HIPAA Compliance Services
We provide many services to help you align with the HIPAA compliance standard.
HIPAA
HIPAA (Health Insurance Portability and Accountability Act of 1996) is United States law that provides the provisions for data privacy and security for safeguarding medical information. The HIPAA Privacy and Security Rules provide safeguard requirements for Protected Health Information (PHI) and Electronic Protected Health Information (ePHI) held or transmitted by a covered entity or business associate.
NuHarbor Security HIPAA Security Services
NuHarbor Security offers a breadth of services to help organizations and covered entities conform with the HIPAA compliance security standards. We have extensive experience partnering with organizations and healthcare providers to comply with HIPAA, improve their security posture, and reduce the cost to conform with the HIPAA legislation. As described below, our Security Services and Professional Services align directly with many components of the HIPAA Security Standards.
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HIPAA Security Services Alignment:
| ADMINISTRATIVE SAFEGUARDS | SUMMARY REGULATION | HOW WE HELP |
| 164.308(a)(1)(i) | Security Management Process
Implement policies and procedures to prevent, detect, contain and correct security violations. Specifications include: · Risk analysis (1A) · Risk management (1B) · Sanction policy (1C) · Information system activity review (1D) |
Risk Assessment and Risk Management
Security Policy Development MSSP (Managed Security Services Provider) |
| 164.308(a)(2) | Assigned Security Responsibility | Customer directed |
| 164.308(a)(3)(i) | Workforce Security
Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information (EPHI) and to prevent those workforce members who do not have access from obtaining access to electronic protected health information. Specifications include: · Authorization and/or supervision (3A) · Workforce clearance procedure (3B) · Termination procedures (3C) |
Security Policy Development |
| 164.308(a)(4)(i) | Information Access Management
Implement policies and procedures for authorizing access to EPHI. Specifications include: · Isolating health care clearinghouse functions (4A) · Access authorization (4B) · Access establishment and modification (4C) |
Security Policy Development |
| 164.308(a)(5)(i) | Security Awareness Training
Implement a security awareness and training program for all members of its workforce including management. Specifications include: · Security reminders (5A) · Protection from malicious software (5B) · Log-in monitoring (5C) · Password management (5D) |
MSSP (Managed Security Services Provider)
Security Awareness Program Implementation and Delivery |
| 164.308(a)(6)(i) | Security Incident Procedures
Implement policies and procedures to address security incidents. Specifications include: · Response and reporting |
Security Policy Development
Incident Response Playbook Development |
| 164.308(a)(7)(i) | Contingency Plan
Establish (and implement as needed) policies and procedures for responding to an emergency or other occurrence that damages systems that contain EPHI. Specifications include: · Data backup plan (7A) · Disaster recovery plan (7B) · Emergency mode operation plan (7C) · Testing and revision procedures (7D) · Applications and data criticality analysis (7E) |
Security Advisory and Consulting |
| 164.308(a)(8) | Evaluation
Perform a periodic technical and non-technical evaluation that establishes the extent to which an entity’s security policies and procedures meet the above administrative safeguard requirements. |
HIPAA Security Assessment
Infrastructure Penetration Testing Application Penetration Testing Static/Dynamic Code Reviews |
| 164.308(b)(1) | Business Associate Contracts and Other Arrangements | Security Advisory and Consulting |
| PHYSICAL SAFEGUARDS | SUMMARY REGULATION | HOW WE HELP |
| 164.310 (a)(1) | Facility Access Controls
Implement policies and procedures to limit physical access to its electronic information systems while ensuring that properly authorized access is allowed. Specifications include: · Contingency operations (i) · Facility security plan (ii) · Access control and validation procedures (iii) · Maintenance records (iv) |
Security Policy Development
Security Advisory and Consulting |
| 164.310(b) | Workstation Use
Implement policies and procedures that specify the proper functions to be performed, the manner in which those functions are to be performed, and the physical attributes of the surroundings of a specific workstation or class of workstation that can access EPHI. |
Security Policy Development
Security Advisory and Consulting |
| 164.310(c) | Workstation Security
Implement physical safeguards for all workstations that access EPHI, to restrict access to authorized users. |
Security Policy Development
Security Advisory and Consulting |
| 164.310(d)(1) | Device and Media Controls
Implement policies and procedures that govern the receipt and removal of hardware and electronic media that contain EPHI into and out of a facility, and the movement of these items within the facility. Specifications include: · Disposal (i) · Media re-use (ii) · Accountability (iii) · Data backup and storage (iv) |
Security Policy Development
Security Advisory and Consulting |
| TECHNICAL SAFEGUARDS | SUMMARY REGULATION | HOW WE HELP |
| 164.312(a)(1) | Access Control
Implement technical policies and procedures for electronic information systems that maintain EPHI to allow access only to those persons or software programs that have been granted access rights. Specifications include: · Unique user ID (i) · Emergency access procedure (ii) · Automatic logoff (iii) · Encryption and decryption (iv) |
Security Policy Development
MSSP (Managed Security Services Provider) |
| 164.312(b) | Audit Controls
Implement hardware, software and/or procedural mechanisms that record and examine activity in information systems that contain or use EPHI. |
Security Policy Development
MSSP (Managed Security Services Provider) |
| 164.312(c)(1) | Integrity | Security Policy Development
Security Advisory and Consulting |
| 164.312(d) | Person or Entity Authentication | Security Policy Development
Security Advisory and Consulting |
| 164.312(e)(1) | Transmission Security
Implement technical security mechanisms to guard against unauthorized access to EPHI that is being transmitted over an electronic communications network. This includes both: · Security measures to ensure that EPHI is not improperly modified; and · Mechanisms to encrypt EPHI The appropriate control should be determined through a risk analysis to ensure that EPHI is protected in a manner commensurate with the associated risk when it is transmitted from one place to another. With regard to unsolicited EPHI –e.g., in email from patients — protection must subsequently be afforded once that information is in the possession of the covered entity. |
Security Policy Development
Security Advisory and Consulting |