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3 Organizational Polices

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3 Organizational Polices Pertaining to Security Breach
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Change Management: · When user accounts are given any more than basic access to the network, Change Management must be notified and will need to give approval of such change. · Systems will be put in place to notify senior staff in Information Security (IS) when account privilege has been upgraded. · Systems will be put in place to not allow accounts to be upgraded, unless approved by Change Management.

Record Logging and Monitoring Policy:

· When databases are accessed, the username of the account accessing it will be recorded, as well as the details of the access, such as the time, date and whether the information has been viewed, modified, transferred, downloaded, or copied · No more than 300 different records can be accessed per day by the same user account. IS will be notified when an account has accessed more than 200 records in a 24 hour time period · When the system is accessed by remote users, Information Security will be notified immediately · Logs will be reviewed regularly on a daily basis. Anomalies will be investigated, recorded, and brought to the attention of senior staff in IS. Such anomalies can include, but not be confined to: excessive use of accessing records, excessive data modification, excessive data transfer, and record access spanning multiple departments accessed by the same account. Any account accessing more than 10 electronic health records (EHR) in less than an hour is deemed excessive. Any account accessing data from more than 1 department associated with that account is considered excessive

Log File Retention Policy:
Log files are text files created automatically during system operations triggered by any specific event. These logs are vital for troubleshooting and analysis. · Only senior IS staff

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