CoreView

Change management policies are established that include procedures for tracking, testing, approving, and communicating changes. Policies are reviewed annually.

All system change requests are formally documented, including a description of the change, justification, and affected systems or components.

Separate application environments are maintained and utilized when making changes to the platform, and changes are made to development and test environments prior to being promoted to production.

System change requests are reviewed and approved by management to ensure alignment with business objectives and security requirements.

All system changes, including their review, approval, and evidence of adherence to the Change Management Policy, are documented in Jira to maintain a centralized and auditable record.

DE.AE-02: Potentially adverse events are analyzed to better understand associated activities

DE.AE-03: Information is correlated from multiple sources

DE.AE-04: The estimated impact and scope of adverse events are understood

DE.AE-08: Incidents are declared when adverse events meet the defined incident criteria

GV.OV-01: Cybersecurity risk management strategy outcomes are reviewed to inform and adjust strategy and direction

GV.OV-02: The cybersecurity risk management strategy is reviewed and adjusted to ensure coverage of organizational requirements and risks

PR.DS-01: The confidentiality, integrity, and availability of data-at-rest are protected

PR.DS-02: The confidentiality, integrity, and availability of data-in-transit are protected

PR.DS-10: The confidentiality, integrity, and availability of data-in-use are protected

8.1 User end point devices - Information stored on, processed by or accessible via user endpoint devices shall be protected.

8.3 Information access restriction - Access to information and other associated assets shall be restricted in accordance with the established topic-specific policy on access control.

8.32 Change Management - Changes to information processing facilities and information systems shall be subject to change management procedures.

3rd Party Access Controls 2 - Are there procedures for terminating or changing 3rd party access when the BAA, contract, or relationship ends or changes?

Business Agreements 1 - Does the organization have a list of all business associates and vendors with access to ePHI, and is there a Business Agreement in place with each partner, contractor, and vendor that recognizes each party's responsibility for data protection?

Business Agreements 2 - Is there a Business Agreement in place with each partner, contractor, and vendor that ensures disclosure if the 3rd party experiences a cyber attack, data breach, of other security event?

3rd Party Access Controls 3 - Do the organization's Business Agreements clearly identify which vendors, partners, suppliers, 3rd party organizations will or may have access to ePHI, how they will use it, and their commitment to protecting it?

3rd Party Access Controls 1 - Are unique credentials used for 3rd party, partner, contractor, and/or vendor access to systems that connect to the organization's domain?

Business Agreements 3 - Do Business Associate Agreements (BAAs) describe how the businesses will communicate security/network/and interface technology changes and events to one another?

Business Agreements 4 - Does each BAA give assurance(s) that the partner or vendor will follow best practices and/or compliance to protect ePHI/PCI/PII?

Segmentation - Are there mechanisms in place to segment the organization's internal network from any shared network space occupied by vendors and partners?

Have you Implement policies and procedures to ensure that personnel are able to enact your information security program by providing your personnel with security awareness training that is updated as necessary to reflect risks identified by the risk assessment?\

Have you Implemented policies and procedures to ensure that personnel are able to enact your IS program by utilizing qualified IS personnel employed by you or an affiliate or service provider sufficient to manage your IS risks and to perform or oversee the IS program?

Have you Implemented policies and procedures to ensure that personnel are able to enact your information security program by verifying that key information security personnel take steps to maintain current knowledge of changing information security threats and countermeasures?

Have you Implemented policies and procedures to ensure that personnel are able to enact your information security program by providing information security personnel with security updates and training sufficient to address relevant security risks?