Dropsuite

Maintaining a List of Service Providers (12.8.1)

Administering User Accounts (12.5.4)

Changing Vendor-supplied Defaults (2.1)

Removing Unnecessary Functionality (2.2.5)

Enabling Only Necessary Services (2.2.2)

ID.RA-01: Vulnerabilities in assets are identified, validated, and recorded

ID.RA-04: Potential impacts and likelihoods of threats exploiting vulnerabilities are identified and recorded

ID.RA-06: Risk responses are chosen, prioritized, planned, tracked, and communicated

PR.PS-01: Configuration management practices are established and applied

PR.PS-02: Software is maintained, replaced, and removed commensurate with risk

PR.PS-05: Installation and execution of unauthorized software are prevented

6.3 Information security awareness, education , and training - Personnel of the organization and relevant interested parties shall receive appropriate information security awareness, education and training and regular updates of the organization's information security policy, topic-specific policies, and procedures, as relevant for their job function.

Access Control 7 P & P - Is there a policy to control the access of staff, vendors, and 3rd party personnel to critical equipment (network devices, servers, etc.)?

Passwords P & P - Is there a password policy to ensure that minimum HIPAA password compliance is met?

Access Control 2 P & P - Are there both policies and procedures to ensure that idle computing devices enable lock screen after 10 minutes of non-use?

Security event reporting - Are there both policies and procedures that define a security event and provide instruction for communicating the event to appropriate personnel?

Protections 4 P & P - Are there processes in place to ensure that members of the public and staff without authorization cannot see ePHI (on computer screens, printers, desktops, etc)?

Business Continuity Plan 2 - Does the organization have a documented plan to receive, access, maintain, and record PHI in the event of a digital failure, and restore those records electronically after an incident has been recovered from?

Access Control 3 P & P - Are there both policies and procedures to ensure that user accounts are unique, not shared amongst users?

Protections 3 P & P - Are there both Policies and Procedures to ensure that confidential, private, and ePHI data is encrypted throughout the organization's domain?

Protections 1 P & P - Are there both policies and procedures that ensure that systems are protected with anti-virus/anti-malware programs?

IT Procedure Alignment Process - Does the org have a process by which IT management develops, implements, reviews, and updates digital security procedures to align to written policy?

Access Control 1 P & P - Are there both an Access Control policy and procedure to manage the authenticated and authorized access of people and systems to internal org resources?

Sanctions - Does the organization have sanctioning in its policies to help enforce security procedures?

Access Control 5 P & P - Are there both policies and procedures to ensure that users are permitted only those permissions necessary to perform their role (Principle of Least Privilege)?

Access Control 6 P & P - Are there both policies and procedures to ensure that idle account access to EHR portals and systems lock-out (require credentials to log back in)?

Business Continuity Plan 1 - Does the organization have a Business Continuity Plan that identifies business critical services and data sets needed to continue patient/client service?

Disaster Recovery Plan 2 - Is critical data (backed up at least weekly) to a network or cloud repository available for data recovery?

Access Control 4 P & P - Are there both policies and procedures to ensure that administrative rights are not allocated inappropriately?

Protections 2 P & P - Are there both policies and procedures that ensure that systems receive regular (at least monthly) updates and patches to minimize vulnerabilities?

Creates an EU-level oversight structure for critical vendors.

Criteria used to designate providers as critical.

Procedures for formally designating critical providers.

Grants oversight authorities various supervisory rights.

Defines the obligations of designated providers.

Outlines how and when designations are reviewed.

Address Unauthorized Assets

Address Unauthorized Software