Case Study 2: HIPAA and IT Audits
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
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 regulations.
2b. Include in the diagram the switches, routers, firewalls, IDS / IPS, and any other
devices needed for a compliant network architecture.
The specific course learning outcomes associated with this assignment are:
Describe the process of performing effective information technology audits and general
Explain the role of cybersecurity privacy controls in the review of system processes.
Describe the various general controls and audit approaches for software and architecture
to include operating systems, telecommunication networks, cloud computing, serviceoriented architecture and virtualization.
Use technology and information resources to research issues in information technology
audit and control.
Write clearly and concisely about topics related to information technology audit and
control using proper writing mechanics and technical style conventions
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