Imagine you are the information security officer at a medium-sized hospital chain. The CEO and the other senior leadership of the company want to ensu
Overview
Imagine you are the information security officer at a medium-sized hospital chain. The CEO and the other senior leadership of the company want to ensure that all of their hospitals are and remain HIPAA compliant. They are concerned about the impact of the HIPAA Security and Privacy Rules on the organization. You begin looking at the information provided by the U.S. Department of Health and Human Services, HIPAA Enforcement, and are asked to provide an analysis of two of the cases found here with emphasis on what was done to resolve the compliance issues.
Instructions
Section 1: Written Paper
Noncompliance with HIPAA regulations can result in significant fines and negative publicity. To help ensure that your organization remains in compliance with HIPAA regulations.
1) Create an overview of the HIPAA security and privacy rules.
2) Analyze the major types of incidents and breaches that occur based on the cases reported.
3) Analyze the technical controls and the nontechnical controls that are needed to mitigate the identified risks and vulnerabilities.
4) Analyze and describe the network architecture that is needed within an organization, including a medium-sized hospital, in order to comply with HIPAA regulations.
5) Analyze how a hospital is similar to and different from other organizations in regard to HIPAA compliance.
6) List the IT audit steps that must be included in the organization’s overall IT audit plan to ensure compliance with HIPAA rules and regulations.
Part 2
Network Architecture
1) Create a network architecture diagram (using Visio or an open-source equivalent to Visio for creating diagrams), based on the description of the network architecture that you defined above for the organization to comply with HIPAA regulations.
2) Include in the diagram the switches, routers, firewalls, IDS/IPS, and any other devices needed for a compliant network architecture.
2/19/23, 4:44 PMHIPAA Compliance and Enforcement | HHS.govhttps://www.hhs.gov/hipaa/for-professionals/compliance-enforcement/index.html1/2HHS.govHIPAA EnforcementHHS Office for Civil Rights is responsible for enforcing the Privacy and Security Rules. Enforcement ofthe Privacy Rule began April 14, 2003 for most HIPAA covered entities(/ocr/privacy/hipaa/understanding/coveredentities/index.html) . Since 2003, OCR’s enforcement activities have obtained significantresults that have improved the privacy practices of covered entities. The corrective actions obtained byOCR from covered entities have resulted in systemic change that has improved the privacy protection ofhealth information for all individuals they serve.HIPAA covered entities were required to comply with the Security Rule beginning on April 20, 2005. OCRbecame responsible for enforcing the Security Rule on July 27, 2009.As a law enforcement agency, OCR does not generally release information to the public on current orpotential investigations.Enforcement Process (/ocr/privacy/hipaa/enforcement/process/index.html)Learn how OCR enforces the Privacy and Security Rules and learn what OCR considers during its initialintake and review of a complaint. A flow diagram shows the HIPAA Complaint Process.Enforcement Highlights (/ocr/privacy/hipaa/enforcement/highlights/index.html)See a summary of OCRs enforcement activities and up to date monthly results, including the number ofcases in which corrective action was obtained, no violation was found, or other resolutions were achieved.Enforcement Data (/ocr/privacy/hipaa/enforcement/data/index.html)View our annual numbers of enforcement cases shown nationally and by state.Case Examples (/hipaa/for-professionals/compliance-enforcement/examples/all-cases/index.html) and Resolution Agreements(/hipaa/for-professionals/compliance-enforcement/agreements/index.html)View examples of the corrective actions OCR has obtained from covered entities.Back to Top (#top)Health Information PrivacyHHS > HIPAA Home > For Professionals > HIPAA Compliance and EnforcementU.S. Department of Health & Human Services
2/19/23, 4:44 PMHIPAA Compliance and Enforcement | HHS.govhttps://www.hhs.gov/hipaa/for-professionals/compliance-enforcement/index.html2/2Office for Civil Rights HeadquartersU.S. Department of Health & Human Services200 Independence Avenue, S.W.Washington, D.C. 20201Toll Free Call Center: 1-800-368-1019TTD Number: 1-800-537-7697
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