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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
Event date: 5/3/2018 3:00 PM - 4:00 PM Export event
Webinar: 42 CFR Part 2 Final Rule and Health Center Compliance
HITEQ Center

Webinar: 42 CFR Part 2 Final Rule and Health Center Compliance

HITEQ Center Webinar

The HITEQ Center hosted a webinar to learn about the Substance Abuse and Mental Health Services Administration (SAMHSA)’s revised Substance Abuse Confidentiality Regulations for Health Information Exchange Final Rule (referred to as 42 CFR Part 2) and how it may affect your health center. The webinar included information from the Final Rule published on January 3, 2018. Reece Hirsch of Morgan, Lewis & Bockius LLP provided an overview of the critical changes affecting health centers, including common definitions, and how the changes may affect integrated medication-assisted treatment (MAT) and Screening, Brief Intervention, and Referral to Treatment (SBIRT) programs. 

Documents to download

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Intended AudienceC-suite staff, Information technology leadership and staff

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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