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Each year, HIPAA requires the completion of a risk assessment. Our services automate this process so that you can complete it accurately and efficiently.
SysGear    is,    first    and    foremost,    an    advisor    in    compliance.    Our    team    of    experienced    consultants    provides    hands-on assistance   to   achieve   complete   operational   and   stay   organized   in   our   communication   to   achieve   full   compliance   in   your organization. As   part   of   our   Risk   Assessment,   we   take   a   holistic,   hands-on   approach   to   moving   your   company   towards   compliance.   In addition   to   providing   a   detailed   report   based   on   our   findings,   we   will   recommend   the   compliant   and   affordable   tools   and solutions   and   help   you   use   your   existing   assets;   we   also   help   you   implement   the   recommended   solutions   and   tools   to achieve full compliance. To   complete   the   entire   risk   assessment   process   takes   between   two   and   five   hours   over   a   series   of   up   to   four   meetings depending   on   the   size   of   your   organization,   we   will   discuss   your   current   state   of   compliance   and   build   a   project   plan. Follow-up   meetings   with   our   team   look   specifically   at   the   privacy   and   security   controls   you   are   using   for   HIPAA   today, identify   and   train   key   members   of   your   staff   in   their   specific   responsibilities,   and   provide   ongoing   assistance   in   using   the platform.   In   addition,   scheduled   meetings   each   quarter   and   annually   allow   you   to   track   your   progress   and   receive feedback and reassessment of your complete organizational compliance.
Overview of Regulatory Requirements HIPAA   Compliance   might   seem   like   a   new   idea,   but   in   fact,   the   initial   requirement   for   HIPAA   was introduced   in   April   2005   —   over   a   decade   ago.   Why   the   interest   and   attention   now?   The   new Meaningful   Use   standard,   finally   articulated   in   2015,   specifically   requires   a   HIPAA/IT   Security   Risk Assessment    in    Stage    1    and    Stage    2.    With    the    introduction    of    HITECH    and    Meaningful    Use    as healthcare   requirements,   doctors   now   have   an   explicit   requirement   to   conduct   a   Risk   Analysis   (per 45 CFR 164.308(a)(1)(ii)(A)). When we think broadly about risk management around the HIPAA security rule, there are three main areas that need special attention. HIPAA Compliance Gap Assessment Articulated in 45 CFR 164.308(a)(8), this assessment offers a birdseye view of your organization’s current compliance and its gaps. Find out where your organization stands with regard to the specific standards set forth in the HIPAA Security Rule. HIPAA Security Articulated in 45 CFR 164.308(a)(1)(ii)(A), a HIPAA Security Assessment deals with the physical security of your data against breaches. You could fully comply with HIPAA and pass a HIPAA Gap Analysis with flying colors without necessarily being secure. This is the part of the complete HIPAA compliance package that your IT Security Risk Assessment deals with specifically. Auditing and Testing The third stage of complete HIPAA compliance deals with periodically auditing your policies and procedures to ensure that you are following them and/or testing the efficacy of the security controls that are in place at your organization.
45    CFR    164.308(a)(1)(i)    Standard:    Security management    process.    Implement    policies and   procedures   to   prevent,   detect,   contain, and correct security violations. (ii)(A)   Risk   analysis   (Required).   Conduct   an accurate   and   thorough   assessment   of   the potential    risks    and    vulnerabilities    to    the confidentiality,   integrity,   and   availability   of electronic     protected     health     information held    by    the    covered    entity    or    business associate.
HHS/OCR Final Guidance In July 2010, as mandated in the HITECH Act, HHS/OCR issued guidance on Risk Analysis Requirements. The Final Guidance, a 9 page PDF, details your responsibilities as a healthcare provider. It clarifies the expectations of the Department for organizations working to meet these requirements, but suggests that each organization should determine the most appropriate way to achieve compliance. Whether you decide to use the ISO 2700X approach, the NIST approach, you will be in compliance with the Risk Analysis portion of HIPAA if you comply with nine specific rules: 1. The analysis must be comprehensive in scope, looking at all of the assets in your environment. 2. All ePHI data collected must be documented. 3. You must identify and document potential threats and vulnerabilities for each ePHI asset 4. You must assess and document the security measures used to safeguard ePHI. 5. You must determine the likelihood of threat occurrence. 6. You must determine the potential impact of threat occurrence. 7. You must determine the level of risk associated with the threat. 8. Your risk analysis must be documented. 9. Your risk analysis must be periodically reviewed. SysGear uses NIST approach and meets all nine of these specific rules.
45   CFR   164.308(a)(8)   Standard:   Evaluation. Perform       a       periodic       technical       and nontechnical      evaluation,      based      initially upon    the    standards    implemented    under this   rule   and,   subsequently,   in   response   to environmental      or      operational      changes affecting       the       security       of       electronic protected        health        information,        that establishes   the   extent   to   which   a   covered entity’s     or     business     associate’s     security policies       and       procedures       meet       the requirements of this subpart.
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 Copyright © 2015–Sys Gear. All Rights Reserved.
If you have any questions or would like to talk about how SysGear can help you meet your compliance goals, contact us
Each year, HIPAA requires the completion of a risk assessment. Our services automate this process so that you can complete it accurately and efficiently.
SysGear    is,    first    and    foremost,    an    advisor    in    compliance.    Our    team    of    experienced    consultants    provides    hands-on assistance   to   achieve   complete   operational   and   stay   organized   in   our   communication   to   achieve   full   compliance   in   your organization. As   part   of   our   Risk   Assessment,   we   take   a   holistic,   hands-on   approach   to   moving   your   company   towards   compliance.   In addition   to   providing   a   detailed   report   based   on   our   findings,   we   will   recommend   the   compliant   and   affordable   tools   and solutions   and   help   you   use   your   existing   assets;   we   also   help   you   implement   the   recommended   solutions   and   tools   to achieve full compliance. To   complete   the   entire   risk   assessment   process   takes   between   two   and   five   hours   over   a   series   of   up   to   four   meetings depending   on   the   size   of   your   organization,   we   will   discuss   your   current   state   of   compliance   and   build   a   project   plan. Follow-up   meetings   with   our   team   look   specifically   at   the   privacy   and   security   controls   you   are   using   for   HIPAA   today, identify   and   train   key   members   of   your   staff   in   their   specific   responsibilities,   and   provide   ongoing   assistance   in   using   the platform.   In   addition,   scheduled   meetings   each   quarter   and   annually   allow   you   to   track   your   progress   and   receive feedback and reassessment of your complete organizational compliance.
Overview of Regulatory Requirements HIPAA   Compliance   might   seem   like   a   new   idea,   but   in   fact,   the   initial   requirement   for   HIPAA   was introduced   in   April   2005   —   over   a   decade   ago.   Why   the   interest   and   attention   now?   The   new Meaningful   Use   standard,   finally   articulated   in   2015,   specifically   requires   a   HIPAA/IT   Security   Risk Assessment    in    Stage    1    and    Stage    2.    With    the    introduction    of    HITECH    and    Meaningful    Use    as healthcare   requirements,   doctors   now   have   an   explicit   requirement   to   conduct   a   Risk   Analysis   (per 45 CFR 164.308(a)(1)(ii)(A)). When we think broadly about risk management around the HIPAA security rule, there are three main areas that need special attention. HIPAA Compliance Gap Assessment Articulated in 45 CFR 164.308(a)(8), this assessment offers a birdseye view of your organization’s current compliance and its gaps. Find out where your organization stands with regard to the specific standards set forth in the HIPAA Security Rule. HIPAA Security Articulated in 45 CFR 164.308(a)(1)(ii)(A), a HIPAA Security Assessment deals with the physical security of your data against breaches. You could fully comply with HIPAA and pass a HIPAA Gap Analysis with flying colors without necessarily being secure. This is the part of the complete HIPAA compliance package that your IT Security Risk Assessment deals with specifically. Auditing and Testing The third stage of complete HIPAA compliance deals with periodically auditing your policies and procedures to ensure that you are following them and/or testing the efficacy of the security controls that are in place at your organization.
45    CFR    164.308(a)(1)(i)    Standard:    Security management    process.    Implement    policies and   procedures   to   prevent,   detect,   contain, and correct security violations. (ii)(A)   Risk   analysis   (Required).   Conduct   an accurate   and   thorough   assessment   of   the potential    risks    and    vulnerabilities    to    the confidentiality,   integrity,   and   availability   of electronic     protected     health     information held    by    the    covered    entity    or    business associate.
HHS/OCR Final Guidance In July 2010, as mandated in the HITECH Act, HHS/OCR issued guidance on Risk Analysis Requirements. The Final Guidance, a 9 page PDF, details your responsibilities as a healthcare provider. It clarifies the expectations of the Department for organizations working to meet these requirements, but suggests that each organization should determine the most appropriate way to achieve compliance. Whether you decide to use the ISO 2700X approach, the NIST approach, you will be in compliance with the Risk Analysis portion of HIPAA if you comply with nine specific rules: 1. The analysis must be comprehensive in scope, looking at all of the assets in your environment. 2. All ePHI data collected must be documented. 3. You must identify and document potential threats and vulnerabilities for each ePHI asset 4. You must assess and document the security measures used to safeguard ePHI. 5. You must determine the likelihood of threat occurrence. 6. You must determine the potential impact of threat occurrence. 7. You must determine the level of risk associated with the threat. 8. Your risk analysis must be documented. 9. Your risk analysis must be periodically reviewed. SysGear uses NIST approach and meets all nine of these specific rules.
45   CFR   164.308(a)(8)   Standard:   Evaluation. Perform       a       periodic       technical       and nontechnical      evaluation,      based      initially upon    the    standards    implemented    under this   rule   and,   subsequently,   in   response   to environmental      or      operational      changes affecting       the       security       of       electronic protected        health        information,        that establishes   the   extent   to   which   a   covered entity’s     or     business     associate’s     security policies       and       procedures       meet       the requirements of this subpart.

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Send us an email Send us an email
 Copyright © 2015–Sys Gear. All Rights Reserved.
If you have any questions or would like to talk about how SysGear can help you meet your compliance goals, contact us