HIPAA and IT Audits


Case Study 2: HIPAA and IT Audits

Due Week 7 and worth 125 points

Imagine you are the Information Security Officer at a medium-sized hospital chain. The

CEO and the other senior leadership of the company want to ensure that all of their

hospitals are and remain HIPAA compliant. They are concerned about the HIPAA

Security and Privacy Rules and its impact on the organization. You begin looking at the

information provided by the Department of Health and Human Services, located

at Specifically, you are asked to

provide an analysis of two (2) of the cases found here with emphasis on what was done

to resolve the compliance issues.

Section 1. Written Paper

Non-compliance with HIPAA regulations can result in significant fines and negative

publicity. To help ensure that your organization remains in compliance with HIPAA

regulations you have been asked to write a three to five (3-5) page paper in which you:

1a.    Create an overview of the HIPAA Security Rule and Privacy Rule.

1b.    Analyze the major types of incidents and breaches that occur based on the

cases reported.

1c.    Analyze the technical controls and the non-technical controls that are needed

to mitigate the identified risks and vulnerabilities.

1d.    Analyze and describe the network architecture that is needed within an

organization, including a medium-sized hospital, in order to be compliant with

HIPAA regulations.

1e.    Analyze how a hospital is similar to and different from other organizations in

regards to HIPAA compliance.

1f.    List the IT audit steps that need to be included in the organization’s overall IT

audit plan to ensure compliance with HIPAA rules and regulations.

1g.    Use at least three (3) quality resources in this assignment. Note: Wikipedia

and similar Websites do not qualify as quality resources.

Your assignment must follow these formatting requirements:

 Be typed, double spaced, using Times New Roman font (size 12), with one-inch

margins on all sides; citations and references must follow APA or school-specific format.

Check with your professor for any additional instructions.

 Include a cover page containing the title of the assignment, the student’s name, the

professor’s name, the course title, and the date. The cover page and the reference page

are not included in the required assignment page length.

Section 2. Network Architecture

2a.    Create a network architecture diagram (using Visio or an open-source

equivalent to Visio for creating diagrams), based on the description of the network

architecture that you defined above for the organization to be compliant with HIPAA


2b.    Include in the diagram the switches, routers, firewalls, IDS / IPS, and any

other devices needed for a compliant network architecture.

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