HealthCare Information Security and Privacy

Course Description

Official (ISC)²® Training Seminar for the HealthCare Information Security and Privacy Practitioner (HCISPP®) provides a comprehensive review of the knowledge required to implement, manage or assess the appropriate security and privacy controls of a healthcare organization. This training course will help students review and refresh their knowledge and identify areas they need to study for the HCISPP exam. Content aligns with and comprehensively covers the seven domains of the (ISC)² HCISPP Common Body of Knowledge (CBK®), ensuring relevancy in the field of healthcare security and privacy.

Official courseware is developed by (ISC)² – creator of the HCISPP CBK – to ensure your training is relevant and up-to-date. Our instructors are verified security experts who hold the HCISPP and have completed intensive training to teach (ISC)² content.

Who Should Get Cybersecurity Certified?

The HCISPP is ideal for information security professionals charged with guarding protected health information (PHI), including those in the following positions:

Compliance Officer
Information Security Manager
Privacy Officer
Compliance Auditor
Risk Analyst
Medical Records Supervisor
Information Technology Manager
Privacy and Security Consultant
Health Information Manager
Practice Manager

1.1 Understand the Healthcare Environment Components

Types of Organizations in the Healthcare Sector
(e.g., providers, pharma, payers)
» Health Insurance (e.g., claims processing, payment
models, health exchanges, clearing houses)
» Coding (e.g., Systematized Nomenclature
of Medicine Clinical Terms (SNOMED CT),
International Classification of Diseases (ICD) 10)
» Revenue Cycle (i.e., billing, payment,
reimbursement)
» Workflow Management
» Regulatory Environment
» Public Health Reporting
» Clinical Research (e.g., processes)
» Healthcare Records Management

1.2 Understand Third-Party Relationships
» Vendors
» Business Partners
» Regulators
» Other Third-Party Relationships

1.3 Understand Foundational Health Data Management Concepts
» Information Flow and Life Cycle in the Healthcare Environments
» Health Data Characterization (e.g., classification, taxonomy, analytics)
» Data Interoperability and Exchange (e.g., Health Level 7 (HL7), International Health Exchange (IHE), Digital
Imaging and Communications in Medicine (DICOM))
» Legal Medical Records

2.1 Understand Information Governance Frameworks

» Security Governance (e.g., charters, roles, responsibilities)
» Privacy Governance (e.g., charters, roles, responsibilities)

2.2 Identify Information Governance Roles and Responsibilities

2.3 Align Information Security and Privacy Policies, Standards and Procedures
» Policies
» Standards
» Processes and Procedures

2.4 Understand and Comply with Code of Conduct/Ethics in a Healthcare Information
Environment
» Organizational Code of Ethics
» (ISC)² Code of Ethics

Domain 3:
Information Technologies in Healthcare

3.1 Understand the Impact of Healthcare Information Technologies on Privacy and Security
» Increased Exposure Affecting Confidentiality, Integrity and Availability (e.g., threat landscape)
» Oversight and Regulatory Challenges
» Interoperability
» Information Technologies

3.2 Understand Data Life Cycle Management (e.g., create, store, use, share, archive, destroy)

3.3 Understand Third-Party Connectivity
» Trust Models for Third-Party Interconnections
» Technical Standards (e.g., physical, logical, network connectivity)
» Connection Agreements (e.g., Memorandum of Understanding (MOU), Interconnection Security Agreements
(ISAs))

4.1 Identify Regulatory Requirements

Legal Issues that Pertain to Information Security
and Privacy for Healthcare Organizations
» Data Breach Regulations
» Protected Personal and Health Information (e.g.,
Personally Identifiable Information (PII), Personal
Health Information (PHI))
» Jurisdiction Implications
» Data Subjects
» Research

4.2 Recognize Regulations and Controls of Various Countries

» Treaties
» Laws and Regulations (e.g., European Union (EU) Data Protection Directive, Health Insurance Portability
and Accountability Act /Health Information Technology for Economic and Clinical Health (HIPAA/HITECH),
General Data Protection Regulation (GDPR), Personal Information Protection and Electronic Documents Act
(PIPEDA))

4.3 Understand Compliance Frameworks
» Treaties
» Laws and Regulations (e.g., European Union (EU) Data Protection Directive, Health Insurance Portability
and Accountability Act /Health Information Technology for Economic and Clinical Health (HIPAA/HITECH),
General Data Protection Regulation (GDPR), Personal Information Protection and Electronic Documents Act
(PIPEDA))
» Legal Issues that Pertain to Information Security
and Privacy for Healthcare Organizations
» Data Breach Regulations
» Protected Personal and Health Information (e.g.,
Personally Identifiable Information (PII), Personal
Health Information (PHI))
» Jurisdiction Implications
» Data Subjects
» Research
» Privacy Frameworks (e.g., Organization for Economic Cooperation and Development (OECD) Privacy
principles, Asia-Pacific Economic Cooperation (APEC), Generally Accepted Privacy Principles (GAPP))
» Security Frameworks (e.g., International Organization for Standardization (ISO), National Institute of
Standards and Technology (NIST), Common Criteria (CC))

5.1 Understand Security Objectives/Attributes

» Confidentiality
» Integrity
» Availability
5.2 Understand General Security Definitions and Concepts

» Identity and Access Management (IAM)
» Data Encryption
» Training and Awareness
» Logging, Monitoring and Auditing
» Vulnerability Management
» Segregation of Duties
» Least Privilege (Need to Know)
» Business Continuity (BC)
» Disaster Recovery (DR)
» System Backup and Recovery

5.3 Understand General Privacy Definitions and Concepts

» Consent/Choice
» Limited Collection/Legitimate Purpose/Purpose
Specification
» Disclosure Limitation/Transfer to Third-Parties/
Trans-border Concerns
» Access Limitation
» Accuracy, Completeness and Quality
» Management, Designation of Privacy Officer,
Supervisor Re-authority, Processing Authorization
and Accountability
» Training and Awareness
» Transparency and Openness (e.g., notice of
privacy practices)
» Proportionality, Use and Disclosure, and Use
Limitation
» Access and Individual Participation
» Notice and Purpose Specification
» Events, Incidents and Breaches

5.4 Understand the Relationship Between Privacy and Security
» Dependency
» Integration

5.5 Understand Sensitive Data and Handling
» Sensitivity Mitigation (e.g., de-identification, anonymization)
» Categories of Sensitive Data (e.g., behavioral health)

6.1 Understand Enterprise Risk Management

» Information Asset Identification
» Asset Valuation
» Exposure
» Likelihood
» Impact
» Threats
» Vulnerability
» Risk
» Controls
» Residual Risk
» Acceptance

6.2 Understand Information Risk Management Framework (RMF)
(e.g., International Organization for Standardization (ISO), National Institute of Standards
and Technology (NIST))

6.3 Understand Risk Management Process

» Definition
» Approach (e.g., qualitative, quantitative)
» Intent
» Life Cycle/Continuous Monitoring
» Tools/Resources/Techniques
» Desired Outcomes
» Role of Internal and External Audit/Assessment

6.4 Identify Control Assessment Procedures Utilizing Organization Risk Frameworks

6.5 Participate in Risk Assessment Consistent with the Role in Organization

» Information Gathering
» Risk Assessment Estimated Timeline
» Gap Analysis

6.6 Understand Risk Response (e.g., corrective action plan)

» Mitigating Actions
» Avoidance
» Transfer
» Acceptance
» Communications and Reporting

6.7 Utilize Controls to Remediate Risk (e.g., preventative, detective, corrective)

» Administrative
» Physical
» Technical

6.8 Participate in Continuous Monitoring

7.1 Understand the Definition of Third-Parties in Healthcare Context

7.2 Maintain a List of Third-Party Organizations
» Third-Party Role/Relationship with the Organization
» Health Information Use (e.g., processing, storage, transmission)

7.3 Apply Management Standards and Practices for Engaging Third-Parties
» Relationship Management

7.4 Determine When a Third-Party Assessment Is Required
» Organizational Standards
» Triggers of a Third-Party Assessment

7.5 Support Third-Party Assessments and Audits
» Information Asset Protection Controls
» Compliance with Information Asset Protection Controls
» Communication of Results

7.6 Participate in Third-Party Remediation Efforts

» Risk Management Activities
» Risk Treatment Identification
» Corrective Action Plans
» Compliance Activities Documentation

7.7 Respond to Notifications of Security/Privacy Events

» Internal Processes for Incident Response
» Relationship Between Organization and Third-Party Incident Response
» Breach Recognition, Notification and Initial Response

7.8 Respond to Third-Party Requests Regarding Privacy/Security Events

» Organizational Breach Notification Rules
» Organizational Information Dissemination Policies and Standards
» Risk Assessment Activities
» Chain of Custody Principles

7.9 Promote Awareness of Third-Party Requirements

» Information Flow Mapping and Scope
» Data Sensitivity and Classification
» Privacy and Security Requirements
» Risks Associated with Third-Parties

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HealthCare Information Security and Privacy Practitioner (HCISPP)

Course Description

Who Should Get Cybersecurity Certified?

Prerequisites

Syllabus

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