RESPONSE AND REPORTING POLICY # 20 ADMINISTRATIVE MANUAL APPROVED BY: ADOPTED: SUPERCEDES POLICY: REVISED: REVIEWED: DATE: REVIEW: PAGE: HIPAA Security Rule Language: “Identify and respond to suspected or known security incidents; mitigate, to the extent practicable, harmful effects of security incidents that are known to the covered entity; and document security incidents and their outcomes.” Policy Summary: Sindecuse Health Center (SHC) must be able to effectively detect and respond to security incidents in order to protect the confidentiality, integrity, and availability of its information systems. SHC must organize and maintain a security incident response team (SIRT) that will be SHC’s primary coordinator of security incident reporting and response. When responding to an incident, the SIRT must take all appropriate actions to ensure the confidentiality, integrity, and availability of SHC information systems. Whenever evidence clearly shows that a SHC information system has been subject to a security incident, an investigation must be performed by the SHC SIRT or SIRT-designated persons. Purpose: This policy reflects SHC’s commitment to effectively detect and respond to security incidents in order to protect the confidentiality, integrity, and availability of its information systems. Policy: 1. SHC must be able to effectively detect and respond to security incidents in order to protect the confidentiality, integrity, and availability of its information systems. 2. SHC must organize and maintain a security incident response team (SIRT) that will be SHC’s primary coordinator of security incident reporting and response. The SIRT must provide accelerated notification, damage control, and problem correction services when a security incident occurs. The SIRT should include SHC’s security officer. The specific responsibilities and scope of the SIRT must be defined in a charter. 3. SHC’s SIRT must create and document a formal security incident Page 1 of 4 Copyright 2003 Phoenix Health Systems, Inc. Limited rights granted to licensee for internal use only. All other rights reserved. RESPONSE AND REPORTING reporting procedure, which must be regularly reviewed and revised as necessary. The SIRT must provide SHC workforce members with an easy to use and effective process for reporting security incidents. All SHC workforce members must be regularly made aware of this process. 4. A SHC workforce member must not prevent another member from reporting a security incident. 5. The SIRT must appropriately respond to all security incidents that are reported to it via the SHC security incident reporting process. 6. When responding to an incident, the SIRT must take all appropriate actions to ensure that the confidentiality, integrity, and availability of SHC information systems has not been compromised. Such actions can include, but are not limited to, temporarily removing an information system from the SHC network, requesting access to an information system or viewing data. 7. All SIRT actions that will significantly affect SHC workforce members must be defined by procedures that clearly detail decisionmaking processes and implementation steps. 8. Whenever evidence shows that a SHC information system has been subject to a security incident, an investigation must be conducted by the SHC SIRT. Such investigations should provide sufficient information to ensure that: Vulnerabilities that lead to the incident(s) are identified. Appropriate security controls are established to mitigate the above vulnerabilities. 9. SHC’s SIRT must create and document formal guidelines on security incident evidence collection. Such guidelines must be provided to all SHC information system owners and administrators. These guidelines must be regularly reviewed and revised as necessary. 10. For purposes of analysis and possible prosecution, SHC must collect appropriate evidence regarding security incidents. Scope/Applicability: This policy is applicable to all departments that use or disclose electronic protected health information for any purposes. This policy’s scope includes all electronic protected health information, as described in Definitions below. Regulatory Category: Administrative Safeguards Page 2 of 4 Copyright 2003 Phoenix Health Systems, Inc. Limited rights granted to licensee for internal use only. All other rights reserved. RESPONSE AND REPORTING Regulatory Type: REQUIRED Implementation Specification for Security Incident Procedures Standard Regulatory Reference: 45 CFR 164.308(a)(6)(ii) Definitions: Electronic protected health information means individually identifiable health information that is: Transmitted by electronic media Maintained in electronic media Electronic media means: (1) Electronic storage media including memory devices in computers (hard drives) and any removable/transportable digital memory medium, such as magnetic tape or disk, optical disk, or digital memory card; or (2) Transmission media used to exchange information already in electronic storage media. Transmission media include, for example, the internet (wide-open), extranet (using internet technology to link a business with information accessible only to collaborating parties), leased lines, dial-up lines, private networks, and the physical movement of removable/transportable electronic storage media. Certain transmissions, including of paper, via facsimile, and of voice, via telephone, are not considered to be transmissions via electronic media, because the information being exchanged did not exist in electronic form before the transmission. Information system means an interconnected set of information resources under the same direct management control that shares common functionality. A system normally includes hardware, software, information, data, applications, communications, and people. Workforce member means employees, volunteers, and other persons whose conduct, in the performance of work for a covered entity, is under the direct control of such entity, whether or not they are paid by the covered entity. This includes full and part time employees, affiliates, associates, students, volunteers, and staff from third party entities who provide service to the covered entity. Availability means the property that data or information is accessible and useable upon demand by an authorized person. Confidentiality means the property that data or information is not made available or disclosed to unauthorized persons or processes. Integrity means the property that data or information have not been Page 3 of 4 Copyright 2003 Phoenix Health Systems, Inc. Limited rights granted to licensee for internal use only. All other rights reserved. RESPONSE AND REPORTING altered or destroyed in an unauthorized manner. Security incident means the attempted or successful unauthorized access, use, disclosure, modification, or destruction of information or interference with system operations in an information system. Responsible Department: SHC workforce Policy Authority/ Enforcement: SHC’s Security Official is responsible for monitoring and enforcement of this policy, in accordance with Procedure #(TBD). Related Policies: Security Incident Procedures Renewal/Review: This policy is to be reviewed annually to determine if the policy complies with current HIPAA Security regulations. In the event that significant related regulatory changes occur, the policy will be reviewed and updated as needed. Procedures: TBD Page 4 of 4 Copyright 2003 Phoenix Health Systems, Inc. Limited rights granted to licensee for internal use only. All other rights reserved.