Identify where all PHI is stored, received, maintained, or transmitted
4
Review current security policies and processes
5
Identify and document potential threats and vulnerabilities
6
Approval: Potential Threats and Vulnerabilities
7
Assess current security measures
8
Determine the likelihood of threat occurrence
9
Determine the level of impact of threat occurrence
10
Determine risk level for each vulnerability
11
Approval: Risk Level Determination
12
Document all findings
13
Suggest remediation steps to mitigate risks identified
14
Prepare a Risk Management plan based on the assessment
15
Approval: Risk Management Plan
16
Implement the remediation steps
17
Update and revise security policies as necessary
18
Train staff on new security protocols
19
Monitor and review the effectiveness of remediation steps and risk management plans
20
Approval: Monitoring and Review Results
Identify scope of the assessment
This task involves determining the boundaries and extent of the security risk assessment. It helps to define the areas, systems, and processes that will be included in the assessment. The desired result is a clear understanding of the scope to ensure a comprehensive assessment. What are the challenges you foresee in defining the scope and how would you overcome them? What resources or tools will you utilize to complete this task?
Complete an inventory of all electronic systems
This task requires creating a detailed inventory of all electronic systems within the assessed scope. It helps to identify and document the systems that store, receive, maintain, or transmit Protected Health Information (PHI). The desired result is an accurate and complete list of electronic systems. How would you ensure the inventory is comprehensive? What challenges might arise and how would you address them? What resources or tools will you utilize to complete this task?
Identify where all PHI is stored, received, maintained, or transmitted
In this task, you will identify and document the locations where Protected Health Information (PHI) is stored, received, maintained, or transmitted within the assessed scope. The desired result is a comprehensive understanding of the PHI flow. What challenges do you anticipate in identifying all PHI locations and how would you overcome them? How would you describe the impact of this task on the overall assessment process? What resources or tools will you utilize to complete this task?
Review current security policies and processes
This task involves reviewing the existing security policies and processes within the assessed scope. It helps to assess the current state of security measures in place. The desired result is a thorough understanding of the existing security framework. What challenges might arise during the review process and how would you address them? How would you describe the impact of this task on the overall assessment process? What resources or tools will you utilize to complete this task?
Identify and document potential threats and vulnerabilities
In this task, you will identify and document potential threats and vulnerabilities within the assessed scope. It helps to uncover areas of potential risk to the security of PHI. The desired result is a comprehensive list of identified threats and vulnerabilities. How would you ensure a thorough identification of threats and vulnerabilities? What challenges might arise in this process and how would you overcome them? What resources or tools will you utilize to complete this task?
1
Weak passwords
2
Unencrypted data
3
Physical access
4
Lack of employee training
5
Unauthorized access
Approval: Potential Threats and Vulnerabilities
Will be submitted for approval:
Identify and document potential threats and vulnerabilities
Will be submitted
Assess current security measures
This task involves assessing the effectiveness of current security measures within the assessed scope. It helps to determine the adequacy of existing controls. The desired result is an evaluation of the current security measures. How would you evaluate the effectiveness of security measures? What challenges might arise in this process and how would you overcome them? What resources or tools will you utilize to complete this task?
1
Access controls
2
Encryption protocols
3
Firewall configurations
4
Backup procedures
5
Security incident response plan
Determine the likelihood of threat occurrence
In this task, you will assess the likelihood of threat occurrence within the assessed scope. It helps to quantify the probability of threats materializing. The desired outcome is a determination of the likelihood of threat occurrence. How would you assess the likelihood of threat occurrence? What challenges might arise in this process and how would you overcome them? What resources or tools will you utilize to complete this task?
1
Low
2
Medium
3
High
Determine the level of impact of threat occurrence
This task involves assessing the potential impact of threat occurrence within the assessed scope. It helps to understand the severity of threats. The desired outcome is a determination of the level of impact. How would you assess the potential impact of threat occurrence? What challenges might arise in this process and how would you overcome them? What resources or tools will you utilize to complete this task?
1
Low
2
Medium
3
High
Determine risk level for each vulnerability
In this task, you will determine the risk level for each identified vulnerability within the assessed scope. It helps to prioritize areas that require immediate attention. The desired outcome is a risk level assigned to each vulnerability. How would you assess the risk level for vulnerabilities? What challenges might arise in this process and how would you overcome them? What resources or tools will you utilize to complete this task?
1
Low
2
Medium
3
High
Approval: Risk Level Determination
Will be submitted for approval:
Determine the likelihood of threat occurrence
Will be submitted
Determine the level of impact of threat occurrence
Will be submitted
Document all findings
This task involves documenting all the findings from the security risk assessment within the assessed scope. It helps to maintain a record of identified risks, vulnerabilities, and recommendations. The desired outcome is a comprehensive document of findings. How would you ensure the accuracy and completeness of the documentation? What challenges might arise in this process and how would you overcome them? What resources or tools will you utilize to complete this task?
Suggest remediation steps to mitigate risks identified
In this task, you will suggest remediation steps to mitigate the risks identified within the assessed scope. It helps to provide actionable recommendations to address vulnerabilities. The desired result is a set of proposed remediation steps. How would you formulate effective remediation steps? What challenges might arise in this process and how would you overcome them? What resources or tools will you utilize to complete this task?
Prepare a Risk Management plan based on the assessment
This task involves preparing a Risk Management plan based on the assessment findings and proposed remediation steps. It helps to provide a comprehensive plan for managing and mitigating risks. The desired outcome is a well-defined Risk Management plan. How would you structure the plan effectively? What challenges might arise in this process and how would you overcome them? What resources or tools will you utilize to complete this task?
Approval: Risk Management Plan
Will be submitted for approval:
Document all findings
Will be submitted
Suggest remediation steps to mitigate risks identified
Will be submitted
Prepare a Risk Management plan based on the assessment
Will be submitted
Implement the remediation steps
In this task, you will implement the proposed remediation steps within the assessed scope. It helps to put the Risk Management plan into action. The desired result is the successful execution of remediation steps. How would you approach the implementation process? What challenges might arise in this process and how would you overcome them? What resources or tools will you utilize to complete this task?
1
Patch software vulnerabilities
2
Enhance access controls
3
Encrypt sensitive data
4
Implement employee training program
5
Monitor system logs
Update and revise security policies as necessary
This task involves updating and revising the security policies and processes based on the findings and implemented remediation steps within the assessed scope. It helps to ensure alignment with the new security measures. The desired result is an updated set of security policies. How would you prioritize the necessary updates? What challenges might arise in this process and how would you overcome them? What resources or tools will you utilize to complete this task?
Train staff on new security protocols
In this task, you will train staff on the new security protocols and procedures within the assessed scope. It helps to ensure awareness and compliance with the updated security measures. The desired outcome is a well-trained staff on new security protocols. How would you deliver effective training to staff members? What challenges might arise in this process and how would you overcome them? What resources or tools will you utilize to complete this task?
Monitor and review the effectiveness of remediation steps and risk management plans
This task involves monitoring and reviewing the effectiveness of the implemented remediation steps and Risk Management plans within the assessed scope. It helps to ensure continuous improvement and adaptability to changes. The desired outcome is an evaluation of the effectiveness of the measures taken. How would you monitor and review the effectiveness of the implemented steps and plans? What challenges might arise in this process and how would you overcome them? What resources or tools will you utilize to complete this task?
Approval: Monitoring and Review Results
Will be submitted for approval:
Monitor and review the effectiveness of remediation steps and risk management plans
