...electronic protected health information by scanning paper medical records into the computer, establishing procedures for creating and maintaining backups of any electronic protected health information, (backups that are exact copies and retrievable at any time, but also kept secure from unauthorized access) and storing the backups off site. In 2000 Gulf Coast Hospital started moving the paper files to the EMR and started staff training on the use of EMR. Part of the job as administrator of a hospital in hurricane prone areas is to train the staff for the future hurricane emergencies. The staff has already been trained on ways to avoid accidental disclosure of patient information. The Health Information Portability and Accountability Act (HIPPA) requires that employees complete yearly education to maintain competency on patient privacy issues. The hospital is prepared for the next natural disaster and information users, such as managers, directors, and...
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...Administrative Ethics As a healthcare administrator, protecting the privacy of patient information is a primary concern, and many organizations have taken additional security measure to protect their patients. With the advancement of technology follows the growing concern of ethical and legal dilemmas. There are several important issues, which are involved when it comes to an individual’s personal information and you add technology. With the Affordable Care Act just around the corner and millions of Americans scrabble to meet the deadlines to gain healthcare, raises the question are Americans information protect on the HealthCare.gov website. Americans are concerned with privacy issues and the government possible using their information. We will review an article related to privacy concerns over personal information submitted on the Obama Care website, determine what issues and the impact on population it affect most. We will explore the arguments and the facts that are used in the article to support the proposed solution. We will examine the ethical and legal issues reported, and explain the managerial responsible related to administrative issue. In addition, we will identify any proposed solutions to the allocations. As the world of technology grows with everything we need at our fingertips, from our tables, smart-phones, and laptops this leave us open to the arising challenges of legal and ethical issues. Technology has eased its way as becoming a part of American...
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...than society as a whole (Austin & Boxerman, 2008). Discuss the impacts of breach to Healthcare Information systems, especially the financial and privacy impacts. Some of the most devastating security breaches can occur during employee termination when steps are not taken to remove access to resources in a timely manner. HIPAA guidelines specify that when employees are terminated, that certain steps, at a minimum, must be followed. These include changing locks, removal from access lists, removal of user account, and confiscation of keys, tokens and other access cards. Though these steps may seem to be common sense, some organizations may not have documented procedures to follow when an employee is terminated. Additionally, the responsibility for carrying out the termination procedures must be clearly assigned and documented (SANS Institute, 2001). Security Training In order for a security program to work well, the employees must be educated insecurity practices such as password protection, monitoring login failures and other basic practices. A well-educated workforce can become an extension of the security group of any organization through simple awareness. The HIPAA regulations require a Security Awareness training program that includes: awareness training for all personnel, security reminders to the workforce, virus...
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...specializes in industries such as health care, insurance, financial, real estate, manufacturing, and hosting markets, and a big demand for managed servers and disaster recovery. The data center and infrastructure network has had a 30% growth rate since 2003. Christi Medical has the latest technical security tools, including encryption, and a daily log review and physical security at the data centers. The company has the ultimate layered security solution system. The documentation of the security policy, contracts and the hosting provider clarifies the responsibilities, breach notifications protocol, and concerns that are administrative. Encrypted HIPPA allows the data to be protected, and in transit with hardware- based encryption. As a project manager working with Christi Medical provides the safe environment and compliance to meet financial record keeping and reporting. Under the Sarbanes- Oxley this administrative practice refers to which records should be stored and for how long. The data storage uses preservation and accuracy of electronic records. This recommended retention for records storage, and the type of records stored, includes communications My company’s online HIPPA compliant data center annually passes an OCR audit with 100% compliance.. A project manager has to comply with the United States E.U. safe Harbor Framework, and the U.S. Department of Commerce regarding the collection use, and retention of personal information. My company certifies that it adheres...
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...DESIGN PAPER Vision/goal of the implementation - Heidi (15 points) Remember Meaningful Use and ARRA, usability and clinical workflow Vision Statement: Deliver the best of care to our community through the implementation of a hospital-wide Clinical Information with the ability to provide the right information, to the right person, in the right format, through the right channel, at the right point in clinical workflow to improve patient-centered care and healthcare outcomes. The implementation of a clinical information system is organized around an organizations vision and formulated goals. Arcade General Hospital is in the third stage of upgrading a clinical information system and their goal is to integrate the new upgrades with the application of meaningful use through adherence to the American Recovery and Reinvestment Act (ARRA) by promoting the adoption and meaningful use of health information technology. Usability in is one of the main goals as it will allow minimal disruption in clinical workflow. Meaningful Use In 2009, the American Recovery and Reinvestment Act (ARRA) and the Centers for Medicare & Medicaid Services (CMS) released a rule on payment incentives for meaning use of clinical information systems (CIS). This rule was designed to entice hospitals and medical clinics to qualify for payments incentives if they adopted the necessary requirement in association with the progression of electronic medical record (EMR) implementation (American Hospital Association...
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...Executive Summary Healthcare organizations are under strict compliance to HIPPA privacy requirements which require that an organization have proper security controls for handling personal healthcare information (PHI) privacy data. This includes security controls for the IT infrastructure while handling PHI. Many networks ran by public and private organizations have experienced intrusions in recent years, and this cyber exploitation has resulted in an unprecedented loss in private data. The threats to our networks and systems exist across numerous components that include end user devices, servers, and infrastructure devices. This summary is to examine the threats to routers and other network infrastructure devices in a Lan-to-Wan domain while considering HIPAA rules and regulations. There are key points to understand when trying to establish network security, those basic points are; * Protect Confidentiality * Maintain Integrity * Ensure Availability It is also imperative to keep in mind that all networks need to be protected from threats and vulnerabilities for a business to achieve its fullest potential. The most common threats and vulnerabilities are some of the following; * End-user carelessness * Misconfigured hardware and/or software * Intentional end-user acts (i.e. A disgruntled employee) Now, to fully understand what HIPAA is. HIPAA is the acronym for the Health Insurance Portability and Accountability Act that was passed by Congress...
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...Interpersonal Communication Security in the workplace is crucial and also the employer's top priority due to the recent attacks America has undergone. Almost now in every workplace visitors are required to check in and out, even in schools. The main idea is people need to follow procedures when it comes to security protocols no matter whom they may know to cover everyone’s own piece of mind. All it takes is one minor infraction this may spark a chain reaction that may affect everyone. Conflict in security comes from people thinking it is okay to bend rules because they may know a person or are afraid to take a stand and confront someone. What most do not realize is that the rules are there to protect everyone and that it needs everyone to work together to be more efficient. People believe that rules do not apply to everyone all the time that the status of which they have earned gives them the right to skip past certain obligations. The company that Brittney is employed by has gone a step further, we have been provided with badges to get into the main door once we are in there is a receptionist desk. The receptionist is very familiar with the employees and she never hesitates to ask someone to sign in and show proper id. Everything is under video surveillance even the parking lots. In our parking lots and garages there are security guards riding around as long as the building is open for business. For example working in the Little Clinic there are strict HIPPA guidelines so even though...
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...Running Head: UNIT 1 ASSIGNMENT Unit 1 - Information Security Policy Regina Sykes Kaplan University Abstract ------------------------------------------------- This paper will provide information on the purpose of a security policy and components of a security policy. Additionally, this paper contains information on a specific organization and the unique important items the organization choose to establish security policies around. Lastly, this paper provides information around the major areas of concern, missing or incomplete information in the policy and areas that are ill-advised in an identified organization’s security policy. Unit 1 - Information Security Policy Introduction Many organizations rely on the use of networks and computers to manage the business. Along with the use of networks and computers to manage the business there is also the need to establish a plan to secure the technology both the network and computers . A security policy is the plan developed with instructions from senior leadership instructing decision makers in the organization on how to protect the organization’s assets (Mattord & Whitman, 2012). There are various components of a security policy which include, statement of policy, equipment usage and access control, prohibited uses regarding equipment, who manages the systems, policies around violations of the policy, modifications and review section and lastly, limits of liability (Mattord & Whitman, 2012). Part 1 ...
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... Written by: Kevin Alton, Nadia Iqbal, and Alex Polevoy July 2015 Table of Contents Introduction.…………………………………………………………………..………….3 Section I: iTrust Threats & Vulnerabilities and Countermeasures.……………..…………..3 Section II: Recommended Changes to Security Management Policies………...……………..7 Section III: Adaption of Requirements to Reduce Security Risk……….……………....…......11 Conclusion. …………………………………….…………………………………….…21 References ……………………………………………………………...………………23 Introduction There are multiple benefits of electronic health records (EHR), which include improved care, quicker access to patient files, and increased physician oversight of care. However, with the benefit of convenience of using EHRs, comes the responsibility of protecting electronic protected health information (ePHI) and safeguarding sensitive patient data. The Health Insurance Portability and Accountability Act (HIPAA) focuses on protecting ePHI with guidelines to ensure organizations have implemented “reasonable and appropriate” security measures to adhere to HIPAA rules and maintain patient confidentiality. HIPAA requires covered entities to conduct risk assessments to verify compliance and attempt to uncover areas where ePHI is at risk of compromise. This analysis of the iTrust database, as related to the new requirements that iTrust wishes to implement, will discuss the threats...
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...S3110 Risk Management in Information Technology Security Quiz Quiz Questions 1. Define an SLA and state why it is required in a risk adverse organization. A SLA is a service level agreement, which is a contract between the ISP and the company. A SLA gives the company an idea of how much time they will be without services, should something happen with the ISP. A SLA is important to a company in making recovery plans, knowing what critical systems need to be available for a continuance of business and formulation of disaster recovery. 2. Using the user domain, define risks associated with users and explain what can be done to mitigate them. The user domain has several risks involved, as people are involved and there is no way employees can be monitored without the use of CCTV, Social engineering a person trying to obtain information through malicious means. The greatest tool in mitigating risk in the user domain is training and reminders for users to be aware of their surroundings. No acceptable users policy, AUP, or lack of training employees on the correct usage of the network. User accounts left active, if the employee is terminated, and another employee has the log on credentials. Mitigation would to be disabling all user accounts upon termination. 3. Using the workstation domain, define risks associated within that domain and explain what can be done to reduce risks in that domain. The use of USBs or disk, the files could contain viruses and infect other files or applications...
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...is 4550 security policies and implementation | Unit 8 Assignment 1 | Create an Incident Response Policy | | John C Diggs (14473273) | 8/20/2014 | | Unit 8 Assignment 1- Incident Response Policy An Incident Response Policy (IRP) for privately operated mid-level clinics as well as for major hospitals are created to protect the confidentiality, integrity, and availability of sensitive information stored on facility workstations and servers. The IRP will keep these medical establishments within the legal requirements set forth by federal entities such as HIPPA. The overall IRP shall be a guidance point on how staff shall react in the event of a telecommunication incident. This will insure that faster mitigation, more efficient information gathering, and fewer mistakes may occur during the mitigation of an incident. The Information Security Officer (ISO) is solely responsible for incident mitigation of affected network based assets. During the creation of incident response policies the ISO may consult with IT administrators, the Disaster Recovery Team (DRT), members of the legal department, upper-management, and even vendors. This will allow the ISO to establish an appropriate course of action for any specific incident that just might happen to occur. If an incident should happen to take place, the ISO themself (through proactively monitoring the system’s baseline) can quickly identify an inappropriate system activity that may be what is causing the incident...
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...Security Maintenance Plan: 1. Introduction: Dr. Joe Bob’s Family Practice is in need of an offsite security maintenance plan to maintain the highest level of security for patient medical files in case of an emergency, disaster, or critical intrusion on the network system. Techs Rx, Inc. has agreed with Dr. Joe Bob’s Family Practice, to put in place a security maintenance plan for Dr. Joe Bob’s Family Practice. This plan will involve an offsite data storage company by the name of First Choice Data Management, Inc. The security maintenance plan will provide offsite storage of electronic medical records of all patients and include an onsite inspection by a representative of First Choice Data Management. The representative will inspect the health and condition of all critical files of the network, and perform the necessary operations to correct all deficiencies of the file system. Tech Rx, Inc will be responsible for contacting First Choice Data Management, Inc. and setting up Dr. Joe Bob’s Family Practice with the first initial request to the offsite storage facility. This will be done only one time, and only for the first initial set up. After the first initial setup, a manager from Dr. Joe Bob’s Family Practice will be responsible for any transactions thereafter. 2. Budget/Cost: Techs Rx, Inc. recommends that Dr. Joe Bob’s Family Practice contracts the services of a certified and technically competent IT consulting firm to maintain all critical...
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...potential security breach within their records. They are now currently investigating how this happened and what information was access by the unauthorized individual. However, the company is now interested in established a baseline framework to avoid future information breaches from occurring. This document will outline three major IT frameworks and how each could have mitigated the recent information breach. ISO Policy The ISO 27001 recommendation is a high-level discussion. A precise policy was not located. The discussion did contain a preventive feature to denied access afterhours; however, how the afterhours check relates to a policy is not clear. The COBIT5 recommendation is a discussion and needs to develop a policy. The discussion includes auditing in general; however, details about the auditing need to be developed once a precise policy is developed. The NIST framework discussion includes review of log files. Details need to be developed about the review once a policy is developed. The three major security frameworks in the discussion are excellent overall recommendations. Precise policy statements that will prevent an identified security flaw in the scenario need to be developed. The first policy presented is ISO 27001 (International Standards Organization Security Standards). According to the ISO website, “The ISO 27000 family of standards helps organizations keep information assets secure. Using this family of standards will help your organization manage the security of assets...
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...Whether your organization already has a classification policy, or is just defining one now, it’s best to start simple. Many organizations use three categories: A category such as “Public” to indicate non-sensitive information An “Internal” category for information that should stay within the organization A category such as Confidential or Restricted for information that is particularly sensitive. The classification level assigned to data will guide data owners, data custodians, business and technical project teams, and any others who may obtain or store data, in the security protections and access authorization mechanisms appropriate for that data. Such categorization encourages the discussion and subsequent full understanding of the nature of the data being displayed or manipulated. Data is classified as one of the following: Public (low level of sensitivity) Access to “Public” institutional data may be granted to any requester. Public data is not considered confidential. Examples of Public data include published directory information and academic course descriptions. The integrity of Public data must be protected, and the appropriate owner must authorize replication of the data. Even when data is considered Public, it cannot be released (copied or replicated) without appropriate approvals. Sensitive (moderate level of sensitivity) Access to “Sensitive” data must be requested from, and authorized by, the Data Owner who is responsible for the data. Data may be accessed...
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...Security Awareness Training Security Awareness Training Paper Patton-Fuller Community Hospital (PFCH) maintains strict confidentiality of their information via four different information systems. Accurate, reliable, and prompt information must be provided to those that need to make decisions based on several predetermine conditions. In a hospital environment, like PFCH, information is predominantly passed via computer systems. Management cannot have the luxury of minimizing the importance of systems security at all levels of their staff. The writer intends to provide a security awareness training plan for PFCH in the following paragraphs (Apollo Group Inc., 2013). Which employees should be trained, why, how, and when? All employees must be trained to protect the confidential information kept in the hospital. That means senior management, employees (regular or temporary), contractors, doctors, nurses, and anyone that has or could gain access to confidential information like partners and volunteers. Information like Personal Identifiable Information (PII), patient records, hospital financial information, staff payroll and personal records, to mention a few, must be protected against physical or electronic attacks. Making all personnel aware of potential threats, vulnerabilities, reporting security breaches and the PFCH security policies deters or makes it difficult for possible data hackers to acquire hospital confidential information (Gregory, 2010). The best ways...
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