September 16, 2021

Security Guidelines

User Access Modification, Deactivation & Removal

Applies to

Description

Action

Involuntary
terminated user

Involuntary termination of employment.

Immediate selective wipe of device, reset passwords to all accounts, lock device and coordinate return.

Voluntary
terminated user

Account inactivation and removal.

Deactivate within 2 business days or transfer authentication to prevent unauthorized access.

All users

Account suspension for extended leave of absence

Deactivate for absence over 90 days.

All users

Unsuccessful logins attempts

5 failed attempts. Lock 15 minutes.

All users

User accounts that have not had logins

Deactivate for over 90 days.

All users

Notification and modification of User role changes

Managers to notify within 14 days, access changes made within 2 business days.

All users

Disabled accounts

Remove after 180 days unless authorized for retention.

Screensaver & Automatic Session Locks

Location / Device

Description

Screen Saver

Session Lock

Laptop Devices

Portable devices such as laptops and tablet computers located in non-secure areas.

5 mins

10 mins

Secure Areas

Computers located in areas that are physically secured from access by unauthorized persons.

15 mins

30 mins

Password Requirements

Applies to

Action

Minimum Password Length

8 Characters

Maximum Password Length

15 Characters

Password Complexity

Case change and one number or special character

Password Expiration

90 Days

Disallow Password Reuse

Last 5 or never reuse

Lock for Failed Login Attempts

5 Failed – 15 Minute Lock or Help Desk reset

Deactivation for Login Inactivity

Disable account after 90 days.

BYOD Security Requirements

Laptop or Desktop

Action

Minimum Password Length

8 Characters

Password Complexity

Case change and one number or special character

Password Expiration

180 days

Disallow Password Reuse

Last 24 or never reuse

Lock for Inactivity

30 Minutes

Lock for Failed Login Attempts

10 Failed – 10 Minute Lock

Encryption

Required for devices that travel outside of home or office

Automatic Updates

Required

Antivirus

Required


Smartphone or Tablet

Action

Minimum PIN Length

4 characters

Lock for Inactivity

5 mins

Encryption

Required

Lock for Failed Login Attempts

10 Failed – Wipe Device

Security Officer Responsibilities

  1. Act as the designated point of contact for HIPAA Security related matters.
  2. Develop, update and implement policies and procedures as required by the HIPAA Security rule and other state and federal regulations.
  3. Ensure that reasonable safeguards and security measures exist, as well as proper staff training, so that electronic Protected Health Information is maintained and is not improperly used or disclosed.
  4. Oversee a security management program to identify, monitor, and mitigate threats and risks to all Information Systems.
  5. Conduct periodic risk analysis of information systems and security controls.
  6. Implement appropriate security controls.
  7. Ensure Workforce Members receive regular security awareness training.
  8. Evaluate acquisitions of Information Systems products and services for compliance with appropriate security controls.
  9. Conduct regular audits of Information System events.
  10. Conduct regular audits of Information Systems containing Sensitive information.
  11. Maintain an inventory of all Information System components.
  12. Establish and maintain availability, integrity, and confidentiality classifications for all Information Systems.
  13. Develop and manage the Emergency and Contingency plans and procedures.
  14. Ensure backup, recovery, and retention capabilities meet business requirements.
  15. Manage security incident response procedures and investigations.