HIPAA Security Regulation 


HIPAA, known as the Health Insurance Portability and Accountability Act, is a vital regulation in the United States designed to safeguard the privacy and security of patients' medical records and health information. Compliance with HIPAA necessitates a comprehensive approach that encompasses both technical and non-technical measures, with a primary focus on protecting Personal Health Information (PHI), mitigating risks, and fostering a culture of security and privacy.

To ensure compliance with HIPAA, organizations must implement robust technical safeguards that secure PHI throughout its lifecycle. This involves implementing advanced encryption technologies to protect data at rest and in transit, employing secure access controls to limit electronic access to PHI, and regularly monitoring and auditing systems to detect and address any security vulnerabilities.

However, compliance with HIPAA extends beyond technical measures alone. It also requires organizations to establish policies, procedures, and training programs to promote a culture of privacy and security. This includes training employees on the proper handling and protection of PHI, implementing strict access controls and separation of duties, conducting regular risk assessments, and developing comprehensive incident response plans.

By combining these technical and non-technical measures, organizations can demonstrate their commitment to HIPAA compliance and prioritize the privacy and security of patients' medical records and health information.

Soliton Systems understands the significance of HIPAA compliance and offers solutions that align with these requirements, helping organizations achieve a robust and secure environment for managing and protecting sensitive healthcare data.

Under HIPAA, IT security providers offering services to covered entities or business associates in the healthcare industry, are considered a business associate. 

It is thus crucial to adhere to specific sections of the HIPAA regulations. Below the different chapters to which Soliton's solutions may align and comply:

  • Security Policies and Procedures
  • Information Assets and Inventory Recovery
  • Information Assets Security
  • Data Encryption
  • Contingency Planning
  • Maintain Security Safeguards

According to HIPAA, 'Security Policies and Procedures' encompass the documented guidelines and protocols that covered entities and their business associates are required to establish and adhere to.

These policies and procedures aim to uphold the security and confidentiality of electronic protected health information (ePHI). They demonstrate the organization's commitment to protecting patient information, prioritizing both privacy and security.

Furthermore, they provide a robust framework for the implementation of comprehensive security measures.

MailZen facilitates the automatic creation of default Policies and Procedures.

To ensure that all employees read and adhere to the organization's security policies and procedures, MailZen restricts employees to only entitled options that comply with the specified policies. The inability to copy data to or from the Email client ensures strict enforcement of these policies, leaving no room for deviation.

 

Through the implementation of G/On, a robust mechanism is provided which empowers administrators to comprehensively specify and actively enforce a wide range of policies

In order to guarantee that all employees read and comply with the security policies and procedures of the organization, G/On follows a principle of granting access solely to authorized users, based on the policies that have been explicitly defined and configured within the system. By rigorously enforcing these policies, G/On acts as a robust safeguard, effectively preventing any unauthorized attempts to access restricted resources.

To ensure that all employees read and comply with the organization's security policies and procedures, NetAttest EPS enforces a defined policy regarding network segmentation. This effectively restricts access to unauthorized resources, thereby promoting adherence to the specified policies.

Regarding information asset inventory, HIPAA emphasizes the importance of identifying and documenting all systems, applications, hardware, and software that store, process, or transmit ePHI. This inventory serves as a foundational component for implementing effective security controls and safeguards to protect ePHI.

With MailZen, administrators are granted the ability to gain a comprehensive overview of all enrolled devices, thereby enabling them to effectively monitor and manage device authorization.

By providing this level of visibility, MailZen facilitates the implementation of robust security measures, allowing organizations to ensure that only authorized devices have access to sensitive data and resources.

HIPAA's information access controls are measures designed to regulate access to electronic protected health information (ePHI).

These controls ensure that only authorized individuals can access sensitive health data, protecting patient privacy and maintaining data security. They include unique user identification, user authentication, access authorization, role-based access controls, and audit controls.

By implementing these controls, organizations can minimize the risk of unauthorized access to ePHI and ensure compliance with HIPAA requirements.

MailZen addresses the requirement of creating and utilizing individual computer access and email accounts for all employees by utilizing the Exchange environment. Through this approach, MailZen enables the granting of access to resources and data based on the access policies defined within the Identity Provider (IdP), specifically Active Directory. By adhering to these policies, MailZen ensures that each user is assigned access only to the resources essential for their roles, while also preventing unauthorized access to sensitive data and resources.

MailZen ensures compliance with the requirement of establishing an account termination/change process for employees who leave or change roles by leveraging the unique user entitlements defined within the integrated Identity Provider (IdP) and the Exchange environment. The validity of user access in MailZen is dependent on the IdP, allowing for seamless and controlled management of user accounts.

 

G/On complies with the requirement of creating and using individual computer access and email accounts for all employees by leveraging Active Directory.

User accounts are created within Active Directory, granting automatic access only to authorized resources and data based on the defined roles within the Identity Provider (IdP). Through the effective enforcement of these access policies, Active Directory establishes a robust security framework, ensuring that sensitive data and resources are accessible only to users with appropriate permissions. This mitigates potential security risks and threats.

G/On meets the requirement of setting up an account termination/change process for employees leaving or changing roles by automatically enforcing the roles defined in the Identity Provider (IdP) during the authorization process. This ensures that access privileges are promptly adjusted or terminated based on the employee's updated role information, effectively managing account changes in a seamless and efficient manner.

G/On meets the requirement of establishing a documentation trail for account changes by implementing an automated system for tracking and storing local account modifications. This crucial element of effective security management enables organizations to maintain comprehensive logs of all changes made to local accounts, ensuring a thorough audit trail. By leveraging this automated process, organizations can create and maintain a highly secure digital environment, effectively mitigating the risks and threats associated with unauthorized access to sensitive data or resources.

NetAttest meets the requirement of creating and utilizing individual computer access and email accounts for all employees by leveraging the creation of user accounts within Active Directory. This ensures that users are granted access only to authorized resources and data based on their defined roles within the Identity Provider (IdP).

By enforcing these access policies effectively, Active Directory establishes a strong security framework, ensuring that sensitive data and resources are accessible only to users with the appropriate permissions. To further reinforce access control, NetAttest verifies the end-user through certificate or credential authentication, adding an extra layer of security to the system.

NetAttest EPS meets the requirement of setting up account authority in line with the minimum necessary provision by granting access based on the roles defined in the Identity Provider (IdP) or directly specified in the Network Access Control (NAC) system. This ensures that users are provided access privileges that are specifically aligned with their designated roles, preventing unnecessary or excessive access to resources.

By adhering to this principle of least privilege, NetAttest EPS establishes a secure and controlled access environment, minimizing potential security risks or breaches.

NetAttest EPS meets the requirement of setting up an account termination/change process for employees who leave or change roles. By utilizing certificates for authorization, NetAttest EPS allows for the configuration of certificate expiration upon the end of an employee's contract. Additionally, the roles defined in the Identity Provider (IdP) are automatically enforced during the authorization process. This ensures that access privileges are promptly adjusted or revoked based on changes in an employee's role, providing a seamless and secure mechanism for managing account changes in accordance with organizational needs.

NetAttest EPS meets the requirement of establishing a documentation trail for account changes by implementing an automated system for tracking and storing local account modifications. This essential component of effective security management enables organizations to maintain comprehensive logs and tracking of all changes made to local accounts, ensuring a robust audit trail. By leveraging this automated process, organizations can establish and uphold a highly secure digital environment, effectively mitigating potential security risks or threats arising from unauthorized access to sensitive data or resources.

 

HIPAA's Information Assets Security focuses on safeguarding sensitive data in the healthcare industry. It involves implementing robust security measures to protect electronic protected health information (ePHI) from unauthorized access, use, or disclosure.

Compliance ensures the confidentiality, integrity, and availability of patient information, fostering trust and privacy in healthcare.

MailZen meets the requirement of establishing a process to remove protected data before disposal or reuse of media by utilizing enhanced encryption technology. This advanced encryption ensures the secure storage and protection of all data, guarding against unauthorized access.

By implementing this encryption process, MailZen creates a highly secure digital environment, effectively mitigating potential security risks and data leakage. Furthermore, the removal of encryption keys renders any remaining data completely inaccessible, guaranteeing comprehensive protection against exploitation if it were to fall into unauthorized hands. With these measures in place, MailZen ensures the secure disposal or reuse of media, maintaining the confidentiality and integrity of protected data.

MailZen meets the requirement of shredding or destroying all media containing PHI when no longer used by utilizing enhanced encryption technology.

This advanced encryption ensures the secure storage and protection of all data, safeguarding it from unauthorized access. By implementing this encryption process, MailZen establishes a highly secure digital environment that effectively mitigates potential security risks and data leakage.

Additionally, the removal of encryption keys renders any remaining data completely inaccessible, providing comprehensive protection against exploitation if it were to fall into unauthorized hands. With these measures in place, MailZen ensures the secure shredding or destruction of media containing PHI, preserving the confidentiality and integrity of the protected data.

G/On meets the requirement of establishing a process to remove protected data before disposal or reuse of media by implementing advanced data security protocols.

By prioritizing the secure management and handling of sensitive data, G/On ensures that potential security risks or threats are mitigated. One key aspect of this approach is avoiding the storage of data locally on end-user devices, creating a highly secure digital environment. As a result, sensitive data can only be accessed through secure channels and within authorized contexts.

This comprehensive approach to data management enables G/On to provide a robust security framework that effectively safeguards data integrity, minimizing potential risks or threats.

G/On meets the requirement of shredding or destroying all media containing PHI when no longer used by implementing advanced data security protocols.

By prioritizing the secure management and handling of sensitive data, G/On ensures that potential security risks or threats are mitigated. This is achieved through the avoidance of local data storage on end-user devices, creating a highly secure digital environment.

As a result, sensitive data can only be accessed through secure channels and within authorized contexts. G/On's approach to data management establishes a robust and comprehensive security framework, effectively safeguarding data integrity and minimizing potential risks or threats.

HIPAA's Data Encryption requirement emphasizes the use of encryption to protect sensitive information. Encryption transforms data into an unreadable format, ensuring its confidentiality and integrity. By implementing robust encryption technologies, organizations can comply with HIPAA regulations and enhance data security.

MailZen meets the requirement of encrypting PCs, laptops, servers, and handhelds containing PHI by utilizing enhanced encryption technology. This ensures that all data is securely stored and protected, mitigating potential security risks and data leakage.

Through the implementation of encryption processes, MailZen establishes a highly secure digital environment that safeguards sensitive information. Moreover, the removal of encryption keys renders the data inaccessible, offering effective protection against unauthorized access and exploitation.

MailZen meets the requirement of encrypting Internet transmissions containing PHI by leveraging industry-standard encryption techniques.

Through this robust encryption process, MailZen ensures secure data communication, effectively mitigating potential security risks and threats associated with unauthorized access to sensitive data.

By providing a highly secure digital environment, MailZen guarantees that all data is transmitted through encrypted channels, minimizing the risk of data breaches and unauthorized access. This comprehensive and effective security framework optimizes the protection of sensitive data and resources within MailZen's communication infrastructure.

MailZen meets the requirement of implementing an email encryption process by utilizing high-level industry-standard encryption for both data in transit and data at rest. This ensures that sensitive information is protected through robust encryption measures, maintaining the confidentiality and integrity of the email communication.

By employing strong encryption techniques, MailZen provides a secure platform that safeguards sensitive data throughout its lifecycle, enhancing the overall security of email communications.

G/On meets the requirement to encrypt PCs, laptops, servers, and handhelds containing PHI through advanced data security protocols.

By prioritizing secure data management and avoiding local data storage on end-user devices, G/On creates a highly secure digital environment. Sensitive data is accessible only through secure channels and within authorized contexts, ensuring data integrity and mitigating potential risks or threats.

With this approach, G/On offers a robust and comprehensive security framework for protecting sensitive information.

G/On meets the requirement to encrypt Internet transmissions containing PHI by implementing a proprietary encryption scheme. This ensures secure transmission of data, safeguarding it during communication.

Additionally, G/On employs secure client and server verification, ensuring that all communication takes place within authorized contexts and channels. This comprehensive approach to data encryption and verification guarantees the protection and confidentiality of PHI during Internet transmissions.

HIPAA's contingency planning refers to the process of developing strategies and procedures to ensure the availability, integrity, and security of electronic protected health information (ePHI) in the event of an emergency or unexpected event.

It involves identifying potential risks and vulnerabilities, implementing measures to mitigate those risks, and establishing backup and recovery plans to minimize disruptions to the healthcare organization's operations.

Contingency planning aims to ensure that critical systems and data can be effectively managed, accessed, and protected during and after emergency situations, ensuring the continuity of patient care and protecting the privacy and security of ePHI.

Soliton's solutions meets both the requirement of creating a plan for emergency operations and to develop a plan to recover from disasters by providing robust capabilities for full disaster recovery (DR) and high availability (HA) setups.

Our solutions are designed to ensure the continuity of critical operations and data accessibility in the event of emergencies or unexpected events.

With Soliton's solutions, organizations can establish comprehensive plans and infrastructure to effectively manage and recover from disruptions, safeguarding the availability, integrity, and security of their systems and data during emergency situations.

Maintaining Security Safeguards is of utmost importance in achieving HIPAA compliance. It involves the continuous protection of sensitive data and resources within healthcare organizations.

 

 

 

To fulfill the requirement of implementing separation of duties for electronic access to employees' Protected Health Information (PHI), MailZen leverages the Exchange environment to grant access based on the roles defined within the Identity Provider (IdP), which is integrated with Active Directory.

By relying on the IdP for user validation and authorization, MailZen ensures that unique users are granted access only to the resources and data specified within their respective roles.

This approach effectively establishes separation of duties and enables organizations to maintain a secure environment where access to PHI is controlled and aligned with specific job responsibilities.

To meet the requirement of implementing separation of duties for electronic access to employees' Protected Health Information (PHI), G/On utilizes the Active Directory to grant users access based on the specified entitlements defined within the Identity Provider (IdP).

By leveraging the capabilities of the Active Directory, G/On ensures that each user is granted access only to the resources and data that align with their designated roles within the organization. This implementation of separation of duties ensures that electronic access to employees' PHI is controlled and limited to the necessary authorized individuals, promoting a secure environment for sensitive healthcare information.




To fulfill the requirement of implementing separation of duties for electronic access to employees' Protected Health Information (PHI), NetAttest EPS leverages the capabilities of the Active Directory. Within the Active Directory, users are granted access based on the entitlements defined within the Identity Provider (IdP). This ensures that each user is authorized to access only the resources and data that align with their designated roles and responsibilities.

NetAttest EPS enforces this separation of duties by verifying the end user through certificate or credential authentication, further enhancing the security of electronic access to employees' PHI.

By implementing these measures, NetAttest EPS establishes a robust framework for ensuring appropriate access controls and protecting sensitive healthcare information.