HEALTHCARE IT SECURITY CHECKLIST: DATA PROTECTION & ACCESS CONTROL

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--- DATA ENCRYPTION & STORAGE ---
[ ] Encryption Method Used (Data at Rest) (AES-256, Triple DES, Other (Specify))
[ ] Encryption Method Used (Data in Transit) (TLS 1.2 or higher, SSL 3.0, Other (Specify))
[ ] Encryption Key Rotation Frequency (Days)
[ ] Description of Data Storage Location(s)
[ ] Data Masking Implemented? (Yes, No, Partial)
[ ] Encryption Key Management Policy Document

--- ACCESS CONTROL & AUTHENTICATION ---
[ ] Multi-Factor Authentication Enabled? (Yes, No, Partial Implementation)
[ ] Password Complexity Requirements Applied? (Yes, No, Review Required)
[ ] Maximum Password Age (Days)
[ ] Privilege Access Review Frequency (Monthly, Quarterly, Annually, Ad-Hoc)
[ ] Role-Based Access Control (RBAC) Implemented for: (EHR/EMR, Financial Systems, Laboratory Information Systems, Imaging Systems, Other (Specify))
[ ] Last Access Control Audit Date
[ ] Notes on Access Control Processes

--- NETWORK SECURITY ---
[ ] Firewall Status (Active, Inactive, Maintenance Mode)
[ ] Firewall Rule Count
[ ] Intrusion Detection System (IDS) Status (Active, Inactive, Alerts Pending Review)
[ ] Recent Network Activity Logs Summary
[ ] VPN Status (Enabled, Disabled, Active Connections: 0)
[ ] Last Network Security Scan Date
[ ] Network Segmentation Implemented? (VLANs, Microsegmentation, Firewall Rules, None)

--- ENDPOINT SECURITY ---
[ ] Endpoint Protection Software Installed? (Yes, No, N/A)
[ ] Last Full Scan Completion Status (0 = Failed, 1 = Passed)
[ ] Last Security Patch Applied Date
[ ] Mobile Device Management (MDM) implemented? (Yes, No, N/A)
[ ] Which of the following endpoint security controls are in place? (Antivirus Software, Firewall, Data Loss Prevention (DLP), Disk Encryption, Remote Wipe Capability)
[ ] Describe any unusual endpoint behavior observed recently.

--- VULNERABILITY MANAGEMENT ---
[ ] Last Vulnerability Scan Date
[ ] Scan Frequency (Days)
[ ] Summary of Recent Scan Results
[ ] Critical/High Severity Vulnerabilities Found? (Yes, No, Pending Scan)
[ ] Description of Remediation Steps for High Severity Vulnerabilities
[ ] Target Remediation Completion Date
[ ] Vulnerability Scanning Tool Used (Nessus, Qualys, Rapid7, Other)
[ ] Scan Report Attachment (Optional)

--- INCIDENT RESPONSE & RECOVERY ---
[ ] Incident Start Date/Time
[ ] Brief Description of Incident
[ ] Incident Severity (Low, Medium, High, Critical) (Low, Medium, High, Critical)
[ ] Estimated Number of Records Affected
[ ] Systems Impacted (Check all that apply) (EHR, Billing System, Patient Portal, Network Infrastructure)
[ ] Containment Steps Taken
[ ] Eradication Steps Taken
[ ] Date of Recovery Confirmation

--- BACKUP AND DISASTER RECOVERY ---
[ ] Backup Frequency (e.g., Daily, Weekly)
[ ] Last Successful Full Backup Date
[ ] Retention Period for Backups (in days)
[ ] Offsite Backup Storage Location
[ ] Backup Verification Method (e.g., Test Restore) (Test Restore, File Integrity Check, Automated Verification)
[ ] Last Disaster Recovery Drill Date
[ ] Detailed Description of Disaster Recovery Plan

--- SECURITY AWARENESS TRAINING ---
[ ] Last Training Completion Date (Within Last 3 Months, 3-6 Months Ago, 6-12 Months Ago, Over 12 Months Ago)
[ ] Topics Covered in Training (Phishing Recognition, Password Security, HIPAA Compliance, Malware Prevention, Data Breach Reporting, Physical Security)
[ ] Briefly describe your understanding of phishing scams.
[ ] How do you typically report suspected phishing emails? (To IT Security Department, To Supervisor, Delete and Ignore)
[ ] How many times have you reviewed the organization's security policies this year?

--- COMPLIANCE & REGULATORY REQUIREMENTS ---
[ ] HIPAA Security Rule Assessment Completed? (Yes, No, In Progress)
[ ] Last HIPAA Risk Assessment Date
[ ] State Privacy Law Compliance? (Applicable - Yes, Applicable - No, Unknown)
[ ] Summary of Relevant State Privacy Laws Applied
[ ] HITECH Act Compliance? (Yes, No, N/A)
[ ] Breach Notification Reporting Deadline (Days)
[ ] Supporting Documentation (e.g., Policies, Agreements)

--- THIRD-PARTY RISK MANAGEMENT ---
[ ] Vendor Risk Tier (High, Medium, Low) (High, Medium, Low)
[ ] Vendor Contract Start Date
[ ] Last Risk Assessment Completion Date
[ ] Number of Patients' Data Processed by Vendor
[ ] Summary of Vendor's Security Practices
[ ] Services Provided by Vendor (Select all that apply) (Data Storage, Data Processing, Software Development, IT Support, Other)
[ ] Vendor Security Assessment Report
[ ] Vendor Compliance Status (Compliant, Non-Compliant, In Progress) (Compliant, Non-Compliant, In Progress)

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