Patient Records Backup
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Compliance
 
Below is the Healthy Server Compliance Matrix.
 
Standards Section Description Healthy Server Compliance
Administrative Safeguards
Security awareness and Training §164.308(a)(5) Protection from Malicious Software Daily scan for viruses and malware
Security Incident Procedures §164.308(a)(6) Response & Reporting Automated email notifications to notify potential virus and/or malware
Contingency Plan §164.308(a)(7) Data Backup Plan Daily onsite Backup, Daily Offsite Backup and Carroll-Net Datacenter Archive
Disaster Recovery Plan Healthy Service provide two recovery options; 1) Onsite directly from the Healthy Server and 2) Recovery from the Carroll-Net Datacenter Archive
Emergency Mode Operating Plan All security procedures automatically stay in effect regardless of size or scope of disaster
Testing & Revision Procedures Customers can choose to perform test restores as frequently as their procedures require
Application & Data Criticality Analysis Daily Backup Status Reports, and Backup Job Detail Reports
Business Associate Contract §164.308(a)(8) Written Contract Healthy Server Business Associated Agreement
Physical Safeguards
Workstation Security §164.310(c)   LoJack for Theft Recovery and Logic Bomb to destroy stolen patient records
Device and Media Controls §164.310(d)(1) Disposal, Media Re-use All equipment returned to Carroll-Net at end of contract goes through a careful wipe down and erasure to ensure complete data destruction
Technical Safeguards
Access Control §164.312(a)(1) Unique User Identification Each Carroll-Net Backup Engineer is assigned their own login which is tightly controlled and logged
Emergency Access Procedure Emergency Access is limited to designated personnel at the customer’s facility or their previously authorized IT professionals
Audit Controls §164.312(b)   Daily backup jobs log their actions. Designated customer personnel have access to their logs
Integrity §164.312(c)(1) Mechanism to confirm the integrity of data. Healthy Server software performs and automatic MD4 cryptographic hash of customer records and compares this signature to confirm the information integrity
Person or Entity Authentication §164.312(d)   Each Carroll-Net engineer is assigned their own username and password. And each Healthy Server has it’s own VPN username and password
Transmission Security §164.312(e)(1) Integrity Controls Healthy Server software uses block level and file level checksums to ensure data integrity of all transmissions
Encryption Healthy Server transmissions are encrypted using 1024-bit SSL
Organizational Requirements
Business Associate Contract §164.314(a) Business Associate Contracts Healthy Server Business Associated Agreement
 
 
 
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Patient Records Backup