45 C.F.R. Appendix A to Subpart C of Part 164—Security Standards: Matrix
Title 45 - Public Welfare
Title 45: Public Welfare
PART 164—SECURITY AND PRIVACY
Subpart C—Security Standards for the Protection of Electronic Protected Health Information
Appendix A to Subpart C of Part 164—Security Standards: Matrix
---------------------------------------------------------------------------------------------------------------- Implementation Specifications Standards Sections (R)=Required, (A)=Addressable---------------------------------------------------------------------------------------------------------------- Administrative Safeguards----------------------------------------------------------------------------------------------------------------Security Management Process................ 164.308(a)(1) Risk Analysis (R) ................................... Risk Management (R) ................................... Sanction Policy (R) ................................... Information System Activity Review (R)Assigned Security Responsibility........... 164.308(a)(2) (R)Workforce Security......................... 164.308(a)(3) Authorization and/or Supervision (A) ................................... Workforce Clearance Procedure ................................... Termination Procedures (A)Information Access Management.............. 164.308(a)(4) Isolating Health care Clearinghouse Function (R) ................................... Access Authorization (A) ................................... Access Establishment and Modification (A)Security Awareness and Training............ 164.308(a)(5) Security Reminders (A) ................................... Protection from Malicious Software (A) ................................... Log-in Monitoring (A) ................................... Password Management (A)Security Incident Procedures............... 164.308(a)(6) Response and Reporting (R)Contingency Plan........................... 164.308(a)(7) Data Backup Plan (R) ................................... Disaster Recovery Plan (R) ................................... Emergency Mode Operation Plan (R) ................................... Testing and Revision Procedure (A) ................................... Applications and Data Criticality Analysis (A)Evaluation................................. 164.308(a)(8) (R)Business Associate Contracts and Other 164.308(b)(1) Written Contract or Other Arrangement. Arrangement (R)---------------------------------------------------------------------------------------------------------------- Physical Safeguards----------------------------------------------------------------------------------------------------------------Facility Access Controls................... 164.310(a)(1) Contingency Operations (A) ................................... Facility Security Plan (A) ................................... Access Control and Validation Procedures (A) ................................... Maintenance Records (A)Workstation Use............................ 164.310(b) (R)Workstation Security....................... 164.310(c) (R)Device and Media Controls.................. 164.310(d)(1) Disposal (R) ................................... Media Re-use (R) ................................... Accountability (A) ................................... Data Backup and Storage (A)---------------------------------------------------------------------------------------------------------------- Technical Safeguards (see § 164.312)----------------------------------------------------------------------------------------------------------------Access Control............................. 164.312(a)(1) Unique User Identification (R) ................................... Emergency Access Procedure (R) ................................... Automatic Logoff (A) ................................... Encryption and Decryption (A)Audit Controls............................. 164.312(b) (R)Integrity.................................. 164.312(c)(1) Mechanism to Authenticate Electronic Protected Health Information (A)Person or Entity Authentication............ 164.312(d) (R)Transmission Security...................... 164.312(e)(1) Integrity Controls (A) ................................... Encryption (A)----------------------------------------------------------------------------------------------------------------
