
– Chain of custody and other computer forensic
methodologies followed by internal and/or external
parties?
31. Screening Questions
Incident Management
Process & Procedures (continued)
– Are incidents identified, investigated, and reported
according to applicable legal requirements?
– How are incidents escalated and communicated?
– Documented process for escalation to management
and even outside authorities.
32. Screening Questions
Business Continuity Management
Disaster Recovery Plan & Backups
– Do you have a mechanism to back up critical IT systems and
sensitive data? i.e. nightly, weekly, quarterly backups? Taken
offsite?
– Have you had to restore files after a systems outage?
– Does a Disaster Recovery plan exist for the organization and
does it consider interruption to, or failure of, critical IT
systems?
– Are disaster recovery plans updated at least annually?
– If not, has the backup and restoration process been
tested?
33. Existing Control Effectiveness Exposure Potential Likelihood Impact Risk Rating
Not Effective High Very Likely High High
People & Processes
Asset Management Category- Security Policy
– Threat-Vulnerability Statement
– Management has not set a clear policy direction in line
with business objectives or demonstrated support for,
and commitment to information security.
– Recommended Control Measures
– Information security policy, approved by
management in accordance with business
requirements and all relevant laws and regulations.
– Existing Control
– No existing IS Security Policy in place
34. Existing Control Effectiveness Exposure Potential Likelihood Impact Risk Rating
Partially Effective Medium Likely High Medium
People & Processes
Asset Management Category- Personnel Security
– Threat-Vulnerability Statement
– Background verification checks are carried out and
management is aware of academic, professional, credit, or
criminal backgrounds of most employees, contractors and third
party computer system users.
– Recommended Control Measures
– Background verification checks on all candidates for
employment, contractors and third party computer system
users are carried out in accordance with regulations and ethics,
the classification of the information to be accessed, and the
perceived risks.
– Existing Control-References are verified for all employees
35. Existing Control Effectiveness Exposure Potential Likelihood Impact Risk Rating
Not Effective High Not Likely High Low
Technology
Asset Management Category- Training and Awareness
– Threat-Vulnerability Statement
– Applications and technology solutions are not correctly
and securely used since a training curriculum for
employees has not been established.
– Recommended Control Measures
– A training curriculum for employees be established to
educate and train users for correct and secure use of
applications and technology solutions.
– Existing Control
– The use of technology regarding a training curriculum is
not currently being utilized.
36. Findings & Remediation
High and Medium Risks Findings and Remediation
– Information around risks and related control options are not
presented to management before management decisions
are made.
– Risk Rating-High
– Existing Control Measures Applied
– No prior Risk Assessments conducted
– REC helping to provide a foundation by utilizing this
Security Risk Assessment tool as a starting point.
37. Findings & Remediation
High and Medium Risks Findings and Remediation
(continued)
– Recommended Control Measures.
– Risk Assessments are conducted to identify, quantify,
prioritize and manage risks through acceptance and
objectives.
– Ensure the Risk Assessment is accurate with all the
information that has been filled out as well as the risk
ratings, that have also been completed based on the
information provided
38. Findings & Remediation
High and Medium Risks Findings and Remediation
(continued)
– Recommended Control Measures.
– After verifying accuracy of the information, the Medium
and High Risk items from the Findings-Remediation tab
should be addressed by making the necessary business
decisions on whether to mitigate, transfer, or accept the
risks. It is recommended to mitigate risks that are easy to
address
– It is important to continue the Risk Assessment process
by assessing the additional risks to your facility.
39. ONC’s - Privacy & Security 10 Step Plan
for Meaningful Use
http:/ / www.healthit.gov/ sites/ def ault/ f iles/ pdf / privacy/ privacy-a nd-s ecurity-guide.pdf
40. ONC’s - Guide to Privacy and Security of
Health Information - Tools
http:/ / www.healthit.gov/ sites/ def ault/ f iles/ pdf / privacy/ privacy-a nd-s ecurity-guide.pdf
41. What You Don't Know About Privacy and
Security Can Hurt You
QUESTIONS?