Risk Analysis Policy (UBIT HIPAA)

Category: HIPAA Security
Responsible Office: UBIT HIPAA Compliance
Responsible Executive: Vice President and Chief Information Officer (VPCIO)
Approved By (Name/Title): J. Brice Bible, VPCIO

CATEGORY: Administrative Safeguards
TYPE: Required implementation specification for Security Management Process Policy
CITATION: 45 CFR 164.308(a)(1)(ii)(A)

The University at Buffalo Information Technology (UBIT) operates as a covered entity as defined by the U.S. Department of Health and Human Services Office of Civil Rights (OCR).  HIPAA Regulation Text 45 CFR Part 164.308(a)(1)(i) requires a covered entity to implement policies and procedures to prevent, detect, contain, and correct security violations.

UBIT conducts an accurate and thorough assessment of the potential risks and vulnerabilities to the confidentiality, integrity, and availability of ePHI on a regular basis. UBIT identifies and prioritizes the risks to the confidentiality, integrity, and availability of ePHI on an ongoing basis.

This policy applies to all UBIT workforce members.

Workforce members: Adhere to all policies and procedures as written.

HIPAA Security and Privacy Officer: Conducts an accurate and thorough assessment of the potential risks and vulnerabilities to the confidentiality, integrity, and availability of ePHI.

Compliance Officer: Participates in ensuring the security of ePHI is enforced and is effective. Performs this duty in conjunction with the HIPAA Security and Privacy Officer.