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| Topic | Details |
|---|---|
Healthcare Industry (12%) | |
| 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 |
| Understand Third-Party Relationships | - Vendors - Business Partners - Regulators - Other Third-Party Relationships |
| 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 |
Information Governance in Healthcare (5%) | |
| Understand Information Governance Frameworks | - Security Governance (e.g., charters, roles, responsibilities) - Privacy Governance (e.g., charters, roles, responsibilities) |
| Identify Information Governance Roles and Responsibilities | |
| Align Information Security and Privacy Policies, Standards and Procedures | - Policies - Standards - Processes and Procedures |
| Understand and Comply with Code of Conduct/Ethics in a Healthcare Information Environment | - Organizational Code of Ethics - (ISC)² Code of Ethics |
Information Technologies in Healthcare (8%) | |
| 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 |
| Understand Data Life Cycle Management (e.g., create, store, use, share, archive, destroy) | |
| 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)) |
Regulatory and Standards Environment (15%) | |
| 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 |
| 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)) |
| Understand Compliance Frameworks | - 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)) |
Privacy and Security in Healthcare (25%) | |
| Understand Security Objectives/Attributes | - Confidentiality - Integrity - Availability |
| 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 |
| 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 |
| Understand the Relationship Between Privacy and Security | - Dependency - Integration |
| Understand Sensitive Data and Handling | - Sensitivity Mitigation (e.g., de-identification, anonymization) - Categories of Sensitive Data (e.g., behavioral health) |
Risk Management and Risk Assessment (20%) | |
| Understand Enterprise Risk Management | - Information Asset Identification - Asset Valuation - Exposure - Likelihood - Impact - Threats - Vulnerability - Risk - Controls - Residual Risk - Acceptance |
| Understand Information Risk Management Framework (RMF) (e.g., International Organization for Standardization (ISO), National Institute of Standards and Technology (NIST)) | |
| 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 |
| Identify Control Assessment Procedures Utilizing Organization Risk Frameworks | |
| Participate in Risk Assessment Consistent with the Role in Organization | - Information Gathering - Risk Assessment Estimated Timeline - Gap Analysis |
| Understand Risk Response (e.g., corrective action plan) | - Mitigating Actions - Avoidance - Transfer - Acceptance - Communications and Reporting |
| Utilize Controls to Remediate Risk (e.g., preventative, detective, corrective) | - Administrative - Physical - Technical |
| Participate in Continuous Monitoring | |
Third-Party Risk Management (15%) | |
| Understand the Definition of Third-Parties in Healthcare Context | |
| Maintain a List of Third-Party Organizations | - Third-Party Role/Relationship with the Organization - Health Information Use (e.g., processing, storage, transmission) |
| Apply Management Standards and Practices for Engaging Third-Parties | - Relationship Management |
| Determine When a Third-Party Assessment Is Required | - Organizational Standards - Triggers of a Third-Party Assessment |
| Support Third-Party Assessments and Audits | - Information Asset Protection Controls - Compliance with Information Asset Protection Controls - Communication of Results |
| Participate in Third-Party Remediation Efforts | - Risk Management Activities - Risk Treatment Identification - Corrective Action Plans - Compliance Activities Documentation |
| 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 |
| 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 |
| Promote Awareness of Third-Party Requirements | - Information Flow Mapping and Scope - Data Sensitivity and Classification - Privacy and Security Requirements - Risks Associated with Third-Parties |
Reference: https://www.isc2.org/Certifications/HCISPP
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