hipaa security: case studies for small to medium health organizations (compliance methods) jeff...

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HIPAA Security: Case Studies for Small to Medium Health Organizations (Compliance Methods) Jeff Bardin, CISSP, CISM, NSA IAM, OCTAVE SM Principal & CSO Treadstone 71 www.treadstone71.com [email protected]

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Page 1: HIPAA Security: Case Studies for Small to Medium Health Organizations (Compliance Methods) Jeff Bardin, CISSP, CISM, NSA IAM, OCTAVE SM Principal & CSO

HIPAA Security: Case Studies for Small to Medium Health Organizations (Compliance Methods)

Jeff Bardin, CISSP, CISM, NSA IAM, OCTAVESM

Principal & CSO

Treadstone 71

www.treadstone71.com

[email protected]

Page 2: HIPAA Security: Case Studies for Small to Medium Health Organizations (Compliance Methods) Jeff Bardin, CISSP, CISM, NSA IAM, OCTAVE SM Principal & CSO

Agenda

From Threat Agent to Safeguard The NSA IAM Method

Criticality of Information Matrix Systems Criticality Matrix

OCTAVESM Method Human Actors Using Network Access Threat Profile: System Problems Basic Risk Profile

Initial Findings Scorecards HIPAA & ISO17799 Roadmap Q&A

Page 3: HIPAA Security: Case Studies for Small to Medium Health Organizations (Compliance Methods) Jeff Bardin, CISSP, CISM, NSA IAM, OCTAVE SM Principal & CSO

ThreatAgent

Threat

Vulnerability

Risk

Asset(ePHI)

Exposure

Safeguard

Gives rise to

Exploits

Leads to

Can damage

And causes an

Can be countermeasured by

Directly affects

Page 4: HIPAA Security: Case Studies for Small to Medium Health Organizations (Compliance Methods) Jeff Bardin, CISSP, CISM, NSA IAM, OCTAVE SM Principal & CSO

  Confidentiality Integrity Availability

Patient Records

Medical Staff Records

Employee Records

Vendor Contracts

Employee Health Records

Legal Files (lawsuit information)

Contracts w/Agency People

Meeting Minutes (Board)

Survey Reports (Joint Commission (Medicare/Medicaid)

Docs – Security Eng Tests & Inspections

Patient Accounts

Financial Audits

Planning Documents (Strategic/Master Facility Plan)

Payroll Records

Psych/Drug/Alcohol/HIV

Criticality of Information Matrix

H

M

MM

M

MM

M

M

M

H

H

H

H

H

H

H

HH

H

H

H

H

H

H

M

H

H

H

H

M

MM

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MM

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H

H

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H

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National Security AgencyInformation Assurance Methodology