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What is HIPAA? HIPAA explained

What is HIPAA?

The Health Insurance Portability and Accountability Act (HIPAA) is a federal law passed by the United States government, designed to protect the confidentiality of personal health information. This law requires healthcare organizations, their business associates, and other entities (referred to as covered entities and business associates) to take measures to ensure the privacy and security of protected health information (PHI) that can identify an individual.

HIPAA provides certain rights to individuals, and outlines guidelines for the electronic transmission of health data.

Why do you need to
comply with HIPAA?

Compliance with HIPAA is required for all covered entities, including healthcare providers and their business associates. Failure to comply with HIPAA regulations, or failure to properly secure patient information from a data breach by organizations that are covered under this act, can result in hefty financial penalties.

Adopting this standard also offers businesses the following advantages:

  • Improve efficiency and enhance compatibility of systems
  • Reduce the risk of data breaches and enhance security
  • Maintain public trust
  • Standardize electronic protected health information (ePHI) management

How ManageEngine can help you with HIPAA compliance?

A key part of ensuring compliance with HIPAA is ensuring compliance with the administrative, technical and physical safeguards laid down in the HIPAA security rule.

ManageEngine's suite of IT management solutions can help your organization meet the IT management and security related controls given under these safeguards.

Achieving HIPAA compliance with ManageEngine

Administrative safeguards

  • Security management process
  • Workforce security
  • Information access management
  • Security awareness and training
  • Security incident procedures
  • Contingency plan
  • Evaluation

Security management process

Identify and analyze risks to electronic protected health information and mitigate these risks through effective strategies like enforcing compliance with security policies, and regular monitoring system activity to detect and address security incidents.

How ManageEngine can help

Identify security breaches, regulate access, and streamline the patching processes. Deploy user and entity behavior analytics (UEBA) to spot unusual user behavior. Enforce data loss prevention (DLP) policies, and consolidate control over endpoint operations. Limit admin access, prioritize risks, and notify admins of policy violations.

Workforce security

Ensure that only authorized and trained personnel access sensitive information, through procedures for authorizing access, monitoring clearances, and revoking access when necessary, to protect data from unauthorized access and breaches.

How ManageEngine can help

Automate user lifecycle management. Streamline and secure access with MFA and SSO. Authorize ePHI access to users and groups. Review and detect inappropriate logons with user logon reports. Use role-based access control for ePHI access. Control device connections, apps, and automate access adjustments. Manage user accounts across multiple platforms. Ensure auditable account modifications and enable real-time alerts.

Information access management

Control who has access to sensitive information by implementing policies and procedures for authorizing, establishing, and modifying user access rights, ensuring that only authorized individuals can access specific data.

How ManageEngine can help

Track all network activities to gain extensive information on data access, privilege abuse, user activity, and logons and logoffs. Get real-time alerts via SMS or email when malicious sources interact with your network. Grant specific users or departments access to files, folders, and registries. Enhance efficiency and safeguard information by implementing MFA and SSO. Configure conditions to promptly remove off-boarded users from all linked directories and revoke all application access.

Security awareness and training

Establish procedures for regular security updates, malware protection, login monitoring, password management, and security incident reporting.

How ManageEngine can help

Automate periodic patching of vulnerable devices and secure ePHI available on them. Swiftly identify and contain incidents through robust monitoring, network segmentation, and disabling of compromised accounts. Eradicate malware by removing it, patching vulnerabilities, and analyzing attack vectors.

Security incident procedures

Establish protocols for identifying, responding to, mitigating, and documenting security incidents to ensure that any breaches or security events are promptly addressed to minimize damage and prevent future occurrences.

How ManageEngine can help

Collect, centralize, and analyze logs from various sources, such as servers, applications, network devices, and more. Correlate log data collected to detect attack patterns instantly. Detect malicious sources interacting with your network by correlating logs with threat data obtained from global threat feeds. Manage and track all incidents easily, with a defined process through the entire lifecycle, by configuring custom statuses. Automatically assign tickets based on technician expertise or groups for accurate, timely resolutions and prevent recurrence of incidents.

Contingency plan

Develop and maintain policies and procedures for responding to system emergencies, ensuring retrievable ePHI copies, data recovery, periodic contingency plan testing, and assessing application and data criticality to support contingency planning.

How ManageEngine can help

Correlate log data from various sources to detect security incidents and system emergencies. Create incident tickets, assign tasks to designated personnel, and track the progress of incident resolution. Identify vulnerabilities across the IT infrastructure and prioritize them based on severity. Assess the criticality of applications and data by identifying vulnerabilities that could potentially impact their availability or integrity during emergencies. Automate the patch management process for operating systems, applications, and third-party software. Ensure that systems are up-to-date with the latest security patches.

Evaluation

Perform regular assessments, adjusting to changes that affect the security of ePHI, to evaluate a covered entity's or business associate's compliance with this subpart's standards.

How ManageEngine can help

Receive real-time alerts for vital events and use premade HIPAA compliance reports for easier audits. Efficiently archive log data for an extended period to meet compliance requirements. Address security threats to ePHI promptly, manage incidents, and handle tickets for identified problems, ensuring only authorized ePHI access and monitoring network settings and health to stay compliant with security policies.

Physical safeguards

  • Facility access control and workstation security
  • Device and media control

Facility access control and workstation security

Develop and enforce protocols for facility access during emergencies, including security measures to prevent unauthorized entry and tampering. Implement role-based access controls for personnel, including visitor management and software access. Establish policies outlining specific workstation requirements for handling protected health information.

How ManageEngine can help

Centrally manage endpoint security, enforce patient data access controls, and use role-based access. Regulate network access, enhance device security, and define user roles. Enforce protocols for facility access during emergencies by remotely locking down endpoints or restricting access to sensitive data stored on them. Create and centralize knowledge base documents for protocols such as facility access, access controls, and workstation requirements for handling PHI.

Device and media control

Manage and secure physical devices and storage media containing ePHI, using endpoint tracking, disposal, encryption, and access controls to prevent unauthorized access or data loss ensuring patient privacy protection.

How ManageEngine can help

Manage the lifecycle of devices, including disposal. Remotely wipe data from a device when it gets stolen or an employee leaves the organization. Restrict and control the usage of peripheral devices in the network, both at the user and computer level. Use permissions management to configure browser, firewall, and security policies, as well as achieve access control for files, folders, and the registry. Enforce encryption to files, folders, and drives.

Technical safeguards

  • Access controls
  • Audit controls
  • Integrity
  • Person or entity authentication
  • Transmission security

Access controls

Manage authorized access to ePHI through authentication, authorization, encryption, auditing, and firewall systems ensuring data confidentiality, integrity, and availability, aiding in regulatory compliance.

How ManageEngine can help

Enable centralized management of Active Directory (AD) user accounts and authentication policies. Enforce strong authentication mechanisms such as multi-factor authentication (MFA) to verify the identities of users accessing ePHI systems or resources. Fine-tune users' access rights within each application by assigning them relevant roles and permissions in bulk. Support secure, single-click access to a wide range of applications, including AWS, Google Workspace, Salesforce, and Microsoft Entra ID (formerly Microsoft Azure AD).

Audit controls

Implement hardware, software, and procedural mechanisms that record and examine activity in information systems that contain or use ePHI.

How ManageEngine can help

Spot file permission changes like files created, modified, renamed, or deleted accurately. Get an audit trail of all events across systems, applications, and networks to identify areas of risk. Ensure compliance with audit-ready templates. Generate various reports based on user logons and logoffs, USB device usage, and alert teams based on software added or removed, periodic antivirus updates, and the status of firewalls, BitLocker, and file vaults.

Integrity

Implement policies to shield ePHI from unauthorized alteration and destruction. Use electronic mechanisms to verify the integrity of ePHI, ensuring it remains unaltered and secure.

How ManageEngine can help

Enable real-time file monitoring to track unauthorized ePHI modifications and deletions, and receive instant alerts. Accurately spot file permission changes like files created, modified, renamed, or deleted. Enforce access controls and session recording for ePHI security, with audit trails for traceability.

Person or entity authentication

Implement procedures to evaluate whether the people or entities seeking access to ePHI are actually who they claim to be.

How ManageEngine can help

Enforce authentication mechanisms on endpoint devices, ensuring that only authorized users can access ePHI stored on these devices. Enable centralized management of AD user accounts and authentication policies. Enforce strong authentication mechanisms such as MFA to verify the identities of users accessing ePHI systems or resources.

Transmission security

Implement technical security measures to protect against unauthorized access to ePHI transmitted over an electronic communications network. Ensure ePHI is not improperly modified without detection until it is disposed of. Implement mechanisms to encrypt ePHI when deemed appropriate.

How ManageEngine can help

Monitor and regulate your enterprise data movement from a centralized console to combat insider attacks and data loss. Leverage role-based file access and transfer control with file transfer limit to secure your data.

How ManageEngine products can help with HIPAA controls and requirements

Control mapping

Here's a glimpse of how various ManageEngine products can help you achieve different IT management and security requirements under HIPAA. Download our guide to get the details on how and what sub-requirements are met by our solutions.

Dive into the details

Download this guide to take a closer look at how ManageEngine can help you implement IT-related HIPAA controls.

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Disclaimer:

The complete implementation of HIPAA requires a variety of process, policy, people, and technology controls.The solutions mentioned above are some of the ways in which IT management tools help with the HIPAA requirements. Coupled with other appropriate solutions, processes, people controls, and policies, ManageEngine's solutions can help organizations comply with HIPAA. This material is provided for informational purposes only, and should not be considered as legal advice for the HIPAA compliance. ManageEngine makes no warranties, express, implied, or statutory, as to the information in this material. Please contact your legal advisor to learn how HIPAA impacts your organization and what you need to do to comply with the HIPAA.

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