The Standard’s administrative safeguards include the following:
- designation of an employee maintains the Infosec program
- conducting internal and external risk assessments as to the security of all systems containing personal information, including employee training and compliance with policies and procedures, as well as means for detection and prevention of such systems’ security failures
- developing policies for the internal storage, access and transportation of personal information outside of the business premises
- ensuring compliance with the Infosec program by imposing consequences for any violation
- ensuring restrictions on access to records containing personal information, including preventing terminated employees from accessing, and limiting internal access as is reasonable
- ensuring third party service providers’ protection of personal information by conducting reasonable due diligence in selecting such third-party service providers, and requiring the third-party providers implement and maintain appropriate information security measures
- monitoring the systems to ensure effective security operation and upgrading/patching as necessary to limit risk
- reviewing the Infosec program at least annually or if there is a material change affecting the integrity of the Infosec program or any of its systems containing personal information
- documenting and reviewing responsive actions taken in connection with any breach of security and making corrective actions as necessary
The Standard’s technical safeguards include the following:
- securing user authentication protocols:
- controlling user IDs, passwords, and biometrics, including protocols and secure storage location
- restricting access to only active user accounts
- blocking access to logins after multiple unsuccessful access attempts
- implementing a need-to-access limitation of access to records and files containing personal information
- assigning unique IDs and passwords to replace vendor supplied default passwords
- encrypting transmitted personal information travelling across public networks, or travelling wirelessly
- monitoring of systems for unauthorized access or use
- encrypting all personal information stored on portable devices
- implementing up-to-date firewall protection and security patches for systems containing personal information that are connected to the internet
- implementing up-to-date malware protection
- training employees on the use of computer security systems and the importance of safeguarding personal information.
