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HIPAA - April 2004
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HIPAA Security Rule Implementation

The focus of the HIPAA Security Rule is risk management. The Security Rule requires covered entities to "conduct an accurate and thorough assessment of the potential risks and vulnerabilities to the confidentiality, integrity, and availability of electronic protected health information held by the covered entity."

In order to comply with the Security Rule each covered entity must:
Assess its own security risks
Determine its risk tolerance or risk aversion
Devise, implement and maintain appropriate security to address its business requirements
Document is security decisions
Appoint an Information Security Officer
Amend privacy policies and procedures to coordinate with security policies and procedures
Amend Business Associate Agreements

To facilitate this risk management exercise, the Security Rule has developed "standards" and "specifications" that each covered entity must address as part of its compliance efforts.  Each "standard" concerns some type of organizational structure or administrative, physical or technical safeguard required for security purposes.  Standards are implemented by one or more "specifications" which are specific requirements or instructions for implementing a standard. The Security Rule outlines 18 standards covering 36 implementation specifications.

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