Enabling Solutions for HIPAA Compliance. Presented by: Mike McDermand

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1 Enabling Solutions for HIPAA Compliance Presented by: Mike McDermand

2 HIPAA Agenda About Computer Associates International, Inc. (CA) AHA HCCA HIPAA security survey Summary results Highlights of responses Recommended technology solutions to enable compliance Added complexity of wireless networks Summary information

3 About CA World s fourth-largest independent software vendor The global leader in identity and access management security More than 15,000 employees internationally Market cap approximately $60 billion Revenues > $3 billion 1,200+ software solutions Achieved IS quality certification Offices in more than 50 countries

4 Healthcare Solutions Group Objective Combine CA technology with industry knowledge and the capabilities of our partners to deliver business and clinical solutions to the healthcare industry

5 Technology to Enable HIPAA Security Compliance

6 AHA HCCA HIPAA Security Survey 772 Respondents to Survey Beds 37.1% Beds 14.9% Beds 18.8% Beds 23.7% Health Plans 1% Other (no patient care) 4.5% 75% of respondents were executive level Less than ½ of executives have a role in compliance efforts (47% CIO, 45% CFO, 41% CEO, 22% Board) 74% of Compliance Officers take a role

7 Summary Results What is Going Well? 97% of respondents are using Anti-Virus 70% of respondents are using Spam Control 78% conduct on-going security awareness training 70% of respondents are increasing security budgets in 2005

8 Summary Results What is getting better? 80% of respondents have completed a network scan (only 25% scan quarterly or more) 47% are currently using intrusion detection technology 62% are using security audit tools (most are not centralized)

9 Summary Results What is going poorly? 11% of respondents say they are compliant 55% are in the implementation stage 8% are using identity management software and 22% plan to use this software 60% use WLAN technology and 43% use wireless security 48% use encryption for sent outside the organization Limited Audit consolidation and correlation

10 Survey Highlights Results indicate that most covered entities are behind schedule for Security compliance Covered Entities are most advanced with electronic defense Administrative Compliance and Access Controls need the most attention Much security related education is needed Increasing involvement from executives (41% of CEOs, and 45% of CFOs) Three main obstacles to security compliance Budget - 57% Resources 81% Time 59%

11 The Need for Improvement 60% of respondents have a wireless LAN, 43% use wireless security 48% use encryption for sent outside the organization 63% use technology to prevent unauthorized loading of spy ware, cookies, malware, etc. 43% do not conduct regularly scheduled security audits, while only 33% perform audits more than once per year On the good side, 70% of respondents plan to use single sign on

12 Example - Workforce Administration Workforce security Provide access to authorized users Prevent access for unauthorized users Ensure that access to electronic protected health information (ephi) by a workforce member is appropriate Implement procedures for terminating access when employment has ended Information access management Access authorization Access establishment and modification

13 Example - HIPAA Access Control Unique user identification required Emergency access procedure required Automatic logoff addressable Additional administrative requirements Log-in monitoring Password management Current barriers to meeting these requirements Balance security with convenience at the clinical workstations Limited security capabilities within current applications

14 Example - Security Incident Tracking Information system activity review required Review records of information system activity Audit logs, access reports and security incident tracking reports Security incident response and reporting required Identify and respond to suspected or known security incidents Mitigate harmful effects of security incidents that are known to the covered entity Document security incidents and their outcomes Audit controls required Implement hardware, software and/or procedural mechanisms that record and examine activity in information systems containing ephi

15 Example - System Access Controls For Risk management Reduce security risks and vulnerabilities to a reasonable and appropriate level Isolating healthcare clearinghouse functions Allow systems administrators to access all components Access control and validation procedures Control and validate access to software programs for testing and revision Authenticating ephi Help ensure ephi has not been altered or destroyed in an unauthorized manner Current barriers to proper access controls Superusers have global access to ephi on distributed platforms

16 Issues Related to Access Controls Much PHI resides on distributed systems (Microsoft platforms or Unix platforms) A Root User on Unix, and an Administrative User on Microsoft, have full access rights to all information on a server Security logs are often not complete, and may be modified by an Administrative/Root User Administrative/Root access is required to set up user accounts, manage the Db, etc. Where does minimum necessary apply?

17 Healthcare Access Control

18 Healthcare Access Control Admin Policy Engine

19 Healthcare Access Control Admin Policy Engine GUI

20 Healthcare Access Control HR System Admin Policy Engine GUI

21 Healthcare Access Control HR System Web Admin Policy Engine GUI

22 Healthcare Access Control HR System Web Admin Policy Engine GUI Authentication Service

23 User logs into SSO by clicking logon button

24 User presents finger to fingerprint reader

25 The toolbar populates with icons that represent applications that are authorized within SSO.

26

27 Healthcare Access Control HR System Web Admin Policy Engine GUI Authentication Service

28 Healthcare Access Control HR System Web Admin Policy Engine GUI Authentication Service Audit/Command Center

29 Healthcare Access Control HR System Web Admin Policy Engine GUI Authentication Service Enhance OS Enhance OS Enhance OS Audit/Command Center

30 Example - Contingency Plan and Operations Data backup plan required Create and maintain retrievable exact copies of ephi Disaster recovery plan required Establish procedures to restore data loss Must contain documented policies and procedures Emergency mode operation plan required Protect the security of ephi while operating in an emergency mode Time limit required Maintain documentation for six years from the date when it was last in effect

31 Solution Centralized Storage Management Conduct data and application criticality analysis Maintain reliable offsite storage for disaster recovery Develop emergency mode operation procedures Deliver enterprise-wide, policy-based data protection solutions Provide centralized monitoring of data protection processes, including hardware and software Ensure existing hardware is utilized to its fullest possible extent

32 Wireless Brings its Own Set of Issues A diverging set of client platforms New management issues from both an enduser perspective (change management) and a technology perspective (wireless application architecture) New security concerns with data access New physical concerns with device locations

33 How Far Does Your Access Point Transmit? Parts list Buying in bulk helps a lot. You probably won't be able to find a six-inch piece of all-thread, so buy the standard size (usually one or two feet) and a 10-pack of washers and nuts instead. Then, you'll have enough for two, for only about $10. Tools required Ruler Scissors Pipe cutter (or hacksaw or dremel tool, in a pinch) Heavy-duty cutters (or dremel again, to cut the all-thread) Something sharp to pierce the plastic (like an awl or a drill bit) Hot glue gun Soldering iron Construction time About an hour

34 Can Hackers Inventory Your Access Points? and then put them on the Internet?

35 Managing the Wireless LAN Wireless LAN management Discover and map the access points Show signal strengths, health and alerts Show devices associated with each access point Provide remote administration, configuration and bio flash updates Deliver centralized access control management Support for software distribution to handheld devices

36 Mobile Device Management Mobile device management to manage wireless PDA devices Monitor PDA health and welfare Discovery Battery levels OS versions Application versions and updates Available memory Asset management Software delivery

37 Manage WLAN at Each Site Wireless Site Management Automatically discover all WLAN components APs and wireless devices wired and over the air via agents and sensors Automatically allocate appropriate channels to the APs to mitigate RF signal interference Balance the number of connections on each access point to optimize throughput for each user Provides centralized access control management Visualize your WLAN site on a locationaware map

38 Secure the Enterprise WLAN Allow access only to authorized employees Specific device identification required for access Time-based access Restrict connections only within a predefined access zone Users required to be in the access zone to connect to the WLAN If user steps out of the access zone, connection is dropped (even for authorized users)

39

40 Locate Wireless Source with Long Range Antenna Highwall Scout Antenna How it works: The Scout is 8 directional antennae that are pointing in different directions. Can Report the location of the source of all wireless activity to the Highwall Sentinel. One Highwall Sentinel with one a and b/g scouts can normally cover an entire 4 to 6 story building The Sector tells us the General direction. Using neighboring sectors allows better accuracy Distance is determined by The Signal Strength of the device

41 Manage the WLAN Enterprise Wireless LAN management Discovery access points (Wired and through the air) Shows Performance, Health and Alerts Shows devices associated with each access point Propagates events to notify/correct issues

42 Summary Compliance with the HIPAA Security Regulation is behind the desired schedule Security within the healthcare provider market has improved, but still has a long way to go Electronic Defense is the most well established component Creating appropriate access controls, and administrative compliance are both trailing There is a recognize need for enabling technologies Wireless LANs bring increased risk

43 Enabling Solutions for HIPAA Compliance Presented by: Mike McDermand

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