Description:
In strict adherence to the Health Insurance Portability and Accountability Act (HIPAA) regulations, our organization has implemented robust policies and procedures to apply appropriate sanctions against workforce members who fail to comply with the security policies and procedures. This ensures the enforcement of a culture of compliance, safeguarding electronic protected health information (ePHI) and maintaining the integrity of our security framework. Development and documentation of a comprehensive framework that outlines the types of sanctions applicable to workforce members for non-compliance with security policies and procedures. Policies ensuring the consistent enforcement of sanctions across all levels of the workforce, promoting fairness and accountability. Procedures for documenting instances of non-compliance, including the nature of the violation, individuals involved, and any mitigating or aggravating factors. Protocols for the fair and impartial review of documented violations, including adjudication processes to determine appropriate sanctions. Policies promoting clear communication of security policies and procedures, coupled with ongoing training to prevent instances of non-compliance.
Priority: High
Category: Workforce Security and Compliance
Services Associated with AWS:
- AWS Identity and Access Management (IAM): Utilizing IAM services to manage access permissions and ensure compliance with security policies.
- AWS CloudTrail: Integration with AWS CloudTrail for monitoring and logging changes to security-related configurations.
Services Associated with Azure:
- Azure Active Directory: Leveraging Azure Active Directory for identity and access management to enforce security policies.
- Azure Policy: Integration with Azure Policy for defining, enforcing, and auditing policies to ensure compliance.
Objective Evidence:
- Documentation of Sanction Framework: Comprehensive documentation of the framework detailing types of sanctions applicable for non-compliance.
- Records of Consistent Enforcement: Records showcasing the consistent enforcement of sanctions across the workforce.
- Documentation of Violations:Detailed documentation of instances of non-compliance, including nature, individuals involved, and mitigating/aggravating factors.
- Records of Review and Adjudication: Records illustrating the fair review and adjudication processes for documented violations.
Communication and Training Records: Records highlighting communication efforts and ongoing training to prevent instances of non-compliance.
Possible Technology Considerations:
- Automated Monitoring Tools: Implementation of automated tools for monitoring and identifying potential violations.
-Training and Awareness Platforms: Utilization of platforms for delivering training and raising awareness about security policies.
What Needs to Be Answered:
- How effective is the documented framework in outlining and applying appropriate sanctions for non-compliance?
- How consistently are sanctions enforced across all levels of the workforce, promoting fairness and accountability?
- How thorough is the documentation of instances of non-compliance, including the nature of violations and individuals involved?
- How fair and impartial are the review and adjudication processes for documented violations?
- How effective are communication efforts and ongoing training in preventing instances of non-compliance?