Building a HIPAA-Compliant Cybersecurity Program : Using NIST 800-30 and CSF to Secure Protected Health Information

Use this book to learn how to conduct a timely and thorough Risk Analysis and Assessment documenting all risks to the confidentiality, integrity, and availability of electronic Protected Health Information (ePHI), which is a key component of the HIPAA Security Rule. The requirement is a focus area for the Department of Health and Human Services (HHS) Office for Civil Rights (OCR) during breach investigations and compliance audits. This book lays out a plan for healthcare organizations of all types to successfully comply with these requirements and use the output to build upon the cybersecurity program. With the proliferation of cybersecurity breaches, the number of healthcare providers, payers, and business associates investigated by the OCR has risen significantly. It is not unusual for additional penalties to be levied when victims of breaches cannot demonstrate that an enterprise-wide risk assessment exists, comprehensive enough to document all of the risks to ePHI. Why is it that so many covered entities and business associates fail to comply with this fundamental safeguard? __Building a HIPAA Compliant Cybersecurity Program__ cuts through the confusion and ambiguity of regulatory requirements and provides detailed guidance to help readers: * Understand and document all known instances where patient data exist * Know what regulators want and expect from the risk analysis process * Assess and analyze the level of severity that each risk poses to ePHI * Focus on the beneficial outcomes of the process: understanding real risks, and optimizing deployment of resources and alignment with business objectives **What You’ll Learn*** Use NIST 800-30 to execute a risk analysis and assessment, which meets the expectations of regulators such as the Office for Civil Rights (OCR) * Understand why this is not just a compliance exercise, but a way to take back control of protecting ePHI * Leverage the risk analysis process to improve your cybersecurity program * Know the value of integrating technical assessments to further define risk management activities * Employ an iterative process that continuously assesses the environment to identify improvement opportunities **Who This Book Is For** Cybersecurity, privacy, and compliance professionals working for organizations responsible for creating, maintaining, storing, and protecting patient information Front Matter ....Pages i-xxii Front Matter ....Pages 1-1 Not If, but When (Eric C. Thompson)....Pages 3-14 Meeting Regulator Expectations (Eric C. Thompson)....Pages 15-26 Selecting Security Measures (Eric C. Thompson)....Pages 27-51 Front Matter ....Pages 53-53 Inventory Your ePHI (Eric C. Thompson)....Pages 55-64 Who Wants Health Information? (Eric C. Thompson)....Pages 65-72 Weaknesses Waiting to Be Exploited (Eric C. Thompson)....Pages 73-78 Is It Really This Bad? (Eric C. Thompson)....Pages 79-94 Increasing Program Maturity (Eric C. Thompson)....Pages 95-111 Targeted Nontechnical Testing (Eric C. Thompson)....Pages 113-125 Targeted Technical Testing (Eric C. Thompson)....Pages 127-138 Front Matter ....Pages 139-139 Refreshing the Risk Register (Eric C. Thompson)....Pages 141-147 The Cybersecurity Road Map (Eric C. Thompson)....Pages 149-167 Front Matter ....Pages 169-169 Investing for Risk Reduction (Eric C. Thompson)....Pages 171-176 Third-Party Risk: Beyond the BAA (Eric C. Thompson)....Pages 177-209 Social Media, BYOD, IOT, and Portability (Eric C. Thompson)....Pages 211-217 Risk Treatment and Management (Eric C. Thompson)....Pages 219-232 Customizing the Risk Analysis (Eric C. Thompson)....Pages 233-248 Think Offensively (Eric C. Thompson)....Pages 249-255 Back Matter ....Pages 257-297