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Resource Overview

Conducting an SRA in accordance with HIPAA policy is a complex task, especially for small to medium providers such as community health centers. The HIPAA Security Rule mandates security standards to safeguard electronic Protected Health Information (ePHI) maintained by electronic health record (EHR) technology, with detailed attention to how ePHI is stored, accessed, transmitted, and audited. This rule is different from the HIPAA Privacy Rule, which requires safeguards to protect the privacy of PHI and sets limits and conditions on it use and disclosure. Meaningful Use supports the HIPAA Security Rule. In order to successfully attest to Meaningful Use, providers must conduct a security risk assessment (SRA), implement updates as needed, and correctly identify security deficiencies. By conducting an SRA regularly, providers can identify and document potential threats and vulnerabilities related to data security, and develop a plan of action to mitigate them.

Security vulnerabilities must be addressed before the SRA can be considered complete. Providers must document the process and steps taken to mitigate risks in three main areas: administration, physical environment, and technical hardware and software. The following set of resources provide education, strategies and tools for conducting SRA.

Security Risk Analysis Resources

Security Risk Assessment Overview Presentation for Health Centers

A HITEQ Privacy & Security Resource

HITEQ Center 0 115

To successfully attest, providers must conduct a security risk assessment (SRA), implement updates as needed, and correctly identify security deficiencies. By conducting an SRA regularly, providers can identify and document potential threats and vulnerabilities related to data security, and develop a plan of action to mitigate them.

Exploring the ONC Security Risk Assessment Tool

Health IT Privacy & Security Technology Learning Community

Office of the National Coordinator 0 383

ONC hosted a webinar to launch the Health IT Privacy & Security Technology Learning Community. This learning community is exploring the ONC Security Risk Assessment (SRA) Tool. It is looking to leverage stakeholder expertise to help inform health care delivery system reform and advance the use of interoperable health IT to improve the quality, safety, and efficiency of healthcare. The webinar was held on October 25 at 2pm ET.

There is not a recording available at the moment, but the link below will take users to a YouTube overview of SRA tool use.

Security Risk Analysis Toolkit

A resource from the Office of the National Coordinator

HITEQ Center 0 384

A well-done security risk assessment (SRA) will identify security vulnerabilities across the breadth of a healthcare organization's health information systems. Factors will include policy, organizational and technical related requirements to privacy and security measures. ONC, in recognizing the complexity of this task for small to medium healthcare providers developed a toolkit to assist in conducting SRAs.

Encrypting Data at Rest on Servers

Implications for Health Centers

HLN Consulting 0 514

It is common practice today to encrypt data at rest, that is, data stored on servers. This is especially applicable to health centers who are less frequently actively transporting data across disparate networks. Like many smaller healthcare organizations, Health Centers are particularly vulnerable to potential attack and infiltration by data hackers for several reasons: they tend to have fewer technical support staff, resource limitations make it harder to assess, implement, and maintain safe data practices, and organizational inertia limits preventive action when no threat is perceived. 

How to Establish an Ongoing Security Program and Meet Meaningful Use Requirements for Security Risk Analysis

An SRA brief for Health Centers

HITEQ Center 0 610

In order to comply with the Security Rule of the Health Insurance Portability and Accountability Act (HIPAA), you need to maintain an ongoing security program. The HIPAA Security Rule mandates security standards to safeguard electronic protected health information (ePHI) maintained by electronic health record (EHR) technology, with detailed attention to how ePHI is stored, accessed, transmitted, and audited. This rule is different from the HIPAA Privacy Rule, which requires safeguards to protect the privacy of protected health information (PHI) and sets limits and conditions on the use and disclosure of PHI. 

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Acknowledgements

This resource collection was cultivated and developed by the HITEQ team with valuable suggestions and contributions from HITEQ Project collaborators.

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