Case Scenario: Contingency Plan for Data Breaches

For this assignment, you will need to review the case study presented and assess the impact of the data breach that occurred under your third-party vendor’s system and provide a short report of your conclusions, corrective actions to take, and policy change recommendations.

Background Information

You are the Chief Information Officer (CIO) for a large healthcare system. A significant data breach has just taken place that has impacted thousands of the healthcare system’s patient records. This data

breach occurred because of a phishing attack that was able to compromise one of the employee user credentials and permitted unauthorized access to your healthcare systems electronic health record, EPIC.

Taking Action

You (the Chief Information Officer) are being tasked with developing a comprehensive Contingency Plan to deal with this specific type of data breach that is occurring. In order to be able to successfully develop your Contingency Plan, you will need to research current legal and regulatory compliance requirements for your state.

DEI Considerations: Be sure that your Contingency Plan includes communication strategies that cater to the diverse patient population, consider potential language barriers and the various levels of digital literacy.

Components to be included in your Contingency Plan

· An Executive Summary. This provides a snapshot of the breach/attack, including all areas impacted, the scope, and what initial impact would be on the healthcare system’s operations. Provide a list of potential key stakeholders that may be impacted by the breach.

· Purpose: You will define the purpose of the Contingency Plan and identify potential scenarios that were considered when developing the solution.

· Architecture: You will provide a network diagram for the current system that was breached/attacked, providing insight on the vulnerable points and connections. You will also need to prepare a “proposed” network diagram to reflect your Contingency Plan recommendations either through written descriptions or by creating a flowchart/diagram for this section of your Contingency Plan of the current system and proposed future state system.

· Assumptions: Provide a list of potential assumptions, such as resources, availability of systems, and how this will impact patient care being provided.

· Privacy and Security Strategies: This is where you will provide potential solutions and strategies for short-term and long-term solutions.

· Testing: What is your testing strategy, who is responsible (job role), and define what a successful test would look like.

· Policy and Procedure Proposal(s): Include recommendations for what potential policy and procedural updates or revisions would need to be made, with specific examples of what should be included to prevent this type of breach/attack from happening again. Be sure to address revisions needed to cybersecurity system(s) in place.

· Risk Assessment/Management: Identify current weaknesses that may exist and provide recommendations of strategies to prevent future data breach incidents/attacks.

Parameters

Parameters: For best results it is recommended that you utilize the Contingency Planning Project template provided in Course Files. This Microsoft Word template has been provided to you to assist with taking the guesswork out of setting up the formatting for your project for you. You will need to utilize in-text citations and provide references on the reference page using APA formatting.

A note about APA, this is the most commonly utilized format in healthcare organizations when they are writing annual reports or presenting to a board. When you use references, you are adding credibility to back up your recommendations and logic for making decisions.

This assignment utilizes TurnItIn, which reviews citations, plagiarism, and artificial intelligence (AI) usage.

Action

Select the Start Assignment button to begin.

Once you have uploaded your files, select Submit Assignment.

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