Security Measures and Responses

Pay special attention to the topics relating to workforce security, information access management, security awareness and training, and security incident procedures.

Based on these areas, define at least four different specific threats to our information security (beyond the example given), plus a way of managing or mitigating that threat and a plan for response in case the information does become breached by that threat type. Complete a table in Word such as the following for your assignment submission. The completed table needs to show the ability to apply the principles named in a real-life scenario. Your assignment should be at least two pages long. The first row has been completed as an example.

Type of standard or threat

Method to reduce threat

Response plan if threat is encountered

Access Establishment and modification: The facility considers how access to EPHI is established and modified.

Each system user has a unique ID and password assigned by the institution. Passwords are not shared and must be changed every 90 days to prevent unauthorized access.
Employees are trained in appropriate access and password usage.

Employee shared their ID and password with fellow employee who forgot theirs:

  1. The relevant user’s ID and password are immediately disabled upon issue discovery. A new user ID will be established for that user.
  2. The staff member is disciplined and given official warning to never share passwords.
  3. System use and audit logs for that user are reviewed by IT and HIM manager.
  4. Repeated breach will result in employee dismissal

How to solve
Security Measures and Responses Nursing Assignment Help

As a medical professor responsible for creating assignments and evaluating student performance in a medical college, I understand the importance of information security in healthcare settings. This assignment focuses on identifying specific threats to information security and developing strategies to manage and mitigate those threats. Additionally, it requires a plan for responding in case of a breach. In this assignment, I will address four different specific threats to information security, along with methods to reduce the threats and response plans if encountered.


Type of Threat: Unauthorized Access to Electronic Protected Health Information (EPHI)
Method to Reduce Threat:
1. Implement strict authentication measures: Each system user should have a unique ID and password assigned by the institution. Passwords should not be shared, and regular password changes should be enforced (e.g., every 90 days) to prevent unauthorized access.
2. Conduct regular employee training: Employees should be trained in appropriate access and password usage to ensure they understand the importance of protecting EPHI and the risks associated with unauthorized access.

Response Plan if Threat is Encountered:
1. Disable compromised accounts: Immediately disable the relevant user’s ID and password upon discovering unauthorized access. This action will prevent further unauthorized access to EPHI.
2. Establish new user IDs and passwords: Create new user IDs and passwords for affected users to ensure secure access is restored.
3. Disciplinary action and warning: Discipline the staff member who shared their ID and password with a fellow employee who forgot theirs. Issue an official warning to that staff member, emphasizing the importance of not sharing passwords and the potential consequences.
4. IT and HIM manager review: IT and HIM managers should review the system use and audit logs for the user who breached the access policy. This step will help identify any potential data breaches or suspicious activities.
5. Employee dismissal for repeated breach: If an employee repeatedly violates the access policy, resulting in unauthorized access to EPHI, appropriate disciplinary actions should be taken, including employee dismissal.

Type of Threat: Malware and Ransomware Attacks
Method to Reduce Threat:
1. Install and update antivirus software: Implement robust antivirus software on all systems and ensure regular updates are performed to protect against new malware threats.
2. Employ email and web filtering: Utilize email and web filtering solutions to scan incoming emails and web traffic for potential malware and to prevent employees from accessing malicious websites.

Response Plan if Threat is Encountered:
1. Isolate and disconnect infected systems: If a malware or ransomware attack is detected, immediately isolate and disconnect the infected system from the network to prevent further spread.
2. Notify IT department: Inform the IT department about the attack for prompt action and assistance in containing and resolving the issue.
3. Restore from backup: If data is affected by a ransomware attack, restore the affected systems from clean backups to ensure minimal data loss and operational downtime.
4. Conduct system-wide scans: Perform system-wide scans using antivirus software to identify and remove any remaining malware.
5. Educate employees: Provide additional training to employees on identifying and avoiding malware and ransomware attacks to prevent future incidents.

Type of Threat: Physical Security Breaches
Method to Reduce Threat:
1. Implement access control measures: Establish strict access control policies to limit physical access to sensitive areas containing information systems or medical records. This includes utilizing key cards, biometric systems, and security personnel.
2. Install surveillance systems: Deploy surveillance cameras and alarms in critical areas to monitor any abnormal activities or unauthorized entry attempts.

Response Plan if Threat is Encountered:
1. Immediate response: In case of a physical security breach, immediately respond by alerting appropriate security personnel to assess the situation and take necessary actions.
2. Secure the area: Isolate the breached area to prevent further unauthorized access and protect the integrity of information systems and medical records.
3. Review surveillance footage: Analyze surveillance footage to identify the individuals involved in the breach and gather evidence for further actions.
4. Conduct thorough investigation: Conduct a comprehensive investigation to determine the cause and extent of the breach, identify any potential data loss or tampering, and implement necessary preventive measures.
5. Implement enhanced security measures: Based on the investigation findings, enhance physical security measures to prevent future incidents, such as upgrading access control systems or improving surveillance coverage.

Type of Threat: Social Engineering Attacks
Method to Reduce Threat:
1. Provide security awareness training: Conduct regular security awareness training sessions for employees to educate them about different social engineering techniques, such as phishing, impersonation, or pretexting, and how to identify and avoid such attacks.
2. Utilize multi-factor authentication (MFA): Implement MFA for critical systems and applications to add an additional layer of security against social engineering attacks.

Response Plan if Threat is Encountered:
1. Incident reporting: Encourage employees to report any suspicious activities, such as phishing emails, unexpected requests for passwords or sensitive information, or unusually persuasive communication attempts.
2. Incident analysis: Investigate reported incidents to determine if they are social engineering attacks and assess the potential impact on information security.
3. Awareness reinforcement: If a successful social engineering attack occurs, reinforce security awareness training to educate employees about the specific attack technique used and provide guidance on recognizing and avoiding similar attacks in the future.
4. Enhance anti-phishing measures: Update anti-phishing filters and email security solutions to improve detection and prevention of phishing attacks.
5. Incident response exercises: Conduct mock incident response exercises to test the organization’s response capability and identify areas for improvement in handling social engineering attacks effectively.

In conclusion, information security threats in the healthcare industry require comprehensive measures to manage and mitigate risks. By implementing strategies such as strict authentication, training, antivirus software, access control, surveillance systems, security awareness training, and incident response plans, healthcare organizations can enhance their information security posture and protect sensitive data from unauthorized access, malware attacks, physical breaches, and social engineering attempts.

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