This website uses cookies to ensure you have the best experience. Learn more

Ocr Risk Analysis

3309 words - 14 pages

HIPAA Security Standards: Guidance on Risk Analysis
Introduction
The Office for Civil Rights (OCR) is responsible for issuing annual guidance on the
provisions in the HIPAA Security Rule.1 (45 C.F.R. §§ 164.302 – 318.) This series of
guidances will assist organizations2 in identifying and implementing the most effective
and appropriate administrative, physical, and technical safeguards to secure electronic
protected health information (e-PHI). The guidance materials will be developed with
input from stakeholders and the public, and will be updated as appropriate.
We begin the series with the risk analysis requirement in § 164.308(a)(1)(ii)(A).
Conducting a risk analysis is the first ...view middle of the document...

Therefore, non-federal organizations may find their content valuable
when developing and performing compliance activities.
All e-PHI created, received, maintained or transmitted by an organization is subject to the
Security Rule. The Security Rule requires entities to evaluate risks and vulnerabilities in
their environments and to implement reasonable and appropriate security measures to
protect against reasonably anticipated threats or hazards to the security or integrity of ePHI. Risk analysis is the first step in that process.
:
We understand that the Security Rule does not prescribe a specific risk analysis
methodology, recognizing that methods will vary dependent on the size, complexity, and
1

Section 13401(c) of the Health Information Technology for Economic and Clinical (HITECH) Act.
As used in this guidance the term “organizations” refers to covered entities and business associates. The
guidance will be updated following implementation of the final HITECH regulations.
3
The HIPAA Security Rule: Health Insurance Reform: Security Standards, February 20, 2003, 68 FR 8334.
4
The 800 Series of Special Publications (SP) are available on the Office for Civil Rights’ website –
specifically, SP 800-30 - Risk Management Guide for Information Technology Systems.
(http://www.hhs.gov/ocr/privacy/hipaa/administrative/securityrule/securityruleguidance.html.)
2

1

capabilities of the organization. Instead, the Rule identifies risk analysis as the
foundational element in the process of achieving compliance, and it establishes several
objectives that any methodology adopted must achieve.

Risk Analysis Requirements under the Security Rule
The Security Management Process standard in the Security Rule requires organizations to
“[i]mplement policies and procedures to prevent, detect, contain, and correct security
violations.” (45 C.F.R. § 164.308(a)(1).) Risk analysis is one of four required
implementation specifications that provide instructions to implement the Security
Management Process standard. Section 164.308(a)(1)(ii)(A) states:

RISK ANALYSIS (Required).
Conduct an accurate and thorough assessment of the potential risks and
vulnerabilities to the confidentiality, integrity, and availability of electronic
protected health information held by the [organization].
The following questions adapted from NIST Special Publication (SP) 800-665 are examples
organizations could consider as part of a risk analysis. These sample questions are not
prescriptive and merely identify issues an organization may wish to consider in implementing
the Security Rule:



Have you identified the e-PHI within your organization? This includes e-PHI that
you create, receive, maintain or transmit.
What are the external sources of e-PHI? For example, do vendors or consultants
create, receive, maintain or transmit e-PHI?
What are the human, natural, and environmental threats to information systems
that contain e-PHI?

...

Other Papers Like Ocr Risk Analysis

Hipaa Act of 1996 Essay

2160 words - 9 pages Safeguards comprise over half of the HIPAA Security requirements. The first standard, the Security Management Process, establishes the administrative processes and procedures that a CE will use to implement the security program in its environment. The first step is to perform a risk analysis. HIPAA mandates that access to private health information be minimized. This access is protected through security management processes, information access

Government Essay

1228 words - 5 pages Security Management process. HIPAA regulations define this as the creation, administration, and oversight of policies to ensure the prevention, detection, containment and of security breaches involving risk analysis and risk management. This means that organizations must have, document and use sound security policies. A good security policy establishes accountability, controls, physical security and appropriate penalties. The HIPAA regulations actually

Applying Ethical Frameworks in Practice

1332 words - 6 pages behavior that may compromise the health and well being of these minors in terms of life or death, it is ethically moral to warn these individuals so that they may receive care as well. There are circumstances in which confidentiality may be broken if the community is at risk. Ethically, “Nurse Hathaway’s” dilemma may result in choices made by patients not to seek care in the future. In her patient’s case, the author agrees with Nathanson (2000) in

Decision Support System

2304 words - 10 pages launched in 1999 the Unified Software Development Process (USDP) as a software engineering process standard. It has three basic axioms: 1. Use Case and risk driven: It employs use Cases to capturing client requirements and predicating software construction on the analysis of risk. 2. Architecture Centric: Developing software systems is to develop and evolve a system architecture. 3. Iterative and Incremental: That is we split the project

MIS

2354 words - 10 pages , December 2003, ' The IS risk analysis based on a business model', Information & Management, 41: 2, p.149-158.Wu, Jen-Her; Chen, Yi-Cheng; Lin, Hsin, Hui,, March 2004, 'Development a set of Management needs for IS managers: a study of necessary managerial activities and skills', Information & Management, 41:4, p413-429.Zwass, Vladimir, Winter 2004, ' Editorial Introduction', Journal of Management Information Systems, 20:3, pp.5-7.WORD COUNT 1177

Information Systems

3524 words - 15 pages http://www.differencebetween.info: http://www.differencebetween.info/difference-between-intranet-and-extranet Investigation and Analysis: Investigating the system. (n.d.). Retrieved December 2013, from http://www.teach-ict.com/: http://www.teach-ict.com/as_a2_ict_new/ocr/A2_G063/331_systems_cycle/slc_stages/miniweb/pg8.htm Krugman, P. (n.d.). DEFINING AND MEASURING PRODUCTIVITY . Retrieved December 2013, from http://www.oecd.org/: http

Meanagement and Leadership

3614 words - 15 pages Assessing Your Own Leadership Capability and Performance Introduction Established in 1858, Cambridge Assessment is an international exams group designing and delivering assessments to over 170 countries worldwide. Cambridge Assessment operates three exam boards; CIE, Cambridge English and OCR (Cambridge Assessment, 2015a). Group Print and Operations operates as the role of service provider to the exam boards from two large distribution

Business Proposal of Document Management & Storage Service

4814 words - 20 pages Business Proposal Document Management & Storage Service Table of Contents 1.0 Executive Summary 1 Chart: Highlights 2 1.1 Mission 2 2.0 Company formation and Objectives 2 2.1 Company Ownership 3 2.2 Start-up Summary 3 Table: Start-up 3 Chart: Start-up 4 2.3 Objectives 4 3.0 Industry Analysis 5 3.1 Market Segmentation 5 Table: Market Analysis 5 Chart: Market Analysis (Pie) 6 3.2 Target Market Segment Strategy 6 3.3

Strategic Management - David Jones

5183 words - 21 pages ------------------------------------------------- Strategic Management ------------------------------------------------- David Jones [Type the abstract of the document here. The abstract is typically a short summary of the contents of the document.] Table of Contents Executive Summary 3 Introduction 4 Business Environment Analysis 5 Macro Environment 5 Economic Factors 6 Environmental Factors 7 Legal factors 7 Technology

Communication

3469 words - 14 pages data and 3D X-ray collected over time. This program allows opening multiple images at the same time, whereby interactive summary table help to review process in more efficient time where additional analysis can be done in other programs like MS Excel after being transferred (GE, 2013). Referring to the trial version of OncoQuant features, layout, images was simple and clear to follow and easy to understand. The wizard ‘follow-up’ permit to use

Ethics In Nursing

3298 words - 14 pages and break confidentiality: 1. “If a minor child, elderly individual, or a dependent adult is at risk of being physically or sexually abused or neglected, a clinician is required to report that information to the appropriate agency to assure the safety of the person.” 2. “If a person presents an imminent risk of serious injury to himself, the clinician would take action to assure his safety. However the clinician is also obligated to

Related Essays

Breach Notification Rules Essay

2619 words - 11 pages maintain a burden of proof if its conclusions are called into question. If the OCR investigated the CE, it would be required to provide conclusive documentation of its incident risk assessment and analysis as to why the incident did not result in a “compromise” of PHI. If the entity does not meet that burden of proof, it could be found to have been negligent in not notifying the affected individuals and it may be subject to substantial fines

Cyberlaw, Regulations And Compliance Essay

1323 words - 6 pages remains safe and secure from any external unauthorized user, hackers and nefarious elements. HIPAA outlines guidelines for conducting risk analysis and risk management for the Electronic Protected Health Information (EPHI). Policy mainly focuses on discretionary access control which means that user can only access data to which he has been provide access to. Any data they are not supposed to access they should not be able to read write or modify it

Cyber Bullying Essay

1348 words - 6 pages ; placing both the cyberbullying victim and the cyberbullying harasser at risk for negative social-emotional and academic consequences. Cyberbullying is the one of the latest issues to be defined by school districts and law enforcement. The Merriam-Webster Dictionary added the word cyberbullying in their 2004 revised edition: “the electronic posting of mean-spirited messages about a person (as a student) often done anonymously.” After

Aft Task 2 Essay

1037 words - 5 pages hospital Chief Executive Officer (CEO) to ensure this event does not take place again. A follow-up analysis will be conducted by the hospital’s risk management department. A2. Personnel roles and responsibilities Registrar-The employee in this area of entry into the hospital acquired completed paperwork with respect to consents being obtained, and insurance verification. It appears this process lacked sufficient documentation as to an inquiry