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(ISC)2

HCISPP · Question #134

Marcus is responsible for security management within a HIPAA-covered entity. He is reviewing administrative safeguards and examining the organization's risk analysis. Which element is NOT part of…

The correct answer is A. Developing adequate communication with all contractors, interns, and staff in relation to the. Option A describes a workforce communication activity, which falls under a separate HIPAA administrative safeguard - workforce security and training - not risk analysis. Risk analysis is specifically a threat-and-vulnerability assessment process focused on identifying risks to…

Risk Management and Risk Assessment

Question

Marcus is responsible for security management within a HIPAA-covered entity. He is reviewing administrative safeguards and examining the organization's risk analysis. Which element is NOT part of risk analysis?

Options

  • ADeveloping adequate communication with all contractors, interns, and staff in relation to the
  • BAssessing vulnerabilities of integrity and availability of electronic personal health information
  • CDetermining how client electronic personal health information confidentiality may be compromised
  • DDetermining barriers in existence to needed client electronic personal health information

How the community answered

(25 responses)
  • A
    72% (18)
  • B
    8% (2)
  • C
    16% (4)
  • D
    4% (1)

Explanation

Option A describes a workforce communication activity, which falls under a separate HIPAA administrative safeguard - workforce security and training - not risk analysis. Risk analysis is specifically a threat-and-vulnerability assessment process focused on identifying risks to ePHI, not establishing communication protocols.

Options B, C, and D are all genuine risk analysis components: B addresses assessing system vulnerabilities to ePHI integrity and availability, C covers identifying threats to confidentiality, and D involves evaluating existing controls (barriers) that affect ePHI access - all of which directly map to the HIPAA Security Rule's risk analysis requirements under 45 CFR §164.308(a)(1).

Memory tip: Think of risk analysis using the CIA triad - Confidentiality, Integrity, Availability. Any answer choice that assesses threats or vulnerabilities to those three pillars belongs in risk analysis. Communication and training activities belong to other administrative safeguards, so when a choice mentions talking to staff or contractors, it's likely pointing outside the risk analysis bucket.

Topics

#HIPAA risk analysis#ePHI protection#Administrative safeguards#Vulnerability assessment

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