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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: Sunset Community Health Center
NACHC

Successful Practices in Accountable Care: Sunset Community Health Center

Best Practices Series #2

Sunset Community Health Center (Sunset) worked with their largest Medicaid managed care payer, United Health Care, to increase access to care, reduce non-emergent emergency room visits, reduce admissions and re-admissions, and improve care for high-risk patients. The health center invested resources, including additional staff to improve care management, predictive modeling to identify high risk patients, and additional in house expertise. Sunset strengthened their relationship with United Healthcare and increased communication to support each organization’s goals.

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Intended AudienceHealth Center Staff

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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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