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Dave Lasley edited this page Aug 11, 2015 · 7 revisions

HIPAA Compliance Requirements

The following features need to be implemented before this system is HIPAA compliant. Some of these may be implemented already, I just haven't found it yet.

Security Rule §164.306 and Privacy Rule §164.530(c)

Logging required:

  • Account Management – Success/Failure
  • Directory Service Access - Success/Failure
  • System Events - Success/Failure
  • Object Access Attempts – Success/Failure
  • Object Deletions
  • Group Management
  • Password Reset Attempts by Users
  • Password Reset Attempts by Administrators or Account Operators
  • Computer Account Management
  • Directory Service Access Attempts
  • Logon Failures – Active Directory
  • Logon Failures – Local Logons

Data protection/Integrity

  • It would be nice to mark a field as ePHI, then provide seamless at-rest encryption. This will allow users to not have to encrypt the drive that the database is on (allowing for SaaS).
  • Force HTTPS?
  • Cannot send emails containing ePHI
  • Versioning on ePHI (addressable)

Access Control §164.312(a)(2)(iii)

  • Enforcement of strong passwords is a requirement
  • Expiring passwords
  • Session expire time
  • Pass reset key expire time