HIPAA Administrative and Technical Safeguards

Questions and Answers

What are administrative safeguards?

A set of standards defined by the HIPAA Security Rule, including policies, procedures, and documentation to manage security measures designed to protect ePHI.

What are technical safeguards?

Set of standards under the HIPAA Security Rule designed to assist in implementing technological solutions to secure protected health information.

What are physical safeguards?

Measures such as locking doors to safeguard data and various media from unauthorized access, including facility access controls, workstation use, workstation security, and device and media controls.

How many administrative safeguards are there?

9 Signup and view all the answers

How many technical safeguards are there?

5 Signup and view all the answers

How many physical safeguards are there?

4 Signup and view all the answers

List the administrative safeguards.

<ol> <li>Security management process</li> <li>Assigned security responsibility</li> <li>Workforce security</li> <li>Information access management</li> <li>Security awareness training</li> <li>Security incident procedures</li> <li>Contingency Plan</li> <li>Evaluation</li> <li>Business Associate Contracts and other arrangements</li> </ol> Signup and view all the answers

List the technical safeguards.

<ol> <li>Access control</li> <li>Audit controls</li> <li>Integrity</li> <li>Person or entity authentication</li> <li>Transmission security</li> </ol> Signup and view all the answers

List the physical safeguards.

<ol> <li>Facility access control</li> <li>Workstation use</li> <li>Workstation security</li> <li>Device and media controls</li> </ol> Signup and view all the answers

What is the security management process?

Administrative safeguard: The implementation of policies and procedures to prevent, detect, contain, and correct security violations. Signup and view all the answers

What does assigned security responsibility mean?

Administrative safeguard: Requires that organizations identify the individual responsible for overseeing the development and implementation of their security policies/procedures. Signup and view all the answers

What is workforce security?

Administrative safeguard: Policies/procedures that ensure members of the workforce have access to ePHI appropriate for their jobs and that mechanisms are in place to prevent unauthorized access to ePHI. Signup and view all the answers

What is information access management?

Administrative safeguard: Requires organizations to implement procedures authorizing access to ePHI consistent with the privacy rule. Signup and view all the answers

What is security awareness and training?

Administrative safeguard: The requirement for a security awareness and training program for all members of a workforce. Signup and view all the answers

What are security incident procedures?

Administrative safeguard: Policies/procedures for reporting and responding to incidents. Signup and view all the answers

What is a contingency plan?

Administrative safeguard: Requires an organization to develop and implement policies/procedures for responding to an emergency or occurrence that damages equipment or systems containing ePHI. Signup and view all the answers

What is evaluation in the context of safeguards?

Administrative safeguard: Requires an organization to implement continuous monitoring and evaluation. Signup and view all the answers

What are Business Associate Contracts and other arrangements?

Administrative safeguard: Requires that contracts between a covered entity and its business associates provide satisfactory assurance that appropriate safeguards will be applied to protect ePHI. Signup and view all the answers

What are access controls?

Technical safeguard: Policies/procedures to limit access to ePHI to only the people or software programs that require it to do their jobs. Signup and view all the answers

What are audit controls?

Technical safeguard: Requires the installation of hardware, software, or manual mechanisms to examine and record activity in systems containing ePHI. Signup and view all the answers

What is integrity in the context of safeguards?

Technical safeguard: Requires policies/procedures that protect ePHI from being altered or destroyed in an unauthorized manner. Signup and view all the answers

What is person or entity authentication?

Technical safeguard: Requires procedures to prevent unauthorized users from accessing ePHI by verifying that a person is who they claim to be. Signup and view all the answers

What is transmission security?

Technical safeguard: Provides measures to be taken that protect ePHI against unauthorized access when it is being transmitted via an electronic communications network. Signup and view all the answers

What are facility access controls?

Physical safeguard: Requires that limits be placed on physical access to electronic information systems and the facilities in which they are located. Signup and view all the answers

Study Notes

Administrative Safeguards

Comprise nine specific standards mandated by HIPAA Security Rule.
Include policies and procedures to oversee security measures protecting electronic Protected Health Information (ePHI).
Include a Security Management Process to prevent, detect, contain, and correct security violations.
Assign a responsible individual for security policy development and implementation.
Ensure workforce members have appropriate access to ePHI based on job requirements.
Implement access management procedures aligned with privacy rules.
Require security awareness programs for all workforce members.
Outline incident reporting and response procedures.
Develop contingency plans for emergencies affecting ePHI systems.
Emphasize continuous monitoring and evaluation of security policies.
Mandate contracts with business associates to assure compliance with ePHI safeguards.

Technical Safeguards

Comprise five standards aimed at securing protected health information through technology.
Establish access controls to restrict ePHI access to authorized individuals or software.
Require audit controls to document and review system activities regarding ePHI access.
Maintain integrity of ePHI by preventing unauthorized alterations or destruction.
Implement verification procedures to authenticate the identity of individuals accessing ePHI.
Provide measures to safeguard ePHI during electronic transmission to protect against unauthorized access.

Physical Safeguards

Involve four specific controls to physically protect data and media from unauthorized access.
Enforce facility access controls restricting physical entry to information systems.
Ensure secure workstation usage and enforce workstation security protocols.
Manage device and media controls to protect ePHI from unauthorized physical access.

Key Figures

Administrative safeguards: 9 standards.
Technical safeguards: 5 standards.
Physical safeguards: 4 standards.

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Description

This quiz covers key terms and definitions related to the administrative and technical safeguards as outlined in the HIPAA Security Rule. Test your knowledge on essential standards and actions necessary for protecting electronic Protected Health Information (ePHI). Perfect for students and professionals in the healthcare and information security fields.