Hipaa Compliant Hosting Requirements and Compliance Solutions

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To ensure your hosting meets HIPAA compliant hosting requirements, you'll need to implement several key security measures.

Data encryption is a must, with both in-transit and at-rest encryption required for all electronic protected health information (ePHI).

Regular security audits and risk assessments are also necessary to identify and mitigate potential vulnerabilities.

HIPAA compliant hosting providers typically offer robust backup and disaster recovery solutions to protect against data loss.

These solutions often include automatic backups, data replication, and business continuity planning.

Compliance Requirements

Compliant hosting solutions are crucial for organizations handling protected health information (PHI). SAS 70 and SSAE 16 are certifications that rank providers' level of compliance with the law.

FISMA Compliant Hosting is another key requirement. FISMA oversees standards for categorizing information and information systems by mission impact, minimum security requirements, and guidance for selecting and assessing security controls.

HIPAA regulations require Covered Entities and Business Associates to follow strict security and privacy standards. The HIPAA Security Rule outlines three sets of protections for managing PHI and ePHI.

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Business Associates must adhere to HIPAA's security and privacy standards, just like Covered Entities. This includes managing ePHI and PHI according to the HIPAA Privacy Rule and Security Rule.

To ensure compliance, organizations often opt for cloud hosting solutions. Cloud hosting provides increased stability and data protection infrastructure, making it an attractive option for HIPAA-compliant hosting.

Here are some key requirements for HIPAA compliant hosting:

  • Covered Entities must follow HIPAA standards, regulated by the US Department of Health and Human Services (HHS)
  • Business Associates must also adhere to HIPAA's security and privacy standards
  • The HIPAA Security Rule outlines three sets of protections for managing PHI and ePHI

Security Measures

A fully managed security firewall is a must-have to prevent unwanted access to your system. This type of firewall guarantees that only authorized employees have access to Protected Health Information (PHI).

There are five primary kinds of firewalls, including next-generation firewalls (NGFWs), circuit-level gateways, application-level gateways (proxies), stateful inspection firewalls, and packet-filtering firewalls.

Cloud hosting offers many benefits, including cost savings, remote file sharing, custom applications, and expanded storage. However, it's essential to ensure that your cloud hosting provider secures your PHI in accordance with healthcare data regulations.

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To meet HIPAA compliance, a cloud vendor can advise you on hosting solutions that have been audited by a qualified independent third party. This includes round-the-clock monitoring and support.

Having a malware- and virus-free environment is critical to providing PHI with the degree of protection it needs. Anti-malware protection is an essential feature to look for in your cloud hosting providers.

Authentication and Access

Authentication and Access is a crucial aspect of HIPAA compliant hosting requirements. Multi-factor authentication is more secure than using a basic user ID and password to get access to protected systems.

This safeguard prevents the possibility of illegal access due to weak passwords.

Certifications and Compliance

Compliant hosting solutions are designed to ensure that data is handled and stored securely.

Certifications are awarded to providers to rank their level of compliance with the law.

Two notable certifications are SAS 70 and SSAE 16.

SAS 70 and SSAE 16 are both highly regarded certifications that demonstrate a provider's commitment to security and compliance.

These certifications are essential for healthcare providers who need to store sensitive patient information.

Customer and Vendor Responsibilities

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HIPAA compliance is not solely the responsibility of your cloud vendor. In fact, Amazon Web Services (AWS) explicitly states that security is shared between them and the customer, with certain elements of security now the responsibility of AWS, but others still falling on the customer.

The customer is responsible for ensuring all regulatory mandates are being followed, including HIPAA. This means you must carefully examine the cloud vendor's specific provisions and policies before using a service for Protected Health Information (PHI).

To ensure compliance, ask your cloud vendor these key questions:

  • Have they had an external assessment done by a third party?
  • Have they been assessed against the HIPAA Security Rule?
  • What assurance can they make in safeguarding your data?

Signing a Business Associate Agreement (BAA) with your vendors is also essential, as it specifies the responsibilities of your partners in safeguarding your PHI. However, it's essential to remember that a BAA does not absolve Covered Entities of their obligations to safeguard PHI.

Hosting and Infrastructure

HIPAA compliant hosting requires a robust infrastructure to ensure the security and integrity of Protected Health Information (PHI). This includes a high-availability infrastructure with a server uptime agreement to safeguard against prolonged outages.

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A server uptime agreement can be a lifesaver for healthcare organizations that cannot afford to be down for an extended period. In fact, most firms in the healthcare sector can't withstand a prolonged outage.

To meet SSAE 16 compliance, a hosting company must supply a written statement to the auditor describing the overall infrastructure system. This system must include all services provided by the vendor and infrastructure-related activities that impact a client's service.

Here are the key features of a HIPAA compliant cloud hosting environment:

  • A robust firewall and intrusion prevention system.
  • Encrypted VPNs for securely connecting to the cloud to access, upload, or download PHI.
  • Robust encryption for data at rest.
  • Strong authentication controls including multifactor authentication.
  • Event log management to maintain an audit trail.
  • Reliable data backups, offsite backup storage, and data recovery assistance.
  • 100% server availability and reliability, ideally with a 100% server uptime SLA.
  • Data stored in HIPAA-compliant data centers.
  • SSL certificates.
  • SSAE 18 certification.
  • Business associate agreement (BAA).

SSAE 16 Data Center Audits

SSAE 16 Data Center Audits are the updated version of SAS 70, verifying if a web hosting facility is up to par with legal regulations within a certain industry, determining its level of compliance.

The audits are conducted in two phases, covering the overall operational controls of the facility and the way in which those controls hold up over a given period of time.

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A hosting company has to supply a written statement to the SSAE 16 auditor, describing the overall infrastructure system, including all services provided by the vendor and all infrastructure-related activities that may have a direct impact on a client's service.

The service provider must legally state that the provided document accurately describes all control objectives over a given period of time.

SSAE 16 regulates hosting for industries such as HIPAA, PCI DSS, SOX, and FISMA.

There are twelve specific control objectives for a web hosting organization to meet compliance.

Build Secure Infrastructure

Building a secure infrastructure is crucial for hosting sensitive data, especially in the healthcare industry. To meet HIPAA compliance, you'll want to consider a cloud vendor that advises on hosting solutions audited by a qualified independent third party.

A robust firewall and intrusion prevention system are essential features of a HIPAA-compliant cloud hosting environment. This includes a fully managed security firewall to prevent unwanted access to your system.

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A high-availability infrastructure with an uptime service level agreement (SLA) will safeguard you in case of a failure. This is especially important for healthcare organizations that can't afford a prolonged outage.

To secure electronic health records, onsite and offshore data backups are required. Offsite backups should be kept in the country where the business is situated, and backups must be encrypted to prevent unauthorized access.

Here are the key features of a HIPAA-compliant cloud hosting environment:

  • Robust firewall and intrusion prevention system
  • Encrypted VPNs for secure access to PHI
  • Robust encryption for data at rest
  • Strong authentication controls, including multifactor authentication
  • Event log management to maintain an audit trail
  • Reliable data backups, offsite backup storage, and data recovery assistance
  • 100% server availability and reliability, ideally with a 100% server uptime SLA
  • Data stored in HIPAA-compliant data centers
  • SSL certificates
  • SSAE 18 certification
  • Business associate agreement (BAA)

Compliance and Certifications

Compliance and Certifications is a crucial aspect of HIPAA compliant hosting requirements. SAS 70 and SSAE 16 certifications are awarded to providers to rank their level of compliance with the law.

To achieve compliance, hosting providers undergo audits that assess their operational controls and adherence to industry regulatory laws. SAS 70 audits are conducted in two types: one covering overall operational controls and the other evaluating the effectiveness of these controls over a period of six months to a year.

Secure Sockets Layer (SSL) certificates are required for all servers, domains, and subdomains that include ePHI in your systems.

SAS 70 Data Center Audits

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SAS 70 Data Center Audits are a crucial aspect of ensuring compliance with industry regulatory laws.

These audits are conducted to determine the level of compliance with laws, and they come in two types: type one, which covers the overall operational controls of a facility, and type two, which audits the effectiveness of those controls over a period of time.

The period of time typically ranges from six months to a year.

SAS 70 audits are a set of guidelines applied to web hosting facilities, and they're used to rank providers based on their level of compliance with the law.

The two levels of ranking are SAS 70 and SSAE 16.

Fisma Compliant

Fisma, or the Federal Information Security Management Act of 2002, is the framework of laws that aim to determine how government information, operations, and assets are protected.

Fisma oversees the categorization of information and information systems by mission impact, as well as minimum security requirements for information and information systems.

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Standards for selecting appropriate security controls for information systems, assessing security controls, and determining security control effectiveness are also part of Fisma's guidelines.

The security authorization of information systems, monitoring security controls, and maintaining data encryption within hardware and virtual data transmission are also key aspects of Fisma compliance.

Most companies offer a dual compliance strategy consisting of private cloud servers and dedicated hosting solutions to achieve Fisma compliance.

This approach provides increased stability within a network, fosters higher levels of data protection infrastructure, and maintains data encryption within hardware and virtual data transmission.

Here are some key areas of Fisma compliance:

  • Standards for categorizing information and information systems by mission impact
  • Standards for minimum security requirements for information and information systems
  • Guidance for selecting appropriate security controls for information systems
  • Guidance for assessing security controls in information systems and determining security control effectiveness
  • Guidance for the security authorization of information systems
  • Guidance for monitoring the security controls and the security authorization of information systems

Data Segregation

Data Segregation is crucial to maintain the confidentiality of PHI, and experienced suppliers can create a secure environment that protects this sensitive information.

A HIPAA compliant environment must be separated from your cloud hosting provider's other clients to prevent contamination from neighbors.

Shared hosting, where multiple businesses share servers, should be avoided to ensure data segregation.

If you use any software as a service (SaaS) solutions, be sure to inquire about how your data is segregated to maintain compliance with HIPAA regulations.

PCI DSS

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PCI DSS is a set of rules and regulations that define how a colocation company can control and protect customer financial data. The regulations apply to major banking card brands like Visa, MasterCard, American Express, Discover, and JCB.

Compliance is determined annually by a QSA (Qualified Security Assessor) or a SAQ (Self-Assessment Questionnaire). QSA is applied to companies and institutions dealing with large volumes of card transactions, while SAQ is applied to companies managing a smaller portion of card transactions.

To be compliant with PCI DSS, a hosting company must offer a wide range of server infrastructure solutions that meet the regulations. This typically involves using fully managed colocation servers or a network of private cloud servers that are encrypted using stringent firewall access controls.

A compliant hosting company should supply 24/7/365 support, data center diversification for data backups, managed dedicated server solutions, long-term colocation options, and encrypted private cloud networks. This ensures that financial data transmission occurs within a secure environment.

Here are some key features to look for in a PCI DSS compliant hosting company:

  • 24/7/365 support
  • Data center diversification for data backups
  • Managed dedicated server solutions and long-term colocation options
  • Encrypted private cloud networks
  • High-end availability SLA

SSL Certifications

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Credit: pexels.com, High-tech server rack in a secure data center with network cables and hardware components.

SSL certifications are a must-have for any organization handling electronic Protected Health Information (ePHI). They're required for all servers, domains, and subdomains that include ePHI in your systems.

To ensure you're compliant, you need to obtain an SSL certificate for each of these areas. This will help secure the transmission of sensitive data.

SSL certificates play a crucial role in maintaining the confidentiality and integrity of ePHI.

Compliant Solutions

Compliant hosting solutions are crucial for healthcare organizations, and certifications like SAS 70 and SSAE 16 can help ensure that providers meet the necessary standards.

To achieve compliance, healthcare organizations must carefully examine the cloud vendor's specific provisions and policies before using a service for Protected Health Information (PHI).

Ask these key questions to ensure you're using a compliant cloud vendor:

  1. Have they had an external assessment done by a third party?
  2. Have they been assessed against the HIPAA Security Rule?
  3. What assurance can they make in safeguarding your data?

A Business Associate Agreement (BAA) is a key component to HIPAA compliance between a covered entity and a business associate. AWS, for example, requires a signed BAA to use their HIPAA-compliant services.

Frequently Asked Questions

How much does a HIPAA compliant server cost?

Our HIPAA compliant servers start at $344/month for entry-level options and go up to $647/month for advanced, multiple dedicated server plans.

Ann Lueilwitz

Senior Assigning Editor

Ann Lueilwitz is a seasoned Assigning Editor with a proven track record of delivering high-quality content to various publications. With a keen eye for detail and a passion for storytelling, Ann has honed her skills in assigning and editing articles that captivate and inform readers. Ann's expertise spans a range of categories, including Financial Market Analysis, where she has developed a deep understanding of global economic trends and their impact on markets.

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