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Resource Overview

Conducting an SRA in accordance with HIPAA policy is a complex task, especially for small to medium providers such as community health centers. The HIPAA Security Rule mandates security standards to safeguard electronic Protected Health Information (ePHI) maintained by electronic health record (EHR) technology, with detailed attention to how ePHI is stored, accessed, transmitted, and audited. This rule is different from the HIPAA Privacy Rule, which requires safeguards to protect the privacy of PHI and sets limits and conditions on it use and disclosure. Meaningful Use supports the HIPAA Security Rule. In order to successfully attest to Meaningful Use, providers must conduct a security risk assessment (SRA), implement updates as needed, and correctly identify security deficiencies. By conducting an SRA regularly, providers can identify and document potential threats and vulnerabilities related to data security, and develop a plan of action to mitigate them.

Security vulnerabilities must be addressed before the SRA can be considered complete. Providers must document the process and steps taken to mitigate risks in three main areas: administration, physical environment, and technical hardware and software. The following set of resources provide education, strategies and tools for conducting SRA.

Security Risk Analysis Resources
Successful Practices in Accountable Care: El Rio Community Health Center
NACHC

Successful Practices in Accountable Care: El Rio Community Health Center

Best Practices Series #1

El Rio Community Health Center, in Tucson, Arizona, leveraged and enhanced their relationship with local payers, including United Health Care, to support the health center’s population health efforts. El Rio uses complex data analytics provided by United and other payers to help manage existing patients and to stratify new patients by their risk levels and intervene to direct patients to appropriate services in a timely manner and ultimately enhance the patient experience. United Health Care also incentives quality care at El Rio using Health Effectiveness Data and Information Set (HEDIS) and utilization measures such as Emergency Room visits and hospital readmissions.

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Acknowledgements

This resource collection was cultivated and developed by the HITEQ team with valuable suggestions and contributions from HITEQ Project collaborators.

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Quadruple Aim

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Improving the U.S. health care system requires four aims: improving the experience of care, improving the health of populations, reducing per capita costs and improving care team well-being. HITEQ Center resources seek to provide content and direction aligned with the goals of the Quadruple Aim

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