Access Control Policy

All passwords should be promptly changed if they are suspected of being disclosed, or are known to have

To remain in compliance with HIPPA and HITECH, security planning is essential for data backup and recovery. Assessing risks to determine the potential downfalls of any health information system is essential. Once those risks are identified, policies and procedures can be created, as well as implemented and enforced to ensure a safety culture. For examples, an organization will have a policy on the appropriated downtime procedure at their facility. This policy will ensure adequate details on the proper procedures, ensuring staff feel confident. By performing downtime procedures, the organization is staying compliant with regulations and ensuring a safe and easy data backup and recovery plan (Hawkins, 2013).

DHHS was responsible for creating Rules and Standards that health care entities had to abide by. During this process, DHHS could have created a format that would have allowed for access once permission was received from the patient in disclosing necessary pertinent information for the coordination of services for treatment.

The new user policy has also been modified to include security and awareness training requirements. HIPAA includes addressable administrative standards for security and awareness training of all members of the workforce to include periodic security reminders, protection from malware, log-in monitoring and password management (HHS, 2007).

iv. Users of remote workstations must comply with HIPAA Security Policy # 10 - Workstation Use)

This directive established the Department of Homeland Security (DHS) policy for the protecting the data center from unauthorized access by preventing personnel who are not authorized to use the resources of the organization from gaining access and potentially causing harm.

In order to minimize the risks for potential privacy breaches, the health information management (HIM) director has to understand all facets of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). This should include conducting an audit of their practices. In this scenario, an audit would have been useful to detect the improper access by the employee sooner. HIPAA uses both its privacy and security regulations to “protect consumer’s health information, allow consumers greater access and control to such information, enhance health care, and finally to create a national framework for health care privacy protection” (Amaguin, n.d.). These privacy and security regulations serve as the “only national set of regulations that governs

Information security and HIPAA policies should cover all the necessary access and control measures needed to secure information system resources and deter, shield and protect the organization from security breaches. The scenario demonstrates that the organizations overall information security posture is poor. The HIPAA, remote access and retention policies within the information management division need to be addressed due to the healthcare organizations legal obligation to ensure the privacy of protected information. Security safeguards can be addressed through vigilance and the implementation logical and administrative access controls. Properly administered HIPAA Privacy and remote access policies would not only help alleviate but quickly identify 3 undocumented accounts with global remote access. HIPAA security standards require any user with access to protected health information have a documented need to

The Department of Health and Human Services, HHS, issued the Privacy Rule to HIPAA to address the disclosure and use of a person’s health information. A branch within HHS called the Office of Civil Rights, OCR, is responsible for enforcing and implementing the privacy rule. The Privacy Rule’s main goal is to assure health information is properly protected, while allowing information to be provided and give out high quality health care. This rule is designed to be comprehensive and flexible in order to cover uses and

The United States Department of Health and Human Services information security and privacy program is accountable for ensuring Operating Division SOP participation in the Privacy Impact Assessments (PIAs) process; reviewing completed PIAs, and confirming that they are adequately and accurately completed prior to SAOP approval for web publishing; submitting the Privacy Management portion of the Department’s annual FISMA report to the SAOP for approval (HHS, 2010); overseeing the coordination of privacy-related reporting activities as mandated by federal legislation and OMB guidance; developing the proper policy and guidance for implementation of information privacy protections, including full compliance with federal laws, regulations, and policies relating to information privacy (HHS, 2010); maintaining appropriate documentation regarding compliance with information privacy laws, regulations, and HHS policies; ensuring the Department’s privacy compliance efforts are ongoing, including reviewing documented information privacy procedures to ensure that they are comprehensive and innovative, and managing revision, as necessary; ensure that 100 percent of department employees and contractors receive annual Information Security awareness training and role-based training in compliance with OMB A-130, Federal Information Security Management Act (FISMA), and National Institute of Standards and Technology

HIPAA (Health Insurance Portability and Accountability Act) has many key components in the operations of daily clinical and administrative services. In a physician's practice they must maintain physical security of all health care information. For example, patient files are no longer able to be sitting out unless they are in a closed and locked area and sign in sheets should only ask for minimal information. Accessibility to individual identifiable health information is restricted and should be used on a "need to know basis". Billing employees should not have access to the clinical notes and they do not need to know a patient's financial information. An employee may disclose only the "minimum information necessary". These regulations require

needed to serve its purpose. After the D.H.S. was created, it received much feedback and criticism as to whether it was capable or correct to have such a department with such power. Another setback that the D.H.S. struggled with was getting other government agencies to mold together into a group drive with the D.H.S. Fortunately however, after the 2002 midterm election, it received the cooperation it needed to carry on with its sole purpose and mission. It even benefited from the elections and became more structured by implementing new sections within the D.H.S. Such sections included: Border and Transportation Security, Information Analysis and Infrastructure Protection, Emergency Preparedness and Response, Science and Technology, and Management (Haddow,

This policy applies to all IDI Stakeholders, Committees, Departments, Partners, Employees of IDI (including system support staff with access to privileged administrative passwords), contractual third parties and agents of the Council with any form of access to IDI’s information and information systems.

This policy applies to anyone who is accessing the organization information systems. This includes teleworker accessing the systems remotely and all employees and staff members. The organization 's information systems is defined as all equipment owned or operated by the organization including cloud services being used by the organization.

The DHHS voice mail policy is designed to ensure that callers do not become frustrated but receive prompt and quality customer service. Instead of getting a busy signal or no answer, the caller can leave a message in voice mail and from the personal greeting will know when to expect a call back or be given an option to speak to someone else.