HIPAA Compliance & HIPAA Consulting Services

HIPAA regulatory standards or becoming certified by HITRUST requires that patient data be stored securely, access to the data be controlled and monitored, and that healthcare organizations have the policies, procedures and systems needed to ensure compliance.

We can implement HIPAA compliance program,  but we are no longer just dealing with HIPAA compliance, cyber criminals are targeting healthcare, with ransomware attacks, and phishing campaigns on the rise,  cyber crime and hacker are directly affecting patient safety and their information. Securing healthcare information is critical, by doing so reduce the possibility of your health records being compromised,  if or when healthcare records  becomes compromised you'll have more than just a regulatory headache - cyber security has become life and death in some cases for healthcare organizations. 

Healthcare organizations rely on us for compliance, implementing security solutions, HIPAA security program, and safeguards.  

Healthcare organizations make good targets for ransomware attacks because they don’t typically have sophisticated backup systems and other resiliency measures like large corporations. Ransomware attacks have become increasingly sophisticated and often begin with an email attachment opened by an unwitting employee. The malicious code crawls through the computer system, encrypting and locking data folders and the computer’s operating system.

Risk Categorization: Organizations must categorize their information and information systems in order of risk to ensure that sensitive information and the systems that use it are given the highest level of security. 


System Security Plan: HIPAA requires agencies to create a security plan which is regularly maintained and kept up to date. The plan should cover things like the security controls implemented within the organization, security policies, and a timetable for the introduction of further controls.


Security Controls: HIPAA outlines an extensive catalog of suggested security controls for HIPAA compliance. HIPAA does not require an agency to implement every single control; instead, they are instructed to implement the controls that are relevant to their organization and systems. Once the appropriate controls are selected and the security requirements have been satisfied, the organizations must document the selected controls in their system security plan.


Risk Assessments: Risk assessments are a key element of HIPAA’s information security requirements. HIPAA offers some guidance on how agencies should conduct risk assessments. According to the HIPAA guidelines, risk assessments should be three-tiered to identify security risks at the organizational level, the business process level, and the information system level.
Certification and Accreditation: HIPAA requires program officials and agency heads to conduct annual security reviews to ensure risks are kept to a minimum level. Agencies can achieve HIPAA Certification and Accreditation (C&A) through a four-phased process which includes initiation and planning, certification, accreditation, and continuous monitoring.

Learn more about CyberSecOp Healthcare and Hospital Security Services

Our healthcare security consulting clients include: Montefiore Medical Center in Bronx, New York,  Montefiore Hospital in Yonkers, NY, Montefiore Healthcare facilities, New York, Jacobi Hospital Bronx, NY,  St. Peter’s Hospital and Albany Memorial Hospital in Albany, NY, Samaritan Medical Center in Watertown, NY, Regions Hospital in St. Paul, MN (Health Partners), St. Vincent’s Medical Center in Bridgeport, CT (Ascension Health), Lawrence + Memorial Hospital in New London, CT, Norwalk Hospital in Norwalk, CT, Gillette Children’s Hospital in St. Paul, , Danbury Hospital (Western CT Health) in Danbury, CT, Good Samaritan Hospital in Troy, NY, Hospital for Special Surgery in NYC, NY, Clifton-Fine Hospital in Star Lake, NY. Stamford Hospital, Connecticut, CT, Hartford Hospital, Hartford Connecticut, CT.