HCISPP: Regulations, Standards, and Ethics

• The HCISPP certification is for healthcare security and privacy professionals
• HCISPP stands for HealthCare Information Security and Privacy Practitioner

HCISPP Domains

• Domain 1: Healthcare Regulation, Standards, and Ethics
• Domain 2: Healthcare Information Governance and Risk Management
• Domain 3: Healthcare Information Privacy and Security Technologies
• Domain 4: Healthcare Information Security
• Domain 5: Healthcare Information Privacy

Domain 1: Healthcare Regulation, Standards, and Ethics

• Focuses on understanding the legal, regulatory, and ethical landscape governing healthcare information
• Key areas include: Regulations and Standards, Ethical Principles, and Compliance Requirements.

Regulations and Standards

• HIPAA (Health Insurance Portability and Accountability Act): US law that provides data privacy and security provisions for safeguarding medical information
• HITECH Act (Health Information Technology for Economic and Clinical Health Act): Promotes the adoption and meaningful use of health information technology
• GDPR (General Data Protection Regulation): European Union regulation on data protection and privacy for all individuals within the EU and the EEA
• PCI DSS (Payment Card Industry Data Security Standard): Information security standard for organizations that handle credit card information
• ISO 27001: International standard for information security management systems (ISMS)
• Understanding various state laws related to healthcare information privacy

Ethical Principles

• Beneficence: Acting in the best interest of patients
• Non-maleficence: Avoiding harm to patients
• Autonomy: Respecting patients' rights to make informed decisions
• Justice: Ensuring fairness and equitable distribution of resources
• Privacy: Protecting patient confidentiality

Compliance Requirements

• Developing and implementing compliance programs
• Conducting regular audits and risk assessments
• Training staff on privacy and security policies
• Responding to and reporting breaches
• Working with legal counsel to address compliance issues

Domain 2: Healthcare Information Governance and Risk Management

• Focuses on establishing frameworks for managing healthcare information and mitigating risks
• Key areas include: Data Governance, Risk Management, and Security Management

Data Governance

• Creating policies and procedures for data management
• Defining roles and responsibilities for data stewardship
• Ensuring data quality and integrity
• Managing data lifecycles
• Implementing data retention and disposal policies

Risk Management

• Identifying and assessing risks to healthcare information
• Developing and implementing risk mitigation strategies
• Monitoring and reporting on risk management activities
• Conducting vulnerability assessments and penetration testing
• Managing third-party risks

Security Management

• Implementing security controls to protect healthcare information
• Developing and maintaining security policies and procedures
• Managing user access and authentication
• Monitoring security events and incidents
• Implementing incident response plans

Domain 3: Healthcare Information Privacy and Security Technologies

• Focuses on the technologies used to protect healthcare information
• Key areas include: Access Control Systems, Encryption, Data Loss Prevention (DLP), and Network Security

Access Control Systems

• Implementing role-based access control (RBAC)
• Using multi-factor authentication (MFA)
• Managing user permissions and privileges
• Implementing physical access controls
• Monitoring access control systems

Encryption

• Encrypting data at rest and in transit
• Using strong encryption algorithms
• Managing encryption keys
• Implementing encryption for email and other communications
• Encrypting backups and removable media

Data Loss Prevention (DLP)

• Implementing DLP policies and procedures
• Monitoring data for unauthorized exfiltration
• Using DLP tools to prevent data loss
• Educating users on DLP best practices
• Responding to DLP incidents

Network Security

• Implementing firewalls and intrusion detection/prevention systems (IDS/IPS)
• Segmenting networks to isolate sensitive data
• Using virtual private networks (VPNs) for remote access
• Monitoring network traffic for malicious activity
• Implementing wireless security measures

Domain 4: Healthcare Information Security

• Focuses on the principles and practices of information security in the healthcare industry
• Key areas include: Security Architecture, Security Operations, and Incident Response

Security Architecture

• Designing secure systems and applications
• Implementing security controls throughout the system development lifecycle (SDLC)
• Using security frameworks and standards
• Integrating security into business processes
• Performing security assessments and audits

Security Operations

• Monitoring security events and incidents
• Managing security tools and technologies
• Performing vulnerability scanning and penetration testing
• Implementing security awareness training
• Managing security configurations

Incident Response

• Developing and implementing incident response plans
• Identifying and classifying security incidents
• Containing and eradicating security incidents
• Recovering from security incidents
• Reporting security incidents to relevant authorities

Domain 5: Healthcare Information Privacy

• Focuses on the principles and practices of information privacy in the healthcare industry
• Key areas include: Privacy Principles, Patient Rights, and Privacy Practices

Privacy Principles

• Notice: Informing individuals about the collection and use of their personal information
• Choice: Providing individuals with choices about how their personal information is used
• Access: Allowing individuals to access and correct their personal information
• Security: Protecting personal information from unauthorized access, use, or disclosure
• Enforcement: Enforcing privacy policies and procedures

Patient Rights

• Right to access their medical records
• Right to request amendments to their medical records
• Right to receive an accounting of disclosures of their medical records
• Right to request restrictions on the use and disclosure of their medical records
• Right to file a complaint with the Department of Health and Human Services (HHS)

Privacy Practices

• Implementing privacy policies and procedures
• Training staff on privacy requirements
• Managing patient consents and authorizations
• Responding to patient privacy complaints
• Conducting privacy impact assessments

Overview of HCISPP domains and Healthcare Regulation, Standards, and Ethics. Key areas include HIPAA, HITECH Act, and compliance requirements. Focuses on understanding the legal, regulatory, and ethical landscape governing healthcare information.