Remote-access Guide

hitrust rules for remote access

by River Cremin Published 2 years ago Updated 2 years ago
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Does your healthcare blueprint meet HITRUST CSF regulations?

The Common Security Framework (CSF) from HITRUST is a security standard for healthcare systems. The HITRUST compliance review whitepaper was published to aid in ensuring the healthcare blueprint meets CSF regulations. The whitepaper states:

What is the HIPAA HITRUST built-in initiative?

This built-in initiative is deployed as part of the HIPAA HITRUST 9.2 blueprint sample. Each control below is associated with one or more Azure Policy definitions. These policies may help you assess compliance with the control; however, there often is not a one-to-one or complete match between a control and one or more policies.

What is the Azure security and compliance blueprint for HIPAA/HITRUST?

I am excited to share our new Azure Security and Compliance Blueprint for HIPAA/HITRUST – Health Data & AI. Microsoft’s Azure Blueprints are resources to help build and launch cloud-powered applications that comply with stringent regulations and standards.

Does Cone Health meet HITRUST certification requirements?

This requires policies and procedures that enable Cone Health to meet the high standards of HITRUST certification. See the policy statements below; for the procedure accompanying each policy, click on the link.

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What are the HITRUST requirements?

The achievement of HITRUST certification requires: Satisfactory completion of a HITRUST validated assessment by an external assessor firm such as Linford & Company. Validation of the quality and accuracy of the assessment by HITRUST through the HITRUST quality assurance process.

How many controls are required for HITRUST certification?

The HITRUST CSF requires four controls related to information security risk management: Risk Management Program Development, Performing Risk Assessments, Risk Mitigation, and Risk Evaluation.

Does HITRUST require FIPS?

FIPS 140-2 validated encryption is one of the required elements in HITRUST.

What is the difference between HIPAA and HITRUST?

HIPAA is a U.S. law that includes a set of safeguards that covered entities and business associates must follow to protect health information. The HITRUST CSF is a certifiable security and privacy framework with a list of prescriptive controls/requirements that can be used to demonstrate HIPAA compliance.

What are HITRUST security controls?

The HITRUST CSF is a framework designed and created to streamline regulatory compliance through a common set of security controls mapped to the various standards to enable organizations to achieve and maintain compliance.

How many domains are in HITRUST?

HITRUST Assessment Domains The HITRUST CSF uses 19 domains to make it easier for you and your team to isolate data protection concerns. In total, these domains include 135 security controls. Processes should be in place to ensure confidentiality, integrity, and availability of sensitive data.

Is Hitrust a risk management framework?

The HITRUST Approach is built around a risk management process that provides a consistent, managed methodology designed to meet the needs of organizations operating in various industries. The HITRUST Approach takes a holistic route to effectively analyze the potential risks to information protection.

What four things are Hitrust CSF updates based upon?

Security. Security and Privacy. Comprehensive Security. Comprehensive Security and Privacy.

Is FIPS required for FedRAMP?

One of the biggest challenges our customers face when pursuing Federal Risk and Authorization Management Program (FedRAMP) compliance is the federal mandate that Federal Information Processing Standards (FIPS) 140-2 validated cryptographic modules must be consistently applied where cryptography is required.

What is the difference between SOC 2 and HITRUST?

One of the main differences between a SOC 2 and HITRUST CSF is that a SOC 2 is an attestation report, while a HITRUST review is accompanied by a certification.

Does HITRUST replace HIPAA?

HITRUST does not replace HIPAA, but it can provide measurable criteria and objectives for applying "appropriate administrative, technical, and physical safeguards."

Who needs HITRUST certification?

1. HITRUST compliance is required by all major healthcare payers in the US. No matter what your business does in the healthcare realm, it's crucial to know that HITRUST CSF certification is often required.

How hard is it to get HITRUST certified?

The initial self-assessment takes between 2-8 weeks to complete depending on the size and complexity of the organization and the scoped environment, and it can take an additional 6 weeks for the validated assessment to be processed and certification awarded by HITRUST.

What is the difference between SOC 2 and HITRUST?

One of the main differences between a SOC 2 and HITRUST CSF is that a SOC 2 is an attestation report, while a HITRUST review is accompanied by a certification.

How does HITRUST certification work?

HITRUST Certification means an organization has partnered with an authorized HITRUST External Assessor to pass a comprehensive security evaluation. Certification confirms that the organization has met all industry regulations while maintaining high standards of data loss prevention and information risk management.

Is HITRUST certification Annual?

The HITRUST i1 certification is valid for one year and is renewed on the basis of a full assessment. The HITRUST r2 certification is valid for two years with the expectation that: The organization continues to monitor the effective operation of controls over the period.

What is HITRUST?

HITRUST or the Health Information Trust Alliance is a healthcare-driven industry organization that created and maintains the certifiable Common Sec...

How does HITRUST differ from HIPAA?

With HIPAA, organizations must comply with legal regulations. HITRUST focuses on managing risk for comprehensive positive impacts on healthcare org...

How is HITRUST related to GDPR?

Personal Data Protection Policy HITRUST integrates the European Union’s General Data Protection Regulation (GDPR) into the HITRUST CSF to help orga...

How does HITRUST relate to ISO27001?

The HITRUST CSF’s security safeguards are derived from industry and government frameworks, and cybersecurity requirements including ISO/IEC 27001,...

How does HITRUST differ from SOC2?

SOC 2 is a reporting format and not a security framework. The AICPA’s Trust Services Criteria is aligned to the HITRUST CSF that provides standard...

How long does it take to get HITRUST certified?

The HITRUST certification process can take up to twelve months, depending on the size and scope of the organization.

How much does HITRUST certification cost?

The cost for a HITRUST certification ranges from $40,000 – $60,000.

What is the HITRUST Common Security Framework?

The HITRUST Common Security Framework (CSF) is divided into 19 different domains that include endpoint protection and access control. The CSF helps organizations address security challenges through a comprehensive framework of prescriptive and scalable security and privacy controls. HITRUST certified IT offerings against these controls by adapting requirements for certification based on organizational, system, and regulatory factors.

What is HITRUST and What Does it Mean?

The HITRUST CSF enables healthcare organizations and providers to demonstrate security and compliance in a consistent and streamlined manner.

How Often is HITRUST CSF Updated?

New versions of HITRUST CSF are published periodically to stay ahead of the latest technology and cyber security threats. The average update is once per year. The last time that HITRUST CSF was updated was in June 2020.

What is the Cost of HITRUST CSF Certification in 2021?

The cost of becoming HITRUST certified in 2021 is determined by the fees charged by a HITRUST CSF Assessor. At the beginning of the certification process, the appointed assessor will carry out a thorough analysis of your risk profile by asking 50 questions. It is your risk profile that will determine the cost of becoming HITRUST certified in 2021.

Helpful artifacts

The blueprint includes a script to create an AI/ML system, complete with a sample experiment. It also includes several documents to help system implementers keep their installations secure and compliant.

Clarifying responsibilities

When creating any system on a cloud platform, there are two possible owners for any part of the solution, the cloud provider and the customer. It is important to know who is responsible for specific actions, services, and other operational details.

Planning for security threats

Before creating complex systems, it is always advisable to perform a threat assessment. It is a best practice to create a threat assessment model. It helps you to visualize the system and find the points of vulnerability in the proposed architecture. This leads to conversations about where the system may be improved and hardened against attacks.

Regulatory compliance

Healthcare systems need to meet regulatory compliance standards. At installation, the blueprint complies with HIPAA and HITRUST requirements. Whitepapers are included to help you understand how to continue to meet these requirements. Let’s examine the whitepapers and other provided artifacts to see how they might help.

Recommended next steps

Use the supporting collateral below to prepare for your installation of the blueprint. The artifacts demonstrate how responsibilities, compliance, and security are established and how you can maintain them going forward.

Collaboration

What other artifacts or considerations do you think would be helpful when putting healthcare systems into production? Your comments and recommendations are welcome below. I regularly post on technology in healthcare topics. Reach out and connect with me on LinkedIn or Twitter.

How often do system administrators revalidate user access?

Every 90 days, system administrators will work with application owners to revalidate user access (including a user accounts assigned to vendors). The system administrator will send application owners a list of all the users who have access to their systems, along with the rights and privileges they have. Application owners will confirm that the user still needs access at the level granted with the same rights and privileges. If there are changes that need to be made, the application owner will inform the system administrator or the changes. System administrators will implement these changes within 24 hours of notification.

Why is access authorization segregated?

Access authorization requests (e.g., adding, removing, changing or suspending access) will be segregated to avoid conflict of interest, collusion, fraudulent or other malicious activity. The following rules apply to segregation of responsibility:

What is privileged user access?

Privileged user access is a level of access that allows an individual to perform system administration or security relevant functions (e.g., configuring/modifying access authorizations and setting/modifying audit logs and auditing behavior, boundary protection system rules, authentication parameters, and system configurations and parameters) that ordinary users are not authorized to do. The following rules apply to privileged user access:

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Helpful Artifacts

  • The blueprint includes a script to create an AI/ML system, complete with a sample experiment. It also includes several documents to help system implementers keep their installations secure and compliant. These include worksheets, whitepapers, and spreadsheets that will help you ensure system compliance with healthcare regulations and certifications...
See more on azure.microsoft.com

Clarifying Responsibilities

  • When creating any system on a cloud platform, there are two possible owners for any part of the solution, the cloud provider and the customer. It is important to know who is responsible for specific actions, services, and other operational details. Without a clear understanding of this delineation, customers or vendors may find themselves in a difficult situation if an issue arises, l…
See more on azure.microsoft.com

Planning For Security Threats

  • Before creating complex systems, it is always advisable to perform a threat assessment. It is a best practice to create a threat assessment model. It helps you to visualize the system and find the points of vulnerability in the proposed architecture. This leads to conversations about where the system may be improved and hardened against attacks. Microsoft provides a Threat Model …
See more on azure.microsoft.com

Regulatory Compliance

  • Healthcare systems need to meet regulatory compliance standards. At installation, the blueprint complies with HIPAA and HITRUST requirements. Whitepapers are included to help you understand how to continue to meet these requirements. Let’s examine the whitepapers and other provided artifacts to see how they might help.
See more on azure.microsoft.com

Recommended Next Steps

  • Use the supporting collateral below to prepare for your installation of the blueprint. The artifacts demonstrate how responsibilities, compliance, and security are established and how you can maintain them going forward. Prepare for installation and ongoing maintenance with the following documents. 1. The Azure blueprint for AI Solution Guide. 2. Shared Responsibilities for Cloud Co…
See more on azure.microsoft.com

Collaboration

  • What other artifacts or considerations do you think would be helpful when putting healthcare systems into production? Your comments and recommendations are welcome below. I regularly post on technology in healthcare topics. Reach out and connect with me on LinkedIn or Twitter.
See more on azure.microsoft.com

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