HIPAA Security Rule Part Two: Proposed Changes Require Clarity, Flexibility

By the EHR Association Privacy & Security Workgroup

This three-part blog series shares the EHR Association’s stance on OCR’s proposed changes to the HIPAA Security Rule. Part one focused on our overarching concerns and issues with proposed definitions. Part two focuses on several of the proposed standards.

Our analysis of proposed changes to the existing HIPAA Security Rule, released as HIPAA Security Rule to Strengthen the Cybersecurity of Electronic Protected Health Information, revealed a mixed bag of positive changes and areas of concern. In the first installment of this blog series, we noted the EHR Association’s appreciation for its enhancements to the cybersecurity baseline. However, we expressed concern about the resources and costs required for regulated entities to comply with the overhauled mandates. We also reviewed the feedback we shared with OCR on its proposed changes to key definitions.

In this installment, we highlight our concerns with several of OCR’s proposed expectations, drawing attention to the need for greater clarity and offering recommendations to ease compliance burdens while achieving intended outcomes. 

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HIPAA Security Rule Part One: Proposed Overhaul Closes Some Gaps, Opens Others

By the EHR Association Privacy & Security Workgroup

This three-part blog series shares the EHR Association’s stance on OCR’s proposed changes to the HIPAA Security Rule to Strengthen the Cybersecurity of Electronic Protected Health Information. Part one is focused on our overarching concerns and issues with proposed definitions.

Proposed changes to the existing HIPAA Security Rule, released as HIPAA Security Rule to Strengthen the Cybersecurity of Electronic Protected Health Information, include some long-overdue updates. However, the resources and costs required by healthcare provider organizations, health IT developers, and other regulated entities to comply with the sweeping changes will be too great for many to bear.

That was one of several important messages we shared with the HHS Office of Civil Rights (OCR) in our comment letter on the proposed rule. 

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CISA Proposes Practical Guidelines For Reporting Cyber Incidents

EHR Association Privacy & Security Workgroup

The Cybersecurity and Infrastructure Security Agency (CISA), responsible for coordinating cybersecurity programs within the U.S. and improving the government’s cybersecurity protections, proposed new reporting requirements under the Cyber Incident Reporting for Critical Infrastructure Act, or CIRCIA. The proposed rule lays out what incidents must be reported, by whom, and what the reports must contain. While the EHR Association provided comments of support for most areas, suggestions for potential refinement were also offered. 

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Phishing and Ransomware – The Gruesome Twosome of Cyber Attacks

By Nam Nguyen, Vice Chair
EHRA Privacy & Security Workgroup

October is Cybersecurity Awareness Month, and the Electronic Health Record Association (EHRA) will use this opportunity to share helpful reminders of cybersecurity fundamentals throughout the month. 

The 2020 HIMSS Cybersecurity Survey provides a look into cybersecurity issues facing US healthcare organizations. Based upon the feedback from 168 US-based healthcare cybersecurity professionals, “Significant security incidents continue to plague healthcare organizations of all types and sizes. Phishing is the most common type of significant security incident.”

Phishing and ransomware are the one-two punch of significant cyber risks. Phishing is typically the initial hook for significant security incidents, and occurs when a bad actor targets a user by email, telephone, or text message, posing as a legitimate company or organization to persuade the user to provide sensitive information, such as personal identifiers, banking information, credit card information and passwords. 

Using phishing tactics, a hacker can pose as an organization to get login information from an employee. Then using the login information they stole, place ransomware in the employer company’s critical systems.

Ransomware is malicious software that blocks access to an organization’s critical computer systems until a sum of money, the ransom, is paid. The FBI and the Cybersecurity and Infrastructure Security Agency (CISA) have published guidance urging victim organizations not to pay ransoms; they warn that paying hackers does not guarantee data will be returned and may encourage future strikes.   

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Have you updated your software today?

By Nam Nguyen, Vice Chair
EHRA Privacy & Security Workgroup

October is Cybersecurity Awareness Month, and the Electronic Health Record Association (EHRA) will use this opportunity to share helpful reminders of cybersecurity fundamentals throughout the month. 

The 2020 HIMSS Cybersecurity Survey provides a look into cybersecurity issues facing US healthcare organizations. Based upon the feedback from 168 US-based healthcare cybersecurity professionals, “Relatively few healthcare organizations are conducting end-to-end security risk assessments. Sensitive information is exposed and such systems are vulnerable to attack.”

A simple yet important precaution to reduce cybersecurity risks is ensuring software updates and patches are applied in a timely manner. Though they are easy to ignore, most software updates or patches are important, as they address a vulnerability or security flaw in the endpoint of computer systems or medical devices. 

Healthcare organizations have been increasingly targeted with ransomware and other cyberattacks since the beginning of the COVID-19 pandemic. This has shown hackers’ ability to endanger healthcare organizations’ operations as well as patient lives. 

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Passphrases are good, multi-factor authentication is better

By Nam Nguyen, Vice Chair
EHRA Privacy & Security Workgroup

October is Cybersecurity Awareness Month, and the Electronic Health Record Association (EHRA) will use this opportunity to share helpful reminders of cybersecurity fundamentals throughout the month. 

The 2020 HIMSS Cybersecurity Survey provides a look into cybersecurity issues facing US healthcare organizations.  Based upon the feedback from 168 US-based healthcare cybersecurity professionals, healthcare organizations must deal with a growing array of significant security incidents. These issues not only compromise the integrity of your technology and the privacy of patients, but can also disrupt an organization’s ability to provide patient care.

Being prepared for cyberattacks requires doing all you can to reduce cybersecurity risks. One of the most significant risks identified by security professionals is password management. Many people are still using simple passwords such as a series of numbers (123456) or easily guessed words (password). However, the easier it is to guess a password, the higher the risk of being compromised by a cyberattack. 

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