Resources for Information Security and Privacy in Healthcare
This is to provide links to sites containing regulations, guidance or information regarding privacy and
security “best practices” for healthcare.
AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION (AHIMA)
The AHIMA is the premier association of health information management professionals.
Privacy, Security, and Confidentiality
http://www.ahima.org/resources/psc.aspx
AHIMA Body of Knowledge
Include HIPAA, practice briefs, professional tools, Research/Library tools, career and more http://library.ahima.org/xpedio/groups/public/documents/web_assets/bok_home.hcsp
AGENCY FOR HEALTHCARE RESEARCH AND QUALITY (AHRQ)
The AHRQ mission is to improve the quality, safety, efficiency, and effectiveness of healthcare. AHRQ
was formerly known as the Agency for Health Care Policy and Research.
How to use this website (the site map):
http://www.ahrq.gov/sitemap.htm
AMERICAN RECOVERY AND REINVESTIMENT ACT OF 2009 (ARRA)
The ARRA is an economic stimulus package enacted by the 111th US Congress and signed into law by President Barack Obama on February 17, 2009. The act includes federal tax relief, expansion of unemployment benefits, and other social welfare provisions, and domestic spending in education, healthcare, and infrastructure, including the energy sector.
http://www.gpo.gov/fdsys/pkg/PLAW-111publ5/content-detail.html
Relevant privacy and security sections:
Title XIII – health information technology – HITECH
For example: Sec. 13101. ONCHIT; standards development and adoption; Sec. 13400. Definition of the
term “breach”, etc
CERTIFICATION COMMISION FOR HEALTH INFORMATION TECHNOLOGY (CCHIT)
The CCHIT is a recognized certification body for electronic health records and their networks, and a private, nonprofit initiative.
CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS)
Security Standard
The administrative Simplification provisions of the Health Insurance Portability and Accountability Act of
1996 (HIPAA, Title II) required the Department of Health and Human Services (HHS) to establish national standards for the security of electronic healthcare information. The final rule adopting HIPAA standards for security was published in the Federal Register on February 20, 2003. The standards are delineated into either required or addressable implementation specifications.
http://www.hhs.gov/ocr/privacy/hipaa/administrative/index.html
HIPAA SECURITY GUIDANCE
Remote Use
This guidance document has been prepared with the main objective of reinforcing some of the ways a covered entity may protect EHPI when it is accessed or used outside of the organization’s physical purview. In so doing, this document sets forth strategies that may be reasonable and appropriate for organizations that conduct any of their business activities through 1.) the use of portable media/devices (such as USB flash drive) that store EPHI; and 2.) offsite access or transport of EPHI via laptops, personal digital assistants (PDAs), home computers, or other non-corporate equipment.
http://www.hhs.gov/ocr/privacy/hipaa/administrative/securityrule/remoteuse.pdf
Risk Analysis
HHS has developed guidance to assist HIPAA covered entities in complying with the risk analysis requirements of the Security Rule. This series of guidance documents will assist organizations in identifying and implementing the most effective and appropriate administrative, physical, and technical safeguards to protect the confidentiality, integrity, and availability of electronic protected health information. The materials will be updated annually, as appropriate.
http://www.hhs.gov/ocr/privacy/hipaa/administrative/securityrule/rafinalguidancepdf.pdf
HIPAA Security Materials
This area of the CMS site offers guidance and educational materials aimed at implementing HIPAA Security.
· Educational materials
http://cms.hhs.gov/Regulations-and-Guidance/HIPAA-Administrative- Simplification/EducationMaterials/index.html?redirect=/educationmaterials
· HIPAA general information
· Privacy and security standards
OFFICE OF THE NATIONAL COORDINATOR (ONC)
On April 27, 2004, President Bush issued Executive Order (EO) 13335 “to provide leadership for the development and nationwide implementation of an interoperable health information technology infrastructure to improve the quality and efficiency of health care.”
The Office the National Coordinator for Health Information Technology (ONC) has worked across the federal government to develop this ONC-coordinated Federal Health IT Strategic Plan (the Plan), which identifies the federal activities necessary to achieve the nationwide implementation of this technology
infrastructure throughout both the public and private sectors.
http://healthit.hhs.gov/portal/server.pt/community/healthit_hhs_govonc/1200
HHS privacy and security toolkit
http://healthit.hhs.gov/portal/server.pt?open=512&mode=2&cached=true&objID=1173
HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY (HIMSS)
The HIMSS is the healthcare industry’s membership organization exclusively focused on providing global leadership for the optimal use of healthcare information technology and management systems for the betterment of healthcare.
PORTALS AND TOOLS
EHR
Healthcare information technology standards panel (HITSP)
HIMSS privacy and security toolkit
http://www.himss.org/asp/topics_pstoolkit.asp
Privacy and security for RHIPs/HIEs
http://www.himss.org/asp/topics_FocusDynamic.asp?faid=226
Privacy and security for personal health records
http://www.himss.org/asp/topics_FocusDynamic.asp?faid=225
Privacy and security workgroups, committees, and task forces
http://www.himss.org/ASP/topics_privacy_committees.asp?faid=83&tid=4
Legal and regulatory
http://www.himss.org/asp/topics_focusdynamic.asp?faid=62
Medical identity theft
http://www.himss.org/asp/topics_focusdynamic.asp?faid=281
Medical device security
http://www.himss.org/asp/topics_medicaldevice.asp?faid=289&tid=4
THE HEALTH INFORMATION SECURITY AND PRIVACY COLLABORATION (HISPC)
Established in June 2006 by RTI International, through a contract with the DHHS, the Health Information Security and Privacy Collaboration (HISPC) originally comprised 34 states and territories. For more information about HISPC’s background or what each multistate collaborative is working on, click on the following links.
NATIONAL INSTITUTE OF STANDARDS AND TECHNOLOGY (NIST)
Founded in 1901, NIST is a non-regulatory federal agency within the US Department of Commerce. http://www.nist.gov
The computer security division – computer security resource center
Where to start
Readers unfamiliar with the NIST security site will probably wish to review the following two documents:
· Guide to NIST information security documents http://csrc.nist.gov/publications/CSD_DocsGuide.pdf
· NIST information security document roadmap
http://csrc.nist.gov/publications/CSD_DocsGuide_Trifold.pdf
NIST Special publications
NIST site has an enormous repository of guidance documents available to the public. Good starting points to implement HIPAA:
· An introductory resource guide for implementing the HIPAA security rule http://csrc.nist.gov/publications/nistpubs/800-66-Rev1/SP-800-66-Revision1.pdf
· Guide to protecting the confidentiality of personally identifiable information (PII)
http://csrc.nist.gov/publications/nistpubs/800-122/sp800-122.pdf
· NIST publications with category types: http://csrc.nist.gov/publications/