Administrative Safeguards: These are administrative actions, policies and procedures to manage the selection, development, implementation and maintenance of security measures to protect the practice’s ePHI and other data and to manage the conduct of the medical practice’s workforce.In addition, while the HIPAA Security Rule requires a risk analysis only with respect to ePHI, medical practices should also assess risks and vulnerabilities that can impact all areas of the practice, not just ePHI.Īfter conducting a risk analysis, medical practices must establish and implement written policies and procedures which incorporate the following data privacy and security safeguards: Although the HIPAA Security Rule does not impose a specific methodology, the risk analysis must be commensurate with the medical practice’s size, complexity, and capabilities. The HIPAA Security Rule requires medical practices to conduct a risk analysis to identify vulnerabilities and weaknesses within the medical practice that can impact the confidentiality, integrity and availability of ePHI maintained by the medical practice. For this purpose, the following is a summary of some of the key steps medical practices can take to prevent and mitigate the risk of cyber attacks. However, medical practices should also evaluate their risks and exposures beyond ePHI and take proactive measures to mitigate risk and protect the practice and its patients. The HIPAA Security Rule has long required medical practices to develop and implement reasonable administrative, physical and technical safeguards to protect the confidentiality, integrity and security of electronic protected health information (ePHI). Cyber attacks can significantly disrupt patient care, including by exposing confidential data, interfering with access to records, and/or damaging operations systems. Cybersecurity attacks, such as malware, phishing emails, and password attacks, are a growing threat to patients and medical practices.

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